Aesthetic Plastic Surgery最新文献

{"title":"Symphysis Resection and Soft Tissue Suspension for the Long and Prominent Chin: An Alternative to Conventional Genioplasty.","authors":"Cristian Teuber Lobos, César Colmenero Ruiz, María Fernández Pose, Antonio Ferrández Martínez, Alejandro Encinas Bascones","doi":"10.1007/s00266-025-05389-4","DOIUrl":"https://doi.org/10.1007/s00266-025-05389-4","url":null,"abstract":"<p><p>Various surgical options exist for correcting long, hyperprojected chins, including modified genioplasty techniques, pogonion burring, soft tissue rejuvenation, and custom implants. These can be performed as standalone procedures or in conjunction with orthognathic surgery. Among these, lower chin border resection combined with meticulous soft tissue suspension offers a reliable method for enhancing mandibular contour and cervicomental definition. From 2018 to 2024, 24 patients with elongated, protrusive chins underwent genioplasty with symphysis resection and soft tissue suspension. The technique involved segmental resection of the mandibular symphysis, typically extending from the mandibular angle or first molar. Muscle insertions, including platysma and medial pterygoid, were carefully released with electrocautery. The inferior chin periosteum was sutured and repositioned. Contouring of the mandibular edge was achieved using a round bur, followed by precise hemostasis and suspension of the cervical soft tissues, including the platysma. In 14 patients, the genioglossus and digastric muscles were also anchored to the resected symphysis to enhance submental support. Mandibular reductions ranged from 5 to 10 mm. No major complications were observed. All patients expressed high satisfaction with aesthetic and functional outcomes, with a mean FACE-Q score of 96.02. This technique proved particularly valuable in cases where standard advancement or setback genioplasty alone would not sufficiently address vertical excess or soft tissue laxity. Genioplasty with symphysis resection and soft tissue suspension is a safe, reproducible technique for treating long, hyperprojected chins. The integration of soft tissue suspension is critical to optimize cervicomental angle definition and overall facial harmony. Further comparative studies are warranted to refine indications and validate long-term outcomes. (1) Genioplasty with symphysis resection and soft tissue suspension is a safe and effective alternative to conventional techniques for correcting long and prominent chins, offering aesthetic and functional results when standard genioplasty is insufficient. (2) 3D imaging and CAD/CAM surgical guides enhance precision, reduce intraoperative risks, especially nerve injury, and are recommended for complex asymmetric patients and resections exceeding 5 mm. (3) Soft tissue suspension is essential for optimal outcomes. Proper muscular reattachment (mentalis, platysma, digastric, and optionally geniohyoid/genioglossus) reassures long-term soft tissue adaptation and aesthetic results.Level of Evidence IV 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":2.8,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145367342","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":"Clinical Outcomes in Women with Breast Implant Illness After Removal Surgery: Experience from a Latin American Center.","authors":"Paola Kafury-Goeta, Viviana García, Alvaro Villegas, Nora B Sánchez, Federico Reina","doi":"10.1007/s00266-025-05298-6","DOIUrl":"https://doi.org/10.1007/s00266-025-05298-6","url":null,"abstract":"<p><strong>Background: </strong>To investigate the impact of removal surgery in women with breast implant illness (BII) on the improvement of symptoms, as well as on the current quality of life of women.</p><p><strong>Methods: </strong>This is an observational study of a cohort of women undergoing definitive implant removal for BII-related symptomatology between 2016 and 2022 in Cali, Colombia. All data were collected from medical records and through a telephone survey. The severity of 10 clinical manifestations before and after removal surgery was evaluated with a five-point Likert scale. Quality of life was assessed with the BREAST-Q scale.