Aesthetic surgery journal. Open forum最新文献

{"title":"Use of High-Intensity Focused Ultrasound in the Periorbital Rejuvenation: A Systematic Review.","authors":"Narendra Kumar, Guilherme Olavo Olsen de Almeida, Amit Luthra, Shaheen Amna Kashif, Serge Dahan, Jean D A Carruthers","doi":"10.1093/asjof/ojag099","DOIUrl":"10.1093/asjof/ojag099","url":null,"abstract":"<p><strong>Background: </strong>Periorbital aging represents one of the earliest manifestations of facial aging, resulting from structural changes across cutaneous, adipose, and muscular layers of the periocular region. Although high-intensity focused ultrasound (HIFU) is increasingly used for noninvasive rejuvenation, evidence on periorbital outcomes remains scarce.</p><p><strong>Objectives: </strong>To synthesize the effectiveness and safety of HIFU technologies for periorbital rejuvenation in adults.</p><p><strong>Methods: </strong>A systematic review was conducted according to PRISMA 2020 guidelines and registered in PROSPERO. MEDLINE/PubMed, Scopus, Cochrane CENTRAL, and Google Scholar were searched for studies published between January 2015 and November 2025. Randomized trials and prospective or retrospective cohort studies evaluating HIFU applied to the periorbital region were included. Outcomes included wrinkle severity, skin elasticity, texture, lifting effects, patient satisfaction, and adverse events. Risk of bias was assessed.</p><p><strong>Results: </strong>Ten studies involving 10 to 191 participants were included. Across included studies, HIFU demonstrated significant improvements in periorbital wrinkle severity, biomechanical skin elasticity (Cutometer R2, R5, and R7), surface topography (PRIMOS Ra and Rz), and eyebrow or eyelid contour. Greater improvement was observed with multiple treatment sessions. Adverse events were generally mild and transient, including erythema, edema, and pain; rare complications (<1%) occurred without permanent sequelae.</p><p><strong>Conclusions: </strong>High-intensity focused ultrasound appears to be a safe and effective noninvasive option for periorbital rejuvenation. However, the certainty of evidence is very low due to nonrandomized designs and heterogeneity, highlighting the need for well-designed randomized controlled trials with standardized protocols.</p><p><strong>Level of evidence 3 therapeutic: </strong></p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"8 ","pages":"ojag099"},"PeriodicalIF":1.9,"publicationDate":"2026-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13367436/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148450793","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":"Response by Jabbaripour Sarmadian to \"Autologous Fat Grafting Combined With Platelet-Rich Plasma in the Treatment of Female Genitourinary Aging: A Retrospective Study\" by Ren et al.","authors":"Mina Pashaei Ghezeljeh, Amirreza Jabbaripour Sarmadian","doi":"10.1093/asjof/ojag108","DOIUrl":"10.1093/asjof/ojag108","url":null,"abstract":"","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"8 ","pages":"ojag108"},"PeriodicalIF":1.9,"publicationDate":"2026-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13322385/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370966","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 Online Landscape of Brazilian Butt Lift Information: Readability, Quality, and Traffic Analysis.","authors":"Elisa Bertulla, Edoardo Raposio","doi":"10.1093/asjof/ojag106","DOIUrl":"10.1093/asjof/ojag106","url":null,"abstract":"<p><strong>Background: </strong>The Brazilian Butt Lift (BBL) has become increasingly popular yet remains one of the highest-risk aesthetic procedures. As patients frequently use online sources to understand medical procedures, clear and reliable web-based information is essential.</p><p><strong>Objectives: </strong>This study evaluates the readability, understandability, quality, and visibility of online BBL resources.</p><p><strong>Methods: </strong>A Google search for \"Brazilian Butt Lift Procedure\" was conducted using Startpage to reduce bias. The first 10 eligible English-language websites were analyzed. Extracted text was evaluated using 6 readability indices. Understandability was assessed with the Patient Educational Material Assessment Tool (PEMAT), overall quality with the JAMA (Journal of the American Medical Association) Benchmark Criteria. Website visibility was measured using SpyFu estimates of monthly organic traffic. Spearman's correlation was used to explore the relationship between readability and traffic.