Aesthetic surgery journal. Open forum最新文献

{"title":"\"SAVE\"-Shock-Assisted Viable Extraction: A Minimally Manipulative Method of Processing Regenerative Cells for Clinical Use.","authors":"Daniel Del Vecchio, Neil Vranis, Korina Alevrogianni, Spero Theodorou","doi":"10.1093/asjof/ojae112","DOIUrl":"10.1093/asjof/ojae112","url":null,"abstract":"<p><strong>Background: </strong>Extraction of adipose-derived stem cells (ASCs) from the stromal vascular fraction (SVF) has gained significant attention lately in the realm of regenerative medicine. However, finding highly efficient methods of extraction that also comply with the US regulations has prevented widespread clinical use.</p><p><strong>Objectives: </strong>The objective of this study was to evaluate a novel ASC extraction device to quantify viable ASC extraction and processing efficiency.</p><p><strong>Methods: </strong>SVF extracted from abdominal fat samples and processed using a novel shock-assisted viable extraction (SAVE) device was tested for stem-cell count and viability. Additionally, time required for processing was recorded.</p><p><strong>Results: </strong>Twelve adipose samples were utilized for this study. After a mean time of 3 min, cell count yield ranged of 47,400 to 189,400 of viable regenerative cells per cc, with an average of 122,464 viable regenerative cells per cc.</p><p><strong>Conclusions: </strong>SAVE is a novel fat-processing technique with high stem-cell extraction that shows promise from a regulatory, yield, time efficiency, and cost perspective.</p><p><strong>Level of evidence 5 therapeutic: </strong></p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"7 ","pages":"ojae112"},"PeriodicalIF":0.0,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11712265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959872","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":"Tissue Contraction With Helium-Based Plasma Radiofrequency Technology: A Preliminary Report of Initial Ultrasound Findings.","authors":"Christopher Nichols, Daniel Albershardt","doi":"10.1093/asjof/ojae104","DOIUrl":"10.1093/asjof/ojae104","url":null,"abstract":"<p><strong>Background: </strong>Application of helium-based plasma radiofrequency (RF; Renuvion, Apyx Medical, Clearwater, FL) in the subcutaneous plane results in tissue coagulation and contraction. Although, traditionally, the impact of thermal devices on skin laxity is assessed by measuring changes in skin surface area, this indirect measure does not permit intraoperative assessment or differentiation of effects from various treatments.</p><p><strong>Objectives: </strong>To determine the amount of soft tissue contraction achieved by multiple passes of helium plasma RF energy to the subcutaneous connective tissues following power-assisted liposuction (PAL).</p><p><strong>Methods: </strong>In this single-center study, 4 patients were assessed using real-time ultrasound measurements at baseline and following both PAL and each pass with helium plasma RF.</p><p><strong>Results: </strong>Based on changes in the distance from the skin (dermal basement membrane) to Scarpa's fascia, PAL produced an average reduction of 36.7% (standard deviation [SD] 14.6; range, 24.7%-58.6%) because of the fat removal. Contraction observed with helium plasma RF was greatest for the first pass, with a mean decrease of 27.0% (SD 19.6; range, 4.5%-52.1%) in distance relative to distance measured following liposuction. Subsequent passes resulted in additional incremental contraction relative to previous treatment pass: 17.0% (5.1) for Pass 2, 7.7% (17.5) for Pass 3, and 7.1% (5.5) for Pass 4. Overall, helium plasma RF resulted in an average contraction of 44.0% (SD 17.2; range, 27.1%-59.4%) in the skin-to-Scarpa-fascia measurement.</p><p><strong>Conclusions: </strong>Helium plasma RF improved tissue contraction following PAL by an average of 44%, and data suggest that the greatest increase in tissue contraction is obtained by the first treatment pass.</p><p><strong>Level of evidence 5 therapeutic: </strong></p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"6 ","pages":"ojae104"},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11653565/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857094","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":"Insights Into Minimally Invasive Aesthetic Procedure-Defining Demographic Factors and Impact of the Treatment on Self-Perception: A Propensity-Matched Cross-Sectional Study.","authors":"Mahmut Ozturk, Filipa Almeida Oliveira, Marta Ribeiro Teixeira, Sascha Wellenbrock, Baksan Tav, Maximillian Kueckelhaus, Philipp Wiebringhaus, Tobias Hirsch, Marie-Luise Aitzetmüller-Klietz, Matthias Aitzetmüller-Klietz","doi":"10.1093/asjof/ojae111","DOIUrl":"10.1093/asjof/ojae111","url":null,"abstract":"<p><strong>Background: </strong>The lion's share of the research on facial aesthetic procedures focuses on visual results and patient satisfaction.