Journal of Plastic Reconstructive and Aesthetic Surgery最新文献

{"title":"Assessing gender-affirming surgery training in plastic surgery sub-internships: Insights into the current landscape","authors":"Matthew F. McLaughlin ,&nbsp;Siyou Song ,&nbsp;Kiet Phong ,&nbsp;Esther A. Kim","doi":"10.1016/j.bjps.2025.03.055","DOIUrl":"10.1016/j.bjps.2025.03.055","url":null,"abstract":"<div><div>Interest in gender-affirming surgery (GAS) is growing in plastic and reconstructive surgery (PRS), yet GAS exposure during PRS sub-internships remains underemphasized. This study assessed GAS exposure during these rotations via a cross-sectional survey to applicants to a single institution’s 2024 integrated residency program, examining demographics and exposure differences by region, program size, and type. Of 295 applicants, 73 (25%) responded. GAS exposure occurred in 78% of reported sub-internships (120/154). Students at medium-sized programs had higher odds of GAS exposure than those at small programs (odds ratio [OR] = 14.3, <em>p</em> = 0.026). Compared to Southern programs, students in the Midwest had higher clinic exposure (OR = 9.85, <em>p</em> = 0.050), and those in the West had greater facial GAS exposure (OR = 5.13, <em>p</em> = 0.048). Ninety percent of respondents believed GAS exposure is at least moderately important for sub-interns. While GAS exposure is increasing, regional and program disparities persist. Clearer expectations could help students align their rotations with educational goals and better prepare them for residency.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"105 ","pages":"Pages 108-111"},"PeriodicalIF":2.0,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143821463","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":"Nipple malposition following nipple sparing mastectomy: Evaluation of secondary correction in prepectoral implant-based breast reconstruction","authors":"Shahnur Ahmed ,&nbsp;John P. Hajj ,&nbsp;Iyad S. Ali ,&nbsp;Rachel M. Danforth ,&nbsp;Carla S. Fisher ,&nbsp;Mary E. Lester ,&nbsp;Aladdin H. Hassanein","doi":"10.1016/j.bjps.2025.03.056","DOIUrl":"10.1016/j.bjps.2025.03.056","url":null,"abstract":"<div><div>Ptosis can be a relative contraindication to nipple sparing mastectomy (NSM). Although a mastopexy-type approach can be performed during mastectomy, this requires very well perfused skin flaps and possibly intraoperative adjustments with the oncological breast surgeon. The purpose of this study is to assess risk factors that result in the nipple surgically raised secondarily in standard NSM with prepectoral tissue expander (TE) reconstruction to help guide surgical decision-making and patient counseling.</div><div>Patients at our center who underwent NSM and immediate prepectoral TE reconstruction were assessed. Patients who had immediate nipple position adjustment during the day of the mastectomy were excluded. Patients were divided into two groups: Group 1 (secondary nipple adjustment during the second stage) and Group 2 (no secondary nipple adjustment). Preoperative sternal notch-to-nipple distance, Regnault classification ptosis grade, brassiere size, and mastectomy weights were assessed.</div><div>The study included 158 patients: 33 patients in Group 1, 125 patients in Group 2. Grade II ptosis was present in 84.8% (28/33) of Group 1 compared to 58.4% (73/125) of Group 2 (p=0.0044). The average preoperative sternal notch-to-nipple distance for Group 1 was 26.2±2.6 cm compared to 24.7±3.9 cm for Group 2 (p=0.002). There was no difference in preoperative cup size between groups (p=1). The average mastectomy weight in Group 1 was 542.6±207.6 g compared to 449.4±264.3 g (p=0.03).</div><div>Patients with grade II ptosis, sternal notch-to-nipple &gt;26 cm, and larger breast size who undergo standard NSM are more likely to require secondary nipple correction. The findings can improve patient counseling and expectations.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"105 ","pages":"Pages 11-14"},"PeriodicalIF":2.0,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143776657","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 review of NovoSorb Biodegradable Temporising Matrix use over a 12-month period, with a focus on reconstructive salvage after free flap failure illustrated by a short case series","authors":"William Tsang ,&nbsp;Lincoln Saito Millan ,&nbsp;Daniel Williams ,&nbsp;Drew Cronin ,&nbsp;Dilip Gahankari ,&nbsp;Raja Sawhney ,&nbsp;Yezen Sheena","doi":"10.1016/j.bjps.2025.02.028","DOIUrl":"10.1016/j.bjps.2025.02.028","url":null,"abstract":"<div><div>We present a retrospective, cross-sectional review of 12 patients who underwent surgical reconstruction with NovoSorb® Biodegradable Temporising Matrix (BTM) over 1 year for trauma, cancer resection, necrotising fasciitis and chronic wounds. We report an overall success rate of BTM in 83% of cases. Three key cases are described in detail to show how BTM was successfully used as a means of reconstructive salvage after total or partial free flap failures for circumferential soft tissue defects that might otherwise have required a second free flap or limb amputation. The indications for BTM in non-burns wound closure are growing and our experience demonstrates it can provide a reliable ‘salvage’ reconstruction where traditional free flaps have failed and further tissue transfer is judged to have a poor risk-benefit ratio. We highlight BTM as an increasingly versatile tool in the armamentarium of reconstructive surgeons faced with challenging wounds including in the failed free flap setting and encourage further research on these advanced applications.