Aesthetic surgery journal. Open forum最新文献

{"title":"Severe Complications Due to Biopolymers in a Patient With Autoimmune Disease: A Case Report and Review of the Literature.","authors":"Andrés Hormaza-Jaramillo, Daniela Peñaloza Gonzalez, Sara Alejandra Benavides-Ibarra, Natalia Calvache Hernandez, Liliana Eugenia Muñoz Garcia, Alejandra Hidalgo Cardona, Jackeline Murrillo-Mera","doi":"10.1093/asjof/ojaf099","DOIUrl":"10.1093/asjof/ojaf099","url":null,"abstract":"<p><p>Biopolymers are frequently used for aesthetic or reconstructive purposes, often without adequate consideration of the potential long-term health complications they may cause. The use of these substances has been associated with autoimmune/autoinflammatory syndrome induced by adjuvants (ASIA syndrome); however, the existing literature is limited, and there is currently no clear consensus regarding its management. This case report aims to describe a case of severe biopolymer-induced inflammatory disease in a patient with a diagnosis of rheumatoid arthritis, highlighting both the diagnostic and therapeutic approaches. This case report examines a 58-year-old female patient with a history of biopolymer application to the gluteal and facial region 20 years before and a diagnosis of rheumatoid arthritis for the past 2 years. She presented with severe inflammatory skin lesions with worsening arthralgia. An MRI scan revealed exogenous material with signs of severe inflammation of the surrounding tissues, and a biopsy was consistent with foreign body granulomas with a \"Swiss cheese\" morphology. The patient was hospitalized and received multidisciplinary management, achieving an excellent clinical response. This case highlights the importance of a comprehensive evaluation and a multidisciplinary approach in patients with autoimmune disease and previous exposure to biopolymers. The coexistence of autoimmune diseases can aggravate the inflammatory response, suggesting the need for additional studies exploring this interaction and its prognostic impact. <b>Level of Evidence: 5 (Risk)</b>.</p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"7 ","pages":"ojaf099"},"PeriodicalIF":1.9,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145115084","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":"Content Analysis of Instagram Stories of Top Plastic Surgeons.","authors":"Olivia C MacIntyre, Colton Boudreau, Alison Wong","doi":"10.1093/asjof/ojaf051","DOIUrl":"10.1093/asjof/ojaf051","url":null,"abstract":"<p><p>Instagram stories (Meta, Menlo Park, CA) are posted at higher volumes and incite increased engagement for accounts. This is because of Instagram's algorithm, which typically only shows static posts to 10% of an account's followers. Given the importance of social media in cosmetic surgery practices, a detailed analysis of trends is useful in guiding plastic surgeon marketing regimes. The aim of the authors of this study is to provide a detailed analysis of Instagram story content posted by top 100 most-followed plastic surgeons in the world. One hundred plastic surgery Instagram accounts in the world were identified by their total number of followers and using the keywords \"plastic,\" \"cosmetic,\" \"aesthetic,\" and \"surgeon.\" Accounts of each surgeon were monitored daily over 1 week, with story content categorically logged. Broad categories included personal, educational, surgical, and engagement, which were further divided into subcategories. Qualitative and quantitative measures were used to assess demographics and trends. The average number of followers by the top accounts was 437,917 ± 36,216. The majority of accounts were located in North America (64%). The average number of stories posted each week was 28.2 ± 3.7, with the highest number posted on Friday (5.01) and the lowest on Saturday (2.67). The most common content of stories posted was related to surgical procedures (57.6%), contributing 1577 total stories. In this descriptive study, the authors provide insight into the nature of Instagram story content posted by top-followed plastic surgeons in the world, providing guidance to new and existing plastic surgeons in their social media practices. <b>Level of Evidence: 5 (Therapeutic)</b>.