Aesthetic Surgery Journal最新文献

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Same-Day Discharge Ambulatory Surgery Centers: The Importance of Preoperative Workup for Aesthetic Surgery Patients. 当日出院门诊手术中心:美容手术患者术前检查的重要性。
IF 3 2区 医学
Aesthetic Surgery Journal Pub Date : 2025-08-18 DOI: 10.1093/asj/sjaf054
Natalia Ziolkowski, John Milkovich, Jamil Ahmad, Elizabeth Benakopoulos, Frank Lista, Tarek Chbat, Ryan E Austin
{"title":"Same-Day Discharge Ambulatory Surgery Centers: The Importance of Preoperative Workup for Aesthetic Surgery Patients.","authors":"Natalia Ziolkowski, John Milkovich, Jamil Ahmad, Elizabeth Benakopoulos, Frank Lista, Tarek Chbat, Ryan E Austin","doi":"10.1093/asj/sjaf054","DOIUrl":"10.1093/asj/sjaf054","url":null,"abstract":"<p><strong>Background: </strong>Limited resources combined with an increasingly \"cost-conscious\" approach to healthcare has resulted in a reduction of those preoperative investigations deemed unnecessary. Although this approach may work in the hospital setting where ancillary services and emergency support are readily available, it may actually be impacting patient safety in the ambulatory surgery center (ASC) setting.</p><p><strong>Objectives: </strong>The purpose of this study was to determine the prevalence of abnormal results arising from routine preoperative workup amongst patients undergoing aesthetic surgery in the outpatient ASC setting. The goal was to examine whether abnormal results led to alterations in care that otherwise would not have been made had the workup not been performed, and to outline patient factors associated with alterations in care.</p><p><strong>Methods: </strong>A retrospective chart review was performed of 2596 consecutive patients who underwent aesthetic surgery over a 40-month period at a single Canadian ASC. Data collected included patient demographics, procedural characteristics, and outcomes. Preoperative workups were categorized as either required (for patients with positive findings on medical history and/or physical examination) or supplementary (for otherwise healthy patients).</p><p><strong>Results: </strong>A total of 2581 patients met the inclusion criteria for the study. The majority of patients were female (91.2%) and had undergone breast surgery (60.3%). All patients underwent independent preoperative medical history and physical examination with bloodwork/screening. In total, 838 patients (32.5%) had abnormal bloodwork results, while 240 (9.3%) had abnormal electrocardiograms. These abnormal tests resulted in alterations in care for 242 patients (9.4% of total patients with 293 unique care alterations). Alterations in care included pharmacotherapy (n = 104, 35.5%), additional investigations (n = 78, 26.6%), specialist consultations (n = 67, 22.9%), and postponement of surgery (n = 44, 15.0%). Demographic variables associated with alterations in care included: age ≥50 years (P < .00001), female sex (P = .0235), higher ASA class (P < .00001), and pre-existing medical comorbidities (P < .00001).</p><p><strong>Conclusions: </strong>Preoperative workups are an important factor for improving patient safety in outpatient aesthetic surgery. These investigations can uncover occult issues that may increase the risk of complications in the ASC setting.</p><p><strong>Level of evidence: 4 (therapeutic): </strong></p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":"957-964"},"PeriodicalIF":3.0,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143787526","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}
引用次数: 0
Aesthetic Submandibular Gland Resection: A Review of Complication Incidence and Prevention. 美学颌下腺切除术:并发症发生率及预防综述。
IF 3 2区 医学
Aesthetic Surgery Journal Pub Date : 2025-08-18 DOI: 10.1093/asj/sjaf096
Sara B A Morel, Luis H Macias, Ritu Chopra, Joshua Vorstenbosch, Tyler Safran
