Aesthetic Plastic Surgery最新文献

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Correction: Smart Use of Skin Biopsy Punch in Treating Keloids: A Single-Center Retrospective Study. 更正:明智地使用皮肤活检打孔治疗瘢痕疙瘩:一项单中心回顾性研究。
IF 2 3区 医学
Aesthetic Plastic Surgery Pub Date : 2025-05-19 DOI: 10.1007/s00266-025-04931-8
Yixin Li, Jingyi Dong, Liuhong Liu, Kai Huang, Dingheng Zhu, Wu Zhu, Shuang Zhao, Renliang He
{"title":"Correction: Smart Use of Skin Biopsy Punch in Treating Keloids: A Single-Center Retrospective Study.","authors":"Yixin Li, Jingyi Dong, Liuhong Liu, Kai Huang, Dingheng Zhu, Wu Zhu, Shuang Zhao, Renliang He","doi":"10.1007/s00266-025-04931-8","DOIUrl":"https://doi.org/10.1007/s00266-025-04931-8","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144101202","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
Subject-Reported Satisfaction After Cell-Enriched Lipotransfer (CELT) for Lip Augmentation. 丰唇细胞脂肪移植(CELT)后受试者报告的满意度。
IF 2 3区 医学
Aesthetic Plastic Surgery Pub Date : 2025-05-19 DOI: 10.1007/s00266-025-04875-z
Sophia Diesch, Konstantin Frank, Vanessa Brébant, Sebastian Bohusch, Eva Brix, Rui Zeng, Lukas Prantl
{"title":"Subject-Reported Satisfaction After Cell-Enriched Lipotransfer (CELT) for Lip Augmentation.","authors":"Sophia Diesch, Konstantin Frank, Vanessa Brébant, Sebastian Bohusch, Eva Brix, Rui Zeng, Lukas Prantl","doi":"10.1007/s00266-025-04875-z","DOIUrl":"https://doi.org/10.1007/s00266-025-04875-z","url":null,"abstract":"<p><strong>Background: </strong>Lip augmentation is a highly demanded cosmetic procedure due to the association of full lips with youth, beauty, and sensuality. Among various techniques, autologous fat grafting, particularly with the cell-enriched lipotransfer (CELT) method, has emerged as a natural and long-lasting option. Unlike hyaluronic acid fillers, which require regular touch-ups, CELT offers sustained volume retention and potentially higher patient satisfaction.</p><p><strong>Objective: </strong>This study aimed to assess patient satisfaction following lip augmentation using the CELT technique and compare it with traditional fat preparation methods, such as sedimentation and filtration. The study also sought to evaluate the influence of other variables, including gender, age, and fat injection volume, on satisfaction outcomes.</p><p><strong>Materials and methods: </strong>A retrospective chart review of patients who underwent lip augmentation with autologous fat grafting was conducted. Satisfaction was measured using the FACE-Q<sup>TM</sup> questionnaire, focusing on various lip-related aspects such as shape, fullness, and how well the lips suited the face. The study compared satisfaction outcomes between the CELT method and combined sedimentation/filtration techniques. Statistical analysis using the Kruskal-Wallis test and Pearson's correlation was performed to assess the influence of preparation method, injected volume, and patient demographics.</p><p><strong>Results: </strong>The CELT method consistently produced higher satisfaction compared to sedimentation and filtration (p < 0.001 for all items). Patients treated with CELT reported greater improvements in the shape of the lips, fullness of the lower lip, and Cupid's bow. Gender and age were also significant factors, with males showing greater satisfaction in smile-related aspects, while females were more satisfied with the lip style. Older patients reported greater improvements in how well their lips suited their face, while higher injected volumes positively correlated with lip fullness and appearance.</p><p><strong>Conclusion: </strong>The CELT fat grafting technique significantly enhances patient satisfaction in lip augmentation compared to traditional fat preparation methods. CELT's higher fat retention and more natural results make it a superior option for lip augmentation. However, further studies incorporating objective volumetric measurements are needed to validate these findings.</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":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144101229","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
Outcomes and Risk Factors of Pyoderma Gangrenosum After Reduction Mammoplasty: A Systematic Review of the Literature and Case Report. 乳房缩小成形术后坏疽性脓皮病的预后和危险因素:文献和病例报告的系统回顾。
IF 2 3区 医学
Aesthetic Plastic Surgery Pub Date : 2025-05-19 DOI: 10.1007/s00266-025-04859-z
Asmaa Ali Dahy, Rasha Mohamad Hassan, Ayman Altramsy, Amany Attalah Gad, Ali Mohamed Elameen, Ahmed Salem, Ahmed Abu-Elsoud