</p><p><strong>Results: </strong>A total of 125 women who underwent breast removal surgery were included; mean age was 48.8 ±9.7 years. The three most frequent reported symptoms at baseline were sore/aching joint (48.0%), fatigue (32.0%), and hair loss (25.6%). At a median follow-up of 18 months after implant removal, significant improvement was observed in all symptoms (p value<0.05) with a mean reduction in the percentage of women with symptomatology of 55.8% ±6.4%. At least half of the women reported a BREAST-Q of 100 points on the dimensions of satisfaction with breasts, physical well-being, and satisfaction with surgical outcome.</p><p><strong>Conclusion: </strong>This study provides evidence in favor of breast removal surgery as a treatment option in women with BII symptomatology. Highlights Nowadays, the evidence on breast implant illness is not conclusive. However, due to media interest and growing concern among patients and decision-makers, it is necessary to increase knowledge about BII, especially in low- and middle-income countries where evidence is poor. Consistent with the results of other studies, implant removal surgery significantly reduced the severity of symptoms at a median follow-up of 18 months after explantation in 125 women included in this study. Women after explantation reported a good quality of life and satisfaction with their breast appearance, physical well-being and surgical outcome with the BREAST-Q score.</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":2.8,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145367280","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":"Comparison of Autologous Breast Reconstruction in East Asian Patients of Childbearing Age: Profunda Artery Perforator Flap versus Deep Inferior Epigastric Perforator Flap.","authors":"Ryohei Ishiura, Makoto Shiraishi, Kohei Mitsui, Kanako Danno, Kento Hosomi, Chihena Hansini Banda, Mitsunaga Narushima","doi":"10.1007/s00266-025-05339-0","DOIUrl":"https://doi.org/10.1007/s00266-025-05339-0","url":null,"abstract":"<p><strong>Background: </strong>East Asian patients of childbearing age have relatively lower body mass index (BMI) and tighter breasts than Western patients have. The aim of this study was to compare autologous breast reconstruction between the DIEP flap and PAP flap in these populations.</p><p><strong>Methods: </strong>A total of 28 consecutive patients were retrospectively reviewed. Patient age, BMI, laterality, expansion period, type of operation, operation time, resection volume in mastectomy, harvested flap volume, flap volume, flap vessel diameters, inpatient days, early postoperative complications, and late revision surgeries were analyzed.</p><p><strong>Results: </strong>The surgical procedures included nine DIEP reconstructions and 21 PAP flap reconstructions. The average age of the subjects in the DIEP and PAP flap populations was 45.6 ± 3.80 and 43.5 ± 5.05, respectively (p = 0.27). Their average BMI of DIEP and PAP flap population was 22.7 ± 2.56 and 20.0 ± 1.82, respectively (p < 0.05). According to the perioperative characteristics, harvested flap volume and transferred flap volume in DIEP flap were greater than those in PAP flap significantly (553.6 ± 169.0 g vs 261.0 ± 69.5 g, p < 0.01; 434.6 ± 170.0 g vs 238.9 ± 62.6 g, p < 0.01, respectively). In the transferred flap volume/BMI index ratio, DIEP was significantly higher than PAP significantly (19.4 ± 6.99 g vs 12.2 ± 2.70 g, p < 0.05).</p><p><strong>Conclusion: </strong>The PAP flap provides enough volume for autologous breast reconstruction in most East Asian patients of childbearing age.</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":2.8,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145367287","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":"Feasibility and Safety of Using Perforators Through Tendinous Intersections of the Rectus Abdominis for DIEP Flap Breast Reconstruction: A Retrospective Study.","authors":"Zhaohan Chen, Boyang Xu, Wenyue Liu, Shangshan Li, Hao Dong, Siyu Hou, Chunjun Liu","doi":"10.1007/s00266-025-05398-3","DOIUrl":"https://doi.org/10.1007/s00266-025-05398-3","url":null,"abstract":"<p><strong>Background: </strong>The deep inferior epigastric perforator (DIEP) flap technique has gained popularity due to its muscle-sparing properties, significantly reducing morbidity and enhancing aesthetic outcomes in breast reconstruction. In a considerable number of patients, dominant perforators traverse tendinous intersections (TI) of the rectus abdominis muscle, referred to as intra-TI perforators (ITIP). Our study pursued two principal objectives: to determine the accuracy of preoperative computed tomography angiography (CTA) in identifying ITIP and to evaluate whether utilizing ITIP in DIEP flap harvest impacts flap perfusion or elevates the incidence of donor-site complications.