{"title":"Aesthetic Submandibular Gland Resection: A Review of Complication Incidence and Prevention.","authors":"Sara B A Morel, Luis H Macias, Ritu Chopra, Joshua Vorstenbosch, Tyler Safran","doi":"10.1093/asj/sjaf096","DOIUrl":"10.1093/asj/sjaf096","url":null,"abstract":"<p><p>Achieving optimal neck contour during facial rejuvenation may require addressing the submandibular glands, as supraplatysmal fat removal alone is insufficient for many patients, particularly those with fuller necks. The purpose of this study is to review the rate of complications associated with removal and techniques to improve safety. A comprehensive search was conducted to identify literature on complications associated with submandibular gland removal in the context of facial rejuvenation. Studies were included if they provided patient data and complication rates following surgical outcomes. Screening of 908 articles identified 11 (1.21%) studies on complication rates related to submandibular gland resection for aesthetic purposes. A total of 3379 participants were included, of which 48.86% (n = 1651) underwent submandibular gland resection, with a mean age of 50.4 years (range, 32-83), and 88.53% (n = 247) were female. Complications included hematomas (1.15%, n = 16), requiring reoperation in 23.08% (n = 3) of cases, sialoceles (1.33%, n = 21), salivary fistulas (0.82%, n = 6), nerve injury (3.97%, n = 40), xerostomia (0.13%, n = 1), and neck induration (21.43%, n = 21), with complication rates varying across studies. Submandibular gland reduction offers aesthetic benefits but comes with potential risks. Effective preoperative planning, meticulous gland mobilization, and proper exposure are essential for minimizing risks. Advances in techniques, such as improved dissection methods, the use of botulinum toxin, netting techniques, and energy-based instruments like LigaSure (Medtronic, Minneapolis, MN), have enhanced the safety of the procedure. While complications can arise, they typically resolve within a few months, and the overall outcomes improve with surgical experience. The associated risks and benefit profile should be discussed thoroughly with patients. Level of Evidence: 3 (Therapeutic).</p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":"869-874"},"PeriodicalIF":3.0,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451699/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144148881","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}
引用次数: 0
Measuring Satisfaction with Minimally Invasive Aesthetic Treatments with the SKIN-Q Treatment Outcome Scale. 用SKIN-Q治疗结果量表测量微创美容治疗满意度。
IF 3 2区 医学
Aesthetic Surgery Journal Pub Date : 2025-08-18 DOI: 10.1093/asj/sjaf075
Anne F Klassen, Charlene Rae, Lucas Gallo, Stefan Cano, Manraj Kaur, Steven Dayan, Katie Armstrong, Lotte Poulsen, Elena Tsangaris, Katherine B Santosa, Andrea L Pusic
{"title":"Measuring Satisfaction with Minimally Invasive Aesthetic Treatments with the SKIN-Q Treatment Outcome Scale.","authors":"Anne F Klassen, Charlene Rae, Lucas Gallo, Stefan Cano, Manraj Kaur, Steven Dayan, Katie Armstrong, Lotte Poulsen, Elena Tsangaris, Katherine B Santosa, Andrea L Pusic","doi":"10.1093/asj/sjaf075","DOIUrl":"10.1093/asj/sjaf075","url":null,"abstract":"<p><strong>Background: </strong>A key outcome in aesthetic treatments is the patient's view of how their skin looks and feels after a treatment.</p><p><strong>Objectives: </strong>The aim of this study was to add a Treatment Outcome scale to the SKIN-Q patient-reported outcome measure.</p><p><strong>Methods: </strong>Concept elicitation interviews were performed with patients in Canada and the United States. Data were coded, analyzed, and used to draft a Treatment Outcome scale. The scale was refined with patient and expert feedback and field tested in an online sample (ie, Prolific). Psychometric analyses were performed to examine reliability and validity.