{"title":"Outcomes and Risk Factors of Pyoderma Gangrenosum After Reduction Mammoplasty: A Systematic Review of the Literature and Case Report.","authors":"Asmaa Ali Dahy, Rasha Mohamad Hassan, Ayman Altramsy, Amany Attalah Gad, Ali Mohamed Elameen, Ahmed Salem, Ahmed Abu-Elsoud","doi":"10.1007/s00266-025-04859-z","DOIUrl":"https://doi.org/10.1007/s00266-025-04859-z","url":null,"abstract":"<p><strong>Background: </strong>Reduction mammoplasty is a common aesthetic and reconstructive breast procedure. Pyoderma gangrenosum (PG) is a rare inflammatory, non-infectious neutrophilic dermatosis. Post-surgical PG is characterized by ulcerative lesions at surgical sites commonly misdiagnosed as wound infection. The present systematic review was conducted to retrieve the potential factors and outcomes of post-reduction mammoplasty PG with a case report.</p><p><strong>Methods: </strong>An extensive systematic literature review was implemented from inception to 18 October 2024. All clinical studies that included patients with PG after reduction mammoplasty were included for systematic review.</p><p><strong>Results: </strong>A female patient presented ten days after reduction mammoplasty with bilateral wound dehiscence. Thirty-nine days after the operation, the wound showed a second dehiscence for which immunosuppressive drugs were prescribed. The patient responded to the latest regimen with complete healing of the ulcerative lesions of the right and left breasts. The present systematic review included 41 cases, encompassing the present case report. The median time to initial presentation of PG was 6.5 days. The median time to the diagnosis of PG was 15.5 days. The wound was healed by secondary intention among 26 (59.06%) patients. Skin grafting was performed for six (13.63%) patients, while three (6.81%) patients received skin substitutes.</p><p><strong>Conclusion: </strong>PG after reduction mammoplasty is a devastating condition associated with poor cosmetic outcomes. The condition is difficult to diagnose, and the majority of cases are misdiagnosed and potentially subjected to ineffective medical therapy and unnecessary surgical debridement that worsen the prognosis of PG. Patients with existing immunological disorders and patients with a history of breast cancer were at higher risk of developing PG after reduction mammoplasty. The risk of PG after reduction mammoplasty still existed despite undergoing previous breast or abdominal surgeries. Patients with post-reduction mammoplasty PG mostly presented with erythema, severe pain, and fever.</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":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144101206","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
Comments on "Analysis of Physiological Oxygen Concentrations in Different Abdominal Fat Layers by Body Mass Index". 对“用体重指数分析腹部不同脂肪层的生理性氧浓度”的评论。
IF 2 3区 医学
Aesthetic Plastic Surgery Pub Date : 2025-05-19 DOI: 10.1007/s00266-025-04949-y
Fatemeh Dehghani, Motahareh Sabaghi Qalanou, Sadegh Dehghanmehr
{"title":"Comments on \"Analysis of Physiological Oxygen Concentrations in Different Abdominal Fat Layers by Body Mass Index\".","authors":"Fatemeh Dehghani, Motahareh Sabaghi Qalanou, Sadegh Dehghanmehr","doi":"10.1007/s00266-025-04949-y","DOIUrl":"https://doi.org/10.1007/s00266-025-04949-y","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144101200","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
The Research Trend of Non-surgical Rhinoplasty: A Bibliometric and Visualized Analysis. 非手术鼻整形的研究趋势:文献计量学和可视化分析。
IF 2 3区 医学
Aesthetic Plastic Surgery Pub Date : 2025-05-19 DOI: 10.1007/s00266-025-04914-9
Zhifeng Liao, Yin Wu, Liyao Cong, Shengkang Luo
{"title":"The Research Trend of Non-surgical Rhinoplasty: A Bibliometric and Visualized Analysis.","authors":"Zhifeng Liao, Yin Wu, Liyao Cong, Shengkang Luo","doi":"10.1007/s00266-025-04914-9","DOIUrl":"https://doi.org/10.1007/s00266-025-04914-9","url":null,"abstract":"<p><strong>Background: </strong>Rhinoplasty is one of the most common aesthetic surgeries, with non-surgical rhinoplasty (NSR) gaining popularity due to its affordability and minimal risks. The aim of this study is to use bibliometric analysis to identify prominent research areas and emerging trends within this field.</p><p><strong>Methods: </strong>Research articles on NSR were gathered from the Web of Science Core Collection database. Following this, the analysis of co-authorships, keyword co-occurrences, and citation patterns involving countries, institutions, authors, and key journals was conducted using bibliometric tools VOSviewer and CiteSpace.</p><p><strong>Results: </strong>In total, 197 documents related to research on NSR from the years 1900 to 2024 were retrieved. The USA led globally with 61 publications, with the University Of Verona contributing the highest number of articles (11). The journal Aesthetic Plastic Surgery was the most prominent in this specialty, having published 28 articles and Plastic and Reconstructive Surgery receiving the most frequent citations and co-citations. Bertossi D was the most productive author and the most co-cited author. The keywords most commonly associated with these studies, ranked by frequency, included \"rhinoplasty,\" \"hyaluronic acid\" and \"nose.\" Moreover, the issues related to complications from filler injections and the strategies for their prevention have attracted considerable interest.</p><p><strong>Conclusion: </strong>This study provides a detailed overview of the primary trends in NSR research. Additionally, it highlights the critical need to enhance efforts to minimize complications associated with filler injections.</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":2.0,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144101186","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
Artificial Intelligence in Rhinoplasty: Precision or Over-Reliance? 人工智能在鼻整形术中的应用:精确还是过度依赖?
