Facial Plastic Surgery & Aesthetic Medicine最新文献_第10页

Surgical Pearls for Safe and Precise Decision-Making During Modified Selective Neurectomy Surgery. 在改良选择性神经切除术中安全准确决策的手术要点。

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2025-03-01 Epub Date: 2024-07-26 DOI: 10.1089/fpsam.2024.0065

Berke Özücer, Begüm Yılmaz

{"title":"Surgical Pearls for Safe and Precise Decision-Making During Modified Selective Neurectomy Surgery.","authors":"Berke Özücer, Begüm Yılmaz","doi":"10.1089/fpsam.2024.0065","DOIUrl":"10.1089/fpsam.2024.0065","url":null,"abstract":"In this short communication: (1) A transcutaneous electrical nerve stimulaton stimulator is a cost-effective solution for the predictable stimulation of mimicry and for precise decision-making. (2) Positioning a simple shatterproof mirror in front of an operated facial half enables the primary surgeon to simultaneously see and stimulate at the operative site and to scrutinize the mimicry for decision-making. (3) A misconception in the literature regarding colors used for tagging \"branches for transection\" and \"branches for preservation\" is clarified, and a third tag-color is suggested for times of ambiguity. (4) The principle of distal execution of the surgery and technical considerations are underlined for maximal transection and maximal preservation. The modified selective neurectomy surgery is the current golden standard of post facial paralysis synkinesis treatment, and developing a learning curve in this type of surgery is like walking a tightrope, where the surgeon must keep pushing the limits with precise decision-making and a small margin of error. It is important to be reminded that the first aim is primum non nocere, and the second aim is to improve the condition of patients as much as possible. The above-mentioned principles and solutions increase precision and safety, assisting surgeons to achieve better outcomes.","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"148-150"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141767673","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

Quality and Consistency of Rhinoplasty Photos on Social Media: Prevalence of Potentially Misleading Before-and-After Images. 社交媒体上鼻整形照片的质量和一致性：可能误导前后图像的流行

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2025-03-01 Epub Date: 2024-12-05 DOI: 10.1089/fpsam.2024.0232

Shervin Eskandari, Mitesh Mehta, Anita Sethna, David W Chou

{"title":"Quality and Consistency of Rhinoplasty Photos on Social Media: Prevalence of Potentially Misleading Before-and-After Images.","authors":"Shervin Eskandari, Mitesh Mehta, Anita Sethna, David W Chou","doi":"10.1089/fpsam.2024.0232","DOIUrl":"10.1089/fpsam.2024.0232","url":null,"abstract":"Introduction: There is significant variability in how rhinoplasty results are presented on social media. This study aims to evaluate the quality and consistency of preoperative and postoperative rhinoplasty photos on the social media platform Instagram. Methods: Instagram was queried on April 4, 2024 using the search term #rhinoplastybeforeandafter. Posts meeting our inclusion criteria were analyzed for inconsistencies in background, makeup, use of personal photo, and variations in face size between preoperative and postoperative images. Account demographics and time since surgery were also noted. Results: A total of 888 sets of before-and-after rhinoplasty photos were included, with nearly all (n = 882) posted by surgeon accounts. Of the posts analyzed, 23.7% had a ≥10% face size discrepancy, and 5.1% had a ≥10% face rotation discrepancy. Only 35.7% of posts were considered \"high quality,\" with no significant photo discrepancies between postop and preop images and with postoperative time interval reported. Conclusion: Instagram before-and-after rhinoplasty photos evaluated in this study exhibited significant heterogeneity in quality and consistency regarding image background, image source, face size, face rotation, and brightness. Surgeons should prioritize consistency between preoperative and postoperative photos when sharing their results to minimize the potential for misleading the public.","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"176-182"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787010","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: "Trifold Flap for Total/Subtotal Nasal Reconstruction," by Correa et al. 特邀评论：Correa 等人撰写的 "用于全鼻/次全鼻重建的三折皮瓣 "特邀评论。

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2025-03-01 Epub Date: 2024-10-22 DOI: 10.1089/fpsam.2024.0287

