Aesthetic Plastic Surgery最新文献

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Comparison of Scar Quality Between Primary Incisional Negative Pressure Wound Therapy and Conventional Surgical Dressing in Patients with Closed Forearm Fractures Treated Surgically: A Randomised Controlled Trial. 前臂闭合性骨折手术治疗患者一期切口负压创面治疗与常规手术敷料的疤痕质量比较:一项随机对照试验。
IF 2 3区 医学
Aesthetic Plastic Surgery Pub Date : 2025-06-27 DOI: 10.1007/s00266-025-05014-4
M Sharran, Gopisankar Balaji, Sukruth Anand Patel, Bhawana Badhe
{"title":"Comparison of Scar Quality Between Primary Incisional Negative Pressure Wound Therapy and Conventional Surgical Dressing in Patients with Closed Forearm Fractures Treated Surgically: A Randomised Controlled Trial.","authors":"M Sharran, Gopisankar Balaji, Sukruth Anand Patel, Bhawana Badhe","doi":"10.1007/s00266-025-05014-4","DOIUrl":"https://doi.org/10.1007/s00266-025-05014-4","url":null,"abstract":"<p><strong>Background: </strong>Wound healing and the quality of the scar plays a key role in deciding which dressing technique is better.</p><p><strong>Objective: </strong>The study aimed to determine if primary incisional negative pressure wound therapy provides better scar quality compared to conventional dressing following definitive fixation of closed forearm fractures.</p><p><strong>Methods: </strong>A prospective randomized control trial of patients diagnosed with acute closed forearm fractures who underwent open reduction and internal fixation from April 2022 to January 2024. Patients received either a standard sterile dressing or incisional negative pressure wound therapy (iNPWT). The primary outcome was comparing the histopathological scar quality by examining collagen composition at 12 weeks. Secondary outcomes included assessment of surgical site infection (ASEPSIS Score) and clinical scar assessment using the Patient and Observer Scar Assessment Scale. Univariate logistic regression analyses were performed.</p><p><strong>Results: </strong>34 patients were included, 47% received iNPWT (n = 16), and 53% received standard dressings (n = 18). With Masson's trichrome stain,15 participants (93.7%) in the intervention group experienced a favourable outcome with an unadjusted relative risk of 1.13 (95% CI: 0.88-1.43, p = 0.341). With Reticulin stain, 12 participants (75%) in the intervention group exhibited desirable results with an unadjusted relative risk of 0.79 (95% CI: 0.58-1.07,p = 0.13). The intervention group had a mean ASEPSIS score of 1.75 with an SD of 2.11 [95% CI-0.62 to 2.87, p = 0.14]. The calculated difference in mean Patient scar scores between the two groups was 7.31 (p = 0.003), and the observer score was 4.5 (p = 0.043).</p><p><strong>Conclusions: </strong>Patients who underwent iNPWT showed cosmetic satisfaction of scar and favourable outcomes in histopathological assessment with Masson's trichrome stain.</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":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144504498","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}
引用次数: 0
First Impressions: How Surgeon Gender and Race in Social Media Profile Pictures Affect Patient Perception in Plastic Surgery. 第一印象:社交媒体头像中的外科医生性别和种族如何影响患者对整形手术的看法。
IF 2 3区 医学
Aesthetic Plastic Surgery Pub Date : 2025-06-27 DOI: 10.1007/s00266-025-05003-7
Evan Rothchild, Sarah Phillips, Caroline Baker, Fei Wang, Joseph Andrew Ricci
{"title":"First Impressions: How Surgeon Gender and Race in Social Media Profile Pictures Affect Patient Perception in Plastic Surgery.","authors":"Evan Rothchild, Sarah Phillips, Caroline Baker, Fei Wang, Joseph Andrew Ricci","doi":"10.1007/s00266-025-05003-7","DOIUrl":"https://doi.org/10.1007/s00266-025-05003-7","url":null,"abstract":"<p><strong>Background: </strong>Social media has emerged as an essential platform for plastic surgeons to advertise to potential new patients. Among the various factors influencing a patient's choice of physician, implicit bias plays a significant role. This study aims to investigate whether a surgeon's gender or race, as presented in their social media profile picture, affects the perception of their competence and the likelihood of attracting patients.