Plastic and Reconstructive Surgery Global Open最新文献

{"title":"Pilot Study: Minimally Invasive Hyoid Suspension Lift: A Case Series and Technical Description.","authors":"Kenji Kuwazuru, Yutaka Nakamura, Takahiro Yamamoto, Nao Ishikawa, Kosuke Hosoi, Kazuki Morigami","doi":"10.1097/GOX.0000000000007112","DOIUrl":"10.1097/GOX.0000000000007112","url":null,"abstract":"<p><strong>Background: </strong>The cervicomental angle is a critical anatomical feature in neck aesthetics, and age-related changes can lead to sagging, platysma bands, and loss of definition. Traditional neck rejuvenation techniques focus on tightening the horizontal platysma but often fail to restore the cervicomental angle. This study evaluated a minimally invasive hyoid suspension (MIHS) lift, which anchors the platysma to the prehyoid deep cervical fascia through a limited submental incision.</p><p><strong>Methods: </strong>Between October 2023 and July 2024, 6 female patients (mean age, 63.0 y) underwent the MIHS lift alongside face lift and liposuction. The technique involved minimal subcutaneous dissection and direct platysma anchoring to reduce scarring and tissue trauma. The submental incision was limited to approximately 2 cm. Outcomes were assessed using the Knize cervicomental classification and the Gupta platysma band grading. Two surgeons performed all procedures and evaluations.</p><p><strong>Results: </strong>Neck contour and the cervicomental angle improved in all patients, with no complications. Preoperatively, 2, 1, and 3 patients were classified as Knize cervicomental class I, II, and III, respectively; postoperatively, all patients achieved class I. Platysma bands resolved in all patients. Submental scarring was minimal and inconspicuous on clinical examination.</p><p><strong>Conclusions: </strong>The MIHS lift appears to offer a low-morbidity, natural-appearing option for neck contouring by minimizing invasiveness. Although early outcomes are promising, further validation is needed. This technique may be useful for individuals prone to hypertrophic scarring (eg, Asian patients).</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 9","pages":"e7112"},"PeriodicalIF":1.8,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12456533/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145137998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Basket-weave Muscle Reconstruction: An Effective Technique for Bilateral Cleft Lip Repair.","authors":"Ahmed M Aboul Wafa","doi":"10.1097/GOX.0000000000007122","DOIUrl":"10.1097/GOX.0000000000007122","url":null,"abstract":"<p><strong>Background: </strong>The complexity of bilateral cleft lip deformities and the delicate interrelation between muscular arrangement and external lip features require a comprehensive approach for proper management. The principles developed by Mulliken for cleft repair have been a cornerstone in cleft management. In this study, the operative principles for bilateral cleft lip repair described by Mulliken are applied, with functional muscle reconstruction in the form of interlacing orbicularis oris muscle fibers using the basket-weave technique.</p><p><strong>Methods: </strong>Eighty patients underwent surgery using modifications of the technique described by Mulliken for bilateral cleft lip repair, involving skin tailoring, lateral flap size, and basket-weave muscle repair, with a mean follow-up period of 1 year and 2 months.</p><p><strong>Results: </strong>The overall results were extremely satisfactory regarding function and appearance, with no major complications. A full central segment with prominent philtral ridges, an adequate white roll, and a thick vermilion with a seam-like median tubercle were obtained. Based on the 10 parameters for assessment and scoring, 32 (40%) patients had excellent results, 36 (45%) patients had very good results, 8 (10%) patients had good results, and 4 (5%) patients had fair results.</p><p><strong>Conclusions: </strong>A basket-weave muscle reconstruction technique for bilateral cleft lip patients is presented, along with the major sites of distortion in the lip, sulcus, and nasal floor addressed during the primary surgery. This technique has shown improved dynamics and 3-dimensional configurations of the repaired lip both at rest and in function.