Aesthetic Plastic Surgery最新文献

{"title":"Psychological Benefits After Body Contouring Surgery: Interpreting Early Findings and Future Directions.","authors":"Mohamed Badie Ahmed, Suhail A Doi","doi":"10.1007/s00266-026-06310-3","DOIUrl":"https://doi.org/10.1007/s00266-026-06310-3","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149103096","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":"Defining the Post-GLP-1 Body Contouring Patient: Expectations, Perception, and the Need for Prospective Evidence.","authors":"Martina Ponzo, Mariagiovanna Lombardi, Adriano Santorelli","doi":"10.1007/s00266-026-06281-5","DOIUrl":"https://doi.org/10.1007/s00266-026-06281-5","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149102930","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":"Microneedling Radiofrequency Versus Fractional Laser for the Treatment of Acne Scars: A Systematic Review with Descriptive Quantitative Synthesis.","authors":"Wenting Cai, Zao Tang, Chunyan Mu","doi":"10.1007/s00266-026-06312-1","DOIUrl":"https://doi.org/10.1007/s00266-026-06312-1","url":null,"abstract":"<p><strong>Background: </strong>Atrophic acne scars remain a persistent therapeutic challenge in aesthetic dermatology. Fractional laser resurfacing is an established treatment, whereas microneedling radiofrequency (MNRF) has emerged as a minimally invasive option that may offer a favorable recovery profile in selected patients.</p><p><strong>Objectives: </strong>To compare the clinical efficacy, recovery profile, and safety of MNRF-based interventions with fractional laser-based comparators for atrophic acne scars.</p><p><strong>Methods: </strong>PubMed and Web of Science were searched for randomized or comparative clinical studies evaluating MNRF-based treatment against fractional laser-based comparators. Fractional laser comparators were categorized according to tissue-interaction profile as ablative fractional CO2 laser, ablative fractional Er:YAG laser, or non-ablative erbium-glass fractional laser. Direct head-to-head comparisons and add-on combination protocols were examined separately. Risk of bias was assessed using the Cochrane RoB 2 tool, and ROBINS-I was used when nonrandomized comparative evidence was considered narratively.</p><p><strong>Results: </strong>The search yielded 152 records. After screening and eligibility assessment, four split-face studies with fractional laser comparators met the predefined PICO criteria. Two studies reported final ECCA scores. One evaluated MNRF as an add-on to non-ablative fractional laser treatment, whereas the other directly compared MNRF with ablative fractional CO2 laser. Because these studies differed in clinical design and did not consistently provide paired split-face statistics, ECCA outcomes were summarized descriptively at the study level. Across the included evidence, MNRF-based protocols were associated with clinical improvement and may provide shorter recovery than some ablative laser approaches, although recovery and tolerability outcomes were interpreted separately from scar-remodeling efficacy.</p><p><strong>Conclusion: </strong>Current comparative evidence suggests that MNRF-based interventions can improve facial atrophic acne scars and may offer tolerability advantages in selected patients. However, the available evidence does not establish uniform efficacy superiority of MNRF over all fractional laser modalities. The findings should be interpreted cautiously because of the small number of eligible studies, heterogeneous comparators, distinct study designs, and inconsistent outcome reporting.</p><p><strong>Level of evidence ii: </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.</","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149102952","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":"Reproducibility Without Rigidity: Sequential Agreement Auditing for the LA VISION Framework.","authors":"Bill Vaca, Antonella Egg","doi":"10.1007/s00266-026-06291-3","DOIUrl":"https://doi.org/10.1007/s00266-026-06291-3","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149103029","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":"Endoscopic Periorbital and Midface Rejuvenation with Direct Fixation: An Alternative to Suspension Techniques.","authors":"Mert Ersan, Hilal Aybuke Yildiz","doi":"10.1007/s00266-026-06244-w","DOIUrl":"https://doi.org/10.1007/s00266-026-06244-w","url":null,"abstract":"<p><strong>Background: </strong>Early aging changes of the periorbital-midface unit frequently present as lateral brow descent, lid-cheek elongation, and early midface ptosis. Conventional facelift procedures may be unnecessarily invasive in such patients, while isolated brow-lifting techniques often fail to adequately address the functional continuity of the periorbital-midface complex.</p><p><strong>Objectives: </strong>This study introduces the endoscopic periorbital and midface rejuvenation with direct fixation technique, which is designed to achieve stable repositioning of the periorbital-midface unit through anatomically guided mobilization and direct periosteal fixation.