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"103 ","pages":"Pages 396-403"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143712547","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":"Cost and insurance coverage for reduction mammoplasty: Evidence from United States claims data","authors":"Nargiz Seyidova,&nbsp;Ivory Fu,&nbsp;Olachi Oleru,&nbsp;Amanda Walsh,&nbsp;Peter J. Taub","doi":"10.1016/j.bjps.2025.01.029","DOIUrl":"10.1016/j.bjps.2025.01.029","url":null,"abstract":"<div><h3>Background</h3><div>Despite the proven benefits of reduction mammoplasty, the procedure is often denied by insurance plans even when deemed medically beneficial. The present study sought to evaluate nationwide variation in insurance type coverage, as well as out of pocket and total costs for reduction mammoplasty in outpatient settings.</div></div><div><h3>Methods</h3><div>The Truven MarketScan Database was analyzed to identify patients who underwent reduction mammaplasty (CPT 19318) in an outpatient setting in 2021. Total and out-of-pocket (OOP) expenses, as well as cost variation between the regions and insurance plan types were assessed. Univariate parametric analysis was applied to evaluate the variation in financial variables.</div></div><div><h3>Results</h3><div>In total, 8660 patients underwent reduction mammoplasty. The overall median OOP cost was $523 (IQR $1548) and total payment cost was $8097 (IQR $8245). OOP medians did not vary by region (p=0.016) but varied by insurance type (p&lt;0.001) with the highest cost paid with high-deductible health plan (HDHP) ($1164, IQR $2196) and lowest with point of service with capitation (CPOS) ($25, IQR $852). For total cost expenses, there was statistical significance for region and plan type (p&lt;0.001). With the highest median total costs in Northeast region ($11023, IQR $11324) and point of service (POS) ($9923, IQR $11536).</div></div><div><h3>Conclusion</h3><div>Patients undergoing reduction mammoplasty may incur high OOP costs with a HDHP plan. Although out-of-pocket cost did not vary by region, it varied with the insurance type. Insurance companies are becoming increasingly involved in determining the medical necessity of surgical procedures and should be aware of the financial burden placed on patients.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"103 ","pages":"Pages 389-395"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371470","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":"Characterizing the past 5 years of integrated plastic surgery applicants: A Texas STAR analysis","authors":"Eric Bao ,&nbsp;Nicole DePaola ,&nbsp;Angela P. Mihalic ,&nbsp;Tara L. Huston","doi":"10.1016/j.bjps.2025.03.054","DOIUrl":"10.1016/j.bjps.2025.03.054","url":null,"abstract":"<div><h3>Background</h3><div>The Texas STAR (Seeking Transparency in Application to Residency) database is a new residency match database that provides data and subjective advice from successful and unsuccessful residency applicants to inform prospective applicants. This study used the database to elucidate the current trends in plastic surgery applicant statistics.</div></div><div><h3>Methods</h3><div>Self-reported survey data from applicants to integrated plastic surgery residency programs between 2020 and 2024 were obtained from the Texas STAR database. Objective statistics from all applicants were analyzed using linear and logistic regression models to determine their significance with regards to match outcomes. Subjective advice from successful and unsuccessful applicants was extracted and summarized into general themes.</div></div><div><h3>Results</h3><div>A total of 327 integrated plastic surgery applicants responded to the Texas STAR survey from 2020 to 2024. Among these applicants, 247 matched (75.5%) and 80 did not match (24.5%). Matched applicants had a significantly higher number of interviews offered (16.2 vs. 7.8, p = 0.000), United States Medical Licensing Examination Step 2CK score (256.5 vs. 253.1, p = 0.020), clerkships honored (4.4 vs. 3.6, p = 0.012), percentage taking research years (29.6% vs. 16.3%, p = 0.011), abstracts/posters/presentations (9.3 vs. 7.9, p = 0.002), peer-reviewed publications (6.7 vs. 5.2, p = 0.001), and interviews attended (14.0 vs. 9.1, p = 0.000). Other factors were not significant. Furthermore, applicants cited away rotations, letters of recommendation, connections, and mentors as important.</div></div><div><h3>Conclusion</h3><div>Number of applications, board scores, clerkship performance, research productivity, and leadership roles influence the number of interview invites, while the number of interview invites best predicted match status.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"105 ","pages":"Pages 88-94"},"PeriodicalIF":2.