Aesthetic Surgery Journal最新文献

{"title":"The TABLE Technique: A Targeted Open Approach for Fibrous-dominant Dorsocervical Hump (Buffalo Hump).","authors":"Renpeng Zhou, Angang Ding, Danru Wang","doi":"10.1093/asj/sjaf188","DOIUrl":"https://doi.org/10.1093/asj/sjaf188","url":null,"abstract":"<p><strong>Background: </strong>The TARD technique (Tumescent anesthesia, sharp cannula Release, Debulking) achieves satisfactory outcomes in mild-to-moderate fibrofatty dorsocervical hump, but shows limitations in fibrous-dominant subtype.</p><p><strong>Objectives: </strong>To introduce a novel TABLE technique (Tumescent anesthesia, Border release and liposuction, Limited-open access, Extraction and excision) for fibrous-dominant dorsocervical hump and to evaluate the safety and efficacy of this procedure.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on 72 patients treated between January 2022 and December 2023. Patients with fibrous-dominant dorsocervical hump were treated using the TABLE approach. Outcomes included the surgeon-assessed contour improvement (4-point scale, evaluated by two independent plastic surgeons), patient-reported Neck Extension Mobility Score (NEMS) and complications. Follow-up was 12 months.</p><p><strong>Results: </strong>The TABLE technique demonstrated satisfactory outcomes in fibrous-dominant cases, with 93% good-to-excellent outcomes (36% excellent, 57% good) based on two surgeons' evaluation. Excellent inter-rater reliability was confirmed (Cohen's κ = 0.71). Neck mobility improved, with NEMS decreased from 2.6 to 1.3, and the overall complication rate was 20.8%.</p><p><strong>Conclusions: </strong>TABLE is a safe and effective minimally invasive solution for fibrous-dominant dorsocervical hump, achieving improved aesthetic and functional outcomes.</p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145231364","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":"Does Menstrual Cycle Affect Breast Reduction Surgery? A Retrospective Analysis of 722 Cases.","authors":"Xiaoyu Guan, Zhengyao Li, Zixuan Zhang, Ziying Zhang, Minqiang Xin","doi":"10.1093/asj/sjaf184","DOIUrl":"https://doi.org/10.1093/asj/sjaf184","url":null,"abstract":"<p><strong>Background: </strong>As the breast is one of the target organs of estrogen and progesterone, it is confirmed to have periodic changes through the menstrual cycle. Several studies reported that surgeries on the breast could be influenced by the menstrual cycle, which remained controversial.</p><p><strong>Objectives: </strong>To determine whether the menstrual cycle affects breast reduction surgery.</p><p><strong>Methods: </strong>Patients undergoing breast reduction from 2004 to 2021 were reviewed. They were grouped according to different menstrual phases in a standard 28-day cycle: proliferative (Days 3-7), follicular phase of differentiation (Days 8-14), luteal phase of differentiation (Days 15-20), secretory (Days 12-27) and menstrual (Days 28-2). Their length of surgery, drainage after operation, drainage duration, and incidence of hematoma were recorded and analyzed.</p><p><strong>Results: </strong>The study on 722 patients demonstrated that there was no statistical difference in the length of operation and postoperative drainage when performing operations on different menstrual phases.</p><p><strong>Conclusions: </strong>For patients having breast reduction surgery, their menstrual cycle had no influence on the length of surgery and postoperative drainage, while further studies were needed.</p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145211298","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":"Commentary on: Evaluation of the Role of Labiaplasty in Sexual Health and Partner Relationships.","authors":"Gemma Sharp","doi":"10.1093/asj/sjaf195","DOIUrl":"https://doi.org/10.1093/asj/sjaf195","url":null,"abstract":"","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145147434","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":"Improving Surgical Treatment for Severe Gynecomastia and Avoiding Skin Resection: Skin Redistribution and Fixation Approach for Aesthetic Excellence.","authors":"Wenshan Xing, Cong Liu, Lin Chen, Zhengyao Li, Jinlong Zheng","doi":"10.1093/asj/sjaf193","DOIUrl":"https://doi.org/10.1093/asj/sjaf193","url":null,"abstract":"<p><strong>Background: </strong>Gynecomastia, a common condition involving benign breast tissue enlargement in men, poses challenges for plastic surgeons, especially in severe cases. Current surgical methods for severe gynecomastia often require complex, invasive procedures with skin resection, resulting in significant scarring. Conversely, techniques avoiding skin resection frequently leave skin redundancy and unsatisfied chest contour.