Aesthetic Plastic Surgery最新文献

{"title":"AI-Driven Assessment of Lip Volume Improvement Using Hyaluronic Acid Fillers: A Comprehensive Analysis.","authors":"Yujin Kang, Junming Liu, Haiyan Cui","doi":"10.1007/s00266-025-04891-z","DOIUrl":"https://doi.org/10.1007/s00266-025-04891-z","url":null,"abstract":"<p><strong>Background: </strong>The lips are a popular area for filler treatments across all age groups. Existing evaluations of lip volume enhancement often rely on subjective, visual assessments, and fail to account for the overall facial balance and esthetic changes. To address this, this study uses various AI models for a comprehensive analysis to better evaluate the effects of lip enhancement and provide insights for patient-specific treatment plans.</p><p><strong>Methods: </strong>This study involved 31 participants (29 females, 2 males), all of whom received lip HA filler injections. Pre- and post-treatment facial images were captured in a relaxed state, and these images were processed using AI-based tools to record and analyze facial visual analysis, perceived age, and emotional expressions displayed on the face.</p><p><strong>Results: </strong>Post-treatment, the facial visualization analysis revealed that as lip volume increased, the lip line became more defined and the natural curve of the lips became more balanced. The MiVOLO model demonstrated high age estimation accuracy (MAE: 5.15; ICC:0.866; Pearson's r: 0.875), with a mean apparent age reduction of - 1.63 ± 2.51 years (95% CI = -2.78 to - 0.49, Cohen's d = -0.65), emotion analysis revealed a significant increase in neutral expression (72.97-83.44%, 95% CI = 3.38 to 17.56, Cohen's d = 0.58) and reductions in anger (10.25-5.84%, 95% CI = -8.53 to - 2.28, Cohen's d = -0.42).</p><p><strong>Conclusions: </strong>This study provides significant insights by showing that lip volume improvement affects not only external changes but also emotional expression, age perception, and social interaction. This approach presents a new solution in the field of cosmetic surgery and will contribute to improving patient satisfaction through personalized treatments and multifaceted effect analysis.</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":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075487","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":"Answer to: Comment on \"New Concepts in Circumareolar Mastopexy: The 'Star Interlocking Suture'-A Case Series\".","authors":"Annachiara Cavaliere, Francesco D'Andrea, Fabrizio Schonauer","doi":"10.1007/s00266-025-04961-2","DOIUrl":"https://doi.org/10.1007/s00266-025-04961-2","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075488","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: \"Long-Term Efficacy and Safety of Poly-4-Hydroxybutyrate (P4HB) Scaffold (GalaFLEX) in Mastopexy for Breast Ptosis: A Prospective Study\".","authors":"Ernesto M Buccheri, Giuseppe Lanzano","doi":"10.1007/s00266-025-04912-x","DOIUrl":"https://doi.org/10.1007/s00266-025-04912-x","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075492","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":"Skin-and Nipple-Sparing Mastectomy with Immediate Breast Reconstruction via Prepectoral Prosthesis Placement Approach and Lipofilling of the Skin Cover for Small- and Medium-Sized Breasts: A Retrospective Study.","authors":"Walid M Abd El Maksoud, Yasser S Ahmed, Alaa Hamza, Maha A Alghamdi, Mohamed Alhashash, Pakinam A Rizk, Fahad S Al Amri, Khaled S Abbas, Abdullah Dalboh, Hassan A Alzahrani, Marei H Alshandeer, Khadija M Bawahab, Sally Mohamed Hegab, Nour A Abdelmohsen, Ahmad Jebril M Bosaily, Mohamed H Sultan","doi":"10.1007/s00266-025-04917-6","DOIUrl":"https://doi.org/10.1007/s00266-025-04917-6","url":null,"abstract":"<p><strong>Backgrounds: </strong>We aimed to assess the feasibility and outcomes of immediate breast reconstruction with prepectoral direct prosthesis placement under the skin envelope in patients with small-to medium-sized breasts with immediate lipofilling of the skin cover.</p><p><strong>Methods: </strong>Demographic and clinical data of female patients with small-to medium-sized breasts diagnosed with breast cancer who were eligible for skin-sparing mastectomy and immediate reconstruction were included in this retrospective study. Information concerning the surgical technique, implant size, procedure duration, and intraoperative complications were also obtained. All early or late postoperative complications were recorded. Postoperative patient satisfaction was routinely assessed using the Kyungpook National University Hospital Breast Reconstruction Satisfaction Questionnaire.