Aesthetic Surgery Journal最新文献

{"title":"Long-term Stability in Endoscopic Brow Lift: A Systematic Review and Meta-Analysis of the Literature.","authors":"Serhat Şibar, Asiye Uğraş Dikmen, Ayhan Işık Erdal","doi":"10.1093/asj/sjae225","DOIUrl":"10.1093/asj/sjae225","url":null,"abstract":"<p><p>Long-term stability and recurrent ptosis are among the most debated topics in endoscopic brow lifts. Although there are many publications on endoscopic brow lifts, more research is needed on long-term brow elevation and stability. In this systematic review we aimed to evaluate the amount of elevation and stability achieved by endoscopic brow lifts in the long term. To evaluate the long-term outcomes of endoscopic brow lifts, the databases PubMed, Web of Science, Scopus, and Google Scholar were searched with the keywords \"endoscopic brow lift,\" \"endoscopic forehead lift,\" \"forehead lift,\" \"foreheadplasty,\" \"brow lift,\" \"endoscopic brow fixation,\" and \"brow fixation.\" Studies published between September 1994 and May 2024, including isolated or combined endoscopic brow lift surgeries, were included. In total, 5324 articles were screened, and 85 full texts were reviewed. Of these studies, 12 (14.1%) were found suitable for systematic review and meta-analysis. Brow elevation values were evaluated separately by medial, central, and lateral parts. The pooled effect sizes for medial, central, and lateral brow elevations were found to be 3.25 mm (2.44-4.06), 3.86 mm (2.93-4.8), and 4.35 mm (3.06-5.64), respectively. This study is the first meta-analysis to present the average elevation values that can be achieved in the long term by endoscopic brow lifts. These data guide a better understanding of patient candidates and endoscopic brow lift technique. Sharing more objective data over the long term about different fixation methods will contribute to a better understanding of the criteria related to indications for this surgery.</p><p><strong>Level of evidence: 3 (therapeutic): </strong></p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":"232-240"},"PeriodicalIF":3.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11834984/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142612600","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":"Single-Stage Alar Nostril Ring Correction Using Auricular Composite Grafts in Reconstructive Rhinoplasty.","authors":"Amir A Sazgar, Amir K Sazgar, Nikou Hatami, Mehr A Sazgar","doi":"10.1093/asj/sjae240","DOIUrl":"10.1093/asj/sjae240","url":null,"abstract":"<p><strong>Background: </strong>Alar nostril ring correction in patients with multiple previous surgeries is one of the most challenging procedures in reconstructive rhinoplasty. Assessment of patient satisfaction and the technique's failure rate is essential in evaluating its effectiveness.</p><p><strong>Objectives: </strong>In this study, we aimed to assess the outcomes of alar nostril ring correction with auricular composite grafts (ACGs) in patients with severe postrhinoplasty deformities from multiple previous surgeries.</p><p><strong>Methods: </strong>A retrospective review of medical records from April 2016 to October 2023 was conducted. Patient demographics, surgical techniques, and functional and aesthetic outcomes were analyzed. Patient satisfaction was measured with the Obstruction and Cosmesis scores from the Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS).</p><p><strong>Results: </strong>A total of 45 cases (38 female and 7 male) ages 36.4 ± 7.64 years underwent alar nostril ring correction with ACGs from the antihelix, with an average of 2 previous rhinoplasties. Preoperative SCHNOS-O and SCHNOS-C scores were 88.44 (SD = 14.41) and 88.30 (SD = 12.44), respectively. The shape of the ACGs was similar to parabolic cylinders, with arc lengths between 15 and 21 mm and flat dimensions of 6 to 9 by 3 to 7 mm. No graft failures were observed, even in 10 patients with a history of nasal skin necrosis. Postoperative SCHNOS-O and SCHNOS-C scores after 1 year were 35.44 (SD = 21.07) and 35.85 (SD = 19.04), representing significant improvement (P < 0.05).</p><p><strong>Conclusions: </strong>ACGs from the antihelix effectively address external valve stenosis due to aggressive alar-sill junction tissue resection in reconstructive rhinoplasty, even in complex cases.</p><p><strong>Level of evidence: 4 (therapeutic): </strong></p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":"255-263"},"PeriodicalIF":3.