</p><p><strong>Methods: </strong>We conducted a retrospective analysis of 81 DIEP flaps from 54 female patients between 2022 and 2024. Patients were categorized into ITIP and NTIP groups based on the anatomical location of the dominant perforator. Preoperative CTA was used to identify perforator course. Intraoperatively, dissection time was recorded. Flap perfusion was quantitatively assessed using fluorescence imaging, and postoperative complications were monitored for 6 months.</p><p><strong>Results: </strong>In this retrospective study, we found that although ITIP required longer dissection time, they provided reliable perfusion without increasing complication rates. Maximum correlation analysis found that the y-axis distance of ITIP had the strongest correlation with the dissection time.</p><p><strong>Conclusion: </strong>ITIP flaps appreciate sufficient blood perfusion compared with NTIP flaps, and the incidence of complications is not increased, making it a feasible candidate for DIEP breast reconstruction.</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.</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145367332","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":"Clinical Efficacy of High-Frequency Ultrasound Precision Monitoring Ring Drilling in the Treatment of Pathologic Scarring.","authors":"Wenzheng Zhu, Yanan Zhang, Xinchun Chen, Jie Xu, Yaoyao Li, Benqian Zhao, Jinhui Wang","doi":"10.1007/s00266-025-05363-0","DOIUrl":"https://doi.org/10.1007/s00266-025-05363-0","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study is to explore the clinical efficacy of high-frequency ultrasound precision monitoring ring drilling for the treatment of pathologic scarring.</p><p><strong>Methods: </strong>A total of 124 patients with pathologic scarring treated in Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine from January 2020 to July 2024 were selected for the study and were randomly divided into the control group and the treatment group, with 62 patients in each group.</p><p><strong>Results: </strong>The total effective rate was significantly higher in the treatment group than in the control group (P < 0.05). After treatment, scores for pigmentation, vascularity, thickness, pliability, and the total Vancouver Scar Scale (VSS) score in the treatment group were significantly lower than those in the control group (P < 0.05). Similarly, visual analog scale (VAS) scores and itch scores were significantly lower in the treatment group compared to the control group (P < 0.05). However, there was no statistically significant difference in the total incidence of adverse reactions-including hyperpigmentation, hypopigmentation, redness, swelling, and pain-between the two groups (P > 0.05).</p><p><strong>Conclusion: </strong>High-frequency ultrasound precision monitoring ring drilling is a fast, safe, and convenient operation technique, has a promoting effect on the regression of scarring, and is worth promoting.</p><p><strong>Level of evidence ii: </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":2.8,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145367368","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":"First Comprehensive Bibliometric Analysis of Male Aesthetic Surgery.","authors":"Siddig Ibrahim Abdelwahab, Manal Mohamed Elhassan Taha, Abdullah Farasani, Saleh M Abdullah, Jobran M Moshi, Nizar A Khamjan, Abrar Fahad Alshahrani, Zenat A Khired, Ahmad Assiri, Ibrahim Abdel Aziz Ibrahim, Saeed Alshahrani, Amal Mayudh Alhusayni, Muhammad H Sultan, Ali Elamin, Abdelkhalig Hussein Elhilu, Waseem Hassan","doi":"10.1007/s00266-025-05321-w","DOIUrl":"https://doi.org/10.1007/s00266-025-05321-w","url":null,"abstract":"<p><strong>Background: </strong>This study presents the first comprehensive bibliometric analysis of male aesthetic surgery.</p><p><strong>Methods: </strong>In January 2025, data were retrieved from the Scopus database, covering publications from 1949 to 2024.