Aesthetic Plastic Surgery最新文献

{"title":"Impact of an Educational Campaign on Public Misconceptions and Knowledge of Common Plastic Surgery Procedures.","authors":"Lama A Alkhwildi, Rakan Abu Alqam, Abdulmohsen Jameel Alshammari, Sara Mohammed Alhanshi Yati, Dalia Ghazy Alanazi, Raghad Bin Mohammed, Saud Sulaiman Alassaf, Faris A Al Daghri, Hatan Mortada","doi":"10.1007/s00266-025-05328-3","DOIUrl":"https://doi.org/10.1007/s00266-025-05328-3","url":null,"abstract":"<p><strong>Introduction: </strong>The demand for plastic surgery has increased as individuals seek appearance enhancement. However, common misconceptions persist, often exaggerating the risks associated with these procedures. Despite advancements in safety through improved techniques and post-operative care, public knowledge remains limited. This study aims to investigate prevalent misconceptions about common plastic surgery procedures to enhance understanding and support informed decision-making.</p><p><strong>Method: </strong>This cross-sectional study in Riyadh, Saudi Arabia, assessed public knowledge and misconceptions about common plastic surgery procedures through a self-administered survey distributed during an awareness campaign. A sample of 700 participants aged 18-50 was targeted, with responses collected pre- and post-campaign. A matching procedure controlled for demographic differences to ensure comparability between groups. The survey, developed in English and translated into Arabic, was pilot-tested for validity.</p><p><strong>Results: </strong>Among 368 participants (184 pre and 184 post-campaign), demographic comparisons showed no significant differences between groups (e.g., gender, age, education, prior cosmetic surgery; all p > 0.05). Post-campaign, correct responses increased substantially: for fillers (irreversibility misconception dropped from 64.7 to 96.2%), silicone implants (safety concern reduced from 32.1 to 89.7%), and rhinoplasty (respiratory issues belief fell from 28.8 to 90.8%; all p < 0.001). Median knowledge scores rose from 7 to 19 (p < 0.001), with strong reliability (Cronbach's alpha = 0.95). Regression indicated reduced demographic disparities post-campaign, showing broad improvement across groups.</p><p><strong>Conclusion: </strong>The awareness campaign effectively improved public knowledge and corrected misconceptions about plastic surgery, reducing knowledge disparities across demographic groups. These findings highlight the impact of targeted educational interventions in promoting informed decision-making regarding cosmetic 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":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145342811","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":"Impact of Mommy Makeover Surgery on Couple Relationship Quality and Female Sexual Wellbeing: A Prospective Dyadic Study.","authors":"Agostino Bruno, Riccardo Foti","doi":"10.1007/s00266-025-05346-1","DOIUrl":"https://doi.org/10.1007/s00266-025-05346-1","url":null,"abstract":"<p><strong>Background: </strong>Pregnancy induces profound anatomical and psychological changes that may persist postpartum, often affecting body image, self-esteem, and relationship satisfaction. The \"Mummy Makeover\"-a combination of aesthetic procedures-has emerged as a surgical response to these multifactorial concerns. However, its impact on psychosocial wellbeing remains underexplored.</p><p><strong>Methods: </strong>In this prospective observational study (2021-2024), 42 women undergoing mummy makeover procedures (abdominoplasty, breast surgery, liposuction) were assessed alongside their partners at baseline, 6, and 12 months postoperatively. Relationship quality (Dyadic Adjustment Scale), sexual function (FSFI), body image (BIS), self-esteem (RSES), and surgical satisfaction (BODY-Q) were measured. Correlations between physical, emotional, and relational outcomes were analyzed.</p><p><strong>Results: </strong>Significant improvements were observed in relationship satisfaction for both patients (DAS-7: + 4.4 at 12 months, p < 0.001) and partners (+ 4.2, p < 0.001). FSFI scores rose markedly (+6.3, p < 0.001), particularly in desire and satisfaction domains. BIS scores improved (median decrease: 9 points, p < 0.001), correlating strongly with FSFI gains (ρ = 0.67, p < 0.001). Self-esteem also increased significantly. At 12 months, over 90% of patients reported enhanced quality of life and willingness to undergo surgery again. Partners echoed improvements in emotional closeness and sexual intimacy.