</p><p><strong>Methods: </strong>Two side-by-side sample Instagram posts were created. Each post displayed a before-and-after photograph of a common plastic surgery procedure and featured one of eight possible profile pictures generated using artificial intelligence, with variations only in gender and race. Surveys containing the posts, which only differed in the surgeon's profile pictures, were distributed to respondents to evaluate perceived surgeon competence, likelihood of recruiting patients, likelihood of making a referral, and willingness to visit the surgeon's profile.</p><p><strong>Results: </strong>A total of 1777 respondents participated. The average scores were 3.74 (SD=0.98) for competence, 3.64 (SD=1.06) for patient recruitment likelihood, 3.72 (SD=1.00) for referral, and 3.68 (SD=1.05) for social media influence. Surgeon ethnicity or gender did not significantly affect scores, and no significant pairwise differences were found between respondent and surgeon ethnicities across all categories.</p><p><strong>Conclusions: </strong>Our results showed no significant differences in patient recruitment, referral likelihood, perceived competence, or social media influence based on surgeon gender or race. These findings suggest that using controlled images, which standardize factors like clothing, name, and other superficial identifying features, may help reduce the influence of demographic biases.</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":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144511427","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}
引用次数: 0
Comprehensive Systematic Review of Poly-L-Lactic Acid in Facial Clinical Application. 聚l -乳酸在面部临床应用的综合系统综述。
IF 2 3区 医学
Aesthetic Plastic Surgery Pub Date : 2025-06-27 DOI: 10.1007/s00266-025-05030-4
Luiz Eduardo Toledo Avelar, Xiaoqing Yan, Daniel Bråsäter
{"title":"Comprehensive Systematic Review of Poly-L-Lactic Acid in Facial Clinical Application.","authors":"Luiz Eduardo Toledo Avelar, Xiaoqing Yan, Daniel Bråsäter","doi":"10.1007/s00266-025-05030-4","DOIUrl":"https://doi.org/10.1007/s00266-025-05030-4","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144504499","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}
引用次数: 0
Comparison of Long-Term Stability Between Continuous and Two-Point Buried Suture Methods in Double Eyelid Surgery: A 4-Year Retrospective Cohort Study of 1000 Cases. 双眼皮手术中连续缝合与两点埋线长期稳定性的比较:1000例4年回顾性队列研究。
IF 2 3区 医学
Aesthetic Plastic Surgery Pub Date : 2025-06-26 DOI: 10.1007/s00266-025-05024-2
Kohki Okumura, Takahiko Tamura, Taichi Tamura, Yusuke Funakoshi, Hiroo Teranishi
{"title":"Comparison of Long-Term Stability Between Continuous and Two-Point Buried Suture Methods in Double Eyelid Surgery: A 4-Year Retrospective Cohort Study of 1000 Cases.","authors":"Kohki Okumura, Takahiko Tamura, Taichi Tamura, Yusuke Funakoshi, Hiroo Teranishi","doi":"10.1007/s00266-025-05024-2","DOIUrl":"https://doi.org/10.1007/s00266-025-05024-2","url":null,"abstract":"<p><strong>Background: </strong>Double eyelid surgery is a minimally invasive cosmetic procedure characterized by a short downtime. Continuous and two-point methods are widely utilized buried suture techniques; however, direct comparisons of their long-term stabilities are scarce. This study aimed to compare the long-term stability and reoperation rates between the continuous and two-point buried suture methods.</p><p><strong>Methods: </strong>We analyzed reoperation rates, time to reoperation, and reasons for reoperation in 1,000 cases (500 cases for each technique). Multivariate analysis was performed using Kaplan-Meier survival curves and Cox proportional hazards models.