{"title":"Comparative Сharacteristic of Complications in Smooth and Textured Implants for Breast Modification Surgeries Performed in Women","authors":"Yusufov Stiven Ranbomovich, Yusufova Eteri Ranbomovna, Filimonov Dmitry Alekseevich, Ishchenko Roman Viktorovich","doi":"10.1177/07488068241253470","DOIUrl":"https://doi.org/10.1177/07488068241253470","url":null,"abstract":"The aim of this study is to comprehensively compare breast modification surgeries using smooth and textured implants in terms of a complication profile. PubMed, ScienceDirect, Embase, and Cochrane databases were searched for relevant studies reporting complication rates and quality of life on the BREAST-Q questionnaire in groups of patients with smooth and textured implants. The odds ratios of the following complications between the groups were calculated: capsular contracture, hematoma, infection, malposition, seroma, breast rippling, implant rupture, and reoperation rates. And mean differences for BREAST-Q scores were also calculated. A meta-analysis of 14 studies was performed in this article. No significant differences were found in the odds of capsular contracture, malposition, seroma, breast rippling, implant rupture, and reoperation rates between groups. The chance of developing infection was statistically significantly lower with smooth implants. The chance of hematoma development was statistically significantly lower with textured implants. Comparison of BREAST-Q results showed no difference between the groups. Our results suggest that using smooth implants is associated with a lower chance of infection and a higher chance of hematoma development.","PeriodicalId":508479,"journal":{"name":"The American Journal of Cosmetic Surgery","volume":"4 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141796866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Patient Advisory on Medical Tourism for Brazilian Butt Lift Procedure—Ensuring Patient Safety in Cosmetic Surgery: The Importance of Training and Expertise","authors":"Allison N. Laffoon, Wilbur Hah, Alton E. Ingram","doi":"10.1177/07488068241259133","DOIUrl":"https://doi.org/10.1177/07488068241259133","url":null,"abstract":"","PeriodicalId":508479,"journal":{"name":"The American Journal of Cosmetic Surgery","volume":"50 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141384002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Staged Periorbital Reconstruction for Cicatricial Lagophthalmos","authors":"Scott Bueno, Timothy Neal, R. Sanovich","doi":"10.1177/07488068241254158","DOIUrl":"https://doi.org/10.1177/07488068241254158","url":null,"abstract":"Eyelid trauma can present reconstructive challenges for facial surgeons. The authors postulated that treating cicatricial lagophthalmos with protective ptosis in the acute setting prior to definitive grafting could help limit scar contraction. This is an observation of a patient who benefited from a staged approach to periorbital reconstruction after suffering extensive facial trauma. Informed consent was appropriately obtained from the patient. After treating the periorbital injury in staged fashion, an aesthetically acceptable result was achieved and was well-tolerated by the patient. Disruption of the periorbital region, particularly the eyelids, can have severe functional and aesthetic consequences. One such disruption is lagophthalmos. Neurotoxin-induced protective ptosis is a well-known strategy that can be used as the initial treatment in a staged approach to cicatricial lagophthalmos. Treating lagophthalmos with protective ptosis in the acute setting prior to definitive grafting is not only a means of avoiding tarsorrhaphy but also it can allow time for the wound to declare itself and limit scar contraction. In addition, the contralateral eyelid represents both a complimentary skin graft harvest site as well as an opportunity to create a symmetrical repair.","PeriodicalId":508479,"journal":{"name":"The American Journal of Cosmetic Surgery","volume":"53 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141273837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Gluteal Fat Grafting Technique and Mortality Update Among Surveyed ABCS Surgeons","authors":"A. Cuzalina, P. Mostofi, W. Hah","doi":"10.1177/07488068231215113","DOIUrl":"https://doi.org/10.1177/07488068231215113","url":null,"abstract":"The demand for gluteal fat grafting (colloquially known as Brazilian butt lift [BBL]) has seen a dramatic increase in the past decade. Brazilian butt lift has been the fastest-growing cosmetic procedure in the United States for several years. During this time, the incidence of pulmonary fat embolisms (PFEs) associated with this procedure has raised safety concerns. Several professional organizations have responded to these concerns with investigational reports to identify the causes and provide recommendations to decrease the mortality associated with this popular cosmetic procedure. Awareness and implementation of these safety recommendations have been a cornerstone to decreasing the mortality rate associated with gluteal fat grafting. To provide a comparison of current technical approaches and a mortality update on gluteal fat grafting among surgical members from the American Board of Cosmetic Surgeons (ABCS) within the last 6 years. Also, to determine if specific technical changes in the manner this procedure is performed are improving safety. An online (emailed) survey regarding perioperative gluteal fat grafting techniques and postoperative outcomes performed by ABCS surgeons within the previous 3 years was collected in 2 different 3-year time frames. Initial data were collected in 2019 for the preceding 3 years 2016-2019. The survey was again repeated in 2022 to collect similar data as before from ABCS member years 2019-2021. The data, which included the total # of BBLs performed, incidence of major infection or fat emboli, cannula size, and injection methods details was compared for each 3-year period. Both sequential studies provided a comparison of the techniques employed as