</p><p><strong>Conclusions: </strong>Mummy makeover surgery significantly enhances not only physical appearance but also relationship quality, sexual wellbeing, and psychological health. These findings support a holistic view of postpartum aesthetic surgery as a potential tool for emotional and relational rehabilitation.</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":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145342838","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 \"The Effect of Hypericum Perforatum on Wound Healing in Upper Eyelid Blepharoplasty\".","authors":"Gita Venkata Siva Maruthi Alluri, Koyel Roy, Manish R Bhise","doi":"10.1007/s00266-025-05373-y","DOIUrl":"https://doi.org/10.1007/s00266-025-05373-y","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145342795","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":"Closing the Loop: Diastasis Recti Repair, Pelvic Floor Function, and Long-Term Continence.","authors":"Agostino Bruno","doi":"10.1007/s00266-025-05381-y","DOIUrl":"https://doi.org/10.1007/s00266-025-05381-y","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145342765","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":"Filler Injection Techniques and Ultrasound Observations: Ultrasound-Based Classification of Volume Deficiency in Nasolabial Folds.","authors":"Gi-Woong Hong, Soo-Bin Kim, Erik Koppert, Jair Mauricio Cerón Bohórquez, Jovian Wan, Diala Haykal, Kyu-Ho Yi","doi":"10.1007/s00266-025-05319-4","DOIUrl":"https://doi.org/10.1007/s00266-025-05319-4","url":null,"abstract":"<p><strong>Background: </strong>Nasolabial folds (NLFs) are a hallmark of facial ageing, and precise correction requires detailed anatomical and vascular mapping. High-resolution ultrasound offers real-time visualisation of soft-tissue layers, filler distribution, and vascular anatomy, enabling safer and more targeted injection. This study integrates ultrasound into the aetiologic classification and treatment algorithm for NLF correction in Korean patients, whose facial artery course and subcutaneous fat distribution differ subtly from Western populations.</p><p><strong>Methods: </strong>Fresh cadaver dissections were correlated with ultrasound imaging in 45 Korean patients presenting for NLF correction. NLFs were categorised into three aetiologic types-(1) volume deficiency, (2) tissue laxity, and (3) muscular tethering-based on both clinical and ultrasound assessment. Volume-deficient folds were treated with biphasic hyaluronic acid filler using a deep-then-superficial layering approach under ultrasound guidance, with real-time confirmation of injection depth and avoidance of vascular structures. Injection techniques included needle and cannula methods (Fern-leaf, Duck-walk) and hyaluronic acid filler (Lorient No 6 and 4, Joonghun Pharmaceutical) has been used. Global Aesthetic Improvement Scale (GAIS) scores and adverse events were recorded over 12 weeks.</p><p><strong>Results: </strong>Ultrasound allowed precise differentiation of superficial and deep fat loss patterns and identified individual variations in facial artery course in 38% of patients. Of the 45 patients, 20 (44%) had volume-deficient NLFs and underwent ultrasound-guided filler placement. GAIS improved from baseline \"no change\" (0) to a median \"much improved\" (2) at 12 weeks, with no vascular compromise or filler malposition observed. Ultrasound also detected early filler integration and confirmed even distribution in targeted planes. Patients with laxity- or muscle-dominant folds, identified by ultrasound, benefitted from adjunct thread lifting or low-dose botulinum toxin.</p><p><strong>Conclusions: </strong>Ultrasound-guided, anatomy-based filler injection offers enhanced safety, precise plane targeting, and real-time monitoring of filler distribution in NLF correction. Integrating ultrasound into aetiologic classification improves treatment planning and reduces complications, particularly in populations with variable vascular anatomy. Larger controlled trials are recommended to validate long-term outcomes.