Ahmed Hagiga, Dimitrios Papadopoulos, Georgios Kyrtsonis, Murtaza Kadhum, Katia Sindali, Adam Blackburn
{"title":"Two-Stage Reconstruction of Large and Ptotic Breasts in Patients Undergoing Risk-Reducing Mastectomy: A Single Center Experience Using Autologous Tissue.","authors":"Ahmed Hagiga, Dimitrios Papadopoulos, Georgios Kyrtsonis, Murtaza Kadhum, Katia Sindali, Adam Blackburn","doi":"10.1097/PSN.0000000000000639","DOIUrl":"https://doi.org/10.1097/PSN.0000000000000639","url":null,"abstract":"<p><p>In this study, we present cases of patients with large, ptotic breasts who underwent a two-stage reconstruction using a Wise-pattern reduction followed by mastectomy and autologous reconstruction. The aim of this study is to report our experience with a two-stage approach to risk-reducing mastectomy for ptotic breasts. We conducted a retrospective analysis of patients who underwent two-stage breast reconstruction between August 2019 and September 2023 at our institution. We included patients with large, ptotic breasts and excluded those who had undergone a previous cosmetic breast reduction and those lost to follow-up. We collected and analyzed data on patient demographics, operative details, and postoperative outcomes using descriptive statistics. A total of 61 patients underwent risk-reducing mastectomies, with five patients (8.19%) undergoing a two-stage reconstructive approach. The mean age of the study patients was 41.6 years, and they had an average body mass index of 29.16 kg/m2. All patients underwent a nipple-sacrificing mastectomy. Three patients received deep inferior epigastric artery perforator flaps, two received L-shaped upper gracilis (LUG) flaps, and one patient with a history of abdominal surgery underwent a LUG flap reconstruction. The average postoperative length of stay was 1.25 days following reduction and 2.8 days following reconstruction. The amount of tissue excised averaged 498.25 g for the right and 561.75 g for the left breast. The flap survival rate was 100%, with minimal complications. The results of our study emphasize the efficacy of our approach. We suggest additional comparative studies to refine the timing and techniques for optimal results.</p>","PeriodicalId":74460,"journal":{"name":"Plastic and aesthetic nursing","volume":"46 2","pages":"114-117"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jennifer Splane, Tracey A Hotta, Stacy Lillington, Morgan Ulhman, Mia Ippoliti, Roselyn Castaneda
{"title":"Canadian Clinical Practice Recommendations for Preventing Infections in Aesthetic Medicine.","authors":"Jennifer Splane, Tracey A Hotta, Stacy Lillington, Morgan Ulhman, Mia Ippoliti, Roselyn Castaneda","doi":"10.1097/PSN.0000000000000682","DOIUrl":"https://doi.org/10.1097/PSN.0000000000000682","url":null,"abstract":"<p><p>The COVID-19 pandemic exposed critical gaps in infection protection and control (IPC) protocols across health care settings, underscoring the urgent need for health care systems, organizations, and providers to prioritize robust safety standards to protect patient, provider, and public well-being. In aesthetic medicine-where demand for procedures continues to rise-maintaining stringent IPC practices is more important than ever. This article reviews fundamental IPC principles, current best-practices specific to aesthetic medicine, and facility-level recommendations in Canada. As IPC standards continue to evolve, their application within aesthetic settings remains essential to protecting patient, provider, and public health. Ongoing adaptation and improvement in response to emerging risks and rising procedural volumes are crucial to maintaining the integrity and safety of aesthetic practice.</p>","PeriodicalId":74460,"journal":{"name":"Plastic and aesthetic nursing","volume":"46 2","pages":"101-113"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adele Sparavigna, Clara Cigni, Laura Tanzini, Roberto Lualdi, Franco Grimolizzi
{"title":"A Systematic Review of the Efficacy and Safety of Profhilo® and Profhilo® Body.","authors":"Adele Sparavigna, Clara Cigni, Laura Tanzini, Roberto Lualdi, Franco Grimolizzi","doi":"10.1097/PSN.0000000000000637","DOIUrl":"10.1097/PSN.0000000000000637","url":null,"abstract":"<p><p>Skin aging causes cumulative structural, physiological, and progressive skin changes, as well as wrinkles, uneven skin tone, elasticity loss, and skin thinning. We performed a systematic review of nine studies involving 278 participants to assess the efficacy and safety of the stable, hybrid cooperative complexes of high molecular weight hyaluronic acid (HCC-HA) and low molecular weight hyaluronic acid used in Profhilo® and Profhilo® Body (IBSA Farmaceutici Italia Srl, Lodi, Italy) on skin laxity, elasticity, hydration, density, wrinkle severity, and facial volume loss. We found that treatment with Profhilo® and Profhilo® Body led to a statistically significant change or a trend toward an improvement in mean viscoelasticity, elasticity, or plastoelasticity parameters (malar/submalar regions of the face, neck, inner arms, abdomen, and hands); skin hydration (malar/submalar face regions, the neck, inner arms, abdomen, and knees); skin density parameters (face, neck, inner arms, abdomen, hands, and knees); skin laxity (neck, inner arms, abdomen, knees, and hands); and Wrinkle Severity Rating Scale and Facial Volume Loss Scale scores (face). Photographic evidence showed improved skin turgor, tone, and texture, reduced nasolabial fold depth and wrinkles, and overall amelioration. Adverse events (i.e., bruising, edema, a light pinching sensation, a small bump, localized hematomas) were mild, expected, and usually resolved within 72 hours. Profhilo® and Profhilo® Body can improve skin laxity, hydration, elasticity, and density while reducing wrinkles and facial volume loss.