{"title":"The Value and Importance of Professional Certifications.","authors":"Kathleen Mortl","doi":"10.1097/PSN.0000000000000707","DOIUrl":"10.1097/PSN.0000000000000707","url":null,"abstract":"","PeriodicalId":74460,"journal":{"name":"Plastic and aesthetic nursing","volume":"46 3","pages":"127-128"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148371169","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":"A Multilayered Gradient Approach to Calcium Hydroxylapatite for Enhanced Full-Face Contouring and Biostimulation.","authors":"Irene Gladstein","doi":"10.1097/PSN.0000000000000669","DOIUrl":"10.1097/PSN.0000000000000669","url":null,"abstract":"<p><p>The growing demand for noninvasive facial contouring and soft tissue regeneration has fueled interest in dermal fillers with multipurpose capabilities. Calcium hydroxylapatite combined with carboxymethylcellulose (CaHA-CMC) has gained prominence due to its dual-action properties-serving as both a volumizing filler and a biostimulatory agent. This study introduces a standardized gradient-based protocol for CaHA-CMC, employing varying dilutions to stimulate the biomechanical characteristics of different anatomical layers. Highly concentrated formulations are deposited on the periosteum to mimic-skeletal projection, while hyperdiluted solutions are placed in the subdermal plane to improve skin texture and quality through neocollagenesis. By integrating novel rheological data with practical injection strategies, the protocol offers a layered, adaptable approach to facial rejuvenation that addresses both volume and skin laxity.</p>","PeriodicalId":74460,"journal":{"name":"Plastic and aesthetic nursing","volume":"46 3","pages":"163-169"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148371117","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}
Elena Benedito, Javier Montón, Victor Manuel Hidalgo, Jessica Marcela Juez, Antonio Talaya, Gregorio Jesús Gómez-Bajo
{"title":"Optimizing Aesthetic Results in Breast Surgery and Cardiac Implantable Electronic Device (CIED) Placement Using Acellular Biological Matrices.","authors":"Elena Benedito, Javier Montón, Victor Manuel Hidalgo, Jessica Marcela Juez, Antonio Talaya, Gregorio Jesús Gómez-Bajo","doi":"10.1097/PSN.0000000000000673","DOIUrl":"10.1097/PSN.0000000000000673","url":null,"abstract":"<p><p>The increasing number of younger patients requiring cardiac implantable electronic devices (CIEDs) necessitates not only survival but also a preserved quality of life. Aesthetic considerations for CIED placement-particularly in the context of the female breast-are increasingly important, yet current guidelines lack standardized recommendations for ideal generator pocket positioning, especially in the presence of breast implants. We report the first use of bovine pericardium mesh to reposition a migrated, protruding subcutaneous CIED in a patient with prior breast implant reconstruction, who presented with breast contour distortion. Generator pocket repositioning was performed using an acellular biological matrix (ABM) to anchor the device securely against the prepectoral fascia, effectively preventing future dislodgement. The patient achieved excellent breast symmetry and a smooth transition between the anterior chest wall and the superolateral mammary pole. Postoperative ultrasonography confirmed successful compartmentalization of the periprosthetic space, matrix, and device. Durable device positioning was maintained at 12-month follow-up. This case demonstrates that reinforcement and repositioning of subcutaneous CIEDs using ABM in patients with breast implants offers multiple advantages including minimized tissue disruption; stable positioning along the chest wall; isolation of the periprosthetic space; and aesthetic outcomes comparable to those achieved with deeper device placement.</p>","PeriodicalId":74460,"journal":{"name":"Plastic and aesthetic nursing","volume":"46 3","pages":"147-152"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148371185","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":"Why Are Aesthetics Taboo in Nursing Education?","authors":"John McCollum","doi":"10.1097/PSN.0000000000000697","DOIUrl":"10.1097/PSN.0000000000000697","url":null,"abstract":"","PeriodicalId":74460,"journal":{"name":"Plastic and aesthetic nursing","volume":"46 3","pages":"129-130"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148371179","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}
