Aesthetic Surgery Journal最新文献

{"title":"Aesthetic Surgery Journal Welcomes the Association of German Aesthetic-Plastic Surgeons (VDÄPC).","authors":"Alexander Schönborn, Jeffrey M Kenkel","doi":"10.1093/asj/sjaf041","DOIUrl":"10.1093/asj/sjaf041","url":null,"abstract":"","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":"753"},"PeriodicalIF":3.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143959649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bridging the Gap in Rhinoplasty Training: The Effectiveness of 3D Printed Models in Surgical Education.","authors":"Umar Rehman, Natasha Polglase, David Kahn, Teoman Dogan, Santdeep Paun, Alwyn D'Souza, Rajan Uppal, Nicholas Eynon-Lewis, Matt Lechner","doi":"10.1093/asj/sjaf045","DOIUrl":"10.1093/asj/sjaf045","url":null,"abstract":"<p><strong>Background: </strong>Rhinoplasty is a common facial plastic surgery procedure for both functional and aesthetic indications. The use of 3-dimensional (3D) models has been reported as a potential method for providing hands-on training for learning rhinoplasty without jeopardizing patient care.</p><p><strong>Objectives: </strong>The objective of this study was to develop and validate a novel model for rhinoplasty training.</p><p><strong>Methods: </strong>The rhinoplasty models were designed and produced with proprietary 3D printing technology. Face and content validity were assessed during a rhinoplasty course involving 53 surgeons. Criterion validity was evaluated in a training session with 20 surgical residents, measuring improvements in surgical skills after practice with the 3D models, with an objective structured assessment of technical skills (OSAT).</p><p><strong>Results: </strong>All surgeons (n = 53, 100%) stated that the rhinoplasty model aided in their learning and development. In all, 91% (n = 48) of surgeons rated the realism of the model as excellent or very good in comparison to cadaveric specimens. Assessment of criterion validity showed a statistically significant improvement in OSAT scores among surgical residents, increasing from a baseline of 11.7/40 (SD ± 1.80) to 21.6/40 (SD ± 1.79) post session (P < .0001).</p><p><strong>Conclusions: </strong>The 3D rhinoplasty models showed good content, face, and criterion validity, objectively improving residents' surgical performance. Rhinoplasty 3D models may serve as a precadaveric training adjunct, equipping trainees with fundamental skills before cadaveric dissection, or as a primary training modality in countries with limited cadaver access. Therefore the models offer an innovative approach to training the next generation of rhinoplasty surgeons.</p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":"655-661"},"PeriodicalIF":3.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12168444/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"VYC-25L Is Safe and Effective for Enhancing the Chin and Jawline by Correcting Chin Retrusion in Chinese Adults.","authors":"Yun Xie, Qingfeng Li, Hongyi Zhao, Zuoliang Qi, Jiaming Sun, Qian Tan, Dong Li, Zhiqi Hu, Ziyang Liu, Smita Chawla","doi":"10.1093/asj/sjaf033","DOIUrl":"10.1093/asj/sjaf033","url":null,"abstract":"<p><strong>Background: </strong>Individuals with chin retrusion may seek chin and lower jawline aesthetic enhancement.</p><p><strong>Objectives: </strong>To evaluate VYC-25L (Juvéderm Volux XC; Allergan Aesthetics, an AbbVie company), a lidocaine-containing injectable hyaluronic acid dermal filler, for chin retrusion correction.</p><p><strong>Methods: </strong>In this prospective, Phase 3, multicenter study (NCT04559984), Chinese adults with moderate-to-severe chin retrusion on the China (Allergan) Chin Retrusion Scale (CACRS) and glabella-subnasale-pogonion (G-Sn-Pog) angle <172.5° were randomized 2:1 to VYC-25L (treatment plus optional touch-up 4 weeks later) or no treatment (control). The primary endpoint was change from baseline (CFB) in G-Sn-Pog angle at Week 24. Secondary endpoints included CACRS response (≥1-point improvement), Global Aesthetic Improvement Scale (GAIS) response (improved/much improved), and FACE-Q Satisfaction with Chin score. Procedural pain was rated (0 = none to 10 = worst imaginable); injection-site responses (ISRs) were recorded daily for ≤28 days.</p><p><strong>Results: </strong>The mean age of the patient (VYC-25L, n = 97; control, n = 51) was 31.2 years (range, 20-52 years). Mean CFB in G-Sn-Pog angle at Week 24 was 2.97° (VYC-25L) vs 0.09° (control; between-group difference, 3.08° [P < .0001]); improvement was maintained to Week 52. At Week 24, VYC-25L achieved higher responses vs control for CACRS (78.7% vs 18.8%, respectively; rate difference, 60.0%; P < .0001) and GAIS (92.6% vs 4.2%, respectively; rate difference, 88.4%; P < .0001); mean overall FACE-Q Satisfaction with Chin score was 70.4 vs 34.9, respectively. Mean (standard deviation) procedural pain was 2.6 (1.6); most ISRs were mild (41.8%) or moderate (50.0%) in severity.