</p><p><strong>Results: </strong>For 2684 papers, the annual publication trends, along with the most productive contributors, are summarized in six supplementary tables. Regional disparities in research output, spanning Europe, Asia, the Middle East, Latin America, and Africa, are illustrated in Supplementary Fig. 1. Furthermore, the study explored publication dynamics across 28 distinct research areas related to male aesthetic surgery, with detailed findings presented in Supplementary Tables 7-34. The study also examined the top 100 most cited papers (Supplementary Table 35). Author impact metrics, including the number of publications, total citations, h-index, g-index, m-index, hg-index, and q2 index, were calculated (Supplementary Table 37). Additionally, author collaboration networks were mapped (Supplementary Fig. 2), and the evolution of scholarly relationships over time was visualized (Supplementary Fig. 3). Institutional contributions (Supplementary Table 38), their research dynamics (Supplementary Fig. 4), and departmental collaboration networks (Supplementary Fig. 5) were also highlighted. Similarly, the top contributing countries, their publication dynamics, and international collaboration patterns are shown in Supplementary Table 39 and Supplementary Fig. 67. Leading sources of publication were also assessed (Supplementary Table 40). To explore research focus, a co-words analysis was conducted (Fig. 1). Additionally, unigram (Fig. 2), bigram (Fig. 3), and trigram (Fig. 4) analyses were performed. Thematic evolution of the top 100 most cited papers was also investigated, showcasing shifts in research focus over time.</p><p><strong>Conclusion: </strong>These findings may serve as a valuable foundation for future research efforts and clinical advancements in the field of male aesthetic surgery.</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":2.8,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145367361","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":"Commentary on: Osteogenesis Modulation: Induction of Mandibular Bone Growth in Adults by Electrical Field for Aesthetic Purposes.","authors":"Tiecheng Sun, Yaqiong Geng","doi":"10.1007/s00266-025-05366-x","DOIUrl":"https://doi.org/10.1007/s00266-025-05366-x","url":null,"abstract":"<p><p>We read with great interest the article by Zendejas et al., introducing a novel application of bioelectrical stimulation to induce mandibular bone growth in adults for aesthetic purposes. Their use of negative electrical polarity to achieve long-term skeletal enhancement without implants or osteotomies represents a promising direction in minimally invasive facial skeletal augmentation. However, several scientific and clinical aspects remain insufficiently addressed. The absence of spatial control in the induced osteogenesis raises concerns about asymmetry or ectopic growth, especially in areas where precision is crucial for aesthetic outcomes. Furthermore, the clinical evidence is limited by small sample size (n = 4), lack of randomization, and missing patient-specific variables. The accompanying animal model also lacks histological, mechanical, and mineral assessments to confirm bone quality. Nevertheless, this study sets the stage for future exploration of directed bioelectrical osteogenesis in craniofacial plastic surgery.Level of Evidence IV 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":2.8,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145367273","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":"Comment on \"The Impact of Postmastectomy Radiation Therapy on Immediate Prepectoral Reconstruction with Polyurethane-Coated Implants\".","authors":"Ming Dai, Yan Zhu, Xinyue Zhang","doi":"10.1007/s00266-025-05383-w","DOIUrl":"https://doi.org/10.1007/s00266-025-05383-w","url":null,"abstract":"<p><p>This letter comments on the recent study by Salgarello et al. regarding the outcomes of polyurethane-coated implants in the setting of postmastectomy radiotherapy. We highlight the study's contributions while addressing methodological limitations such as sample size, lack of control group, potential selection bias, and the absence of patient-reported outcomes. We also propose future research directions including comparative studies with ADM, adjunctive therapies, and cost-effectiveness analyses. The letter underscores the importance of multidisciplinary approaches in breast reconstruction.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":2.8,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145367285","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":"Tension-Free Forehead Reduction Using an Elastic Composite Scalp Flap Anchored to the Bone.","authors":"Lessandro Martins, Bruno Barros, Cristina Muñoz-Gonzalez, Nabil Fakih-Gomez","doi":"10.1007/s00266-025-05341-6","DOIUrl":"https://doi.org/10.1007/s00266-025-05341-6","url":null,"abstract":"<p><strong>Introduction: </strong>The forehead-to-face ratio plays a crucial role in facial aesthetics, with an increased forehead length often leading to an imbalanced or aged appearance. Factors like aging, trauma, and alopecia contribute to this issue. Surgical techniques for hairline lowering and forehead reduction have evolved, but challenges like visible scars and limited advancement remain. This study presents an \"elastic\" composite scalp flap technique for forehead reduction.