Aesthetic Plastic Surgery最新文献

{"title":"Essential Pharmaceutical Drugs in the Filler Emergency Kit.","authors":"Javier Madero-Pérez, Marta Gil-Martinez, Cristina Muñoz-Gonzalez, Paula Martin-Marfil, Nabil Fakih-Gomez","doi":"10.1007/s00266-025-04808-w","DOIUrl":"https://doi.org/10.1007/s00266-025-04808-w","url":null,"abstract":"<p><strong>Introduction: </strong>The rise in clinical procedures utilizing dermal fillers necessitates preparedness for potential emergencies. Effective management of complications arising from filler use, including vascular occlusions and allergic reactions, hinges on the availability of the appropriate pharmacological supplies.</p><p><strong>Methods: </strong>A two-tiered search in PubMed and Google Scholar was conducted to identify essential drugs for dermal filler emergencies. An initial 10-year review used keywords \"Dermal Fillers,\" \"vascular occlusion,\" and \"hyaluronidase,\" followed by a targeted search on \"Resuscitation guidelines,\" \"anaphylaxis management,\" \"allergy fillers,\" and \"lidocaine.\" This article outlines the critical drug inventory for emergency kits to manage filler-related complications effectively.</p><p><strong>Results: </strong>An ORA classification system (Obligatory, Recommended, Advisable) is introduced to categorize essential drugs according to urgency and clinical necessity. The required drugs are grouped based on their application in cases of vascular occlusion without ocular involvement, vascular occlusion with ocular involvement, anaphylactic reactions, cardiopulmonary resuscitation and hemodynamic disorders, delayed reactions, and aseptic, oxygen, and topical treatments. Additionally, the importance of meticulous drug inventory management-including tracking of stock entry, exit, and expiration dates-is emphasized to reduce the risk of shortages.</p><p><strong>Conclusion: </strong>Ensuring that filler emergency kit is well stocked with vital pharmacological supplies is imperative for effective emergency management during filler procedures. Adopting systematic inventory practices and utilizing the ORA classification can enhance preparedness and patient safety.</p><p><strong>Level of evidence v: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143750688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Alar Base Lift with an Alar Base Rotation Flap.","authors":"Yen-Pin Lin, Soo Ha Kwon, Peter Ruei-Feng Chen, Cheng-I Yen","doi":"10.1007/s00266-025-04803-1","DOIUrl":"https://doi.org/10.1007/s00266-025-04803-1","url":null,"abstract":"<p><strong>Background: </strong>Hanging alae is a common aesthetic problem in Southeast Asian noses. The alar overhang gives a poor aesthetic relation between the alar and columellar base described as a \"heavy hypertrophic alar\" appearance. Alar lift surgery is an integral part of any rhinoplasty procedure, but is often overlooked by surgeons performing rhinoplasty. Unnatural looking scar caused by skin graft or anatomic junction disruption is often found after alar base lift surgery. Hiding the incision along the nasolabial fold with a rotation flap can reduce the tension during wound healing, decrease length discrepancy caused by vertical reduction, and close the defect after vertical lift of the alar component.</p><p><strong>Methods: </strong>After vertical reduction and lift of the lateral part of the ala, the basal defect is repaired with a small rotation flap along the nasolabial fold; the alar base rotation flap (ABRF). All the patient received alar base lift with an ABRF, and received 2D photometric evaluation before and after surgery.</p><p><strong>Results: </strong>No tip circulation compromise was noted. All patient healed well with a barely noticeable scar, and an improved alar-columellar relationship (ACR). The vertical alar base distance index decreased 3.38% (p < 0.005), and alar columellar angle decreased 15.8° (p < 0.005).</p><p><strong>Conclusion: </strong>Alar base lift with ABRF improves the ACR, and provides an elevated alar base position with a less visible scar.</p><p><strong>Level of evidence iv: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143750686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modified Anterior Scoring Otoplasty Without Sutures: Description and Case Series.","authors":"Roberto Grella, Marcello Molle, Erminia Crisci, Elisa Grella, Maria Maddalena Nicoletti, Gorizio Pieretti","doi":"10.1007/s00266-025-04763-6","DOIUrl":"https://doi.org/10.1007/s00266-025-04763-6","url":null,"abstract":"<p><strong>Background and introduction: </strong>Ear deformities constitute a condition with a high psychological impact in both children/adolescents and adults. In anthelix correction, the use of cartilage scoring techniques, mainly based on the Chongchet technique, was observed. These techniques require neoanthelix maintenance sutures. In this article, we present a variation of the anterior cartilage scoring technique according to Chongchet without the use of sutures.