</p><p><strong>Results: </strong>The study included data from 52 female patients (mean age: 49.1±8.6years); the mean follow-up was 30.3 ± 9.7 months. Reconstruction was successful in 50 (96.2%) patients. Capsule contracture developed in 11 patients (21.2%), with six requiring capsulectomy. Three patients (5.8%) showed a slight reduction in the range of motion, mainly due to axillary procedures. Two patients (3.8%) developed rippling that was treated successfully with delayed lipofilling. Forty-eight patients (92.3%) showed postoperative satisfaction, with three being satisfied only after the management of postoperative complications.</p><p><strong>Conclusions: </strong>The prepectoral technique for breast reconstruction without mesh support is an effective option in patients with small-to medium-sized breasts. This approach has few complications and offers high postoperative patient satisfaction at a reasonable cost. Proper patient selection is necessary to achieve favorable outcomes, and immediate lipofilling improves the results. Moreover, immediate lipofilling seems to improve outcomes of prepectoral breast reconstruction; however, future studies are required to support this finding.</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":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075495","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":"The Effect of Body Perception and Marital Adjustment on Cosmetic Surgery Acceptance in Married Women.","authors":"Esra Ünal, Simge Öztürk, Hatice Aslıhan Hacımuhittinoğulları","doi":"10.1007/s00266-025-04888-8","DOIUrl":"https://doi.org/10.1007/s00266-025-04888-8","url":null,"abstract":"<p><strong>Obejective: </strong>This study aimed to determine the effect of body perception and marital adjustment on cosmetic surgery acceptance in married women.</p><p><strong>Methods: </strong>The cross-sectional and correlational study was conducted with 707 married women between July and November 2023. Participant Information Form, Body Perception Scale, Marital Adjustment Test, and Acceptance of Cosmetic Surgery Scale were used to collect the data.</p><p><strong>Results: </strong>It was determined that the model created to determine the effect of body perception and marital adjustment on cosmetic surgery acceptance in married women was compatible, and the fit indices of the model were within the desired limits. It was determined that body perception and marital adjustment affected cosmetic surgery acceptance, and women with high marital adjustment and low body satisfaction had more positive attitudes toward cosmetic surgery.</p><p><strong>Conclusion: </strong>Body perception satisfaction affects marital adjustment. Body perception and marital adjustment affect cosmetic surgery acceptance. Longitudinal studies on factors influencing cosmetic surgery acceptance are advised.</p><p><strong>No level assigned: </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":2.0,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075497","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 Efficacy Analysis of Botulinum Toxin Type A Combined with Superficial Radiotherapy after Chest Keloid Surgery.","authors":"Ya Gao, Wenbo Li, Zhongxing Li, Fenglian Wu, Jiaxin Wang","doi":"10.1007/s00266-025-04886-w","DOIUrl":"https://doi.org/10.1007/s00266-025-04886-w","url":null,"abstract":"<p><strong>Background: </strong>There are many treatments for keloid. In recent years, botulinum toxin type A(BTX-A)has been proposed to treat keloid. The purpose of our study was to observe the clinical effect of BTX-A combined with superficial radiotherapy after chest keloid surgery.</p><p><strong>Methods: </strong>60 patients with medium and large chest keloid treated from October 2021 to October 2023 were selected and randomly divided into group A and group B, with 30 cases in each group. Keloid resection was performed in both groups first, group A was treated with BTX-A combined with superficial radiotherapy, group B only received early superficial radiotherapy after surgery, and the therapeutic effect of the two groups was compared.</p><p><strong>Results: </strong>After 6 months follow-up observation, the total effective rate and satisfaction of group A were higher than those of group B, and the Vancouver scar scale(VSS) score of group A was lower than that of group B, the difference was statistically significant (P < 0.05).</p><p><strong>Conclusions: </strong>We concluded that immediate injection of BTX-A combined with superficial radiotherapy after chest keloid surgery was superior to simple superficial radiotherapy after surgery, with higher patient satisfaction and lower recurrence rate, which was worthy of clinical application.