</p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"7 ","pages":"ojaf051"},"PeriodicalIF":1.9,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12368952/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144980454","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":"Surgical Emphysema Post Liposuction Overseas: A Case Report.","authors":"Hannah Cook, Samim Ghorbanian, Marios Erotocritou, Lucy Coull, Yildirim Oezdogan","doi":"10.1093/asjof/ojaf085","DOIUrl":"10.1093/asjof/ojaf085","url":null,"abstract":"<p><p>Liposuction is the most common surgical procedure performed globally. It is generally associated with low rates of major complications. Cosmetic surgery tourism has seen a steep incline in popularity and is often favorable to patients because of lower costs. However, it can be associated with higher complication rates and poorer follow-up. In this case report, the authors describe a case of severe symptomatic subcutaneous emphysema following air travel post liposuction. A 49-year-old male presented to the emergency department in the United Kingdom with pain, bruising, and swelling post liposuction to the chest, abdomen, and flanks. At Day 5 postoperatively, the patient embarked on a 5-hour plane journey, during which they experienced a significant increase in pain and swelling. On examination, there was audible crepitus at the upper abdomen and chest. A computerized tomography scan revealed extensive subcutaneous emphysema with associated skin thickening, subcutaneous fat stranding, and fluid. In this case, subcutaneous emphysema is likely a direct result of surgical technique. This case is unique in the severity of the symptoms described and the presumed role of air travel in their exacerbation. It is important that patients are adequately counseled on risks that may arise because of flying in the close postoperative period. Another issue highlighted is the increasing number of presentations to UK public hospitals following cosmetic tourism. Subcutaneous emphysema is a recognized but rare complication of liposuction. Patients should be adequately informed of adverse events that can arise following cosmetic surgery and subsequent travel. <b>Level of Evidence: 4</b> (Therapeutic).</p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"7 ","pages":"ojaf085"},"PeriodicalIF":1.9,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12302130/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735769","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":"Drainless Lower Body Lift With Large-Volume Liposuction and Adjunctive Procedures: A Single-Surgeon Retrospective Review of 137 Consecutive Patients and Outcomes.","authors":"Samer W Cabbabe","doi":"10.1093/asjof/ojaf095","DOIUrl":"10.1093/asjof/ojaf095","url":null,"abstract":"<p><strong>Background: </strong>Lower body lift (LBL) is a powerful 360° contouring procedure, most commonly performed after massive weight loss.</p><p><strong>Objectives: </strong>In this study, the author reviews outcomes of a large series of drainless LBL procedures performed by a single surgeon combined with high-volume liposuction and adjunctive body procedures. The surgeon's technique is described.</p><p><strong>Methods: </strong>A retrospective review was conducted on 137 consecutive patients who underwent drainless LBL between 2023 and 2025 by a single surgeon. Data collected included demographics, adjunctive procedures, liposuction volumes, fat grafting, hemoglobin levels, estimated blood loss (EBL), complications, and reoperations. All patients received preoperative optimization, including iron supplementation, and a multimodal perioperative protocol was employed. No drains were used for the procedures.</p><p><strong>Results: </strong>The mean age was 44.5 years, and the mean BMI was 26.8 kg/m². Average liposuction volume was 2518 cc, with 1976 cc of pure fat removed. Mean fat transfer volumes were 1075 cc (buttocks) and 628 cc (breasts). Average EBL was 572 cc. Adjunctive procedures included Brazilian butt lift (99.3%), 360 liposuction (96.4%), fleur-de-lis tummy tuck (41.6%), mastopexy (29.2%), and others. The complication rate was 6.6%, with 0.7% requiring reoperation. Complications included hematoma (<i>n</i> = 1), deep vein thrombosis (<i>n</i> = 1), transfusions (<i>n</i> = 2), and delayed healing (<i>n</i> = 5). No seromas or revisions were reported.</p><p><strong>Conclusions: </strong>Drainless LBL with progressive tension sutures, scarpal flap preservation, and limited undermining is a safe and effective approach and can be combined with high-volume liposuction and multiple adjunctive procedures. This technique resulted in lower complication and revision rates compared with previously published series.