IF 2 3区 医学
Aesthetic Plastic Surgery Pub Date : 2025-05-19 DOI: 10.1007/s00266-025-04954-1
Riccardo De Bernardis, Rosa Salzillo, Paolo Persichetti
{"title":"Artificial Intelligence in Rhinoplasty: Precision or Over-Reliance?","authors":"Riccardo De Bernardis, Rosa Salzillo, Paolo Persichetti","doi":"10.1007/s00266-025-04954-1","DOIUrl":"https://doi.org/10.1007/s00266-025-04954-1","url":null,"abstract":"<p><p>The integration of artificial intelligence (AI) into rhinoplasty has transformed preoperative planning and patient communication by providing highly accurate simulations of postoperative outcomes. AI-driven models, including deep learning and generative adversarial networks (GANs), have demonstrated the ability to predict nasal shapes, learn surgical styles, and refine aesthetic planning. However, despite these advancements, AI remains an imperfect predictor of surgical results, as it cannot account for individual healing processes, tissue behavior, and long-term nasal remodeling. Moreover, ethical concerns arise regarding bias in AI-generated predictions, the reinforcement of unattainable beauty standards, and the psychological impact on patients, particularly in the era of social media-driven aesthetics. Additionally, issues related to data privacy and the medico-legal risks associated with unrealistic patient expectations must be addressed. While AI is a powerful tool for enhancing rhinoplasty planning, it should be considered an adjunct rather than a replacement for surgical expertise. Future developments must refine AI models to incorporate patient-specific variables while maintaining a balanced approach that prioritizes ethical medical practice and individualized patient care.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":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144101183","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
Bony Septal Grafts Enhance Aesthetic Subunits and Ventilation in Unilateral Cleft Lip Nasal Deformity. 骨间隔移植改善单侧唇裂鼻畸形的美学亚单位和通气。
IF 2 3区 医学
Aesthetic Plastic Surgery Pub Date : 2025-05-19 DOI: 10.1007/s00266-025-04920-x
Zimo Wang, Yonghuan Zhen, Xingyi Pan, Mengying Jin, Guanhuier Wang, Lifeng Xie, Yang An
{"title":"Bony Septal Grafts Enhance Aesthetic Subunits and Ventilation in Unilateral Cleft Lip Nasal Deformity.","authors":"Zimo Wang, Yonghuan Zhen, Xingyi Pan, Mengying Jin, Guanhuier Wang, Lifeng Xie, Yang An","doi":"10.1007/s00266-025-04920-x","DOIUrl":"https://doi.org/10.1007/s00266-025-04920-x","url":null,"abstract":"<p><strong>Background: </strong>East Asian patients with unilateral cleft lip and nasal deformity (UCLND) have severe septal deviated. An innovated septal reconstruction method using both perpendicular plate of ethmoid (PPE) and cartilage septum may improve ventilation and achieve similar aesthetic improvements as septal reconstruction using costal cartilage.</p><p><strong>Methods: </strong>Patients with UCLND who underwent septal reconstruction using PPE or costal cartilage in the same period were retrospectively included in a 1:1 ratio. Comparison of preoperative and postoperative differences in NOSE and ROE scales and changes in scores between the two groups were made. Changes in nasal airway morphology and ventilatory function were analyzed using computational fluid dynamics in a case using PPE.</p><p><strong>Results: </strong>A total of 24 patients were included for analysis. Patients undergoing septal reconstruction using PPE showed significant improvement in NOSE scores and ROE scores. The improvement in ROE scores was similar to patients undergoing septal reconstruction using costal cartilage. Computational fluid dynamics analysis showed that septal reconstruction using PPE improved the patient's bilateral nasal airway morphology and flow symmetry.</p><p><strong>Conclusions: </strong>The combined application of PPE and septal cartilage to reconstruct the nasal septum in East Asian patients with UCLND is effective to improve the ventilation function and nasal airway symmetry. This strategy can achieve aesthetically similar results to septal reconstruction using costal cartilage.</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":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144101195","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
Public Perceptions and Religious Barriers to Surgical Facial Rejuvenation. 公众的看法和宗教障碍手术面部年轻化。
IF 2 3区 医学
Aesthetic Plastic Surgery Pub Date : 2025-05-19 DOI: 10.1007/s00266-025-04991-w
Shree Rath