</p><p><strong>Results: </strong>Reoperation rates were significantly lower with the continuous method (13.4%) than with the two-point method (26.2%; p < 0.001). Cox model analysis revealed that the two-point method significantly increased the risk of reoperation (hazard ratio = 2.1, p < 0.001). The primary reason for reoperation was suture loosening (81.87%).</p><p><strong>Conclusion: </strong>The continuous method resulted in lower reoperation rates and superior long-term stability. These findings provide evidence-based guidance for selecting surgical techniques for double eyelid surgery.</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":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144504497","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}
引用次数: 0
Utility of Tranexamic Acid in Reduction Mammaplasty: A Systematic Review and Meta-Analysis. 氨甲环酸在乳房缩小成形术中的应用:一项系统综述和荟萃分析。
IF 2 3区 医学
Aesthetic Plastic Surgery Pub Date : 2025-06-26 DOI: 10.1007/s00266-025-05052-y
Ethan Fung, Keisha E Montalmant, Jacquelyn M Roth, Maxwell Godek, Jian H Li, Bernice Z Yu, Peter W Henderson
{"title":"Utility of Tranexamic Acid in Reduction Mammaplasty: A Systematic Review and Meta-Analysis.","authors":"Ethan Fung, Keisha E Montalmant, Jacquelyn M Roth, Maxwell Godek, Jian H Li, Bernice Z Yu, Peter W Henderson","doi":"10.1007/s00266-025-05052-y","DOIUrl":"https://doi.org/10.1007/s00266-025-05052-y","url":null,"abstract":"<p><strong>Background: </strong>The use of tranexamic acid (TXA) in reduction mammaplasty is increasing among plastic surgeons. Its efficacy and impact on complications, however, are not yet well understood. This study aims to comprehensively evaluate the impact of TXA on postoperative outcomes in reduction mammoplasty.</p><p><strong>Methods: </strong>A systematic review was conducted according to PRISMA guidelines. Five databases were queried to identify studies reporting TXA application in breast surgery. A dual-screener approach was employed to select reduction mammaplasty studies for full-text screening. Primary outcomes assessed were hematoma and seroma; secondary outcomes assessed were surgical site infection (SSI), nipple-areola complex (NAC) necrosis, drain output, drain duration, and thromboembolic events. Data were pooled, and a meta-analysis was performed. Odds ratios (OR) and mean differences were reported via the Mantel-Haenszel and Inverse-Variance methods, respectively.</p><p><strong>Results: </strong>Seven studies with a total of 1396 patients were included, with 53.1% of patients (n = 741) receiving TXA. Of those receiving TXA, 100% of patients received TXA intraoperatively, and 62.6% of patients (n = 464) received both topical and intravenous administration. TXA administration significantly reduced postoperative hematoma formation (OR 0.35; 95% CI [0.20-0.63]; P < 0.001), with 2.3% of patients (n = 17) developing hematomas in the TXA group, compared to 7.2% of patients (n = 47) in those who did not receive TXA. No statistically significant differences were found in seroma rates, SSI, NAC necrosis, or drain duration. No thromboembolic events were reported in either group.</p><p><strong>Conclusion: </strong>TXA administration during reduction mammaplasty reduced the incidence of postoperative hematoma formation without increasing complications.</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":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144504500","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}
引用次数: 0
Toward Transparent AI-Enabled Patient Selection in Cosmetic Surgery by Integrating Reasoning and Medical LLMs. 通过整合推理和医学法学硕士,在整容手术中实现透明的人工智能患者选择。
IF 2 3区 医学
Aesthetic Plastic Surgery Pub Date : 2025-06-25 DOI: 10.1007/s00266-025-05038-w
Partha Pratim Ray