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827070","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":"Smartphone Evaluation of Dynamic and Static Naturalness After Double-Eyelid Blepharoplasty.","authors":"Ce Zhang, Qinhao Gu, Lulu Chen, Ji Wang, Hangyan Shi, Jingyu Li, Sufan Wu","doi":"10.1093/asj/sjae223","DOIUrl":"10.1093/asj/sjae223","url":null,"abstract":"<p><strong>Background: </strong>Recent studies on postoperative measurements for upper blepharoplasty utilized static photographs, which fail to accurately reflect the postsurgical dynamic naturalness of the eyelids.</p><p><strong>Objectives: </strong>In this study we aimed to analyze dynamic naturalness after double-eyelid blepharoplasty with a simple smartphone method involving slow-motion videos.</p><p><strong>Methods: </strong>In this prospective observational study we enrolled patients who underwent double-eyelid blepharoplasty with the flexible suspension technique (FST) and rigid fixation technique (RFT), and individuals with congenital double eyelids. Demographic information was collected, and ultra-slow-motion videos of the eye-opening processes were recorded with a smartphone. Four keyframes were selected from each video, from which several parameters were measured. A third party evaluated the degree of naturalness of the photographs and eye-opening videos.</p><p><strong>Results: </strong>Sixty females (20 per group) were enrolled. The fold-emerging delay (FED) score showed a linear correlation with the mean third-party dynamic naturalness rating (DNR) (R2 = 0.71, P < .0001). The puffy score showed a linear correlation with the mean third-party static naturalness rating (SNR) (R2 = 0.53, P < .0001). For the congenital, FST, and RFT groups, respectively, the FED scores were 62.9 ± 18.9, 52.2 ± 17.7, and 26.3 ± 18.3 (all P < .05); the puffy scores were 49.8 ± 11.9, 55.9 ± 11.0, and 62.6 ± 12.4 (congenital vs FST, P = .055; others P < .05); the mean third-party DNRs were 3.21 ± 0.67, 2.47 ± 0.62, and 1.78 ± 0.74 (all P < .0001); and the mean third-party SNRs were 3.01 ± 0.78, 2.61 ± 0.55, and 2.14 ± 0.69 (all P < .05).</p><p><strong>Conclusions: </strong>The 2 new indices obtained from the analysis of smartphone-captured ultra-slow-motion videos are good indicators of the dynamic naturalness of double eyelids created with upper blepharoplasty.</p><p><strong>Level of evidence: 4 (therapeutic): </strong></p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":"241-248"},"PeriodicalIF":3.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142563665","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":"Deciphering the Refined Musculature of the Brow Area in Asians by Micro-Computed Tomography.","authors":"Yixin Sun, Mengyuan Zhang, Yixuan Zhang, Ruijia Dong, Panxi Yu, Catharina Tao, Xuda Ma, Lin Jin, Di Zhang, Jiuzuo Huang, Nanze Yu, Xiao Long","doi":"10.1093/asj/sjae217","DOIUrl":"10.1093/asj/sjae217","url":null,"abstract":"<p><strong>Background: </strong>The brow area is an important aesthetic unit. Accurate anatomical understanding of the brow is important for clinical treatments related to this region. Due to the complexity of the brow area and limitations of methods, there are still some controversies regarding description of its musculature.</p><p><strong>Objectives: </strong>In this article, we aimed to reveal the detailed brow musculature with micro-computed tomography (micro-CT) combined with histological staining.</p><p><strong>Methods: </strong>Eight fresh cadavers (16 hemifaces) were obtained. Eight hemifaces were processed with phosphotungstic acid contrast staining for micro-CT scanning and reconstruction. The corresponding other 8 hemifaces were prepared with Masson staining.</p><p><strong>Results: </strong>The orbicularis oculi muscle, frontalis muscle (FM), depressor supercilii, and procerus muscle were situated superficially. The FM terminated and connected with its antagonistic muscles at 2 to 5 mm above the brow but the fusion line descended in the lateral third. The corrugator supercilii muscle (CSM) originated from the periosteum, extending laterally and superficially. During its course, it mainly penetrated the FM. The CSM had broad subcutaneous insertion, covering about 77.9% ± 7.5% of the hairy brow. CSM fibers connected to the subcutaneous fiber septa to directly transmit contraction force. The soft tissue on the lateral side of the brow was looser than that on the medial side.</p><p><strong>Conclusions: </strong>Our study deepens the understanding of the precise anatomy of the brow area and helps guide clinical practice.