</p><p><strong>Objectives: </strong>This study introduces a skin redistribution and fixation approach which help to improve aesthetic outcomes and eliminate the need for skin excision.</p><p><strong>Methods: </strong>The surgical procedure comprised four stages: an initial liposuction, a mastectomy, a subsequent liposuction session, and an approach for the redistribution and fixation of skin. Liposuction was extended across the breasts, chest wall, and lateral chest wall. Subcutaneous mastectomy was performed via small infraareolar incisions. The redistribution and fixation approach involved two steps: surgeons manually distributed the loose and accumulated skin evenly across the chest, followed by the application of a sterile, self-adhesive foam dressing to secure the skin on each side of the chest.</p><p><strong>Results: </strong>Between July 2018 and January 2024, 77 patients with severe gynecomastia received treatment with skin redistribution and fixation, while 73 underwent traditional liposuction and mastectomy. Follow-up periods ranged from 13 months to 5 years. Patients received skin redistribution and fixation approach reported improved satisfaction regarding the final shape, contour and symmetry.</p><p><strong>Conclusions: </strong>The skin redistribution and fixation approach could help to enhance aesthetic outcomes and achieve better chest contour in surgical treatment for severe gynecomastia.</p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145147525","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":"Effectiveness and Safety of a Cross-Linked Hyaluronic Acid Plus Mannitol Filler for the Correction of Nasolabial Folds in Chinese Subjects: A Randomized, Blinded, Controlled Study.","authors":"Yan Wu, Benjamin Ascher, Zhiyong Yang, Hongsen Bi, Li Li, Hongyi Zhao, Hang Wang, Jinming Zhang, Sheng-Kang Luo","doi":"10.1093/asj/sjaf186","DOIUrl":"https://doi.org/10.1093/asj/sjaf186","url":null,"abstract":"<p><strong>Background: </strong>Hyaluronic acid-based dermal fillers are commonly used to correct prominent nasolabial folds (NLFs), a hallmark of aging.</p><p><strong>Objectives: </strong>This study aimed to verify effectiveness and safety of the investigational device STYLAGE® L (Laboratoires VIVACY, Archamps, France) versus a well-established comparator Restylane® (Galderma, Uppsala, Sweden) in correcting moderate to severe NLFs in Chinese subjects.</p><p><strong>Methods: </strong>A 12-month, randomized, subject- and evaluator-blinded, controlled, parallel-group, non-inferiority study conducted across 8 hospitals in China. The primary endpoint was percentage of Wrinkle Severity Rating Scale (WSRS) responders 6 months after last treatment. Secondary endpoints included Global Aesthetic Improvement Scale (GAIS) responders, subject satisfaction, device performance, and tolerance.</p><p><strong>Results: </strong>In total, 194 and 196 subjects were randomized to the treatment and control group, respectively, and analyzed. In the primary endpoint analysis, non-inferiority of the investigational device was demonstrated as the lower limit of the 95% confidence interval (CI) was greater than -10% (difference [95% CI] in percentage of responders: 9.33% [2.10%, 16.56%]). WSRS responder rates were statistically significantly higher in the treatment than the control group at 6 months (9.19% [1.85%, 16.54%], p=0.0157), 9 months (19.75% [10.97%, 28.53%], p<0.0001), and 12 months (11.36% [2.64%, 20.09%], p=0.0116). GAIS responder rates were high in both groups throughout the study (>73%). Subject satisfaction was high. Both devices were well-tolerated. Device performance scores were statistically significantly higher (i.e. aspects were 'harder') with the investigational device versus the comparator.</p><p><strong>Conclusions: </strong>Non-inferiority of the investigational device versus the comparator in correcting NLFs in Chinese subjects was demonstrated. Results up to 12 months suggest comparable safety and effectiveness profiles.