Aesthetic Plastic Surgery最新文献

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Patent Analysis on the Application of Exosomes in Wound Healing. 外泌体在伤口愈合中的应用专利分析。
IF 2.8 3区 医学
Aesthetic Plastic Surgery Pub Date : 2025-09-24 DOI: 10.1007/s00266-025-05214-y
Yupei Li, Jing Wang, Meiying Huang, Jianhong Qiao
{"title":"Patent Analysis on the Application of Exosomes in Wound Healing.","authors":"Yupei Li, Jing Wang, Meiying Huang, Jianhong Qiao","doi":"10.1007/s00266-025-05214-y","DOIUrl":"https://doi.org/10.1007/s00266-025-05214-y","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145136376","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}
引用次数: 0
In the Search of the Ideal Moroccan Feminine Beauty: Body Aesthetic Preferences Across Demographics. 在寻找理想的摩洛哥女性美:跨人口统计的身体审美偏好。
IF 2.8 3区 医学
Aesthetic Plastic Surgery Pub Date : 2025-09-24 DOI: 10.1007/s00266-025-05237-5
Mohammed Rami, Moulay Driss El Amrani
{"title":"In the Search of the Ideal Moroccan Feminine Beauty: Body Aesthetic Preferences Across Demographics.","authors":"Mohammed Rami, Moulay Driss El Amrani","doi":"10.1007/s00266-025-05237-5","DOIUrl":"https://doi.org/10.1007/s00266-025-05237-5","url":null,"abstract":"<p><strong>Background: </strong>Understanding regional and cultural variations in body aesthetic preferences is crucial for tailoring surgical practices and health messaging. While facial beauty ideals have been extensively studied, there are limited data on body aesthetics in Moroccan populations.</p><p><strong>Objective: </strong>This study aimed to identify the preferences for female body aesthetics among Moroccan respondents, focusing on breast shape and volume, buttock shape and volume, and abdominal definition.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted with 1000 Moroccan participants, who evaluated digitally modified images representing variations in breast, buttock, and abdominal morphology. Preferences were analyzed across gender, age, and region. Statistical associations were assessed using the Chi-square test, with a significance level of p < 0.05.</p><p><strong>Results: </strong>The anatomical (teardrop) breast shape, particularly with a C cup volume and lateral nipple placement, was most preferred (χ<sup>2</sup> = 41.56, p < 0.001). The heart-shaped buttock with a low waist-to-hip ratio (~ 0.58) was favored across most groups (χ<sup>2</sup> = 48.03, p < 0.001), while older participants and men showed a slightly higher preference for a rounder shape. For the abdomen, the most desired configuration was a moderately defined linea alba (χ<sup>2</sup> = 747.79, p < 0.001), consistent with global trends toward a slim, toned midsection. Regional and generational variations highlighted the interplay of traditional and Westernized beauty standards in Morocco.</p><p><strong>Conclusions: </strong>Moroccan preferences for body aesthetics generally align with global ideals, favoring moderate volume, natural shapes, and well-defined yet balanced contours. However, notable differences by gender, age, and region emphasize the need to contextualize these preferences within both local traditions and the influence of modern media. These insights are critical for aesthetic practitioners and public health professionals working in Morocco and similar cultural contexts. 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":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145136397","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}
引用次数: 0
A Multicenter, Randomized, Evaluator-Blind, No-Treatment Controlled Study of YVOIRE Y-Solution 720: A Volumizing Hyaluronic Acid Filler for Midface Volume Deficit. 一项多中心、随机、评估盲、无治疗对照研究:YVOIRE Y-Solution 720:一种用于中脸容积缺陷的透明质酸填充剂。
IF 2.8 3区 医学
Aesthetic Plastic Surgery Pub Date : 2025-09-23 DOI: 10.1007/s00266-025-05246-4
Nanze Yu, Wenyun Ting, Jinhua Xu, Wenyu Wu, Hang Wang, Jufang Zhang, Jiaming Sun, Zhiqi Hu, Sufan Wu, Xiaojun Wang
{"title":"A Multicenter, Randomized, Evaluator-Blind, No-Treatment Controlled Study of YVOIRE Y-Solution 720: A Volumizing Hyaluronic Acid Filler for Midface Volume Deficit.","authors":"Nanze Yu, Wenyun Ting, Jinhua Xu, Wenyu Wu, Hang Wang, Jufang Zhang, Jiaming Sun, Zhiqi Hu, Sufan Wu, Xiaojun Wang","doi":"10.1007/s00266-025-05246-4","DOIUrl":"https://doi.org/10.1007/s00266-025-05246-4","url":null,"abstract":"<p><strong>Background: </strong>Midface volume deficiency is a common aesthetic concern that can be addressed with dermal fillers. YVOIRE Y-Solution 720 (YYS720) is a hyaluronic acid (HA)-based filler designed for midface augmentation. This study aimed to evaluate the effectiveness and safety of YYS720 in improving midface volume.