Aesthetic Plastic Surgery最新文献

{"title":"Management of Body Dysmorphic Disorder in Plastic Surgery Patients.","authors":"Ozer Ozmut, Silan Seymen Kanas, İbrahim Emre Ozdemir, Hasan Murat Ergani, Burak Yasar, Ramazan Erkin Unlu","doi":"10.1007/s00266-026-06273-5","DOIUrl":"https://doi.org/10.1007/s00266-026-06273-5","url":null,"abstract":"<p><strong>Background: </strong>Body dysmorphic disorder (BDD) is frequently encountered among patients seeking cosmetic procedures. However, the impact of plastic surgery on BDD symptoms remains controversial. This study aimed to evaluate the impact of plastic surgery on patients with BDD, identify areas for improving their care, better define candidates for surgery or consultation, and contribute to the development of more effective treatment methods.</p><p><strong>Methods: </strong>A total of 116 patients who applied to the plastic surgery department were prospectively evaluated. Participants completed a sociodemographic questionnaire, the Yale-Brown Obsessive-Compulsive Scale modified for BDD (YBOCS-BDD), the Global Aesthetic Improvement Scale (GAIS), and the Body Perception Scale. BDD diagnoses were established according to DSM-5 criteria following psychiatric evaluation. Patients were assessed preoperatively, one week postoperatively, and one year after surgery. Standardized pre- and postoperative photographs were independently evaluated by a blinded surgical team.</p><p><strong>Results: </strong>BDD was diagnosed in 35.3% of patients seeking plastic surgery. Symptomatic improvement was observed in 87.9% of patients with mild BDD and 81.1% of those with moderate BDD. The overall patient satisfaction rate was 68.9%, with the highest satisfaction observed in 78.4% of the moderate BDD group. Among the 46 patients diagnosed with BDD either preoperatively or postoperatively, complete clinical recovery was observed in 10.9% (n = 5) following surgery.</p><p><strong>Conclusions: </strong>Patients with mild-to-moderate BDD symptoms may benefit from carefully selected plastic surgery procedures. Symptom severity and patient-physician interaction appear to play critical roles in postoperative satisfaction and clinical improvement.</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":2.7,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149223068","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":"When Does Grade I Ptosis Require Mastopexy? Implant-Only Augmentation in 198 Patients: A Clinical Framework for Patient Selection.","authors":"Ted S Eisenberg, Julianne Pilla, George Chapa","doi":"10.1007/s00266-026-06318-9","DOIUrl":"https://doi.org/10.1007/s00266-026-06318-9","url":null,"abstract":"<p><strong>Background: </strong>Management of Grade I breast ptosis remains controversial because many women desire breast augmentation while wishing to avoid the additional scars associated with mastopexy. Although anatomical measurements are important, less guidance exists regarding how surgeons integrate these findings with tissue characteristics and patient expectations when determining whether augmentation alone is appropriate.</p><p><strong>Objectives: </strong>The aim was to evaluate the clinical outcomes of implant-only dual-plane II breast augmentation in carefully selected women with Grade I ptosis and to describe a clinical framework for patient selection.</p><p><strong>Methods: </strong>A retrospective review was performed of 3,265 consecutive primary breast augmentations performed by a single surgeon between 2009 and 2022. After applying predefined inclusion and exclusion criteria, 198 consecutive women (6.1%) with Grade I ptosis underwent augmentation alone. Patient selection incorporated anatomical measurements, clinically estimated native glandular volume, tissue characteristics, and shared decision-making. Clinical outcomes and secondary procedures were evaluated.</p><p><strong>Results: </strong>The study cohort included 194 saline and 4 silicone gel breast augmentations. Two patients (1.0%) underwent revision for superior implant malposition. No postoperative hematomas, infections, or capsular contractures occurred. Only one patient (0.5%) elected delayed mastopexy during subsequent clinical follow-up. At initial consultation, 48 patients (24.2%) believed augmentation mastopexy would be required; following comprehensive assessment, patient education, expectation alignment, and shared decision-making, these patients elected augmentation alone.