Aesthetic Plastic Surgery最新文献

{"title":"Effectiveness of Radiofrequency Microneedling in the Treatment of Dermatological Conditions: A Systematic Review.","authors":"Narendra Kumar, Hyoung Moon Kim, Ayaka Nishikawa, Chan Yeong Heo, Woffles T L Wu","doi":"10.1007/s00266-026-05834-y","DOIUrl":"https://doi.org/10.1007/s00266-026-05834-y","url":null,"abstract":"<p><strong>Background: </strong>Radiofrequency microneedling (RFMN) utilizes RF energy delivered via needles to the dermis to enhance texture, reduce laxity, and improve dyschromia. However, evidence has been fragmented by indication/device heterogeneity. We evaluated clinical effectiveness, safety, and patient-reported outcomes (PROs) of RFMN across dermatological conditions.</p><p><strong>Methods: </strong>Searches of PubMed, Google Scholar, and Semantic Scholar (January 2015-July 2025) (PROSPERO registration: CRD420251089393) were conducted, and English-language RCTs, cohort studies, case series, and reports of RFMN across skin indications were included (non-human studies excluded). A modified Critical Appraisal Skills Programme (CASP) checklist was used for quality analysis. Findings were narratively synthesized.</p><p><strong>Results: </strong>Forty-one studies met the criteria (15 RCTs, 19 prospective non-randomized studies, 5 prospective cohorts, 2 case series) spanning diverse geographies and Fitzpatrick skin types. For atrophic acne scars, RFMN consistently reduced scar scores and demonstrated efficacy comparable to fractional lasers. For skin laxity/photoaging, RFMN improved wrinkle scales, dermal density, and submental volume, (histologically evidenced). Additional benefits were noted for rosacea, melasma, and striae, though effect sizes varied. In primary axillary hyperhidrosis, botulinum toxin A outperformed RFMN for symptom reduction/comfort. Safety was favorable; erythema, edema, and transient pain predominated; post-inflammatory hyperpigmentation was infrequent and self-limited. PROs indicated high satisfaction and minimal downtime. Reporting of technical parameters, especially temperature, pulse width, and cooling, was inconsistent.</p><p><strong>Conclusions: </strong>RFMN is safe, well-tolerated, with credible efficacy across multiple indications and skin types, and an attractive recovery profile. Standardized outcomes, longer follow-up periods, and rigorous reporting of device settings are necessary to refine protocols and facilitate head-to-head device comparisons.</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":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147759792","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":"Surgical and Postoperative Radiotherapy for Keloids on Congenital Microtia Reconstructed Auricles: Site-specific Incision Design.","authors":"Dejin Gao, Huanhuan Wu, Jibing Sun, Qingguo Zhang, Tun Liu, Jin Qian, Yue Wang, Lianzhao Wang, Bingqing Wang","doi":"10.1007/s00266-026-05826-y","DOIUrl":"https://doi.org/10.1007/s00266-026-05826-y","url":null,"abstract":"<p><strong>Background: </strong>Patients who undergo auricular reconstruction have a high risk of developing keloids. The traditional incision designs for keloid excision may appear inadequate to accommodate the biomechanical characteristics of different subunits of reconstructed ears.</p><p><strong>Methods: </strong>A retrospective cohort of 86 patients (90 ears) with auricular keloids post-reconstruction from January 2020 to January 2024 underwent the keloid core removal surgery. We designed different incisions based on specific sites: earlobe, helix, crus of helix, and others. 24-48 h after surgery, all participants underwent superficial low-dose radiotherapy (3 Gy/session × 4).</p><p><strong>Results: </strong>At the average 18.6 follow-up, the treatment protocol achieved a reduced recurrence rate of 6.7% compared to tradition treatments, with patient satisfaction as 92.2%. The Vancouver Scar Scale (VSS) score demonstrated marked improvement compared with that of pre-operation (p < 0.05).</p><p><strong>Conclusions: </strong>Site-specific incision designs combined with immediate postoperative radiotherapy effectively reduced the reconstructed ear keloids' recurrence rate. This approach achieved optimal functional and aesthetic outcomes in keloids on congenital microtia reconstructed auricles.