Aesthetic surgery journal. Open forum最新文献

{"title":"Localization and Staging of Vascular Adverse Events After Facial Fillers: A Detailed Assessment.","authors":"Sara Khoshnaw, Leonie Schelke, Gillian Murray, Peter J Velthuis","doi":"10.1093/asjof/ojaf064","DOIUrl":"10.1093/asjof/ojaf064","url":null,"abstract":"<p><strong>Background: </strong>Vascular adverse events (VAEs) are among the most feared complications following filler injections. At the specialized filler-complication clinic, the authors observed that the lateral region of the face experiences a lower risk of VAE-associated necrosis compared with the medial region.</p><p><strong>Objectives: </strong>The authors of this study aim to determine whether the medial facial region has a higher risk of necrosis following dermal filler injections compared with the lateral facial region. To assess this observation statistically, the authors analyzed all VAE cases reported between 2019 and 2024.</p><p><strong>Methods: </strong>A retrospective analysis was undertaken. High-resolution photographs enabled precise anatomical localization and accurate staging of the VAEs. The face was anatomically subdivided utilizing 3 separate classification methods: (1) facial zones based on the 4 primary arteries (ophthalmic, superficial temporal, maxillary, and facial arteries); (2) classification based on whether subzones were supplied by branches of the external carotid artery or by both the external and internal carotid arteries; and (3) categorization into the medial or lateral region of the face, based on their relative location to the line of ligaments. The clinical patterns of VAEs were classified into 5 stages, distinguishing between non-necrotic (Stages 1 and 2) and necrotic (Stages 3-5) outcomes, reflecting a stepwise clinical development of symptoms over time. Statistical analyses, including <i>χ</i> ² and Fisher's exact tests, were utilized to evaluate the distribution of VAE stages within each of the 3 anatomical classification methods.</p><p><strong>Results: </strong>In total, 120 patients with documented VAEs between 2019 and 2024 were included. Necrotic VAEs (Stages 3-5) occurred significantly more frequently in the medial facial region (<i>P</i> = .048). No significant correlation was found between these stages and distributions of both carotid artery branches nor the primary facial arteries.</p><p><strong>Conclusions: </strong>In this study, the authors highlight a higher risk of necrosis following dermal filler treatments in the medial facial region compared with the lateral region. A correlation between necrosis and the distribution of facial primary arteries or the carotid arteries seems to be absent, suggesting that local factors (eg, number or function of anastomoses/choke anastomoses) may play an important role.</p><p><strong>Level of evidence 4 therapeutic: </strong></p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"7 ","pages":"ojaf064"},"PeriodicalIF":1.9,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12455326/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Commentary on: A Comprehensive Mechanical and Chemoprophylaxis Algorithm for Prevention of Venous Thromboembolism in Lipoabdominoplasty.","authors":"Christopher J Pannucci","doi":"10.1093/asjof/ojaf118","DOIUrl":"10.1093/asjof/ojaf118","url":null,"abstract":"","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"7 ","pages":"ojaf118"},"PeriodicalIF":1.9,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12509823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Hyaluronidase on Hyaluronic Acid Degradation: An Experimental Study.","authors":"Joana Oliveira, Virgínia Santos, Joana Marques, Neusa Silva, António Mata, Mariana Brito da Cruz","doi":"10.1093/asjof/ojaf108","DOIUrl":"10.1093/asjof/ojaf108","url":null,"abstract":"<p><p>Hyaluronidase (HYAL) is an enzyme that degrades hyaluronic acid (HA), available in both animal-derived and recombinant formulations. Currently, there is limited evidence comparing the enzyme activity of different HYALs and their effects on various HA filler formulations. The authors of this in vitro study aim to evaluate and compare the effectiveness of animal-derived vs recombinant hyaluronidase on degrading different HA filler formulations. The authors tested 4 experimental groups (<i>n</i> = 5 per group): ART FILLER Universal with animal