Facial Plastic Surgery最新文献

{"title":"Tip Rhinoplasty: Resection, Grafts, or Sutures.","authors":"Angela Sturm, Edward H Farrior","doi":"10.1055/a-2842-9342","DOIUrl":"10.1055/a-2842-9342","url":null,"abstract":"","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"291"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147627646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum: Structural Nasal Tip Grafting: Anatomy, Evaluation, and Technique Selection for Durable Aesthetic and Functional Outcomes.","authors":"Nam K Lee, Andrew A Winkler","doi":"10.1055/a-2793-0191","DOIUrl":"10.1055/a-2793-0191","url":null,"abstract":"","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"e41"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146226211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Peptides in Facial Plastic Surgery: Emerging Applications in Aesthetics and Rejuvenation.","authors":"Andre Shomorony, Alexa J Denton","doi":"10.1055/a-2833-9992","DOIUrl":"10.1055/a-2833-9992","url":null,"abstract":"<p><strong>Abstract: </strong>Bioactive peptides have become increasingly common ingredients in skincare products and procedural adjuncts in aesthetic practices. Modeled after naturally occurring matrikines, these short amino acid chains are designed to influence the extracellular matrix, cellular signaling, and skin repair. Peptides are commonly classified as signal peptides, carrier peptides, and neurotransmitter-inhibiting \"botox-like\" peptides based on their proposed mechanisms of action. While many of these compounds are marketed for wrinkle reduction, collagen stimulation, and improved skin quality, most supporting evidence is derived from in vitro and ex vivo studies rather than randomized clinical trials. These products are widely available with limited regulatory oversight and are increasingly incorporated into microneedling treatments, topical regimens, and postoperative skincare. As patient interest grows, facial plastic surgeons are more frequently asked about the role, safety, and efficacy of peptide-based products. This article presents current evidence and proposed mechanisms to help guide informed discussions and clinical decision-making in facial plastic surgery practice.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"417-419"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147467564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tip Tensioning in Rhinoplasty.","authors":"Joseph S Schertzer, Edward H Farrior, Julia Toman","doi":"10.1055/a-2764-3583","DOIUrl":"10.1055/a-2764-3583","url":null,"abstract":"<p><strong>Aims and background: </strong>This article aims to provide a comprehensive overview of nasal tip support, tensioning mechanics, and suture-based techniques that refine projection, rotation, and stability in rhinoplasty. Modern approaches emphasize predictable, structurally sound methods that balance form and function while accommodating individual anatomic variability. Understanding tension vectors and ligamentous relationships is essential for optimizing both aesthetics and long-term outcomes.</p><p><strong>Historical aspects: </strong>The evolution of nasal tip surgery reflects a shift from primarily reductive maneuvers to graft- and suture-based strategies that reinforce and shape the tip framework. Early innovators recognized the limitations of aggressive cartilage excision, leading to the development of both structural cartilage grafts and suture-based techniques to provide tip stability.</p><p><strong>Anatomy: </strong>Tip anatomy is governed by the relationship between the lower lateral cartilages (LLCs), medial crural base, the caudal septum, and the soft-tissue envelope. Cartilage grafts bolster weak or asymmetric native structures, reinforcing the medial crural pillar or lateral crural support, while sutures fine-tune shape, redistribute tension, and harmonize graft-induced forces. Optimal outcomes depend on understanding how grafts and sutures interact biomechanically within the intrinsic support system.</p><p><strong>Conclusions and clinical relevance: </strong>Integrating cartilage grafting with targeted suture techniques enables surgeons to control projection, rotation, and definition with greater precision. A combined structural and tension-modulating strategy enhances long-term stability, counteracts postoperative contracture, and provides durable, natural tip aesthetics across primary and secondary rhinoplasty.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"343-350"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145687506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postoperative Care to Ensure Optimal Tip Rhinoplasty Results.","authors":"Melyssa Hancock","doi":"10.1055/a-2816-2558","DOIUrl":"10.1055/a-2816-2558","url":null,"abstract":"<p><strong>Aims and backgrounds: </strong>Postoperative care in rhinoplasty is a critical determinant of surgical success, complication prevention, and patient satisfaction. Despite advances in operative technique, variability in postoperative management remains a significant contributor to suboptimal outcomes and revision surgery. This chapter aims to define the essential components of effective postoperative care and emphasize the role of structured systems in protecting surgical results and guiding patient recovery.