Facial Plastic Surgery & Aesthetic Medicine最新文献

Effectiveness of an Autologous Filler in Patients with Moderate-to-Severe Nasolabial Folds: A Pilot Study.

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2025-04-03 DOI: 10.1089/fpsam.2024.0253

Angela Cong, LaRyel Waldon, Aurelio Aquila, Sharon Stewart, Amit Kochhar, Kian Karimi

{"title":"Effectiveness of an Autologous Filler in Patients with Moderate-to-Severe Nasolabial Folds: A Pilot Study.","authors":"Angela Cong, LaRyel Waldon, Aurelio Aquila, Sharon Stewart, Amit Kochhar, Kian Karimi","doi":"10.1089/fpsam.2024.0253","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0253","url":null,"abstract":"Background: Nasolabial folds, commonly known as smile lines, are a cosmetic concern for individuals. Objective: To measure the change in facial volume at the nasolabial folds among adults injected with an autologous blood filler, as measured by three-dimensional (3D) photography and aesthetic surveys. Methods: Fifteen participants above the age of 22 received up to three autologous filler injections, to bilateral nasolabial folds, over a 24-week treatment period. Based on investigator's discretion, injections ranged from 0.6 to 3.0 cc at the initial visit, week 4, and week 16. Follow-ups were conducted at weeks 2, 6, 8, 20, and 24 with measurements completed at the beginning of each treatment and follow-up visit. Standardized 3D photography with Vectra® and QuantifiCare® cameras measured volume for before and after comparison. Patients and investigator completed the Wrinkle Severity Rating Scale and Global Aesthetic Improvement Scale. Results: Fifteen patients, 1 male and 14 female, age 32-63, were followed-up for 24 weeks. The treatment improved nasolabial fold appearances and patient satisfaction. The 3D imaging revealed increased volume in the treated areas. Conclusion: The autologous filler effectively fills moderate-to-severe nasolabial folds in this pilot study and future studies are needed to evaluate safety.","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774552","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}

引用次数: 0

Invited Commentary on: "Effectiveness of an Autologous Filler in Patients with Moderate to Severe Nasolabial Folds: A Pilot Study," by Waldon et al.

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2025-04-03 DOI: 10.1089/fpsam.2025.0053

Jacob Boeckmann

引用次数: 0

Surgical Pearls: Multimodal Approach to the Surgical Treatment of Moderate to Advanced Rhinophyma.

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2025-03-28 DOI: 10.1089/fpsam.2024.0367

Arianna V Ramirez, Daniel Z Farishta, Russell W H Kridel

引用次数: 0

Association Between Psychiatric Diagnoses and Revision Cosmetic Rhinoplasty.

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2025-03-27 DOI: 10.1089/fpsam.2024.0334

Kevin Tie, Valentina Montañez-Azcarate, Samuel J Lin

{"title":"Association Between Psychiatric Diagnoses and Revision Cosmetic Rhinoplasty.","authors":"Kevin Tie, Valentina Montañez-Azcarate, Samuel J Lin","doi":"10.1089/fpsam.2024.0334","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0334","url":null,"abstract":"Background: Limited evidence exists regarding the incidence of revision cosmetic rhinoplasty in patients with psychiatric diagnoses. Objective: To assess the rate of revision cosmetic rhinoplasty in patients with psychiatric diagnoses. Methods: Adult patients at a single institution who underwent rhinoplasty were queried between December 1, 1979, and June 1, 2024. Exclusion criteria were noncosmetic rhinoplasties (e.g., functional) or history of nasal trauma, nasal tumor, cleft lip/palate, or congenital nasal deformities. Patients were split into those with psychiatric diagnoses (PD group) and those without (control group). Outcomes include proportion who underwent ≥1 secondary cosmetic rhinoplasty, mean secondary rhinoplasties per patient, patient satisfaction after secondary rhinoplasty, and breakdown of secondary rhinoplasties by psychiatric diagnosis. Results: The initial query found 1110 patients, leaving 961 patients (PD 135, control 826) after exclusion criteria. The cohort was 75% female (724/961) with a mean age of 48 years (standard deviation: 15). The proportion of patients with ≥1 revision rhinoplasty was higher in PD (24/135, 18%) than controls (95/826, 12%; p = 0.04). Age ≥46 and female gender were found to predict revision cosmetic rhinoplasty. Conclusion: In our cohort, patients with PD had higher rates of revision cosmetic rhinoplasty compared to those without PD.","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732498","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}

引用次数: 0

Complications in Functional Rhinoplasty Related to Cartilage Graft Source.