Fatma Gamal Ahmed Abd El-Hameed, Ghada Hemdan Hamed
{"title":"A Prospective Study on the Efficacy of Amniotic Membrane in Promoting Wound Healing and Pain Reduction after Cesarean Delivery.","authors":"Fatma Gamal Ahmed Abd El-Hameed, Ghada Hemdan Hamed","doi":"10.1097/PSN.0000000000000662","DOIUrl":"10.1097/PSN.0000000000000662","url":null,"abstract":"<p><p>Cesarean delivery is one of the most common obstetric procedures worldwide. The amniotic membrane, the inner layer of the placenta, surrounds the embryo and forms a fluid-filled sac. This research aimed to assess how the immediate application of amniotic membrane after delivery affects wound healing and pain. The researchers used a quasi-experimental design and conducted the study at Tbarak Hospital, Cairo, Egypt. The researchers used a purposive sample of 70 women undergoing cesarean delivery equally divided into a study group (n = 35) and a control group (n = 35). Three tools were used for data collection: (1) a structured interview questionnaire consisting of Part A: personal characteristics; and Part B: obstetric history), (2) the Redness, Edema, Erythema, Discharge, Approximation Scale to assess wound healing, and (3) a pain assessment questionnaire consisting of a behavioral rating scale (qualitative) and a visual analogue scale (quantitative). The findings revealed a highly statistically significant improvement in wound healing and reduced pain levels in the study group compared to the control group. The study concluded that applying the amniotic membrane to cesarean delivery wounds significantly improves healing and reduces pain more than routine care, supporting the research hypothesis.</p>","PeriodicalId":74460,"journal":{"name":"Plastic and aesthetic nursing","volume":"46 3","pages":"153-162"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148371109","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":"Cosmetic Allergies: Use of Patch Testing and Molecular Diagnostics to Identify Allergic Responses.","authors":"Maria Zofia Lisiecka","doi":"10.1097/PSN.0000000000000663","DOIUrl":"10.1097/PSN.0000000000000663","url":null,"abstract":"<p><p>I investigated the key causes and mechanisms of skin sensitization, evaluated existing diagnostic methods, and proposed new strategies to reduce the risk for allergic reactions. My research focused on sensitization to cosmetic components, including synthetic fragrances, preservatives (i.e., methylisothiazolinone, chlorphenesin), and natural extracts. I used patch testing and molecular diagnostics based on pro-inflammatory markers (i.e., interleukin-6, tumor necrosis factor-alpha). Positive reactions occurred in 69.2% of participants, with synthetic fragrances (51.7%) and methylisothiazolinone (39.2%) as the most common allergens. Women aged 30-45 showed higher susceptibility to severe allergic responses. The study confirmed the effectiveness of patch testing and molecular diagnostics in accurately detecting and predicting skin allergies. Based on the findings, I recommend stricter regulation of sensitizing agents in cosmetics, the introduction of hypoallergenic alternatives, and a shift toward personalized product formulation. The results of my study also highlight the need for updated diagnostic standards, including non-invasive techniques and expanded molecular analyses as well as the revision of regulatory frameworks to enhance cosmetic safety and consumer well-being. Expanding professional knowledge in allergy diagnosis and prevention is essential for raising the standards of care and protecting the health of users.</p>","PeriodicalId":74460,"journal":{"name":"Plastic and aesthetic nursing","volume":"46 3","pages":"177-186"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148371164","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":"Back to Our Roots: Patient Safety, Advocacy, and the Future of Plastic and Aesthetic Nursing.","authors":"Rebecca Suess","doi":"10.1097/PSN.0000000000000705","DOIUrl":"10.1097/PSN.0000000000000705","url":null,"abstract":"","PeriodicalId":74460,"journal":{"name":"Plastic and aesthetic nursing","volume":"46 3","pages":"125-126"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148371222","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":"PAN Is a Party, and YOU Are Invited!","authors":"Kathleen Soso","doi":"10.1097/PSN.0000000000000706","DOIUrl":"10.1097/PSN.0000000000000706","url":null,"abstract":"","PeriodicalId":74460,"journal":{"name":"Plastic and aesthetic nursing","volume":"46 