</p><p><strong>Conclusions: </strong>For carefully selected women with Grade I ptosis, augmentation alone represents a reasonable alternative to routine augmentation mastopexy. Appropriate patient selection extends beyond anatomical measurements alone and is enhanced by integrating tissue characteristics, clinically estimated glandular volume, expectation alignment, and shared decision-making into the preoperative consultation.</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":2.7,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149223110","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":"Internal Inconsistencies in \"Liposuction for Lipedema Significantly Reduces Benzodiazepine Dependence: A Prospective Cohort Study\".","authors":"Alexandre Campos Moraes Amato","doi":"10.1007/s00266-026-06405-x","DOIUrl":"https://doi.org/10.1007/s00266-026-06405-x","url":null,"abstract":"<p><p>This Letter to the Editor documents several verifiable internal inconsistencies in the article by Bruno and D'Antimi, including contradictory statements on study design, a level-of-evidence rating incompatible with the stated methods, contradictory informed-consent statements, and references to a procedure and outcome domain that do not correspond to the study performed. A correction or clarification is requested.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":2.7,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149223094","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":"Dual-Surface Epicanthoplasty for Conservative-to-Moderate Medial Canthal Opening in East Asian Eyelids.","authors":"Ying Lv, Juli Shao, Er Pan, Tao Fang","doi":"10.1007/s00266-026-06358-1","DOIUrl":"https://doi.org/10.1007/s00266-026-06358-1","url":null,"abstract":"<p><strong>Background: </strong>Epicanthoplasty aims to improve medial canthal exposure while minimizing visible scarring and postoperative tension. This study describes Dual-Surface Epicanthoplasty, a dual-surface technique for conservative-to-moderate medial canthal opening in East Asian eyelids, guided by a three-dimensional fold-unit concept that coordinates external cutaneous redraping with internal fold turning-point reconstruction.</p><p><strong>Methods: </strong>This retrospective study included 80 patients (140 eyes) with clinically evident epicanthal folds and limited medial canthal exposure treated between February 2023 and April 2025. Outcomes were analyzed at the patient level using averaged bilateral values when applicable. Patients were categorized by surgical laterality and procedure type, and exploratory subgroup analyses compared isolated epicanthoplasty with epicanthoplasty combined with upper blepharoplasty. Morphologic outcomes included visible lacrimal lake width (VLLW), normalized VLLW, and exploratory intraoperative medial canthal fold depth (MCFD). Secondary outcomes included scar visibility, patient satisfaction, and complications.</p><p><strong>Results: </strong>Mean follow-up was 11.9 ± 2.8 months. VLLW increased from 1.47 ± 0.71 mm to 3.38 ± 0.34 mm, and normalized VLLW increased from 0.128 ± 0.060 to 0.299 ± 0.027 (both p < 0.001). MCFD decreased from 3.43 ± 0.26 mm before deep release to 2.68 ± 0.25 mm after D-A key suturing (p < 0.001). Median scar visibility score was 0 (IQR, 0-0), and median satisfaction score was 5 (IQR, 4-5). Hypertrophic scarring occurred unilaterally in 3 patients (3.8%), all within the asymmetry-revision subgroup. Interocular medial canthal asymmetry requiring unilateral revision occurred in 4 patients (5.0%).</p><p><strong>Conclusions: </strong>Dual-Surface Epicanthoplasty may be feasible for selected East Asian patients seeking conservative-to-moderate medial canthal opening and was associated with increased lacrimal lake exposure, reduced exploratory intraoperative fold depth, low scar visibility, and high satisfaction. Controlled studies with reliability testing and longer follow-up are needed.