Aesthetic Plastic Surgery最新文献

{"title":"Systematic Approach to Deep Plane Facelift.","authors":"Boris M Ackerman, Nirav B Savalia","doi":"10.1007/s00266-025-04793-0","DOIUrl":"https://doi.org/10.1007/s00266-025-04793-0","url":null,"abstract":"<p><p>The senior author has developed a systematic approach to performing Deep Plane Facelift, which allows the procedure to be performed in a safe, efficient and reproducible fashion. This approach evolved over many years of facial rejuvenation surgery practice. The senior author was introduced to Deep Plane Facelift in Dr. Sam Hamra's operating room over 20 years ago. The technique has three distinct dissection steps, and a unique suture fixation method. This method allows for performing Deep Plane Facelift in an efficient and safe fashion. This technique has some novel elements: strict compartmentalized dissection sequence; lateral orbicularis muscle is incorporated into the composite cheek flap; treat the mobilized composite cheek and neck flap as a \"monobloc\"; the cheek suspension starts at the superior most aspect of the composite cheek flap; the cheek flap is advanced in a more superior vector than traditionally described; the cheek flap is held in pre-determined position with a hook, under moderate tension during suture fixation. The manipulation of the neck is beyond the scope of this article; it can be done by any of the described methods, as indicated by the patient's individual anatomy. Having received positive reports from visiting surgeons that have learned this technique from the senior author, we hope that others will find this technique beneficial. We will present a few representative long-term results. 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 Table of Contents or online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708222","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 of Gynecomastia with Combination of Ultrasonic Liposuction (VASER) and Gland Excision through a Minimal Scar Incision: A Multi-Center Experience.","authors":"Hasan Ali","doi":"10.1007/s00266-025-04801-3","DOIUrl":"https://doi.org/10.1007/s00266-025-04801-3","url":null,"abstract":"<p><strong>Background: </strong>Gynecomastia is a common condition among men, leading to psychological distress and impacting quality of life. Traditional correction techniques often result in prominent scarring, which can be a major concern for patients. This study explores the efficacy of combining VASER liposuction with gland excision through a minimal scar approach to improve aesthetic outcomes.</p><p><strong>Methods: </strong>This study retrospectively analyzed 960 patients treated between October 2009 and January 2024 at two centers located in Dubai and Riyadh. Patients were classified using Simon's grading system. The surgical procedure included VASER-assisted liposuction targeting the chest, lateral chest, and axillary fold areas, followed by gland excision through a minimal scar incision. Satisfaction was assessed using both patient- and physician-reported Visual Analogue Scale (VAS) scores. Ethical approval was obtained from the Dubai Scientific and Research Ethics Committee (DSREC) and the Institutional Review Board (IRB) at Hasan Surgery and The Clinics Riyadh KSA.</p><p><strong>Results: </strong>Patient distribution by Simon grading was: Grade I (16.7%), Grade IIA (41.7%), Grade IIB (29.2%), and Grade III (12.5%). Mean aspirated fat volume was 859.4 ml. Patient satisfaction was high, with a mean VAS score of 9.4 across all grades, and minor complications such as bruising, temporary sensory loss, and hematomas occurred in 1.7% of cases. Physician-assessed VAS scores mirrored patient satisfaction, demonstrating the reliability of the technique in achieving minimal scarring, significant skin retraction, improved contouring, and high satisfaction rates.</p><p><strong>Conclusion: </strong>Combining VASER-assisted liposuction with gland excision through a minimal scar incision is a highly effective approach for gynecomastia correction. The technique delivers superior aesthetic outcomes, minimal scarring, and high satisfaction across all grades of gynecomastia. Further long-term studies are recommended to assess delayed recurrence.</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":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708261","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":"Long Drainers After Abdominoplasty: A Risk Analysis.","authors":"Margarida Alves, Margarida Mendes, Rita Valença-Filipe, Marco Rebelo, Helena Peres, António Costa-Ferreira","doi":"10.1007/s00266-025-04773-4","DOIUrl":"https://doi.org/10.1007/s00266-025-04773-4","url":null,"abstract":"<p><strong>Background: </strong>Suction drains are still one of the most accepted strategies for lowering abdominoplasty postoperative complications. Long periods with drains have been reported after a full abdominoplasty and are associated with patient discomfort, limited mobility, and slower recovery. The clinical profile of Long drainers has yet to be investigated.</p><p><strong>Objective: </strong>Identify risk factors that increase the number of days with drains.</p><p><strong>Methods: </strong>A single-center retrospective observational study of patients submitted to classical abdominoplasty was performed. Patients were allocated to one of two groups: Long drainers (≥ 6 days with drains) and Short drainers (< 6 days with drains). Several variables were determined: age, sex, body mass index, medical comorbidities (hypertension and diabetes mellitus), previous surgical procedures, specimen weight, time to suction drain removal, and drain output.