{"title":"Lateral Crural Mid-Down Flap Technique in Primary Rhinoplasty.","authors":"Sina Kaderi, Can Ekinci, Yakup Karabağlı","doi":"10.1007/s00266-025-04896-8","DOIUrl":"https://doi.org/10.1007/s00266-025-04896-8","url":null,"abstract":"<p><strong>Background: </strong>Nasal tip surgery, especially the correction of deformities of the lateral crura, is perhaps one of the most difficult areas of rhinoplasty, and many different techniques have been described in the literature.</p><p><strong>Objectives: </strong>The authors describe a new flap technique for the correction of excessive convexity of lateral crura causing boxy, bulbous, and parentheses tip deformities.</p><p><strong>Methods: </strong>Thirty patients were randomly divided into two groups with equal numbers of male and female patients in each group. In half of the patients, lateral crural correction was performed with the cephalic excision (CE) method, while in the other half, it was performed with the lateral crural mid-down flap (LCMF) technique described by the authors. SCHNOS (standardized cosmetic and health nose outcomes questionnaire), nasal pinching questionnaire, and VAS (visual analog scale) were used to evaluate the results within and between groups.</p><p><strong>Results: </strong>While significant improvement was observed in both techniques according to SCHNOS and VAS compared to preoperative evaluation, no significant difference was observed between the two groups. On the other hand, in the nasal pinching questionnaire, which includes more specific questions about the nasal tip aesthetics and nasal valve function, better postoperative results were obtained in the LCMF technique, while deterioration was observed in the CE technique according to preoperative findings.</p><p><strong>Conclusion: </strong>The LCMF technique can be considered as an easy and suitable technique for the correction of lateral crura, especially in patients with excessively convex lateral crura with a bulbous nasal tip.</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":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109371","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":"A Novel Surgical Approach for Vaginal Laxity: Tightening the Vagina from the Cervix to the Hymen; ''Elçi Technique''.","authors":"Adeviye Elçi Atilgan, Ali Acar, Asiye Uzun, Emine Türen Demir, Fatma Kiliç","doi":"10.1007/s00266-025-04926-5","DOIUrl":"https://doi.org/10.1007/s00266-025-04926-5","url":null,"abstract":"<p><strong>Background: </strong>Vaginal looseness is a common problem in women. However, many procedures are based on the principle of narrowing the distal 1/3 of the vagina. We aimed to describe a new technique for tightening the vagina from top to bottom.</p><p><strong>Methods: </strong>Forty-four parous women complaining of wide vaginas were operated on according to three supportive levels of the vagina: Level I is sutured by uterosacral and cardinal ligament attachments to the proximal 2-3 cm of the vagina. Level II restraint is supported by the vesicovaginal and rectovaginal fascia. The level III segment is the region 2-3 cm above the hymeneal ring and is reinforced with the perineal membrane. The circumferential submucosal 30 mm polyglactin sutures were passed through and tied at each level. Postoperative pain was assessed with visual analog scale (VAS) 24 h later. Anatomical results were evaluated via comparisons with preoperative values of the genital hiatus (GH), total vaginal length (TVL), and proximal/mid/distal vaginal width at the 6-month visit. The functional results were compared with the preoperative values of the Female Sexual Function Index (FSFI-6). Additionally, patients' overall satisfaction was assessed with the Patient Global Impression of Improvement (PGI-I) questionnaire.</p><p><strong>Results: </strong>The patients' median age was 49 years (29-66 years). The mean duration of surgery was 38 min (31-56 min). The estimated blood loss was 35 ml (25-35 ml). No intraoperative complications were recorded. The mean VAS score was 2.7 (1.6-4.8). All patients stayed in the hospital for 1 night. A significant decrease in the dimensions of the vagina was noted (p < .05). There was no marked change in TVL (p = 0.53). When the preoperative total mean FSFI-6 score was 23.63 ± 6.84, it significantly increased to 27.11 ± 6.12, (p < .001). Thirty-seven of the 44 women (84%) responded \"very much better\" or \"much better\" on the PGI-I scale.</p><p><strong>Conclusions: </strong>These findings support that Elçi technique is reliable for the treatment of vaginal laxity. It maintains normative dimensions of the vagina, with high FSFI-6 scores and patient satisfaction rates.