</p><p><strong>Objectives: </strong>To characterize treated and untreated potential patients and the identification of determinants that influence the decision making as well as the impact of such treatments on patients' self-perception.</p><p><strong>Methods: </strong>A cross-sectional, propensity-score-matched study on minimally invasive aesthetic procedures was performed through a survey comprising elements regarding demographics, conduct toward minimally invasive facial plastic interventions, as well as psychological well-being and social self-esteem domains of the validated Face-Q module.</p><p><strong>Results: </strong>Complete data were collected from 598 participants. Among those, 88% (<i>n</i> = 529) were females and 12% (<i>n</i> = 69) were males. Forty-six percent (<i>n</i> = 277) of the participants were below the age of 30, and 39% (<i>n</i> = 233) were between 30 and 45 years of age. Of the 598 participants, 22% (<i>n</i> = 134) of the participants had undergone a minimally invasive aesthetic procedure of botulinum toxin and/or hyaluronic acid injection, and 78% (<i>n</i> = 464) of the participants had never received any aesthetic treatment. Female gender, 30 to 45 years of age, self-employment, and an income over 75,000€ were significant predictors of undergoing minimally invasive aesthetic procedures. Among treated participants, the overall FACE-Q score as well as the scores for the social esteem and the psychological well-being domains improved significantly with the aesthetic treatment.</p><p><strong>Conclusions: </strong>This study highlights the major role of healthcare providers in better informing patients and the positive impact of facial aesthetic treatments on patients' appearance as well as on psychological well-being and self-esteem.</p><p><strong>Level of evidence 5 risk: </strong></p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"7 ","pages":"ojae111"},"PeriodicalIF":0.0,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11817139/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411919","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":"Finesse in Gender Affirming Frontal Contouring With Corrugator Resection.","authors":"Kevin G Hu, Jacqueline Ihnat, Neil Parikh, Melanie Vassallo, Mariana Almeida, David P Alper, Alexandre Prassinos, Ali Aral, Tito Vasquez, Michael Alperovich","doi":"10.1093/asjof/ojae108","DOIUrl":"10.1093/asjof/ojae108","url":null,"abstract":"<p><p>Given the significance of forehead aesthetics to facial gender identification, frontal sinus setback and brow contouring are frequent components of facial feminization surgery (FFS) in transgender female patients. This study presents a safe and reliable technique for corrugator muscle resection during FFS to provide enhanced feminization of the forehead. This technique was performed in 12 patients between 27 and 58 years of age. Following bone reduction and sinus setback, the corrugator is located on the undersurface of the forehead flap and dissected through the reflected soft tissue of the forehead, with care taken to protect the supraorbital nerve. Patient satisfaction and complications, such as infection, poor wound healing, scarring, and desire for revision surgery, were assessed at follow-up visits. All patients showed improved feminization of the forehead. No complications were reported intraoperatively or postoperatively, and no patients required hospitalization beyond the expected overnight admission. No patients reported anesthesia or hypoesthesia in the distribution of the supraorbital nerve at 6 months postoperatively. Patients reported high satisfaction with their FFS outcomes. In conclusion, performing corrugator resection in conjunction with FFS is a safe and rapid technique that may significantly enhance the feminizing effects on the forehead of frontal sinus setback and brow contouring.