Aesthetic Plastic Surgery最新文献

{"title":"Mechanisms of Complications from Ear Filler Injections: A Cadaver Imaging and Anatomical Study.","authors":"Chun-Lin Chen, Chen Dong, Zhong-Sheng Sun, Jing Hu, Sheng-Kang Luo, Hai-Bin Wang","doi":"10.1007/s00266-025-04971-0","DOIUrl":"https://doi.org/10.1007/s00266-025-04971-0","url":null,"abstract":"<p><strong>Background: </strong>Our society's focus on facial beauty has recently expanded to ear beauty, with an increase in related complications. We aimed to elucidate the mechanisms underlying complications associated with ear filler injections by exploring the course of auricular blood vessels through cadaver anatomical and imaging examinations.</p><p><strong>Methods: </strong>Thirty cadavers underwent arterial perfusion with red latex, and computed tomography was utilized for 3D reconstruction to analyze the relations between arteries, nerves, and lesions in the auricular area.</p><p><strong>Results: </strong>Extensive communication between the posterior auricular artery (PAA) and the superficial temporal artery was detected. The PAA produced three to four branches retroauricularly, which further produced secondary branches toward the helix. Some PAA branches entered the skull near the facial nerve through the stylomastoid foramen.</p><p><strong>Conclusions: </strong>The ear filler may embolize the ophthalmic artery through multiple communicating branches of the superior auricular artery as well as arteries in the temporal region. It may also embolize arteries via the secondary branches of the PAA, causing skin necrosis. Possible causes of associated facial paralysis include embolism of the stylomastoid artery and direct facial nerve compression by hyaluronic acid.</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":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144257129","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":"Postoperative Brachytherapy for Recalcitrant Ear Keloids: A Case Report and Literature Review.","authors":"Marine Fontaine, Arnaud Beddok, Antonio Da Silva Ribeiro Mota","doi":"10.1007/s00266-025-04980-z","DOIUrl":"https://doi.org/10.1007/s00266-025-04980-z","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144257131","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":"Multimodal Assessment of Facial Outcomes Following HArmonyCa™ Treatment: Clinical, Photographic, and Ultrasonographic Perspectives.","authors":"Livia Leão Leite Tostes, Márcia Maroni de Siqueira Martins, Marcela Marcal Thebit Oliveira, Alessandra Kuhn Dall'Magro, Felipe Gomes Dallepiane, João Paulo De Carli","doi":"10.1007/s00266-025-04993-8","DOIUrl":"https://doi.org/10.1007/s00266-025-04993-8","url":null,"abstract":"<p><p>Level of Evidence IV 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":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144257130","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":"Alarplasty: A Bibliometric Analysis of the Top 50 Cited Articles in Alar Base Reduction Techniques.","authors":"Justin J Cordero, Morvarid Mehdizadeh, Noelle Garbaccio, Lacey Foster, Dorien I Schonebaum, Jade E Smith, Samuel J Lin","doi":"10.1007/s00266-025-04968-9","DOIUrl":"https://doi.org/10.1007/s00266-025-04968-9","url":null,"abstract":"<p><strong>Background: </strong>Alarplasty, or alar base reduction, narrows the alar base and reduces nasal flaring. It is a rhinoplasty technique that has gained popularity in the last decade. This study evaluates the most cited articles, analyzes global trends in alarplasty research, and explores future directions through a bibliometric analysis.</p><p><strong>Materials and methods: </strong>Using the Web of Science Sci-Expanded Index, all articles related to alarplasty were retrieved. The top 50 articles were determined by three independent reviewers. Citation count, corresponding author, institution, journal, country, publication year, and level of evidence were evaluated.</p><p><strong>Results: </strong>Since 1970, the top 50 cited articles on alarplasty were cited 794 times, with an average citation count of 15 and highest number of citations of 96 in the year 2023. The USA contributed the most articles (24 articles), followed by Canada (7), and Egypt (4). The majority of articles were case series (80%), and based on the \"Level of Evidence Pyramid,\" 38 articles were level IV, 5 articles were level V, 4 articles were level III, and 3 articles were level II.</p><p><strong>Conclusion: </strong>The top 50 cited articles were mostly case series with variable levels of evidence. However, low level of evidence is expected for surgical procedures, and this bibliometric analysis may help rhinoplasty surgeons understand landmark studies and learn about the surgical techniques available for alar base reconstruction.</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":2.0,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144245785","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":"Preservation Rhinoplasty Performed Simultaneously with Bimaxillary Orthognathic Surgery: Last Evolution in Orthofacial Surgery.","authors":"Mirco Raffaini, Francesco Arcuri","doi":"10.1007/s00266-025-04919-4","DOIUrl":"https://doi.org/10.1007/s00266-025-04919-4","url":null,"abstract":"<p><strong>Introduction: </strong>Since 2018, we have begun to perform preservation rhinoplasty (PR). To the best of our knowledge, very few studies have evaluated simultaneous orthognathic surgery and PR. The aim of the present study was therefore to assess the safety, efficacy, advantages, and disadvantages of PR performed at the time as OS.