Journal of Plastic Reconstructive and Aesthetic Surgery最新文献

{"title":"Letter to the Editor Regarding The Streetlight Effect in BII Research","authors":"Siham Azahaf, Prabath W.B. Nanayakkara","doi":"10.1016/j.bjps.2025.03.046","DOIUrl":"10.1016/j.bjps.2025.03.046","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"104 ","pages":"Pages 349-350"},"PeriodicalIF":2.0,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143734659","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":"Surgical approach to model facial nerve paralysis in an ovine model for in vivo testing of a novel intervention","authors":"J.D. Cleary ,&nbsp;O. Kékesi ,&nbsp;I. Wise ,&nbsp;T.H. Low Hubert ,&nbsp;N.H. Lovell ,&nbsp;R. Gupta ,&nbsp;J. De Almeida Silva ,&nbsp;J.R. Clark ,&nbsp;G.J. Suaning","doi":"10.1016/j.bjps.2025.03.045","DOIUrl":"10.1016/j.bjps.2025.03.045","url":null,"abstract":"<div><div>Facial nerve paralysis (FNP) disrupts neural inputs to the facial muscles, the most significant being those responsible for blinking. This loss often results in discomfort, corneal exposure, and if improperly treated, vision loss. FNP typically presents unilaterally, resulting in an asymmetric face, causing distress and social isolation. The Bionic Lid Implant for Natural Closure (BLINC) was developed to restore functional blinking in patients with FNP by mechanically actuating eyelid movement via an upper eyelid sling, with a focus on restoring a natural and symmetric appearance. To move this novel intervention toward clinical application, a reliable animal model was needed to assess the function and safety of such a device and optimize the surgical implantation of BLINC. The sheep was chosen owing to the anatomical size and shape similarities of the orbit relative to humans, lending to the testing of human-sized implants. Four sheep underwent facial nerve resection and subsequent BLINC implantation in the temporal fossa. Postoperative assessments confirmed uneventful surgical recovery and effective paralysis induction with no additional functional deficits, supporting the use of this ovine model of FNP for the assessment of novel interventions. The study demonstrates the feasibility of surgical implantation of the BLINC device in a large animal model, laying the groundwork for further testing and eventual human application.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"105 ","pages":"Pages 23-33"},"PeriodicalIF":2.0,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143776655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the impact of eyebrow and lateral canthal height on the perception of character traits: A rating-based analysis of 2081 participants","authors":"Joanna Kempa ,&nbsp;Anna Kasielska-Trojan ,&nbsp;Mateusz Gabryszewski ,&nbsp;Bogusław Antoszewski ,&nbsp;Brian S. Biesman ,&nbsp;Leonard Knoedler ,&nbsp;Sebastian Cotofana ,&nbsp;Michael Alfertshofer","doi":"10.1016/j.bjps.2025.03.040","DOIUrl":"10.1016/j.bjps.2025.03.040","url":null,"abstract":"<div><h3>Background</h3><div>Cosmetic surgery procedures in the United States increased by 5% from 2022 to 2023, with notable increase in eyelid surgeries and forehead lifts. These procedures often aim to alter the height and position of the eyebrow and lateral canthus according to cultural preferences.</div></div><div><h3>Objective</h3><div>To analyze the impact of eyebrow and lateral canthus elevation on the perception of character traits.</div></div><div><h3>Methods</h3><div>In this rating-based analysis, 2081 participants with an average age of 26.51 years (8.4 years) [range: 18–68 years] were included. The survey featured an edited unisex face with 2 different modifications for each eye shape and eyebrows, totaling 9 different images. Participants rated the faces on attractiveness, femininity, masculinity, trustworthiness, dominance, threat, and disgust on a 5 points Likert’s scale.</div></div><div><h3>Results</h3><div>Increasing eyebrow height reduced attractiveness, femininity, and trustworthiness, and increased masculinity, dominance, threat, and disgust, especially among female respondents. Similar effects were observed with lateral canthus elevation, impacting attractiveness, femininity, masculinity, and trustworthiness negatively, while enhancing dominance, threat, and disgust. Combined eyebrow and lateral canthus adjustments reinforced these trends, highlighting their influence on perceived character traits. Differences in the perception of gender characteristics were observed between the male and female respondents.</div></div><div><h3>Conclusion</h3><div>Male and female perceptions differ in assessing character traits following the elevation of the eyebrow and lateral canthus. Females perceive eyebrow and lateral canthal elevation or their combination as reducing femininity, whereas males do not share this perception. Additionally, traits such as attractiveness, trustworthiness, masculinity, dominance, threat, and disgust were rated similarly by males and females. These findings are crucial for preoperative discussions and predicting surgical outcomes.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"104 ","pages":"Pages 417-425"},"PeriodicalIF":2.