</p><p><strong>Results: </strong>In total, 418 patients were included in this study, and 36% were Long drainers. There was a statistically significant difference between groups regarding total drain output, time until drain removal, body mass index, previous bariatric procedures, and specimen weight, with lower values for Short drainers. No significant differences were found in age, sex, arterial hypertension, diabetes mellitus, and previous abdominal surgery. Specimen weight ≥ 750 g, body mass index ≥ 28 kg/m², and previous bariatric surgery accounted for 75% of Long drainers and increased Long drainer risk by 3.5 times, 3.0 times, and 2.6 times, respectively.</p><p><strong>Conclusion: </strong>The high-risk profile for long drainage after classical full abdominoplasty is a body mass index ≥ 28 kg/m², previous bariatric procedure, and specimen weight ≥ 750 g. These characteristics may justify using surgical strategies for Long drainer prevention, such as quilting sutures or Scarpa sparing abdominoplasty.</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":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708266","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":"Hemostatic Net Versus Surgical Drain After Deep Plane Facelift Surgery: A Prospective Randomized Controlled Trial.","authors":"Maram Ismail, Samir Ghoraba","doi":"10.1007/s00266-025-04745-8","DOIUrl":"https://doi.org/10.1007/s00266-025-04745-8","url":null,"abstract":"<p><strong>Background: </strong>Several studies have discussed the safety and effectiveness of the hemostatic net after facelift surgery. However, fearful of having to deal with a hematoma or seroma following the surgery, many surgeons opt to leave surgical drains in place for a short time after the procedure. There is minimal data from studies comparing the hemostatic net to surgical drains.</p><p><strong>Objectives: </strong>To compare the efficacy of surgical drains and the hemostatic net after deep plane facelift surgery.</p><p><strong>Materials and methods: </strong>This study prospectively compares the effectiveness of both methods in a randomized controlled approach, including a consecutive series of 160 patients who underwent deep plane facelifts throughout a 6-month period. We compared the incidence of hematoma, seroma, edema, and other complications during the postoperative period using surgical drains and the hemostatic net.</p><p><strong>Results: </strong>Eighty female patients were included in each group. Analysis of the postoperative data showed no significant difference in hematoma and seroma rates between the drain and net groups. Both methods were associated with comparable degrees of postoperative edema (p =  0.737). The occurrence of other complications such as ecchymosis, congestion, and necrosis did not show a significant correlation to either method.</p><p><strong>Conclusions: </strong>The hemostatic net and surgical drain have comparable outcomes in terms of controlling hematoma and seroma formation after deep plane facelift surgery and show similar degrees of postoperative swelling.</p><p><strong>Level of evidence i: </strong>A randomized controlled trial. 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":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708264","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":"Questioning the Premise for Implantable Mesh During Mastopexy.","authors":"Eric Swanson","doi":"10.1007/s00266-025-04824-w","DOIUrl":"https://doi.org/10.1007/s00266-025-04824-w","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699397","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":"Barraquer Simons Syndrome: Case Series and Review of Surgical Treatments for Facial Lipodystrophy.","authors":"Meryem Hamam, Atilla Adnan Eyuboglu, Mustafa Tonguc Isken","doi":"10.1007/s00266-025-04794-z","DOIUrl":"https://doi.org/10.1007/s00266-025-04794-z","url":null,"abstract":"<p><strong>Background: </strong>Barraquer Simons Syndrome (BSS) is a subtype of idiopathic acquired lipodystrophy, wherein patients-mostly female-lose subcutaneous fat in the upper half of the body starting in childhood or puberty. A disproportionate fat allocation can be seen in the trochanteric region and thighs.</p><p><strong>Methods: </strong>Along with three cases of lipoatrophy treated at our hospital, we conducted a comprehensive review and presented the treatments in the literature for improving bilateral facial lipodystrophy.</p><p><strong>Results: </strong>Flaps and autologous fat grafting procedures were favored across the literature, and regardless of the intervention of choice, patients reported satisfaction and improved life prospects.</p><p><strong>Conclusion: </strong>The loss of facial fat is especially afflicting for patients as the bilateral lipoatrophy imparts an aged, cachexic look which negatively affects not only their self-image but their social status as well. Alternatives to approach lipoatrophy vary in their invasiveness, permanency, and feasibility; thus, treatments must be thoroughly tailored to each patient's needs and expectations. Barraquer Simons Syndrome is a rare subtype of lipodystrophy primarily affecting females, leading to fat loss in mainly the upper body. The negative social impact of the syndrome necessitates intervention, and patients receiving appropriate treatment reported improved psychosocial parameters. Treatment plans should consider each patient's specific needs and expectations, balancing invasiveness, permanency, and feasibility of the 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":2.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699384","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":"Evaluating the Efficacy and Safety of Batten Grafts in Pediatric Caudal Septoplasty: A Prospective Observational Study.","authors":"Ali A Alshehri","doi":"10.1007/s00266-025-04811-1","DOIUrl":"https://doi.org/10.1007/s00266-025-04811-1","url":null,"abstract":"<p><strong>Purpose: </strong>This study evaluates the effectiveness and safety of batten grafts in pediatric septoplasty for caudal septal deviation, focusing on nasal function and postoperative outcomes.