Aesthetic Plastic Surgery最新文献

{"title":"Investigation of Chinese Auricular Parameters and Aesthetic Preferences.","authors":"Si-Yi Zhang, Wei-Jin Hong, Guo-Sheng Zhu, Jun-Ren Fang, Jing Hu, Ling-Cong Zhou, Sheng-Kang Luo","doi":"10.1007/s00266-025-04774-3","DOIUrl":"https://doi.org/10.1007/s00266-025-04774-3","url":null,"abstract":"<p><strong>Background: </strong>As a crucial component of the middle facial contour, the auricle has a significant impact on a person's overall appearance and aesthetic impression. To further guide clinical auricular injection protocols by studying auricular parameters and aesthetic preferences in line with contemporary domestic aesthetics.</p><p><strong>Methods: </strong>A total of 89 photographs of patients who met the preset criteria and who were admitted to our department from January 2023 to June 2023 were reviewed, which yielded 178 images by mirror-image processing. Eight plastic surgery experts scored the 178 pictures aesthetically and grouped them according to their auricular positions, sizes, and morphologies. We analyzed the relationship between each auricular parameter and proportion and the aesthetic score.</p><p><strong>Results: </strong>As the auricular height increased, the aesthetic score increased accordingly, and the auricular protrusion was most likely to become more aesthetically pleasing at 54°; the score tended to decrease when the auricular protrusion angle was greater than 54°. The number of auricular protrusions was correlated with the aesthetic score (r = 0.5444, P < 0.0001). The aesthetic score was highest when the helix protruded from the antihelix, followed by the parallel position and then when the antihelix protruded. The most liked lobule shape was round, followed by square and triangular. A curve in the upper third of the auricle or in the lobule resulted in lower aesthetic scores.</p><p><strong>Conclusions: </strong>Auricular aesthetics are influenced by many factors. The position, size, and shape of the auricle, as well as cultural differences, all affect the aesthetic scores of the auricle.</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":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143770901","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":"Manual Fractional Technology with CO₂ Laser Combined with Transdermal Drug Delivery for Hypertrophic Scar: A Retrospective Study.","authors":"Houhuang Qiu, Bingliang Wu, Fuqiang Pan, Siyuan Zhou, Liming Zhang, Xiang Zhou","doi":"10.1007/s00266-025-04837-5","DOIUrl":"https://doi.org/10.1007/s00266-025-04837-5","url":null,"abstract":"<p><strong>Background: </strong>Hypertrophic scars are a common fibrotic skin disorder with a high recurrence rate. While various treatment options exist, their efficacy remains uncertain. Manual fractional technology with CO₂ laser technology, a novel approach, has shown promise; however, its effectiveness as a standalone ablative treatment is limited. This retrospective study aims to evaluate the clinical outcomes of combining Manual fractional technology with CO₂ laser technology with triamcinolone acetonide and 5-fluorouracil transdermal delivery for the treatment of hypertrophic scars.</p><p><strong>Objective: </strong>This study retrospectively evaluated the clinical efficacy of MFT with CO₂ laser combined with transdermal triamcinolone acetonide and 5-fluorouracil in treating hypertrophic scars.</p><p><strong>Methods: </strong>A cohort of 42 patients with 48 hypertrophic scars underwent the combination therapy thrice. Scar evaluations were conducted using the patient and observer scar assessment scale (POSAS) before treatment and one month after each session. Adverse and complication reactions were monitored, and patients were followed for 6 months post-treatment. Hypertrophic scar recurrence and patient satisfaction were assessed.</p><p><strong>Results: </strong>The total POSAS score significantly decreased from pre-treatment [48.00 (43.00, 53.75) VS 21.29±7.167; p<0.001]. In the subgroup analysis, treatment outcomes varied significantly by skin type, with scar quantity and genetic factors influencing remission time. The recurrence rate during the 6-month follow-up was 6.24%, with a satisfaction rate of 83.34%. No severe adverse reactions were reported.</p><p><strong>Conclusions: </strong>The findings indicate that laser-assisted drug delivery using MFT with CO₂ laser demonstrates significant clinical efficacy, a low recurrence rate, and an absence of serious adverse reactions in treating hypertrophic scars. This method shows promise as a novel treatment modality for hypertrophic scars.</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":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143770906","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":"Reconstruction of Medial Epicanthal Fold Using Dual-Plane V-Y Advancement Flap.","authors":"Lianji Xu, Heng Wang, Tao Ma, Edward I Lee, Tae Joo Ahn, Seung Han Song, Zhenjun Wang","doi":"10.1007/s00266-025-04840-w","DOIUrl":"https://doi.org/10.1007/s00266-025-04840-w","url":null,"abstract":"<p><strong>Background: </strong>Medial epicanthoplasty is a common method for correcting epicanthal folds in Asians but can lead to many complications. There are a number of techniques currently used for correction of these complications, but they often lead to incomplete correction or exacerbate the issue.</p><p><strong>Purpose: </strong>The purpose of this study is to introduce a dual-plane V-Y advancement flap method for the reconstruction of epicanthal folds that addresses both muscle reconstruction and soft tissue redraping, which we believe is key to a successful outcome, that is easy to perform, has a short learning curve, and provides excellent aesthetic results.</p><p><strong>Methods: </strong>The study included 66 patients who experienced complications after medial canthoplasty and underwent correction using our method from January 2017 to December 2018. Patients were surveyed to assess their satisfaction with surgical outcomes. In addition, the interepicanthal distance-lengthening ratios and symmetry of palpebral widths were compared to obtain a more objective comparison before and after the corrective procedure.</p><p><strong>Results: </strong>The dual-plane method led to a statistically significant increase in the intercanthal distance between the medial canthi postoperatively. Improvements were noted in the exposure of the lacrimal caruncle and the appearance of the medial eyelid scar, and patients were overall satisfied with their outcomes. During an average follow-up of 10.8 months, three cases required secondary enlargement due to asymmetry.</p><p><strong>Conclusion: </strong>The dual-plane method offers a promising solution for patients seeking correction of complications from previous medial canthoplasty, emphasizing the importance of muscle reconstruction alongside skin redraping for optimal aesthetic and functional outcomes.</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":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143770911","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":"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}