</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":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109315","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 on \"From Posts to Perceptions: Sentiment and Psychological Analysis of Aesthetic Enhancements on Social Media\".","authors":"Jingjing Huang, Jia Guo","doi":"10.1007/s00266-025-04992-9","DOIUrl":"https://doi.org/10.1007/s00266-025-04992-9","url":null,"abstract":"<p><p>This Letter comments on the study by Rahman et al., which investigates the psychological and emotional impact of aesthetic enhancements as reflected in social media sentiment. The analysis highlights the dual role of social platforms in both enhancing self-esteem and reinforcing harmful beauty standards. By employing machine learning models to analyze age, gender, seasonal, and geographical differences, the study offers valuable insights for clinicians and mental health professionals. Further integration of qualitative approaches and translation of algorithmic findings into practical interventions are recommended to support healthier aesthetic ideals in the digital era.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":2.0,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109373","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}
Mohammad Reza Goodarzi, James McGhee, Ahmed S Ali-Khan
{"title":"Safe, Sustainable, and Effective Use of Smartphones for Clinical Photography in Aesthetic Practice.","authors":"Mohammad Reza Goodarzi, James McGhee, Ahmed S Ali-Khan","doi":"10.1007/s00266-025-04976-9","DOIUrl":"https://doi.org/10.1007/s00266-025-04976-9","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109380","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}
Lorand Imre Czimbalmos, Zsofia Bere, Laszlo Kovacs, Peter Kovacs, Laszlo Rovo, Gabor Vass
{"title":"Nasal Reconstruction in Granulomatosis with Polyangiitis Using an L-shaped Cartilage Strut Graft.","authors":"Lorand Imre Czimbalmos, Zsofia Bere, Laszlo Kovacs, Peter Kovacs, Laszlo Rovo, Gabor Vass","doi":"10.1007/s00266-025-04892-y","DOIUrl":"https://doi.org/10.1007/s00266-025-04892-y","url":null,"abstract":"<p><strong>Methodology: </strong>Patients exhibited progressive saddle nose deformity as a result of GPA. To reconstruct the nose, a single-stage open rhinoplasty was conducted involving the placement of an independent L-shaped costal cartilage implant. Graft formation and fixation were performed according to the author-developed method.</p><p><strong>Results: </strong>From 2012 to 2023, seven patients with severe saddle nose deformity underwent implantation of modified L-shaped costal cartilage strut grafts. Except for one complicated case, all patients reported satisfaction with the surgical outcomes.</p><p><strong>Conclusions: </strong>In this study, the visual appeal of the nose and the respiratory capabilities of the patients improved significantly. The L-shaped costal cartilage strut graft is an effective technique for saddle nose deformity correction. This technique provides excellent outcomes, including improved nasal function and aesthetics. Further studies with a larger sample size are needed to confirm these findings.</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":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109377","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: Prophylactic Tranexamic Acid Use in Orthognathic Surgery: A Systematic Review and Meta-analysis.","authors":"Shubham Kumar, Rachana Mehta, Ranjana Sah","doi":"10.1007/s00266-025-04987-6","DOIUrl":"https://doi.org/10.1007/s00266-025-04987-6","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109348","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 on: \"Prophylactic Tranexamic Acid Use in Orthognathic Surgery: A Systematic Review and Meta-analysis\".","authors":"Dongmei Li, Jing Yang","doi":"10.1007/s00266-025-04948-z","DOIUrl":"https://doi.org/10.1007/s00266-025-04948-z","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109376","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 AestheBody Guide: A Practical Approach to AestheFill Injection Beyond the Face.","authors":"Jui-Yu Lin, Chuan-Yuan Lin","doi":"10.1007/s00266-025-04984-9","DOIUrl":"https://doi.org/10.1007/s00266-025-04984-9","url":null,"abstract":"<p><p>The demand for nonsurgical body rejuvenation treatments is steadily increasing. Among the available options, biostimulators have emerged as a significant and impactful solution. Common off-face areas treatable with biostimulators include the neck, chest, abdomen, buttocks, arms, thighs, knees, and hands. Since these regions often involve large skin surfaces, treatment typically requires a higher number of vials. Therefore, each step must be carefully planned to minimize product waste. AestheFill, a biostimulator based on poly-D,L-lactic acid, stands out as a versatile filler for diverse indications. In this article, we propose the \"AestheBody Guide,\" a practical approach to AestheFill injection for body skin rejuvenation.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":2.0,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144101184","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}