Aesthetic surgery journal. Open forum最新文献

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Manipulation of the Nasal Superficial Musculoaponeurotic System to Enhance Midvault and Supratip Contouring. 操纵鼻浅肌腱神经系统以增强鼻中点和鼻尖上轮廓。
Aesthetic surgery journal. Open forum Pub Date : 2024-10-24 eCollection Date: 2024-01-01 DOI: 10.1093/asjof/ojae089
Adam D Glener, Virginia E Bailey, Derek Sheen, Spencer Cochran
{"title":"Manipulation of the Nasal Superficial Musculoaponeurotic System to Enhance Midvault and Supratip Contouring.","authors":"Adam D Glener, Virginia E Bailey, Derek Sheen, Spencer Cochran","doi":"10.1093/asjof/ojae089","DOIUrl":"10.1093/asjof/ojae089","url":null,"abstract":"<p><strong>Background: </strong>Management of dorsal dead space and the aesthetics of a supratip break are paramount to achieving reproducible and reliable results in rhinoplasty.</p><p><strong>Objectives: </strong>The authors present a modified technique of redraping the nasal soft tissue envelope in structural rhinoplasty by utilizing the nasal superficial musculoaponeurotic system (SMAS) to help obliterate dorsal dead space and restore normal anatomy, thereby enhancing midvault and supratip contouring.</p><p><strong>Methods: </strong>A standard open rhinoplasty approach is utilized. A planar transition from supraperichondrial to subperichondrial/subperiosteal is completed during the dorsal dissection. The open structural rhinoplasty then proceeds as previously published by the senior author. After any desired tip work is completed, the cephalically based SMAS layer is reconstituted with suture fixation laterally along the caudal border of the upper lateral cartilages. A more robust technical discussion is borne out in the manuscript.</p><p><strong>Results: </strong>At submission, the senior author has performed >100 rhinoplasties employing this technique over roughly 1 year. Subjectively, patients have had better immediate supratip contour with less residual dorsal soft tissue edema. A case example with photographs is included at a 1 year postoperative time point.</p><p><strong>Conclusions: </strong>Using this described technique, surgeons can employ an open, structural, approach to rhinoplasty while using restoration of natural anatomy to achieve a refined postoperative result, accentuating supratip break while minimizing dorsal soft tissue dead space.</p><p><strong>Level of evidence 5 therapeutic: </strong></p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"6 ","pages":"ojae089"},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11635446/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820299","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}
引用次数: 0
Comparing ChatGPT vs Surgeon-Generated Informed Consent Documentation for Plastic Surgery Procedures. 比较 ChatGPT 与外科医生生成的整形手术知情同意书。
Aesthetic surgery journal. Open forum Pub Date : 2024-10-22 eCollection Date: 2024-01-01 DOI: 10.1093/asjof/ojae092
Ishan Patel, Anjali Om, Daniel Cuzzone, Gabriela Garcia Nores
{"title":"Comparing ChatGPT vs Surgeon-Generated Informed Consent Documentation for Plastic Surgery Procedures.","authors":"Ishan Patel, Anjali Om, Daniel Cuzzone, Gabriela Garcia Nores","doi":"10.1093/asjof/ojae092","DOIUrl":"10.1093/asjof/ojae092","url":null,"abstract":"<p><p>Informed consent is a crucial requirement of a patient's surgical care but can be a burdensome task. Artificial intelligence (AI) and machine learning language models may provide an alternative approach to writing detailed, readable consent forms in an efficient manner. No studies have assessed the accuracy and completeness of AI-generated consents for aesthetic plastic surgeries. This study aims to compare the length, reading level, accuracy, and completeness of informed consent forms that are AI chatbot (ChatGPT-4; OpenAI, San Francisco, CA) generated vs plastic surgeon generated for the most commonly performed aesthetic plastic surgeries. This study is a cross-sectional design comparing informed consent forms created by the American Association of Plastic Surgeons (ASPS) with informed consent forms generated by ChatGPT-4 for the 5 most commonly performed plastic surgery procedures: liposuction, breast augmentation, abdominoplasty, breast lift, and blepharoplasty. The average word count of ChatGPT forms was lower than the ASPS-generated forms (1023 vs 2901, <i>P</i> = .01). Average reading level for ChatGPT forms was also lower than the ASPS forms (11.2 vs 12.5, <i>P</i> = .02). There was no difference between accuracy and completeness scores for general descriptions of the surgery, risks, benefits, or alternatives. The mean overall impression score for ChatGPT consents was 2.33, whereas it was 2.23 for ASPS consent forms (<i>P</i> = .18). In this study, the authors demonstrate that informed consent forms generated by ChatGPT were significantly shorter and more readable than ASPS forms with no significant difference in completeness and accuracy.</p><p><strong>Level of evidence 5 risk: </strong></p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"6 ","pages":"ojae092"},"PeriodicalIF":0.0,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11561908/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633493","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}