</p><p><strong>Methods: </strong>The technique includes a transtemporal incision and dissection under endoscopic visualization, sequential release of temporal ligamentous structures, entry into the prezygomatic space, vertical mobilization, direct fixation of the malar fat pad to the periosteum of the lateral orbital rim and temporal lifting using barbed sutures. Objective outcomes were assessed using standardized photographic measurements, and patient-reported outcomes were evaluated using FACE-Q domains.</p><p><strong>Results: </strong>The study included 62 patients with a mean follow-up of 15.2 months. Significant improvements were observed in brow height (mean increase 18.3%), lateral canthal angle (8.4%), and lower eyelid length (mean reduction 19.7%) (p < 0.05). FACE-Q scores improved significantly across all evaluated domains. No major complications and no temporary or permanent zygomatic branch injury occurred. Transient frontal branch neuropraxia lasting longer than 1 month was observed in three patients (4.8%).</p><p><strong>Conclusions: </strong>Endoscopic periorbital and midface rejuvenation with direct fixation provides effective improvement of the brow-periorbital-midface complex with a favorable safety profile.</p><p><strong>Level of evidence iv: </strong>Therapeutic study. 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":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149102924","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":"Ethmoid Perpendicular Plate Grafting: Combined Functional and Subunit Reconstruction in Asian Secondary Cleft Lip-Nose Deformities.","authors":"Mo Yang, Mengying Jin, Lifeng Xie, Guanhuier Wang, Yonghuan Zhen, Yang An","doi":"10.1007/s00266-026-06280-6","DOIUrl":"https://doi.org/10.1007/s00266-026-06280-6","url":null,"abstract":"<p><strong>Background: </strong>Asian secondary cleft rhinoplasty requires robust grafting. Autologous costal cartilage, while common, is limited by donor site morbidity, calcification, and warping. This study introduces a reconstructive protocol using the perpendicular plate of the ethmoid (PPE) to overcome these limitations.</p><p><strong>Methods: </strong>A retrospective review included 130 patients who underwent secondary cleft rhinoplasty, with 49 of them using PPE and septal cartilage between September 2017 and August 2025. The surgical technique integrated L-strut reconstruction with soft tissue subunit and orbicularis oris muscle repositioning. A representative subset (n = 12) was evaluated using the NOSE scale and ROE to objectively assess outcomes.</p><p><strong>Results: </strong>Overall, 98% of patients (48/49) expressed high subjective satisfaction over the follow-up. Complications were rare (2% infection rate, managed conservatively). Quantitative subset analysis demonstrated significant functional and aesthetic improvements: median NOSE scores decreased from 11.00 to 3.50 (p = 0.033), and mean ROE scores surged from 8.17 ± 2.41 to 20.42 ± 4.27 (p < 0.001).</p><p><strong>Conclusion: </strong>Autologous PPE grafting is a reliable, structurally robust alternative to costal cartilage in Asian secondary cleft rhinoplasty. It effectively restores subunit harmony and airway patency with minimal donor site morbidity.</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.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":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149103001","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":"Transcutaneous versus Transconjunctival Fixation in Non-Incisional Double Eyelid Surgery: A Long-Term Survival Analysis of Crease Retention.","authors":"Kyosuke Inoguchi, Takahiko Tamura, Hiromichi Okuma, Ryoichi Matsumoto, Yoji Miyamura, Michinori Yasuda, Takashi Yamauchi, Hiroo Teranishi","doi":"10.1007/s00266-026-06230-2","DOIUrl":"https://doi.org/10.1007/s00266-026-06230-2","url":null,"abstract":"<p><strong>Background: </strong>Non-incisional double eyelid surgery is widely performed in East Asia. However, crease loss is a common concern after surgery and a frequent reason for revision. Both transcutaneous and transconjunctival fixation techniques are commonly used; however, their relative effectiveness in long-term crease retention is controversial.</p><p><strong>Methods: </strong>This retrospective observational study examined 423 consecutive patients who underwent non-incisional double eyelid surgery clinic with transcutaneous or transconjunctival fixation at a high-volume esthetic surgery between July 2020 and July 2021. Crease loss was defined as the need for revision surgery due to the patient reporting fading or disappearance of the crease. Kaplan-Meier survival analysis and Cox proportional hazards regression were performed to evaluate factors associated with crease retention. Multivariable models were adjusted for age, sex, eyelid thickness, eyelid design, and puffy eyelid status.