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143747629","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":"Evaluation of the safety and efficacy of tranexamic acid use in face and neck lift surgery: A systematic review","authors":"Rawan ElAbd ,&nbsp;Yasmina Richa ,&nbsp;Lucy Pu ,&nbsp;Taliah Hiyzajie ,&nbsp;Tyler Safran ,&nbsp;Mirko Gilardino","doi":"10.1016/j.bjps.2025.03.038","DOIUrl":"10.1016/j.bjps.2025.03.038","url":null,"abstract":"<div><h3>Introduction</h3><div>Tranexamic acid (TXA) has been used in various surgical settings to reduce bleeding and improve patient outcomes; however, its efficacy in face and neck lift is underexplored.</div></div><div><h3>Methods</h3><div>Following the PRISMA guidelines, this systematic review identified articles from 4 databases up to October 4, 2024, aiming to assess the efficacy of TXA in reducing the complications in patients undergoing face and/or neck lift.</div></div><div><h3>Results</h3><div>Ten articles were included. A total of 592 patients underwent either face or neck lift with TXA administration, among them 534 (90%) were women with a mean age of 62.0 years. TXA dosage ranged from 1 to 25 mg/mL topically and 1 g IV and was administered topically (4 studies), with local injection (5 studies), mixed with tumescence solution (3 studies), or intravenously (4 studies). Three studies showed evidence of reduced intraoperative blood loss with TXA. TXA reduced hematoma incidence in 4 of the 6 studies. Significant reductions in ecchymosis and shorter postoperative ecchymosis duration were reported. Skin flap complications were reported, but none were statistically significant (p &gt; 0.05). TXA significantly reduced postoperative edema in 1 of 2 studies (p &lt; 0.05). Procedure time was either unchanged or reduced. Drainage output and days before drain removal was reduced with TXA in 5 studies. There was no difference in the incidence of infection between groups.</div></div><div><h3>Conclusion</h3><div>TXA demonstrated promising results in facial surgery by reducing intraoperative bleeding and time, postoperative ecchymosis, edema, and drain output. Although TXA did not increase systemic complications, some wound-related complications were reported.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"104 ","pages":"Pages 369-385"},"PeriodicalIF":2.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143739439","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":"Hair fringe stickers: A novel method to keep hair out of the operating field","authors":"Chia Yin Goh,&nbsp;Sachin Teelucksingh,&nbsp;Alexandra Sutcliffe,&nbsp;Chad Chang","doi":"10.1016/j.bjps.2025.03.043","DOIUrl":"10.1016/j.bjps.2025.03.043","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"105 ","pages":"Pages 1-2"},"PeriodicalIF":2.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143776656","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":"Long-term breast sensation following breast augmentation: A retrospective analysis of influencing factors","authors":"Galip Gencay Üstün ,&nbsp;Berkay Sert ,&nbsp;Zeynep Nesil Demirli ,&nbsp;Osman Dağ ,&nbsp;Hakan Uzun ,&nbsp;Figen Özgür","doi":"10.1016/j.bjps.2025.03.041","DOIUrl":"10.1016/j.bjps.2025.03.041","url":null,"abstract":"<div><h3>Background</h3><div>Breast augmentation is associated with high patient satisfaction; however, preserving breast sensation remains challenging. This study aimed to evaluate long-term breast sensation and identify factors affecting sensation following breast augmentation.</div></div><div><h3>Methods</h3><div>This retrospective study included breast augmentation patients (experimental group) and an unoperated control group to evaluate the sensory changes following surgery. Sensory assessments were conducted using the Semmes–Weinstein monofilament test at 9 specific points on each breast, measuring central, peripheral and total sensory values. Comparisons of the sensory outcomes were made between the experimental and control groups, as well as within the experimental group. Factors such as smoking, systemic diseases, pregnancy, breastfeeding, implant plane, implant size and type and complications were analysed for their impact on sensation.</div></div><div><h3>Results</h3><div>The study included 55 breast augmentation patients (110 breasts) and 20 controls (40 breasts). Sensory outcomes were significantly better in controls than in the operated group. Smoking, systemic diseases, implant size and type showed no significant impact on sensation. Pregnancy and breastfeeding were associated with better central sensation, whereas peripheral sensation was unaffected. Subglandular placement preserved central sensation better than dual-plane 2 and 3 placements but significantly reduced peripheral sensation. Post-operative complications were linked to decreased central sensation.</div></div><div><h3>Conclusions</h3><div>Breast augmentation is associated with decreased sensation compared to controls. Subglandular placement preserves central sensation better than dual-plane placement. Smoking, systemic diseases and implant size and type were not significantly related to sensory outcomes, while post-operative surgical complications were associated with diminished central sensation.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"104 ","pages":"Pages 351-358"},"PeriodicalIF":2.