Aesthetic Surgery Journal最新文献

{"title":"Response to: Unnecessary Roughness: Why Surface Topography and Host Response Interpretation Matter.","authors":"Ronika S Leang, Nathan R Chan, Sally M Winkler, Taylor M Levee, Allen Gabriel","doi":"10.1093/asj/sjag171","DOIUrl":"https://doi.org/10.1093/asj/sjag171","url":null,"abstract":"","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148811776","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":"Functional Performance, Subject-body Perception, and Safety Following Multi-muscle Electromuscular Stimulation: A Randomized Controlled Study.","authors":"Kiya Movassaghi, Niloo Marashi, Shlomit Mann, Ruthie Amir","doi":"10.1093/asj/sjag167","DOIUrl":"https://doi.org/10.1093/asj/sjag167","url":null,"abstract":"<p><strong>Background: </strong>Electromuscular stimulation (EMS) and high-intensity focused electromagnetic technologies are widely used for non-invasive muscle strengthening and body contouring. Most available EMS devices induce repetitive contractions of isolated muscle groups resulting in increased muscle thickness and improved aesthetic outcome. However, the current literature is lacking evidence to support functional performance gain following EMS treatments.</p><p><strong>Objectives: </strong>To evaluate functional performance outcomes following treatment with a novel EMS technology. based on synchronized multi-muscle activation and regulated contraction duty cycles.</p><p><strong>Methods: </strong>Thirty-eight healthy adult subjects were equally randomized to treatment and blank control cohorts. The study was conducted between July 2025 and January 2026. The treatment protocol included six weekly sessions targeting abdominal, quadriceps, hamstring, and gluteal muscle groups. Functional performance assays included prone hip extension repetitions to measure gluteus, paced curl-up performance and side plank endurance to measure abdominal muscles and seated quadriceps extension repetitions for measuring quadriceps strength. Subject reported body perception was documented. Outcome measures were performed at baseline, week 5 (pre-last treatment), and week 9 (4 weeks post last treatment). Subjects' performance over time and comparisons between groups were analyzed.</p><p><strong>Results: </strong>The treatment group demonstrated statistically significant gain in repetition-based and endurance-based performance measures compared with baseline and control subjects. Improvements were maintained through the 4-week follow-up. Treated subjects body self perception was improved. The procedure was well tolerated, with low discomfort and no reported adverse events.</p><p><strong>Conclusions: </strong>Treatment with PlyoPulse technology was associated with measurable improvements in functional performance, enhanced body self perception and a favorable safety profile. The findings suggest that stimulation patterns incorporating a programmable synchronized multi muscles activation may better enhance coordinated neuromuscular recruitment consistent with exercise physiology.</p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787230","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":"The Unheard Patient: Active Listening as a Core Clinical Skill in Aesthetic Surgery.","authors":"Or Friedman, Miri Mizrahi Reuveni, Yuval Paniri, Arnon Afek, David Maiershon","doi":"10.1093/asj/sjag172","DOIUrl":"https://doi.org/10.1093/asj/sjag172","url":null,"abstract":"<p><p>Aesthetic surgery carries a disproportionate medicolegal burden attributable to communication failure, with unmet expectations accounting for 14.4% of malpractice claims in plastic surgery compared with 3.8% in other medical specialties. No existing framework in the aesthetic surgery literature addresses active listening as a structured, teachable clinical skill. A narrative review of the literature was conducted across MEDLINE/PubMed, Embase, PsycINFO, and Scopus (January 2010 to April 2026), with sources selected by discussion between two authors (O.F. and D.M.) against stated eligibility criteria. The literature consistently identifies attentiveness deficits, premature judgment, and failure to acknowledge patient emotion as proximal mechanisms linking surgeon behavior to complaints and litigation. These patterns map directly onto five discrete listening micro-skills: adopting a learning stance, suspending judgment, paraphrasing, inquiry, and acknowledgment. In aesthetic surgery specifically, active listening constitutes an ethical and conceptual precondition for valid informed consent, because consent in this specialty requires alignment on a subjective goal that cannot be clinically examined; it can only be heard. Active listening is not a soft skill peripheral to aesthetic surgical practice; it is its primary diagnostic instrument. A structured listening framework offers surgeons a teachable model for improving patient experience, reducing complaint risk, and supporting the validity of informed consent.