David A Shaye, Roy Xiao

引用次数: 0

Invited Commentary on: "Selective Neurectomy with Regenerative Peripheral Nerve Interface Surgery for Facial Synkinesis," by Gu et al. 特邀评论：Gu等人的“选择性神经切除再生周围神经界面手术治疗面部联动”。

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2025-03-01 Epub Date: 2025-01-30 DOI: 10.1089/fpsam.2025.0018

Sina J Torabi, Babak Azizzadeh

引用次数: 0

A Review of Neuromodulators and Energy-Based Devices for Optimizing Nasal Appearance. 优化鼻腔外观的神经调节器和能量设备综述。

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2025-03-01 Epub Date: 2024-07-01 DOI: 10.1089/fpsam.2023.0316

Payvand Kamrani, Monica Boen, Raheel Zubair, Steven H Dayan, Sabrina G Fabi

{"title":"A Review of Neuromodulators and Energy-Based Devices for Optimizing Nasal Appearance.","authors":"Payvand Kamrani, Monica Boen, Raheel Zubair, Steven H Dayan, Sabrina G Fabi","doi":"10.1089/fpsam.2023.0316","DOIUrl":"10.1089/fpsam.2023.0316","url":null,"abstract":"Importance: The demand for less invasive nasal procedures has been increasing, highlighting a gap in research on alternatives beyond fillers. This review explores the potential of neuromodulators and energy-based devices for nonsurgical rhinoplasty. Observations: Both botulinum toxin and energy-based devices used independently or alongside fillers have been studied for nasal shape adjustments. Neuromodulator injection of the depressor septi nasi can reduce nasal tip droop, which can reduce the appearance of a plunged nose. Treatment of the dilator naris can minimize alar flaring, giving the appearance of a thinner nasal tip. These methods primarily reported patient-reported outcomes. Energy-based devices have been used to address nasal skin quality and shape contouring, including resurfacing devices for rhinophyma with improvement in both physician and patient-reported outcomes. The 1470 nm laser achieved nasal reshaping after two sessions. Radiofrequency microneedling was notable for volumetric reduction in the nose (excluding nasal tip), confirmed by 3D imaging, lasting about 12 months. Conclusions and Relevance: The use of neuromodulators and energy-based devices may offer promising results for nasal reshaping. However, there is a need for further comparison studies using both objective measures such as 3D photography and physician and patient-reported outcomes, prior to establishing best practices for these techniques.","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"183-190"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471650","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

Cost Comparison of Industry Versus In-House Three-Dimensional Printed Models for Microvascular Mandible Reconstruction. 用于下颌骨微血管重建的工业与自制三维打印模型的成本比较。

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2025-03-01 Epub Date: 2024-11-22 DOI: 10.1089/fpsam.2024.0172

W Taylor DeBusk, Rohith M Bhethanabotla, Abel P David, Chase M Heaton, Andrea M Park, Rahul Seth, P Daniel Knott

{"title":"Cost Comparison of Industry Versus In-House Three-Dimensional Printed Models for Microvascular Mandible Reconstruction.","authors":"W Taylor DeBusk, Rohith M Bhethanabotla, Abel P David, Chase M Heaton, Andrea M Park, Rahul Seth, P Daniel Knott","doi":"10.1089/fpsam.2024.0172","DOIUrl":"10.1089/fpsam.2024.0172","url":null,"abstract":"Background: Computer-aided design and manufacturing can enhance microvascular mandible reconstruction, particularly in cases with preexisting segmental defects or exophytic tumors where precise in situ plate bending is difficult. However, its high cost may limit its use in high-volume academic centers. Objective: To compare the costs of industry-performed patient-specific milled locking mandibular reconstruction plates (LMRPs) and surgeon-performed plate bending using 3D-printed (3DP) models as measured by billing data. Methods: A retrospective study of patients who underwent mandibular reconstruction with either industry-performed milled plates or with surgeon-bent plates based on a 3DP model. Costs of patient-specific and stock plates were obtained from the hospital's financial database, along with surgical outcomes associated with each protocol. Results: The study included 25 patients (14 males and11 females) undergoing fibula free flap reconstruction for mandibular defects, averaging 6.4 cm in size. Groups were comparable in age, sex, defect size, number of osteosyntheses, and incidence of osseous union. The average cost of milled plates was $7,709, while 3DP models and standard reconstruction plates cost $1,453, a difference of $6,256. The 3D printer's initial investment was $18,998, but readily with models produced for about $10 per model. Conclusion: Surgeon-performed 3D printing for plate bending is less expensive than computer-aided, patient-specific plates for mandibular reconstruction.","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"157-162"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689295","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