</p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":"286-292"},"PeriodicalIF":3.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142567762","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":"Safety Optimization of Injections in Specific Areas of the Scalp: A Cadaveric and 3D-CT Analysis of Arterial Distribution.","authors":"Jing Hu, Guo-Hao Yuan, Fang-Wei Li, Cheng-En Luo, Zhi-Feng Liao, Chen Dong, Si-Yi Zhang, Su-Qin Zhou, Hai-Bin Wang","doi":"10.1093/asj/sjae227","DOIUrl":"10.1093/asj/sjae227","url":null,"abstract":"<p><strong>Background: </strong>An injection method called cranial ceiling elevation is performed in Asian countries to reduce facial proportions. Scalp injections carry risks such as arterial embolism or compression, leading to adverse events including scalp necrosis and hair loss.</p><p><strong>Objective: </strong>No arterial studies or injection recommendations exist for the injection of specific scalp regions. We aimed to examine blood vessel types and distributions to identify relatively safe areas for scalp injections.</p><p><strong>Methods: </strong>Computed tomography scans were performed to evaluate the blood vessels in the scalp of 50 cadaver heads, and anatomical studies were performed. Each scalp was divided into 2 segments (L1 and L2) and 6 areas (S1/S1'-S3/S3'). The total number of arteries and the probability of each named artery occurring in each section were recorded.</p><p><strong>Results: </strong>The total number of arteries in L1 was higher than that in L2 (L1, 78.76 ± 31.07; L2, 75.28 ± 28.68). The most frequently distributed artery in both L1 and L2 was the parietal branch of the superficial temporal artery. No significant difference was observed between the total number of arteries and the number of each named artery in the S1/S1'-S3/S3' segments. Except for S2' and S3', the number of named arteries in L1 was higher than that in L2.</p><p><strong>Conclusions: </strong>Large-volume scalp injections are not recommended. For injections within 30° above the ear, it is advisable to inject at L2. For other regions, it is also recommended to inject at L2. The periosteal layer should be selected for injection. The L2 region is preferable for right-sided injections, and the L1 region is recommended for left-sided injections.</p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":"NP79-NP85"},"PeriodicalIF":3.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142612624","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":"Postoperative Outcomes in Body Contouring Procedures Following GLP-1 Receptor Agonist Use: A 10-Year Analysis.","authors":"Joey Liang, Tara Pillai, Sakshi Chopra, Jackson M Cathey, Ash Patel","doi":"10.1093/asj/sjaf029","DOIUrl":"https://doi.org/10.1093/asj/sjaf029","url":null,"abstract":"<p><strong>Background: </strong>Utilization of GLP-1 receptor agonists (GLP-1ras) has increased dramatically in recent years. While GLP-1ras appear safe to use overall, it remains unclear if pre-operative GLP-1ra use impacts body contouring surgery outcomes.</p><p><strong>Objectives: </strong>This study evaluated the post-operative course of patients receiving body contouring procedures by GLP-1ra use.</p><p><strong>Methods: </strong>This retrospective cohort study examined patients who received panniculectomies, brachioplasties, thighplasties, and abdominoplasties at a large academic institution between November 2014 and November 2024. Propensity score matched analysis paired cohorts by age, smoking status, and body mass index and hemoglobin A1c at the time of surgery. Univariate analyses and multivariable logistic regression were performed.</p><p><strong>Results: </strong>In total, 590 patients were included in this study. Of these, 100 patients utilized GLP-1ras before surgery. Propensity score matched analysis paired 72 GLP-1ra and 143 non-GLP-1ra patients. 30-day readmissions and emergency department visits in matched and unmatched cohorts were similar by GLP-1ra use (p > 0.05). Post-operative cellulitis occurred less frequently among GLP-1ra users in matched cohorts (p = 0.008); however, GLP-1ra use did not predict cellulitis on multivariable logistic regression. Duration of GLP-1ra use and timing of discontinuation prior to surgery did not predict the incidence of wound dehiscence, seromas, or hematomas. Patients using GLP-1ras for obesity had lower rates of wound dehiscence than patients using GLP-1ras for diabetes (p = 0.028).