Aesthetic Plastic Surgery最新文献

{"title":"Comment on: Simultaneous Treatment of Pseudo-gynecomastia and Lateral Chest in Patients with Massive Weight Loss.","authors":"Agostino Bruno","doi":"10.1007/s00266-025-05065-7","DOIUrl":"https://doi.org/10.1007/s00266-025-05065-7","url":null,"abstract":"","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":"144482796","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":"Combining Microneedling and Tranexamic Acid for Melasma: A Systematic Review and Meta-Analysis.","authors":"Qixuan Wang, Chen Ma, Ling Zhang","doi":"10.1007/s00266-025-05043-z","DOIUrl":"https://doi.org/10.1007/s00266-025-05043-z","url":null,"abstract":"<p><strong>Background: </strong>Tranexamic acid (TXA) has been explored as a potential treatment for melasma, and microneedling (MN) enhances transcutaneous drug delivery. To evaluate the clinical efficacy, patient satisfaction, and safety of microneedling combined with TXA (MN + TXA) in treating melasma compared to alternative treatment modalities.</p><p><strong>Methods: </strong>A systematic review and meta-analysis were conducted following PRISMA guidelines. Clinical improvement, patient satisfaction, and adverse events were analyzed using standardized mean differences (SMD) with 95% confidence intervals (CI). The risk of bias was assessed using the RoB 2.0 and ROBINS-I tools.</p><p><strong>Results: </strong>MN + TXA showed no significant improvement over other treatments in overall clinical outcomes. However, subgroup analysis revealed MN + TXA was significantly more effective than MN alone. Patient satisfaction did not significantly differ between MN + TXA and other treatments. The incidence of adverse events was similar across treatment groups.</p><p><strong>Conclusion: </strong>Compared to other therapies, MN+TXA may be considered a potential option for melasma management. Future large-scale, standardized, multicenter trials directly are essential to confirm its efficacy, safety, and clinical utility.</p><p><strong>Level of evidence i: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144482795","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":"Invited Response to \"Artificial Intelligence in Rhinoplasty: Precision or Over-Reliance?\"","authors":"Ariana Genovese, Srinivasagam Prabha, Antonio Jorge Forte","doi":"10.1007/s00266-025-05058-6","DOIUrl":"https://doi.org/10.1007/s00266-025-05058-6","url":null,"abstract":"<p><p>The integration of artificial intelligence (AI) into surgical practice demands critical reflection-not only on its capabilities, but also on its appropriate role. We appreciate De Bernardis et al. for raising essential concerns about the limits of AI in operative planning, particularly in contexts where human judgment, healing trajectories, and esthetic discernment defy algorithmic modeling. Rather than viewing these limitations as grounds for rejection, we argue that they clarify where AI truly belongs: not in replacing surgical expertise, but in reinforcing the systems that support it. When applied thoughtfully, AI can reduce cognitive burden, streamline repetitive tasks, and extend access to reliable, patient-centered information. Its value lies in augmentation, not replication. Yet this potential must be grounded in ethical design, where accountability, representational fairness, and data security are not add-ons, but foundational principles. The future of AI in rhinoplasty is not a binary of precision versus over-reliance. It is a challenge of integration: how to embed AI into the surgical ecosystem in ways that elevate care, protect patients, and preserve what is uniquely human in medicine.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":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144473782","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 High Eyelid Folds Using Three-Plane Dissection and Fat Repositioning/Grafting in Revisional Blepharoplasty.","authors":"Chuanbo Liu, Qinyuan Zhao, Shuoshuo Zhu, Zijing Zhang, Jinsheng Li, Haihua Chen","doi":"10.1007/s00266-025-05005-5","DOIUrl":"https://doi.org/10.1007/s00266-025-05005-5","url":null,"abstract":"<p><strong>Background: </strong>The deformity of high eyelid fold is a common complication of Asian blepharoplasty, and its correction remains a significant challenge in clinical practice. Our study introduced a refined technique for the correction of high eyelid folds and aimed to evaluate the efficacy and safety of this technique.</p><p><strong>Methods: </strong>This was a retrospective study, and a total of 90 patients with high eyelid folds were included. During surgery, a three-plane dissection was performed above the incision line to completely release the tension caused by scar adhesion. Preaponeurotic fat flap repositioning or autologous abdominal fat grafting was conducted to prevent scar readhesion of the eyelid tissue and recurrence of high folds. After a minimum of six-month follow-up, the postoperative outcome including patient satisfaction and complications was analyzed.</p><p><strong>Results: </strong>The mean postoperative height of the double eyelid crease was 7.1 mm, significantly reduced compared to the preoperative height (7.1 ± 0.3 mm vs 11.1 ± 0.5 mm, P < 0.01). In our study, the overall satisfaction rate was 87.8%, with 29 patients (32.2%) reporting being very satisfied and 50 patients (55.6%) satisfied. Among the 11 patients (12.2%) dissatisfied with the postoperative outcomes, four patients had recurrent or persistent high folds, three patients had asymmetric folds, two patients still had eyelid depression, and two patients had lagophthalmos. Furthermore, logistic regression analysis showed that surgical history of blepharoplasty (P = 0.002), concomitant blepharoptosis (P = 0.031), and concomitant eyelid depression (P = 0.005) were the independent predictors of the patient satisfaction.