</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":2.0,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075491","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":"Rotation of Anatomical Implants: A Single Surgeon's Experience of over 1500 Patients.","authors":"Paolo Montemurro, Igor Pellegatta, Mubashir Cheema","doi":"10.1007/s00266-025-04897-7","DOIUrl":"https://doi.org/10.1007/s00266-025-04897-7","url":null,"abstract":"<p><p>Breast augmentation may be performed using round or anatomical shaped implants, and since their introduction in 1993, the indications and outcomes of anatomical implants have been under scrutiny. In fact, due to their asymmetric shape, these devices have a unique risk of rotation. We have previously described our indications and rationale for using anatomical implants as well as a discussion of surface textures and BIA-ALCL. In this review, we primarily address our experience of dealing with clinically evident rotation. All consecutive female patients operated for primary breast augmentation by the first author, who had anatomical implants and had at least 6 months follow-up, were included in this study. Of 1527 female patients operated, 1126 patients with 2252 breast implants met the inclusion criteria. The mean implant volume was 310.9 cc, and the mean follow-up was 18.8 months. 1.8% of implants (n = 41) were found to be clinically rotated at a mean of 14.9 months after surgery. A statistically significant higher incidence rate was found on the left side. Rotation of anatomical implants is often stated as a reason to avoid their use. Our data suggest that despite a short learning curve, it is not an insurmountable problem and with attention to the etiology, its incidence can be consistently minimized.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":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075493","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":"Efficacy and Safety of High-Intensity Focused Ultrasound (HIFU) on Reduction of Unwanted Submental Fat in Asian Patients.","authors":"Boncheol Goo, Eunjae Kim, Song Eun Yoon, Isaac Kai Jie Wong, Carlos Bautzer, Lucas Basmage, Patricia Leite, Dongwoo Shin, Jovian Wan, Kyu-Ho Yi","doi":"10.1007/s00266-025-04890-0","DOIUrl":"10.1007/s00266-025-04890-0","url":null,"abstract":"<p><strong>Background: </strong>There are several treatment options to improve a double chin, such as contour injections, thread lifting, and double chin liposuction. However, the results of these treatments can be minimal or have a short-lasting effect. Additionally, these treatments may lead to worsened scarring due to repeated skin penetration and can cause prolonged discomfort. The high-intensity focused ultrasound (HIFU) is a non-invasive ultrasound lifting treatment that can improve a double chin without the need for surgical procedures, so the HIFU is considered a very safe way to reduce the submental volume.</p><p><strong>Objective: </strong>This study aimed to identify the clinical and photographic changes observed among patients who received HIFU treatment and to evaluate the efficacy and safety of HIFU for submental fat reduction.</p><p><strong>Methods: </strong>Thirty patients, aged from 25 to 60 years (20 females and 10 males), participated in a 4-week follow-up (n=30). High-intensity focused ultrasound treatment was performed on submental fat using two different focal depth transducers, 4.5 mm and 6.0 mm, with MP (Micro Pulsed) mode. We assessed the treatment effects using Vectra for volume measurement, CR-SMFRS (Clinician Report-Submental Fat Rating Scale) on a 5-point scale (0-4), SSRS (Subject Self-Rating Scale) on a 4-point scale (0-3), as well as monitoring weight and photography. Adverse events were evaluated using questionnaires.</p><p><strong>Results: </strong>A total of 30 patients were enrolled in this evaluation at the follow-up visit (4 weeks). The proportion of treatment patients satisfied with appearances and significant submental fat reduction was apparent when comparing the initial CR-SMFRS ratings to the final CR- SMFRS ratings. Initially, CR-SMFRS ratings were categorized as 10 mild, 10 moderate, 8 severe, and 2 extreme. After one session of treatment, the final ratings showed improved submental fat conditions, with 16 mild, 8 moderate, 5 severe, and 1 extreme. This change indicated a significant improvement, with a p-value of <0.000005. The SSRS showed an 82% improvement level, and most patients experienced immediate improvements. No significant side effects or adverse events were reported. Expected common side effects were noted but resolved within 2 weeks.</p><p><strong>Conclusion: </strong>The HIFU treatment using the 4.5 and 6.0 mm focal depth transducers was safe and effective in reducing the submental fat based on the results.