Aesthetic surgery journal. Open forum最新文献

{"title":"Circumferential Lower Body Lift With Superficial Fascial System Preservation in Patients With BMI Below 30: A Standardized Technique and Retrospective Analysis of 110 Patients.","authors":"Marcello Di Martino","doi":"10.1093/asjof/ojag139","DOIUrl":"10.1093/asjof/ojag139","url":null,"abstract":"<p><strong>Background: </strong>Circumferential lower body lift is an effective procedure for treating truncal deformities following weight loss; however, it is associated with significant complication rates, particularly seroma formation.</p><p><strong>Objectives: </strong>The aim of this study was to describe a standardized 7-point (A-G) marking system and surgical approach for circumferential lower body lift with reduced undermining and preservation of the superficial fascial system (SFS) and to evaluate clinical outcomes and complication rates.</p><p><strong>Methods: </strong>A retrospective observational study was conducted, including 110 consecutive patients undergoing circumferential lower body lift between 2014 and 2026. Patients were stratified into bariatric vs nonbariatric and primary vs secondary procedures. Variables analyzed included age, BMI, liposuction volume, gluteal fat grafting, drain duration, and postoperative complications classified according to the Clavien-Dindo system. Statistical analysis was performed using the Mann-Whitney test for continuous variables and Fisher's exact test for categorical variables, with significance set at <i>P</i> < .05.</p><p><strong>Results: </strong>The mean BMI was 25.6 ± 2.2 kg/m². The overall complication rate was 7.3%, with most complications classified as low grade according to the Clavien-Dindo system. Three seromas (2.7%) requiring outpatient aspiration were observed. Other complications included hematoma (0.9%), infection (0.9%), wound dehiscence (2.7%), and one case of deep vein thrombosis (0.9%). No statistically significant differences were found between bariatric and nonbariatric patients or between primary and secondary procedures (<i>P</i> > .05).</p><p><strong>Conclusions: </strong>Circumferential lower body lift with reduced undermining and preservation of the SFS may be a safe and effective technique in patients presenting with BMI <30 kg/m². The use of a standardized 7-point (A-G) marking system may facilitate surgical planning in this selected patient population.</p><p><strong>Level of evidence 4 therapeutic: </strong></p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"8 ","pages":"ojag139"},"PeriodicalIF":1.9,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13457913/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714750","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":"Anatomical Variations and Surgical Implications of the Cervical Branch of the Facial Nerve: A Systematic Review.","authors":"Ahmad Bogari, Lenah AlFadhil, Khalid Saad Alqarni, Naif Fnais, Mohammed Jomah","doi":"10.1093/asjof/ojag079","DOIUrl":"10.1093/asjof/ojag079","url":null,"abstract":"<p><p>The cervical branch of the facial nerve (CBFN) innervates the platysma and contributes to lower facial animation. Due to its anatomical variability and proximity to critical structures, including the marginal mandibular branch, great auricular nerve, and submandibular gland, it is vulnerable to iatrogenic injury during neck dissection and rhytidectomy, which can lead to functional and aesthetic complications. This systematic review evaluates the CBFN's course, branching patterns, and surgical relevance. A PRISMA-compliant systematic review was conducted across PubMed, Web of Science, SCOPUS, and ScienceDirect. Eligible studies included anatomical or cadaveric investigations detailing the CBFN's trajectory, branching, and anastomoses. Of 402 screened records, 10 met inclusion criteria. Data were extracted on topography and inter-nerve communications. Risk of bias was assessed using a qualitative appraisal tool due to the anatomical nature of the studies. The CBFN presented as a single trunk in 61.3% to 80% of specimens and as double branches in 20% to 38.7%. Anastomoses occurred with the transverse cervical (16%-100%), great auricular (24%-38.7%), and marginal mandibular nerves (24%). The CBFN coursed deep to the platysma in all cases and inferior to the mandible, though its relation to the cervical fascia and submandibular gland varied. Injury may indirectly affect the marginal mandibular branch via anastomoses, resulting in lower lip paresis. The cervical branch exhibits substantial anatomical variation, particularly in its branching and inter-nerve connections. Intraoperative preservation requires meticulous dissection technique, and the high frequency of anastomoses highlights the need for caution during subplatysmal dissection in cervicofacial surgery. Further anatomical standardization studies are recommended to refine operative planning and improve surgical outcomes. <b>Level of Evidence</b>: 5 (Therapeutic) For image description, please refer to the figure legend and surrounding text.