</p><p><strong>Materials and methods: </strong>A retrospective monocentric study was conducted on all patients with malocclusion who underwent OS and PR between January 2018 and December 2022 at the Face Surgery Center in Parma, Italy. Subtypes of dorsal preservation were reported according to a recent classification: type 1 (full let down), type 2 (bone scoring + full let down), type 3 (bone scoring + basal osteotomies + cartilage let down), type 4 (bone scoring + cartilage let down), type 5 (bone scoring + upper cartilage rim resection).</p><p><strong>Results: </strong>Following the application of exclusion criteria, the final study cohort comprised 118 patients (41 males and 77 females), with a mean age of 22 years (range 17-38 years) at the time of surgery. The distribution of PR cases was as follows: type 1 = 29, type 2 = 34, type 3 = 27, type 4 = 16, type 5 = 12. The mean duration of the complete procedure was 207 min, ranging from 170 to 220 min. A total of 15 complication events (12.7%) were reported.</p><p><strong>Conclusion: </strong>This article provides evidence that simultaneous OS and PR can be a viable option for patients with malocclusion and nasal deformity.</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":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144245788","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":"Balancing Aesthetics and Scarring: Insights from Post-Bariatric Brachioplasty.","authors":"Mauro Barone, Rosa Salzillo, Antonio Amenta, Beniamino Brunetti, Stefania Tenna, Paolo Persichetti","doi":"10.1007/s00266-025-04928-3","DOIUrl":"https://doi.org/10.1007/s00266-025-04928-3","url":null,"abstract":"<p><strong>Introduction: </strong>Brachioplasty is often performed in the post-bariatric patient. However, it implies long scars. Does the scar affect patient satisfaction? The aim of this study is to analyze long-term satisfaction of patients who underwent brachioplasty after massive weight loss.</p><p><strong>Methods: </strong>Patients meeting the following inclusion criteria were included in the study: no previous upper arm remodeling procedures, previous bariatric surgery followed by a weight loss of at least 30 kg, weight stability for at least 1 year, good understanding of the Italian language and standardized pre- and postoperative photographs. Preoperatively and at least 2 years after surgery, we administered the Italian version of the BODY-Q module and the SCAR-Q questionnaire to assess patient satisfaction with particular focus on scars.</p><p><strong>Results: </strong>We enrolled 11 males and 57 females aged between 25 and 65 years, with a mean follow-up of 24.4 months. We recorded significantly higher scores postoperatively compared to preoperatively in every BODY-Q and SCAR-Q scale administered (p < 0.001).</p><p><strong>Conclusion: </strong>Despite its scars, brachioplasty in the post-bariatric patient yields high satisfaction due to the possibility of remodeling the arm silhouette hence solving many daily problems caused by excess skin. When specifically investigating the scar, patients did not show any concerns with it. These results show that in post-bariatric patients, brachioplasty outcomes can be very satisfactory despite long scars.</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":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144245786","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":"Combined and Hybrid Treatments of Hyaluronic Acid (HA) and Calcium Hydroxylapatite (CaHA): A Systematic Review of Mechanisms of Action, Aesthetic Effectiveness, Satisfaction, and Safety Profile.","authors":"Renald Meçani, Mojgan Amiri, Jonathan Kadouch, Dusan Sajic, Frank Lin, Jessie Cheung, Diana Barrera, Omar Haroon, Susana Sil-Zavaleta, Yates Chao, Taulant Muka","doi":"10.1007/s00266-025-04904-x","DOIUrl":"https://doi.org/10.1007/s00266-025-04904-x","url":null,"abstract":"<p><strong>Background: </strong>The use of dermal fillers has become increasingly popular in aesthetic medicine for facial rejuvenation and skin enhancement. Hyaluronic acid (HA) and calcium hydroxylapatite (CaHA) are particularly well-known for their unique benefits. This systematic review evaluates the combinations (e.g., using two separate treatments together) and hybrid treatments of HA and CaHA (e.g., direct syringe-to-syringe mixing), focusing on their mechanisms of action, aesthetic effectiveness, patient satisfaction, and safety.</p><p><strong>Methods: </strong>Six bibliographic databases were searched for human and non-human studies that explored the mechanistic effects of combined and hybrid HA and CaHA treatments, and their aesthetic effectiveness, skin quality, satisfaction, and safety were included. Due to high heterogeneity among included studies, a qualitative synthesis of the evidence was performed.</p><p><strong>Results: </strong>The combination of HA and CaHA stimulates collagen synthesis through different molecular pathways. The combined and hybrid treatments are associated with high aesthetic effectiveness in various facial areas, as reported by both investigators and subjects. Additionally, the combinations and hybrid treatments show high satisfaction rates and have a safe profile, with minor, self-resolving adverse effects. A trend of slight decline in both aesthetic improvement and treatment satisfaction was observed after six months.