</p><p><strong>Current and future development: </strong>Key elements of postoperative management are reviewed, including standardized follow-up schedules, pain control with opioid-sparing strategies, antibiotic stewardship, corticosteroid use, saline irrigations, nasal support techniques, activity modification, and patient education. Emerging evidence regarding non-steroidal anti-inflammatory drugs, isotretinoin use, topical antibiotics, and adjunctive therapies is discussed. Special considerations for revision rhinoplasty, complex grafting, and patients with comorbid conditions such as obstructive sleep apnea are highlighted. The importance of consistent documentation, photography, and communication is emphasized to support both clinical decision-making and patient reassurance.</p><p><strong>Conclusion and clinical relevance: </strong>There is no universal postoperative pathway in rhinoplasty; however, comprehensive preoperative preparation and structured postoperative systems consistently improve outcomes. Surgeons who prioritize postoperative care as an extension of the operation itself are better positioned to minimize complications, manage expectations, and achieve durable, high-quality results.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"359-365"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147627623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Importance of Tip Support and the Caudal Septal Extension Graft.","authors":"Kieran Steffen Boochoon, Jose Enrique Barrera","doi":"10.1055/a-2812-3575","DOIUrl":"10.1055/a-2812-3575","url":null,"abstract":"<p><strong>Aims and backgrounds: </strong>The dynamics of nasal tip aesthetics and function is a complex balance of inherent cartilage structure and surrounding soft tissue characteristics. A thorough understanding of form and function is paramount in achieving optimal rhinoplasty results. Controlling the appearance and the shape of the nasal tip remains a challenging task for surgeons.</p><p><strong>Techniques: </strong>This paper discusses the caudal septal extension graft (CSEG) as a useful tool for controlling nasal tip projection, rotation, nasal length, and shape in rhinoplasty. Additionally, we highlight the importance of cephalic turn in flaps as a preservation technique to achieve aesthetic results while maintaining nasal function.</p><p><strong>Conclusion and clinical relevance: </strong>We discuss the role of the CSEG in cosmetic and functional rhinoplasty while highlighting improvements in patient-reported outcome measures (PROMs). In conclusion, the CSEG and cephalic turn in flaps demonstrate effective techniques to improve tip control and achieve more predictable and long-lasting rhinoplasty results.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"322-325"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146206816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on: Nasal Septal Perforation Reconstruction with Polydioxanone Plate: A Systematic Review.","authors":"Yavuz Sultan Selim Yıldırım","doi":"10.1055/a-2761-1946","DOIUrl":"10.1055/a-2761-1946","url":null,"abstract":"","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"416"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145667799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tip Suture Techniques.","authors":"Umang Mehta, Catherina Greenberg, Daniel Hall","doi":"10.1055/a-2823-8444","DOIUrl":"10.1055/a-2823-8444","url":null,"abstract":"<p><strong>Introduction: </strong>The nasal tip is a complex structure that depends on the interplay between the lower lateral cartilages, soft tissue, and septal support. An ideal tip reflects balanced projection, rotation, and definition while maintaining airway integrity and structural stability. Key aesthetic parameters-including tip angle, columellar-infratip lobule relationship, domal divergence, and lateral crural orientation-provide a framework for evaluating tip shape. A thorough understanding of nasal tip deformities is important for avoidance and correction.</p><p><strong>Objectives and hypotheses: </strong>To describe commonly used tip suture techniques.</p><p><strong>Study design: </strong>Descriptive, non-comparative surgical technique review.</p><p><strong>Methods: </strong>Tip suture literature review, and description of Umang Mehta's preferred techniques.</p><p><strong>Conclusion: </strong>Modern tip rhinoplasty approaches emphasize cartilage preservation through suture-based techniques, which allow for controlled, reversible modification of tip definition, projection, and rotation while minimizing the sequelae of aggressive resection. The discussed techniques enable surgeons to achieve stable aesthetic and functional outcomes in primary and revision rhinoplasty.