</p><p><strong>Conclusions: </strong>Compared to non-GLP-1ra controls, GLP-1ra users have similar post-operative outcomes following body contouring surgery. Wound dehiscence is more prevalent among patients taking GLP-1ras for diabetes compared to weight loss, potentially due to worse glycemic control or associated comorbidities.</p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143439362","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":"Effective Recontouring of the Neck Using Complete Platysmal Transection.","authors":"Matthew J Bartow, Grady Core","doi":"10.1093/asj/sjaf023","DOIUrl":"https://doi.org/10.1093/asj/sjaf023","url":null,"abstract":"<p><strong>Background: </strong>Increasing the effectiveness and longevity of a rhytidectomy is a constant pursuit. The cervicomental angle and jaw line contouring is perhaps the most contentious area in regards to searching for improvements of outcomes. Full release of the platysma and SMAS unit near its inferior border is perhaps the most powerful technique to resuspend and bolster the newly surgically restored acute cervicomental angle.</p><p><strong>Objectives: </strong>The goal of this study is to demonstrate the effectiveness and longevity of this technique.</p><p><strong>Methods: </strong>A retrospective chart review was performed on all face/lower face/neck lift patients. The operative reports were reviewed to ensure that full release of the platysma-SMAS unit was performed for resuspension. Retrospective photographical analysis was performed to evaluate the objective results of increased cosmesis of the rejuvenated neck and jaw line.</p><p><strong>Results: </strong>Impressive cosmetic results were demonstrated in patients who had full release and re-suspension of a plicated platysmas and SMAS unit. These results were objectively appreciated. The increased cosmetic appearance was demonstrated to have sufficient longevity and a profound effect on augmenting the acuteness of the cervicomental angle and cosmetic appearance of the mandibular border.</p><p><strong>Conclusions: </strong>Release and resuspension of the platysma SMAS unit is an incredible powerful and long lasting modality for improving the cervicomental angle and delineation of the mandibular border in facelift patients.</p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143397793","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":"Enhancement of Fat Septa: Polycaprolactone (PCL) Microspheres Boost Collagen Production in Subcutaneous Adipose Tissue.","authors":"Shuo Liu, Yongshu Wang, Eric Gao, Hesheng Lin, Hang Wang","doi":"10.1093/asj/sjaf001","DOIUrl":"https://doi.org/10.1093/asj/sjaf001","url":null,"abstract":"<p><strong>Background: </strong>The reduction in collagen content within the subcutaneous fat layer due to aging results in thinning and weakening of the fibrous septum, leading to an unstable fat pad. Studies on the mechanism of action of polycaprolactone (PCL) collagen stimulators in the adipose layer are lacking.</p><p><strong>Objectives: </strong>This research aimed to explore the effectiveness of PCL-based filler in enhancing the fibrous septum within adipose tissue, thereby facilitating collagen and elastin synthesis in the adipose layer, while also comparing the disparities in the process between juvenile and aged individuals.</p><p><strong>Methods: </strong>A rat model was utilized to study subcutaneous fat implantation effects of PCL-based filler. Over 4 months, the impact on fibrous septum formation was evaluated with Masson's trichrome staining and immunostainings for Types I and III collagen, and a structural evaluation through scanning electron microscopy analysis. PCL-induced collagenization mechanisms were explored by quantitative polymerase chain reaction (qPCR). Elastin regeneration was examined with Elastica van Gieson (EVG) staining.</p><p><strong>Results: </strong>Histological analysis demonstrated that PCL-based filler effectively stimulated collagen fiber formation in subcutaneous adipose tissue in both juvenile and aged rats. Immunostainings indicated significant promotion of Types I and III collagen regeneration, primarily within the interstitial spaces among adipocytes, as well as its confirmation at the genetic level through qPCR analysis. EVG staining further unveiled the role of PCL in promoting elastin production while mitigating age-related decline.