引用次数: 0
Is There An "Ideal Instagram Face" for Caucasian Female Influencers? A Cross-Sectional Observational Study of Facial Proportions in 100 Top Beauty Influencers. 高加索女性影响者有 "理想的 Instagram 脸型 "吗?对 100 位顶级美妆影响者面部比例的横断面观察研究》(A Cross-Sectional Observational Study of Facial Proportions in 100 Top Beauty Influencers)。
Aesthetic surgery journal. Open forum Pub Date : 2024-10-10 eCollection Date: 2024-01-01 DOI: 10.1093/asjof/ojae085
Rafael Loucas, Bruno Sauter, Marios Loucas, Sebastian Leitsch, Omar Haroon, Aljosa Macek, Silke Graul, Alexander Kobler, Thomas Holzbach
{"title":"Is There An \"Ideal Instagram Face\" for Caucasian Female Influencers? A Cross-Sectional Observational Study of Facial Proportions in 100 Top Beauty Influencers.","authors":"Rafael Loucas, Bruno Sauter, Marios Loucas, Sebastian Leitsch, Omar Haroon, Aljosa Macek, Silke Graul, Alexander Kobler, Thomas Holzbach","doi":"10.1093/asjof/ojae085","DOIUrl":"https://doi.org/10.1093/asjof/ojae085","url":null,"abstract":"<p><strong>Background: </strong>In the digital arena, wherein younger generations predominantly spend their time, social media continues to determine what is considered beautiful. Social media, particularly Instagram (Meta, Menlo Park, CA), is becoming a prominent aspect of the plastic surgeon-patient relationship. Therefore, the beauty ideal escalates without any barriers and breaks. The majority of influencers look alike. This sets a new trend for a beauty ideal.</p><p><strong>Objectives: </strong>In this study, the authors aimed to analyze the facial proportions of 100 top female beauty influencers, to evaluate them for identifying the \"ideal Instagram face,\" and to determine whether there existed a deviation from the standard golden ratio.</p><p><strong>Methods: </strong>The authors identified the top 100 beauty influencers, according to the latest rankings of November 2022. A detailed facial analysis has been conducted using the Fiji biomedical image analysis software. The primary outcome parameters included facial proportions such as lip ratio, Ricketts' line, and nasal dimensions. Secondary outcomes comprised BMI, age, and ethnicity. The results were collected and analyzed descriptively using graphs and statistics.</p><p><strong>Results: </strong>Complete datasets were obtained from the top 100 female beauty influencers with a mean age of 31.3 ± 6.3 years (range, 24-38 years). The majority of influencers were Americans, followed by Germans and British. Based upon the mean of the aforementioned parameters, we could design the ideal Instagram face. There was no significant difference between the golden ratio and the new trend of the ideal Instagram face.</p><p><strong>Conclusions: </strong>Despite the existence of varied ethnic population groups and nonstandard measurements, the ideal Instagram face represents today's ideal trending face. The ideal Instagram face is symmetrical, matching the golden ratios, with a small and neat nose, full and lush lips, high cheekbones, as also a sharp and chiseled jawline. Further studies on this topic, involving a greater number of influencers with standardized measurements, should be advocated to identify the ideal facial proportions. This will lead to improvements in invasive and noninvasive cosmetic treatments.</p><p><strong>Level of evidence 5 diagnostic: </strong></p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"6 ","pages":"ojae085"},"PeriodicalIF":0.0,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11546649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633583","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}
引用次数: 0
Screens, Blue Light, and Epigenetics: Unveiling the Hidden Impact on Skin Aging. 屏幕、蓝光和表观遗传学:揭示皮肤老化的隐性影响。
Aesthetic surgery journal. Open forum Pub Date : 2024-10-09 eCollection Date: 2024-01-01 DOI: 10.1093/asjof/ojae088
Diala Haykal
