Facial Plastic Surgery最新文献_第9页

Management of the Heavy Neck in the Ethnic Patient. 少数民族患者重颈的处理。

IF 1.4 4区医学

Facial Plastic Surgery Pub Date : 2026-05-14 DOI: 10.1055/a-2866-3159

Ozcan Cakmak, Omer Tarik Kavak

{"title":"Management of the Heavy Neck in the Ethnic Patient.","authors":"Ozcan Cakmak, Omer Tarik Kavak","doi":"10.1055/a-2866-3159","DOIUrl":"10.1055/a-2866-3159","url":null,"abstract":"Aim and background: Facial and cervical aging is a multilayered process influenced by skeletal support, soft-tissue volume and position, ligamentous integrity, and skin quality. Ancestry-associated anatomic variation may affect clinical presentation, but surgical planning must remain anatomy-based rather than race-defined. This review outlines contemporary strategies for management of the heavy neck in ethnically diverse patients.Anatomy: In many ethnic patients, neck aging is driven predominantly by big structural changes rather than early cutaneous laxity. Thicker dermis, heavier soft tissues, relative chin retrusion, and preserved dermal elasticity predispose to progressive cervicomental obtuseness. Patients presenting with obtuse cervicomental contours related to deep cervical structures benefit most from anatomy-directed intervention rather than superficial fat reduction alone.Techniques: Management frequently includes submental deep neck contouring with selective reduction of subplatysmal fat, anterior digastric bellies, and submandibular glands, combined with platysmaplasty, with or without conservative subcutaneous fat removal. Optimal outcomes often require integration with facial rejuvenation, incorporating extended facelift techniques that emphasize comprehensive retaining-ligament release rather than traditional superficial musculoaponeurotic system lift procedures.Conclusion and clinical relevance: Surgical strategy should be guided by individual anatomy rather than ethnoracial categorization. Anatomy-based, patient-centered planning enables natural, balanced, and durable cervicofacial outcomes while preserving patient-specific aesthetic identity.","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147835730","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}

引用次数: 0

Evaluating the Role of the Self-Assembling Topical Haemostat PuraBond in Periorbital Ecchymosis Associated with Osteotomies in Septorhinoplasty. 评估自组装局部止血剂PuraBond在鼻中隔成形术中截骨所致眶周淤血中的作用。

IF 1.4 4区医学

Facial Plastic Surgery Pub Date : 2026-05-08 DOI: 10.1055/a-2843-8884

Abdul Rafay, Issa Beegun, Jonathan Joseph

{"title":"Evaluating the Role of the Self-Assembling Topical Haemostat PuraBond in Periorbital Ecchymosis Associated with Osteotomies in Septorhinoplasty.","authors":"Abdul Rafay, Issa Beegun, Jonathan Joseph","doi":"10.1055/a-2843-8884","DOIUrl":"10.1055/a-2843-8884","url":null,"abstract":"Abstract: Septorhinoplasty for both functional and cosmetic purposes is a widely performed operation. As with any surgical intervention, there are inherent risks that include bleeding manifesting as periorbital ecchymosis (PE). PuraBond is a novel, self-assembling, viscous biomaterial solution that transforms upon contact with biological fluids into a transparent, three-dimensional hydrogel matrix, effectively promoting localized haemostasis. This study evaluated the utility of PuraBond in reducing the degree of PE associated with septorhinoplasty. A review of 71 consecutive primary septorhinoplasty cases performed by a single senior surgeon was undertaken. The degree of PE was compared to consecutive cases when PuraBond was not available. The use of PuraBond did not demonstrate a statistically significant impact on the degree of PE following septorhinoplasty (mean PE score for control 4.17 versus 3.97 for PuraBond group, Mann-Whitney test, p = 0.55). This study is the first to describe the use of PuraBond within the context of osteotomies in septorhinoplasty. The use of PuraBond did not improve the degree of PE associated with septorhinoplasty.","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147766802","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}