</p>","PeriodicalId":74460,"journal":{"name":"Plastic and aesthetic nursing","volume":"46 2","pages":"80-92"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13038071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596686","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}
Zhen Yu Wong, Kai Qi Ou, Zhen Ning Wong, Pojsakorn Danpanichkul, Ryan Faderani, Muholan Kanapathy, Afshin Mosahebi
{"title":"Associations Between Extremity Adiposity and Depression, Overestimation of Body Mass Index, and Intention to Lose Weight.","authors":"Zhen Yu Wong, Kai Qi Ou, Zhen Ning Wong, Pojsakorn Danpanichkul, Ryan Faderani, Muholan Kanapathy, Afshin Mosahebi","doi":"10.1097/PSN.0000000000000647","DOIUrl":"https://doi.org/10.1097/PSN.0000000000000647","url":null,"abstract":"<p><p>Although extremity adiposity is associated with adverse health outcomes, its impact on psychological health in individuals without central obesity remains unclear. We conducted a study to examine this association using data from the United States National Health and Nutrition Examination Survey 2011-2018. We measured extremity adiposity using dual-energy X-ray absorptiometry scans. We assessed depression using the Patient Health Questionnaire-9. We also assessed overestimation of body mass index group and intention to lose weight. We conducted multivariate logistic regression of extremity fat percentages, stratified by biological sex at birth. Our analysis included 4,253 individuals aged 18‒85 years. We found that men with extremity adiposity had an increased risk for depression (arm: risk ratio [RR] = 1.99, 95% confidence interval [CI] [1.11, 3.58], p = .021; leg: RR = 2.17, 95% CI [1.21, 3.89], p < .001); however, women had an increased risk for depression with leg adiposity (RR = 1.89, 95% CI [1.01, 3.51], p = .046). Men with arm adiposity (RR = 18.75, 95% CI [5.07, 69.36], p < .001) were significantly more likely to overestimate their body mass index status compared with women (RR = 5.62, 95% CI [3.18, 9.93], p < .001). Extremity adiposity was associated with increased odds of intention to lose weight in both men and women. Extremity adiposity in individuals without central obesity is associated with an increased risk for depression in men, while both men and women show overestimation in weight perception and a future intention to lose weight.</p>","PeriodicalId":74460,"journal":{"name":"Plastic and aesthetic nursing","volume":"46 2","pages":"93-100"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Strategies to Minimize Scar Formation in Osmidrosis Surgery.","authors":"Wen-Tsao Ho","doi":"10.1097/PSN.0000000000000671","DOIUrl":"https://doi.org/10.1097/PSN.0000000000000671","url":null,"abstract":"","PeriodicalId":74460,"journal":{"name":"Plastic and aesthetic nursing","volume":"46 2","pages":"66-67"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Progressive Muscle Relaxation Reduces Postoperative Anxiety in Liposuction Patients: A Pretest-Posttest Study.","authors":"El Rahmayati, Upik Rahmi, Farida Murtiani","doi":"10.1097/PSN.0000000000000661","DOIUrl":"https://doi.org/10.1097/PSN.0000000000000661","url":null,"abstract":"<p><p>Postoperative anxiety in laparotomy patients presents significant challenges, hindering recovery and reducing patient satisfaction. In this study, we evaluated the effectiveness of progressive muscle relaxation (PMR) in reducing anxiety levels among patients following liposuction procedures. Using an experimental pretest-posttest design, we enrolled 42 participants who met our defined inclusion and exclusion criteria. We measured anxiety levels using the Amsterdam Preoperative Anxiety and Information Scale (APAIS). Our results showed a significant reduction in anxiety with mean APAIS scores decreasing from 16.86 before PMR to 10.95 after the intervention (p < .001). These findings demonstrate that PMR is an effective nonpharmacological method for reducing postoperative anxiety. We also examined the link between anxiety and postoperative pain, reinforcing the importance of anxiety management in enhancing pain control and recovery outcomes. Our study supports a multidimensional approach to surgical care that addresses both physical and psychological needs. Incorporating PMR into clinical practice offers a practical, low-risk strategy for improving patients' emotional and physical well-being after surgery. Future research should explore its application across broader clinical settings to validate and expand on these outcomes.</p>","PeriodicalId":74460,"journal":{"name":"Plastic and aesthetic nursing","volume":"46 2","pages":"118-122"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}