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 9","pages":"e7122"},"PeriodicalIF":1.8,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12456478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Decision Aids and Soft Tissue Simulations in Breast Reduction Surgery: A Pilot Study.","authors":"Christian X Lava, Karen R Li, Daisy L Spoer, Jenna C Bekeny, Henry L Stanton, Rebecca J Falconer, Kenneth L Fan","doi":"10.1097/GOX.0000000000007129","DOIUrl":"10.1097/GOX.0000000000007129","url":null,"abstract":"<p><p>In this study, we aimed to assess the impact of soft tissue simulations as a decision aid on BREAST-Q outcomes after breast reduction surgery. A total of 7 patients underwent breast reduction. The mean BREAST-Q scores at baseline and 6 months showed significant differences in the domains of satisfaction with breasts (20.1 ± 10.1 versus 78.3 ± 8.1; <i>P</i> < 0.001), psychosocial well-being (29.2 ± 12.2 versus 81.2 ± 9.0; <i>P</i> < 0.001), sexual well-being (29.0 ± 14.5 versus 74.0 ± 12.3; <i>P</i> < 0.001), and physical well-being (40.2 ± 14.3 versus 78.6 ± 10.2; <i>P</i> < 0.001). When patients were asked, \"On a scale of 1 to 10, how challenging do you find the decision-making process for selecting a postoperative breast cup size?\" the mean score was 9.6 ± 0.5. When asked, \"How helpful are these images in helping you choose your preferred breast cup size?\" all respondents selected \"extremely helpful\" (n = 10, 100.0%). This pilot study supported the use of soft tissue simulations as a decision aid to improve patient satisfaction.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 9","pages":"e7129"},"PeriodicalIF":1.8,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12456593/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Virtual Surgical Planning and Cutting Guides in Le Fort II Distraction With Zygomatic Repositioning.","authors":"Nathan Calzadilla, Deanna Bradley, Akriti Choudhary, Megan M Perez, Kelsey M Green, Mark E Runge, Chad A Purnell","doi":"10.1097/GOX.0000000000007125","DOIUrl":"10.1097/GOX.0000000000007125","url":null,"abstract":"","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 9","pages":"e7125"},"PeriodicalIF":1.8,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12456527/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nipple Reconstruction Using FixNip NRI: A Novel Nipple Reconstruction Implant (First-in-human Trial).","authors":"Tal Konfino, Late Michael Scheflan, Jonathan Caspi, Barak Stuchiner, Ariel Tessone","doi":"10.1097/GOX.0000000000007103","DOIUrl":"10.1097/GOX.0000000000007103","url":null,"abstract":"<p><strong>Background: </strong>Loss of a nipple after mastectomy can adversely impact a patient's body image. This trial evaluated the performance and safety of the FixNip Nipple Reconstruction Implant (NRI), a hypodermic nipple structure designed to provide a reliable option for nipple reconstruction.</p><p><strong>Methods: </strong>Female patients 22-70 years of age with a history of breast cancer and at least 3 months postmastectomy were eligible. Nipple reconstruction with the FixNip NRI was performed. Patients were followed up for 12 months, with visits at 1 week, and 3, 6, and 12 months post surgery. Follow-up included safety evaluations, nipple projection measurements, and completion of BREAST-Q patient satisfaction questionnaires.</p><p><strong>Results: </strong>Twelve FixNip NRIs were implanted in 10 patients. Nipple projection remained stable during 12 months, with mean ± SD projections of 3.4 ± 1.6 mm at 1 week and 3.7 ± 1.6 mm at 12 months. BREAST-Q questionnaires showed medium to high patient satisfaction. No intraoperative adverse events occurred, but 1 implant was removed due to postoperative infection and dehiscence.</p><p><strong>Conclusions: </strong>FixNip NRI appears safe and feasible. Removal of the single implant may reflect the learning curve for patient selection and surgical technique. Use of this permanent implant maintained nipple projection for 12 months with medium to high patient satisfaction, suggesting promising outcomes for future reconstructions.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 9","pages":"e7103"},"PeriodicalIF":1.8,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12456498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Shifting Goals in Aesthetic Rhinoplasty: Eurocentric Ideals, Ethnic Background, and Cultural Identity.","authors":"Bishara Atiyeh, Edwin Chrabieh, Hazem Omaish, Rawad Chalhoub, Saif Emsieh","doi":"10.1097/GOX.0000000000007069","DOIUrl":"10.1097/GOX.0000000000007069","url":null,"abstract":"<p><strong>Background: </strong>Westernization of nasal features has long been presented as an essential framework for enhanced beauty. Whether surgery is meant to align one's appearance to Western ideals, or whether it should be considered a means of improvement within one's own culture and ethnicity, deserves serious consideration.</p><p><strong>Methods: </strong>A systematic literature search of PubMed, Embase, and Web of Science databases was conducted to identify reports on aesthetic preferences for ethnic nasal shape as they apply to aesthetic rhinoplasty.</p><p><strong>Results: </strong>Identified reports confirmed that there is no universal ideal nasal morphology across cultures and ethnic groups. However, cognitive investigation of aesthetic preferences of non-White patients is very limited, and most reports provided a low level of evidence.