</p><p><strong>Conclusions: </strong>In Chinese adults, VYC-25L safely and effectively corrected chin retrusion for at least 1 year.</p><p><strong>Level of evidence: 2 (therapeutic): </strong></p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":"699-708"},"PeriodicalIF":3.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12168443/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143965839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early Onset Red Breast Syndrome: The Incidence, Risk Factors, and Clinical Outcomes in Prepectoral Direct-to-Implant Breast Reconstruction.","authors":"Juyoung Bae, Jee Yeon Sohn, Jin Lee, Juhee Cho, Jai Kyong Pyon","doi":"10.1093/asj/sjaf035","DOIUrl":"10.1093/asj/sjaf035","url":null,"abstract":"<p><strong>Background: </strong>Red breast syndrome (RBS) is a concerning condition often mistaken for infection following acellular dermal matrix (ADM)-assisted breast reconstruction. Although various factors have been suggested as possible causes, the timing of onset has not been considered in diagnosing RBS.</p><p><strong>Objectives: </strong>This study aims to investigate the incidence, risk factors, and clinical outcomes of RBS occurring within the first week after immediate ADM-assisted prepectoral direct-to-implant (DTI) breast reconstruction.</p><p><strong>Methods: </strong>A retrospective chart review was conducted on patients who underwent DTI between April 2021 and March 2023. Early RBS was defined as redness confined to the mastectomy skin flap overlying the ADM, observed within 7 days postoperatively, without other signs of infection. Adjusted prevalence (AP) difference and AP ratio for risk factors and postoperative complications associated with RBS were evaluated.</p><p><strong>Results: </strong>A total of 255 breasts were included. Early RBS was observed in 25 breasts (9.8%). The AP of RBS increased with age, significantly higher at age 60 compared with age 30 (P = .030) and higher implant projections (P = .021). A decreased AP was associated with prophylactic mastectomy (P < .001), a larger difference between implant size and mastectomy specimen weight (P = .031 for a difference of 300 compared with -200), and preoperative radiotherapy (P < .001). Early RBS was associated with higher AP of total complications, delayed wound healing, wound revisions, and infections (all P < .05).</p><p><strong>Conclusions: </strong>Certain patient- and operation-related factors may predispose to early RBS, and patients who exhibit early RBS may have an increased risk of postoperative complications.</p><p><strong>Level of evidence: 4 (therapeutic): </strong></p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":"673-682"},"PeriodicalIF":3.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143959896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Scar Perception and Outcomes After Transaxillary Breast Augmentation: A Prospective Analysis of Patient- and Observer-Reported Scar Quality.","authors":"Alexandre Mendonça Munhoz","doi":"10.1093/asj/sjaf052","DOIUrl":"10.1093/asj/sjaf052","url":null,"abstract":"<p><strong>Background: </strong>The transaxillary (TAA) approach offers breast augmentation (BA) with inconspicuous scarring. Previous investigations of scar outcomes have involved limited follow-up/samples, and no clinical studies have specifically assessed scars with scar-specific instruments.</p><p><strong>Objectives: </strong>The primary aim of this study was to evaluate axillary incision and associated complications with TAA BA.</p><p><strong>Methods: </strong>A cohort of patients who underwent TAA BA was identified. Scar outcome was evaluated with the Patient and Observer Scar Assessment Scale (POSAS) v. 2.0 at 1-, 6-, and 12-month study endpoints.</p><p><strong>Results: </strong>The cohort contained 71 patients (mean [standard deviation] age, 28.1 [6.1] years) and 142 axillary incisions, with average follow-up of 58.3 [28.6] months. Eleven patients (15.4%) experienced at least 1 complication, most frequently axillary banding (4.2%). The mean axillary incision length was 37.1 mm (range, 25-66 mm). Nonuse of implant sleeves (P < .001), the use of textured-surface implants (P < .001), and implant volume >350 cc (P < .001) were associated with larger incisions. At 12 months the poorest scores were related to color (mean, 2.35; range, 1-6), and 81% and 78.2% of patient and observer opinion scores were low/intermediate grade, respectively. Textured-surface implants (P < .001), implant volume >350 cc (P < .001), and nonuse of sleeve (P < .001) were significant risk factors for high/very-high POSAS overall scores at 1-year follow-up.