{"title":"Screens, Blue Light, and Epigenetics: Unveiling the Hidden Impact on Skin Aging.","authors":"Diala Haykal","doi":"10.1093/asjof/ojae088","DOIUrl":"10.1093/asjof/ojae088","url":null,"abstract":"","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"6 ","pages":"ojae088"},"PeriodicalIF":0.0,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11532803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577372","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}
引用次数: 0
Multimodal Pilot Evaluation of a Hyaluronic Acid Infraorbital Filler Using Precise, Multipositional, 3-Dimensional Imaging Quantification, Patient-Reported Outcomes, and Anatomic Cadaveric Assessments. 使用精确、多位置、三维成像量化、患者报告的结果和解剖尸体评估透明质酸眶下填充物的多模式试点评估。
Aesthetic surgery journal. Open forum Pub Date : 2024-10-07 eCollection Date: 2024-01-01 DOI: 10.1093/asjof/ojae086
Stephanie E Honig, Yoshiko Toyoda, Jane N Ewing, Mehdi S Lemdani, Zachary Gala, Chris Amro, Alexander T Wilson, Robyn B Broach, Ivona Percec
{"title":"Multimodal Pilot Evaluation of a Hyaluronic Acid Infraorbital Filler Using Precise, Multipositional, 3-Dimensional Imaging Quantification, Patient-Reported Outcomes, and Anatomic Cadaveric Assessments.","authors":"Stephanie E Honig, Yoshiko Toyoda, Jane N Ewing, Mehdi S Lemdani, Zachary Gala, Chris Amro, Alexander T Wilson, Robyn B Broach, Ivona Percec","doi":"10.1093/asjof/ojae086","DOIUrl":"10.1093/asjof/ojae086","url":null,"abstract":"<p><strong>Background: </strong>Despite the high demand of filler in the infraorbital area, there remains debate on injection practices, precise anatomical placement, and hyaluronic acid (HA) filler behavior.</p><p><strong>Objectives: </strong>We aimed to contribute to the clinical and anatomic understanding of infraorbital HA injection through a prospective patient injection study in combination with a cadaveric analysis.</p><p><strong>Methods: </strong>Patients were injected with Volbella XC (JUVÉDERM, Allergan Aesthetics, an AbbVie Company, Irvine, CA) into the tear trough region by a single experienced aesthetic plastic surgeon. Over a 90-day period, precise undereye volumetric measurements using 3-dimensional photogrammetry (VECTRA-M3, Canfield Scientific, Inc., Fairfield, NJ) and patient-reported outcomes (PROs; FACE-Q) were collected and analyzed relative to 2 pretreatment severity scales. Juvéderm Vycross (Allergan Aesthetics, an AbbVie Company, Irvine, CA) and Restylane NASHA (Galderma, Lausanne, Switzerland) products were injected into the infraorbital and malar region in 6 cephalus specimens and evaluated with regards to the anatomic injection location with and without common clinical physical manipulations.</p><p><strong>Results: </strong>Eleven patients participated with a 100% retention rate. Infraorbital HA volume maintenance was 70% to 81% at 30 days and 50% to 70% at 90 days. Significant improvement was noted in the eyes, overall facial appearance, and cheekbones (<i>P</i> < .05) with FACE-Q outcomes, irrespective of pretreatment severity. In the cadaver examination, we observed differences in the anatomic locations occupied by Juvéderm and Restylane products as well as in behavior after physical manipulation between gel types.</p><p><strong>Conclusions: </strong>Volbella XC effectively augments undereye volume to diminish infraorbital hollowing as measured over a 90-day period with significantly improved PROs. Enhanced knowledge of the behavior of Volbella XC and other HA fillers in this sensitive anatomic region will lead to improved patient outcomes.</p><p><strong>Level of evidence 4 therapeutic: </strong></p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"6 ","pages":"ojae086"},"PeriodicalIF":0.0,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11635449/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820302","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}
引用次数: 0
Sciatic Nerve Transection Following Prosthetic Buttock Augmentation: First Reported Case and Review of the Literature. 假臀后坐骨神经横断:首例报告及文献回顾。
Aesthetic surgery journal. Open forum Pub Date : 2024-10-01 eCollection Date: 2024-01-01 DOI: 10.1093/asjof/ojae084
Nicolas Kairinos, Thomas Steve Jessop
