Kevin Sadati, Olivier Mathieu, Curtis L Cetrulo, Alexandre G Lellouch
{"title":"<i>Response to Letter:</i> Sadati et al.'s \"Anatomical Concerns and the Use of the Term Preservation in Referring to Procedures\" A Scientific Defense of the Preservation Facelift Approach.","authors":"Kevin Sadati, Olivier Mathieu, Curtis L Cetrulo, Alexandre G Lellouch","doi":"10.1177/26893614251358843","DOIUrl":"https://doi.org/10.1177/26893614251358843","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Angela Renne, Shaun C Desai, Kofi D O Boahene, Lisa Ishii, Jason C Nellis
{"title":"Age and Sex Disparities in Facial Nerve Repair after Total Parotidectomy with Nerve Sacrifice: A National Study.","authors":"Angela Renne, Shaun C Desai, Kofi D O Boahene, Lisa Ishii, Jason C Nellis","doi":"10.1177/26893614251358751","DOIUrl":"https://doi.org/10.1177/26893614251358751","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Angela Renne, Saikrishna Gourishetti, Kofi D O Boahene
{"title":"Exploring Demographic Associations of Patient-Reported Psychological Barriers to Bell's Palsy Care.","authors":"Angela Renne, Saikrishna Gourishetti, Kofi D O Boahene","doi":"10.1177/26893614251358739","DOIUrl":"https://doi.org/10.1177/26893614251358739","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Feyisayo O Adegboye, Osama A Hamdi, Nelson Gruszczynski, Neil P Monaghan, Samuel L Oyer
{"title":"Botulinum Toxin for Treatment of Synkinesis: Effects on Anxiety and Depression.","authors":"Feyisayo O Adegboye, Osama A Hamdi, Nelson Gruszczynski, Neil P Monaghan, Samuel L Oyer","doi":"10.1089/fpsam.2024.0262","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0262","url":null,"abstract":"<p><p><b>Background:</b> Facial synkinesis is associated with increased anxiety/depression and decreased quality of life. <b>Objectives:</b> To evaluate changes in anxiety and depression among patients with synkinesis before and after chemodenervation as measured by validated scales. <b>Methods:</b> A retrospective review of botulinum toxin naïve adults treated with chemodenervation for synkinesis was performed. Validated outcome metrics were compared before the first treatment and >3 months after the final treatment. Clinician-graded assessment used the Sunnybrook Facial Grading System (SB). Patient-reported assessments included the Synkinesis Assessment Questionnaire (SAQ) and Facial Clinimetric Evaluation (FaCE). Patient Health Questionnaire-2 (PHQ-2) and Generalized Anxiety Disorder-2 (GAD-2) questionnaires assessed depression and anxiety. Paired <i>t</i>-tests compared scores before and after treatment. <b>Results:</b> Sixty-eight patients aged 54 years (standard deviation ±13.5) were included. Most patients were female, 53/68 (78%). Bell's palsy was the most common cause, 34/68 (50%), with a median duration of 42 months (ranging from 4 to 730). Twelve participants (17.6%) initially screened positive for depression, and 11 (16.2%) for anxiety. Chemodenervation demonstrated significant improvements in SB (<i>t</i> = -7.14, <i>p</i> < 0.0001), FaCE (<i>t</i> = -2.15, <i>p</i> = 0.041), GAD-2 (<i>t</i> = 2.18, <i>p</i> = 0.03), and PHQ-2 scores (<i>p</i> = 0.016). There was no significant change in SAQ (standardized mean difference = -0.9, <i>p</i> = 0.71). <b>Conclusion:</b> Chemodenervation for synkinesis demonstrated improved patient quality of life and reduced symptoms of anxiety and depression.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elizabeth S Longino, Cherian K Kandathil, Sam P Most
{"title":"Comparing Perfusion of Single-Stage and Multi-Staged Paramedian Forehead Flaps Using Indocyanine Green Angiography.","authors":"Elizabeth S Longino, Cherian K Kandathil, Sam P Most","doi":"10.1089/fpsam.2024.0313","DOIUrl":"10.1089/fpsam.2024.0313","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"357-360"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cherian Kurian Kandathil, Monica Rossi-Meyer, Mikhail Saltychev, Sam P Most