</p><p><strong>Methods: </strong>Asian participants with mild to severe midface volume loss were randomly assigned to receive either YYS720 injection (n = 173) or no treatment (control, n = 65). Midface volume was evaluated at 4, 14, and 26 weeks using Midface Volume Deficit Severity Rating Scale for Asian Faces (MFVDA-SRS) for both YYS720 and control groups. Additionally, for YYS720, midface volume was evaluated 52 weeks after the last injection.</p><p><strong>Results: </strong>At Week 26, the proportion of participants with ≥ 1-grade reduction on the MFVDA-SRS score was 82.0% (137/167 participants) for YYS720 and 5.1% (3/59 participants) for control with difference (95% confidence interval, CI) between the groups of 77.0% (66.8, 84.0), demonstrating the statistically significant improvement of YYS7720 in midface augmentation. At Week 52, the proportion of participants with ≥1-grade reduction on the MFVDA-SRS score was 76.2% for YYS720 group. Global Aesthetic Improvement Scale (GAIS) responder rates by participants were consistently high in YYS720 group across all time points up to Week 26. No specific safety concern was detected. Common treatment site responses included swelling, tenderness, and pain, which were generally mild and transient.</p><p><strong>Conclusions: </strong>This study supports that YVOIRE Y-Solution 720 is an effective and safe option for midface volume augmentation.</p><p><strong>Level of evidence i: </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":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145129804","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}
引用次数: 0
Aesthetic and Psychosocial Impacts of Hyaluronic Acid Fillers in Patients with Retrognathic Profiles. 透明质酸填充物对下颌后病变患者的审美和心理社会影响。
IF 2.8 3区 医学
Aesthetic Plastic Surgery Pub Date : 2025-09-22 DOI: 10.1007/s00266-025-05164-5
Luciana de Almeida Silva, Kleber Rosa de Almeida, Cristina Lúcia Feijó Ortolani
{"title":"Aesthetic and Psychosocial Impacts of Hyaluronic Acid Fillers in Patients with Retrognathic Profiles.","authors":"Luciana de Almeida Silva, Kleber Rosa de Almeida, Cristina Lúcia Feijó Ortolani","doi":"10.1007/s00266-025-05164-5","DOIUrl":"https://doi.org/10.1007/s00266-025-05164-5","url":null,"abstract":"<p><strong>Objective: </strong>This study evaluated the effectiveness of hyaluronic acid (HA) in redefining the lower third of the face in orthodontically treated individuals with well-defined skeletal bases, focusing on its influence on facial aesthetics, self-esteem, and quality of life.</p><p><strong>Method: </strong>Twenty-four individuals aged 19-43 years with retruded chins participated in the study. Data collection included socioeconomic questionnaires and validated instruments such as the OHIP-14, Face-Q™, Rosenberg Self-Esteem Scale (RSES), and the Brazil-validated Orthognathic Quality-of-Life Questionnaire (B-OQLQ). Changes in perceived attractiveness were assessed through standardized pre- and post-treatment photographs. HA fillers, with rheological properties of high cohesiveness and elasticity, were applied to specific facial points based on the Medical Codes (MD Codes™) protocol. These points were strategically selected to project the chin, define the jawline, and improve the contours of the lower third of the face, using standardized techniques to achieve aesthetic harmony.</p><p><strong>Results: </strong>A statistically significant improvement in satisfaction with the chin and jawline (p < 0.000755) was observed, accompanied by a substantial increase in perceived attractiveness after the treatment. A notable migration to lower B-OQLQ scores (< 10) indicated improvements in self-image and quality of life. Observers, including orthodontists, facial harmonizers, and laypeople, consistently rated post-treatment images as more aesthetically pleasing.</p><p><strong>Conclusion: </strong>HA fillers demonstrated high efficacy in improving facial aesthetics, self-esteem, and quality of life in retrognathic patients post-orthodontic treatment. These findings support the use of HA as a minimally invasive alternative for facial enhancement.</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":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145123979","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}
引用次数: 0
Harnessing the Bidirectional Feature of the Frontalis Muscle: The Super-High Injection Technique. 利用额肌的双向特性:超高注射技术。
IF 2.8 3区 医学
Aesthetic Plastic Surgery Pub Date : 2025-09-22 DOI: 10.1007/s00266-025-05241-9
Lehao Wu, Hengyuan Ma, Binghang Li, Yihao Xu, Jianjun You, Tailing Wang