引用次数: 0

Augmentation Rhinoplasty in Asian Patients. 亚洲患者隆鼻手术。

IF 1.4 4区医学

Facial Plastic Surgery Pub Date : 2026-04-21 DOI: 10.1055/a-2850-9504

Shin Hyuk Yoo, Yong Ju Jang

{"title":"Augmentation Rhinoplasty in Asian Patients.","authors":"Shin Hyuk Yoo, Yong Ju Jang","doi":"10.1055/a-2850-9504","DOIUrl":"10.1055/a-2850-9504","url":null,"abstract":"Aim and background: Asian rhinoplasty presents unique challenges due to distinct anatomical features, including a low nasal dorsum, weak cartilaginous framework, and thick soft tissue envelope. This article examines contemporary surgical approaches for dorsal and tip augmentation, focusing on methods designed to produce both aesthetically satisfactory and long-lasting outcomes.Techniques: Effective management necessitates a comprehensive approach that addresses both the nasal dorsum and tip. For the nasal tip, where intrinsic support is frequently lacking, septal extension grafts are considered the primary method for achieving stable structural reinforcement, as well as optimal projection and rotation control. Further refinement may be accomplished using tip-onlay or shield grafting techniques. In dorsal augmentation, the choice of material-encompassing alloplastic implants such as silicone and expanded polytetrafluoroethylene, as well as autologous options like monoblock or diced costal cartilage-is determined according to the patient's unique anatomical characteristics and individual preferences.Conclusion and clinical relevance: Achieving favorable results in Asian rhinoplasty requires an individualized surgical approach that carefully integrates aesthetic objectives with the need for structural support. A thorough understanding of the anatomical characteristics and limitations of the Asian nose, alongside proficiency in employing reliable structural grafts for tip refinement and selecting safe augmentation materials for the nasal dorsum, is critical to optimizing long-term patient outcomes.","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147654065","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}

引用次数: 0

Septorhinoplasty in Congenital Craniofacial Anomalies: A Narrative Review of Contemporary Surgical Approaches. 先天性颅面畸形的鼻中隔成形术：当代手术方法的叙述回顾。

IF 1.4 4区医学

Facial Plastic Surgery Pub Date : 2026-04-06 DOI: 10.1055/a-2843-8837

Guled M Jama, Vikas Acharya, Annakan Navaratnam, Timothy W Lloyd, Premjit S Randhawa, Peter J Andrews

{"title":"Septorhinoplasty in Congenital Craniofacial Anomalies: A Narrative Review of Contemporary Surgical Approaches.","authors":"Guled M Jama, Vikas Acharya, Annakan Navaratnam, Timothy W Lloyd, Premjit S Randhawa, Peter J Andrews","doi":"10.1055/a-2843-8837","DOIUrl":"https://doi.org/10.1055/a-2843-8837","url":null,"abstract":"Congenital craniofacial anomalies present complex reconstructive challenges impacting nasal function, facial symmetry, and psychosocial well-being. Effective restoration requires a multidisciplinary, patient-centered approach that integrates advances in imaging, surgical planning, and reconstructive techniques.This narrative review summarizes contemporary surgical strategies for nasal reconstruction in patients with cleft lip/palate and syndromic craniosynostosis.Relevant literature was reviewed alongside our own institutional experience. Focus was placed on preoperative assessment, multidisciplinary collaboration, operative timing, and technical innovations.Long-term outcomes demonstrate sustained improvements in nasal function, facial symmetry, and emotional well-being when care is provided by experienced multidisciplinary teams in dedicated units. Early psychological assessment and ongoing support are pivotal for optimizing patient outcomes.Multidisciplinary, long-term care integrating advances in imaging, reconstructive techniques, and psychosocial support improves functional, aesthetic, and emotional outcomes in nasal reconstruction in this complex group of patients.","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147627682","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}

引用次数: 0

The Slit Septal Extension Graft: A Technical Modification for Midline Fixation in Structured Rhinoplasty. 缝状鼻中隔延伸移植物：结构鼻成形术中线固定的技术改进。

IF 1.4 4区医学

Facial Plastic Surgery Pub Date : 2026-04-06 DOI: 10.1055/a-2841-9663

José L Rodrigues, Victor C Santos, Rafael Porpino, José C M Neves, Rooney W M Viana, Ingrid H Ciancio, Carlos A Caropreso