</p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"8 ","pages":"ojag079"},"PeriodicalIF":1.9,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13386169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551557","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":"Correction to: Global Insights Into Confidence and Self-Perception in Aesthetic Medicine: A 15-Country Survey Analysis.","authors":"","doi":"10.1093/asjof/ojag124","DOIUrl":"https://doi.org/10.1093/asjof/ojag124","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1093/asjof/ojaf058.].</p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"8 ","pages":"ojag124"},"PeriodicalIF":1.9,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13313156/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148354874","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":"Wound Dressing and Postoperative Complications Following Breast Reduction: A Retrospective Study of 250 Patients.","authors":"Steven L Zeng, Thomas Ren, Ricardo R Colon, Nina E Ringelman, Salman Choudhry, Gedge Rosson","doi":"10.1093/asjof/ojag131","DOIUrl":"10.1093/asjof/ojag131","url":null,"abstract":"<p><strong>Background: </strong>Postoperative wound dressings are routine but understudied in reduction mammaplasty. Although an ideal dressing should promote healing, limit infection, and be well-tolerated, practice varies widely without consensus.</p><p><strong>Objectives: </strong>This study compares the impact of dressings on postoperative outcomes following reduction mammaplasty.</p><p><strong>Methods: </strong>A single-institution, retrospective review was performed of reduction mammaplasty patients. Data included demographics, operative details, dressing type, and complications. Dressings included Dermabond (DER), Prineo (PRI), Histoacryl (HIS), Sylke (SYL), Steri-Strips (STE), and combinations (COM). Contralateral breasts in oncoplastic or free-flap cases were excluded.</p><p><strong>Results: </strong>A total of 250 patients (439 breasts) were included. At baseline, cohorts differed in BMI, American Society of Anesthesiologist class, diabetes, operative time, and resection weight (all <i>P</i> < .05), largely because of PRI, which contained higher-risk patients. Analyses were repeated, excluding PRI: differences resolved. On univariate analysis, PRI had the highest complication rates. Excluding PRI, HIS had higher skin reaction rates than SYL (<i>P</i> = .003) and COM (<i>P</i> = .049), and higher dehiscence than SYL (<i>P</i> = .043). On multivariate analysis, SYL predicted lower skin reaction (odds ratio [OR] 0.21, <i>P</i> = .003) and dehiscence (OR 0.47, <i>P</i> = .02). PRI predicted higher reoperation (OR 6.4, <i>P</i> = .01) and poor scarring (OR 34.8, <i>P</i> < .001), although limited by baseline confounding.</p><p><strong>Conclusions: </strong>Dressing selection may affect wound outcomes after reduction mammaplasty. SYL tape was associated with lower rates of skin reaction and dehiscence across both analyses, although potentially limited by residual confounding. PRI's association with reoperation and poor scarring is notable but difficult to disentangle from patient selection bias. Combination dressings showed lower skin reaction rates but were heterogeneous, making interpretation challenging. Prospective data are needed to confirm these findings.</p><p><strong>Level of evidence 3 therapeutic: </strong>For image description, please refer to the figure legend and surrounding text.</p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"8 ","pages":"ojag131"},"PeriodicalIF":1.9,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13345376/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413990","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":"Multimodal Approach for Lower Leg Liposculpture: A Case Series and Lessons Learned.","authors":"Libby R Copeland-Halperin, Lauren O'Brien, Michelle Copeland","doi":"10.1093/asjof/ojag134","DOIUrl":"10.1093/asjof/ojag134","url":null,"abstract":"<p><p>Lower leg lipodystrophy can be distressing to patients. Liposuction can contour the ankle, calf, and medial knee areas but requires the understanding of anatomy, thorough preoperative evaluation, and diligent postoperative