{"title":"Toward Transparent AI-Enabled Patient Selection in Cosmetic Surgery by Integrating Reasoning and Medical LLMs.","authors":"Partha Pratim Ray","doi":"10.1007/s00266-025-05038-w","DOIUrl":"https://doi.org/10.1007/s00266-025-05038-w","url":null,"abstract":"<p><p>Existing AI solutions-like the XGBoost tool by Li et al.-show potential for preoperative screening but rely on fixed questionnaires and opaque feature weighting. We introduce a hybrid framework that combines reasoning LLMs (OpenAI o3, DeepSeek R1, Google Gemini 2.5, Anthropic Claude 3.7 Sonnet) with specialty medical models (Baichuan-M1, Zhipu AI GLM-4-9B-Chat, OpenBioLLM-Llama-70B, MedLLaMA3-v20, Med-PaLM 2, SurgeryLLM). Patient inputs-structured and free-text-are ingested via a secure mobile app and processed through a retrieval-augmented pipeline. Reasoning LLMs expose chain-of-thought steps for full transparency, while medical LLMs validate each risk factor against clinical guidelines. An ensemble then delivers a composite suitability score, complete with an audit trail of data points and citations. We address key hurdles-model recency, hallucination control, data privacy, and fairness-and recommend a medical-device regulatory approach with independent validation, ongoing bias monitoring, and co-design with multidisciplinary stakeholders.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":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144493416","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}
引用次数: 0
Arterial Anatomy of the Tear Trough Region in Chinese Cadavers: Implications for Injection Safety. 中国尸体撕裂槽区的动脉解剖:注射安全的意义。
IF 2 3区 医学
Aesthetic Plastic Surgery Pub Date : 2025-06-25 DOI: 10.1007/s00266-025-05044-y
Ling-Cong Zhou, Wei-Rui Zhao, Yan-Qun Wu, Ya-Song Yang, Xue-Bin Luo, Sheng-Kang Luo
{"title":"Arterial Anatomy of the Tear Trough Region in Chinese Cadavers: Implications for Injection Safety.","authors":"Ling-Cong Zhou, Wei-Rui Zhao, Yan-Qun Wu, Ya-Song Yang, Xue-Bin Luo, Sheng-Kang Luo","doi":"10.1007/s00266-025-05044-y","DOIUrl":"https://doi.org/10.1007/s00266-025-05044-y","url":null,"abstract":"<p><strong>Background: </strong>The safety of tear trough injections requires examination of the arterial topography in this region.</p><p><strong>Objectives: </strong>The aim of this study was to elucidate the distribution of blood vessels in the tear trough region at a specific three-dimensional (3D) location.</p><p><strong>Methods: </strong>Computed tomography scans of 158 adult cadaver hemifaces were obtained and reconstructed, focusing on the origin of angular artery (AA) and the positioning of detoured facial artery (DeFA).</p><p><strong>Results: </strong>The AA in the tear trough region has three main sources: 57.6% directly from the ophthalmic artery (OA), 38% from branches of the facial artery (FA), and 4.4% from branches of the infraorbital artery (IOA). Within this region, the detoured AA originating from the OA is observed in 3.8% of cases, located at a mean distance of 3.4 ±2.0 mm from the inferior orbital margin near the inner canthus. The DeFA is present in 38.6% of cases, located at a mean distance of 7.3 ±2.8 mm from the inferior orbital margin near the inner canthus. Additionally, the main arterial supply to the infraorbital area is provided by branches of the IOA (53.8%).</p><p><strong>Conclusions: </strong>3D technology enables offer high-resolution guidance for clinical practice in the tear trough area.</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":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144493415","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}
引用次数: 0
Validation of the Asian Midface Volume Deficit Severity Scale. 亚洲中面体积缺陷严重程度量表的验证。
IF 2 3区 医学
Aesthetic Plastic Surgery Pub Date : 2025-06-25 DOI: 10.1007/s00266-025-04723-0
Jingyu Li, Lei Pan, Qing Yun, Jinyu Xia, Linna Wang, Xiaodong Shen, Shaoli Chi, Hongxia Zou, Yanyan Zhao, Sufan Wu