</p><p><strong>Level of evidence 4 therapeutic: </strong></p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"7 ","pages":"ojaf095"},"PeriodicalIF":1.9,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132922","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":"A Systematic Review of Adipose-Derived Cell Therapies on Skin Quality.","authors":"Jeewon Chon, Shea E Randall, Taylor A Schumann, Antoinette T Nguyen, Anmar Abu-Romman, Bradley A Melnick, Rahim Laiwalla, Rena A Li, Robert D Galiano","doi":"10.1093/asjof/ojaf098","DOIUrl":"10.1093/asjof/ojaf098","url":null,"abstract":"<p><p>Skin aging leads to changes such as dyschromia, rhytids, dermal atrophy, and reduced elasticity. Adipose-derived cell therapies (ADCTs), including stromal vascular fraction (SVF), adipose-derived stem cells (ADSCs), and adipose-derived mesenchymal stem cells (AD-MSCs), have gained attention for their regenerative potential. In this systematic review, the authors aim to evaluate the effectiveness of ADCT in improving skin quality such as elasticity, texture, pigmentation, and rhytid reduction. This systematic review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, with a comprehensive search conducted across PubMed (National Library of Medicine, Bethesda, MD), Embase (Elsevier, Amsterdam, the Netherlands), and Scopus (Elsevier). The authors of eligible studies must have assessed skin quality outcomes, such as rhytids, dyschromia, texture, and elasticity. Data on study design, treatment protocols, and outcomes were extracted. Risk of bias was assessed using the Cochrane RoB 2 tool (Cochrane, London, United Kingdom). Meta-analyses were conducted where appropriate. Seventeen studies met inclusion criteria. Rhytid severity decreased with SVF and ADSC-conditioned medium, particularly in periorbital and nasolabial regions. However, the authors of a meta-analysis of 2 studies showed nonsignificant reduction in rhytids (<i>P</i> = .12, <i>I</i> ² = 81%), and melanin index results were inconsistent. Combination therapies (eg, SVF with laser or platelet-rich plasma) outperformed SVF alone. Heterogeneity in follow-up duration, treatment protocols, and assessment tools limited direct comparisons. ADCTs show promise as a minimally invasive approach to enhance skin quality. However, variability across studies limits definitive conclusions. Standardized protocols, objective assessment tools, and long-term follow-up are needed to validate them as a reliable skin rejuvenation therapy. Future research should focus on objective assessment tools and larger sample sizes to establish ADCT as a viable skin rejuvenation therapy. <b>Level of Evidence: 3 (Therapeutic)</b>.</p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"7 ","pages":"ojaf098"},"PeriodicalIF":1.9,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12368954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144980415","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":"Exosomes in Plastic Surgery: An Expert Video Roundtable Discussion.","authors":"Steven Cohen, Brannon Claytor, Diane Duncan","doi":"10.1093/asjof/ojaf093","DOIUrl":"https://doi.org/10.1093/asjof/ojaf093","url":null,"abstract":"","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"7 ","pages":"ojaf093"},"PeriodicalIF":1.9,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451681/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132927","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":"A Novel Nonsurgical Smooth Thread Technique to Correct Gummy Smiles.","authors":"Fabiola Inés Carrasco Avilés, Maurizio Cavallini, Barbara Claysset, Vicenta María Llorca Pérez, Mauro Raichi","doi":"10.1093/asjof/ojaf094","DOIUrl":"10.1093/asjof/ojaf094","url":null,"abstract":"<p><strong>Background: </strong>\"Gummy smile\" describes the aesthetically unappealing display of gums that extends more than 2 to 3 mm when individuals smile. The multifactorial etiology of the gummy smile leads to various surgical and nonsurgical treatment strategies, including orthodontic therapies, lip fillers, and primarily botulinum toxin as a nonsurgical treatment.</p><p><strong>Objectives: </strong>In this paper, the authors present the preliminary report of a novel, minimally invasive, and non-neurotoxic treatment option for gummy smiles based on the insertion of smooth-surfaced resorbable polydioxanone threads along the vectors of the lip elevator muscles, offering long-lasting satisfactory aesthetic outcomes.