</p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145147431","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":"Anatomical Depth of Labial Arteries in Dermal Filler Procedures: A Meta-analysis With Clinical Implications.","authors":"Mateusz Trzeciak, Marcin Lipski, Tomasz Gładysz, Artur Pasternak, Joe Iwanaga, Greg Bran, Mateusz Koziej, Jerzy Walocha","doi":"10.1093/asj/sjaf192","DOIUrl":"https://doi.org/10.1093/asj/sjaf192","url":null,"abstract":"<p><p>Lip augmentation procedures are increasingly popular in aesthetic medicine, and precise knowledge of labial arterial anatomy is essential for safe outcomes. The superior labial artery (SLA) and inferior labial artery (ILA) serve as critical anatomical landmarks for these procedures, and their positioning guides injection techniques. But despite their importance, there has been uncertainty about the precise depths of these vessels across different facial regions, creating potential risks during procedures. Therefore, we conducted a comprehensive meta-analysis to quantitatively compare arterial depths at three distinct levels of the SLA and evaluate average depths of both the SLA and ILA. Analysis of multiple arterial measurements (277, 218, 252, 414, and 295 arteries) at key locations - between the cheilion and cupid's bow peak, at the cupid's bow peak, and at the facial midline - revealed consistent average depths ranging from 4.59 mm (95% CI: 3.91-5.10) to 4.90 mm (95% CI: 4.57-5.61). These findings demonstrate that the vessels maintain relatively consistent depth beneath the vermilion surface, supporting safe injection guidelines of up to 3.5 mm in most lip regions and up to 4 mm in the superior vermilion. While the SLA and ILA showed similar average depths, practitioners should consider using high-resolution ultrasonography before extensive augmentation procedures for additional safety assurance.</p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145129859","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":"BIA-ALCL - Comparison of Manufacturers From UK National Data.","authors":"Richard Goodall, Simon Wood","doi":"10.1093/asj/sjaf190","DOIUrl":"https://doi.org/10.1093/asj/sjaf190","url":null,"abstract":"","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124135","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":"Folded Flap Technique for Nipple Reduction.","authors":"Maksim Barsakov","doi":"10.1093/asj/sjaf189","DOIUrl":"https://doi.org/10.1093/asj/sjaf189","url":null,"abstract":"<p><strong>Background: </strong>Nipple hypertrophy is a common aesthetic concern that can cause psychological discomfort and disrupt breast harmony. While many techniques exist for nipple reduction, they often have limitations in reducing all dimensions simultaneously and carry risks of deformity or impaired lactational function.</p><p><strong>Objectives: </strong>To introduce and evaluate the effectiveness and safety of the \"Folded Flap\" technique, a simple, anatomically guided approach designed to achieve simultaneous reduction in nipple height, diameter, and base width while preserving a natural contour and function.</p><p><strong>Methods: </strong>A retrospective analysis was performed on 61 patients (122 nipples) treated between January 2018 and December 2024 using the Folded Flap technique. The procedure involves clear, anatomically based preoperative marking, excision of a precise tissue block, placement of a three-point key suture, and layered closure to achieve a natural cylindrical nipple shape. Postoperative follow-up was conducted at 1, 3, 6, and 12 months to evaluate aesthetic outcomes, complications, sensitivity, and lactational function.</p><p><strong>Results: </strong>No intraoperative or major postoperative complications occurred. The average procedure time was 10-15 minutes. Mean reduction in nipple height and diameter was 40-70% of baseline, with additional narrowing of the base. Aesthetic outcomes were rated as stable and predictable. No cases of necrosis, deformity, significant scarring, or sensitivity loss were observed. Among 7 patients who became pregnant postoperatively, no breastfeeding difficulties were reported.</p><p><strong>Conclusions: </strong>The Folded Flap technique is a safe, effective, and reproducible method for nipple reduction, offering precise simultaneous reduction of all key dimensions while maintaining a natural, balanced contour and minimizing risk of complications.</p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124097","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":"Evaluation of the Role of Labiaplasty in Sexual Health and Partner Relationships.","authors":"Melih Bestel, Elif Ucar, Ozan Dogan","doi":"10.1093/asj/sjaf187","DOIUrl":"10.1093/asj/sjaf187","url":null,"abstract":"<p><strong>Background: </strong>Labiaplasty improves women's genital self-image, sexual function, and mental well-being, while enhancing male partners' sexual satisfaction and overall couple sexual harmony.