</p><p><strong>Results: </strong>The concept elicitation interviews included 26 participants. The first draft of the Treatment Outcome scale included 32 items that assessed changes in appearance (eg, look better) and well-being (eg, feel more confident). Items were revised with input from 12 experts, 11 patients, and 174 online participants who had aesthetic face and/or body treatments and provided 180 survey responses, resulting in 36 items. Prolific data from 499 participants provided 542 assessments. The sample comprised 80.6% women; 78.8% had a facial treatment, 11.4% had a body treatment, and 9.8% had both. Data for a final 10-item Treatment Outcome scale fit the Rasch model (chi-square = 50.46, df = 40, P = .124). The scale evidenced high reliability, with the person separation index, Cronbach α, and intraclass correlation coefficent values ≥.87. A total of 19 out of 22 (86%) predefined construct validation hypotheses were accepted.</p><p><strong>Conclusions: </strong>This new SKIN-Q scale can be used alongside other patient-centered outcome tools to measure outcomes of minimally invasive aesthetic treatments.</p><p><strong>Level of evidence: 5 (diagnostic): </strong></p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":"928-935"},"PeriodicalIF":3.0,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12358213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109405","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}
引用次数: 0
Leveraging Online Patient Forums to Understand Breast Reduction Concerns: A Machine-Learning Analysis of 3078 Patient Questions Over 15 Years. 利用在线患者论坛了解乳房缩小问题:15年来3078个患者问题的机器学习分析。
IF 3 2区 医学
Aesthetic Surgery Journal Pub Date : 2025-08-18 DOI: 10.1093/asj/sjaf077
Elaine Lin, Jenny A Foster, Melissa M Tran, Tara Pillai, Raiven Harris, Nicholas C Oleck, Rebecca W Knackstedt
{"title":"Leveraging Online Patient Forums to Understand Breast Reduction Concerns: A Machine-Learning Analysis of 3078 Patient Questions Over 15 Years.","authors":"Elaine Lin, Jenny A Foster, Melissa M Tran, Tara Pillai, Raiven Harris, Nicholas C Oleck, Rebecca W Knackstedt","doi":"10.1093/asj/sjaf077","DOIUrl":"10.1093/asj/sjaf077","url":null,"abstract":"<p><strong>Background: </strong>Patients are increasingly using social media and online forums to learn about plastic surgery, which can influence their expectations. Understanding patient concerns on these platforms will facilitate productive clinic discussion and ensure patients are receiving accurate, evidence-based information.</p><p><strong>Objectives: </strong>The aim of this study was to analyze breast reduction questions posted on RealSelf (Seattle, WA), an online plastic surgery forum.</p><p><strong>Methods: </strong>The website www.realself.com/questions/breast-reduction was accessed on June 9, 2023. Posting date and poster self-reported location were extracted. Question header and text were manually reviewed. Questions were categorized by timing (preoperative vs postoperative) and topic. Regional and temporal trends were assessed. A machine-learning (ML) algorithm was applied to identify the top (most representative) preoperative and postoperative questions.</p><p><strong>Results: </strong>In total, 3078 questions from August 2008 to May 2023 were analyzed. Questions most frequently originated from the southern United States (34.5%) and were asked preoperatively (58.4%). The most common question topics were postoperative care (24.9%), postoperative appearance/sensation (15.7%), and surgical logistics (10.2%). The distribution of topics varied significantly between location (P < .01), with topics such as insurance (P < .01) more likely to be asked in the south.</p><p><strong>Conclusions: </strong>This is the first study to leverage ML workflows to analyze a large volume of patient questions about breast reduction from an online plastic surgery forum. Analyzing patient questions on social media and online forums such as RealSelf with ML techniques can provide valuable insight into common concerns and informational gaps surrounding plastic surgery. Plastic surgeons should consider these results to guide patient conversations, combat misinformation, and facilitate deliverance of efficient care.</p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":"NP165-NP171"},"PeriodicalIF":3.0,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075442","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}
引用次数: 0
Innovations in Rhytidoplasty: 480 Cases Validating the Efficacy of the Inner Hemostatic Net. 润湿成形术的创新:480例内止血网的有效性验证。