</p><p><strong>Methods: </strong>A retrospective analysis was conducted involving 98 patients (95 females, 3 males) with a mean age of 35.7 years, who underwent forehead reduction surgery between January 2021 and December 2024. The technique involved an \"elastic\" composite scalp flap anchored to the frontal bone with tension-free closure. Patients were followed for 3-48 months, and outcomes were assessed through photographic evaluations and follow ups focusing on forehead improvement, scar quality, and patient satisfaction.</p><p><strong>Results: </strong>A total of 98 patients (96.9% female) underwent forehead reduction surgery, with a mean age of 35.7 years and a follow-up of 3-48 months. High satisfaction was reported, with stable results throughout the follow-up period. Transient sensory disturbances occurred in 91.8% of patients but resolved within 6 months. No major complications were observed, except for one case (1%) of hypertrophic scarring.</p><p><strong>Conclusion: </strong>The elastic composite scalp flap technique, which consists of four distinct steps including the creation of bone tunnels, performing subperiosteal dissection, executing transverse periosteo-galeotomies, and placing dual rows of advancement sutures, provides a reliable method for achieving a balanced forehead with minimal scarring.</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":2.8,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145367315","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":"Pre- and Postoperative Visualization in Rhinoplasty: Effects of LED Light Panels in Aesthetic Photography on Image Integrity.","authors":"Iulianna C Taritsa, Kirsten A Schuster, Jose Foppiani, Angelica Hernandez Alvarez, Daniela Lee, Chamilka Merle, Samuel J Lin","doi":"10.1007/s00266-025-05360-3","DOIUrl":"https://doi.org/10.1007/s00266-025-05360-3","url":null,"abstract":"<p><strong>Background: </strong>Lighting conditions for photographic documentation during pre- and postoperative visits are critical in capturing the outcomes of rhinoplasty for patients. Current standards may not provide direct side lighting, which can enhance visualization of uneven textures. We present a revised studio setup with dual-function background lights positioned perpendicular to the subject-camera axis to provide both back and side lighting.</p><p><strong>Methods: </strong>Rhinoplasty pictures were taken in an academic hospital clinic office from six standard angles for pre- and postoperative photography. Two foreground LED continuous lights were placed at 45 degrees relative to the subject-camera axis. An additional two LED continuous lights were angled perpendicularly to the subject-camera axis and positioned at approximately half the distance between the subject and background. Rapid colorimetric image analysis was conducted, and Hex color values were compared to a reference photograph to evaluate colorimetric distortion [4]. Paired images were evaluated by four blinded providers to evaluate nasal structure distortion, image sharpness, image noise, and overall clinical fidelity.</p><p><strong>Results: </strong>Color accuracy was maintained for the four-light and two-light conditions in the frontal view, with 97% and 94% fidelity compared to the true reference, respectively. In the right oblique view, fidelity for the four-light system was 99% as compared to 100% for the two-light system. Subjective provider ratings established the proposed lighting system as superior in terms of overall clinical fidelity to the standard two-light conditions in nearly all angles (87.5%).</p><p><strong>Conclusion: </strong>This study focuses on moving beyond primarily two foreground lighting which may be limited in terms of side-lighting effects and resultant impact on overall image quality in the goals of optimizing pre- and post-operative documentation.</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":2.8,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145367275","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}