Enrico Betti, Mariagrazia Paglianiti, Lisa Catarzi, Giuseppe Consorti
{"title":"Nonsurgical Rhinoplasty for Nasal Dorsum Correction: Patient Selection for Predictable Outcomes.","authors":"Enrico Betti, Mariagrazia Paglianiti, Lisa Catarzi, Giuseppe Consorti","doi":"10.1089/fpsam.2024.0033","DOIUrl":"10.1089/fpsam.2024.0033","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"194-196"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689300","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}
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":"<p><p><b>Introduction:</b> 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. <b>Methods:</b> 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. <b>Results:</b> A total of 888 sets of before-and-after rhinoplasty photos were included, with nearly all (<i>n</i> = 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. <b>Conclusion:</b> 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.</p>","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}
{"title":"<i>Invited Commentary on:</i> \"Trifold Flap for Total/Subtotal Nasal Reconstruction,\" by Correa et al.","authors":"David A Shaye, Roy Xiao","doi":"10.1089/fpsam.2024.0287","DOIUrl":"10.1089/fpsam.2024.0287","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"174-175"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510613","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":"10.1089/fpsam.2025.0018","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"143-144"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","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}
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":"<p><p><b>Background:</b> 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. <b>Objective:</b> 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. <b>Methods:</b> 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. <b>Results:</b> 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. <b>Conclusion:</b> Surgeon-performed 3D printing for plate bending is less expensive than computer-aided, patient-specific plates for mandibular reconstruction.</p>","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}
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":"<p><p><b>Importance:</b> 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. <b>Observations:</b> 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. <b>Conclusions and Relevance:</b> 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.</p>","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}
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":"<p><p><b>Background:</b> The distribution of lip shapes in young females and how morphological variation relates to attractiveness are poorly defined. <b>Objectives:</b> 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. <b>Method:</b> 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. <b>Results:</b> 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. <b>Conclusion:</b> 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.</p>","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}
Bao Y Sciscent, David Goldrich, Hänel W Eberly, Scott Walen
{"title":"Semaglutide, Popularly Known as Ozempic-What the Facial Plastic Surgeon Needs to Know.","authors":"Bao Y Sciscent, David Goldrich, Hänel W Eberly, Scott Walen","doi":"10.1089/fpsam.2024.0083","DOIUrl":"10.1089/fpsam.2024.0083","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"127-128"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761715","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":"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":"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}
Manuela von Sneidern, Arman Saeedi, Antonios N Varelas, Danielle F Eytan
{"title":"Characterizing the Online Discourse on Facial Paralysis: What Patients Are Asking and Where They Find Answers.","authors":"Manuela von Sneidern, Arman Saeedi, Antonios N Varelas, Danielle F Eytan","doi":"10.1089/fpsam.2023.0277","DOIUrl":"10.1089/fpsam.2023.0277","url":null,"abstract":"<p><p><b>Background:</b> With the rising popularity of online search tools, patients seeking information on facial palsy are increasingly turning to the Internet for medical knowledge. <b>Objective:</b> To categorize the most common online questions about Bell's palsy or facial paralysis and the sources that provide answers to those queries. <b>Methods:</b> Query volumes for terms pertaining to facial palsy were obtained using Google Search trends. The top 40 keywords associated with the terms \"Bell's palsy\" and \"facial paralysis\" were extracted. People Also Ask (PAA) Questions-a Google search engine response page feature-were used to identify the top questions associated with each keyword. <b>Results:</b> A total of 151 PAA Questions pertaining to the top 40 keywords associated with \"Bell's palsy\" and \"facial paralysis\" were identified. Etiology questions were most frequent (<i>n</i> = 50, 33.1%), meanwhile those pertaining to treatment were most accessible (119.5 average search engine response pages/question, 35.5%). Most sources were academic (<i>n</i> = 81, 53.6%). Medical practice group sites were most accessible (211.9 average search engine response pages/website, 44.8%). <b>Conclusion:</b> Most PAA questions pertained to etiology and were sourced by academic sites. Questions regarding treatment and medical practice sites appeared on more search engine response pages when compared with all other categories.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"129-135"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879644","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}