IF 3 2区 医学
Aesthetic Surgery Journal Pub Date : 2025-08-18 DOI: 10.1093/asj/sjaf108
Eduardo Pellini, Valerio Finocchi, Roberta Albanese
{"title":"Innovations in Rhytidoplasty: 480 Cases Validating the Efficacy of the Inner Hemostatic Net.","authors":"Eduardo Pellini, Valerio Finocchi, Roberta Albanese","doi":"10.1093/asj/sjaf108","DOIUrl":"10.1093/asj/sjaf108","url":null,"abstract":"<p><strong>Background: </strong>Cervicofacial rejuvenation procedures often face challenges related to soft tissue repositioning, dead space management, and long-term contour stability. The internal hemostatic net (IHN) technique offers a systematic approach to deep fixation that improves surgical outcomes and reduces complications such as hematomas or tissue displacement.</p><p><strong>Objectives: </strong>The authors of this study aim to describe a reproducible, layered suture technique for cervicofacial lifting that addresses deep neck contouring and flap stabilization through a combined submental and lateral approach, while minimizing the risk of postoperative complications.</p><p><strong>Methods: </strong>A prospective evaluation was conducted on patients undergoing cervicofacial lifting with IHN application. The technique involves 3 phases: submental quilting and fixation sutures after deep neck sculpting; lateral progressive tension and superficial musculoaponeurotic system-platysma anchoring sutures; and superficial quilting for flap adherence. A progressive reduction in suture caliber is applied according to tissue thickness. A double incision approach (submental and lateral) ensures controlled access and uniform distribution of vectors.</p><p><strong>Results: </strong>The technique was applied in over 100 patients with consistent aesthetic improvements and no major complications. The elimination of dead space through deep-layer quilting and progressive tension sutures reduced hematoma rates and improved long-term contour definition. Minor complications were self-limiting and managed conservatively. The standardized sequence improved intraoperative control and postoperative predictability.</p><p><strong>Conclusions: </strong>The IHN technique provides a reliable, anatomically guided method for cervicofacial rejuvenation. By addressing the neck, face, and submental regions in a structured sequence, this approach enhances surgical precision, flap stability, and patient outcomes-offering a valuable contribution to aesthetic surgery literature.</p><p><strong>Level of evidence: 3 (therapeutic): </strong></p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":"875-881"},"PeriodicalIF":3.0,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274020","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}
引用次数: 0
Thirty-Year Experience in Augmentation Rhinoplasty Using Silicone Implants: A Safer, Cheaper, Faster, and More Effective Technique. 三十年隆鼻硅胶植入术的经验:一种更安全、更便宜、更快速、更有效的技术。
IF 3 2区 医学
Aesthetic Surgery Journal Pub Date : 2025-08-18 DOI: 10.1093/asj/sjaf102
Edmund Kwan, Albert Truong, Justin Park
{"title":"Thirty-Year Experience in Augmentation Rhinoplasty Using Silicone Implants: A Safer, Cheaper, Faster, and More Effective Technique.","authors":"Edmund Kwan, Albert Truong, Justin Park","doi":"10.1093/asj/sjaf102","DOIUrl":"10.1093/asj/sjaf102","url":null,"abstract":"<p><strong>Background: </strong>Debate about the advantages and disadvantages of alloplastic vs autologous implant material for dorsal augmentation rhinoplasty continues among the aesthetic surgery community. Silicone implants are criticized for high rates of infection and extrusion; however, autologous methods increase the risk of warping and resorption, and donor-site deformity, which may affect positive outcomes.</p><p><strong>Objectives: </strong>The aim of this study was to demonstrate that silicone implants are a safe and reliable method of nasal augmentation when performed with proper technique, in an appropriate setting, and by qualified practitioners.