</p><p><strong>Conclusions: </strong>PCL-based filler enhanced fat septum regeneration and deposition, demonstrating a robust, age-independent response. These findings suggest PCL-based fillers as promising therapeutic agents for rejuvenating subcutaneous adipose tissue and enhancing skin volume and elasticity in cosmetic and reconstructive contexts.</p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143397795","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":"Patient Factors That Impact FACE-Q Aesthetics Outcomes: An Exploratory Cross-Sectional Regression Analysis.","authors":"Lucas Gallo, Isabella Churchill, Patrick Kim, Charlene Rae, Sophocles H Voineskos, Achilles Thoma, Andrea L Pusic, Stefan J Cano, Anne F Klassen","doi":"10.1093/asj/sjaf027","DOIUrl":"10.1093/asj/sjaf027","url":null,"abstract":"<p><strong>Background: </strong>The FACE-Q Aesthetics is a validated tool for assessing patient-reported outcomes related to surgical and non-surgical facial aesthetic treatments. Recognizing patient-specific variables that may influence FACE-Q scores is essential to control for potential confounders in research.</p><p><strong>Objectives: </strong>This study aimed to identify factors that predict FACE-Q Aesthetic scale scores.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted among an international cohort of participants recruited through the Prolific platform. Participants aged 20 years or older who had undergone non-invasive facial aesthetic procedures within the past year were included. Demographic and clinical information was collected, and univariable and multivariable linear regression analyses were employed to assess predictors of FACE-Q Face Overall, Psychological, and Social scale scores.</p><p><strong>Results: </strong>A total of 1,259 participants were analyzed, with an average age of 42.6 years (±11.9). The mean scores were 52.4 (±18.3) for the Face Overall scale, 56.5 (±23.7) for the Psychological scale, and 62.7 (±24.0) for the Social scale. Several factors were significantly associated (p < 0.05) with higher scores, including lower body mass index (BMI), African American ethnicity, male gender, Fitzpatrick skin type V, residence in the United States, financial stability, and residual effects of prior aesthetic treatments. Younger participants were more likely to report higher Face Overall scores (p<0.05).</p><p><strong>Conclusions: </strong>This study identified several patient characteristics that predict Face Overall, Psychological, and Social scale scores. These findings offer valuable insights into how patient-specific factors influence outcomes following facial aesthetic procedures and underscore the need to account for these variables in future research using the FACE-Q Aesthetics tool.</p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143389662","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":"Evaluating the Role of Gynecomastia Surgery in Improving Sexual Function and Hormonal Profiles.","authors":"Tansu Akdag, Abdullah Akdag, Mustafa Ozkan, Osman Enver Aydin","doi":"10.1093/asj/sjaf026","DOIUrl":"https://doi.org/10.1093/asj/sjaf026","url":null,"abstract":"<p><strong>Background: </strong>Patients with gynecomastia may experience hormonal imbalances and sexual dysfunctions such as erectile and ejaculatory disorders.</p><p><strong>Objectives: </strong>This study evaluates the changes in hormonal parameters and sexual function following gynecomastia surgery.</p><p><strong>Methods: </strong>Thirty-two male patients (aged 15-65) without systemic or genetic comorbidities underwent gynecomastia surgery. Preoperative and postoperative hormonal parameters free and total testosterone, estrogen, prolactin, follicle-stimulating hormone [FSH], luteinizing hormone [LH], sex hormone-binding globulin [SHBG], and sexual function scores (International Index of Erectile Function [IIEF], Premature Ejaculation Diagnostic Tool [PEDT]) were assessed. A urologist blinded to the study evaluated patients andrologically.</p><p><strong>Results: </strong>The mean age of the patients was 25.69 ± 10.37 years. Postoperative prolactin and estrogen levels significantly decreased (p=0.03 and p<0.001, respectively). All IIEF subscale scores showed significant postoperative improvements (p-values ranging from <0.001 to 0.006). PEDT scores significantly decreased postoperatively (p<0.001).</p><p><strong>Conclusions: </strong>Surgical treatment of gynecomastia leads to significant improvements in hormonal parameters and sexual function. These benefits should be considered in surgical planning.</p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143381566","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}