Aesthetic Plastic Surgery最新文献

{"title":"Factors Affecting the Choice of Cosmetic Forehead and/or Eyebrow Lift Technique: An Oculofacial Plastic Surgeon's Perspective.","authors":"Jack E Feist, Mohsen B Kashkouli, S Elizabeth Dugan, Nita Bhat, Christopher J Compton, Jeremy D Clark","doi":"10.1007/s00266-025-04726-x","DOIUrl":"https://doi.org/10.1007/s00266-025-04726-x","url":null,"abstract":"<p><strong>Background: </strong>Many different endoscopic and non-endoscopic techniques for forehead and/or eyebrow lift exist, but to date there has been little research on what factors drive technique selection.</p><p><strong>Objectives: </strong>To compare frequency of different forehead and/or eyebrow lift techniques between sexes, analyze factors affecting technique selection, and present an algorithm for technique selection.</p><p><strong>Methods: </strong>This is a retrospective study of consecutive cosmetic patients who underwent direct eyebrow lift (DEL) or forehead/eyebrow lift (FEL) by a single surgeon between 2007 and 2022. Subjects with prior trauma or surgery, facial nerve palsy, trans-blepharoplasty technique, and functional rather than cosmetic indications were excluded.</p><p><strong>Results: </strong>There were 1060 subjects. Three patient factors (type of lift request, hairline height, and forehead skin type) were considered in the algorithm. The most frequent procedure in female subjects was conventional endoscopic FEL (83.8%) followed by DEL (9.3%). Male subjects most frequently had DEL (63.1%) followed by conventional endoscopic FEL (16.5%). Patient factors, but not age, were significantly (p ≤ 0.001) different between the two sexes. While the above three patient factors and sex, but not age, had a significant effect (p ≤ 0.001) on technique selection on univariate analysis, sex was the only factor that remained significant (p ≤ 0.001) on multivariate analysis.</p><p><strong>Conclusion: </strong>Endoscopic FEL was the first and second most frequent technique in female and male subjects, respectively. DEL was the first and second most frequent technique in male and female subjects, respectively. Sex, but not age, was a significant factor affecting the type of lift technique through three patient factors.</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":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143522499","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":"Differences in the Size and Morphology of Masseter Muscle and Mandible Assessed Using Three-Dimensional Computed Tomography.","authors":"Jie Cao, Ziming Zhang, Li Liu, Yuxi Xia, Jun Zhuang, Jinhao Lin, Xueshang Su, Fengfeng Guo, Jintian Hu","doi":"10.1007/s00266-025-04734-x","DOIUrl":"https://doi.org/10.1007/s00266-025-04734-x","url":null,"abstract":"<p><strong>Background: </strong>Mandibular angular hypertrophy and hemifacial microsomia involve deformities in the mandibular region, resulting in facial asymmetry that severely affects patients' appearance. This study evaluated the masseter muscle-mandibular correlation in patients with hemifacial microsomia and those with mandibular angular hypertrophy using three-dimensional CT and compared them with normal individuals.</p><p><strong>Methods: </strong>This study included 310 participants. Craniofacial scans were performed using three-dimensional CT in all participants to obtain masseter muscle and mandibular size and morphology data.</p><p><strong>Results: </strong>In the normal population, there are sex differences in the shape and size of the masseter muscle and mandible, and the size of masseter muscle correlates with the mandible. In all three groups, there were differences in morphology and size of masseter muscle and mandible between the right and left sides (healthy and affected sides). Compared with the normal population, patients with hemifacial microsomia have a smaller masseter muscle and mandible on the affected side, while the healthy side is similar to the normal population. The measurement results significantly differed among patients with different severities of hemifacial microsomia and tended to worsen with increasing severity. In addition, the masseter muscle and mandibles on the left and right sides of patients with mandibular hypertrophy were larger than those of the normal population.</p><p><strong>Conclusions: </strong>Three-dimensional CT proved reliable and accurate for measuring the masseter muscle and mandible size and morphology. We report masseter muscle and mandible characteristics in different populations. These findings can guide medical personnel in determining the diagnosis, treatment, and prognosis of these diseases.</p><p><strong>Level of evidence iii: </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":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514398","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":"Mandibular Angle Osteotomy via Intraoral Approach: A 15-Year Experience from a Single Plastic Surgery Center in China.","authors":"Zhiyang Xie, Shunchao Yan, Chongxu Qiao, Zai Shi, Jingyi Xu, Kaili Yan, Yuming Qu, Shu Wang, Wensong Shangguan, Guoping Wu","doi":"10.1007/s00266-025-04765-4","DOIUrl":"https://doi.org/10.1007/s00266-025-04765-4","url":null,"abstract":"<p><strong>Background: </strong>Mandibular angle osteotomy (MAO) using an intraoral approach is a common procedure for correcting square facial contours in the Asian population. While previous retrospective studies have primarily focused on complications rates, limited research has examined time-related trends and the epidemiological characteristics of the surgical population. A comprehensive study with a large sample size and long-term follow-up is crucial to enhance outcomes, minimize complications, provide evidence-based insights, and consolidate clinical experience.