</p><p><strong>Conclusion: </strong>This technique, involving three-plane dissection combined with fat repositioning or grafting, has been shown to be effective with high patient satisfaction and safe with a low complication rate for correcting high lid folds. Our study provides an optional surgical procedure for revisional blepharoplasty, but further studies are needed to evaluate its application in a broader population.</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":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144473781","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 Outcomes in Tumescent Local Anaesthesia for Reduction Mammaplasty and the Impact of Comorbidities.","authors":"Amir Reza Akbari, Melina Latofangi, Benyamin Alam","doi":"10.1007/s00266-025-05037-x","DOIUrl":"https://doi.org/10.1007/s00266-025-05037-x","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144473785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Cautionary Perspective on AI in Cosmetic Surgery Patient Selection.","authors":"Yuxuan Dai, Yihui Cao, Yu Chen","doi":"10.1007/s00266-025-05061-x","DOIUrl":"https://doi.org/10.1007/s00266-025-05061-x","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144473779","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":"Mapping the Global Research Landscape: A Bibliometric Analysis of Clinical Trials on Skin Aging-Trends, Innovations, and Research Gaps.","authors":"Sebastian Cotofana, Michael Alfertshofer","doi":"10.1007/s00266-025-05048-8","DOIUrl":"https://doi.org/10.1007/s00266-025-05048-8","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144473783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Novel Zero-Retention Suturing Technique in Labiaplasty: Eliminating Suture-Related Complications and Optimizing Aesthetic Outcomes.","authors":"Yilin Li, Yu Zhou, Yujiao Cao, Meichen Liu, Lu Liu, Fengyong Li","doi":"10.1007/s00266-025-05025-1","DOIUrl":"https://doi.org/10.1007/s00266-025-05025-1","url":null,"abstract":"<p><strong>Background: </strong>Most of the labiaplasty suturing methods do not involve the removal of subcutaneous tissue sutures, which are associated with suture-related adverse events. A novel labiaplasty suturing technique was presented to avoid suture-related adverse events and to improve surgery efficiency.</p><p><strong>Methods: </strong>Between September 2019 and April 2021, labiaplasty for 68 patients were performed using this new suturing technique. All sutures were removed 7 days postoperatively and all patients were followed-up and evaluated three months postoperatively.</p><p><strong>Results: </strong>Overall, 127 labiaplasties were performed using the new suturing technique. The mean operation times were 42.2 ± 12.6 min (range: 30-60 min) for bilateral labiaplasty (59 cases) and 26.7 ± 8.3 min (20-40 min) for unilateral labiaplasty (nine cases). At the postoperative follow-up evaluations, the incisions had healed well without suture-related adverse effects, marginal scarring was inconspicuous, and no notches were detected at the edge of incision. Sixty-two patients (91.2%) had a score of ≥ 21 points on the female genital self-image scale. Five patients experienced some bleeding (mild bleeding in the early postoperative period, oozing blood from the incision, which can be stopped by applying local pressure) at the edge of incision within 72 h postoperatively, which improved after moderate compression treatment. One patient experienced unilateral, epithelial loss (approx. 3 mm², full thickness) of the labia minora five days postoperatively; this healed 20 days post-operatively. Three patients complained of mild pain (visual analogue scale score: 1-2) on suture removal.</p><p><strong>Conclusions: </strong>We introduced a novel, safe, simple, and clinically feasible suturing technique for labiaplasty. This new method effectively helps to avoid suture-related adverse effects and obtain a well-shaped edge for the labia minora.</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":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144473780","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":"Pectoral Nerve (PECS) Blocks in Gynecomastia Surgeries.","authors":"Raghuraman M Sethuraman, Sudhakaran Rajendran","doi":"10.1007/s00266-025-05035-z","DOIUrl":"https://doi.org/10.1007/s00266-025-05035-z","url":null,"abstract":"<p><p>This manuscript, a Letter to the Editor, is in response to the recently published research article that compared the effectiveness of pectoral nerve (PECS) block I versus PECS block II in gynecomastia surgeries. A few important concepts that were misconceived by the authors of the original article are discussed here.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":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144473784","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 Impact of Subpectoral Tissue Expander Applications on Thoracic Deformity: Retrospective Analytic Study on Mastectomy Patients.","authors":"Qi Xu","doi":"10.1007/s00266-025-05034-0","DOIUrl":"10.1007/s00266-025-05034-0","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144336231","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}