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143816128","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":"Evidence-based artificial intelligence: Implementing retrieval-augmented generation models to enhance clinical decision support in plastic surgery","authors":"Berk B. Ozmen ,&nbsp;Piyush Mathur","doi":"10.1016/j.bjps.2025.03.053","DOIUrl":"10.1016/j.bjps.2025.03.053","url":null,"abstract":"<div><div>The rapid advancement of large language models (LLMs) has generated significant enthusiasm within healthcare, especially in supporting clinical decision-making and patient management. However, inherent limitations including hallucinations, outdated clinical context, and unreliable references pose serious concerns for their clinical utility. Retrieval-Augmented Generation (RAG) models address these limitations by integrating validated, curated medical literature directly into AI workflows, significantly enhancing the accuracy, relevance, and transparency of generated outputs. This viewpoint discusses how RAG frameworks can specifically benefit plastic and reconstructive surgery by providing contextually accurate, evidence-based, and clinically grounded support for decision-making. Potential clinical applications include clinical decision support, efficient evidence synthesis, customizable patient education, informed consent materials, multilingual capabilities, and structured surgical documentation. By querying specialized databases that incorporate contemporary guidelines and literature, RAG models can markedly reduce inaccuracies and increase the reliability of AI-generated responses. However, the implementation of RAG technology demands rigorous database curation, regular updating with guidelines from surgical societies, and ongoing validation to maintain clinical relevance. Addressing challenges related to data privacy, governance, ethical considerations, and user training remains critical for successful clinical adoption. In conclusion, RAG models represent a significant advancement in overcoming traditional LLM limitations, promoting transparency and clinical accuracy with great potential for plastic surgery. Plastic surgeons and researchers are encouraged to explore and integrate these innovative generative AI frameworks to enhance patient care, surgical outcomes, communication, documentation quality, and education.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"104 ","pages":"Pages 414-416"},"PeriodicalIF":2.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143747631","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":"Corrigendum to “How to increase the success rate in microsurgical free and pedicled flap reconstructions with intraoperative multistep ICG imaging: A case series with 400 consecutive cases” [J Plast Reconstr Aesthet Surg 97 (2024) 147–155]","authors":"Tania Panettella ,&nbsp;Matteo Meroni ,&nbsp;Mario F. Scaglioni","doi":"10.1016/j.bjps.2025.03.047","DOIUrl":"10.1016/j.bjps.2025.03.047","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"104 ","pages":"Pages 339-341"},"PeriodicalIF":2.0,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143734660","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":"Comparative assessment of the velopharyngeal structures between children with repaired cleft palate and noncleft population using 3-dimensional magnetic resonance imaging","authors":"Etkin Boynuyogun ,&nbsp;Fırat Atak ,&nbsp;Ayca Karaosmanoglu ,&nbsp;Figen Ozgur","doi":"10.1016/j.bjps.2025.03.052","DOIUrl":"10.1016/j.bjps.2025.03.052","url":null,"abstract":"<div><div>Improved knowledge of normal velopharyngeal data and comparison with matched groups of children with repaired cleft palate are critical for understanding anatomical variability and the goals of surgery. The present study was designed to examine the differences in velopharyngeal structures between pediatric patients with repaired cleft palate and noncleft participants. Velopharyngeal variations were further analyzed by sex, cleft type, timing of cleft palate repair, and velopharyngeal insufficiency status in the pediatric population with cleft palate. A retrospective review was performed of pediatric patients undergoing magnetic resonance imaging (MRI) of the velopharynx between November 2020 and June 2023. Palatal and velopharyngeal measurements were obtained from the MRI scans. A total of 96 participants, aged 5–12 years, undergoing velopharyngeal evaluation with MRI were recruited: 48 participants with normal speech and without cleft palate and 48 patients with repaired cleft palate. The mean age of the noncleft group was 8.5 ± 2.3 and that of the cleft group was 6.4 ± 1.4. There was a statistically significant difference between cleft and noncleft participants in all variables (p &lt; 0.001). Velopharyngeal and palatal measures of patients with repaired cleft palate revealed significant inadequacies compared with noncleft participants, with divergence between the different cleft types. These findings can be used as a reference for future comparisons in research that uses similar variables in the cleft population.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"105 ","pages":"Pages 15-22"},"PeriodicalIF":2.