Aesthetic Plastic Surgery最新文献

{"title":"Pain Reduction Following Liposuction for Lower Limb Lipedema: A Systematic Review and Meta-analysis.","authors":"Ibrahim R Halawani, Abdulaziz M Alghamdi, Mustafa Qais Al-Khafaji, Samar Y Almusaad, Hattan A Aljaaly","doi":"10.1007/s00266-026-06371-4","DOIUrl":"https://doi.org/10.1007/s00266-026-06371-4","url":null,"abstract":"<p><strong>Background: </strong>Lipedema is a chronic disorder of adipose tissue marked by disproportionate fat accumulation in the extremities and persistent pain, which significantly impairs quality of life. Although liposuction has been adopted as a therapeutic intervention beyond aesthetic purposes, the extent and long-term persistence of pain reduction after surgery have not been fully quantified.</p><p><strong>Methods: </strong>This systematic review and meta-analysis followed PRISMA guidelines. Multiple electronic databases were searched from inception to September 2025. Eligible studies included adult patients with lipedema who underwent lower limb liposuction and reported both preoperative and postoperative pain outcomes. Pain scores, measured by the Visual Analog Scale or Numeric Rating Scale, were pooled using random-effects and reported as standardized mean differences (SMDs). Analyses were stratified by short-term (≤ 6 months) and long-term (> 6 months) follow-up. Subgroup analyses examined outcomes by liposuction technique.</p><p><strong>Results: </strong>Ten studies comprising 901 patients were included. Liposuction was associated with a significant reduction in pain at ≤ 6 months postoperatively (SMD - 1.72, 95% CI - 2.18 to - 1.27). Pain reduction persisted at long-term follow-up (> 6 months; SMD - 1.96, 95% CI - 3.05 to - 0.88). Subgroup analyses demonstrated pain reduction across all evaluated techniques; however, the current evidence is insufficient to determine the superiority of any specific technique. Overall, 87.7% of patients reported improvement in postoperative pain.</p><p><strong>Conclusions: </strong>Liposuction for lower limb lipedema is associated with substantial and sustained pain reduction across various surgical techniques. Despite heterogeneity and the predominance of observational data, these findings support liposuction as an effective therapeutic intervention for pain related to lipedema.</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":2.7,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149164305","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":"Tactile Sensitivity After Ear Reconstruction with Tissue Expansion: A Semmes-Weinstein Monofilament Study.","authors":"Fan Guo, Yang Yang, Bo Pan","doi":"10.1007/s00266-026-06299-9","DOIUrl":"https://doi.org/10.1007/s00266-026-06299-9","url":null,"abstract":"<p><strong>Background: </strong>Protective sensation is crucial to avoid injury in the reconstructed auricle. This study aimed to objectively quantify cutaneous sensitivity following autologous ear reconstruction using tissue expansion for unilateral microtia compared to the sensation of healthy auricles.</p><p><strong>Methods: </strong>In this retrospective study, participants who underwent autologous auricular reconstruction with tissue expansion and were at least 6 months post-operation were included. From January 2025 to June 2025, standardized sensory testing with Semmes-Weinstein monofilaments (SWM) was performed at 12 predefined anatomical points on both the reconstructed and unaffected ears.</p><p><strong>Results: </strong>A total of 42 patients were included. At six months post-operation, cutaneous pressure thresholds were significantly higher at 9 of the 12 tested points on the reconstructed auricle compared to the unaffected side (P < 0.005), except for the lobule, tragus, and concha. The highest threshold was at the apical helix (4.42 ± 3.57 g/mm², P < 0.001). Other points showed progressively lower increases: posterior helix (2.64 ± 2.81 g/mm², P < 0.001), antihelix (2.02 ± 3.44 g/mm², P < 0.001), triangular fossa (1.84 ± 3.11 g/mm², P = 0.001), inferior helix (1.17 ± 1.71 g/mm², P < 0.001), scaphoid fossa (0.87 ± 1.18 g/mm², P = 0.018), helix crus (0.79 ± 1.39 g/mm², P = 0.001), superior third of the postauricular sulcus (0.64 ± 1.21 g/mm², P = 0.003), and inferior third of the postauricular sulcus (0.48 ± 1.04 g/mm², P = 0.007). All patients and families were satisfied with the outcome of auricular reconstruction.</p><p><strong>Conclusion: </strong>Compared to the healthy auricles, cutaneous hypoesthesia persists after autologous auricular reconstruction with tissue expansion at most anatomical subsites, particularly at the superior helix. Patients and families should be informed of this potential risk of cutaneous sensitivity hypoesthesia and protective measures for the superior helix are recommended.