</p><p><strong>Results: </strong>Readability for all websites exceeded the recommended sixth-grade level (mean readability score 21.68), indicating complex content. Sixty percentage of the websites scored 83% in PEMAT due to long sentences and limited explanation of technical terms; the remaining 40% websites met all understandability criteria. Journal of the American Medical Association assessment revealed deficiencies in transparency, with few sites providing references, author credentials, or publication dates. The correlation between readability and organic traffic was weakly positive (ρ = .176), indicating that frequently visited websites were not necessarily easier to read.</p><p><strong>Conclusions: </strong>In this review, online BBL information was generally difficult to understand and often lacks essential quality indicators. The weak relationship between readability and traffic suggests that popular websites may not provide accessible content. Improving linguistic clarity, structure, and transparency is needed to ensure patients receive reliable, comprehensible guidance on this high-risk procedure.</p><p><strong>Level of evidence 5 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":"ojag106"},"PeriodicalIF":1.9,"publicationDate":"2026-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13329948/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392615","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":"Response by Kayaalp to \"Iatrogenic Liver Perforation During Liposuction: A Case Report and In-depth Review of Clinical Presentation, Management, and Lessons Learned\" by Jaafrian et al.","authors":"Cuneyt Kayaalp","doi":"10.1093/asjof/ojag081","DOIUrl":"10.1093/asjof/ojag081","url":null,"abstract":"","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"8 ","pages":"ojag081"},"PeriodicalIF":1.9,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13235727/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201362","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: Radiofrequency for Facial & Neck Rejuvenation: A Bibliometric Analysis.","authors":"","doi":"10.1093/asjof/ojag100","DOIUrl":"https://doi.org/10.1093/asjof/ojag100","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1093/asjof/ojaf149.].</p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"8 ","pages":"ojag100"},"PeriodicalIF":1.9,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13229246/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148159159","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":"When Labiaplasty is Not Enough: Rejuvenation of the Labia Majora Using Hybrid Calcium Hydroxylapatite With Hyaluronic Acid Filler for Increased Satisfaction and Uniform Results.","authors":"Genevieve F Caron","doi":"10.1093/asjof/ojag101","DOIUrl":"10.1093/asjof/ojag101","url":null,"abstract":"<p><p>Dermal fillers hyaluronic acid (HA) blended with calcium hydroxylapatite-carboxymethylcellulose (CaHA-CMC) for facial indications is increasingly being adapted for body applications, offering both volumizing and regenerative benefits to the skin. In its hyperdilute form, CaHA functions as a regenerative biostimulator, effectively inducing the synthesis of key extracellular matrix components, whereas HA provides immediate volumization. Vaginal rejuvenation, with or without surgery, is also gaining attention with reports of off-label use of fillers for labia majora augmentation; however, analyses of hybrid approaches remain limited. This report outlines a technique utilized in 2 patients in which, following labia minora reduction, the labia majora were volumized using a combination of fillers with the aim of improving both skin quality and enhanced volumetric support. Patients who had previously undergone labiaplasty 6 months prior, presenting with mild-to-moderate laxity of the labia majora, received a single treatment of combined CaHA-CMC and HA injected into the subdermal plane. Outcomes were evaluated after 3 and 20 months for skin texture, firmness, adverse effects, and patient satisfaction levels. Posttreatment, improvements to skin quality, flaccidity, volumization, and dermal integrity were observed for both patients. High patient satisfaction was similarly reported, along with no adverse effects nor prolonged downtime typically associated with more invasive surgical alternatives, such as fat grafting. The treatment presented here offers a promising solution for postlabiaplasty patients seeking further labia majora rejuvenation, offering preliminary evidence of the safety and efficacy of hybrid fillers for addressing laxity. Level of Evidence: 4 (Therapeutic).