</p><p><strong>Material and method: </strong>A retrospective analysis was conducted on 50 patients who underwent otoplasty using a variation of the anterior scoring technique between 2015 and 2023. Data on recurrence rates and complications were collected.</p><p><strong>Results: </strong>No recurrences were observed during the follow-up period, indicating the stability of the results achieved with the modified technique. Abnormal scars were observed in 16% of cases, while no major complications were reported.</p><p><strong>Discussion and conclusion: </strong>The modified anterior scoring otoplasty technique described represents a promising alternative to traditional approaches, offering stable and aesthetically pleasing results without the need for sutures.</p><p><strong>Level of evidence iv: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors   www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143750690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality of Life After Septorhinoplasty: A Prospective Study.","authors":"Mebarimon Kharwanlang, Pradeep Pradhan, Chappity Preetam, Saurav Sarkar, Santosh Kumar Swain, Pradipta Kumar Parida, Dillip Kumar Samal","doi":"10.1007/s00266-025-04725-y","DOIUrl":"https://doi.org/10.1007/s00266-025-04725-y","url":null,"abstract":"<p><strong>Background: </strong>Patient satisfaction is an important indicator of surgical outcome, so the quality of life is crucial in a patient undergoing septorhinoplasty. In the present study, we have prospectively evaluated the quality of life concerning functional and aesthetic outcomes after septorhinoplasty.</p><p><strong>Materials and methods: </strong>This prospective study, included 50 patients who underwent septorhinoplasty for functional and aesthetic symptoms from March 2021 to February 2024. The quality of life concerned with functional and aesthetic outcomes were evaluated at the end of 6 and 12 months after the surgery.</p><p><strong>Results: </strong>There was a significant improvement in both functional (VAS, NOSE, FROI-17) and aesthetic outcome questionaries in patients undergoing septorhinoplasty (p < 0.05); there was a strong correlation between the age of the patients, the presenting complaints and functional quality of life. Again, a strong correlation was found between the complication rate and aesthetic quality of life (p < 0.05).</p><p><strong>Conclusion: </strong>Although septorhinoplasty is a complex surgery, it can ensure significant improvement in the quality of life of a patient. Our study showed a strong correlation of age, presenting complaints, and complication rate with the functional and aesthetic quality of life.</p><p><strong>Level of evidence iv: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143750692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Depth of the Facial Artery, Meta-analysis.","authors":"Mateusz Trzeciak, Patryk Ostrowski, Tomasz Gładysz, Wojciech Przybycień, Joe Iwanaga, Mateusz Koziej, Jerzy Walocha","doi":"10.1007/s00266-025-04833-9","DOIUrl":"https://doi.org/10.1007/s00266-025-04833-9","url":null,"abstract":"<p><strong>Introduction: </strong>The depth of the facial artery (FA) probably is the most crucial factor while performing aesthetic procedures. The course of FA varies on different levels. The knowledge of exact depth can help physicians to locate the FA more accurately, thereby enhancing the safety of filler injections. This research is the first meta-analysis focused on the quantitative comparison of depth on five different levels of facial artery including angular artery.</p><p><strong>Material and methods: </strong>Twelve research papers were included in the meta-analysis. The analyses were performed in five distinctive places: (1) on the horizontal level of cheilion, (2) between oral commissure and nasal alae, (3) on the horizontal level of nasal alae, (4) between nasal alae and medial eye canthus and (5) on the horizontal level of medial eye canthus.