</p><p><strong>Conclusions: </strong>Variations in nasal features are morphological adaptive transformations pressured by evolution and natural selection. Their perception as positive beauty cues is also determined by evolution. Nasal profile preferences of various ethnic patients and the objectives of \"ethnic rhinoplasty\" are still poorly appreciated. Rather than being intended to correct existing features that deviate from the White \"norm,\" for creating a racially congruent and aesthetically pleasing outcome, aesthetic rhinoplasty is better perceived as an improvement fitting within the specific cultural and ethnic background of each patient and within the context of mate preferences and cognitive averageness.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 9","pages":"e7069"},"PeriodicalIF":1.8,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12456530/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145137931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Evolution of Knifeless Microcolumn Fat Injection in 1362 Patients: Emphasizing Longevity of Results and Optimal Contour.","authors":"Patrick K Sullivan, Skyler K Palmer, Diego A Gomez","doi":"10.1097/GOX.0000000000007118","DOIUrl":"10.1097/GOX.0000000000007118","url":null,"abstract":"<p><strong>Background: </strong>The field of regenerative surgery has been revolutionized by minimally invasive fat injection methods. Over the past decades, techniques have evolved significantly. However, concerns regarding long-term volume retention and creating the desired result remain a challenge for many surgeons.</p><p><strong>Methods: </strong>Our experience with 1362 patients has led to the development of a refined microfat injection technique that achieves durable facial contouring with a single treatment. Our method eliminates the need for overinjection, reducing the risks of contour irregularities and unpredictable fat resorption. The technique is knife-free, minimizing scarring and improving patient satisfaction.</p><p><strong>Results: </strong>Meticulous preoperative planning is paramount. Targeted areas are drawn on the face and delineated in subunits. These recipient sites undergo preinjection with a vasoconstrictive agent, mirroring the planned fat volume. This allows intraoperative assessment and precise volume refinement. Fat is harvested, processed, and injected in microcolumns using blunt side-port cannulas ranging from 17 to 20 G cannulas, with each pass depositing 0.025 to 0.05 mL in a new vascularized plane. This systematic microcolumnar deposition of small threads of fat ensures uniform augmentation, optimal vascularization, and long-term volume preservation.</p><p><strong>Conclusions: </strong>This technique is particularly advantageous to delicate facial areas requiring high precision, including the upper eyelid sulcus, lower eyelid/lid-cheek junction, and creating refined chin definition with augmentation. By emphasizing a precise fat placement technique, we achieve natural, long-lasting results. This article presented the rationale, evolution, and technical details of our microfat injection approach, highlighting its special applications with safe, enhanced, and predictable outcomes in facial contouring.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 9","pages":"e7118"},"PeriodicalIF":1.8,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12456580/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pilot Study: Application of Lateralized Z-plasty in Pilonidal Sinus Defect Closure.","authors":"Changkai Zhou, Lu Wang, Qianqian Wang, Tie Xiang","doi":"10.1097/GOX.0000000000007140","DOIUrl":"10.1097/GOX.0000000000007140","url":null,"abstract":"<p><strong>Background: </strong>Pilonidal sinus (PS) is a chronic condition primarily affecting young adult men and characterized by recurrent abscess formation, discharge, and significant physical and psychosocial impacts. Traditional surgical methods, including basic Z-plasty, often fail to adequately address horizontal tension, leading to high recurrence and complication rates. This pilot study evaluated the efficacy of lateralized Z-plasty (LZP) for reducing horizontal wound tension and improving postoperative outcomes.</p><p><strong>Methods: </strong>We conducted a retrospective review of patients presenting with sacrococcygeal PS who underwent LZP repair at our hospital. A 2-stage surgical approach involving precise sinus excision followed by reconstruction with LZP was used. The flap design incorporated a central limb oriented laterally, creating triangular flaps that were transposed to reduce tension. The outcomes assessed included complications, recurrence, and patient satisfaction.