{"title":"Harnessing the Bidirectional Feature of the Frontalis Muscle: The Super-High Injection Technique.","authors":"Lehao Wu, Hengyuan Ma, Binghang Li, Yihao Xu, Jianjun You, Tailing Wang","doi":"10.1007/s00266-025-05241-9","DOIUrl":"https://doi.org/10.1007/s00266-025-05241-9","url":null,"abstract":"<p><strong>Background: </strong>Botulinum neurotoxin (BoNT) is widely used for forehead rejuvenation, but risks complications like brow ptosis with conventional pan-frontalis injections. Recent study highlights the frontalis muscle's bidirectional movement, demarcated by the line of convergence (C-line): The upper segment depresses the hairline and the lower segment elevates the brows. This study evaluates the efficacy and safety of a super-high BoNT injection technique, selectively targeting the upper frontalis above the C-line to reduce forehead lines while preserving brow position and mobility.</p><p><strong>Methods: </strong>Forty-one East Asian participants (35-50 years) received BoNT injections (20 U/ml) at two midline points above the C-line (upper 1/5 of the forehead). Doses varied by gender (1.5-2 U/point). Three-dimensional stereophotogrammetry quantified brow position (BP), maximal brow height (MBH), and brow movement range (BMR) at baseline , 4 weeks, and 16 weeks. Forehead Wrinkle Scale (FWS) scores and patient-reported outcomes were analyzed.</p><p><strong>Results: </strong>At T1, static FWS improved by 51% (1.00 ± 0.70 to 0.49 ± 0.50, p < 0.01) and dynamic FWS by 63% (2.51 ± 0.64 to 0.92 ± 0.64, p < 0.01), with 100% patient satisfaction. BP decreased marginally (left: 60.83 ± 3.21 mm to 60.44 ± 3.22 mm; right: 61.06 ± 2.95 mm to 60.69 ± 3.12 mm; p < 0.05), but BMR remained stable (p > 0.1), indicating preserved dynamic function. No brow ptosis or eyelid heaviness occurred. Static and dynamic FWS scores decreased by 51% (1.00 ± 0.70 to 0.49 ± 0.50, p < 0.01) and 63% (2.51 ± 0.64 to 0.92 ± 0.64, p < 0.01), respectively.</p><p><strong>Conclusion: </strong>The super-high injection technique effectively reduces forehead wrinkles without disrupting brow dynamics, offering a safe alternative to pan-frontalis approaches. The absence of complications and preserved movement validated this anatomically guided approach as an alternative option for forehead rejuvenation.</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":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124024","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}
引用次数: 0
Pyoderma Gangrenosum Can Now Be Diagnosed Reliably with Validated Scores. 坏疽性脓皮病现在可以用有效的评分可靠地诊断。
IF 2.8 3区 医学
Aesthetic Plastic Surgery Pub Date : 2025-09-22 DOI: 10.1007/s00266-025-05227-7
Joachim Dissemond
{"title":"Pyoderma Gangrenosum Can Now Be Diagnosed Reliably with Validated Scores.","authors":"Joachim Dissemond","doi":"10.1007/s00266-025-05227-7","DOIUrl":"https://doi.org/10.1007/s00266-025-05227-7","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124051","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}
引用次数: 0
Step-by-Step Guide to Hematoma Prevention After Rhytidectomy: Lessons Learned from 40 Years of Experience. 除皱术后血肿预防的分步指南:40年经验的教训。
IF 2.8 3区 医学
Aesthetic Plastic Surgery Pub Date : 2025-09-19 DOI: 10.1007/s00266-025-05235-7
Niccolò Lazzeri Domar, Giovanni Botti, Chiara Botti
{"title":"Step-by-Step Guide to Hematoma Prevention After Rhytidectomy: Lessons Learned from 40 Years of Experience.","authors":"Niccolò Lazzeri Domar, Giovanni Botti, Chiara Botti","doi":"10.1007/s00266-025-05235-7","DOIUrl":"https://doi.org/10.1007/s00266-025-05235-7","url":null,"abstract":"<p><strong>Background: </strong>Postoperative hematoma remains one of the most significant complications in rhytidectomy, with reported rates up to 15%. This study presents a structured, experience-based protocol for hematoma prevention, developed over 40 years and applied to over 3000 cervicofacial lift procedures. The protocol combines strict patient selection, advanced surgical technique, and perioperative management strategies aimed at minimizing bleeding risks.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on a patient population of approximately 3000 individuals, with an emphasis on the most recent 500 cases performed under a unified protocol. Key preoperative measures include blood pressure control and avoidance of medications and supplements that increase bleeding risk. Intraoperative strategies involve infiltration with tranexamic acid (TXA), use of fibrin sealants (ARTISS), hemostatic net placement, and meticulous SMAS flap dissection and fixation using a modified High SMAS/Extended SMAS technique. Postoperative care focuses on pain, anxiety, and blood pressure control through long-acting anesthetics and appropriate dressings.