</p><p><strong>Results: </strong>A total of 794, 514, 1095, 414 and 450 arteries were analyzed at the following horizontal levels, respectively: at the level of cheilion, between the nasal alae and oral commissure, at the level of nasal alae, between the nasal alae and medial eye canthus and at the level of medial eye canthus. The final results were as follows: 9.72, 95% CI (6.50-12.94) [mm], 10.34, 95% CI (5.24-15.44) [mm], 9.21, 95% CI (7.05-11.38) [mm], 4.68, 95% CI (4.04-5.31) [mm] and 2.38, 95% CI (1.38-3.38) [mm], respectively.</p><p><strong>Conclusion: </strong>It appears that performing filler injections up to a depth of 4.5 mm, superficially to the facial artery, is considered safe at the level of the oral commissure. The depth between nasal alae and oral commissure varies significantly. A USG exam during the initial consultation prior to any aesthetic procedure might be a reasonable solution in the upper parts of the nasolabial fold.</p><p><strong>No level assigned: </strong>This journal requires that authors assign a level of evidence to each submission to which Evidence-Based Medicine rankings are applicable. This excludes Review Articles, Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143750708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL): A Bibliometric Analysis of Publication Trends.","authors":"Edoardo Caimi, Stefano Vaccari, Valeriano Vinci","doi":"10.1007/s00266-025-04845-5","DOIUrl":"https://doi.org/10.1007/s00266-025-04845-5","url":null,"abstract":"<p><strong>Background: </strong>Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) has become a significant concern in plastic surgery, particularly following the 2019 recall of Allergan macro-textured implants. While research has addressed its epidemiology and management, a comprehensive analysis of global publication trends is lacking. This study provides a bibliometric evaluation of the scientific literature on BIA-ALCL, identifying key contributors, research trends, and emerging areas of interest.</p><p><strong>Methods: </strong>A bibliometric analysis was conducted using the Web of Science Core Collection to retrieve English-languagepublications on BIA-ALCL from 1995 to 2024. Bibliometric indicators, including publication trends, authorship, country contributions, institutional affiliations, and citation impact, were analyzed. VOSviewer 1.6.20 was used for keyword co-occurrence and cluster analyses.</p><p><strong>Results: </strong>A total of 1,148 publications were identified, with a sharp increase after 2018. The United States contributed the most research (43.81%), followed by Italy, England, Australia, and Brazil. Cluster analysis revealed four thematic areas: clinical presentation and risk factors, diagnostic strategies, epidemiology and treatment, and etiological hypotheses. The most cited article was Keech et al. (1997), documenting an early case of BIA-ALCL.</p><p><strong>Conclusions: </strong>This bibliometric analysis highlights the increasing research focus on implant surface characterization, disease etiology, and patient management. These findings provide valuable insights into the evolution of BIA-ALCL literature and may inform future research and clinical decision-making in plastic surgery.</p><p><strong>Level of evidence v: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors   www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143735539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrated Approach to Upper Body Shaping: Long Time Results.","authors":"Huseyin Emre Ulukaya, Sabri Ozturk, Kamuran Zeynep Sevim, Burak Tunahan Ekincikli","doi":"10.1007/s00266-025-04795-y","DOIUrl":"https://doi.org/10.1007/s00266-025-04795-y","url":null,"abstract":"<p><strong>Background: </strong>As the frequency of bariatric procedures rises, so does the demand for breast contouring operations. Massive weight loss results in ptotic breasts that are challenging to shape. However, concentrating solely on the breasts in the upper body leads to a state of imbalance. In this study, we aimed to add additional volume to the breast tissue by utilizing the lateral chest folds/back folds with combined upper body lifting procedures and show the long-term results.</p><p><strong>Methods: </strong>Between January 2018 and June 2024, 24 patients presented to our clinic with a complaint of breast deformity due to massive weight loss. They were evaluated as a whole. Upper body lift and autoaugmentation mastopexy with a lateral thoracic region perforators-based flap were planned in a single stage. Dorsal soft tissue was also utilized for autoaugmentation in selected patients. The viability of the extended dorsal flaps was examined with the intraoperative indocyanine green angiography.