</p><p><strong>Methods: </strong>This retrospective study reviewed 3,501 MAO cases performed via an intraoral approach between January 2008 and December 2022. Patients were categorized into three cohorts based on admission dates: group A (January 2008 to December 2012), group B (January 2013 to December 2017), and group C (January 2018 to December 2022). Demographic data, complication rates, and patient-reported satisfaction scores were analyzed across the groups.</p><p><strong>Results: </strong>The average ages for groups A, B, and C were 27.38 ± 6.94, 27.41 ± 6.42, and 28.57 ± 6.65 years, respectively, with group C patients being significantly older than those in group B (P < 0.001). Gender distribution showed 48 males and 825 females in group A; 93 males and 1,097 females in group B; and 122 males and 1,316 females in group C, with significant difference between groups A and B (P = 0.039). Complication rates were 13.05% (114 cases) in group A, 5.54% (66 cases) in group B, and 2.50% (36 cases) in group C. Postoperative satisfaction scores for groups A, B, and C were 3.32 ± 0.64, 3.86 ± 0.54, and 4.42 ± 0.58, respectively, with significant improvements across groups (P < 0.05).</p><p><strong>Conclusions: </strong>The demand for MAO has steadily increased, particularly among individuals aged 21 to 40, with a predominance of female patients. Expanding indications have led to more cases involving middle-aged, elderly, and male patients. Advancements in surgical techniques have contributed to better aesthetic outcomes and lower complication rates. The use of modified osteotomy procedures and digital technologies has enabled safer, more precise surgeries across diverse populations, resulting in significant improvements in lower facial contours.</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":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143522503","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 and Reliability of 2D and 3D Clinical Photographs in Plastic Surgery: A Scoping Review.","authors":"William M Tian, Denisse C Porras Fimbres, Melissa M Tran, Steven L Zeng, Anika G Gnaedinger, Samantha Kaplan, Jeffrey R Marcus, Ashit Patel","doi":"10.1007/s00266-025-04751-w","DOIUrl":"https://doi.org/10.1007/s00266-025-04751-w","url":null,"abstract":"<p><strong>Background: </strong>Clinical photography is a critical tool in plastic surgery practice. The primary aim of this scoping review was to assess the quality and reliability of various 2D and 3D photography modalities in plastic surgery.</p><p><strong>Methods: </strong>The databases, MEDLINE via PubMed, Embase via Elsevier, and Scopus via Elsevier, were searched from inception to March 15, 2023, for any papers focused on evaluation of quality and/or reliability of photography in plastic surgery-related applications. Data regarding general article characteristics, study characteristics, participants, and study results were extracted by two reviewers and qualitatively synthesized.</p><p><strong>Results: </strong>A total of 17 studies published from 1999 to 2023 were eligible for inclusion in the final analysis. Thirteen (76.5%) were cross-sectional and four (23.5%) were cohort studies. Photographed locations included craniomaxillofacial and oral (n = 11, 64.7%), scars (n = 3, 17.6%), breast and torso (n = 2, 11.8%), and wounds (n = 1, 5.9%). Assessed photographic modalities were found to be on par or better than comparators in almost all applicable cases (n = 13/14, 92.9%).</p><p><strong>Conclusions: </strong>Multiple photographic modalities were found to have adequate quality and reliability. 3D photography was found to be a superior imaging modality for craniomaxillofacial and oral applications. For scar and wound assessment and images of the breast and torso region, 2D photography was sufficient. Overall, 2D photography using smartphone devices is sufficient for reliable and quality images in most clinical settings. With continued advances in technology, the ability to capture clinical images will undoubtedly improve, and there is a need for future studies to assess and compare these modalities.</p><p><strong>Level of evidence iii: </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":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143522507","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 Combination of Tunnel Shaped Excision with Radiotherapy and Injection of Type A Botulinum Toxin in the Treatment of Auricular Keloids.","authors":"Junjie Hou, Chang Liu","doi":"10.1007/s00266-025-04735-w","DOIUrl":"https://doi.org/10.1007/s00266-025-04735-w","url":null,"abstract":"<p><strong>Background: </strong>To investigate the clinical effect of the combination of tunnel shaped excision with radiotherapy and injection of type A botulinum toxin in the treatment of auricular keloids.