</p><p><strong>Results: </strong>The systematic adoption of this multimodal approach has reduced the hematoma rate to approximately 0.3% over the past five years. The combination of TXA, fibrin glue, hemostatic nets, and blood pressure management has proven synergistically effective, despite the lack of randomized controlled comparisons.</p><p><strong>Conclusions: </strong>While the study is limited by its retrospective design and absence of a formal control group, the large sample size and low complication rate offer compelling evidence. This protocol represents a reproducible and practical guide for surgeons aiming to minimize hematoma risk in facelift surgery, supporting safer outcomes and faster recovery. A standardized, multimodal protocol has reduced hematoma rates in facelift surgery to 0.3%. The protocol integrates TXA infiltration, fibrin glue, hemostatic nets, and precise blood pressure control. Over 3000 facelift cases and 40 years of experience support the safety and reproducibility of the approach. This guide provides practical steps that can be directly applied to improve surgical outcomes in rhytidectomy.</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":2.8,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145091017","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}
引用次数: 0
Comparative Analysis of Postoperative Relapse in Asymmetric and Symmetric Mandibles Following BSSRO for Class III Malocclusion. 不对称与对称下颌骨BSSRO治疗III类错牙合术后复发的比较分析。
IF 2.8 3区 医学
Aesthetic Plastic Surgery Pub Date : 2025-09-19 DOI: 10.1007/s00266-025-05272-2
Shunchao Yan, Chongxu Qiao, Junyan Miao, Zai Shi, Jingyi Xu, Kaili Yan, Yuming Qu, Guoping Wu
{"title":"Comparative Analysis of Postoperative Relapse in Asymmetric and Symmetric Mandibles Following BSSRO for Class III Malocclusion.","authors":"Shunchao Yan, Chongxu Qiao, Junyan Miao, Zai Shi, Jingyi Xu, Kaili Yan, Yuming Qu, Guoping Wu","doi":"10.1007/s00266-025-05272-2","DOIUrl":"https://doi.org/10.1007/s00266-025-05272-2","url":null,"abstract":"<p><strong>Background: </strong>Bilateral sagittal split ramus osteotomy (BSSRO) is the gold-standard surgical treatment for mandibular prognathism and facial symmetry restoration in class III malocclusion. However, it remains unclear whether asymmetric and symmetric mandibles exhibit differential relapse patterns that impact both functional stability and aesthetic outcomes. This study aims to compare intraoperative displacement and postoperative skeletal relapse between asymmetric and symmetric mandibles following BSSRO.</p><p><strong>Methods: </strong>This retrospective cohort study analyzed class III malocclusion patients who underwent BSSRO between January 2018 and December 2023. Three-dimensional CBCT datasets were obtained at three time points: preoperative (T0), immediately postoperative (T1), and at least 6 months postoperative (T2). Translational and rotational changes in mandibular segments (distal and proximal) were quantitatively assessed during surgical correction (T0-T1) and relapse (T1-T2).</p><p><strong>Results: </strong>Intraoperatively, the asymmetric group (AG) exhibited greater displacement toward the non-deviated side of the distal segment (P=0.001) and movement of the non-deviated proximal segment toward the deviated side (P=0.044) compared to the symmetric group (SG). Rotational analysis revealed increased clockwise yaw in AG's distal segment (P=0.009) and enhanced clockwise roll in the non-deviated proximal segment (P=0.021). Postoperatively, AG demonstrated significant relapse toward the deviated side in both proximal segments (non-deviated side: P<0.001; deviated side: P=0.027), counterclockwise yaw in the distal segment (P=0.020), and a counterclockwise rolling tendency in the non-deviated proximal segment (P=0.050).</p><p><strong>Conclusions: </strong>Asymmetric and symmetric mandibles exhibit distinct relapse patterns following BSSRO, involving both translational and rotational movements across all segments. These findings highlight the importance of individualized surgical planning and postoperative management in asymmetric cases. Further validation through prospective multicenter studies with long-term follow-up is recommended.</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":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145084621","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}
引用次数: 0
Autologous Fat Grafting in Facial Soft Tissue Defects: Application Status, Controversies and Future. 自体脂肪移植术在面部软组织缺损中的应用现状、争议与展望。
IF 2.8 3区 医学