</p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148786730","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":"The Regenerative Potential of GHK-Cu in Aesthetic Medicine.","authors":"Jonathan Mokhtar, Basel Mohamad, Jewel Haddad, Alma Said, Arya Menon, Lucas Kreutz-Rodrigues, Krishna S Vyas, Curtis L Cetrulo, Alexandre G Lellouch","doi":"10.1093/asj/sjag169","DOIUrl":"https://doi.org/10.1093/asj/sjag169","url":null,"abstract":"<p><p>The age-related decline in tissue regenerative capacity drives demand for interventions restoring physiological repair mechanisms. Glycyl-L-histidyl-L-lysine-copper (GHK-Cu) has demonstrated significant regenerative, anti-inflammatory, and antioxidant properties in preclinical models, prompting its increasing integration into aesthetic practice despite a paucity of standardized clinical guidelines. This systematic review evaluates the efficacy, safety, and regenerative mechanisms of GHK-Cu in aesthetic medicine to clarify its clinical utility and inform future research. A systematic search of PubMed, Embase, and Cochrane CENTRAL was conducted from database inception through March 2026, following PRISMA guidelines. Eligible studies included clinical and preclinical models investigating GHK-Cu as a standalone intervention for aesthetic applications. 20 studies (18 preclinical; 2 RCTs) were included. Preclinical data consistently demonstrated that GHK-Cu enhances extracellular matrix synthesis (type I collagen and glycosaminoglycans), modulates metalloproteinase activity, and promotes angiogenesis and cellular proliferation. It also exhibited significant anti-inflammatory effects by suppressing TGF-β and IL-6. Clinically, GHK-Cu improved patient-reported satisfaction after laser resurfacing and significantly reduced wrinkle volume and depth compared with controls. Additionally, advanced delivery systems, including microneedles and liposomes, markedly improved its transdermal bioavailability and efficacy. GHK-Cu demonstrates a reasonable biological basis for use as a regenerative agent in aesthetic medicine, supported by available preclinical data. Nevertheless, the findings reported across studies were constrained by methodological variability and a limited number of well-designed clinical trials. Future research incorporating larger, controlled trials with standardized formulations, dosing regimens, and delivery methods will be necessary to close the translational gap and inform the development of consistent therapeutic protocols in clinical practice.</p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148786668","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: Phase-One Hypochlorous Acid is Effective for Preventing Capsular Contracture and Infection in Primary Breast Augmentation.","authors":"William P Adams","doi":"10.1093/asj/sjag170","DOIUrl":"https://doi.org/10.1093/asj/sjag170","url":null,"abstract":"","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787136","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":"Outpatient Female Genital Cosmetic Surgery: A Systematic Review and Meta-Analysis.","authors":"Igor Leonardo Padovesi Mota, Samantha Neves, André Luiz Malavasi Longo de Oliveira, Isabella Chapieski, Ollivia Frederigue Ferreira, Milton Henrique Vitoria de Melo, Luca Schiliró Tristão, Piero Silveira Bernardo, Wanderley Marques Bernardo","doi":"10.1093/asj/sjag150","DOIUrl":"https://doi.org/10.1093/asj/sjag150","url":null,"abstract":"<p><p>Demand for female genital cosmetic surgery (FGCS), primarily labiaplasty, is increasing globally because of aesthetic and functional concerns. Although traditionally performed in hospital settings, these procedures are increasingly transitioning toward outpatient, office-based care under local anesthesia. This study aimed to evaluate whether the transition to outpatient