</p><p><strong>Methods: </strong>The proposed subcutaneous thread insertion technique utilizes 23 G, 38 mm cannulas with 14 smooth threads per cannula. Twenty-two female patients with subjectively distressing gummy smiles have been treated so far. The correction of gummy smiles is rapid and has been documented for up to 18 months, with the most protracted case lasting 20 months. The first cannula is positioned 1.5 cm from the labial commissure and 0.5 cm above it, following the vector of the orbicularis oris muscle from the modiolus to the upper white lip. The second cannula targets the levator labii superioris muscle vector, entering from the modiolus, and the third cannula follows the zygomaticus major and zygomaticus minor muscle vectors. The insertion points are the same for the first, second, and third cannula. The fourth cannula is inserted 2 cm from the insertion point of the first, second, and third cannulas toward the premasseteric area and the internal corner of the eye, crossing the third thread in a crossed pattern. Only the 2 threads along the levator labii superioris and orbicularis oris vectors were inserted in 1 of the 22 treated patients, who displayed no molar teeth exposure while smiling.</p><p><strong>Results: </strong>No novel excessive gingival display has occurred in the 22 ambulatory patients treated so far for 9 to 12 months. In the patients treated so far, the mean distances between the diagnostic reference points decreased by 0.85 and 1.25 mm after 2 and 6 weeks, respectively, with negligible pain during the procedure and high satisfaction among all patients.</p><p><strong>Conclusions: </strong>The proposed smooth thread technique could be a technically convenient and minimally invasive option for addressing disturbing gummy smile problems.</p><p><strong>Level of evidence 4 therapeutic: </strong></p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"7 ","pages":"ojaf094"},"PeriodicalIF":1.9,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451692/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132918","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 Transaxemic Acid in Plastic Surgery: An Expert Video Roundtable Discussion.","authors":"Jeffrey Kenkel, James Zins, James Fernau, Gerald O'Daniel","doi":"10.1093/asjof/ojaf091","DOIUrl":"https://doi.org/10.1093/asjof/ojaf091","url":null,"abstract":"","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"7 ","pages":"ojaf091"},"PeriodicalIF":1.9,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132920","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":"Preservation Rhinoplasty Pros and Cons: An Expert Video Roundtable.","authors":"Jamil Ahmad, Jason Roostaeian, Aaron M Kosins, T Jon Kurkjian","doi":"10.1093/asjof/ojaf092","DOIUrl":"https://doi.org/10.1093/asjof/ojaf092","url":null,"abstract":"","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"7 ","pages":"ojaf092"},"PeriodicalIF":1.9,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132911","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":"Defining Femininity: Crowdsourced Insights on Gendered Facial Features Across Ethnicities.","authors":"Ishan S Patel, Gabriella E Glassman, Anjali Om, Daniel J Gould, Daniel Cuzzone, Orr Shauly","doi":"10.1093/asjof/ojaf089","DOIUrl":"10.1093/asjof/ojaf089","url":null,"abstract":"<p><strong>Background: </strong>Facial feminization surgery has become a key component of the male-to-female transition.</p><p><strong>Objectives: </strong>The authors of this study aim to determine which facial features are viewed as most masculine or feminine across biological sex and ethnicity.</p><p><strong>Methods: </strong>Four web-based survey instruments were used, displaying an image set of artificial intelligence-generated <i>cis</i>-male and <i>cis</i>-female facial photographs from the following ethnicities: Black, Asian, Oceanic, South Asian, and Caucasian. Faces were divided into 11 unique components and were thus rated on a scale from 1 (most masculine) to 11 (most feminine).</p><p><strong>Results: </strong>A total of 2566 respondents completed the survey instruments. Respondents identified the lips as the most feminine facial feature (range, 7.98-9.41, <i>P</i> < .0001). Female respondents found the lips to be the most feminine feature of all faces except those of the Black female and Caucasian male, in which the eyes were rated as the most feminine (8.09, 8.20, <i>P</i> < .0001). The most masculine facial features were the mandibular angle (4.67), laryngeal prominence (4.81), chin (4.94), and hairline (5.17), whereas the most feminine features were the lips (8.50), eyes (7.84), orbits (6.74), and cheeks (6.73), which were all statistically significant (<i>P</i> < .05).</p><p><strong>Conclusions: </strong>The authors of this study provide valuable insight into the public's perception of inherently masculine and feminine facial features across ethnicity and gender.</p><p><strong>Level of evidence 5 therapeutic: </strong></p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"7 ","pages":"ojaf089"},"PeriodicalIF":1.9,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12342755/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838701","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}