</p><p><strong>Level of evidence: </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":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143963502","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":"The Impact of Red Blood Cell Count and Hemoglobin Levels on Bone Remodeling in Mandibular Angle Osteotomy.","authors":"Zhiyang Xie, Shunchao Yan, Chongxu Qiao, Zai Shi, Jingyi Xu, Kaili Yan, Yuming Qu, Shu Wang, Wensong Shangguan, Guoping Wu","doi":"10.1007/s00266-025-04854-4","DOIUrl":"https://doi.org/10.1007/s00266-025-04854-4","url":null,"abstract":"<p><strong>Background: </strong>Previous studies have identified bone remodeling in the mandibular angle region (MAR) as a key factor influencing outcomes after mandibular angle osteotomy (MAO). This study investigates hematologic predictors-red blood cell (RBC) count and hemoglobin (Hb) levels-and their correlation with postoperative MAR bone remodeling.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on 135 patients who underwent MAO between January 2015 and December 2022. Bone remodeling was assessed using cone beam computed tomography (CBCT) imaging at two time points: T1 (immediately postoperatively) and T2 (at least 12months postoperatively). Quantification of bone remodeling was performed using Geomagic Wrap 2021. Patients were categorized into bone stability (S), bone regeneration (RG), and bone resorption (RS) groups based on MAR deviations (thresholds:  > + 0.1 mm regeneration, < - 0.1 mm resorption, within ± 0.1 mm stability). Statistical analyses, including Kruskal-Wallis tests with post hoc analysis and logistic regression models, were performed to assess associations between RBC count, Hb levels, and bone remodeling outcomes.</p><p><strong>Results: </strong>Patients with higher preoperative RBC and Hb levels exhibited significantly greater bone remodeling than those with lower levels (p < 0.05). Remodeling was particularly evident in the mandibular angle region. Multivariate analysis confirmed RBC and Hb levels as independent predictors of favorable bone remodeling. A 1 × 10¹² increase in RBC count was associated with a 2.558-fold higher likelihood of postoperative bone regeneration (OR: 2.558, 95% CI: 1.098-5.958, P = 0.030), while a 1 g/L increase in Hb levels increased the probability of bone regeneration by 1.036 times (OR:1.036, 95% CI: 1.006-1.066, P = 0.017).</p><p><strong>Conclusions: </strong>This study highlights RBC count and Hb levels as potential biomarkers influencing bone remodeling after MAO. These findings suggest that hematologic parameters should be considered during preoperative planning to optimize surgical outcomes and reduce the need for revision procedures.</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":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143958437","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":"Quilting Sutures and Suction Drains in Preventing Postoperative Complications in Gynecomastia Surgery.","authors":"Fernando Campos Moraes Amato, Miguel Sabino Neto, Marcelo Moraes Trincado, Paulo Maranhão Gusmão Pincovsky de Lima, Laís Uyeda Aivazoglou, Fernanda Garozzo Velloni, Gabriel de Almeida Arruda Felix, Lydia Masako Ferreira","doi":"10.1007/s00266-025-04893-x","DOIUrl":"https://doi.org/10.1007/s00266-025-04893-x","url":null,"abstract":"<p><strong>Introduction: </strong>Gynecomastia is characterized by enlarged breast tissue in men and is often caused by genetic or endocrinological disorders, cancer, or medication use, with idiopathic causes being the most common. If no clinically treatable cause is identified and the condition persists for more than two years, surgical treatment is indicated. This typically involves adenectomy with or without liposuction and resection of excess skin when necessary. Major complications include hematoma, seroma, infection, and dehiscence. Quilting sutures, as previously described in abdominoplasty, can minimize dead space and reduce hematoma and seroma formation.</p><p><strong>Objective: </strong>This study aimed to compare the efficacy of quilting sutures and suction drains in preventing hematoma and seroma formation after adenectomy for gynecomastia.</p><p><strong>Methods: </strong>Thirty-eight gynecomastia patients eligible for adenectomy were randomized into two groups: one with intraoperative quilting sutures (Group 1) and another with vacuum drains (Group 2). The patients were followed up postoperatively using clinical examinations and ultrasonography. Fluid collection > 10 mL was drained when necessary.</p><p><strong>Results: </strong>Eight patients in Group 1 (40%) and five in Group 2 (28%) developed fluid collections, with no significant difference between the groups. No surgical correction was required for hematoma or seroma. Suction drains seem to give better results regarding seroma, but with no statistical difference.</p><p><strong>Conclusion: </strong>This study showed no difference in the use of drains or quilting sutures to prevent seromas or hematomas in the correction of gynecomastia.</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":2.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143964163","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}