</p><p><strong>Methods: </strong>A retrospective chart review was conducted on 1019 patients who underwent implant rhinoplasty from February 1995 to October 2024 by a single surgeon. All procedures were performed in a QuadA-certified operating room under anesthesia by the senior author. I-shaped silicone implants were used for dorsal augmentation.</p><p><strong>Results: </strong>The most common complication was due to malposition of the implant (n = 37, 4%), subjective dissatisfaction was the leading reason for revision (n = 43, 4%). Rates of extrusion and infection were low (n = 9, <1%; n = 4, <0.4%).</p><p><strong>Conclusions: </strong>Compared with previously reported results for silicone implant rhinoplasty, this study found that complications can be minimized with proper techniques, such as creating a precise subperiosteal pocket, selecting an appropriate implant length, and minimizing tension at the tip. This risk profile indicates that silicone implant augmentation rhinoplasty is a safe technique and should be considered for its benefits of shorter operation times, cost-effectiveness, and aesthetic outcomes especially in ethnic populations.</p><p><strong>Level of evidence: 4: </strong></p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":"887-892"},"PeriodicalIF":3.0,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274022","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}
引用次数: 0
Multiplex Lateral Flow Assay Combining CD30 and IL-10 for the Detection of BIA-ALCL. 联合CD30和IL-10的多重侧流法检测BIA-ALCL。
IF 3 2区 医学
Aesthetic Surgery Journal Pub Date : 2025-08-18 DOI: 10.1093/asj/sjaf078
Peng Xu, Kristen Brosamer, Katerina Kourentzi, Richard Willson, Honghua Hu, Anand Deva, William P Adams, Caroline Glicksman, Patricia McGuire, Marshall E Kadin
{"title":"Multiplex Lateral Flow Assay Combining CD30 and IL-10 for the Detection of BIA-ALCL.","authors":"Peng Xu, Kristen Brosamer, Katerina Kourentzi, Richard Willson, Honghua Hu, Anand Deva, William P Adams, Caroline Glicksman, Patricia McGuire, Marshall E Kadin","doi":"10.1093/asj/sjaf078","DOIUrl":"10.1093/asj/sjaf078","url":null,"abstract":"<p><strong>Background: </strong>Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) has affected more than 1700 women. Treatment morbidity is reduced and survival improved by early detection and removal of implant and capsule.</p><p><strong>Objective: </strong>To address the need for early detection, we developed a multiplex lateral flow assay (LFA) for soluble IL-10 and CD30 in seromas surrounding implants.</p><p><strong>Methods: </strong>The range of detection was determined with recombinant CD30 or IL-10 added to a benign seroma to simulate clinical conditions. Then clinical samples from 23 women with BIA-ALCL and 17 benign seromas were analyzed with a multiplex LFA detecting soluble IL-10 and CD30.</p><p><strong>Results: </strong>When recombinant proteins were added to benign seromas, CD30 was detected down to a concentration of 0.5 ng/mL, and IL-10 could be detected to down to 5 ng/mL. Significant differences were found between CD30 and IL-10 test line/control line ratios (TL/CL) of 23 BIA-ALCL and 17 benign seromas. Visual inspection of LFAs resulted in 65% sensitivity, and improved to 87% with image analysis.</p><p><strong>Conclusions: </strong>We conclude that the multiplex IL-10/CD30 can detect BIA-ALCL with 100% specificity and 65% sensitivity in this group of 40 clinical seromas based on visual assessment of LFA strips. Sensitivity was improved to 87% with image analysis, which can provide a screening test for BIA-ALCL. The multiplex LFA demonstrated a perfect positive predictive value (100%), indicating that all positive results correctly identified BIA-ALCL cases. The negative predictive value of 99% can exclude BIA-ALCL.</p><p><strong>Level of evidence: 5 (diagnostic): </strong></p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":"893-898"},"PeriodicalIF":3.0,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075452","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}
引用次数: 0
The Medicolegal Challenges of Facial Plastic Surgery: A Systematic Review. 面部整形手术的医学法律挑战:系统回顾。
IF 3 2区 医学
Aesthetic Surgery Journal Pub Date : 2025-08-18 DOI: 10.1093/asj/sjaf082