</p><p><strong>Results: </strong>Of the 423 eyelids analyzed, 174 underwent transcutaneous fixation, and 249 underwent transconjunctival fixation. Baseline demographic and anatomical characteristics were comparable between the two groups. Kaplan-Meier analysis revealed a significantly higher rate of crease retention in the transconjunctival fixation group (log-rank p < 0.001). Univariable analysis revealed a significant association between fixation method and crease loss (hazard ratio [HR] = 0.43, 95% confidence interval [CI]: 0.29-0.64, p < 0.001). This association remained significant in the multivariable analysis (HR = 0.43, 95% CI: 0.29-0.64, p < 0.001). Sex, eyelid thickness, eyelid design, and age were not independently associated with crease loss.</p><p><strong>Conclusion: </strong>Following non-incisional double eyelid surgery, transconjunctival fixation was associated with a significantly reduced risk of crease loss compared with transcutaneous fixation. The fixation method appears to be the primary determinant of long-term crease stability, underscoring its importance in surgical planning.</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":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149103093","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":"Neo-Umbilicoplasty Through Umbilical Pedicle Anchoring: Surgical Technique and Clinical Outcomes.","authors":"Agostino Bruno, Marco Schirosi, Riccardo Foti","doi":"10.1007/s00266-026-06277-1","DOIUrl":"https://doi.org/10.1007/s00266-026-06277-1","url":null,"abstract":"<p><strong>Background: </strong>The umbilicus is a central aesthetic landmark of the abdomen and a key determinant of patient satisfaction after abdominoplasty. Although preservation and transposition of the native umbilicus are feasible in most cases, certain anatomical and surgical conditions render umbilical preservation unsafe or impractical, making neo-umbilicoplasty a reconstructive necessity.</p><p><strong>Objectives: </strong>To describe a novel neo-umbilicoplasty technique based on anchoring the neo-umbilical flaps to the residual umbilical pedicle and to evaluate its aesthetic outcomes, reliability, and complication profile.</p><p><strong>Methods: </strong>A retrospective single-surgeon study was performed on consecutive patients undergoing full abdominoplasty or lipoabdominoplasty between March 2022 and March 2024 in whom the native umbilicus was excised and reconstructed using the described technique. Indications included large umbilical hernias, compromised or elongated umbilical stalks, severe rectus diastasis, and revision cases. Aesthetic outcomes were assessed using a standardized Likert scale (1-5) by two blinded plastic surgeons at 3, 6, and 12 months. Patient satisfaction was evaluated using a visual analog scale (VAS, 0-10). Umbilicus-related complications and long-term morphological stability were recorded.</p><p><strong>Results: </strong>Thirty-six patients were included, with a mean follow-up of 11.2 months. The mean composite aesthetic score improved from 4.12 at 3 months to 4.48 at 6 months and remained stable at 12 months. Patient satisfaction increased from a mean VAS of 8.6 to 9.2, with sustained results at late follow-up. No cases of umbilical necrosis, stenosis, progressive flattening, or loss of depth were observed. All complications were minor and managed conservatively.</p><p><strong>Conclusions: </strong>Neo-umbilicoplasty through umbilical pedicle anchoring provides accurate positioning, durable depth, and high aesthetic satisfaction with minimal additional fascial stress. It represents a reliable reconstructive option in complex abdominoplasty cases when native umbilical preservation is not feasible.</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":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149103016","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 \"Composite Labia Minora and Clitoral Hood Reduction: An Optional Surgical Method\".","authors":"Cüneyt Bozer, Özgür Rıdvan Leylek","doi":"10.1007/s00266-026-06286-0","DOIUrl":"https://doi.org/10.1007/s00266-026-06286-0","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149102934","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":"Keller Funnel Twist-A Simple Implant Propulsion Maneuver.","authors":"Cameron J Harrison, Fu-Yu Yang","doi":"10.1007/s00266-026-06266-4","DOIUrl":"https://doi.org/10.1007/s00266-026-06266-4","url":null,"abstract":"<p><p>Breast implant insertion following the 14-point plan recommends the use of an introducer to avoid contact of the implant with the skin [1]. A commonly used device is the 'Keller Funnel' (Allergan; AbbVie Inc, North Chicago, IL) [2]. The instructions provided by the manufacturer for the use of the Keller Funnel suggests \"squeezing the proximal end of the funnel behind the implant to gently guide the implant into the pocket.\" [2] Our addition to this recommended technique involves a 'twist' in the Keller Funnel behind the implant, stabilising the implants' position within the funnel to allow greater control of the implant and preventing retropulsion.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":2.7,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149102920","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}