</p><p><strong>Results: </strong>Between September 2023 and March 2025, 14 consecutive patients who underwent 15 LZP procedures were included in this study. No cases of flap necrosis, hematoma, seroma, or infection were observed. The mean hospital stay was 14.1 days (range, 9-22 d), with a mean follow-up of 6.2 months (range, 2-18 mo). One patient experienced delayed wound healing, and 1 experienced recurrence, which was managed with contralateral LZP. All patients expressed satisfaction with their postoperative appearance.</p><p><strong>Conclusions: </strong>The modified LZP technique shows promise as an effective alternative for PS treatment, offering reduced complications and improved functional and aesthetic outcomes, with potential for further optimization.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 9","pages":"e7140"},"PeriodicalIF":1.8,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12456544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145137502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Revisiting the Boot Flap for Secondary Repair of the Free Border in Cleft Lip.","authors":"Koichi Ueda, Yuka Hirota, Hiromi Kino, Chizuru Umeda, Daisuke Nishioka","doi":"10.1097/GOX.0000000000007107","DOIUrl":"10.1097/GOX.0000000000007107","url":null,"abstract":"<p><strong>Background: </strong>Deficiency of the free border of the lip and \"whistling lip\" deformity are encountered in secondary repairs of unilateral and bilateral cleft lip. We have reported the use of the de-epithelialized oral vestibular flap (boot flap) for secondary cleft lip repair. We experienced more cases using this method and analyzed them.</p><p><strong>Methods: </strong>Fifty-nine patients with a cleft lip underwent secondary repair using this method. In unilateral cases, total scores were determined by evaluating the height of the notch, the volume of the upper lip tubercle, and the upper lip volume of the cleft side. In bilateral cases, total scores were determined by evaluating the height of the notch and the volume of the median lip tubercle.</p><p><strong>Results: </strong>Of the 46 patients with a unilateral cleft lip, 3 patients underwent a second boot flap operation due to undercorrection, and 1 patient underwent boot flap revision. Of the 12 patients with a bilateral cleft lip, 1 patient underwent a second boot flap operation due to flap atrophy. The second operation could be performed without any difficulty in either unilateral or bilateral cases. Compared with the preoperative scores, the postoperative scores improved significantly in both unilateral and bilateral cases.</p><p><strong>Conclusions: </strong>We experienced a recurrent notch deformity after direct suturing in a patient with a unilateral cleft lip. This was thought to be caused by scar contracture. To prevent a recurrent deformity, it is important to interrupt the plane where scar contracture occurs by incorporating a boot flap and augmenting the volume.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 9","pages":"e7107"},"PeriodicalIF":1.8,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12456503/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145137993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Complex Wound Reconstruction in a Patient With Ehlers-Danlos Syndrome.","authors":"Sohayla Rostami, Tomer Lagziel, Stephanie Lynne Martinez, Qingwen Kawaji, Charles Scott Hultman, Mark E Lavallee","doi":"10.1097/GOX.0000000000007120","DOIUrl":"10.1097/GOX.0000000000007120","url":null,"abstract":"<p><p>Ehlers-Danlos syndrome (EDS) is a hereditary condition marked by collagen defects leading to tissue fragility throughout various body systems. One notable challenge for patients with EDS is compromised wound healing due to connective tissue fragility. This study described the case of a 53-year-old man with classical type EDS, presenting with a significant wound over his left knee, following numerous complications after a patellar tendon rupture. Traditional healing methods, including a gastrocnemius flap, were of limited benefit due to the patient's EDS condition. A novel surgical approach, involving the use of a split-thickness skin graft combined with the Recell Autologous Skin Cell Harvesting Device, resulted in successful wound healing. Ten months postsurgery, the patient demonstrated excellent graft adherence without any complications. This case indicates the potential benefits of the split-thickness skin graft and Recell method for patients with EDS, offering an effective treatment modality for significant wound healing challenges in this population.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 9","pages":"e7120"},"PeriodicalIF":1.8,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12453333/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145131743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}