</p><p><strong>Conclusions: </strong>Despite extensive research on BA procedures, studies on the TAA are limited and have not analyzed long-term incision-related outcomes. The data obtained in this study demonstrate that the TAA is a reliable technique, and POSAS evaluations showed that most patients presented satisfactory results and higher satisfaction with lower POSAS scores at 1 year postsurgery. Adequate preoperative planning and incision placement allows surgeons to perform this technique safely while minimizing risks of poor scar outcome.</p><p><strong>Level of evidence: 4 (therapeutic): </strong></p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":"662-672"},"PeriodicalIF":3.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143778878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment of the High Iliac Crest With Iliac Crest Reduction (XCREST).","authors":"Raúl Martín Manzaneda Cipriani","doi":"10.1093/asj/sjaf044","DOIUrl":"10.1093/asj/sjaf044","url":null,"abstract":"<p><strong>Background: </strong>The iliac crest is defined as the superior border of the ilium or iliac bone and serves as an insertion point for various muscles, ligaments, and fasciae. The iliac crest should be prioritized if a more harmonious body is sought. Performing a fat transfer above the gluteus medius muscle area results in the gluteus medius being volumized, creating a high and large buttock, which is not always aesthetically desirable.</p><p><strong>Objectives: </strong>The aim of this study was to describe a safe, crest-treating technique (XCREST) designed to decrease the iliac crest, thereby achieving a more harmonious transition from waist to hip.</p><p><strong>Methods: </strong>The sample consisted of 200 female patients. Measurements were taken of the waist, the distance between the iliac crest and the trochanter, and the distance between the last palpable rib and the iliac crest. Measurements were recorded in the preoperative stage, in the immediate postoperative stage, and 6 months later.</p><p><strong>Results: </strong>A reduction in the mean waist measurement was found, from 83.11 cm preoperatively, to 72.31 cm in the immediate postoperative period, and to 72.06 cm 6 months after the operation. The average distance between the last palpable rib and the iliac crest increased by 3.8 cm. Ten percent of the patients presented complications related to pain for less than 2 months, which were duly treated.</p><p><strong>Conclusions: </strong>The XCREST technique effectively reduces the waist diameter and improves the aesthetic appearance at the sixth postoperative month, evidencing a better transition between the waist, hip, and buttocks.</p><p><strong>Level of evidence: 4 (therapeutic): </strong></p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":"683-689"},"PeriodicalIF":3.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143673134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to: Decoding the Implications of Glucagon-like Peptide-1 Receptor Agonists on Accelerated Facial and Skin Aging.","authors":"","doi":"10.1093/asj/sjaf039","DOIUrl":"10.1093/asj/sjaf039","url":null,"abstract":"","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":"754"},"PeriodicalIF":3.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143673131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial Intelligence for Patient Support: Assessing Retrieval-Augmented Generation for Answering Postoperative Rhinoplasty Questions.","authors":"Ariana Genovese, Srinivasagam Prabha, Sahar Borna, Cesar A Gomez-Cabello, Syed Ali Haider, Maissa Trabilsy, Cui Tao, Keith T Aziz, Peter M Murray, Antonio Jorge Forte","doi":"10.1093/asj/sjaf038","DOIUrl":"10.1093/asj/sjaf038","url":null,"abstract":"<p><strong>Background: </strong>Although artificial intelligence (AI) is revolutionizing healthcare, inaccurate or incomplete information from pretrained large language models (LLMs) like ChatGPT poses significant risks to patient safety. Retrieval-augmented generation (RAG) offers a promising solution by leveraging curated knowledge bases to enhance accuracy and reliability, especially in high-demand specialties like plastic surgery.</p><p><strong>Objectives: </strong>This study evaluates the performance of RAG-enabled AI models in addressing postoperative rhinoplasty questions, aiming to assess their safety and identify necessary improvements for effective implementation into clinical care.