</p><p><strong>Level of evidence 4 therapeutic: </strong></p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"6 ","pages":"ojae108"},"PeriodicalIF":0.0,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11852261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506416","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":"Effect of Facial Acupuncture Stimulation: MRI-Based Masseter Muscle Volume Analysis and Questionnaire Evaluation.","authors":"Mieko Ogino, Megumi Iijima, Yukinori Okada, Itsuko Okuda","doi":"10.1093/asjof/ojae109","DOIUrl":"10.1093/asjof/ojae109","url":null,"abstract":"<p><strong>Background: </strong>Cosmetic acupuncture may reduce wrinkles, swelling, sagging, and facial asymmetry and may lift facial contours.</p><p><strong>Objectives: </strong>To investigate the impact of cosmetic acupuncture on masseter muscle volume and its implications for facial aesthetics.</p><p><strong>Methods: </strong>The authors included 10 apparently healthy adult females (average age, 50.3 ± 6.45 years) and performed acupuncture once a week for 8 weeks. MRI was conducted before acupuncture stimulation and 3 days after the treatment. The collected image data were analyzed using ZioCube software (ZioSoft Co., Ltd, Tokyo). Before and after the intervention, 2 evaluators measured the masseter muscle volume 3 times each and calculated the average value.</p><p><strong>Results: </strong>The average total volume of the left and right masseter muscles decreased from 40.73 ± 8.2 to 37.81 ± 8.57 cm³ after cosmetic acupuncture, a significant reduction of 2.92 ± 2.48 cm³ (7.37%, <i>P</i> < .05). All 10 subjective evaluation items showed significant decreases, particularly in facial sagging, contour, and asymmetry, confirming aesthetic improvements and psychological satisfaction among participants. Cosmetic acupuncture reduced masseter muscle volume, leading to noticeable aesthetic benefits.</p><p><strong>Conclusions: </strong>Acupuncture stimulation at acupoints around the masseter muscle can reduce the muscle volume because of muscle relaxation. The improvement in subjective evaluation and changes and decreases in masseter muscle shape enable the attainment of facial contour aesthetics, contributing to the evidence in support of cosmetic acupuncture.</p><p><strong>Level of evidence 4 therapeutic: </strong></p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"6 ","pages":"ojae109"},"PeriodicalIF":0.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11852262/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506404","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":"Planes in Aesthetic Breast Surgery: Is Subfascial a Misnomer?","authors":"Allen Gabriel, Erin N Abbott, Patrick Maxwell, Steven Sigalove, Galen Perdikis","doi":"10.1093/asjof/ojae107","DOIUrl":"10.1093/asjof/ojae107","url":null,"abstract":"","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"6 ","pages":"ojae107"},"PeriodicalIF":0.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11647268/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142839475","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 to: \"A New Therapeutic Approach With Rose Stem-Cell-Derived Exosomes and Non-Thermal Microneedling for the Treatment of Facial Pigmentation\".","authors":"Amnuay Kleebayoon, Viroj Wiwanitkit","doi":"10.1093/asjof/ojae106","DOIUrl":"10.1093/asjof/ojae106","url":null,"abstract":"","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"7 ","pages":"ojae106"},"PeriodicalIF":0.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11708208/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959873","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":"Short-Term Effects of Poly-L-Lactic Acid-b-Polyethylene Glycol Microsphere Injection on Different Adipose Tissue Types in Rats.","authors":"Wei Yang, Huanyun Niu, Tong He, Zilin Zhang, Shiwei Wang, Shuang Ren, Lin Wang","doi":"10.1093/asjof/ojae100","DOIUrl":"10.1093/asjof/ojae100","url":null,"abstract":"<p><strong>Background: </strong>Wrinkles and sagging, characteristics of aging, are associated with reductions in collagen and fat. Poly-L-lactic acid (PLLA) is widely used clinically as a tissue filler owing to its good biocompatibility and ability to improve wrinkles and signs of aging. Despite extensive studies of the mechanism of action of PLLA when used as a dermal filler, few studies have examined its effects on adipose tissue.</p><p><strong>Objectives: </strong>The short-term effects of PLLA-b-polyethylene glycol (PEG) microspheres implanted in subcutaneous back adipose tissue (BAT) and visceral epididymal adipose tissue (EAT) of rats were examined.