</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":2.7,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149222997","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 the Effects of Human Amniotic Fluid-Derived Cell Culture Medium and Adipose Tissue-Derived Stem Cells on Capsule Formation Around Silicone Prosthesis.","authors":"Turan Mehdizade Aghazada, Eray Metin Guler, Emine Rumeysa Hekimoglu, Fatih Osman Demir, Mukaddes Esrefoglu, Pakize Neslihan Candangelen, Fikrettin Sahin, Halil Ibrahim Canter, Kemalettin Yildiz","doi":"10.1007/s00266-026-06364-3","DOIUrl":"https://doi.org/10.1007/s00266-026-06364-3","url":null,"abstract":"<p><strong>Background: </strong>Peri-implant capsule formation is a physiological response to implanted biomaterials; however, excessive fibrotic reactions may contribute to capsular contracture and implant-related complications. Human amniotic fluid-derived cell culture medium (ACCM) and adipose tissue-derived stem cells (ADSCs) have demonstrated anti-inflammatory and antifibrotic properties in experimental models. This study investigated the individual and combined effects of ACCM and ADSCs on peri-implant capsule formation in a preclinical rat model.</p><p><strong>Objectives: </strong>To determine whether the combined application of ACCM and ADSCs modulates inflammatory, oxidative, and fibrotic responses associated with peri-implant capsule formation more effectively than either treatment alone.</p><p><strong>Methods: </strong>Twenty-six female Sprague Dawley rats were randomly assigned into four groups: control, ACCM, ADSC, and Combined (ACCM + ADSC). Silicone implants were surgically placed in a dorsal subcutaneous pocket. Histological, biochemical, and gene expression analyses were performed to evaluate inflammatory response, oxidative stress parameters, extracellular matrix remodeling, and myofibroblast density. Cytokines and extracellular matrix-related enzymes were measured in both serum and peri-implant tissue samples.</p><p><strong>Results: </strong>The combined ACCM + ADSC group demonstrated significantly reduced inflammatory and oxidative stress markers compared with the control and single-treatment groups. Histological evaluation showed decreased α-smooth muscle actin (α-SMA) immunoreactivity, indicating lower myofibroblast density and reduced fibrotic activity in the peri-implant capsule. Biochemical and molecular findings further supported the anti-inflammatory and antifibrotic effects of the combined treatment.</p><p><strong>Conclusions: </strong>Combined treatment with ACCM and ADSCs may modulate early biological processes involved in peri-implant capsule formation by reducing inflammation, oxidative stress, and fibrotic activity. These findings suggest that this combination therapy may represent a promising experimental strategy for improving implant biocompatibility. Further long-term experimental and clinical studies are required to evaluate its potential role in preventing capsular contracture.</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":2.7,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149223017","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":"Letter to the Editor, Discussion on \"Frontal Bone Contouring and Forehead Lifting: A Retrospective Study on Aesthetic and Functional Outcomes\".","authors":"Likhita Subhash Singh, Rahul","doi":"10.1007/s00266-026-06402-0","DOIUrl":"https://doi.org/10.1007/s00266-026-06402-0","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149223048","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":"Letter to the Editor, Discussion on: \"Hair Removal with 755 nm Alexandrite Laser via Subcutaneous Route in Stage-III Ear Reconstruction by Expansion\".","authors":"Likhita Subhash Singh, Rahul Mishra","doi":"10.1007/s00266-026-06403-z","DOIUrl":"https://doi.org/10.1007/s00266-026-06403-z","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149223127","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":"Quantifying Facial Rejuvenation after Deep Plane Facelift Using Convolutional Neural Network-Based Age Estimation: Correlation with Patient-Reported Outcomes on the FACE-Q Aesthetic Module.","authors":"Soner Karaali, Aytaç Alten, Burak Ergün Tatar","doi":"10.1007/s00266-026-06374-1","DOIUrl":"https://doi.org/10.1007/s00266-026-06374-1","url":null,"abstract":"<p><strong>Introduction: </strong>To quantify perceived age reduction following deep plane face and neck lift surgery using five publicly available CNN models and evaluate the correlation between AI-estimated rejuvenation and FACE-Q Aesthetic Module outcomes.