{"title":"Validation of the Asian Midface Volume Deficit Severity Scale.","authors":"Jingyu Li, Lei Pan, Qing Yun, Jinyu Xia, Linna Wang, Xiaodong Shen, Shaoli Chi, Hongxia Zou, Yanyan Zhao, Sufan Wu","doi":"10.1007/s00266-025-04723-0","DOIUrl":"https://doi.org/10.1007/s00266-025-04723-0","url":null,"abstract":"<p><strong>Background: </strong>Anatomical differences in facial aging and aesthetic needs of Asian and Caucasian individuals have led to disparate clinical rejuvenation strategies using filler augmentation for midface volume deficits. Therefore, the Asian Midface Volume Deficit Severity Scale (AMVDSS) by LBTD (Lanzhou Biotechnique Development Co, Ltd) was developed to objectively assess midface volume deficits and clinical outcomes of Asian individuals.</p><p><strong>Methods: </strong>Four observers independently rated randomized photographs (front, left and right 45°, left and right 90°) of 65 patients during two sessions with a 2-week interval using the AMVDSS.</p><p><strong>Results: </strong>All participants were Asian (18 male and 47 female participants; mean age, 40.9 years; range, 20-76 years). Interobserver agreement was substantial to almost perfect for the left (weighted κ, 0.778-0.907) and right (weighted κ, 0.774-0.938) during the first session; it was almost perfect for the left (weighted κ, 0.844-0.907) and right (weighted κ, 0.805-0.876) during the second session. Interobserver agreement was 76.9% to 90.8% and 76.9% to 93.9% for the left and right, respectively, during the first session; it was 84.6% to 90.8% and 81.5% to 87.7% for the left and right, respectively, during the second session. Intraobserver agreement was \"almost perfect\" for both the left (weighted κ, 0.950; 95% confidence interval [CI] 0.923-0.977) and right (weighted κ, 0.954; 95% CI 0.928-0.980). Exact intraobserver agreement was 95.0% (range, 90.8-100.0%) for the left; it was 95.4% (range, 94.9-96.9%) for the right.</p><p><strong>Conclusions: </strong>The AMVDSS by LBTD could be used to reliably assess midface volume deficits or volume changes after dermal filler injections.</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":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144493417","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}
引用次数: 0
Comparison of Same Versus Different Projection Implants in Asymmetric Tuberous Breasts: Long-Term Outcomes and Patient Satisfaction Analysis. 不对称结节性乳房相同与不同投影植入物的比较:长期结果和患者满意度分析。
IF 2 3区 医学
Aesthetic Plastic Surgery Pub Date : 2025-06-24 DOI: 10.1007/s00266-025-04898-6
Mauro Barone, Riccardo De Bernardis, Antonio Amenta, Rosa Salzillo, Stefania Tenna, Beniamino Brunetti, Paolo Persichetti
{"title":"Comparison of Same Versus Different Projection Implants in Asymmetric Tuberous Breasts: Long-Term Outcomes and Patient Satisfaction Analysis.","authors":"Mauro Barone, Riccardo De Bernardis, Antonio Amenta, Rosa Salzillo, Stefania Tenna, Beniamino Brunetti, Paolo Persichetti","doi":"10.1007/s00266-025-04898-6","DOIUrl":"https://doi.org/10.1007/s00266-025-04898-6","url":null,"abstract":"<p><strong>Introduction: </strong>The approach to addressing tuberous breast deformity has evolved significantly, with a wide array of procedures now available. The aim of this study is to analyze the outcomes using same or different projection implants in patients with asymmetry grade A or B and tuberous breast type I, II or III.</p><p><strong>Material and methods: </strong>Eligible patients met the following criteria: (1) primary surgical procedure for correction of tuberous malformation; (2) breast asymmetry, (3) follow-up for at least 2 years; (4) standard pre- and postoperative photodocumentation; (5) proficiency in Italian language; and (6) signed consent for study participation. All procedures were performed by the same surgical team, using a singular or double superior glandular flap for the correction of the tuberous breast, using retroglandular round implants and circumareolar incision. All patients completed Italian versions of the BREAST-Q, which were issued by e-mail approximately 2 years postoperatively. We compared levels of patient satisfaction with the breast postoperative module by group, using the Chi-squared test for unpaired data. Two plastic surgeons reviewed all postoperative photographs of treated patients and rated outcomes on a VAS scale of 1-5.