{"title":"Layering Energies: Optimizing Facial Aesthetic Outcomes.","authors":"Amanda Bastedo","doi":"10.1097/PSN.0000000000000651","DOIUrl":"https://doi.org/10.1097/PSN.0000000000000651","url":null,"abstract":"<p><p>The practice of aesthetic medicine has evolved significantly with the introduction of advanced technologies designed to enhance skin rejuvenation, body contouring, and other aesthetic improvements. This evidence review discusses research data supporting a multi-modal framework to optimize patient outcomes. By exploring the synergistic effect of combining treatments, aesthetic practitioners can improve clinical efficacy, enhance patient satisfaction, and reduce downtime. This review also discusses the Layering Energies Framework, which provides a structured approach for sequencing and optimizing treatments to achieve superior outcomes. This report explores the role of technologies such as radiofrequency, ultrasound, lasers, dermal fillers, and injectable biostimulators, highlighting their individual and combined benefits. Additionally, this evidence outlines future directions for aesthetic medicine, emphasizing the need for ongoing research and technological innovation to further refine and optimize these multi-modal approaches.</p>","PeriodicalId":74460,"journal":{"name":"Plastic and aesthetic nursing","volume":"46 2","pages":"68-72"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596636","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":"Comfort Levels of Surgical Nurses: A Cross-Sectional Study.","authors":"Kübra Nur Kurt, Semra Bülbüloğlu","doi":"10.1097/PSN.0000000000000648","DOIUrl":"https://doi.org/10.1097/PSN.0000000000000648","url":null,"abstract":"<p><p>Working in surgical units is a challenging experience for nurses that may cause them to become exhausted, physically and mentally tired, and sometimes ill. Our study aimed to examine the comfort levels of surgical nurses. We collected data from three surgical units of a training and research hospital in Istanbul. We included 95 surgical nurses in the study. Each study participant completed an online the personal information form and the Shortened General Comfort Questionnaire (SGCQ). We used descriptive statistical methods for data analysis. The mean age of the surgical nurses was 27.81 (±2.56) years, 70.5% were women, 62.1% were single, 87.4% were undergraduates, and 35.8% had a daily standing time of 7‒9 hours. The nurses scored 3.25 ± 0.46 on the complete SGCQ, and 2.94 (±0.51), 3.59 (±0.57), and 3.22 (±0.59) on the SGCQ relief, ease, and transcendence types of comfort, respectively. The nurses who were not willing to work in a surgical unit, dissatisfied with the nursing profession, and stood for a long time each day had statistically significant low comfort levels (p < .01). The overall comfort level of the surgical nurses included in our study was slightly above average. Effectively managing factors that reduce surgical nurses' comfort, ensuring they obtain sufficient rest, and providing education and training to assist them with stress management may be good solutions.</p>","PeriodicalId":74460,"journal":{"name":"Plastic and aesthetic nursing","volume":"46 2","pages":"73-79"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596601","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":"Effects of Exosome-Containing Skin Booster and Microneedling Treatment on Facial Aging: A Retrospective Analysis of 40 Cases.","authors":"Byungki Cho, Kyung-Tae Bae, Jovian Wan, Kyu-Ho Yi","doi":"10.1097/PSN.0000000000000631","DOIUrl":"https://doi.org/10.1097/PSN.0000000000000631","url":null,"abstract":"<p><p>Skin aging is caused by extrinsic and intrinsic factors and can lead to various aesthetic concerns and psychosocial stress. Exosome-based treatments have recently gained attention in the field of skin rejuvenation. This study aimed to retrospectively analyze the clinical efficacy of an exosome (CUREDOC EXOSOME REPAIR Advanced Solution Skin Booster, CUREDOC, Sejong, Korea) combined with microneedling treatment. We analyzed the medical records of 40 patients who received exosome skin booster (50 mcg/mL) and microneedling combination therapy at a single medical institution from January to March 2024. Physicians performed the treatment on each patient every 2 weeks for a total of 4 sessions. The physicians followed each patient for 8 weeks after the final treatment. The physicians evaluated each patient by taking clinical photographs, having each patient complete a satisfaction survey, assessing each patient using the Global Aesthetic Improvement Scale (GAIS), and documenting adverse events. The patient group had a mean age of 41.2 ± 6.3 years. The results of the study showed a high patient acceptance rate, with an overall satisfaction of 87.5%, an 82% intention to undergo repeat treatment, and an 85% willingness to recommend the treatment. According to the GAIS assessments, 85% of patients scored \"improved\" or greater. Adverse events were transient and mild, and there were no serious adverse reactions reported. Based on the results of this study, the combination of exosome skin booster and microneedling treatment can be considered a safe and effective option for improving facial aging.