hyaluronidase, ART FILLER Universal with recombinant hyaluronidase, ART FILLER Volume with animal hyaluronidase, and ART FILLER Volume with recombinant hyaluronidase. HA filler degradation was measured using colorimetric assay (absorbance at 585 nm) at 1, 6, 24, and 48 h of incubation. The Kruskal-Wallis test was used for statistical analysis (significance set at <i>P</i> < .05). ART FILLER Universal showed significantly greater degradation than ART FILLER Volume at the 1 h time point (<i>P</i> < .05). Recombinant hyaluronidase demonstrated consistently higher degradation activity compared with animal-derived hyaluronidase at all measurement time points, but it was only statistically significant after 1 h of incubation (<i>P</i> < .05). ART FILLER Volume with animal hyaluronidase exhibited the lowest degradation rates among all groups at 6, 24, and 48 h (<i>P</i> < .05). Based on the findings, the authors indicate that recombinant hyaluronidase is more effective than animal-derived hyaluronidase for HA filler degradation over time. ART FILLER Universal degrades more rapidly than ART FILLER Volume during the first hour of enzyme activity. The results highlight important differences in degradation kinetics between HA filler types and hyaluronidase formulations. Further studies are needed to validate these findings and explore their clinical implications. <b>Level of Evidence</b>: 5 (Therapeutic).</p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"7 ","pages":"ojaf108"},"PeriodicalIF":1.9,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12509827/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Three-Dimensional Simulation Accuracy and Patient Satisfaction With Rhinoplasty.","authors":"Kosaku Yamamichi, Yuji Nakanishi, Chien Ying Chen","doi":"10.1093/asjof/ojaf110","DOIUrl":"10.1093/asjof/ojaf110","url":null,"abstract":"<p><strong>Background: </strong>Achieving aesthetic satisfaction in patients undergoing rhinoplasty requires not only surgical precision but also effective communication of expected outcomes. Three-dimensional (3D) simulation has emerged as a promising tool for aligning patient expectations with surgical planning.</p><p><strong>Objectives: </strong>The authors of this study aim to evaluate the relationship between postoperative satisfaction in patients undergoing rhinoplasty and 3D simulation accuracy using the Crisalix simulation platform (Crisalix SA, Lausanne, Switzerland).</p><p><strong>Methods: </strong>This retrospective study included 38 patients who underwent aesthetic rhinoplasty with preoperative 3D simulation. Morphometric analysis compared the nasal parameters of the simulations with actual postoperative outcomes. Patient satisfaction was assessed using the FACE-Q scale. Similarity scores were rated by each patient and 2 independent surgeons, and the correlations were analyzed.</p><p><strong>Results: </strong>Crisalix simulation accuracy showed a strong correlation with postoperative patient satisfaction (<i>ρ</i> = 0.66, <i>P</i> < .001), second only to physician aesthetic scores (<i>ρ</i> = 0.71, <i>P</i> < .001). Subgroup analyses showed greater simulation discrepancies and lower satisfaction in revision cases, although the differences were not statistically significant.</p><p><strong>Conclusions: </strong>The authors of this study found higher predictive accuracy, utilizing 3D preoperative simulations, to be significantly associated with greater patient satisfaction. These findings underscore the potential utility of 3D simulation as a tool for aligning surgical outcomes with patient expectations and enhancing shared decision making.</p><p><strong>Level of evidence 4 diagnostic: </strong></p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"7 ","pages":"ojaf110"},"PeriodicalIF":1.9,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12493035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Laser Lipolysis With and Without Liposuction on Arm Circumference: A Systematic Review and Meta-Analysis.","authors":"Zhen Yu Wong, Veylamuthen Murugan, Zhen Ning Wong, Pojsakorn Danpanichkul, Ryan Faderani, Muholan Kanapathy, Afshin Mosahebi","doi":"10.1093/asjof/ojaf097","DOIUrl":"10.1093/asjof/ojaf097","url":null,"abstract":"<p><p>Laser-assisted lipolysis (LAL) for arm fat reduction has gained popularity compared with traditional liposuction. The authors of this study aim to quantify