{"title":"<i>Invited Commentary on:</i> \"Nanofat Use in Regenerative Medicine: A Systematic Literature Review and Consensus Recommendations from Expert Opinions,\" by Arcani et al.","authors":"Samuel Oyer","doi":"10.1089/fpsam.2025.0089","DOIUrl":"https://doi.org/10.1089/fpsam.2025.0089","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025666","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}
Nicholas R Randall, Forrest W Fearington, Gloria Rodriguez, Lazaro R Peraza, Brittany E Howard, Jacob K Dey
{"title":"Comparing Layperson Attention to Faces with Different Types of Facial Paralysis Using Eye-Tracking.","authors":"Nicholas R Randall, Forrest W Fearington, Gloria Rodriguez, Lazaro R Peraza, Brittany E Howard, Jacob K Dey","doi":"10.1089/fpsam.2024.0324","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0324","url":null,"abstract":"<p><p><b>Background:</b> There is a spectrum of facial paralysis patient presentations from complete flaccid facial paralysis (CFFP) to facial aberrant reinnervation syndrome (FARS). <b>Objective:</b> To objectively compare how laypersons direct attention to faces with different facial paralysis subtypes using eye-tracking technology. <b>Methods:</b> Lay observers freely gazed at standardized videos of 24 individuals' faces as follows: 8 with CFFP, 8 with FARS, and 8 nonparalyzed Controls performing common facial expressions. Eye-tracking measured observers' gaze and extracted data as time in milliseconds looking at facial subsites. Mixed effects regression was used for comparative analyses. <b>Results:</b> A total of 85 observers completed the study. For faces at rest, measurable differences in gaze patterns were noted for CFFP faces (more attention spent on nonparalyzed hemiface), whereas FARS and Control faces showed similar symmetric gaze patterns. With dynamic movement (smiling and brow-elevation), gaze patterns for both CFFP and FARS faces became altered and asymmetrical compared with Control faces. <b>Conclusions:</b> Faces with CFFP and FARS are viewed differently by casual observers, which has implications for patient care and future research. While CFFP showed gaze alterations (compared with Control) in both rest and facial expression states, FARS caused gaze alterations only with facial movement.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017085","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":"Improving Accessibility to Facial Plastic and Reconstructive Surgery Patient Resources Using Artificial Intelligence: A Pilot Study in Patient Education Materials.","authors":"Ariana L Shaari, Shreya R Bhalla, Parsa P Salehi","doi":"10.1089/fpsam.2024.0376","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0376","url":null,"abstract":"<p><p><b>Background:</b> The applications of artificial intelligence (AI) are evolving, offering new opportunities to enhance patient care. <b>Objective:</b> To determine whether the use of AI platforms for translating patient education materials (PEMs) improves their readability for patients seeking information on facial plastic and reconstructive surgery (FPRS) procedures. <b>Methods:</b> Text from 25 PEMs on topics such as rhytidectomy, rhinoplasty, and blepharoplasty was extracted. ChatGPT 4.o, ChatGPT 3.5, Microsoft Copilot, and Google Gemini were prompted to translate AAFPRS PEMs to the 6th-grade reading level, the accepted readability standard for PEMs. Readability was determined using Flesch Kincaid Grade Level (FKGL), Gunning Fog Index (GFI), and Flesch Kincaid Reading Ease (FKRE). Statistical analysis was performed. <b>Results:</b> A total of 125 PEMs were reviewed. Original PEMs had a mean FKGL, GFI, and FKRE of 10.7, 13.48, and 50.8 respectively, which exceed the recommended level. The translated AI-generated PEMs had a mean FKGL, GFI, and FKRE of 8.41, 10.62, and 64.43 respectively, representing an improvement in readability (<i>p</i> < 0.001). <b>Conclusion:</b> With physician supervision, AI platforms can improve the readability of PEMs for common FPRS procedures. This strategy may increase the accessibility of educational resources for diverse patient populations.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017118","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}
Sung Ryul Shim, Jong-Yeup Kim, Seon-Min Lee, Ki-Il Lee