</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":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145342803","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 Obesity Truly a Risk Factor for Keloid Development?","authors":"Xinlong Shi","doi":"10.1007/s00266-025-05400-y","DOIUrl":"https://doi.org/10.1007/s00266-025-05400-y","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145342823","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":"Optimizing Pain Control While Minimizing Hematoma Risk: A Call for Dose- and Timing-Specific Studies.","authors":"Agostino Bruno","doi":"10.1007/s00266-025-05384-9","DOIUrl":"https://doi.org/10.1007/s00266-025-05384-9","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145342746","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 Modified Asymmetric Inverse Z-plasty and Z-plasty in the Correction of Epicanthal Folds.","authors":"Zhiqiang He, Weinan Zhang, Xi Yu, Hao Qin, Junfei Teng, Jinqing Xie","doi":"10.1007/s00266-025-05282-0","DOIUrl":"https://doi.org/10.1007/s00266-025-05282-0","url":null,"abstract":"<p><strong>Background: </strong>Epicanthoplasty is the most common cosmetic eye surgery. However, traditional surgical strategies usually cause visible scars in the medial canthus. This study innovatively aimed to propose a modified asymmetric inverse Z-plasty derived from the traditional Z-plasty technique to minimize postoperative scars and consequently enhance patient satisfaction.</p><p><strong>Methods: </strong>This retrospective study included 172 patients with epicanthal folds who underwent an epicanthoplasty. Group A patients (n = 94) underwent modified asymmetric inverse Z-plasty, whereas Group B patients (n = 78) underwent Z-plasty. Postoperative outcomes, including scarring (assessed using the Vancouver scar scale [VSS]), scar hiding degree, patient satisfaction, and recurrence rates, were evaluated at 6 months.</p><p><strong>Results: </strong>Postoperative evaluations revealed that both groups achieved normal wound healing without infections or complications after 7 days. VSS assessments indicated superior scar outcomes in Group A patients with moderate-to-severe epicanthal folds compared with those in Group B participants. Scar hiding degree analysis demonstrated a significantly higher percentage of postoperative pure hidden scars in Group A (P = 0.0042), particularly in moderate (P < 0.0001) and severe epicanthal folds (P = 0.002). Patient satisfaction was significantly higher in Group A (79.8%, very satisfied) than in Group B (47.4%, P < 0.0001). However, no significant difference in recurrence rates was observed between the two groups.</p><p><strong>Conclusion: </strong>Patients treated with modified asymmetric inverse Z-plasty exhibited superior scar hiding degree and overall satisfaction compared to those who underwent Z-plasty. Hence, modified asymmetric inverse Z-plasty is an effective treatment for patients with epicanthal folds, particularly in moderate-to-severe cases.</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":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145336368","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":"Reconsidering the Biomechanical Basis of the V-Lift Technique with Calcium Hydroxyapatite.","authors":"Patricia Barrera, Kami Parsa, Gillian Murray","doi":"10.1007/s00266-025-05368-9","DOIUrl":"https://doi.org/10.1007/s00266-025-05368-9","url":null,"abstract":"<p><p>This letter comments on the recent publication describing the \"Vectorial-Lift\" technique with calcium hydroxyapatite (CaHA) for non-surgical facial rejuvenation. We highlight that the proposed histologic, mechanical, and \"contracture\" mechanisms have not been demonstrated in facial ligaments, question the biomechanical plausibility of the \"torch theory,\" and note safety concerns, particularly in periorbital regions. Further controlled studies are needed before clinical endorsement.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":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145336432","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":"Comments on \"Immediate Autologous Fat Transfer into the Breast for Volume Restoration After Implant Removal\".","authors":"Yuxuan Dai, Yu Chen","doi":"10.1007/s00266-025-05365-y","DOIUrl":"https://doi.org/10.1007/s00266-025-05365-y","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145336411","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}