{"title":"Public Perceptions and Religious Barriers to Surgical Facial Rejuvenation.","authors":"Shree Rath","doi":"10.1007/s00266-025-04991-w","DOIUrl":"https://doi.org/10.1007/s00266-025-04991-w","url":null,"abstract":"<p><p>This letter addresses the study by AlEnazi et al. on public perceptions and knowledge of surgical facial rejuvenation in Saudi Arabia. The letter points out several areas for improvement: potential sampling bias due to social media-based data collection, lack of reported results from initial questionnaire pilot testing, and inadequate exploration of religious concerns as barriers. The letter also suggests correlational analysis between income levels and willingness for procedures, as well as assessing satisfaction among those who underwent facial rejuvenation. Future research should focus on diverse population selection, longitudinal studies, and detailed exploration of specific barriers.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":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144101211","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
Aesthetic and Minimalistic Approach to Forehead Osteoma Removal. 前额骨瘤去除的美学与简约方法。
IF 2 3区 医学
Aesthetic Plastic Surgery Pub Date : 2025-05-16 DOI: 10.1007/s00266-025-04955-0
Kapil Shriniwas Agrawal
{"title":"Aesthetic and Minimalistic Approach to Forehead Osteoma Removal.","authors":"Kapil Shriniwas Agrawal","doi":"10.1007/s00266-025-04955-0","DOIUrl":"https://doi.org/10.1007/s00266-025-04955-0","url":null,"abstract":"<p><p>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":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144085643","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
Heavy Metals in Breast Implants and Implications for Breast Implant Illness: A Systematic Review of the Literature. 隆胸植入物中的重金属及其对隆胸植入物疾病的影响:文献系统综述。
IF 2 3区 医学
Aesthetic Plastic Surgery Pub Date : 2025-05-16 DOI: 10.1007/s00266-025-04900-1
Jade E Smith, Iulianna C Taritsa, Michael Stigliano, Jose Foppiani, Daniela Lee, Otakar Raska, Thomas Suszynski, Umar Choudry, Samuel J Lin
{"title":"Heavy Metals in Breast Implants and Implications for Breast Implant Illness: A Systematic Review of the Literature.","authors":"Jade E Smith, Iulianna C Taritsa, Michael Stigliano, Jose Foppiani, Daniela Lee, Otakar Raska, Thomas Suszynski, Umar Choudry, Samuel J Lin","doi":"10.1007/s00266-025-04900-1","DOIUrl":"https://doi.org/10.1007/s00266-025-04900-1","url":null,"abstract":"<p><strong>Purpose: </strong>Breast implant illness (BII) has raised concerns about breast implant safety, with some suggesting that heavy metals released from implants could contribute to systemic symptoms. This systematic review examines the presence of metal residues in breast implants and surrounding tissues, and their potential role in BII.</p><p><strong>Methods: </strong>A systematic literature search following PRISMA guidelines was conducted using EMBASE, Web of Science, and PUBMED for studies published until January 2024. Inclusion criteria targeted material science and clinical research on metal residues in patients with breast implants. Data on metal concentrations, detection techniques, sample types, and clinical outcomes were extracted.</p><p><strong>Results: </strong>Our search identified 304 titles, from which seven unique studies met inclusion criteria. Platinum, the most frequently detected metal, was detected in implant gel, capsular tissue, and systemic samples (blood, urine, and hair), in concentrations ranging from 0.001 to 125.27 μg/g. No consistent correlation was identified between metal levels and BII symptoms. Tin, aluminum, arsenic, and zinc were detected at low levels, below established toxicity thresholds, and often attributed to environmental exposure due to their presence in control groups. Inconsistencies in metal concentrations across studies were linked to variations in metal detection techniques and sample preparation.</p><p><strong>Conclusion: </strong>We highlight the presence of metal residues, particularly platinum, in breast implants and adjacent tissue, but without a definitive link to BII. Current evidence does not support heavy metal toxicity as a primary justification for total capsulectomy in BII management. Further evidence-based clinical guidelines are needed to better inform management of BII.</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":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144085647","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
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