care. Previous studies focused on a single liposuction technique. In this preliminary report, the authors presented a multimodal technique for lower leg liposculpture for aesthetic lower leg contouring and discussed lessons learned. The authors performed a retrospective review of patients undergoing bilateral liposculpture contouring using a combination of laser, power-assisted, and fine-cannula liposuction of the ankles and calves with or without medial knee contouring between 2021 and 2025. Patients undergoing unilateral procedures, revision surgery, or surgery for lipedema were excluded, as were cases involving liposuction limited to the ankles or knees. Of 40 cases undergoing lower leg liposuction procedures, 30 involved liposculpture of the ankles, calves, and medial knees. The average lipoaspirate was 793 ± 418 cc (range, 300-2700 cc) from each leg. The mean operative duration was 115 ± 33 min (range, 72-200 min), including concurrent procedures. The mean follow-up was 4.2 ± 4.3 months (range, 1 week to 20.5 months). Three patients experienced complications: one developing skin hyperpigmentation, one with scar thickening, and one with pressure injury with cellulitis and prolonged edema. The application of lower leg liposuction has been limited by concerns about complications. The authors present a multimodal approach to lower leg liposculpture. With appropriate preoperative assessment, patient counseling, and postoperative care, this approach can improve lower leg aesthetics with limited adverse events. Level of Evidence: 4 (Therapeutic) For image description, please refer to the figure legend and surrounding text.</p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"8 ","pages":"ojag134"},"PeriodicalIF":1.9,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13457926/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714723","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":"Do Textured Breast Implants Mitigate Malposition? A Systematic Review and Meta-Analysis.","authors":"Peter M Vonu, Syeda Hoorulain Ahmed, Cameron Gerhold, Shajie Ur Rehman Usmani, Bruce A Mast","doi":"10.1093/asjof/ojag117","DOIUrl":"10.1093/asjof/ojag117","url":null,"abstract":"<p><p>The widespread utilization of silicone implants for cosmetic augmentation and breast reconstruction has encouraged many innovative design characteristics since inception in 1962. Despite a multitude of studies, there exists limited collective evidence supporting textured implants' efficacy in reducing implant malposition. In this study, the authors present a systematic review and meta-analysis to assess all available data regarding textured devices associated with outcomes of implant malposition. A literature search was performed covering PubMed/Medline, Scopus, and Web of Science databases. Cohort studies assessing textured vs nontextured implants were included in the final review. Primary outcome data included rates of implant malposition, and secondary outcomes included capsular contracture, rippling, and infection. Nine studies met inclusion criteria, including 2011 patients undergoing breast reconstruction and 1229 undergoing cosmetic augmentation. Malposition occurred in 5.2% of breasts in the textured cohort and 8.9% in the smooth cohort; however, pooled analysis demonstrated no statistically significant difference between groups. No significant differences were observed for capsular contracture, seroma, or rippling. A higher rate of infection was observed in the textured cohort, although this finding was not consistent across all analyses. No cases of breast implant-associated anaplastic large cell lymphoma were reported. Review of existing literature failed to identify statistical superiority in textured implants for reducing malposition. Interpretation is limited by retrospective design and heterogeneity among included studies. <b>Level of Evidence: 3 (Therapeutic)</b>  For image description, please refer to the figure legend and surrounding text.