</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":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147759819","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 Dark Triad of Personality in Relation to Acceptance to Cosmetic Surgery Among University Students.","authors":"Pakstan Faiq Mohamedamin, Karwan K Kakamad, Jaafar Omer Ahmed, Rizgar Azatkhan Saeed","doi":"10.1007/s00266-026-05875-3","DOIUrl":"https://doi.org/10.1007/s00266-026-05875-3","url":null,"abstract":"<p><strong>Background: </strong>Cosmetic surgery refers to procedures aimed at changing and enhancing external body appearance. This study aims to investigate the correlation between the dark triad personality traits and the acceptance of cosmetic surgery among university students in the Kurdistan region of Iraq.</p><p><strong>Method: </strong>This quantitative cross-sectional study was conducted between October and November 2024 using random sampling and self-report questionnaires. The dark triad and acceptance of cosmetic surgery were assessed by using the Dark Triad Dirty Dozen and the Acceptance of Cosmetic Surgery Scale, respectively. Data were analyzed using t tests, Pearson correlations, and multiple regressions in SPSS software.</p><p><strong>Results: </strong>A sample of 1321 participants-984 females and 337 males-participated in the study. Descriptive statistics of gender differences revealed that narcissism, psychopathy, and Machiavellianism were significantly higher in males than females, whereas consider the sub-scale of acceptance of cosmetic surgery, which was higher in females. The correlational analysis illustrates that all variables are correlated regarding dark traits and acceptance of cosmetic surgery sub-scales. Narcissism was found to be the most predictable dark triad among applicants who seek cosmetic surgery.</p><p><strong>Conclusion: </strong>Individuals with high levels of narcissism are more likely to consider cosmetic surgery. Health professionals should be aware of the effects of the dark triad on cosmetic surgery decisions, and the study recommends further research.</p><p><strong>Level of evidence: </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 www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147759753","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 Zone-Specific, Minimally Invasive Approach with a Rotary Cutting System for Moderate-to-Severe Fibrotic Buffalo Hump.","authors":"Renpeng Zhou, Boyan Li, Angang Ding, Yonggan Zhu, Chen Wang, Danru Wang","doi":"10.1007/s00266-026-05883-3","DOIUrl":"https://doi.org/10.1007/s00266-026-05883-3","url":null,"abstract":"<p><strong>Background: </strong>The management of moderate-to-severe fibrotic buffalo hump remains challenging, as current treatment options range from minimally invasive but suboptimal techniques to invasive open procedures. This study aimed to evaluate the efficacy and safety of a novel zone-specific surgical strategy using a rotary cutting system for this condition.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted on 56 patients with fibrotic buffalo hump. A zone-specific strategy was employed: The avascular central zone (Zone I) was resected using a rotary cutting system, while the vascular-rich peripheral zone (Zone II) was managed with blunt dissection and liposuction. Outcomes were assessed using an observer-rated 4-point aesthetic scale and the patient-reported Neck Extension Mobility Score (NEMS).</p><p><strong>Results: </strong>The mean follow-up duration was 8 months. Most patients (92.9%, 52/56) achieved \"Good\" or \"Excellent\" aesthetic outcomes. Functional improvement was significant postoperatively, with the proportion of patients experiencing moderate-to-severe mobility restrictions (NEMS 3-4) dropping from 69.6% preoperatively to 5.4% postoperatively. Complications were minor, primarily transient numbness (25.0%), with a 3.6% seroma rate and no instances of hematoma or infection.</p><p><strong>Conclusion: </strong>The zone-specific application of a rotary cutting system is a safe and effective advanced minimally invasive option for moderate-to-severe fibrotic buffalo hump, potentially bridging the therapeutic gap between minimally invasive and open procedures.</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":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147759384","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 Nasal Tip Projection and Rotational Stability between Structural Rhinoplasty with Strut Graft and Preservation Rhinoplasty with Pitanguy Ligament Graft.","authors":"Farrokh Farhadi, Farzin Ahmadpour, Saeed Nezafati, Ehsan Ahmadpour, Ali Sharifi","doi":"10.1007/s00266-026-05847-7","DOIUrl":"https://doi.org/10.1007/s00266-026-05847-7","url":null,"abstract":"<p><strong>Background and aim: </strong>The nasal tip plays a central role in facial aesthetics, and achieving long-term tip stability is a key objective in rhinoplasty. This study compared postoperative tip stability between structural rhinoplasty using a strut graft (SG) and preservation rhinoplasty with an underlay Pitanguy ligament graft (PLG).