</p><p><strong>Methods: </strong>From June 2017 to May 2023, a total of 52 cases with auricular keloids were treated with tunnel shaped excision combined with radiotherapy and the injection of type A botulinum toxin. The effects of this sequential treatment were analyzed and evaluated.</p><p><strong>Results: </strong>No recurrence of keloids was observed in the enrolled patients, and no abnormal conditions such as ear deformities occurred. The postoperative auricle appearance of most patients was satisfactory and the shape was good.</p><p><strong>Conclusion: </strong>The combination of tunnel shaped excision with radiotherapy and injection of type A botulinum toxin in the treatment of auricular keloids can achieve good therapeutic effects, resulting in satisfactory auricle morphology, and is worthy of clinical promotion.</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":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514411","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":"Efficacy of Hyperbaric Oxygen Therapy as an Adjunct in Aesthetic Surgery: A Systematic Review and Meta-analysis of Postoperative Outcomes and Complications.","authors":"Hatan Mortada, José Emiliano González, Yousef M Husseiny, Imtinan Al Jabbar, Faris Sultan, Saad Alrobaiea, Omar Fouda Neel","doi":"10.1007/s00266-025-04728-9","DOIUrl":"https://doi.org/10.1007/s00266-025-04728-9","url":null,"abstract":"<p><strong>Introduction: </strong>Aesthetic surgery has gained significant popularity due to advancements in techniques and increased societal acceptance. However, it is not without risks, including complications and delayed healing, which have sparked interest in adjunctive therapies such as hyperbaric oxygen therapy (HBOT). This systematic review and meta-analysis evaluates the efficacy of HBOT in improving postoperative outcomes in aesthetic surgery.</p><p><strong>Methods: </strong>A comprehensive literature search was conducted across multiple databases in December 2024, identifying studies involving patients who underwent aesthetic surgeries and received HBOT. Inclusion criteria focused on studies reporting outcomes related to wound healing, complication rates, and patient satisfaction. Primary outcomes assessed were healing time and complication rates, while secondary outcomes included patient satisfaction and overall aesthetic results. Study quality and risk of bias were evaluated using standardized assessment tools.</p><p><strong>Results: </strong>Eleven studies with 734 patients were included, with 416 (56.7%) receiving HBOT. Predominantly used postoperatively (90.9%), HBOT reduced healing times, with a pooled mean healing time of 11.30 days [95% CI: 10.46, 12.14]. Procedures included abdominoplasty (36.4%) and breast aesthetic surgeries (27.3%). HBOT protocols varied, with sessions lasting 45-120 minutes at pressures of 2.0-3.0 ATA. Patient satisfaction was consistently high, with early satisfaction rates up to 88.2%.</p><p><strong>Conclusion: </strong>HBOT is an effective adjunct in aesthetic surgery, promoting faster recovery and greater patient satisfaction. However, the variability in study designs and HBOT protocols underscores the need for well-designed randomized controlled trials to establish standardized guidelines for its application in aesthetic and reconstructive procedures.</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":2.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514399","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 Injectable Gel VYC-25L Is Safe and Effective for Adults Seeking Chin Enhancement to Correct Chin Retrusion: Results From a Real-world Evidence Study in China.","authors":"Yimin Liang, Wang Zhan, Yun Xie, Danru Wang, Qingfeng Li, Grace Zhao, Smita Chawla","doi":"10.1007/s00266-024-04572-3","DOIUrl":"https://doi.org/10.1007/s00266-024-04572-3","url":null,"abstract":"<p><strong>Background: </strong>Chinese individuals may seek chin enhancement to address esthetic perceptions regarding chin retrusion. Because studies of the injectable hyaluronic acid gel VYC-25L (Allergan Aesthetics, an AbbVie Company, Irvine, CA) contained few Asian subjects and none from China, its effects on chin retrusion in Chinese individuals are unclear. This 12-month, real-world evidence study evaluated the safety and effectiveness of VYC-25L for chin enhancement in Chinese adults.</p><p><strong>Methods: </strong>At Hainan Bo'ao Super Hospital, 2 cohorts of prospectively and retrospectively enrolled adults received VYC-25L treatment (maximum 4 mL). Cohort 1 only underwent 3D imaging before and after treatment for digital analysis. The primary effectiveness measure was mean change from baseline in glabella-subnasale-pogonion (G-Sn-Pog) angle at month 3 based on 3D facial images. Both cohorts completed the Global Aesthetic Improvement Scale (GAIS; subjects and investigators) and a satisfaction questionnaire (subjects). Injection site response (ISR) and adverse events were recorded.</p><p><strong>Results: </strong>Of 90 subjects enrolled (cohort 1, n=36; cohort 2, n=54), 89 completed the study. Mean change from baseline in G-Sn-Pog angle at month 3 was 3.19 degrees (95% CI, 2.55-3.83; P < 0.001 vs 0), with improvement maintained through 12 months. Month 3 \"improved\"/\"much improved\" GAIS responder frequencies were 94.3% (investigators) and 97.1% (subjects); 91.5% of subjects were \"satisfied\"/\"very satisfied\" with treatment at month 3. Most (>70%) ISRs were mild or moderate in severity. Four treatment-related adverse events occurred (all mild).