changes in arm circumference through LAL and compare outcomes between treatments with and without suction. A Preferred Reporting Items for Systematic Reviews and Meta-Analyses-compliant systematic review was conducted from inception until May 2024, and meta-analysis was performed using Stata. Mean differences in arm circumference were pooled using the DerSimonian and Laird random-effects model. Out of 135 screened studies, 7 were included in the analysis. The pooled arm circumference reduction (<i>n</i> = 199) was 2.95 cm (<i>P</i> < .001, 95% CI, 1.50-4.41). Subgroup analysis revealed that the reduction with suction was 3.39 cm (<i>P</i> = .078, 95% CI, -0.38 to 7.16), and without suction, it was 2.04 cm (<i>P</i> = .022, 95% CI, 0.30-3.78). Overall, both clinicians and patients reported high satisfaction levels with the treatment, although satisfaction was notably lower among patients with more advanced conditions. Reported complications were mild and transient, including instances of ecchymosis and prolonged edema. Although the current evidence is limited by small sample size, the safety profile of LAL is favorable and the outcomes are promising. Further studies are needed to validate these findings. <b>Level of Evidence: 3 (Therapeutic)</b>.</p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"7 ","pages":"ojaf097"},"PeriodicalIF":1.9,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12415858/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145031081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Epidermal and Dermal Regeneration Through Sequential Monopolar and Bipolar Radiofrequency: Evidence From an Aging Mouse Model.","authors":"Narendra Kumar, Song Yi Baek","doi":"10.1093/asjof/ojaf111","DOIUrl":"10.1093/asjof/ojaf111","url":null,"abstract":"<p><strong>Background: </strong>It is well established that the aging process triggers various physiological changes, which may manifest as loss of hydration and the degradation of collagen and elastin fibers, ultimately leading to lines, wrinkles, and skin laxity. To restore the skin's youthful appearance, both noninvasive and minimally invasive procedures have been developed.</p><p><strong>Objectives: </strong>The authors of this study aim to evaluate the safety and efficacy of noninvasive monopolar vs sequential monopolar-bipolar radiofrequency (RF) irradiation from a single tip on skin quality in an aged mouse model.</p><p><strong>Methods: </strong>The experiment involved male mice aged 4 and 12 months. The Density RF device (Jeisys Global, Seoul, South Korea) used for irradiation employs both monopolar (Classic-Tip) and monopolar-bipolar (High-Tip) RF, operating at a frequency of 6.78 MHz. The device features an automatic impedance matching system that measures impedance in real time and determines the corresponding compensation value. RF irradiation was performed after applying coupling fluid to the dorsal skin of mice (4 cm²) using an energy density of 63.4 J/cm² per shot under anesthesia. RF was applied on Day 0; subsequently, the mice were sacrificed on Days 1 and 28 for sample harvesting and histological study.</p><p><strong>Results: </strong>The RF-irradiated group has shown a significant increase in skin hydration and elasticity. The aging control group showed a 1.7-fold reduction in epidermal thickness compared with the young control group. However, in comparison with the aging control group, after 28 days, the RF irradiation group showed a substantially thicker epidermis, up to 1.5-fold thicker (monopolar group: 15.797 ± 1.093 µm, monopolar-bipolar group: 15.600 ± 0.963 µm). The monopolar group showed a 1.8-fold (<i>P</i> < .05) increase in collagen density; however, the monopolar-bipolar group showed a 2.4-fold (<i>P</i> < .05) increase. Notably, the monopolar-bipolar group demonstrated a substantial increase in collagen density compared with the controls. Elastin fiber expression significantly increased in both monopolar and monopolar-bipolar groups compared with the controls. However, the highest expression of elastin fibers was observed in the monopolar-bipolar group. Further, polymerase chain reaction analysis confirmed a significant increase in gene markers, such as Blimp1, Fsp1, and Dlk1, suggesting that RF irradiation promotes fibroblast differentiation.