</p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"8 ","pages":"ojag117"},"PeriodicalIF":1.9,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13344099/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413987","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":"All About Clonidine and Its Role in Preventing Hematoma Following Aesthetic Facial Surgery: A Narrative Review With Practical Guidance.","authors":"Dillon C Mobasser, Alex N Kerendi, Foad Nahai","doi":"10.1093/asjof/ojag130","DOIUrl":"10.1093/asjof/ojag130","url":null,"abstract":"<p><p>Postoperative hematoma remains the most common major complication following face and necklift surgery, with decades of literature highlighting perioperative hypertension and sympathetic surges as primary modifiable risk factors. Clonidine, a centrally acting alpha-2 adrenergic agonist, has been progressively incorporated into facelift protocols to stabilize postoperative blood pressure and blunt sympathetic activation. This narrative review examines the pharmacology of clonidine, the pathophysiology of postfacelift bleeding, and the clinical evidence supporting clonidine's role in perioperative blood pressure management. Practical dosing strategies, contraindications, and safety considerations are presented based on the available literature and the authors' clinical experience. When used in a comprehensive perioperative blood pressure management protocol, clonidine appears to be a safe and effective adjunct for hematoma prevention in aesthetic surgery, although the supporting evidence is predominantly Level IV (retrospective series and observational studies) supplemented by expert opinion. Practical dosing strategies, contraindications, and safety considerations are presented based on the available literature and the authors' clinical experience. Level of Evidence: 5 (Therapeutic) For image description, please refer to the figure legend and surrounding text.</p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"8 ","pages":"ojag130"},"PeriodicalIF":1.9,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13353823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148426261","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":"BREAST-Q Under the Microscope: A Scoping Review of Reporting Gaps in Breast Surgery.","authors":"Gabriela Fioranelli, Nicole Alvarez, Jace Boswell, Ton Doan, Leslie Christensen, Doruk Orgun, Aaron Dingle","doi":"10.1093/asjof/ojag127","DOIUrl":"10.1093/asjof/ojag127","url":null,"abstract":"<p><p>The BREAST-Q was developed to address a gap in breast surgery outcomes research as a validated, procedure-specific patient-reported outcome measure (PROM) that assesses satisfaction and health related quality of life. Despite global adoption, reporting practices remain inconsistent. This review evaluated how BREAST-Q domains are reported and compated outcomes between postmastectomy reconstruction and cosmetic breast surgery populations. Five databases (PubMed, MEDLINE, PsycINFO, Scopus, and Web of Science) were searched from January 1, 2009 to September 16, 2022. Of 6921 records, 307 studies met inclusion criteria. Eligible studies reported mean BREAST-Q scores (0-100 scale) in patients undergoing postmastectomy reconstruction, breast augmentation, or breast reduction. Studies were grouped as reconstruction (Group 1) or cosmetic (Group 2). Extracted data included publication year, country, sample size, BREAST-Q means ± standard deviation and domain coverage. Analyses were descriptive due to heterogeneity in design, populations, and follow-up The most frequently reported domains in both groups were psychosocial well-being, satisfaction with breasts, and sexual well-being (Group 1: 79.12%, 91.21%, and 77.29%; Group 2: 74.55%, 96.36%, and 83.64%). The aggregate global weighted mean BREAST-Q score was higher in Group 2 than in Group 1 (81.99 vs 74.49), Though these values represent descriptive estimates, not direct comparisons. Although widely used, BREAST-Q reporting is inconsistent, with disproportionate emphasis on select domains. This selective reporting introduces bias and limits comparability. Comprehensive reporting across all domains, or inclusion of an overall summary score, would better reflect patient satisfaction and align with the instrument's intended purpose. Level of Evidence: 3 (Therapeutic).</p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"8 ","pages":"ojag127"},"PeriodicalIF":1.9,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13353821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148426208","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":"Augmentation Mastopexy With Polyurethane-Coated Implants in the Prepectoral Plane: A 24-Month Follow-Up Study.","authors":"Carmine Michele Mele, Andrea Murante, Edoardo Auriemma, Giuseppe Esposito, Luigi Castiello, Vincenzo Rullo, Santolo D'Antonio","doi":"10.1093/asjof/ojag118","DOIUrl":"10.1093/asjof/ojag118","url":null,"abstract":"<p><strong>Background: </strong>Augmentation mastopexy aims to restore breast shape and volume in patients with ptosis. Polyurethane-coated implants may enhance implant stability in augmentation mastopexy through early tissue adhesion in the prepectoral plane; however, mid-term stability and clinical outcomes remain incompletely defined, prompting the need for the present study.