</p><p><strong>Conclusion: </strong>VYC-25L was safe and effective for enhancement of the chin and jaw in Chinese adults.</p><p><strong>Level of evidence iii: </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":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514400","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":"Response to the Letter to the Editor Regarding the Article: \"Non-Surgical Novel Technique for Correction of Palpebromalar Groove (Tear Valley Deformity) and Extended Area: The Matador Stab\".","authors":"Nabil Fakih-Gomez, Cristina Muñoz-Gonzalez","doi":"10.1007/s00266-025-04756-5","DOIUrl":"https://doi.org/10.1007/s00266-025-04756-5","url":null,"abstract":"<p><p>The tear valley deformity represents a challenging area for aesthetic correction due to its anatomical complexity and the risk of complications from improper filler placement. In our article, we introduced the Matador Stab technique, emphasizing precise filler deposition to address anatomical challenges while minimizing complications. Key points include the importance of individualized treatment plans, the role of the tear trough ligament, and the consideration of adjacent regions for optimal results. We highlight the value of surgical alternatives, such as lower blepharoplasty, for specific cases. Continued interdisciplinary dialog and further studies are essential to refine techniques and enhance patient outcomes.</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143498003","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 Impact of Body Mass Index on Breast Reduction Outcomes: A Multi-Institutional Data Analysis of 45,000 Cases over 15 Years.","authors":"Samuel Knoedler, Dany Y Matar, Mychajlo Kosyk, Filippo A G Perozzo, Giuseppe Sofo, Marcio Manente, Aliyar Zahedi Vafa, Sam Boroumand, Michael Alfertshofer, Dennis P Orgill, Bong-Sung Kim, Adriana C Panayi","doi":"10.1007/s00266-025-04743-w","DOIUrl":"https://doi.org/10.1007/s00266-025-04743-w","url":null,"abstract":"<p><strong>Background: </strong>The caseload of breast reduction is on the rise. Despite this popularity, the association between body mass index (BMI) and postoperative outcomes remains unclear. We hypothesize that BMI is a significant determinant of postoperative morbidity after breast reduction and leverage a multi-institutional database to investigate this correlation.</p><p><strong>Methods: </strong>We queried the American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) (2008-2022) to identify female adult patients who underwent breast reduction. We categorized all patients into six BMI subgroups, and compared their outcomes (i.e., 30-day surgical and medical complications, reoperation, readmission, and mortality) via multivariate logistic regression analyses.</p><p><strong>Results: </strong>45,373 patients (mean age: 40 ± 14 years; mean BMI: 31 ± 6.1 kg/m²) were identified, of whom 0.1% (n = 61) were underweight, 12% (n = 5635) healthy weight, 34% (n = 15,346) overweight, 30% (n = 13,795) had obesity I, 15% (n = 6843) obesity II, and 8.1% (n = 3693) obesity III. Overall, 2881 (6.4%) patients experienced complications, with 1936 (4.3%) cases of surgical complications and 317 (0.7%) cases of medical complications. The risk for complications increased stepwise above the healthy BMI range. Compared to women with healthy weight, patients with obesity I, II, and III had a significantly higher risk of any complication (OR 1.5, p < 0.001; OR 1.87, p < 0.001; and OR 2.6, p < 0.001, respectively), medical complications (OR 2.4, p = 0.005; OR 2.99, p = 0.001; and OR 5.2, p < 0.001, respectively), and surgical complications (OR 2.2, p < 0.001; OR 2.81, p < 0.001; and OR 4.2, p < 0.001, respectively). Overweight patients were also at higher risk for any complication (OR 1.2, p = 0.09), medical complications (OR 2.1, p = 0.02), and surgical complications (OR 1.4, p = 0.004). The odds for reoperation did not increase with higher BMI classes.</p><p><strong>Conclusion: </strong>Our multi-institutional data analysis revealed a significant correlation between elevated BMI and the occurrence of both surgical and medical complications after breast reduction surgery. The postoperative risk increased progressively with BMI above the healthy range. These findings are essential for informing preoperative counseling, refining risk assessment, and developing tailored protocols.</p><p><strong>Level of evidence iii: </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":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143498009","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":"Effectiveness of Tranexamic Acid Use in Liposuction: Lessons not Learned from Systematic Reviews : 'Tranexamic Acid in Liposuction: A Systematic Review of Literature and Meta-Analysis' and 'Minimizing Blood Loss Using Tranexamic Acid in Patients Undergoing Liposuction: A Systematic Review and Meta-Analysis of Randomized Controlled Trials'.","authors":"Konstantinos Seretis","doi":"10.1007/s00266-025-04768-1","DOIUrl":"https://doi.org/10.1007/s00266-025-04768-1","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143497984","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}