</p><p><strong>Conclusions: </strong>The sequentially monopolar-bipolar RF irradiation (Density High-Tip) system significantly increases epidermal thickness, collagen, and elastin fiber production and promotes fibroblast cell differentiation compared with the monopolar RF alone.</p><p><strong>Level of evidence 4 therapeutic: </strong></p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"7 ","pages":"ojaf111"},"PeriodicalIF":1.9,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12494198/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrating Research Into Private Practice: How and Why I Did It.","authors":"Stephen D Bresnick","doi":"10.1093/asjof/ojaf112","DOIUrl":"https://doi.org/10.1093/asjof/ojaf112","url":null,"abstract":"","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"7 ","pages":"ojaf112"},"PeriodicalIF":1.9,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12493033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Social Media in Shaping Decisions to Undergo Cosmetic Procedures: A Nationwide Cross-Sectional Study of the Syrian Population.","authors":"André Torbey, Perla Naji Yabroudi, Ahmad Al Darra, Saeed Kadri, Tarek Alsawaf, Jana Mugharbel, Julia Ammar Kheirbek, Sedra Al Habal, Hala Khair, Gretta Bachar Baghdan, Fares Kahal","doi":"10.1093/asjof/ojaf103","DOIUrl":"10.1093/asjof/ojaf103","url":null,"abstract":"<p><strong>Background: </strong>Social media has become a major global force shaping beauty standards and aesthetic preferences. Although cosmetic procedures are increasingly normalized in Syria, the role of social media in influencing individuals' decisions to pursue these interventions remains underexplored.</p><p><strong>Objectives: </strong>The aim of the authors of this study is to assess the influence of social media on attitudes and decision making regarding cosmetic procedures among the Syrian population, and to identify key demographic, psychological, and behavioral factors associated with this influence in the context of Syria's unique sociocultural and economic landscape.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 2605 participants using both online and paper-based questionnaires. The survey assessed demographics, attitudes toward cosmetic procedures, social media usage patterns, and the influence of influencers and digital content. Statistical analysis identified associations between digital exposure and procedural interest.</p><p><strong>Results: </strong>Participants spending >5 h daily on social media were significantly more likely to consider cosmetic procedures. Following a higher number of fashion influencers was strongly associated with appearance dissatisfaction and desire for cosmetic enhancements. Although 76% of participants accepted cosmetic procedures as socially valid, only 19% verified practitioner credentials, and 73% expressed distrust toward influencer promotions. Younger, female, and university-educated individuals were more susceptible to digital influence.</p><p><strong>Conclusions: </strong>Social media plays a substantial role in shaping cosmetic interests in Syria. These findings support the need for targeted strategies, including body image screening tools, media literacy programs, ethical advertising regulations, and transparent medical verification systems to promote informed and safe cosmetic decisions.</p><p><strong>Level of evidence 5 risk: </strong></p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"7 ","pages":"ojaf103"},"PeriodicalIF":1.9,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12464937/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lip Enhancement and Perioral Area Correction With New Hyaluronic Acid Dermal Fillers: A Prospective Safety Study.","authors":"Sophie Converset, Isaac Bodokh, Henry Delmar, Elisabeth Domergue Than Trong, Cécile Winter, Philippe Kestemont","doi":"10.1093/asjof/ojaf101","DOIUrl":"10.1093/asjof/ojaf101","url":null,"abstract":"<p><strong>Background: </strong>Injectable hyaluronic acid (HA) is the gold standard for the aesthetic treatment of facial volume and wrinkles.</p><p><strong>Objectives: </strong>The authors of this study aim to evaluate the safety and performance of 2 new HA fillers for the treatment of the lips and perioral area.