{"title":"Sciatic Nerve Transection Following Prosthetic Buttock Augmentation: First Reported Case and Review of the Literature.","authors":"Nicolas Kairinos, Thomas Steve Jessop","doi":"10.1093/asjof/ojae084","DOIUrl":"10.1093/asjof/ojae084","url":null,"abstract":"<p><p>Gluteal augmentation is typically carried out by implant placement or autologous fat grafting. Over recent years, there has been a significant increase in the number of gluteal augmentations being performed. However, because the number of procedures has increased, so too have the number of complications. We present a case of a 33-year-old female with an implant infection with concomitant sciatic nerve transection following bilateral gluteal augmentation with implants leading to a permanent foot drop. Although transient sciatica because of compression has been described as a complication of gluteal augmentation, this is the first reported case, to our knowledge, of transection. The many unusual management decisions that had to be made when faced with this rare and devastating complication are highlighted and the relevant literature on gluteal augmentation is discussed. Patients and surgeons alike need to take particular care when considering this procedure.</p><p><strong>Level of evidence 5 diagnostic: </strong></p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"6 ","pages":"ojae084"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11852248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506450","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}
引用次数: 0
Energy-Based Medical Devices in Plastic Surgery: A Comparison of FDA-Approved Indications to Advertised Claims. 整形外科中的能量型医疗设备:FDA 批准的适应症与广告宣称的比较。
Aesthetic surgery journal. Open forum Pub Date : 2024-10-01 eCollection Date: 2024-01-01 DOI: 10.1093/asjof/ojae083
Diego A Gomez, Isra Abdulwadood, Aaron Bogan, Bryn E Morris, Jeffrey M Kenkel, Robert W Bernard, Edward M Reece
{"title":"Energy-Based Medical Devices in Plastic Surgery: A Comparison of FDA-Approved Indications to Advertised Claims.","authors":"Diego A Gomez, Isra Abdulwadood, Aaron Bogan, Bryn E Morris, Jeffrey M Kenkel, Robert W Bernard, Edward M Reece","doi":"10.1093/asjof/ojae083","DOIUrl":"https://doi.org/10.1093/asjof/ojae083","url":null,"abstract":"<p><strong>Background: </strong>Lasers and energy-based devices are commonly employed in aesthetic medicine. In the United States, the FDA regulates lasers as medical devices, restricting marketing to approved indications and making off-label claims illegal. Despite this, no comprehensive analysis of off-label marketing prevalence exists.</p><p><strong>Objectives: </strong>The authors of this study aim to compare the FDA-approved indications for 2 popular aesthetic lasers to their online advertising claims. Additionally, they seek to educate aesthetic providers on the current regulatory restrictions surrounding off-label advertising.</p><p><strong>Methods: </strong>FDA-approved indications for 2 lasers-helium plasma dermal resurfacing and 2940 nm fractional erbium-doped yttrium aluminum garnet-were obtained from the publicly available Establishment Registration & Device Listings Database. Online advertisements regarding the capabilities of each laser were collected from practice websites in the United States.</p><p><strong>Results: </strong>Our analysis of 100 online claims for each laser revealed that more than half of the websites advertising helium plasma (<i>n</i> = 59) and 44 websites advertising fractional lasers made at least 1 off-label claim. Both plastic surgeons and nonplastic surgeons made at least 1 off-label claim, with no statistically significant difference between the groups.</p><p><strong>Conclusions: </strong>Despite FDA regulation of medical devices, online advertising regarding the indications and capabilities of popular medical lasers varies widely. Patients who seek information regarding aesthetic laser treatments may encounter inaccurate and differing claims for these treatments, potentially leading to false expectations and poor patient outcomes.</p><p><strong>Level of evidence 4 risk: </strong></p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"6 ","pages":"ojae083"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11546647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633503","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}
引用次数: 0
Giant Lipoma in the Trapezius Muscle: A Rare Case Report. 斜方肌巨型脂肪瘤:罕见病例报告
Aesthetic surgery journal. Open forum Pub Date : 2024-09-26 eCollection Date: 2024-01-01 DOI: 10.1093/asjof/ojae081
Javier Meza-Hernandez, Iván Gonzalez-Cantú, Ignacio Del Carmen-Ortega, Hernando Alberto Vázquez-Sánchez, Armando Guillermo Apellaniz-Campo