{"title":"Preservation Rhinoplasty Versus Structural Rhinoplasty in Dorsal Hump Reduction: A Systematic Review and Meta-Analysis of Randomized Controlled Studies.","authors":"Sung Ryul Shim, Jong-Yeup Kim, Seon-Min Lee, Ki-Il Lee","doi":"10.1089/fpsam.2024.0382","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0382","url":null,"abstract":"<p><p><b>Background:</b> A systematic comparison between the preservation rhinoplasty (PR) and the conventional structural rhinoplasty (SR) technique for hump nose correction is still lacking. <b>Objective:</b> To compare among patients undergoing rhinoplasty for dorsal hump correction using structural versus preservation techniques, as measured by functional and cosmetic patient-reported outcomes. <b>Methods:</b> Comprehensive literature search was conducted across PubMed, Medline, Embase, and Cochrane databases using medical subject heading terms. Among patients undergoing dorsal hump reduction, we analyzed randomized controlled trials (RCTs) comparing PR and SR to assess functional and cosmetic satisfaction using the Standardized Cosmesis and Health Nasal Outcomes Survey, and the visual analogue scale. <b>Results:</b> Among the 38 studies initially screened, four RCTs with 419 patients met the inclusion criteria. PR showed significant superiority over SR in both functional (standardized mean difference or SMD -0.317 [95% confidence interval or CI -0.509 to -0.124]) and cosmetic (SMD -0.460 [95% CI -0.851 to -0.069]) outcomes. Functional outcomes exhibited low heterogeneity (<i>I</i><sup>2</sup> = 0%), while cosmetic outcomes showed moderate heterogeneity (<i>I</i><sup>2</sup> = 67%). <b>Conclusion:</b> In this review, the data suggest that PR might provide both functional and cosmetic satisfactions in dorsal hump reduction compared with SR.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053492","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}
Arianna V Ramirez, Daniel Z Farishta, Russell W H Kridel
{"title":"Surgical Pearls: Multimodal Approach to the Surgical Treatment of Moderate to Advanced Rhinophyma.","authors":"Arianna V Ramirez, Daniel Z Farishta, Russell W H Kridel","doi":"10.1089/fpsam.2024.0367","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0367","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732509","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}
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":"<p><p><b>Background:</b> Limited evidence exists regarding the incidence of revision cosmetic rhinoplasty in patients with psychiatric diagnoses. <b>Objective:</b> To assess the rate of revision cosmetic rhinoplasty in patients with psychiatric diagnoses. <b>Methods:</b> 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. <b>Results:</b> 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%; <i>p</i> = 0.04). Age ≥46 and female gender were found to predict revision cosmetic rhinoplasty. <b>Conclusion:</b> In our cohort, patients with PD had higher rates of revision cosmetic rhinoplasty compared to those without PD.</p>","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}
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":"<p><p><b>Background:</b> Functional rhinoplasty often relies on repurposed cartilage for nasal framework grafting. <b>Objective:</b> To compare complications in functional rhinoplasty associated with use of autologous versus fresh frozen cadaveric rib cartilage (FFCR). <b>Methods:</b> 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. <b>Results:</b> 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 (<i>p</i> = 0.024, odds ratio: 4.0 [95% confidence interval: 0.17-2.61]) but not with postoperative infection (<i>p</i> = 0.101) or persistent nasal obstruction (<i>p</i> = 0.187). <b>Conclusion:</b> 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.</p>","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}
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":"<p><p><b>Background:</b> 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. <b>Objectives:</b> To define salvage lip reconstruction with gracilis muscle free flap. <b>Methods:</b> 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. <b>Results:</b> 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. <b>Conclusions:</b> 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.</p>","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}
Nisreen Al-Musaileem, Raisa Chowdhury, Mariam Ayed, Aseel Doubi, Islam Alzayadneh, Richard Rival, Philip Solomon
{"title":"Evaluating Longevity and Factors Influencing Outcomes in Subnasal Bullhorn Lip Lifts: A Retrospective Analysis Across Age, Gender, and Skin Type.","authors":"Nisreen Al-Musaileem, Raisa Chowdhury, Mariam Ayed, Aseel Doubi, Islam Alzayadneh, Richard Rival, Philip Solomon","doi":"10.1089/fpsam.2024.0342","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0342","url":null,"abstract":"","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":"143701860","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":"Commentary on: \"A Novel Technique to Create Finely Diced Septal Cartilage in Rhinoplasty\" by Goshtasbi et al.","authors":"Adeeb Derakhshan, Shekhar Gadkaree","doi":"10.1089/fpsam.2024.0392","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0392","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659192","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}