{"title":"Effectiveness of Isotretinoin Administration in Rhinoplasty: A Systematic Review.","authors":"Cherian Kurian Kandathil, Monica Rossi-Meyer, Mikhail Saltychev, Sam P Most","doi":"10.1089/fpsam.2024.0229","DOIUrl":"10.1089/fpsam.2024.0229","url":null,"abstract":"<p><p><b>Objective:</b> To investigate the effectiveness of isotretinoin use in patients with thick nasal skin to improve rhinoplasty outcomes. <b>Methods:</b> The Population Intervention Comparison Outcome framework was utilized for selecting relevant studies for review. The databases of Medline, Embase, Cinahl, Central, Scopus, and Web of Science were searched in June 2024. Original research in adults (≥18 years) who underwent rhinoplasty and administered Isotretinoin pre- and/or postoperatively was included. Case reports, case series (<5 patients), and other letters were excluded. <b>Results:</b> This review identified, 3 (50%) retrospective studies and 3 (50%) randomized controlled trials on the topic. Although four studies demonstrated an improvement in patient's aesthetic satisfaction up to at least 6 months after rhinoplasty, only two studies without control groups, demonstrated a sustained improvement in patient's aesthetic satisfaction up to a year postoperatively. <b>Conclusion:</b> Based on the results of this study, the effectiveness of isotretinoin in rhinoplasty though promising could not be determined due to inconsistent use of treatment protocols, outcome measures, control groups, and long-term follow-up.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"387-396"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Julia Comer, Krystal Kan, Alexander Caniglia, John Wilson, Brittany Abud, Jane Schumacher, Nimit Gandhi, Selika Gutierrez-Borst, Steven Dayan
{"title":"Lip Augmentation in Patients with Fitzpatrick Skin Type V and VI: Use of a Validated Lip Fullness Scale and Determining Pre-injection Lip Size Preference and Post-injection Patient Satisfaction.","authors":"Julia Comer, Krystal Kan, Alexander Caniglia, John Wilson, Brittany Abud, Jane Schumacher, Nimit Gandhi, Selika Gutierrez-Borst, Steven Dayan","doi":"10.1089/fpsam.2024.0144","DOIUrl":"10.1089/fpsam.2024.0144","url":null,"abstract":"<p><p><b>Background:</b> There is limited literature assessing cosmetic lip size preferences in darker-skinned individuals. <b>Objective:</b> To measure preinjection lip augmentation preferences and postinjection satisfaction using the revised Lip Fullness Scale (LFS) in female participants with Fitzpatrick Skin Type V and VI. <b>Methods:</b> Females, aged 21 and over, with Fitzpatrick Skin Type V and VI desiring lip augmentation were recruited from a high-volume outpatient facial plastic surgery clinic. The LFS scale was administered pre- and postinjection. FACE-Q scales which measure patient reported outcomes for facial cosmetic procedures were administered postinjection. <b>Results:</b> Twenty-two female subjects participated in the study. The average age was 33.2 years (SD = 8.1). Fourteen participants (14) were Fitzpatrick V and eight (8) were Fitzpatrick VI. The average preinjection self-assessment LFS was 3.5. The final average postinjection self-assessment LFS score was 4.3. The increase in final postinjection LFS scores was found to be statistically significant with a <i>p</i>-value <0.001 when compared with preinjection LFS scores. Patients reported high satisfaction on postinjection FACE-Q. <b>Conclusion:</b> Patients with darker skin may prefer marked to very marked lip fullness, and physicians should be conscientious in understanding patients' individual perspectives and aesthetic goals.[Box: see text].</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"292-297"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Heather Merkouris, Aishwarya Shukla, Emily Wilson, G Nina Lu