{"title":"The Slit Septal Extension Graft: A Technical Modification for Midline Fixation in Structured Rhinoplasty.","authors":"José L Rodrigues, Victor C Santos, Rafael Porpino, José C M Neves, Rooney W M Viana, Ingrid H Ciancio, Carlos A Caropreso","doi":"10.1055/a-2841-9663","DOIUrl":"10.1055/a-2841-9663","url":null,"abstract":"Septal extension grafts (SEG) are widely used to control nasal tip projection and rotation. However, traditional side-to-side fixation may increase graft bulk within the nasal cavity and carries a risk of deviation. The slit extension graft is a modification designed to centralize fixation within the caudal septum while reducing intranasal volume and improving mechanical stability.To describe the slit extension graft technique and evaluate its structural and angular outcomes in primary rhinoplasty.A retrospective case series of six patients using the PROCESS guideline.The patients underwent primary rhinoplasty with slit SEG fixation between July 2017 and May 2022. Preoperative and 12-month postoperative nasolabial angles were measured using standardized true lateral photographs aligned to the Frankfort horizontal plane. A paired t-test was used for statistical comparison.The slit extension graft provides centralized fixation with measurable angular control and stable outcomes at 1 year. Larger prospective studies are warranted to confirm reproducibility and functional implications.","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147520320","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}

引用次数: 0

The Various Shades of Hybridism in Rhinoplasty: Variations on Dorsal Preservation and Presentation of a Cartilaginous Pushdown Technique. 鼻整形术中杂交症的各种阴影：背侧保存的变化和软骨下推技术的表现。

IF 1.4 4区医学

Facial Plastic Surgery Pub Date : 2026-04-06 DOI: 10.1055/a-2840-5680

George Anastasopoulos, George Grigoriadis, Maria Karela, Alexandra Michailidou, Theodore Troupis

{"title":"The Various Shades of Hybridism in Rhinoplasty: Variations on Dorsal Preservation and Presentation of a Cartilaginous Pushdown Technique.","authors":"George Anastasopoulos, George Grigoriadis, Maria Karela, Alexandra Michailidou, Theodore Troupis","doi":"10.1055/a-2840-5680","DOIUrl":"10.1055/a-2840-5680","url":null,"abstract":"Introduction: The growing interest in preservation techniques gave rise to many variations classified under the term hybrid rhinoplasty.Objectives and hypotheses: The objective of this study is to specify the various meanings of hybridism in rhinoplasty tracing the term back in time and to present our contemporary practice in the management of the middle vault.Study design: Review of the medical literature about hybrid rhinoplasty and retrospective cohort study of patients submitted to hump reduction with cartilaginous preservation and pushdown.Methods: A total of 75 patients submitted to primary rhinoplasty consisting in hump reduction with complete removal of the osseous hump and cartilaginous pushdown and evaluated for functionality and aesthetic satisfaction.Results: Cartilaginous pushdown results in great functional and aesthetic success with low rates of complications or recurrences.Conclusions: Studying the literature, we recognized three distinct entities of hybridism in rhinoplasty. One of these is the variations on dorsal preservation techniques. Cartilaginous pushdown is a true hybrid technique standing between structural hump removal and complete dorsal preservation.","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147510688","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}

引用次数: 0

Autologous Fat Grafting of the Face in Men. 男性面部自体脂肪移植术。

IF 1.4 4区医学

Facial Plastic Surgery Pub Date : 2026-04-01 Epub Date: 2025-09-19 DOI: 10.1055/a-2705-3478

Lavanya Nagappan, David Liao, Jason D Bloom

{"title":"Autologous Fat Grafting of the Face in Men.","authors":"Lavanya Nagappan, David Liao, Jason D Bloom","doi":"10.1055/a-2705-3478","DOIUrl":"10.1055/a-2705-3478","url":null,"abstract":"Men have distinct facial anatomy and facial patterns. Autologous fat grafting techniques can be tailored to maintain masculine features.Interest in male facial rejuvenation has grown in recent decades. Autologous fat grafting is favored for its natural, durable results and regenerative benefits.Men have angular facial structures with prominent brows, wider jaws, and thinner fat layers. Aging leads to forehead rhytids, midface hollowing, nasal lengthening, jawline blunting, and a more rectangular profile due to bone loss and skin laxity.Thorough preoperative evaluation and facial analysis are important for successful planning and outcomes.There are various commercially available tools for fat harvesting and processing. The Tulip cannula and PureGraft systems are described in this article. Microfat (1,000-1,500 microns) is preferred in facial grafting for its balance of volume restoration and low nodularity risk. The brow, infraorbital region, midface, jawline, and chin can be targeted to restore a youthful, masculine contour.Research on male-specific outcomes, including hormonal and weight effects on graft longevity and patient-reported outcomes, is limited and is an area ripe for future investigation.As interest in male aesthetics increases, tailoring facial rejuvenation techniques to their anatomy and aging is essential for successful outcomes.","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"213-218"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145091330","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}