</p><p><strong>Method: </strong>Eighty-six primary rhinoplasty candidates were enrolled and divided into two groups of 43. One group received structural rhinoplasty with strut graft, while the other underwent preservation rhinoplasty with an underlay PLG. Nasal tip rotation and projection were measured using 3D soft tissue scans before surgery and at 3, 6, and 9 months postoperatively.</p><p><strong>Results: </strong>Time significantly affected tip projection (P = 0.001) with both groups showing a downward trend, but no significant differences were observed between techniques at 3, 6, or 9 months (P > 0.05). Tip rotation showed a similar pattern; no significant differences between techniques at any time point. Repeated measures ANOVA confirmed a significant effect of time on rotation (P = 0.001) without a significant time-by-group interaction (P = 0.285).</p><p><strong>Conclusion: </strong>Both structural rhinoplasty with SG and preservation rhinoplasty with underlay PLG yield similar outcomes in maintaining tip projection and rotation over 9 months. Time-dependent reductions were observed, but no statistically significant differences existed between techniques.</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":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147759431","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":"Telemedicine in Plastic Surgery: A Systematic Review and Meta-analysis of Utilization and Outcomes Pre- and Post-pandemic.","authors":"Morvarid Mehdizadeh, Felita W Zhang, LaYow C Yu, Jian H Li, Agustin N Posso, Audrey K Mustoe, Maria J Escobar-Domingo, Jose Foppiani, Sarah Karinja, Bernard T Lee","doi":"10.1007/s00266-026-05879-z","DOIUrl":"https://doi.org/10.1007/s00266-026-05879-z","url":null,"abstract":"<p><strong>Background: </strong>Telemedicine revolutionized healthcare post-COVID-19 by expanding virtual care across consultations, post-operative care, and inter-physician collaboration. However, its impact on adoption and effectiveness in plastic surgery remains underexplored. This study systematically compares pre- and post-pandemic telemedicine in plastic surgery, focusing on outcomes, accessibility, and patient satisfaction to inform best practices.</p><p><strong>Methods: </strong>A systematic review was conducted using PubMed, Medline, and Web of Science, following PRISMA guidelines, for articles published through November 2024. Extracted data included author, year, country, subspecialty, pandemic classification, sample size, demographics, utilization, barriers, travel time/distance, satisfaction, complications, and appointment duration. Meta-analyses calculated pooled estimates with 95% confidence intervals. Meta-regression and Welch's t-test assessed pre- versus post-pandemic differences. Analyses were performed in R 4.4.1.</p><p><strong>Results: </strong>Of 450 identified publications, 72 met inclusion criteria, encompassing 9435 subjects (mean age: 47.99). 89.3% (95% CI 59.3-96.2%) of patients reported willingness to reuse telemedicine, and the pooled satisfaction rate was 83.9% (95% CI 79.4-88.5; p < 0.05). Meta-analysis showed significant reductions in travel time (120 min; p < 0.05) and distance (187.1 km; p < 0.05). Five studies reported a mean appointment duration of 16.07 min. Complications were rare (7.7%; 95% CI 2.9-18.6%; p < 0.05). Post-pandemic satisfaction score was lower (81.1 vs. 91.2; p = 0.0315), likely reflecting increased utilization and technological barriers. Other outcomes, including complication rates and willingness to reuse telemedicine, showed no significant difference (p > 0.05).</p><p><strong>Conclusion: </strong>Telemedicine plays an evolving role in plastic surgery, reducing travel burden and maintaining safety. However, lower post-pandemic satisfaction highlights the need to improve accessibility and technology to optimize outcomes.