</p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"8 ","pages":"ojag101"},"PeriodicalIF":1.9,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13418186/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622845","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 Retrospective Analysis of the Clinical Response and Safety of Radiofrequency Microneedling Treatment in Managing Acne Vulgaris.","authors":"Soyeon Lee, Hye One Kim, Song-Yi Baek, Narendra Kumar","doi":"10.1093/asjof/ojag097","DOIUrl":"10.1093/asjof/ojag097","url":null,"abstract":"<p><strong>Background: </strong>Radiofrequency (RF) microneedling is increasingly used for acne management; however, real-world evidence for its clinical effects and safety remains limited.</p><p><strong>Objectives: </strong>The aim of this study was to describe the clinical response and safety of POTENZA RF microneedling (RFMN) for acne vulgaris in routine practice.</p><p><strong>Methods: </strong>The authors retrospectively analyzed data from adults treated at a tertiary dermatology center in Seoul, Republic of Korea. Adult patients (≥18 years) with clinically diagnosed acne vulgaris who received POTENZA RFMN treatment were included. The primary outcome was clinical improvement (assessed by the physician and/or reduction in lesion counts). Secondary outcomes included adverse events (AEs). Continuous variables were summarized per distribution.</p><p><strong>Results: </strong>The cohort included 50 patients (median age, 24 years; 60% male) with predominantly Fitzpatrick skin types III. All procedures used bipolar RF (50% medium, 50% high); no boosters. Median sessions were 3. Clinical improvement occurred in 94% (47/50). Lesion counts decreased from 45 to 18.5 (<i>P</i> < .001). The mean percentage reduction was 48.3% ± 24.5%. AEs occurred in 10% (5/50), all mild/transient (erythema, pruritus, and stinging), and no serious AEs.</p><p><strong>Conclusions: </strong>In real-world practice, POTENZA RFMN was associated with high clinical improvement, substantial lesion reduction, excellent tolerability, and universal patient-reported benefits. These findings support its pragmatic use for acne in patients with Fitzpatrick skin types III and IV and warrant confirmation in prospective controlled studies.</p><p><strong>Level of evidence: </strong>4 (Therapeutic).</p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"8 ","pages":"ojag097"},"PeriodicalIF":1.9,"publicationDate":"2026-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13457912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714768","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":"Revisiting the Health Insurance Portability and Accountability Act: Practical Applications for the Modern Plastic Surgeon.","authors":"Myiah P Quach, Mary Kristine Carbullido, Jasmine N Craig, Peter J Wirth, Ellen C Via, Venkat K Rao","doi":"10.1093/asjof/ojag096","DOIUrl":"10.1093/asjof/ojag096","url":null,"abstract":"<p><p>The protection of sensitive patient information is central to modern healthcare delivery and is legally established through the Health Insurance Portability and Accountability Act (HIPAA). For plastic surgery practices, HIPAA compliance presents unique and increasingly complex challenges regarding clinical photography, public-facing marketing, and digital communication. We conducted a focused review to synthesize essential regulatory principles, common pitfalls, and practical strategies for maintaining compliance when creating or operating a plastic surgery practice. We outline historical developments of HIPAA, foundational Privacy and Security Rule requirements, and considerations specific to photography, metadata, electronic communication, and patient consent. Further, we describe common violations encountered in routine workflows and the associated civil and criminal penalties enforced by the Office for Civil Rights. By providing practical, specialty-specific guidance, this article aims to help plastic surgeons strengthen patient privacy protections without compromising clinical efficiency, thus reinforcing the trust at the core of the patient-provider relationship. <b>Level of Evidence:</b> 5 (Risk) 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":"ojag096"},"PeriodicalIF":1.9,"publicationDate":"2026-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13326940/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148378297","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 Brazilian Butt Lift: An Analysis of Top-Rated Content on the Social Media Platform TikTok.","authors":"Malena Allbright, Mason Horne, Chinenye Ogbonnah, Malcolm Roth, Dzifa Kpodzo","doi":"10.1093/asjof/ojag098","DOIUrl":"10.1093/asjof/ojag098","url":null,"abstract":"<p><strong>Background: </strong>The rising demand for cosmetic gluteal fat grafting is partially attributed to social influence and evolving beauty standards. On the social media platform TikTok alone, content related to what is colloquially known as the Brazilian Butt Lift (BBL) garnered over 15 billion views in the past 3 years, raising concerns about the potential influence of visually striking yet possibly misleading media content on patient decisions and perceptions. This study aimed to analyze the source and content of BBL-related TikTok videos to assess the quality of information presented to potential patients.