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143776785","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":"Optimising breast implant replacement surgery: Benefits of systemic tranexamic acid on post-operative blood loss and drain time","authors":"Carolin Wachtel ,&nbsp;Jens Rothenberger ,&nbsp;Emmanouil Nichlos ,&nbsp;Ines Ana Ederer ,&nbsp;Lara Küenzlen ,&nbsp;Jochen Souquet ,&nbsp;Ulrich Michael Rieger","doi":"10.1016/j.bjps.2025.02.055","DOIUrl":"10.1016/j.bjps.2025.02.055","url":null,"abstract":"<div><h3>Background</h3><div>Minimising surgical bleeding is crucial for optimising outcomes in clinical practice. Tranexamic acid, an antifibrinolytic agent, has shown efficacy in various clinical fields and is receiving increased attention in plastic and aesthetic surgery. This study is the first to investigate the impact of systemic tranexamic acid on post-operative blood loss and bleeding complications in patients undergoing breast implant replacement with simultaneous capsulectomy for capsular contracture.</div></div><div><h3>Methods</h3><div>After introducing systemic administration of 1 g tranexamic acid during surgery as routine prophylaxis, 40 patients (80 breasts) receiving this treatment were retrospectively compared to a historic cohort of 20 patients (40 breasts) who did not. The evaluated outcome parameters included 24-hour and total drain fluid production, drain time, and absolute and relative decreases in haemoglobin and haematocrit levels on the first operative day. Furthermore, bleeding complications such as the need for blood transfusion and haematoma evacuation were assessed.</div></div><div><h3>Results</h3><div>Tranexamic acid significantly reduced drainage volume within the first 24 h (72 ml versus 95 ml, 24.2%) and total drain fluid production (189 ml versus 351 ml, 46.2%). Additionally, a significantly shorter drainage time (3.9 d versus 7.1 d, 45.1%) and decreased post-operative decline in haemoglobin and haematocrit levels were observed. Regarding post-operative bleeding complications, 1 haematoma occurred in the tranexamic acid group versus 2 in the control group.</div></div><div><h3>Conclusion</h3><div>Systemic administration of tranexamic acid effectively reduced post-operative blood loss and drain time in patients undergoing bilateral implant replacement surgery with capsulectomy.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"104 ","pages":"Pages 479-486"},"PeriodicalIF":2.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143858883","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":"Three-dimensional facial soft-tissue changes after L-shaped reduction malarplasty: A pilot retrospective study","authors":"Xiaoshuang Sun ,&nbsp;Yiyuan Wei ,&nbsp;Hamza Younis ,&nbsp;Zihang Zhou ,&nbsp;Han Ge ,&nbsp;Jihua Li","doi":"10.1016/j.bjps.2025.03.051","DOIUrl":"10.1016/j.bjps.2025.03.051","url":null,"abstract":"<div><h3>Purpose</h3><div>Reduction malarplasty (RM) is a common facial contouring aesthetic procedure in East Asia. However, there is a lack of data on the postoperative changes in soft tissue and patient-reported outcomes. This retrospective study aimed to evaluate the soft-tissue changes and surgical outcomes following L-shaped RM.</div></div><div><h3>Methods</h3><div>Fifty-five patients who underwent L-shaped RM were enrolled and 55 patients who underwent genioplasty were enrolled as controls. The soft-tissue changes in relation to the underlying skeletal tissue were analyzed using computed tomography (CT) and three-dimensional (3D) stereophotogrammetry images. Patient’s satisfaction and surgical outcomes were investigated using the FACE-Q and Wrinkle Severity Rating Scale (WSRS).</div></div><div><h3>Results</h3><div>In the RM group, the soft tissue in zygoma (S2), zygomatic arch (S3), and upper cheek (S5) regions showed a significant inward reduction postoperatively (<em>p</em>&lt;0.001), while the paranasal region (S4) showed a significant outward augmentation (<em>p</em>&lt;0.001). Compared with the control group, the postoperative soft-tissue changes in S2, S3, S4, and S5 demonstrated significant differences in the RM group (<em>p</em>&lt;0.001). The postoperative skeletal-tissue changes in the upper zygoma (B2), zygomatic arch (B3), and lower zygoma (B5) regions exhibited a significant decrease (<em>p</em>&lt;0.001). Significant correlation was observed between the soft and hard tissue changes in B2, B3, and B5 regions (<em>p</em>&lt;0.001). Additionally, patients demonstrated significant postoperative improvement in satisfaction with appearance, although 6 patients’ WSRS grade increased by one-grade.</div></div><div><h3>Conclusion</h3><div>Following RM, the soft tissue in surgical regions showed inward depression, while the paranasal soft tissue protruded outward, indicating that the soft tissue exhibited a certain degree of sagging. Although the severity of nasolabial folds increased in some patients, the patient’s self-evaluation of aesthetics remained unaffected. The findings suggest that surgeons should consider skeletal and soft-tissue changes when planning RM, and patients should also be informed about the potential postoperative soft-tissue changes to effectively manage their expectations.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"105 ","pages":"Pages 3-10"},"PeriodicalIF":2.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143776654","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}