</p>","PeriodicalId":74460,"journal":{"name":"Plastic and aesthetic nursing","volume":"46 1","pages":"25-29"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851749","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 Enhance Flap Survival and Prevent Hematoma in Osmidrosis Surgery.","authors":"Wen-Tsao Ho","doi":"10.1097/PSN.0000000000000670","DOIUrl":"https://doi.org/10.1097/PSN.0000000000000670","url":null,"abstract":"","PeriodicalId":74460,"journal":{"name":"Plastic and aesthetic nursing","volume":"46 1","pages":"7-8"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851815","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":"Pressure Injuries and the Plastic and Aesthetic Nurse.","authors":"Kathleen Soso","doi":"10.1097/PSN.0000000000000681","DOIUrl":"https://doi.org/10.1097/PSN.0000000000000681","url":null,"abstract":"","PeriodicalId":74460,"journal":{"name":"Plastic and aesthetic nursing","volume":"46 1","pages":"22-24"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851869","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":"Investigation of the Relationship Between Health Literacy and Surgical Acceptance in Aesthetic Surgery Patients.","authors":"İbrahim Kiyat, Nuray Akyüz","doi":"10.1097/PSN.0000000000000638","DOIUrl":"https://doi.org/10.1097/PSN.0000000000000638","url":null,"abstract":"<p><p>In this cross-sectional study, we evaluated the relationship between health literacy and acceptance of cosmetic surgery using the Turkish Health Literacy Scale-32 and the Acceptance of Cosmetic Surgery Scale. The mean age of the 379 patients included in the study was 31.19 ± 7.02 years. A total of 61.7% (n = 234) of the participants had a history of cosmetic surgery. The most common aesthetic surgery was performed on the face, and the most preferred type of surgical intervention was rhinoplasty. Patients stated that they primarily obtained information about plastic surgery from social media and the internet. We found a strong statistically significant positive correlation between the two scales (r = 0.757; p < .001). We found statistically significantly different scale scores based on the patients' education (p < .001) and income levels (p < .05). Patients with a history of plastic surgery had statistically significant higher acceptance levels (p = .003). There is a need for education and counseling services to increase the health literacy of plastic surgery patients and support them in making informed decisions.</p>","PeriodicalId":74460,"journal":{"name":"Plastic and aesthetic nursing","volume":"46 1","pages":"45-51"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851799","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":"Past and Present.","authors":"Lisa Griffin","doi":"10.1097/PSN.0000000000000685","DOIUrl":"https://doi.org/10.1097/PSN.0000000000000685","url":null,"abstract":"","PeriodicalId":74460,"journal":{"name":"Plastic and aesthetic nursing","volume":"46 1","pages":"5"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851859","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":"Shaping the Future of ISPAN.","authors":"Rebecca Suess","doi":"10.1097/PSN.0000000000000688","DOIUrl":"https://doi.org/10.1097/PSN.0000000000000688","url":null,"abstract":"","PeriodicalId":74460,"journal":{"name":"Plastic and aesthetic nursing","volume":"46 1","pages":"4"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851905","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":"Gender-Affirming Genital Masculinization: Part 3 of the Plastic Surgeon's Perspective of Gender-Affirming Surgery.","authors":"","doi":"10.1097/PSN.0000000000000689","DOIUrl":"https://doi.org/10.1097/PSN.0000000000000689","url":null,"abstract":"","PeriodicalId":74460,"journal":{"name":"Plastic and aesthetic nursing","volume":"46 1","pages":"E2"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851742","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":"Long-Term Safety and Efficacy of Hybrid Cooperative Complexes of High- and Low-Molecular Weight Hyaluronic Acid to Improve Skin Laxity of the Inner Upper Arms: A Single-Arm Study.","authors":"Adele Sparavigna, Clara Cigni, Laura Tanzini, Roberto Lualdi, Franco Grimolizzi","doi":"10.1097/PSN.0000000000000636","DOIUrl":"https://doi.org/10.1097/PSN.0000000000000636","url":null,"abstract":"<p><p>In a single-center study conducted over a 12-month study period, we investigated the long-term safety and efficacy of Profilo Body® (IBSA Farmaceutici Italia Srl, Lodi, Italy) for treating upper inner arm skin laxity. The study participants included women (37-65 years) with at least initial signs of skin laxity and roughness on their upper arms. The treatment consisted of two injections of Profhilo Body® one month apart, followed by five injections two months apart, and a follow-up evaluation one month later. We assessed the study participants using the IBSA Photographic Scale for Assessment of Upper Inner Arm Skin Laxity. At the end of the study, the participants also completed a self-evaluation questionnaire related to product efficacy and tolerability. A total of 34 enrolled participants received the first three injections. A total of 32 participants received the next four injections. We found that slight ecchymosis occurred in 36 participants. The results of the study showed a significant decrease in median IBSA Photographic Scale for Assessment of Upper Inner Arm Skin Laxity scores at Month 3 compared with baseline scores (p < .0001). This decrease was maintained through Month 12. At least 50% of the participants experienced a moderate improvement in skin firmness, smoothness, brightness, hydration, and overall inner arm appearance that continued through Month 12. The participants self-evaluated tolerability of the product as \"optimal.\" Based on the results of this study, we conclude that long-term use of Profhilo® Body is safe and effective for reducing skin laxity of the upper inner arms.</p>","PeriodicalId":74460,"journal":{"name":"Plastic and aesthetic nursing","volume":"46 1","pages":"37-44"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851738","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}