{"title":"Giant Lipoma in the Trapezius Muscle: A Rare Case Report.","authors":"Javier Meza-Hernandez, Iván Gonzalez-Cantú, Ignacio Del Carmen-Ortega, Hernando Alberto Vázquez-Sánchez, Armando Guillermo Apellaniz-Campo","doi":"10.1093/asjof/ojae081","DOIUrl":"10.1093/asjof/ojae081","url":null,"abstract":"<p><p>Intramuscular lipomas, although rare, are benign growths within muscle tissue. Typically occurring between ages 40 and 70, they present as infiltrative masses, with the thigh being the most common location. Lipomas exceeding 5 cm are termed giant lipomas. Instances within the trapezius muscle are notably scarce, necessitating further research due to their relative rarity. A 40-year-old male presented with a 2-year history of a tumor on his right shoulder, causing mild limitation but no pain or tingling. Initial attempts at removal failed due to depth. Imaging revealed a well-defined, vascular mass, confirmed by MRI as a 1041 cm3 intramuscular lipoma in the right trapezius muscle. Surgical extraction was successful without complications. Few cases of intramuscular lipomas in the trapezius muscle have been reported. These slow-growing masses can cause discomfort and mimic other conditions. MRI is crucial for accurate diagnosis, distinguishing them from other soft tissue tumors. Surgical excision is preferred for symptomat cases, with low recurrence rates. This case highlights a rare giant intramuscular lipoma in the trapezius muscle, emphasizing the importance of precise imaging for diagnosis. Further epidemiological research on intramuscular lipomas is needed, particularly in the trapezius muscle.</p><p><strong>Level of evidence 5 therapeutic: </strong></p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"6 ","pages":"ojae081"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11487895/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482177","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}
引用次数: 0
The Impact of the Number and Duration of Treatments With a 1064 nm Diode Laser on Adipocyte Apoptosis: Implications for Noninvasive Fat Reduction Strategies. 1064 nm 二极管激光治疗的次数和持续时间对脂肪细胞凋亡的影响:对无创减脂策略的启示。
Aesthetic surgery journal. Open forum Pub Date : 2024-09-24 eCollection Date: 2024-01-01 DOI: 10.1093/asjof/ojae082
Fares Salameh, Ariane Lazzarini, Jeffrey Kenkel, Yucel Akgul
{"title":"The Impact of the Number and Duration of Treatments With a 1064 nm Diode Laser on Adipocyte Apoptosis: Implications for Noninvasive Fat Reduction Strategies.","authors":"Fares Salameh, Ariane Lazzarini, Jeffrey Kenkel, Yucel Akgul","doi":"10.1093/asjof/ojae082","DOIUrl":"https://doi.org/10.1093/asjof/ojae082","url":null,"abstract":"<p><strong>Background: </strong>Noninvasive treatment with a 1064 nm diode laser, generating hypodermal temperatures between 42 and 47 °C, induces adipocyte cell death, offering a solution to reduce fat in problematic areas.</p><p><strong>Objectives: </strong>The objective of the authors of this study is to determine whether a 15 min treatment provides similar efficacy as the standard 25 min treatment.</p><p><strong>Methods: </strong>Pigs underwent a 15 or 25 min 1064 nm laser treatment on 6 × 6 cm areas of abdominal skin. Single treatments were administered 14 or 28 days before biopsy, whereas dual treatments were performed at both 14 and 28 days prebiopsy. Hematoxylin and TUNEL staining were used to detect histological changes and apoptosis in harvested skin tissue.</p><p><strong>Results: </strong>Pig skin subjected to a 25 min diode laser treatment exhibited nearly twice the apoptotic counts in the hypodermis compared with the 15 min treatment (10.5 vs 5.7) at 28 days following treatment. The degree of apoptosis increased with time following the treatment, with nearly twice the apoptosis counts at 28 days than at 14 days following a single 25 min treatment (10.5 vs 5.8). When testing 1 vs 2 treatments, 2 treatments (28 and 14 days before harvesting the tissue) did not result in significantly higher apoptosis than 1 treatment 28 days before harvesting. Apoptosis was primarily localized to adipocytes in the hypodermis and the dermis/hypodermis junction. There were no adverse side effects in the animals.</p><p><strong>Conclusions: </strong>The degree of apoptosis following a 1064 nm laser treatment was proportional to the treatment duration. The 25 min treatment produced significantly more apoptosis than the 15 min treatment. The process of apoptosis continued over several weeks.</p><p><strong>Level of evidence 4 therapeutic: </strong></p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"6 ","pages":"ojae082"},"PeriodicalIF":0.0,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11541045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606979","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}
引用次数: 0
Does the Webster's Triangle Preservation Really Matter? A Retrospective Analysis of the Low-to-Low Osteotomies in the Head of the Inferior Turbinates. 韦氏三角保留真的重要吗?下鼻甲头部低对低截骨术的回顾性分析。
Aesthetic surgery journal. Open forum Pub Date : 2024-09-20 eCollection Date: 2024-01-01 DOI: 10.1093/asjof/ojae079
Luis C Ishida, Matheus Guedes, Guilherme F F Alves, Julia O da Fonseca, Eduardo L Fonesca, Giulia G Takahashi, Rolf Gemperli
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