{"title":"Timing of Treatment Initiation and Effect on Facial Synkinesis Outcomes-A Retrospective Study.","authors":"Heather Merkouris, Aishwarya Shukla, Emily Wilson, G Nina Lu","doi":"10.1089/fpsam.2024.0244","DOIUrl":"10.1089/fpsam.2024.0244","url":null,"abstract":"<p><p><b>Background:</b> While facial neuromuscular retraining and chemodenervation are effective treatments for facial synkinesis, it is unclear if clinical outcomes are affected by the timing or sequence of treatment initiation. <b>Objective:</b> To compare outcomes between patients with facial synkinesis based on timing of treatment initiation with facial neuromuscular retraining and/or chemodenervation as measured by the Sunnybrook Facial Grading System. <b>Methods:</b> Retrospective review of patients with facial synkinesis. Patient data recorded include demographics, clinical information, and Sunnybrook scores. <i>t</i>-Tests, analysis of variance, and logistic regression were used for analysis. <b>Results:</b> A total of 78 adult patients were included in our study (73% female; median age 50 years with a range of 18-78 years). Median patient follow-up was 16 months (range of 1-56 months). Patients were divided into three groups based on time between paralysis onset and treatment initiation: <12 months, 12-36 months, and >36 months. The use of facial neuromuscular retraining and chemodenervation improved Sunnybrook scores for all patients. The time between paralysis onset to treatment initiation was not associated with a difference in Sunnybrook scores. <b>Conclusion:</b> The duration of facial palsy prior to initiation of facial neuromuscular retraining and/or chemodenervation was not associated with a difference in synkinesis outcomes as determined by Sunnybrook scores.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"321-326"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Khodayar Goshtasbi, Corliss Best, Bethany Powers, Harry Ching, Norman J Pastorek, Donald Altman, Peter Adamson, Mark Krugman, Brian J F Wong
{"title":"Comparative Performance of the Leading Large Language Models in Answering Complex Rhinoplasty Consultation Questions.","authors":"Khodayar Goshtasbi, Corliss Best, Bethany Powers, Harry Ching, Norman J Pastorek, Donald Altman, Peter Adamson, Mark Krugman, Brian J F Wong","doi":"10.1089/fpsam.2024.0206","DOIUrl":"10.1089/fpsam.2024.0206","url":null,"abstract":"<p><p><b>Background:</b> Various large language models (LLMs) can provide human-level medical discussions, but they have not been compared regarding rhinoplasty knowledge. <b>Objective:</b> To compare the leading LLMs in answering complex rhinoplasty consultation questions as evaluated by plastic surgeons. <b>Methods:</b> Ten open-ended rhinoplasty consultation questions were presented to ChatGPT-4o, Google Gemini, Claude, and Meta-AI LLMs. The responses were randomized and ranked by seven rhinoplasty-specializing plastic surgeons (1 = worst, 4 = best) considering their quality. Textual readability was analyzed via Flesch Reading Ease (FRE) and Flesch-Kincaid Grade (FKG). <b>Results:</b> Claude provided the top answers for seven questions while ChatGPT provided the top answers for three questions. In overall collective scoring, Claude provided the best answers with 224 points, followed by ChatGPT's 200, Meta's 138, and Gemini's 138 scores. Claude (mean score/question 3.20 ± 1.00) significantly outperformed all the other models (<i>p</i> < 0.05), while ChatGPT (mean score/question 2.86 ± 0.94) outperformed Meta and Gemini. Meta and Gemini performed similarly. Meta had a significantly lower FKG than Claude and ChatGPT and a significantly lower FRE than ChatGPT. <b>Conclusion:</b> According to ratings by seven rhinoplasty-specializing surgeons, Claude provided the best answers for a set of complex rhinoplasty consultation questions, followed by ChatGPT. Future studies are warranted to continue comparing these models as they evolve.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"378-383"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"<i>Invited Commentary on:</i> \"Effectiveness of Isotretinoin Administration in Rhinoplasty: A Systematic Review,\" by Kandathil et al.","authors":"Roxana Cobo","doi":"10.1089/fpsam.2025.0141","DOIUrl":"10.1089/fpsam.2025.0141","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"397-398"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}