引用次数: 0

Deep Plane Technique for Male Facelift Surgery. 男性面部及颈部提拉术。

IF 1.4 4区医学

Facial Plastic Surgery Pub Date : 2026-04-01 Epub Date: 2025-09-01 DOI: 10.1055/a-2690-9853

Daryoush David Saadat, Jonathan Sykes

{"title":"Deep Plane Technique for Male Facelift Surgery.","authors":"Daryoush David Saadat, Jonathan Sykes","doi":"10.1055/a-2690-9853","DOIUrl":"10.1055/a-2690-9853","url":null,"abstract":"This article presents a comprehensive, anatomically precise approach to deep plane facelift surgery in male patients, a demographic with increasing interest in facial rejuvenation but historically underserved by techniques optimized for female anatomy. While foundational facelift principles are shared between genders, the male patient presents unique structural, vascular, and aesthetic demands that necessitate specific modifications to technique, planning, and execution.Key anatomical distinctions in the male face, including denser subcutaneous tissue, increased vascularity, prominent subplatysmal structures, and horizontally oriented submuscular aponeurotic system (SMAS)-platysma continuity, require surgical planning that respects and preserves masculine facial definition. The submental region is often complicated by hypertrophic digastric musculature and submandibular gland visibility, necessitating targeted management to optimize the cervicomental angle.This article outlines a male-specific technique emphasizing extended deep plane dissection, ligamentous release, SMAS repositioning with minimal subcutaneous dissection, and submental access. Deep plane neck procedures, including conservative subplatysmal fat reduction, digastric contouring, partial submandibular gland reduction, and corset platysmaplasty, supplement the facial portion of the procedure.When performed with anatomical precision and gender-specific adaptation, preservation-based techniques with extended deep plane facelift surgery yield consistent, natural, and structurally restorative outcomes in male patients.","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"182-192"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144948240","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}

引用次数: 0

Injectable Nuances for the Male Face. 男性面部注射的细微差别。

IF 1.5 4区医学

Facial Plastic Surgery Pub Date : 2026-04-01 Epub Date: 2026-01-23 DOI: 10.1055/a-2787-8747

Yula A Indeyeva

引用次数: 0

Blepharoplasty: Rejuvenating the Male Periorbital Area. 眼睑成形术：恢复男性眶周区域的活力。

IF 1.4 4区医学

Facial Plastic Surgery Pub Date : 2026-04-01 Epub Date: 2025-08-25 DOI: 10.1055/a-2689-1710

Nitika V Tripathi, Amir A Hakimi, Michael J Reilly

{"title":"Blepharoplasty: Rejuvenating the Male Periorbital Area.","authors":"Nitika V Tripathi, Amir A Hakimi, Michael J Reilly","doi":"10.1055/a-2689-1710","DOIUrl":"10.1055/a-2689-1710","url":null,"abstract":"Blepharoplasty is among the fastest-growing aesthetic procedures in male patients, reflecting shifting cultural norms and increasing demand for facial rejuvenation that preserves masculine features. This review outlines the anatomical and aging patterns specific to the male periorbital region and discusses contemporary surgical techniques tailored to this population.The gender-specific anatomical differences in the periorbital region influence both surgical planning and outcomes are highlighted.Aging in men involves distinct patterns that must be addressed to preserve masculine facial identity.Surgical strategies emphasize conservative tissue excision, preservation of eyelid fullness, and avoidance of feminizing features.Men are predisposed to complications like lower lid malposition, visible scarring, and wound dehiscence due to anatomical factors and skin characteristics. Overcorrection may lead to feminization, necessitating a conservative surgical philosophy and meticulous technique.A deep understanding of sex-specific anatomy and aging, coupled with meticulous surgical technique, is essential for achieving natural, harmonious outcomes that align with the male aesthetic ideal.","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"176-181"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144948209","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}

引用次数: 0