</p><p><strong>Objectives: </strong>To characterize top-ranked Brazilian butt lift (BBL) content on TikTok by evaluating (1) creator type and video category, (2) engagement metrics, (3) the quality of educational content using the Patient Education Materials Assessment Tool (PEMAT), and (4) the geographic distribution of patient-reported procedure locations and provider/clinic locations.</p><p><strong>Methods: </strong>Using the TikTok application, 14 phrases related to the Brazilian butt lift procedure were analyzed. Video analysis included engagement metrics, digital creator type, and video category. The quality of educational content was assessed using the validated PEMAT. A locational analysis of the digital creators was also performed, focusing on the geographic area where patients received their procedures or where physician/cosmetic clinics were located. As an observational content analysis, causal inferences could not be made.</p><p><strong>Results: </strong>Three hundred fifty videos were included in our study. Patients had the highest percentage of videos (29.1%), followed by \"other\" (29.0%), and plastic surgeons (20%). Educational videos accounted for the highest percentage of video types (26.6%). Educational videos posted by plastic surgeons had significantly higher understandability and actionability scores than those of non-healthcare creators when using PEMAT (<i>P</i> < .001) but had substantially lower views, likes, and saves (<i>P</i> < .05). Locational analysis revealed that 77.1% of patient-generated videos with identifiable procedure location referenced procedures reported as having been performed internationally or in Miami (<i>P</i> = .021).</p><p><strong>Conclusions: </strong>The Brazilian butt lift garners high engagement on TikTok. Educational content is common among video subtypes and is high quality when posted by plastic surgeons; however, educational videos receive higher engagement statistics when posted by non-healthcare creators. Content posted by self-identified BBL patients more frequently referenced procedures performed internationally or in Miami; locations that have been associated in prior epidemiologic literature with higher complication and mortality rates in gluteal fat grafting and cosmetic tourism.</p><p><strong>Level of evidence 5 therapeutic: </strong></p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"8 ","pages":"ojag098"},"PeriodicalIF":1.9,"publicationDate":"2026-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13293056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148334938","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":"Wrinkles in Time: Uncovering the Early History of Cosmetic Plastic Surgery (1850-1890).","authors":"Yu Zhang, Danny J Soares","doi":"10.1093/asjof/ojag093","DOIUrl":"10.1093/asjof/ojag093","url":null,"abstract":"<p><p>The rich history of plastic surgery, rooted in ancient reconstructive traditions, tells a fascinating story of surgical inventiveness across centuries, from Sushruta to Dieffenbach and beyond. Yet, while the reconstructive lineage of the specialty is well documented, the origins of cosmetic surgery have remained far more obscure. Emerging only in the mid-19th century amid the social and economic transformations of the high industrial age, aesthetic procedures were seen as lacking therapeutic indications and were met with skepticism, ethical objections, and professional censure in the medical community. Consequently, the documented early history of cosmetic surgery lies scattered across disparate sources rather than in the sanctioned medical literature, resulting in an incomplete chronology of the specialty's emergence. In this special topic discussion, we present newly unearthed digitized medical and nonmedical documents, many previously unknown to the field, which directly attest to the \"underground\" appearance of purely cosmetic surgical procedures, particularly the rhytidoplasty, by as early as 1851. This glimpse into the specialty's past offers a rare opportunity to reconstruct its fragmented history and to examine how a once-marginalized practice gradually transitioned to legitimacy and professional recognition.</p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"8 ","pages":"ojag093"},"PeriodicalIF":1.9,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13293058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148334907","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}