</p><p><strong>Conclusions: </strong>The combinations and hybrid treatments of HA and CaHA appear to be a promising, safe, and efficacious treatment for facial rejuvenation, offering both immediate volumizing effects and longer-term benefits through collagen synthesis. Future research should employ rigorous study designs aimed at refining treatment protocols and generating strong, long-term evidence for the safety and effectiveness of this combination or hybrid therapy in aesthetic medicine.</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":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144245787","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":"Rotational Advancement Flap for Repair of Small Defects on the Medial Side of the Nose.","authors":"Weiping Wu, Ziyang Han, Yibo Hao, Xiao Cui, Feng Lin, Chunyu Hao, Hongyi Wang, Dapeng Zhou","doi":"10.1007/s00266-025-04933-6","DOIUrl":"https://doi.org/10.1007/s00266-025-04933-6","url":null,"abstract":"<p><strong>Background: </strong>Repairing nasal defects remains a significant challenge, and numerous flap designs have been proposed as potential solutions. The authors' team designed a new rotational advancement flap for improved aesthetic results and compared it with the now commonly used bilobed flap.</p><p><strong>Methods: </strong>This is a randomized, evaluator-blinded, prospective study. One hundred twenty patients with nasal defects were randomly assigned to two groups: the rotational advancement flap (RAF) group (n = 60) and the bilobed flap (BF) group (n = 60). The two groups were similar in gender, age, and defect area. Thirteen patients have been lost to follow-up. To ascertain the safety, aesthetic outcome, scarring of the procedures, and early complications, the Likert scale (Likert), Vancouver Scar Scale (VSS), and Patient Satisfaction Scale (PSS) were scored to determine safety, aesthetic outcome, and scarring. Analyses were by intention-to-treat (ITT) analysis using multiple imputations for missing outcome data and compared with Per-protocol (PP) analysis.</p><p><strong>Results: </strong>The rate of early complications was higher in the BF group than in the RAF group (p < 0.05). The results of the PP analysis showed that the Vancouver Scar Scale scores of the RAF group were significantly better only in terms of scar height (p < 0.05). The rest of the three groups had no significant difference (p > 0.05). The RAF group's Likert and PSS scores reflected better aesthetic results (p < 0.05). These results are consistent with the ITT analysis.</p><p><strong>Conclusion: </strong>The lateral rotational advancement flap is an aesthetic and reliable repair for medial nasal defects.</p><p><strong>Level of evidence iii: </strong>Therapeutic study. 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":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144232982","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":"Correction: Hyaluronic Acid Injectable Gel VYC-25L Is Safe and Effective for Adults Seeking Chin Enhancement to Correct Chin Retrusion: Results From a Real-world Evidence Study in China.","authors":"Yimin Liang, Wang Zhan, Yun Xie, Danru Wang, Qingfeng Li, Grace Zhao, Smita Chawla","doi":"10.1007/s00266-025-05001-9","DOIUrl":"https://doi.org/10.1007/s00266-025-05001-9","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224029","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 Poly-L-Lactic Acid Reconstitution on the Neocollagenesis Profile.","authors":"Janaína Motta Guerra, Maria Carolina Portela Albuquerque, Clarice Lioba de Araújo, Júlia Gonçalves Montenegro, Diana Araújo Cunha, Fabrício Bitu Sousa, Paulo Goberlânio de Barros Filho, Átila Vinícius Vitor Nobre","doi":"10.1007/s00266-025-04970-1","DOIUrl":"https://doi.org/10.1007/s00266-025-04970-1","url":null,"abstract":"<p><strong>Purpose: </strong>The objective of the present work was to evaluate the percentage of neocollagenesis induction of the Sculptra^® in different forms of reconstitution.</p><p><strong>Methods: </strong>For this, 150 male Swiss mice were used to which saline solution or reconstituted Sculptra^® were applied to the back subcutaneous tissue immediately before application (0 h), 2, 24 or 72 h before administration and were euthanized after 15, 30 and 60 days of administration of the material in a number of 10/group/day. Their backs were removed for histological analysis and immunoexpression for alpha-smooth muscle actin (α-SMA). The data was statistically analyzed (p < 0.05).</p><p><strong>Results: </strong>After 30 days of administration, the Sculptra^® 72 h group showed greater collagen formation than the control (p = 0.016) and 0h groups (p = 0.023). After 60 days, the Sculptra^® 24 and 72 h groups also showed greater collagen formation than the control (p = 0.025) and 0 h groups ( p = 0.039). After 30 days of administration, the Sculptra^® 24 and 72 h groups showed higher immunoexpression for α-SMA (p = 0.001), as well as after 60 days (p < 0.001).</p><p><strong>Conclusions: </strong>We can conclude that Sculptra^® reconstituted 2, 24 and 72 h before its application has the potential to induce collagen after 60 days. Furthermore, there is greater expression of α-SMA after reconstitution 24 and 72 h before Sculptra^® injection, after 30 and 60 days. No level of evidence is needed for Basic Science, Animal Study, Cadaver Study, and Experimental Study Articles.</p><p><strong>No level assigned: </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 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144232972","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}