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2025-03-27 DOI: 10.1089/fpsam.2024.0277

Montana K Upton, Alexandra Ortiz, Emma Neal, Diane Lee, Priyesh N Patel, Shiayin F Yang, Scott J Stephan

{"title":"Complications in Functional Rhinoplasty Related to Cartilage Graft Source.","authors":"Montana K Upton, Alexandra Ortiz, Emma Neal, Diane Lee, Priyesh N Patel, Shiayin F Yang, Scott J Stephan","doi":"10.1089/fpsam.2024.0277","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0277","url":null,"abstract":"Background: Functional rhinoplasty often relies on repurposed cartilage for nasal framework grafting. Objective: To compare complications in functional rhinoplasty associated with use of autologous versus fresh frozen cadaveric rib cartilage (FFCR). Methods: This retrospective cohort study included patients who underwent functional rhinoplasty from 2017 to 2022 with 6 months of documented follow-up. The primary outcome measure was need for revision rhinoplasty. Secondary outcomes were infection and persistent nasal obstruction without revision surgery. Chi-squared and Fisher's exact tests were used for univariate analysis, and multivariable logistic regression was used to evaluate the relationship between revision surgery and covariates. Results: 259 patients (average age: 43.1 ± 16.2, 185/259 female [71.4%]) underwent functional rhinoplasty with an average of 12.3 months (range: 6-54 months) of documented follow-up. A total of 58 (22.4%) cases utilized FFCR for grafting. Overall, 15 (5.8%) patients required revision rhinoplasty (8/201 [4.0%] autologous versus 7/58 [12.1%] FFCR), while 17 (6.6%) had persistent postoperative nasal obstruction without further surgery and 12 (4.6%) had an infection requiring prescribed oral antibiotics or drainage. Compared to autologous cartilage, there was a significant association between the use of FFCR with revision rhinoplasty on logistic regression (p = 0.024, odds ratio: 4.0 [95% confidence interval: 0.17-2.61]) but not with postoperative infection (p = 0.101) or persistent nasal obstruction (p = 0.187). Conclusion: These findings suggest increased rates of revision surgery associated with the use of FFCR in functional rhinoplasty. In the setting of insufficient autologous cartilage, tailored discussions should take place regarding the risks and benefits of potential supplemental graft material.","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732506","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}

引用次数: 0

Complex Salvage Lower Lip Reconstruction Using Gracilis Free Flap.

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2025-03-24 DOI: 10.1089/fpsam.2024.0264

Alexandra Welschmeyer, Daniel Karasik, Humzah Quereshy, Eve Tranchito, De'Andre Warren, Saikrishna Gourishetti, David Ludlow, Jason Thuener, Akina Tamaki, Kofi Boahene, Cyrus C Rabbani

{"title":"Complex Salvage Lower Lip Reconstruction Using Gracilis Free Flap.","authors":"Alexandra Welschmeyer, Daniel Karasik, Humzah Quereshy, Eve Tranchito, De'Andre Warren, Saikrishna Gourishetti, David Ludlow, Jason Thuener, Akina Tamaki, Kofi Boahene, Cyrus C Rabbani","doi":"10.1089/fpsam.2024.0264","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0264","url":null,"abstract":"Background: The gracilis muscle microneurovascular free tissue transfer is a workhorse in dynamic facial reanimation. For patients with prior free flap reconstruction for large lower lip defects and in cases where local or regional tissue flap is inadequate for reconstruction, the gracilis free flap should be considered as a standard reconstructive option. Objectives: To define salvage lip reconstruction with gracilis muscle free flap. Methods: We performed chart review of four patients with history of total lower lip defects with prior free flap reconstruction who underwent salvage lip reconstruction for persistent defects using the gracilis free flap. Results: Cases were performed in four patients (three males, ages 55-70) with previous free flap reconstruction of the lower face (initial defect etiologies included 3 cancer, 1 necrotizing fasciitis) with remaining lower lip defects. We highlight our surgical technique and provide illustration of both obturator to hypoglossal (end-to-side) and distal facial and/or masseter (end-to-end) nerve coaptation. Conclusions: The gracilis free flap is a reasonable option for salvage reconstruction with the ability to improve lower lip function and aesthetic in patients with complex defects of the lower lip while harboring minimal donor site morbidity.","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701859","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}