Variation in Lip Shape and Aesthetics in the Young Female Population: A Statistical Atlas Study. 年轻女性群体的唇形和美学差异：统计图集研究。

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2025-03-01 Epub Date: 2024-08-12 DOI: 10.1089/fpsam.2024.0046

John F Ryan, Lisa E Ishii, Jacob K Dey, Jason C Nellis, Shaun C Desai, Kofi D O Boahene, Masaru Ishii

{"title":"Variation in Lip Shape and Aesthetics in the Young Female Population: A Statistical Atlas Study.","authors":"John F Ryan, Lisa E Ishii, Jacob K Dey, Jason C Nellis, Shaun C Desai, Kofi D O Boahene, Masaru Ishii","doi":"10.1089/fpsam.2024.0046","DOIUrl":"10.1089/fpsam.2024.0046","url":null,"abstract":"Background: The distribution of lip shapes in young females and how morphological variation relates to attractiveness are poorly defined. Objectives: We hypothesized that among young female lip images generated by a statistical atlas model, those with more full lips compared with those with less full lips would be perceived as more attractive as measured by anonymous survey participants. Method: A statistical atlas of lip morphology was created using photographs of 700 women aged 18-35 years. The average lip shape was determined by coregistering and averaging images. Morphological variation was analyzed using principal component analysis. The relationship between attractiveness and observed lip morphologies was assessed using publicly distributed surveys. Results: In total, 428 survey responses were obtained. We developed a statistical model of variation of lip shape in the population and its relationship to attractiveness. The most attractive lips were significantly fuller than the average shape in the population, with greater vertical height and surface area. Conclusion: A statistical atlas can provide a visual guide to variation in lip shape in the population. The most attractive lip shapes vary significantly from the population average, lending support to procedures that increase lip height and surface area.","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"111-116"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972042","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

Selective Neurectomy with Regenerative Peripheral Nerve Interface Surgery for Facial Synkinesis. 选择性神经切除再生周围神经界面手术治疗面神经联动。

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2025-03-01 Epub Date: 2025-01-30 DOI: 10.1089/fpsam.2024.0240

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":"10.1089/fpsam.2024.0240","url":null,"abstract":"Background: 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. Objective: To evaluate the effectiveness of RPNI surgery with SN for improving postoperative facial function through botulinum toxin use and facial movement metrics. Methods: 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. Results: Twenty-four patients were included (12 with RPNI surgery and 12 without; average age, 52.3 and 55.0 years, respectively; p = 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; p = 0.031) and had longer treatment intervals (83.5%, 5.6 months vs. 17.9%, 4.6 months; p = 0.015). No significant differences were observed in facial movement metrics. Conclusion: RPNI surgery with SN may improve facial function as measured by a proxy of reduction in postoperative botulinum toxin dosage and frequency.","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"136-142"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","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}

引用次数: 0

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2025-03-01 Epub Date: 2024-07-26 DOI: 10.1089/fpsam.2024.0083

Bao Y Sciscent, David Goldrich, Hänel W Eberly, Scott Walen

引用次数: 0

3D Smartphone Photography During Rhinoplasty Surgery. 鼻整形手术中的 3D 智能手机摄影。

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2025-03-01 Epub Date: 2024-10-28 DOI: 10.1089/fpsam.2024.0210

Ila Youssefi, Isaac P Obermeyer, Sehwan Kim, Brian J F Wong

引用次数: 0