{"title":"Hydration and Dispersion: Two Key Steps in Six AestheFill Reconstitution Methods.","authors":"Jui-Yu Lin, Chuan-Yuan Lin","doi":"10.1007/s00266-025-04785-0","DOIUrl":"https://doi.org/10.1007/s00266-025-04785-0","url":null,"abstract":"<p><p>AestheFill, a biostimulator containing poly-D,L-lactic acid (PDLLA) microspheres and carboxymethyl cellulose (CMC), is supplied as lyophilized powders in vials. It must be reconstituted with sterile water for injection into homogeneous suspensions before administration. In AestheFill, PDLLA microspheres do not dissolve in water, while CMC acts as a suspender for the PDLLA microspheres. However, CMC tends to form lumps when introduced to water. Agglomeration technology is utilized to prevent the formation of CMC lumps during reconstitution. This is why the lyophilized powders of AestheFill are agglomerated into granules. Reconstituting these granules involves several steps: wetting, sinking, disintegration, and dissolution. In this article, we summarize six different reconstitution methods for AestheFill. Additionally, our analysis identifies two key, time-consuming processes: the hydration of lyophilized granules and the dispersion of CMC and PDLLA microparticles.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":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143539742","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 the Comment 'Comment on: \"Therapeutical Strategies to Prevent Abdominoplasty Complications: A Systematic Review\"' to the Journal Aesthetic Plastic Surgery.","authors":"Cristina Pires Camargo","doi":"10.1007/s00266-025-04758-3","DOIUrl":"https://doi.org/10.1007/s00266-025-04758-3","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143539744","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 New and Validated Computed Tomography-Based Method for Measurement of Facial Fat Volume.","authors":"Mengyuan Jiang, Hao Shao, Qingchun Li","doi":"10.1007/s00266-025-04769-0","DOIUrl":"https://doi.org/10.1007/s00266-025-04769-0","url":null,"abstract":"<p><strong>Background: </strong>A consensus on effectively measuring facial fat volume by computed tomography (CT) or magnetic resonance imaging is lacking. This study aimed to assess the validity and reproducibility of a new CT-based method for measuring facial fat volume.</p><p><strong>Methods: </strong>Volume was measured using a new semiautomatic segmentation method. Two observers measured the volume of the fat layers in four soft tissue models constructed using the three-dimensional viewer software. These measurements were compared with previously reported standard volumes. Fat volume in the area of interest was measured from 16 hemifacial CT images by two independent observers. Based on the acquired data, inter-class correlation coefficients and Bland-Altman analyses were performed.</p><p><strong>Results: </strong>The mean difference (ml) ± SEM in comparison with the known volume was - 0.87 ± 4.11 (observer MY) and 3.42 ± 4.68 (observer HW), respectively. The fat volume of pork tissue (PFV) measured using MY (P = 0.846 > 0.05) and HW (P = 0.518 > 0.05) did not differ significantly from the standard volume. ICC calculations and Bland-Altman analysis indicated good agreement between inter- and intra-observer (ICC = 0.992 and 0.970 > 0.90, P<0.001).</p><p><strong>Conclusions: </strong>This new volumetric analysis for facial fat using a semiautomatic segmentation technique on CT scans is an effective and reliable tool.</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":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143539802","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}
Vardhan S Avasarala, Sanjay K A Jinka, Ananth S Murthy
{"title":"Social Media Analysis of Instagram Reveals Increased Scrub Attire in Non-OR Settings.","authors":"Vardhan S Avasarala, Sanjay K A Jinka, Ananth S Murthy","doi":"10.1007/s00266-025-04747-6","DOIUrl":"https://doi.org/10.1007/s00266-025-04747-6","url":null,"abstract":"<p><strong>Background: </strong>Physician attire on social media impacts patient perceptions of professionalism, competency, and trustworthiness. Plastic surgeons have rapidly adopted social media for educating and recruiting patients. Although social media is increasingly integrated into plastic surgery practice, there is little data on the attire surgeons portray themselves in online. This study explores trends in the attire of plastic surgeons in the USA in non-OR clinical settings through social media analysis.</p><p><strong>Methods: </strong>Public Instagram accounts were identified by searching #PlasticSurgery and #PlasticSurgeon. Only USA-based board-certified plastic surgeons were included. Three pictures per surgeon per year (2018-2022) in non-OR clinical settings were randomly selected. Attire was categorized as scrubs, professional clothing, or business casual. The use of a white coat along with the geographic region (West, Midwest, Southwest, Southeast, and Northeast) was also recorded.</p><p><strong>Results: </strong>In total, 1000 pictures (100 surgeons) were reviewed. ANOVA testing revealed significant (p < 0.05) differences over time with a trend toward decreased white coat and increased scrub use over the past 5 years. Significant gender differences were also noted, including male plastic surgeons wearing scrubs more often and white coat less often than female plastic surgeons (p < 0.05).</p><p><strong>Conclusion: </strong>Plastic surgeons looking to maintain an Instagram presence may consider posting in scrubs and no white coat versus traditional professional clinic attire to be aligned with modern social media trends. Further study is necessary to understand how these trends continue to evolve and what impact the pandemic may have had on plastic surgeons' clinical attire.</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":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143539748","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 Letter to the Editor: The \"Scarless Ab-lift\": A Novel Method for Treatment of Skin Laxity with Rectus Muscle Diastasis. Balancing Residual Skin Sagginess and Scarring in Abdominoplasty, Using Laparoscopy Techniques.","authors":"Francisco J Villegas-Alzate","doi":"10.1007/s00266-024-04077-z","DOIUrl":"10.1007/s00266-024-04077-z","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":"1652-1654"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140915647","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 to the Editor on: \"Breastfeeding Ability After Breast Reductions: What does the Literature Tell us in 2023?\"","authors":"Roni Kraut, Erin Brown","doi":"10.1007/s00266-024-03864-y","DOIUrl":"10.1007/s00266-024-03864-y","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":"1588-1589"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139929520","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 to the Editor on Microneedling in the Treatment of Post-burn Hypertrophic Scars.","authors":"Zi-Li Sun","doi":"10.1007/s00266-024-03942-1","DOIUrl":"10.1007/s00266-024-03942-1","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":"1628-1629"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140027208","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 on A Quantitative Three-Dimensional Tear Trough Deformity Assessment and Its Application in Orbital Septum Fat Transposition.","authors":"Zuguang Hua, Peng Wei","doi":"10.1007/s00266-024-03947-w","DOIUrl":"10.1007/s00266-024-03947-w","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":"1618-1619"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139989019","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}