</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":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147759776","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":"Three-Dimensional Laser Scanning-Assisted Prosthetic Breast Augmentation for Breast Asymmetry.","authors":"Tiange Huang, Muchen Zhang, Zhiwei Shao, Pengxu Chen, Xueyang Li, Peisheng Jin, Bingkun Zhao, Aijun Zhang","doi":"10.1007/s00266-026-05865-5","DOIUrl":"https://doi.org/10.1007/s00266-026-05865-5","url":null,"abstract":"<p><strong>Background: </strong>Breast asymmetry is common among augmentation candidates, yet implant selection often relies on subjective judgment. This study evaluated whether three-dimensional (3D) laser scanning could improve preoperative assessment and postoperative breast symmetry.</p><p><strong>Methods: </strong>In this prospective randomized controlled study, 40 patients with breast asymmetry undergoing implant-based breast augmentation were randomly assigned to either a 3D laser scanning group or a conventional assessment group. In the 3D group, standardized digital measurements were used to guide implant selection, whereas in the control group implant selection was based on the surgeon's clinical experience and routine preoperative evaluation. Postoperative breast volume difference, projection difference, satisfaction scores, and complications were assessed at 12 months.</p><p><strong>Results: </strong>The 3D group showed significantly smaller bilateral breast volume differences (P < 0.05) and projection differences (P < 0.05). Patient satisfaction was higher in the 3D group (P < 0.05), while complication rates were low and comparable between groups (P > 0.05).</p><p><strong>Conclusions: </strong>3D laser scanning provides objective and accurate breast measurements, thereby facilitating optimized implant selection, better postoperative symmetry, and higher satisfaction. It serves as a valuable tool for individualized planning in breast 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":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147759803","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":"Is Women's Happiness and Life Satisfaction a Determinant of Cosmetic Surgery Acceptance? Latent Profile Analysis.","authors":"Yağmur Sürmeli Akbal, Esma Gökçe","doi":"10.1007/s00266-026-05840-0","DOIUrl":"https://doi.org/10.1007/s00266-026-05840-0","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to investigate the acceptance of cosmetic surgery among women in relation to their happiness and life satisfaction.</p><p><strong>Methods: </strong>A cross-sectional, descriptive-correlational study employing latent profile analysis was conducted. An online survey was administered to 422 women between November 2024 and February 2025. Data were collected using a Sociodemographic Form, the Cosmetic Surgery Acceptance Scale, the Oxford Happiness Questionnaire-Short Form, and the Contentment with Life Assessment Scale.</p><p><strong>Results: </strong>Participants reported moderate average levels of happiness, life satisfaction, and cosmetic surgery acceptance. Correlation analysis revealed a significant positive relationship between happiness and life satisfaction. However, neither happiness nor life satisfaction showed a significant overall correlation with cosmetic surgery acceptance. In the latent profile analysis, participants were divided into three different groups as low (Class1), medium (Class2) and high (Class3) in cosmetic surgery acceptance. In the analysis, it was found that of the three acceptance groups defined, the high acceptance group had higher scores for happiness and life satisfaction than the other groups. In the logistic regression analysis, it was seen that sociodemographic variables had the potential to increase cosmetic surgery acceptance levels, but it was not found to be statistically significant.</p><p><strong>Conclusion: </strong>Happiness and life satisfaction are interrelated but do not predict overall acceptance of cosmetic surgery. The high acceptance group exhibited greater psychological well-being, revealing the heterogeneity of acceptance. Sociodemographic variables did not prove predictive. The findings call traditional assumptions into question.</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":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147759784","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":"Secondary Intention Healing for Facial Skin and Soft Tissue Defects: Case Report and Review of Literature.","authors":"Shenzhen Gao, Qiqi Li, Baixue Lu, ZengYang Feng, Liying Tu, Weicheng Gao","doi":"10.1007/s00266-026-05868-2","DOIUrl":"https://doi.org/10.1007/s00266-026-05868-2","url":null,"abstract":"<p><strong>Background: </strong>Various surgical techniques are available for facial skin and soft tissue defect repair, with flap reconstruction being the current mainstream choice. Secondary intention healing (SIH) has re-emerged as a viable option with unique advantages, yet its standardized clinical application criteria and up-to-date evidence base remain to be systematically summarized.