</p><p><strong>Methods: </strong>A prospective analysis of 29 pediatric patients aged 4 years and older assessed nasal function preoperatively and postoperatively using the Nasal Obstruction Symptom Evaluation (NOSE) and Visual Analogue Scale (VAS) throughout the 6-month follow-up period.</p><p><strong>Results: </strong>Significant improvements in nasal function were noted, with the mean NOSE score decreasing from 86.03 preoperatively to 12.76 at 6 months (p < 0.001). VAS scores improved from a median of 3 preoperatively to 9 at 1 month, remaining stable at 6 months (p < 0.001). Most patients (75.9%) experienced no complications, with minimal adverse effects such as nasal crustation and residual deviation.</p><p><strong>Conclusion: </strong>Batten grafts in pediatric caudal septoplasty are a safe and effective option for improving nasal function, though further research is needed to assess long-term effects on facial growth and aesthetics.</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":2.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699392","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":"Panniculus Morbidutus-Associated Lymphatic Malformation.","authors":"Ricardo Horta, Daniela Silva, Giulio Borraccino","doi":"10.1007/s00266-025-04822-y","DOIUrl":"https://doi.org/10.1007/s00266-025-04822-y","url":null,"abstract":"<p><p>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":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699395","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":"Helium-Based Plasma Radio Frequency Technology for Subdermal Coagulation in the Forehead: A Preliminary, Single-Center Retrospective Study.","authors":"Aris Sterodimas, Beatriz Nicaretta, Agathi Koytsouveli, Argyris Moutafis, Grigoris Champsas","doi":"10.1007/s00266-025-04737-8","DOIUrl":"https://doi.org/10.1007/s00266-025-04737-8","url":null,"abstract":"<p><strong>Background: </strong>Helium plasma radio frequency (RF) has emerged as a minimally invasive option for treating facial laxity. This study aims to evaluate its efficacy and safety for addressing forehead and brow laxity and ptosis.</p><p><strong>Methods: </strong>In this retrospective, single-center study, medical records for 30 consecutive patients treated with helium plasma RF in the forehead and brow from March 2018 to September 2022 were reviewed. Inclusion criteria were age ≥18 years and having undergone treated in the forehead with helium plasma RF. Patients with prior or concurrent brow/forehead interventions were excluded. Primary endpoints were photographic assessments by blinded review and patient satisfaction measured via questionnaire.</p><p><strong>Results: </strong>Of the 30 patients, seven patients consented to photographic review, and all 30 participated in the patient satisfaction questionnaire. Blinded reviewers correctly identified posttreatment images in 71.4% (5/7) of cases. Patient satisfaction was high, with 100% (30/30) reporting visible improvements and willingness to recommend the procedure. Notable improvements included reduced forehead lines (56.7%), elevated eyebrows (46.7%), and a more youthful appearance (46.7%). Adverse effects were minor and expected, with bruising recorded in 20% (6/30) of patients and edema/swelling in 16.7% (5/30) of patients, all resolving within 10 days, without intervention.</p><p><strong>Conclusion: </strong>Helium plasma RF demonstrates significant potential as a minimally invasive treatment for brow and forehead laxity, with high patient satisfaction and a favorable safety profile. These preliminary findings warrant further prospective studies with larger sample sizes to confirm efficacy and long-term benefits. Helium plasma RF may provide a valuable alternative to traditional aesthetic procedures for the forehead and brow.</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":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143673112","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":"Acute Unilateral Vestibular Disease Induced by Ear Hyaluronic Acid injection.","authors":"Ge-Ge Cao, Chen Dong, Chun-Lin Chen","doi":"10.1007/s00266-025-04722-1","DOIUrl":"https://doi.org/10.1007/s00266-025-04722-1","url":null,"abstract":"<p><p>Recently, with the increasing number of injections in the lying ear, various complications have emerged. We present a case report of vestibular dysfunction in a 39-year-old woman following hyaluronic acid injection into the ear, a relatively uncommon complication associated with this procedure. The patient exhibited symptoms such as nausea, vomiting, tongue hemiplegia, nystagmus, and gait instability immediately after the injection at the cranioauricular sulcus. Prompt administration of hyaluronidase into the sulcus anthelicis transversus and cranioauricular sulcus did not alleviate the symptoms. Subsequently, the patient required hospital admission in a wheelchair the following day. After a thorough examination and consultations with neurology and otolaryngology specialists, the patient was diagnosed with acute unilateral vestibular disease. Subsequent to comprehensive treatment focused on vestibular decompression, the patient experienced significant alleviation of symptoms and regained the ability to walk independently. The underlying mechanism of the lesion involved the accumulation of a substantial amount of hyaluronic acid in the mastoid region via the facial nerve canal, leading to its entry into the inner ear due to gravitational and pressure forces, causing vestibular dysfunction and symptoms such as vertigo, nausea, and walking instability. Understanding the anatomy in the injection area is helpful to diagnose and manage the related complications. 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":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143673110","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}