</p><p><strong>Methods: </strong>A retrospective cross-sectional study of 72 female patients undergoing deep plane face and neck lift surgery between 2020 and 2024 was conducted. Standardized photographs were analyzed using five CNN platforms: FacePlusPlus, Amazon Rekognition, Inferdo Face, howOld AI, and Facelytics. The arithmetic midpoint was used for the range-reporting models. A corrected and standardized age reduction metric was computed for each model and averaged into a composite score. The FACE-Q Aesthetic Module was administered at the 12-month follow-up. Spearman's rank correlation analysis was performed.</p><p><strong>Results: </strong>The composite standardized age reduction was 7.64 ± 3.44 years (15.67 ± 6.76%). Inter-model differences were not significant (Friedman test: χ²(4) = 9.23, p = 0.056). Patient-perceived age reduction correlated strongly with facial appearance (ρ = 0.61, p < 0.001), outcomes (ρ = 0.54), and psychological well-being (ρ = 0.44). AI-estimated rejuvenation showed weaker associations, with only the early life impact reaching significance (ρ = 0.25, p = 0.034).</p><p><strong>Discussion: </strong>CNN-based age estimation provides a reproducible and observer-independent metric for quantifying facial rejuvenation. AI-estimated and patient-perceived rejuvenation represent complementary dimensions of surgical outcomes, and their integration enables a more rigorous multidimensional evaluation framework.</p><p><strong>Level of evidence ii: </strong>This journal requires authors to 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 for Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149223136","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":"Does Suction Strategy Using a Negative-Pressure Wound Therapy System at the Extended Latissimus Dorsi Flap Donor Site After Breast Reconstruction Contribute to a Reduction in Seroma Formation?","authors":"Keisuke Shimbo","doi":"10.1007/s00266-026-06383-0","DOIUrl":"https://doi.org/10.1007/s00266-026-06383-0","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to evaluate the impact of different drainage systems on seroma formation at the donor site following breast reconstruction with extended latissimus dorsi (ELD) flaps.</p><p><strong>Methods: </strong>A retrospective chart review included all patients who underwent ELD flap breast reconstruction between January 2014 and December 2025. Patients were divided into two groups: high-negative-pressure drainage using a negative-pressure wound therapy (NPWT) device and conventional drainage. One-to-one propensity score matching based on age and body mass index minimized selection bias.</p><p><strong>Results: </strong>The initial cohort included 64 patients (NPWT: n = 26; conventional: n = 38), and propensity score matching yielded 22 pairs. In the propensity-matched cohort, the median daily drainage volume on postoperative day 11 (immediately before drain removal) was significantly lower in the NPWT group than in the conventional group (22.0 [IQR: 14.0-31.5] mL/day vs. 45.0 [IQR: 34.3-56.3] mL/day; p = <0.001). However, no significant between-group differences were observed in the rate of postoperative seroma formation (72.7% vs. 86.4%; p = 0.457), median total aspirated volume after drain removal (46.5 [IQR: 2.3-124.3] mL vs. 79.5 [IQR: 44.0-145.3] mL; p = 0.294), or median duration of seroma persistence (2.0 [IQR: 0.3-3.8] weeks vs. 4.0 [IQR: 3.0-5.0] weeks; p = 0.083).</p><p><strong>Conclusions: </strong>Drainage using the NPWT device did not significantly prevent donor-site seroma formation compared with conventional drainage.</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":2.7,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149223024","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 \"Fat Grafting via the Supraorbital Approach for Upper-Eyelid Depression Correction: A Retrospective Study\".","authors":"Madeeha Amir, Muhammad Faizan Khan","doi":"10.1007/s00266-026-06398-7","DOIUrl":"https://doi.org/10.1007/s00266-026-06398-7","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149223014","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}