Elizabeth S Longino, Rahul K Sharma, Nicole G Desisto, Feyi Adegboye, Scott J Stephan, Shiayin F Yang, Priyesh N Patel
{"title":"Reconstruction after Nasal Skin Cancer Resection: Nasal Obstruction and Associated Factors.","authors":"Elizabeth S Longino, Rahul K Sharma, Nicole G Desisto, Feyi Adegboye, Scott J Stephan, Shiayin F Yang, Priyesh N Patel","doi":"10.1089/fpsam.2024.0197","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0197","url":null,"abstract":"<p><p><b>Background:</b> Equal attention must be given to nasal aesthetics and function when reconstructing nasal defects after skin cancer resection. Little data exist on functional nasal outcomes following nasal reconstruction. <b>Learning/Study Objective:</b> Describe and analyze factors contributing to functional outcomes following nasal skin cancer defect reconstruction. <b>Design Type:</b> Retrospective review. <b>Methods</b>: Patients who underwent reconstruction of Mohs nasal defects were included. Reconstruction methods included primary closure, skin grafts, and local and interpolated flaps. Both subjective reports and physician-noted exam findings suggestive of nasal obstruction were noted. The obstructive domain of the Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS-O) was administered preoperatively and at follow-up intervals. <b>Results:</b> In total, 193 patients met the inclusion criteria. Female sex, medial or lateral ala primary defect subunit, and auricular cartilage use were associated with increased risk of postoperative nasal obstruction within the first year on multivariate analysis, while reconstruction with a skin/composite graft was associated with lower risk of obstruction. Average time from reconstructive surgery to first report of obstruction was 116 days, and time to reported resolution was 235 days. <b>Conclusion:</b> The incidence of nasal obstruction following nasal defect reconstruction is low. Female sex, ala involvement, and auricular cartilage may increase the risk of nasal obstruction postoperatively.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190960","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}
Alexander J Barna, Scott J Stephan, Priyesh N Patel, G Nina Lu, Linda N Lee, Shiayin F Yang
{"title":"Impact of Proposed Medicare Policy Changes for Botulinum Toxin Coverage on Hemifacial Spasm and Facial Dystonia.","authors":"Alexander J Barna, Scott J Stephan, Priyesh N Patel, G Nina Lu, Linda N Lee, Shiayin F Yang","doi":"10.1089/fpsam.2024.0281","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0281","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068786","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> \"Selective Neurectomy with Regenerative Peripheral Nerve Interface Surgery for Facial Synkinesis,\" by Gu et al.","authors":"Sina J Torabi, Babak Azizzadeh","doi":"10.1089/fpsam.2025.0018","DOIUrl":"https://doi.org/10.1089/fpsam.2025.0018","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068784","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}
Jeffrey T Gu, Nishant Ganesh Kumar, Theodore A Kung, Shannon F Rudy, Jeffrey S Moyer, Jennifer C Kim
{"title":"Selective Neurectomy with Regenerative Peripheral Nerve Interface Surgery for Facial Synkinesis.","authors":"Jeffrey T Gu, Nishant Ganesh Kumar, Theodore A Kung, Shannon F Rudy, Jeffrey S Moyer, Jennifer C Kim","doi":"10.1089/fpsam.2024.0240","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0240","url":null,"abstract":"<p><p><b>Background:</b> Selective neurectomy (SN) typically leaves cut nerve endings to be either free-floating or buried in facial muscles. Regenerative peripheral nerve interfaces (RPNIs) use autologous skeletal muscle grafts to provide a nonfacial muscle target for reinnervation. <b>Objective:</b> To evaluate the effectiveness of RPNI surgery with SN for improving postoperative facial function through botulinum toxin use and facial movement metrics. <b>Methods:</b> This was a retrospective cohort study comparing patients with synkinesis undergoing SN with and without RPNI surgery. Outcomes included assessing botulinum toxin dosage/frequency and facial movement metrics (margin to reflex distance, brow movement, smile excursion). Statistical tests were applied based on variable distribution. <b>Results:</b> Twenty-four patients were included (12 with RPNI surgery and 12 without; average age, 52.3 and 55.0 years, respectively; <i>p</i> = 0.552). No significant differences were observed in etiology or nerves sacrificed. Patients with RPNI surgery required lower botulinum toxin dosage (72.2 vs. 90.3 units; <i>p</i> = 0.031) and had longer treatment intervals (83.5%, 5.6 months vs. 17.9%, 4.6 months; <i>p</i> = 0.015). No significant differences were observed in facial movement metrics. <b>Conclusion:</b> RPNI surgery with SN may improve facial function as measured by a proxy of reduction in postoperative botulinum toxin dosage and frequency.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068831","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":"https://doi.org/10.1089/fpsam.2024.0313","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-27","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}
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 Preinjection Lip Size Preference and Postinjection 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":"https://doi.org/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":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-27","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}
Steven Losorelli, Cherian Kurian Kandathil, Mikhail Saltychev, Eric X Wei, Monica K Rossi-Meyer, Sam P Most
{"title":"Association Between Symptoms of Body Dysmorphia and Social Media Usage: A Cross-Generational Comparison.","authors":"Steven Losorelli, Cherian Kurian Kandathil, Mikhail Saltychev, Eric X Wei, Monica K Rossi-Meyer, Sam P Most","doi":"10.1089/fpsam.2024.0230","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0230","url":null,"abstract":"<p><p><b>Background:</b> The rise of social media parallels a mental health epidemic. The effect of social media usage on rates and severity of body dysmorphic disorder is not well-understood. <b>Objective:</b> To determine if an association exists between social media engagement, body dysmorphia symptoms, and/or interest in cosmetic surgery in a demographically diverse cross-section of the U.S. adult population. <b>Methods</b>: In a Qualtrics platform-based survey study of the general U.S. adult population, responses to demographic information, social media activity questionnaire and the body dysmorphic disorder screening questionnaire, and interest in cosmetic surgery were collected. Descriptive statistics and a multivariate logistic regression model were carried out. <b>Results:</b> A total of 1,013 respondents completed the survey. The average age was 40.9 (SD, 14.8) years, 72% were women. Median time spent on social media (IQR) was 4 (2-7) h/day. Respondents who screened positive for symptoms of body dysmorphia had higher daily mean social media usage time (odds ratio [OR] 1.49), tend to be female (OR 2.17), younger (OR 0.97), identify as Caucasian (OR 1.65), and are more likely considering a cosmetic procedure in the next year (OR 2.98). <b>Conclusion:</b> This study demonstrates a positive association between daily social media usage, self-reported symptoms of body dysmorphia, and interest in cosmetic procedures.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034436","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":"Maximizing Septal Cartilage and Bone Harvest for Autologous Nasal Septal Grafts in Congenital Cleft Nasal Deformity.","authors":"Luis A Martinez, Emily S Pascal, Tara E Brennan","doi":"10.1089/fpsam.2024.0292","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0292","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034442","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":"https://doi.org/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":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-21","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}
{"title":"Orthodromic Reshaping Temporalis Tendon Transfer for Aesthetic Facial Reanimation in Adults with Moebius Syndrome and Bilateral Facial Paralysis: Technical Insights and Indications.","authors":"Marielle He, Babak Azizzadeh","doi":"10.1089/fpsam.2024.0303","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0303","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014384","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}