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"304-311"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147369517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thermal Effects of Monopolar Electrocautery on Cartilage.","authors":"Miyase Orhan, Fakih Cihat Eravci, Ömer Kaplan, Pembe Oltulu","doi":"10.1055/a-2875-0377","DOIUrl":"10.1055/a-2875-0377","url":null,"abstract":"<p><strong>Introduction: </strong>Electrocautery is used for dorsal cartilage contouring in rhinoplasty, but its safe energy range and histological effects remain unclear.</p><p><strong>Objective and hypothesis: </strong>This study evaluated histological cartilage changes after monopolar electrocautery and compared postcautery and concomitant irrigation effects on chondrocyte viability.</p><p><strong>Study design: </strong>Experimental animal study.</p><p><strong>Methods: </strong>Eight adult New Zealand rabbits were included. Auricular cartilage grafts were treated with monopolar electrocautery at 0, 8, 10, or 12 W for 4 seconds. Paired grafts received postcautery or concomitant irrigation with saline. Grafts were implanted subcutaneously and examined histopathologically at 60 days.</p><p><strong>Conclusion: </strong>Chondrocyte viability decreased with increasing energy levels (0 W: 57.8 ± 27.9%; 8 W: 22.6 ± 16.8%; 10 W: 8.5 ± 9.9%; 12 W: 5.2 ± 5.5%; <i>p</i> < 0.001). Among the groups in which ossification was observed, the highest ossification rates were recorded at 8 W, with lower values at higher energy settings (<i>p</i> < 0.001). Postcautery irrigation preserved significantly higher chondrocyte viability than concomitant irrigation at all energy levels. Monopolar electrocautery causes an energy-dependent reduction in chondrocyte viability. Ossification was identified as an unanticipated finding independent of the applied energy level. Postcautery irrigation preserves higher chondrocyte viability than concomitant irrigation. When electrocautery is used for dorsal contouring, it should be applied within a limited safety range.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147948213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Skin and Soft Tissue Management in Primary Rhinoplasty.","authors":"Peter N Eskander, Kayva L Crawford, Myriam Loyo","doi":"10.1055/a-2764-3510","DOIUrl":"10.1055/a-2764-3510","url":null,"abstract":"<p><strong>Aims and backgrounds: </strong>Rhinoplasty outcomes are determined by the complex interplay of modifications to both the osseocartilaginous framework and the behavior of the overlying skin-soft tissue envelope (SSTE). Successful surgery demands attention to several soft tissue characteristics including skin thickness, elasticity, sebaceous content, and fibrous ligamentous attachments, which together influence tip definition, support, and long-term aesthetic outcomes.</p><p><strong>Aims and backgrounds: </strong>This review summarizes evidence-based principles and practical strategies for soft tissue management in primary rhinoplasty. By integrating anatomical knowledge, meticulous surgical technique, and attentive postoperative management, surgeons can enhance tip definition, minimize complications, and achieve durable, aesthetically satisfying results. Emphasizing both structural and soft tissue considerations provides a comprehensive framework for optimizing rhinoplasty outcomes through thoughtful SSTE management.</p><p><strong>Historical aspects: </strong>This article thoroughly reviews the body of literature on skin and soft tissue management in primary rhinoplasty, providing a historical and contemporary account on this complex topic.</p><p><strong>Anatomy: </strong>The surgeon's understanding of nasal anatomy continues to evolve since the advent of facial plastic surgery. This review provides a detailed description of all the layers of the nose and how they relate to surgical considerations in rhinoplasty.</p><p><strong>Current and future development: </strong>This review provides both current and future insight into the management of skin and soft tissue management in rhinoplasty largely centered around strong understanding of nasal anatomy, soft tissue analysis and preservation, and refined grafting techniques.</p><p><strong>Conclusion and clinical relevance: </strong>Contemporary rhinoplasty has shifted away from a \"one-size-fits-all\" approach and more toward a deliberate and methodical approach based on the biochemical, structural, and nuanced subtleties of the nasal SSTE that makes every nose a unique challenge. This review hopes to inform readers on the many complexities that must be taken into account in rhinoplasty with the goal of supplementing the modern surgeon's intellectual toolbox when approaching this challenging surgery.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"331-342"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145917198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}