</p><p><strong>Methods: </strong>Four RAG models (Gemini-1.0-Pro-002, Gemini-1.5-Flash-001, Gemini-1.5-Pro-001, and PaLM 2) were tested on 30 common patient inquiries. Responses, sourced from authoritative rhinoplasty texts, were evaluated for accuracy (1-5 scale), comprehensiveness (1-3 scale), readability (Flesch Reading Ease [FRE], Flesch-Kincaid Grade Level), and understandability/actionability (Patient Education Materials Assessment Tool). Statistical analyses included Wilcoxon rank sum, Armitage trend tests, and pairwise comparisons.</p><p><strong>Results: </strong>When responses were generated, they were generally accurate (41.7% completely accurate); however, a 30.8% nonresponse rate revealed potential challenges with query context interpretation and retrieval. Gemini-1.0-Pro-002 demonstrated superior comprehensiveness (P < .001), but readability (FRE: 40-49) and understandability (mean: 0.7) fell below patient education standards. PaLM 2 scored lowest in actionability (P < .007).</p><p><strong>Conclusions: </strong>This first application of RAG to postoperative rhinoplasty patient care highlights its strengths in accuracy alongside its limitations, including nonresponse and contextual understanding. Addressing these challenges will enable safer, more effective implementation of RAG models across diverse surgical and medical contexts, with the potential to revolutionize patient care by reducing physician workload while enhancing patient engagement.</p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":"735-744"},"PeriodicalIF":3.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143633356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hyaluronidase Availability Beyond the Aesthetic Office: A Shared Responsibility for Safety in Filler Complications.","authors":"Daniel P Zaki, Joseph M Firriolo, Idean Roohani, Lee L Q Pu","doi":"10.1093/asj/sjaf018","DOIUrl":"10.1093/asj/sjaf018","url":null,"abstract":"","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":"NP137-NP138"},"PeriodicalIF":3.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12168438/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143057649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Systematic Review of High-Intensity Focused Ultrasound in Skin Tightening and Body Contouring.","authors":"Diala Haykal, Sonja Sattler, Ines Verner, Monisha Madhumita, Hugues Cartier","doi":"10.1093/asj/sjaf053","DOIUrl":"10.1093/asj/sjaf053","url":null,"abstract":"<p><p>High-intensity focused ultrasound (HIFU) has emerged as a noninvasive technology for aesthetic applications, offering skin tightening, facial rejuvenation, and body contouring. This systematic review assesses its clinical efficacy, safety profile, patient satisfaction, and future advancements. A comprehensive search of studies published between January 2010 and October 2024 identified 45 clinical trials and cohort studies meeting inclusion criteria, which focused on measurable outcomes, such as wrinkle improvement and circumference reduction. HIFU demonstrated significant efficacy in skin tightening, particularly in the lower face, neck, and periorbital regions, with improvements in skin laxity ranging from 18% to 30%. For body contouring, studies documented a reduction in circumference between 2.5 and 4.5 cm, notably in the abdomen and thighs. Compared with mild surgical outcomes, HIFU provided effective noninvasive lifting with a favorable safety profile; fewer than 5% of patients reported transient erythema, swelling, or mild discomfort. Advances in HIFU technology, such as parallel-beam ultrasound, have improved treatment precision and patient comfort. Although HIFU has demonstrated consistent results across different anatomical areas, standardization of treatment protocols remains a key challenge, particularly regarding optimal energy settings and patient selection criteria. Additionally, further research is needed to establish its long-term efficacy and explore its applications across diverse skin types. HIFU continues to be a promising alternative to surgical interventions, enhancing skin rejuvenation and body contouring with minimal downtime. Future investigations should focus on refining treatment protocols and integrating emerging technologies to optimize clinical outcomes. Level of Evidence: 3 (Therapeutic).</p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":"690-698"},"PeriodicalIF":3.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143778854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}