</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":2.7,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149164350","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":"Advanced Age is Not Associated With An Increased Risk of Postoperative Complications in Breast Reduction Surgery: A Comparative Study on 1716 Patients.","authors":"Mira Laitala, Joonas Virkalahti, Pauline Sjöholm, Salvatore Giordano","doi":"10.1007/s00266-026-06367-0","DOIUrl":"https://doi.org/10.1007/s00266-026-06367-0","url":null,"abstract":"<p><strong>Background: </strong>Age is frequently cited as a surgical risk factor; yet, its influence on outcomes following breast reduction remains unclear. With increasing numbers of elderly patients presenting with macromastia, determining whether advanced age independently affects complication rates is clinically important.</p><p><strong>Aims and objectives: </strong>To evaluate whether age ≥ 65 years is an independent risk factor for postoperative complications following bilateral reduction mammaplasty and to identify associated patient- and procedure-related variables.</p><p><strong>Materials and methods: </strong>This retrospective cohort study included 1716 female patients who underwent bilateral breast reduction at a single tertiary center (2005-2024), stratified into older (≥ 65 years, n = 174), and non-older (< 65 years, n = 1542) groups. Primary outcome was Clavien-Dindo grade II or higher complications requiring surgical intervention. Multivariable logistic regression identified independent risk factors.</p><p><strong>Results: </strong>Older patients had significantly higher comorbidity prevalence (69.0% vs. 46.1%; p < 0.001), including diabetes and hypertension, and greater bilateral resection weights. Despite this, overall complication rates were significantly lower in the older group (8.6% vs. 16.1%; OR 0.49, 95% CI 0.28-0.85; p = 0.009). Hematoma and deep wound infection rates were also lower, while fat necrosis occurred more frequently and was managed conservatively in most cases. On multivariable analysis, higher BMI (OR 1.10; p = 0.004) and active smoking (OR 1.80; p = 0.004) were independent predictors of complications; age ≥ 65 was not significantly associated with complications (OR 0.55; p = 0.062).</p><p><strong>Conclusions: </strong>Advanced age alone was not independently associated with increased complications. BMI and smoking were the main modifiable factors associated with postoperative risk. Age-based exclusion criteria are not supported by these findings in this cohort of selected surgical patients; individualized risk assessment should be applied to all candidates.</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":2.7,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149164411","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":"Continuous Release-Assisted Sharp-Tip Aspiration for Fibrotic Dorsocervical Fat Pads: A Phase-Adapted Cannula Protocol.","authors":"Yi Wang, Kai Guo, Ze-Ming Zhuang, Tao Zhang, Yong Wang, Xiao-Ying Lin, Chun-Ye Chen, Min-Xia Zhang, Wei-Qiang Tan","doi":"10.1007/s00266-026-06313-0","DOIUrl":"https://doi.org/10.1007/s00266-026-06313-0","url":null,"abstract":"<p><strong>Background: </strong>Fibrotic dorsocervical fat pads (\"buffalo humps\") are challenging to treat with conventional blunt-tip liposuction because dense fibrofatty septa may limit cannula passage, aspiration efficiency, and contour refinement. Although sharp-cannula release has been introduced to address fibrotic resistance, existing approaches generally separate release from subsequent debulking and refinement.</p><p><strong>Objectives: </strong>To describe a continuous release-assisted sharp-tip aspiration protocol using custom-designed cannulas throughout penetration, debulking, and refinement, and to evaluate its early clinical outcomes and safety.</p><p><strong>Methods: </strong>Thirty patients with clinically evident fibrotic dorsocervical fat pads underwent a phase-adapted sharp-tip aspiration protocol using a 2.5 mm 2-port cannula and 3.0 mm 3- or 4-port cannulas. The protocol incorporated lesion-centered dual-circle marking, phase-adapted cannula selection, bimanual tactile control, and staged aspiration. Immediate postoperative B-mode ultrasonography was performed in representative cases. Twelve-month outcomes were assessed using a standardized 4-point photographic scale by two independent plastic surgeons, with inter-rater reliability evaluated using quadratic weighted Cohen's kappa. Patient satisfaction was also assessed at 12 months using a 5-point Likert scale.</p><p><strong>Results: </strong>The mean aspirated volume was 260.7 mL. At 12 months, both raters classified 93.3% of cases as good or excellent, and 80.0% of patients were satisfied or very satisfied. Exact inter-rater agreement was 73.3%, and quadratic weighted Cohen's κ was 0.63. Representative ultrasound showed residual treated subcutaneous tissue thickness of 0.55-0.74 cm, preserved layer continuity, and no obvious fluid collection or fascial disruption. No major complications or revision procedures occurred; minor complications resolved spontaneously or were managed conservatively.