</p><p><strong>Results: </strong>A total of 63 patients were enrolled, aged between 20 and 35 years. Patients were retrospectively divided into 2 groups: group 1 (28 patients), same implants and gland resection of the bigger breast; group 2 (35 patients), same base and height but different projection and volume implant using the bigger and more projecting implant in the smaller breast. The BREAST-Q showed higher scores in group 2 in all the scales (psychosocial well-being p = 0.039; Sexual well-being p = 0.043; satisfaction with breasts p = 0.028; satisfaction with implants p = 0.014). The VAS scores were higher in groups 2 (p = 0.013), which was also the one undergoing fewer secondary procedures (lipofilling) compared to group 1 (p = 0.030).</p><p><strong>Conclusions: </strong>This study is one of the few in the literature that highlights the importance of achieving good symmetry in tuberous breasts with different degrees of severity and different asymmetry, with greater predictability and without secondary procedures, and according to the data of this study, the use of prosthesis with different projection has better results.</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":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144482797","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}
引用次数: 0
Gender-Affirming Surgery Price Transparency and Online Information Availability in US Hospitals. 美国医院性别确认手术价格透明度和在线信息可用性。
IF 2 3区 医学
Aesthetic Plastic Surgery Pub Date : 2025-06-24 DOI: 10.1007/s00266-025-05017-1
Amitai S Miller, Daniela Lee, James E Fanning, Avery E Allen, Manraj N Kaur, Geraldine S Serwald, Amanda Fazzalari, Kavitha Ranganathan
{"title":"Gender-Affirming Surgery Price Transparency and Online Information Availability in US Hospitals.","authors":"Amitai S Miller, Daniela Lee, James E Fanning, Avery E Allen, Manraj N Kaur, Geraldine S Serwald, Amanda Fazzalari, Kavitha Ranganathan","doi":"10.1007/s00266-025-05017-1","DOIUrl":"https://doi.org/10.1007/s00266-025-05017-1","url":null,"abstract":"<p><strong>Background: </strong>Many transgender and gender-diverse (TGD) individuals rely on online resources to obtain gender-affirming surgery (GAS) information. In 2021, US Centers for Medicare and Medicaid Services (CMS) mandated that hospitals disclose prices for common services and procedures. The aim of this study was to assess the online information and price availability for GAS in US-based hospitals.</p><p><strong>Methods: </strong>The largest 100 hospitals by inpatient bed volume were included. Hospital websites were searched in October 2023 for terms pertaining to GAS, and price estimator tools were queried for 66 common CPT codes used in GAS. Data on hospital ownership, hospital income, Medicaid revenue, plastic surgery residency program presence, ZIP code median income, social vulnerability index score, and state-level nondiscrimination laws were also collected.</p><p><strong>Results: </strong>Out of 100 hospitals, 59 publicly offered GAS. Hospitals located in the US South and Church-owned hospitals were the least likely to have any GAS information availability (41.5% and 36.4%, respectively). Hospitals in states with laws protecting GAS insurance access and those with plastic surgery residency programs were more likely to publicly offer GAS. Only 48 hospitals offered any GAS pricing information. Of these hospitals, the median number of prices displayed was two, and only five hospitals disclosed prices for more than ten procedures. Pricing information was particularly limited for genital and facial procedures.</p><p><strong>Conclusions: </strong>Significant gaps exist in the public availability of GAS information and price transparency, with notable regional and institutional disparities. Standardizing price estimator tools would enhance informed decision-making and reduce barriers to care. http://www.springer.com/00266 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":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144482798","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}
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