引用次数: 0

Evaluating Longevity and Factors Influencing Outcomes in Subnasal Bullhorn Lip Lifts: A Retrospective Analysis Across Age, Gender, and Skin Type.

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2025-03-24 DOI: 10.1089/fpsam.2024.0342

Nisreen Al-Musaileem, Raisa Chowdhury, Mariam Ayed, Aseel Doubi, Islam Alzayadneh, Richard Rival, Philip Solomon

引用次数: 0

Commentary on: "A Novel Technique to Create Finely Diced Septal Cartilage in Rhinoplasty" by Goshtasbi et al.

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2025-03-18 DOI: 10.1089/fpsam.2024.0392

Adeeb Derakhshan, Shekhar Gadkaree

引用次数: 0

Insight into a Rapid Technique for Diced Cartilage Creation in Rhinoplasty: Quantitative Analysis of the Tas Method.

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2025-03-18 DOI: 10.1089/fpsam.2024.0316

Khodayar Goshtasbi, Juan Tommasino, Brian J F Wong

引用次数: 0

Intravenous Tranexamic Acid in Rhinoplasty: A Randomized Controlled Trial.

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2025-03-05 DOI: 10.1089/fpsam.2024.0327

Elizabeth S Longino, Nicole G Desisto, Feyi Adegboye, Emily Rebula, Naweed I Chowdhury, Priyesh N Patel, Scott J Stephan, Shiayin F Yang

{"title":"Intravenous Tranexamic Acid in Rhinoplasty: A Randomized Controlled Trial.","authors":"Elizabeth S Longino, Nicole G Desisto, Feyi Adegboye, Emily Rebula, Naweed I Chowdhury, Priyesh N Patel, Scott J Stephan, Shiayin F Yang","doi":"10.1089/fpsam.2024.0327","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0327","url":null,"abstract":"Background: Existing data on tranexamic acid (TXA) in rhinoplasty are mixed. Objective: Compare blood loss, edema, and bruising in patients undergoing septorhinoplasty with or without intravenous (IV) TXA, measured by estimated blood loss and photograph review of edema/ecchymosis. Design: Randomized controlled trial (NCT05774717). Methods: Patients undergoing open septorhinoplasty were eligible. Participants were randomized to receive 1 g IV TXA preoperatively or routine medications only. Intraoperative bleeding was measured using the Boezaart scale and sponge saturation. Patients rated periorbital edema/ecchymosis at 1 week. Photos were reviewed by a facial plastic surgeon to grade edema/ecchymosis. Results: There were 139 participants: 73 (53%) female, mean age of 42 ± 15 years, and 13% revision procedures. Sixty-nine (50%) received TXA. Boezaart scores were 2.25 and 2.41 (p = 0.3), and sponge scores were 0.76 and 0.84 (p = 0.4) in the TXA and control groups, respectively. Postoperative edema/ecchymosis were 1.15/1.19 out of 4 in the TXA group, and 0.97/1.05 in the control group. Surgeon-graded edema/ecchymosis were 1.78/1.76 (TXA) and 1.82/1.86 (control). There was no difference in epistaxis, pain, or appearance satisfaction. Conclusions: In this study, there was no difference in bleeding, edema, ecchymosis, or postoperative experience associated with TXA.","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558377","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}

引用次数: 0