well as morbidity and mortality outcomes. Sixty-four ABCS surgeons who reported performing BBLs responded to the survey in 2019 and reported performing a total of 22 800 (BBLs) gluteal fat grafting cases in a previous 3-year window from 2016 to 2018. More surgeons used a closed system peristaltic pump in the second part of the study as compared to the first (51% vs 22%) ( P < .01). Two cases required in-hospital treatment of infection in the first survey while zero cases were reported for the second survey period ( P = .07). Twenty-five of 64 (39%) reported injecting fat at least into superficial gluteal muscle during this earlier time frame. In this earliest study, there were 3 total cases of PFE reported (2 fatal PFEs and 1 nonfatal PFEs). In 2022, 85 ABCS surgeons who reported performing BBLs responded to the survey. Around 12 172 gluteal fat grafting cases were reported in the second 3-year study from 2019 to 2021 compared to 22 800 in the first study ( P < .01). There was a total of 34 972 BBLs during the entire 6-year study. Most surgeons (82 of the 85) in the second-phase 3-year study reported injecting fat “exclusively” above the muscle ( P < .01). There were no fatal and non-fatal PFEs reported in the follow-up 3-year study in 2022 of ABCS member data from 2","PeriodicalId":508479,"journal":{"name":"The American Journal of Cosmetic Surgery","volume":"35 27","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139962429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"American Academy of Cosmetic Surgery 40th Annual Scientific Meeting, February 22–24, 2024 Abstracts","authors":"","doi":"10.1177/07488068241226495","DOIUrl":"https://doi.org/10.1177/07488068241226495","url":null,"abstract":"","PeriodicalId":508479,"journal":{"name":"The American Journal of Cosmetic Surgery","volume":"25 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139775389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"On Our Society and Journal’s 40-Year Anniversary","authors":"Jane Petro, Elie Ferneini","doi":"10.1177/07488068241233060","DOIUrl":"https://doi.org/10.1177/07488068241233060","url":null,"abstract":"","PeriodicalId":508479,"journal":{"name":"The American Journal of Cosmetic Surgery","volume":"429 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139834126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"On Our Society and Journal’s 40-Year Anniversary","authors":"Jane Petro, Elie Ferneini","doi":"10.1177/07488068241233060","DOIUrl":"https://doi.org/10.1177/07488068241233060","url":null,"abstract":"","PeriodicalId":508479,"journal":{"name":"The American Journal of Cosmetic Surgery","volume":"6 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139774446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"American Academy of Cosmetic Surgery 40th Annual Scientific Meeting, February 22–24, 2024 Abstracts","authors":"","doi":"10.1177/07488068241226495","DOIUrl":"https://doi.org/10.1177/07488068241226495","url":null,"abstract":"","PeriodicalId":508479,"journal":{"name":"The American Journal of Cosmetic Surgery","volume":"153 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139834811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Artificial Intelligence and Deep Learning in Preservation Rhinoplasty: A Review","authors":"S. Ghasemi, M. Dashti","doi":"10.1177/07488068231224133","DOIUrl":"https://doi.org/10.1177/07488068231224133","url":null,"abstract":"This review explores the potential applications of artificial intelligence (AI) and deep learning in preservation rhinoplasty. Preservation rhinoplasty is a surgical technique that aims to enhance the aesthetic appearance of the nose while preserving its natural structures and functions. Artificial intelligence and deep learning offer new avenues for improving surgical planning, intraoperative guidance, and postoperative analysis in this specialized field. The objective of this review is to examine how AI and deep learning can enhance preservation rhinoplasty by providing tools for precise surgical planning, real-time guidance during surgery, and comprehensive postoperative analysis. The review synthesizes information from relevant studies and articles in the field of rhinoplasty, AI, and deep learning. It discusses the potential benefits and challenges associated with the integration of AI into preservation rhinoplasty, drawing from the literature and expert insights. The review highlights several key findings: Artificial intelligence can analyze preoperative imaging data to assist surgeons in planning the procedure accurately. It can predict postoperative outcomes and enhance discussions with patients. Artificial intelligence can provide real-time guidance to surgeons, ensuring the preservation of natural nasal structures during surgery. Artificial intelligence can automate the analysis of postoperative images and patient-reported outcomes, aiding in assessing surgical success and patient satisfaction. The integration of AI in preservation rhinoplasty should prioritize patient safety, ethical considerations, and validation to ensure its effectiveness. Artificial intelligence has the potential to greatly impact the field of preservation rhinoplasty. Using advanced algorithms and machine learning techniques, AI can assist surgeons in analyzing patient data, predicting outcomes, and optimizing surgical techniques. This technology can help improve surgical precision, reduce complications, and enhance patient satisfaction. However, it is important to note that AI should be seen as a tool to support and enhance the surgeon’s expertise rather than replacing human judgment and experience. As AI continues to evolve, it is crucial for surgeons to stay updated with the latest advancements and incorporate them judiciously into their practice to achieve the best possible outcomes for their patients.","PeriodicalId":508479,"journal":{"name":"The American Journal of Cosmetic Surgery","volume":"63 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139445147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}