</p><p><strong>Objectives: </strong>This study aims to evaluate the effects of labiaplasty on women's genital self-perception, sexual function, psychological state and sexual satisfaction levels of male partners in women with physical and functional complaints about labium minus.</p><p><strong>Methods: </strong>97 women and their partners who underwent labiaplasty between January 2021 and June 2024 were included in the study. Beck Depression Inventory (BDI), Female Sexual Function Index (FSFI), Quality of Sexual Experience Scale (QSES), Female Genial Self-Image Scale (FSGIS), Sexual Quality of Life - Female (SQoL-F) questionnaires were applied to women before and after labiaplasty. Male Sexual Health Questionnaire-Ejaculatory Dysfunction (MSHQ-Ejd), Golombok-Rust Sexual Satisfaction Scale (GRISS), New Sexual Satisfaction Scales (NSSS) were applied to male partners. Preoperative and postoperative data were compared with participants who were one year postoperatively.</p><p><strong>Results: </strong>In female participants, significant improvements were found in genital self-perception, sexual function, sexual pleasure, lubrication, orgasm and overall quality of sexual life, and a statistically significant decrease in depression scores was observed. In male partners, ejaculatory function remained constant, but positive changes were found in general sexual satisfaction, impotence, premature ejaculation and satisfaction levels.</p><p><strong>Conclusions: </strong>Labiaplasty operation provides significant gains not only in terms of aesthetics but also psychological and sexual well-being in women, and indirectly positively affects the quality of sexual life of male partners. It is thought that surgical intervention can increase sexual harmony in couple relationship as well as individual satisfaction.</p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145090764","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":"Comparative Efficacy and Recurrence Risk of Intralesional Therapies for Hypertrophic Scars and Keloids: A Network Meta-Analysis.","authors":"I-Chang Lai, Guan-Lun Huang, Kuan-Chun Lee, Po-Yuan Wu","doi":"10.1093/asj/sjaf182","DOIUrl":"https://doi.org/10.1093/asj/sjaf182","url":null,"abstract":"<p><p>Hypertrophic scars and keloids are fibroproliferative disorders arising from aberrant wound healing, often leading to aesthetic disfigurement, functional impairment, and psychosocial burden. Intralesional therapies remain a mainstay of treatment, yet the comparative efficacy and recurrence profiles of different agents have not been definitively established. We conducted a systematic search of PubMed (National Institutes of Health, Bethesda, MD), Cochrane Library (Wiley, Hoboken, NJ), US National Institutes of Health Ongoing Trials Register, EMBASE (Elsevier, Amsterdam, the Netherlands), and Google Scholar (Alphabet, Inc., Mountain View, CA) from inception through May 2025, restricted to English-language publications, to identify randomized controlled trials comparing two or more intralesional treatments for hypertrophic scars or keloids. Twenty-four eligible trials were included in a frequentist random-effects network meta-analysis integrating direct and indirect comparisons. Pooled estimates demonstrated that triamcinolone acetonide combined with 5-fluorouracil (TAC+5-FU) achieved the most consistent improvements in treatment efficacy and recurrence control. Botulinum toxin A (BTA) ranked highest in treatment response but did not significantly reduce recurrence risk. Verapamil (VER) was associated with significantly lower efficacy compared with TAC, whereas bleomycin (BLM) and 5-FU monotherapies provided intermediate outcomes without statistical superiority. Overall, TAC+5-FU offered the most favorable balance between efficacy and recurrence reduction, while BTA showed strong response efficacy. These findings provide a comprehensive synthesis of intralesional therapies for hypertrophic scars and keloids, support the consideration of combination regimens in scar management, and underscore the need for further well-designed head-to-head trials with standardized endpoints to refine individualized treatment strategies.</p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145090709","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}