care maintains high standards of patient satisfaction, safety, and sexual function compared with traditional hospital-based interventions. A systematic review and meta-analysis were conducted following PRISMA guidelines. Searches were performed in Medline, Embase, Cochrane, and ClinicalTrials.gov through November 2025. Primary outcomes included the Female Genital Self-Image Scale (FGSIS), Female Sexual Function Index (FSFI), and Sexual Quality of Life-Female (SQoL-F). Fourteen studies were included. Meta-analysis demonstrated significant postoperative improvements in FGSIS, total FSFI, and SQoL-F. Notably, SQoL-F showed zero heterogeneity, indicating uniform benefits across both outpatient and hospital settings. Significant improvements were observed in individual FSFI domains, including lubrication, satisfaction, arousal, orgasm, and desire (all statistically significant), whereas sexual pain showed no significant pooled difference. Functional gains were more closely linked to surgical technique than clinical infrastructure. FGCS reliably improves genital self-image and sexual quality of life in both outpatient and hospital environments. Success is primarily determined by surgical technique and patient selection rather than the facility type or anesthetic protocol. Level of Evidence 3 (Therapeutic).</p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148786710","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":"Re-evaluation of the Medial Temporal Artery: A Three-Dimensional Anatomical Study and Its Clinical Implications for Safe Auricular Filler Injections.","authors":"Yu-Hao Zhou, Guo-Hao Yuan, Jia-Ying Xu, Hui-Qin Lu, Fang-Wei Li, Xing Wang, Yan-Qun Wu, Hai-Bin Wang","doi":"10.1093/asj/sjag166","DOIUrl":"https://doi.org/10.1093/asj/sjag166","url":null,"abstract":"<p><strong>Background: </strong>The medial temporal artery (MTA) supplies the auricle and temporal region but remains understudied despite its relevance to filler injection safety.</p><p><strong>Objective: </strong>To comprehensively evaluate the MTA using three-dimensional computed tomography angiography (3D-CTA) and grossdissection.</p><p><strong>Methods: </strong>Fifty-three cadaverheads (106 sides)underwent lead oxide perfusion and CT scanning. The origin, course, branching patterns, and anastomosesof the MTA were analyzed, and a vasculardistribution heat map wasgenerated.</p><p><strong>Results: </strong>The MTA waspresent in all specimens. Itoriginated from the superficial temporal artery at the zygomaticotemporal suture, coursed posteriorly (27.21°±7.21°) then posterosuperiorly (67.75°±7.27°). Branching patterns were single-trunk (56.6%), bifurcated (29.2%), and trifurcated (14.2%). The MTA ran between the temporalis muscle and periosteum, forming extensive anastomoses with the posterior auricular and deep temporal arteries. A high-probability zone was identified 1-2 cm posterior and 1-2 cm superior to the superior auricularpoint.</p><p><strong>Conclusion: </strong>The MTA exhibits multiple branching patterns and extensive anastomoses, posing a theoretical risk for retrograde embolization leading to ophthalmic artery occlusion. Deep injections should be avoided in the identified high-risk zone to preventvascular complications.</p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148899887","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":"Litigating Filler Complications: Five Decades of Legal Outcomes in the United States.","authors":"Thalia Le, David Le, Stephanie Vaidis, Katie G Egan, David W Mathes, Brooke French, Phuong D Nguyen, David Khechoyan, Christodoulos Kaoutzanis","doi":"10.1093/asj/sjag168","DOIUrl":"https://doi.org/10.1093/asj/sjag168","url":null,"abstract":"<p><p>Injectable fillers are increasingly used in aesthetic medicine, yet the medicolegal factors driving liability remain poorly defined. We conducted a retrospective review of U.S. civil litigation involving aesthetic injectable fillers using Westlaw and LexisNexis (1967-2025), extracting variables including filler type, anatomical site, provider credentials, practice setting, complication severity, FDA approval status, informed consent, and legal outcomes. Of 325 screened records, 46 met inclusion criteria. Claims were filed a mean of 2.4 years after the incident, with a mean of 2.5 years from filing to final decision. Plaintiff and defense outcomes were nearly evenly split (51% vs. 