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143734658","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":"Addressing economic disparities in plastic surgery education: Reply to \"The cost of plastic surgery conferences for medical students\"","authors":"Daniel Najafali ,&nbsp;John A. Toms","doi":"10.1016/j.bjps.2025.03.035","DOIUrl":"10.1016/j.bjps.2025.03.035","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"104 ","pages":"Pages 198-199"},"PeriodicalIF":2.0,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143715090","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":"Immediate versus delayed contralateral symmetrisation in autologous breast reconstruction: A comparative study","authors":"Benedetta Peltristo ,&nbsp;Maria Chicco ,&nbsp;Alexandra Molina","doi":"10.1016/j.bjps.2025.03.028","DOIUrl":"10.1016/j.bjps.2025.03.028","url":null,"abstract":"<div><h3>Introduction</h3><div>The optimal timing for contralateral breast symmetrisation in autologous breast reconstruction remains a controversial and under-researched topic, even though approximately 50% of patients will undergo contralateral symmetrisation procedures at some point in their reconstructive journey.</div></div><div><h3>Methods</h3><div>We conducted a retrospective comparative study including patients who underwent unilateral autologous breast reconstruction with either immediate or delayed contralateral breast symmetrisation from January 2018 to December 2022 at the Queen Victoria Hospital. Data were collected on patient age, timing of breast reconstruction and symmetrisation, flap type, operative time of the reconstructive procedure, length of hospital stay, complications requiring return-to-theatre, total number of surgical procedures and length of the reconstructive journey.</div></div><div><h3>Results</h3><div>Overall, 417 patients were divided into two groups based on the timing of contralateral symmetrisation (Group 1: 299 patients with delayed symmetrisation and Group 2: 118 patients with immediate symmetrisation). The two groups were comparable in terms of age and surgical characteristics. Although immediate symmetrisation significantly increased the operative time of the reconstructive procedure, there was no increase in the rate of complications requiring return-to-theatre or in the length of hospital stay. Patients who underwent immediate symmetrisation had a significantly lower total number of surgical procedures with a shorter reconstructive journey.</div></div><div><h3>Conclusion</h3><div>Our study showed that immediate contralateral breast symmetrisation is safe, reduces the total number of surgical procedures and shortens the reconstructive journey for patients undergoing unilateral autologous breast reconstruction.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"104 ","pages":"Pages 321-327"},"PeriodicalIF":2.0,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143734686","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":"Letter comments on: ‘International Observerships in Plastic Surgery: Key Insights and Recommendations for Success’","authors":"Vaibhav Sahni","doi":"10.1016/j.bjps.2025.03.032","DOIUrl":"10.1016/j.bjps.2025.03.032","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"104 ","pages":"Page 123"},"PeriodicalIF":2.0,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143680753","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":"A combination of fat grafting with inferior dermal flap in breast reconstruction following prophylactic mastectomy: A cohort study","authors":"Libor Streit ,&nbsp;Katsiaryna Abukhovich ,&nbsp;Adam Bajus ,&nbsp;Monika Schneiderová ,&nbsp;Tomáš Kubek ,&nbsp;Michaela Bohušová ,&nbsp;Luboš Dražan","doi":"10.1016/j.bjps.2025.03.020","DOIUrl":"10.1016/j.bjps.2025.03.020","url":null,"abstract":"<div><h3>Background</h3><div>Breast reconstruction following prophylactic mastectomy in women with ptotic or hypertrophic breasts often poses challenges. We describe a combined technique of large-volume fat grafting (&gt;100 mL) and an inferior dermal flap, aiming to improve aesthetic outcomes and patient satisfaction.</div></div><div><h3>Methods</h3><div>We conducted a retrospective analysis of 21 patients undergoing immediate breast reconstruction with the described technique. All patients were asked to complete the BREAST-Q questionnaire preoperatively and at least 12 months postoperatively (median interval: 20 months). Statistical analysis (Wilcoxon signed-rank test) was used to assess changes in satisfaction and well-being; aesthetic outcomes were scored by an independent, multidisciplinary team.</div></div><div><h3>Results</h3><div>Among 13 patients with complete BREAST-Q data, satisfaction with the breasts increased significantly from a median score of 38–85 (p = 0.002), psychosocial well-being from 57–70 (p = 0.045), and physical well-being (chest) from 68 to 81 (p = 0.045). Sexual well-being rose from 47–63 (p = 0.023). Aesthetic evaluation by an independent panel showed notable improvements in breast symmetry, shape, and overall appearance. Minimal and asymptomatic fat necroses or oil liponecrotic pseudocysts were observed.</div></div><div><h3>Conclusions</h3><div>Combining large-volume fat grafting with an inferior dermal flap appears promising for women with ptotic breasts, yielding high satisfaction and low complication rates. Despite requiring multiple operative stages, this autologous reconstruction technique may offer a less invasive alternative for high-risk patients seeking natural outcomes without implants.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"104 ","pages":"Pages 231-244"},"PeriodicalIF":2.0,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143715078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}