</p><p><strong>Methods: </strong>This multicenter prospective study enrolled 72 patients. All patients received lip enhancement with ESTYME LIPS (EST_LP, SYMATESE, Chaponost, France), and 61 of them also had correction for lip fine lines and nasolabial folds (NLFs) with ESTYME SMOOTH (EST_SM). Assessments were conducted by injector-investigators, the patients, and an independent evaluator. The primary endpoint was the proportion of patients with at least 1 injection-site reaction (ISR) lasting beyond 14 days. Secondary endpoints included adverse events, aesthetic improvements, lip functionality, and participant satisfaction, assessed over 12 months.</p><p><strong>Results: </strong>After 30 days, at least 1 ISR was observed in 35% of the participants on the lips, 2% on the fine lines, and 2% on the NLF. At 12 months, an improvement of at least 1 point was still observed in 66% of participants on the lips, 74% on the fine lines, and 54% on the NLFs. Throughout the study, lip functionality was not affected by their treatment and both assessors and patients rated overall aesthetic improvement and good satisfaction.</p><p><strong>Conclusions: </strong>In this limited cohort, EST_LP and EST_SM proved to be safe and effective options for lip enhancement as well as correction of NLFs and lip fine lines, demonstrating sustained results in the majority of patients for up to 12 months.</p><p><strong>Level of evidence: </strong>4 (Therapeutic).</p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"7 ","pages":"ojaf101"},"PeriodicalIF":1.9,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145115058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of Mortality Rates Associated With Perioperative Deep Vein Thrombosis Screening and Prophylaxis in Cosmetic Outpatient Procedures: An Updated National Evaluation Using QUAD A Patient Safety Data.","authors":"Jose A Foppiani, Angelica Hernandez Alvarez, Maria J Escobar-Domingo, Charlotte Thomas, Daniela Lee, Iulianna C Taritsa, James E Fanning, Kirsten A Schuster, William Rosenblatt, Umar H Choudry, Bernard T Lee, Samuel J Lin","doi":"10.1093/asjof/ojaf105","DOIUrl":"10.1093/asjof/ojaf105","url":null,"abstract":"<p><strong>Background: </strong>Most deaths after outpatient plastic surgery are because of thromboembolic events, particularly pulmonary embolism (PE). The effectiveness of QUAD A deep vein thrombosis (DVT) safety measures after recent policy changes remains undocumented.</p><p><strong>Objectives: </strong>The aim of the authors of the study is to assess how adherence to DVT prophylaxis guidelines affects complications and mortality in QUAD A facilities.</p><p><strong>Methods: </strong>Using the Patient Safety Data Reporting database, we retrospectively assessed DVT, PE, and mortality rates in adult patients at QUAD A facilities from 2019 to 2023, with subgroup analysis of plastic surgery centers. The authors analyzed demographics and complications relative to facility protocol compliance using descriptive statistics and regression analyses.</p><p><strong>Results: </strong>The authors identified 3,338,519 surgeries and 247 DVT/PE events. Facility-level deficiencies in DVT/PE prophylaxis ranged from 7.4% to 14.17%; peak deficiencies coincided with the highest complications and mortality. Among DVT/PE patients, 67 underwent plastic surgery (mean age 47.7 years, standard deviation [SD: 11.8]; mean BMI 29.2 kg/m², [SD: 7.7]); 94% were women. The mean operative time was 220.4 min (SD: 115.9), with 98.5% of procedures under general anesthesia and nearly half of patients (49.3%) hospitalized postoperatively. Liposuction was most commonly associated with complications (38.8%), followed by multiple procedures (23.9%). Within plastic surgery, cosmetic procedures accounted for 73.1% of complications. Statistical analysis showed an association between liposuction and DVT/PE occurrence, with more favorable outcomes for cosmetic procedures (<i>P</i> = .038).</p><p><strong>Conclusions: </strong>Following a QUAD A policy change, DVT/PE rates peaked alongside DVT/PE prophylaxis deficiencies. Based on the findings of this study, the authors suggest considering a standardized prophylaxis and preoperative evaluation to reduce morbidity and mortality. Liposuction patients may be at higher risk for these complications.</p><p><strong>Level of evidence 3 therapeutic: </strong></p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"7 ","pages":"ojaf105"},"PeriodicalIF":1.9,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12493036/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}