49%). The most implicated fillers were autologous fat (n=13, 28.3%), hyaluronic acid (n=12, 26.1%), and biostimulatory agents (n=12, 26.1%). The most common anatomical sites were the face, head, or neck (n=31, 67.4%), followed by breast (n=5, 10.9%) and buttock or body contouring (n=4, 8.7%). Neither physician credentialing, filler type, nor complication severity was significantly associated with legal outcome. Med-spa procedures had a 100% plaintiff verdict rate versus 47% in private clinic or hospital settings (p=0.024), and unapproved fillers had a 100% plaintiff verdict rate versus 44% for FDA-approved products (p=0.021). Documented informed consent was strongly protective, with substantially lower plaintiff verdict rates (8% vs. 65%, p=0.001). Liability was most strongly associated with regulatory and practice context rather than complication severity, filler type, or provider credentials, highlighting the importance of using FDA-approved products, ensuring thorough informed consent documentation, and maintaining appropriate oversight in medical spa settings.</p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787211","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":"Upper Blepharoplasty Suturing Techniques: A Paired-Eye Comparative Study of Intradermal vs Continuous Sutures.","authors":"Robson Soares, Roberto Murillo Limongi, Richard C Allen, Francesco Bernardini, David Leonardo Cruvinel Isaac, Marcos Pereira de Ávila","doi":"10.1093/asj/sjag088","DOIUrl":"10.1093/asj/sjag088","url":null,"abstract":"<p><strong>Background: </strong>Optimizing scar aesthetics is a key objective in upper blepharoplasty. Although nylon 6-0 sutures are widely used, the ideal skin closure technique remains debated.</p><p><strong>Objectives: </strong>The aim of this study was to compare early and long-term aesthetic outcomes of intradermal and continuous external suturing techniques using a randomized intrapatient design.</p><p><strong>Methods: </strong>This prospective, randomized, intraindividual clinical trial included 50 patients undergoing bilateral upper blepharoplasty performed by a single oculoplastic surgeon at a university-affiliated tertiary center. Each eyelid was randomly assigned to receive either an intradermal or a continuous external running suture using 6-0 nylon. Standardized photographs were evaluated at postoperative day 7 and 6 months by 2 blinded oculoplastic surgeons. Patients completed the Global Aesthetic Improvement Scale, and scar quality was assessed using the Observer component of the Patient and Observer Scar Assessment Scale (POSAS Observer).</p><p><strong>Results: </strong>At postoperative day 7, 1 evaluator favored intradermal sutures in 60% of cases (P = .013), whereas the second evaluator found no significant difference between techniques. At 6 months, both methods demonstrated comparable aesthetic outcomes. Patient satisfaction was high, with 80% of patients reporting \"much improved\" or \"very much improved\" results. Quantitative analysis using the POSAS Observer scale showed no statistically significant differences between suturing techniques at either postoperative time point. No suture-related complications were identified. A single case of unilateral wound dehiscence occurred, which could not be attributed to either suturing technique.</p><p><strong>Conclusions: </strong>Intradermal and continuous external suturing techniques provide equivalent long-term aesthetic outcomes in upper blepharoplasty. Although intradermal sutures may offer modest early advantages, final scar quality is comparable, supporting technique selection based on surgeon preference and workflow.</p><p><strong>Level of evidence 3 (therapeutic): </strong>For image description, please refer to the figure legend and surrounding text.</p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":"1037-1045"},"PeriodicalIF":4.2,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147925732","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: Think Smooth and Pink: The Role of Skin Color and Texture in Caucasian Female Genital Aesthetics.","authors":"Gemma Sharp","doi":"10.1093/asj/sjaf252","DOIUrl":"10.1093/asj/sjaf252","url":null,"abstract":"","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":"959-960"},"PeriodicalIF":4.2,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145666750","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}