</p><p><strong>Objectives: </strong>The aim of this study was to evaluate the long-term aesthetic stability, complication profile, and patient satisfaction associated with augmentation mastopexy using polyurethane-coated implants placed in the prepectoral plane, with or without selective fat grafting.</p><p><strong>Methods: </strong>From January 2019 to December 2023, 169 patients (338 breasts) underwent augmentation mastopexy with polyurethane-coated implants placed in the prepectoral plane. The surgical protocol included mastopexy, implant placement, and selective fat grafting, when needed, to optimize breast contour in patients with asymmetries or minimal soft-tissue coverage (eg, pinch test <2 cm). Patients were followed up at 1, 6, 12, 18, and 24 months postoperatively, with the primary endpoint being the nipple-to-jugular distance (NJD), used to assess breast stability. Patient satisfaction was assessed using a 5-point Likert scale at 12 months.</p><p><strong>Results: </strong>The average preoperative NJD was 27.4 cm, and postoperatively, a significant reduction was observed at 1 month (21.5 cm), with minimal increase over time (22.3 cm at 24 months), indicating stable breast positioning. A single case of capsular contracture was managed with implant replacement. Patient satisfaction was high, with 78% rating their results as \"very satisfied\" (Score 5).</p><p><strong>Conclusions: </strong>Augmentation mastopexy with polyurethane-coated implants placed in the prepectoral plane provides stable, long-term breast positioning and high patient satisfaction. This technique offers a reliable alternative to traditional approaches, with minimal complications and sustained aesthetic results.</p><p><strong>Level of evidence 4 therapeutic: </strong>For image description, please refer to the figure legend and surrounding text.</p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"8 ","pages":"ojag118"},"PeriodicalIF":1.9,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13457911/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714745","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":"Peristaltic Pump-Assisted Fat Harvesting and Closed-Circuit Grafting: Technique and Immediate Cell Membrane Integrity in a Case Series.","authors":"Christopher Nichols, Daniel Albershardt","doi":"10.1093/asjof/ojag122","DOIUrl":"10.1093/asjof/ojag122","url":null,"abstract":"<p><p>Autologous fat grafting outcomes are influenced by tissue handling during harvest, processing, and reinjection. Traditional vacuum-based suction systems generate variable subatmospheric pressures and may introduce turbulence and shear forces that can affect adipocyte viability. The aim of this study was to describe a reversible peristaltic pump-assisted technique alternative for fat harvest and grafting and to outline its procedural workflow and mechanistic considerations. This report describes a closed-circuit, peristaltic pump-assisted technique based on the authors' 5-year clinical experience across more than 160 aesthetic and reconstructive procedures. The technique enables bidirectional flow for controlled aspiration and reinjection without direct handling of the tissue. The technique was applied across multiple anatomic regions, including the face, breast, and body. Tumescent infiltration, aspirate, and graft volumes were adjusted based on anatomic location and procedural goals. Intraoperative handling was characterized by continuous flow, minimal air entrainment, and minimal clogging. The technique was used for both aesthetic and reconstructive operations, including breast procedures. Peristaltic pump-assisted fat harvest and grafting represent a closed-circuit, non-vacuum-based approach to autologous fat transfer and an alternative in fat grafting technique. By combining precise pressure regulation with an adaptable closed-loop architecture, this method may contribute to consistent and reproducible graft quality, reduce tissue trauma, and decrease surgeon fatigue. This descriptive report demonstrates technical feasibility and reproducible intraoperative handling characteristics. Further controlled studies are needed to evaluate clinical outcomes and comparative effectiveness. <b>Level of Evidence: 4 (Therapeutic)</b> For image description, please refer to the figure legend and surrounding text.</p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"8 ","pages":"ojag122"},"PeriodicalIF":1.9,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13457928/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714737","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}