Aesthetic Plastic Surgery Pub Date : 2025-09-19 DOI: 10.1007/s00266-025-05269-x
Kaiwei Zhang, Wanzhe Wang, Kaifang Hua, Xuefeng Han
{"title":"Autologous Fat Grafting in Facial Soft Tissue Defects: Application Status, Controversies and Future.","authors":"Kaiwei Zhang, Wanzhe Wang, Kaifang Hua, Xuefeng Han","doi":"10.1007/s00266-025-05269-x","DOIUrl":"https://doi.org/10.1007/s00266-025-05269-x","url":null,"abstract":"<p><strong>Background: </strong>Autologous fat grafting (AFG), which has been utilized in the clinical realm for more than a century, was first introduced to address facial contour deformities stemming from tuberculosis. Subsequently, it has emerged as a prominent approach for rectifying facial defects associated with congenital and acquired diseases, traumas, or postoperative conditions. AFG is widely used in treating various facial soft tissue defects. It features convenience, simplicity, effectiveness, and safety, making it a preferred option for minimally invasive facial defect reconstruction.</p><p><strong>Methods: </strong>A comprehensive literature search was systematically performed in the PubMed, Embase, and Scopus databases, retrieving studies published up until February 2025.</p><p><strong>Results: </strong>Recent progress and innovations have been achieved in multiple areas, including clinical application, operative techniques, fat products, additives, assessment methods, and interdisciplinary cooperation, leading to significant improvements and ushering in a new era of diversification and refinement. However, challenges remain in applying AFG to facial soft tissue defects. The volume retention of the grafted fat varies greatly. Investigating the survival mechanism of the grafted fat, preventing and managing severe complications, and determining the optimal surgical timing for progressive diseases are still controversial and challenging.</p><p><strong>Conclusions: </strong>This review comprehensively summarizes the current application status, existing controversies, and future directions of AFG, aiming to provide a valuable reference for clinical practice and future research.</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":2.8,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145091071","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}
引用次数: 0
Efficacy Analysis of Ear Molding Correction for Congenital Auricular Deformities at Different Ages. 不同年龄先天性耳廓畸形耳模矫正的疗效分析。
IF 2.8 3区 医学
Aesthetic Plastic Surgery Pub Date : 2025-09-19 DOI: 10.1007/s00266-025-05271-3
Lu Liu, Min Liu, You Xu, Lang Xu
{"title":"Efficacy Analysis of Ear Molding Correction for Congenital Auricular Deformities at Different Ages.","authors":"Lu Liu, Min Liu, You Xu, Lang Xu","doi":"10.1007/s00266-025-05271-3","DOIUrl":"https://doi.org/10.1007/s00266-025-05271-3","url":null,"abstract":"<p><strong>Objective: </strong>To compare the clinical outcomes of ear molding correction in children with congenital auricular deformities at different ages, explore the optimal timing and latest time window for ear molding correction.</p><p><strong>Methods: </strong>This retrospective study analyzed data from children with congenital auricular deformities who underwent ear molding correction in our department from January 2021 to June 2024. Children were divided into four groups based on their ages at initial treatment: Group A (≤21 days) , Group B (22-42 days) , Group C (43-90 days) , and Group D (≥91 days) . The success rate, treatment duration, and incidence of complications were compared among the four groups.</p><p><strong>Results: </strong>The success rates in Groups A, B, and C were comparable and significantly higher than in Group D (p < 0.05). Notably, the success rate for correcting cryptotia was 100% across all groups. Treatment duration was shortest in Group A (p < 0.05), while there were no statistically significant differences in complication rates among the four groups (p > 0.05).</p><p><strong>Conclusion: </strong>The optimal timing for ear molding correction in children with congenital auricular deformities is within 21 days after birth, ensuring the highest efficiency and shortest treatment duration. If this optimal period is missed, correction within 90 days remains a viable option. Children with cryptotia older than 90 days still respond well to corrective treatment, but the latest age for treatment has not yet been determined.</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":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145084626","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}
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