3","pages":"123-124"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148371242","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":"Improving Provider Competency to Enhance Safety in Dermal Filler Procedures: A QSEN and Benner-Guided Program.","authors":"Stacey Stephens Ross, Sunny Stirling","doi":"10.1097/PSN.0000000000000691","DOIUrl":"10.1097/PSN.0000000000000691","url":null,"abstract":"<p><p>Aesthetic nursing has rapidly expanded without standardized training to ensure provider competency, increasing the potential for adverse events (AEs). While most dermal filler AEs are minor, serious complications including vascular compromise, can occur. This quality improvement project aimed to reduce dermal filler AEs by implementing an evidence-based competency assessment program for aesthetic providers using the Quality and Safety Education for Nurses (QSEN) framework and Benner's Novice to Expert model. Our objective was to improve patient safety by decreasing dermal filler AEs through standardized evaluation of provider knowledge, skills, and attitudes (KSAs). To achieve this, we developed three assessment tools: a dermal filler knowledge self-assessment, a skills observation checklist, and a competency assessment tool structured around QSEN's KSAs, integrated with Benner's competency progression. Ten licensed aesthetic injectors participated across two clinical sites. Data were collected over 16 months: 6 months pre-intervention, a 4-month implementation phase, and 6 months postintervention. AEs were categorized as lumps, asymmetry, vascular events, or other complications. All providers demonstrated competence across assessed domains. Total AEs declined by 65%, from 97 to 34 events and vascular events dropped from four to zero. Implementation costs totaled $5,000, while estimated savings from reduced AE-related expenses exceeded $12,000 within 6 months. These results indicate that a structured competency program grounded in QSEN and Benner's framework can significantly improve injection safety and reduce complications. This model is replicable in other aesthetic practice settings and provides a foundation for competency-based training in high-risk, elective procedures, supporting both provider development and patient safety.</p>","PeriodicalId":74460,"journal":{"name":"Plastic and aesthetic nursing","volume":"46 3","pages":"170-176"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148371210","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":"Hypnotherapy as an Adjunctive Therapy for Managing Pain and Anxiety During Recovery From Plastic Surgery: A Systematic Review.","authors":"Farida Murtiani, Rahmat Saputra, Yeni Devita, Ba'da Febriani, Amelia Marisa, Fatimah Fatimah","doi":"10.1097/PSN.0000000000000684","DOIUrl":"10.1097/PSN.0000000000000684","url":null,"abstract":"<p><p>Postoperative pain and anxiety are significant challenges that can hinder patient recovery after plastic surgery. Hypnotherapy as a nonpharmacological adjunctive therapy offers a potential solution, but its effectiveness requires systematic evaluation. This systematic review aimed to assess the role of hypnotherapy in managing pain and anxiety during plastic surgery recovery. We conducted literature searches in PubMed, Scopus, and the Cochrane Library for randomized controlled trials evaluating hypnotherapy in plastic surgery patients. Three trials, encompassing a total of 110 patients, met the inclusion criteria. Study quality was assessed using the Cochrane Risk of Bias (RoB 2.0) tool. Hypnotherapy reduced the incidence of postoperative nausea and vomiting (PONV) and significantly reduced postoperative pain intensity and intraoperative opioid consumption (e.g., remifentanil decreased from 761.4 mcg to 200 mcg, p = .034). Patient satisfaction was also higher in the hypnotherapy groups. However, the interventions did not produce significant differences in anxiety levels or surgical field quality. Overall, hypnotherapy appears to be a promising adjunct therapy for reducing pain, analgesic requirements, and postoperative PONV in plastic surgery patients. Nonetheless, the current evidence is preliminary and limited, underscoring the need for more rigorous research to confirm these findings and guide clinical application.</p>","PeriodicalId":74460,"journal":{"name":"Plastic and aesthetic nursing","volume":"46 3","pages":"139-146"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148371205","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}