</p><p><strong>Methods: </strong>We performed a systematic literature review of studies on SIH for facial defect repair, with predefined search strategies, inclusion and exclusion criteria across PubMed, Embase, Cochrane Library, and Web of Science from database inception to December 2025. Concurrently, we presented a case series of 3 patients who underwent SIH for facial tumor resection defects at our institution, with detailed clinical data and long-term follow-up outcomes.</p><p><strong>Results: </strong>A total of 37 eligible clinical studies were included in the final review. The evidence confirmed that SIH achieves excellent cosmetic and functional outcomes in concave facial subunits (NEET areas), with satisfactory results in FAIR areas for appropriately sized defects. The procedure offers the advantages of no auxiliary incisions, simple operation, low cost, and the ability to monitor tumor recurrence in strictly selected cases. Our case series further validated the favorable outcomes of SIH in nasal sidewall, periocular, and cheek defects, with complete re-epithelialization within 7-10 days and no severe complications during follow-up.</p><p><strong>Conclusion: </strong>For properly selected small-to-medium facial skin and soft tissue defects, SIH is a straightforward, safe, well-tolerated, and cost-effective repair modality. This review and case series provide updated evidence and clinical decision-making references for the application of SIH in facial defect reconstruction.</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":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147759773","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":"Factors on Quality of Life Improvement in Septorhinoplasty: Prospective Evaluation Using the Functional Rhinoplasty Outcome Inventory 17 and Its Minimally Important Difference.","authors":"Georg-Philipp Kuehl, Olcay Cem Bulut, Patrick J Schuler, Lukas Fiedler, Frank Riedel, Ingo Baumann, Ralph Hohenberger","doi":"10.1007/s00266-026-05796-1","DOIUrl":"https://doi.org/10.1007/s00266-026-05796-1","url":null,"abstract":"<p><strong>Background: </strong>Septorhinoplasty (SRPL) is a frequently performed surgery aimed to improve health-related quality of life (HRQOL), typically assessed using disease-specific questionnaires. This study aimed to analyze the factors influencing postoperative HRQOL improvement and to establish the minimal clinically important difference (MCID) for the Functional Rhinoplasty Outcome Inventory (FROI-17).</p><p><strong>Methods: </strong>In this prospective study, pre- and twelve months postoperative, disease-specific HRQOL was assessed in 95 patients undergoing functional SRPL (Level of Evidence III). Clinical parameters including age, sex, surgical approach, type of nasal deformity, revision surgery and screening on body dysmorphic disorder were obtained. The primary endpoint was the change in FROI-17 scores. MCID was calculated with an internal anchor.</p><p><strong>Results: </strong>Mean FROI-17 scores improved from 38.0 ± 16.0 to 24.5 ± 20.0 (p < 0.001). Uni- and multivariate analysis identified the preoperative FROI-17 as the strongest predictor of QoL improvement (p < 0.001). Only the preoperative nasal shape (p = 0.02) and the BDD screening result (p = 0.04) also showed significant correlations in the univariate analysis. The subcategory \"self-consciousness\" of the FROI-17 showed high sensitivity and specificity for the BDD screening results. An MCID of 13.4 points was calculated, matching the mean postoperative improvement in this cohort.</p><p><strong>Conclusions: </strong>The preoperative FROI-17 score serves as a reliable predictor of postoperative HRQOL improvement following SRPL. These findings underscore the value of implementing patient-reported outcome measures such as the FROI-17 in preoperative counseling to enhance transparency and long-term patient satisfaction.</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":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147759813","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}