</p><p><strong>Conclusions: </strong>Continuous release-assisted sharp-tip aspiration appears feasible for selected fibrotic dorsocervical fat pads. By coupling septal disruption and aspiration throughout the procedure, this protocol may improve procedural consistency while preserving a minimally invasive approach.</p><p><strong>Level of evidence iv: </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":2.7,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149163798","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":"Letter in Reply in Response to: \"The Continuum of Care in Combined Aesthetic Body Contouring Surgery\".","authors":"Taylan Sahin, Ali Sait Kavakli, Yasemin Aydinli","doi":"10.1007/s00266-026-06307-y","DOIUrl":"https://doi.org/10.1007/s00266-026-06307-y","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149148780","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":"Cartilage Support with Alar Groove Reconstruction for Nasal Deformity in Hemifacial Atrophy: A Multicenter Prospective Study.","authors":"Yang Hu, Chengwu Zhang, Chao Li, Jingjie Qiao, Yang Wang, Ping Li, Yonggan Niu","doi":"10.1007/s00266-026-06302-3","DOIUrl":"https://doi.org/10.1007/s00266-026-06302-3","url":null,"abstract":"<p><strong>Background: </strong>Nasal alar deformity in hemifacial atrophy is challenging due to combined loss of structural support and surface landmarks. Existing techniques usually address either volumetric deficiency or framework reinforcement alone. This study evaluates a strategy integrating autologous cartilage support with simultaneous reconstruction of the supra-alar and alar-facial grooves.</p><p><strong>Methods: </strong>In this prospective multicenter study, consecutive patients with hemifacial atrophy and unilateral alar collapse with groove attenuation or obliteration underwent standardized surgical correction (subcutaneous release, autologous cartilage grafting, and multi-point traction suturing). Outcomes were assessed using standardized two-dimensional photographic morphometric analysis and the validated Nasal Obstruction Symptom Evaluation scale.</p><p><strong>Results: </strong>Among 91 enrolled patients, 84 completed follow-up for 12 to 36 months. Significant improvements were observed in objective alar symmetry, including reduction in alar base asymmetry from 8.72 ± 0.99 mm preoperatively to 1.12 ± 0.49 mm postoperatively (P < 0.001) and nostril width discrepancy from 6.22 ± 0.87 mm to 0.74 ± 0.38 mm (P < 0.001). Apparent two-dimensional photographic parameters of supra-alar and alar-facial groove morphology demonstrated sustained improvement in groove definition and continuity among patients with available longitudinal data. Functional outcomes improved, with NOSE scores decreasing from 68.4 ± 12.6 preoperatively to 17.4 ± 7.5 at final follow-up (P < 0.001). The overall complication rate was low, and no major revision surgery was required.</p><p><strong>Conclusions: </strong>This single-arm prospective cohort suggests that cartilage support combined with alar groove reconstruction is a feasible approach for selected patients with hemifacial atrophy and may provide sustained improvements in alar symmetry and surface landmark definition. Because of the absence of a comparative control group, these findings should be interpreted as preliminary, and further comparative studies are required to confirm the relative effectiveness of this technique.</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":2.7,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149147089","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":"Clinical Application of the Percutaneous Orbital Fat Release Technique for Correcting Lower Eyelid Bags and Lacrimal Groove Deformities.","authors":"Yang-Yang Zhang, Guo-Hui Zhang, Hai-Qi Li, Jing-Ran Xu","doi":"10.1007/s00266-026-06284-2","DOIUrl":"https://doi.org/10.1007/s00266-026-06284-2","url":null,"abstract":"<p><strong>Background: </strong>Severe lower eyelid blepharoplasty complications and lacrimal groove deformities can significantly impact a person's overall appearance and well-being. Although various treatment methods exist, this article focuses on clinical research related to the surgical correction of lower eyelid blepharoplasty combined with lacrimal groove deformities.</p><p><strong>Objective: </strong>To retrospectively analyze the clinical efficacy of the percutaneous orbital fat release technique for correcting lower eyelid blepharoplasty combined with lacrimal groove deformity in 23 patients.