</p><p><strong>Methods: </strong>The authors divided 15 male Sprague-Dawley rats into 5 groups based on implantation time, and PLLA-b-PEG microspheres were implanted into the BAT (3 groups were sampled at 6, 8, and 12 weeks) and EAT (2 groups were sampled at 6 and 12 weeks) of rats. Tissue samples were collected at different time points postimplantation and subjected to histological analyses using hematoxylin and eosin, Masson's trichrome, and immunofluorescence staining.</p><p><strong>Results: </strong>Implantation of PLLA-b-PEG microspheres into different adipose tissues resulted in a mild and persistent inflammatory reaction, increased fibrous connective tissue, and noticeable collagen regeneration. Immunofluorescence showed the upregulation of uncoupling protein (UCP) 1 and UCP2 in the visceral adipose tissue surrounding the implant.</p><p><strong>Conclusions: </strong>PLLA-b-PEG microspheres exhibited good tissue compatibility and induced an increase in fibrous connective tissue postimplantation, potentially mitigating oxidative damage and improving adipose tissue quality.</p><p><strong>Level of evidence 5 therapeutic: </strong></p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"6 ","pages":"ojae100"},"PeriodicalIF":0.0,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11630853/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808665","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":"Tranexamic Acid Application in Facial Aesthetic Surgery: An Umbrella Review.","authors":"Mohamed Badie Ahmed, Deemah Assami, Dima Nasrallah, Fatima Saoud Al-Mohannadi, Salwa Al-Maraghi, Abdelrahman Badie Ahmed, Abeer Alsherawi","doi":"10.1093/asjof/ojae105","DOIUrl":"10.1093/asjof/ojae105","url":null,"abstract":"<p><p>Tranexamic acid (TXA) is an antifibrinolytic agent that is considered as one of the latest interventions currently being investigated in the field of facial aesthetic surgeries, as it is predicted to be effective in reducing intraoperative and postoperative complications of facial aesthetic surgeries. This review focuses on giving readers a comprehensive overview regarding the use of TXA in facial aesthetic surgeries. In this umbrella review, data were extracted from existing systematic reviews and meta-analysis that focused on the use of TXA in facial aesthetic surgeries. The authors searched PubMed, Embase, and Scopus databases. The data were extracted using a standard format, and the AMSTAR-2 (A Measurement Tool to Assess Systematic Reviews) tool was used to assess the quality of the included reviews. In total, this study included 14 systematic reviews and meta-analyses all of which evaluated the effect of TXA on facial aesthetic surgeries, which included rhinoplasty, septorhinoplasty, rhytidectomy, and blepharoplasty. The majority of the included studies focused on reporting the effect of TXA on blood loss volume (BLV) and duration of surgery (DOS) as well as other postoperative complications. Eleven out of the 12 studies that focused on rhinoplasty showed that TXA used reduced BLV. In addition, in 8 studies that were focusing on DOS, the majority showed a reduction in DOS with TXA use. While in the case of septorhinoplasty, 3 studies revealed that TXA use decreased BLV. Moreover, in the case of rhytidectomy, 3 out of 6 systematic reviews showed reduction in BLV, while 2 reported reductions in DOS. Finally, the authors conclude that the use of TXA is indeed efficient in reducing BLV and DOS, in addition to some of the complications that can occur during or after facial aesthetic surgeries. However, in order to reach a final decision on the implication of the use of TXA in facial aesthetic surgeries, further studies should be established using a standardized protocol in assessing the desired outcomes.</p>","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"6 ","pages":"ojae105"},"PeriodicalIF":0.0,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11630850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808666","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 to: Plastic Surgery Tourism: Complications, Costs, and Unnecessary Spending?","authors":"Miguel Ángel Rivera Mendoza, Maria Fernanda Santoyo-Barco","doi":"10.1093/asjof/ojae102","DOIUrl":"10.1093/asjof/ojae102","url":null,"abstract":"","PeriodicalId":72118,"journal":{"name":"Aesthetic surgery journal. Open forum","volume":"6 ","pages":"ojae102"},"PeriodicalIF":0.0,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11662287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878731","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}