</p><p><strong>Results: </strong>The body contouring surgery was performed an average of 2.2 years after bariatric surgery. Autoaugmentation with extended fasciocutaneous flap procedures was performed in combination with other upper body lifting procedures according to the patient's needs. The postoperative follow-up period was 1 month to 5 years.</p><p><strong>Conclusions: </strong>In postbariatric patients, focusing only on the breast leads to aesthetic disharmony in the upper body. Using subcutaneous tissue in the autologous augmentation method eliminates sagging in the upper body and provides the desired volume to ptotic breasts. The five-year follow-up results demonstrate that this method provides long-lasting, satisfying results with minimal complications.</p><p><strong>Level of evidence iv: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143741946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Answer to: Commentary on \"Can AI Answer My Questions? Utilizing Artificial Intelligence in the Perioperative Assessment for Abdominoplasty Patients\".","authors":"Roberto Cuomo, Ishith Seth, Warren Matthew Rozen","doi":"10.1007/s00266-025-04812-0","DOIUrl":"https://doi.org/10.1007/s00266-025-04812-0","url":null,"abstract":"<p><p>The authors respond to the Commentary on \"Can AI Answer My Questions? Utilizing Artificial Intelligence in the Perioperative Assessment for Abdominoplasty Patients\" by analyzing the insights proposed by the authors. AI is already being utilized in various surgical aspects, including patient assessment, surgical planning, and intraoperative decision-making.Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hyaluronic Acid Filler for Deltoid Augmentation in a Male Patient.","authors":"Kyu-Ho Yi, Jovian Wan","doi":"10.1007/s00266-025-04846-4","DOIUrl":"https://doi.org/10.1007/s00266-025-04846-4","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Prospective Study of Exosome Therapy for Androgenetic Alopecia.","authors":"Jovian Wan, Soo-Bin Kim, Hugues Cartier, Sebastien Garson, Konstantin Frank, Diala Haykal, Kyu-Ho Yi","doi":"10.1007/s00266-025-04817-9","DOIUrl":"https://doi.org/10.1007/s00266-025-04817-9","url":null,"abstract":"<p><strong>Background: </strong>Androgenetic alopecia (AGA) is a prevalent condition that significantly impacts patients' psychological well-being and quality of life. Traditional treatments, such as minoxidil and finasteride, have limited efficacy and undesirable side effects. Exosome therapy, which uses extracellular vesicles to promote tissue regeneration, offers a promising alternative. This study evaluates the effectiveness of exosome therapy combined with microneedling (MTS) for treating AGA.</p><p><strong>Objective: </strong>To assess the efficacy of exosome therapy in promoting hair regrowth in patients with AGA following microneedling treatment.</p><p><strong>Methods: </strong>This prospective, open-label study included 16 male patients aged 36-45 years with mild to moderate AGA. Microneedling was performed on the scalp followed by the application of exosome topical therapy (ZISHEL XOMAGE, Zishel Bio Inc., Seoul, Republic of Korea). Hair density and patient satisfaction were evaluated through clinical assessments and photographic documentation at 1, 3, 6, and 12 months after treatment. Side effects were also monitored.</p><p><strong>Results: </strong>At the 12-month follow-up, the average increase in hair density was 35 hairs/cm², with a standard deviation of 6.5 hairs/cm². Baseline hair densities ranged from 75 hairs/cm² to 95 hairs/cm², with improvements observed in all patients. Patient satisfaction was high, with 80% of participants reporting noticeable improvements in hair regrowth and 87% indicating satisfaction or high satisfaction with the results. Mild side effects, including scalp tenderness and slight irritation, were reported but resolved within 48 hours.</p><p><strong>Conclusion: </strong>Exosome therapy, in combination with microneedling, offers a promising non-surgical treatment for AGA, demonstrating significant improvements in hair regrowth and patient satisfaction. Further studies with larger samples and longer follow-up periods are needed to confirm the long-term efficacy of this approach.</p><p><strong>Level of evidence iv: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors https://www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}