</p><p><strong>Methods: </strong>The patients in this study underwent a procedure in which an appropriate amount of skin was removed, and the orbital fat was secured to the distal fixed periosteum or the superficial layer of the periosteal fascia.</p><p><strong>Results: </strong>The patient satisfaction rate after surgery was 95.65%, and the improvement rate, according to the physician's evaluation, was 91.30%. The incidence of complications was 21.74%.A significant improvement in the tear trough deformity was observed at the 6-month post-operative follow-up compared to the pre-operative baseline, with a statistically significant difference <math><mrow><mo>(</mo> <mi>Z</mi> <mo>=</mo> <mo>-</mo> <mn>4.218</mn> <mo>,</mo> <mi>P</mi> <mo><</mo> <mn>0.05</mn></mrow> </math> ).</p><p><strong>Conclusions: </strong>The transcutaneous orbital fat release technique significantly improves Barton grading scores at the 6-month post-operative follow-up, demonstrating clinical feasibility and favorable preliminary efficacy in correcting lower blepharochalasis associated with tear trough deformity. However, given the limitations of a small sample size and the lack of a parallel control group, its long-term stability and broader clinical generalizability warrant further validation through large-scale, high-quality studies.</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":2.7,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149147845","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":"Scarpa Fascia Preservation During Abdominoplasty Does Not Reduce the Seroma Risk.","authors":"Eric Swanson","doi":"10.1007/s00266-026-06330-z","DOIUrl":"https://doi.org/10.1007/s00266-026-06330-z","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149147166","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":"Geometric Template for Preoperative Breast Marking: An Innovative Tool Based on Harmonic Proportions.","authors":"Leandro Debs, Gabriel de Almeida Arruda Felix, Miguel Sabino Neto","doi":"10.1007/s00266-026-06236-w","DOIUrl":"https://doi.org/10.1007/s00266-026-06236-w","url":null,"abstract":"<p><strong>Background: </strong>Breast symmetry and harmony remain challenging goals in aesthetic breast surgery. Preoperative marking is fundamental for planning; however, most techniques rely on nipple-areola complex (NAC) distances and subjective visual assessment, often neglecting thoracic width, height, and the true breast footprint. A geometric framework based on harmonic proportions can help standardize preoperative planning and may improve the reproducibility of breast markings.</p><p><strong>Methods: </strong>A two-dimensional geometric template was developed by integrating constant anatomical references (sternum, clavicles, axillary and acromial lines, and umbilicus) with proportional relationships derived from aesthetic and anthropometric studies. The template was calibrated for each patient's using thoracic width and height and was designed to be superimposed on standardized frontal photographs. It guides the NAC position, breast width, upper pole contour, and inframammary fold level. The model was applied in mastopexy and reduction mammaplasty as a preoperative planning and postoperative photographic overlay comparison, as well as a visual aid in resident teaching sessions.</p><p><strong>Results: </strong>The template was easily incorporated into daily practice using standard clinical photographs and simple digital overlays. Geometric gridlines and proportional curves allowed visualization of the NAC position, breast symmetry, and contour in relation to thoracic dimensions. Repeated overlays facilitated the longitudinal comparison of breast position and shape. During teaching sessions, the template was used as a visual aid to facilitate resident understanding of the geometric relationships between thoracic anatomy, the breast footprint, and marking decisions.</p><p><strong>Conclusions: </strong>This innovative geometric template offers a simple, visually intuitive tool for standardizing preoperative marking and supporting postoperative photographic overlay comparisons in breast surgeries. It is inexpensive, compatible with existing photographic workflows, and may support training and future digital or artificial intelligence integration. Prospective studies are needed to quantify the impact of these factors on aesthetic outcomes and learning curves.</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":2.7,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149147326","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":"Response to \"Comment on 'Upper Blepharoplasty Under Anticoagulant or Antiplatelet Therapy: Is Safety Still a Concern?'\".","authors":"Juan A Viscardi, Salvatore Giordano","doi":"10.1007/s00266-026-06328-7","DOIUrl":"https://doi.org/10.1007/s00266-026-06328-7","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149134738","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}