Saule A Mussabekova, Yuliya Menchisheva, Álvaro Varela Morillas
{"title":"The Medicolegal Challenges of Facial Plastic Surgery: A Systematic Review.","authors":"Saule A Mussabekova, Yuliya Menchisheva, Álvaro Varela Morillas","doi":"10.1093/asj/sjaf082","DOIUrl":"10.1093/asj/sjaf082","url":null,"abstract":"<p><p>Facial plastic surgery is associated with a growing number of medicolegal challenges, particularly because of postoperative complications and patient dissatisfaction. This systematic review aimed to examine the medicolegal challenges associated with facial plastic surgery, focusing on postoperative complications, patient dissatisfaction, litigation cases, and medicolegal risk factors. A comprehensive literature search was conducted in MEDLINE (National Library of Medicine, Bethesda, MD), Embase (Elsevier, Amsterdam, the Netherlands), Cochrane Library (Wiley, Hoboken, NJ), PubMed (National Library of Medicine), Web of Science (Clarivate Analytics, Philadelphia, PA), SCOPUS (Elsevier), and Google Scholar (Alphabet Inc., Mountain View, CA) from 2020 to 2024. Medicolegal cases related to facial aesthetic surgeries were included. In total, 27 studies met the inclusion criteria. The leading causes of litigation included unsatisfactory aesthetic outcomes, failure of informed consent, technical surgical errors, and inadequate postoperative follow-up. The highest litigation rates were reported in countries with high volumes of plastic surgery cases and stringent regulations. This review highlights the increasing medicolegal burden in aesthetic surgery. Informed consent, postoperative monitoring, and technical precision are crucial for mitigating risks and preventing malpractice claims. The study synthesized medicolegal trends across all major facial aesthetic surgeries. It incorporated a global perspective, analyzing litigation data from over 10 countries, which is uncommon in most similar studies.</p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":"973-984"},"PeriodicalIF":3.0,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12358214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075460","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}
引用次数: 0
Reflective Blankets vs Electric Warming in Preventing Hypothermia During Liposuction: A Randomized Controlled Trial. 反射毯与电加热在吸脂术中预防低温:一项随机对照试验。
IF 3 2区 医学
Aesthetic Surgery Journal Pub Date : 2025-08-18 DOI: 10.1093/asj/sjaf103
Yuchen Zhang, Jiancong Liang, Haonan Xing, Yucheng Luo, Yuang Song, Ye Li, Bin Li, Feng Lu, Ziqing Dong
{"title":"Reflective Blankets vs Electric Warming in Preventing Hypothermia During Liposuction: A Randomized Controlled Trial.","authors":"Yuchen Zhang, Jiancong Liang, Haonan Xing, Yucheng Luo, Yuang Song, Ye Li, Bin Li, Feng Lu, Ziqing Dong","doi":"10.1093/asj/sjaf103","DOIUrl":"10.1093/asj/sjaf103","url":null,"abstract":"<p><strong>Background: </strong>Perioperative hypothermia is common during liposuction and can lead to delayed recovery, shivering, and patient discomfort. Although electric warming (EW) systems are effective, their use may be limited in certain settings.</p><p><strong>Objectives: </strong>The authors of this study aim to evaluate the effectiveness of reflective blankets (RBs) in maintaining core temperature during liposuction compared with EW and no warming.</p><p><strong>Methods: </strong>In this randomized controlled trial, 90 patients undergoing elective liposuction under general anesthesia were assigned to 3 groups (n = 30): RB, EW, and control (no warming). Core temperature was measured by esophageal probe. Secondary outcomes included awakening time, postoperative thermal comfort (visual analog scale), shivering incidence, and thermal imaging.</p><p><strong>Results: </strong>Baseline characteristics were similar across groups. Final intraoperative temperatures were higher in RB (36.37 ± 0.21°C) and EW (36.40 ± 0.17°C) groups than in the control (36.29 ± 0.17°C; P < .05). EW provided earlier thermal protection; RB showed significant effects by 90 min. Shivering occurred in 76.7% of control patients vs 20.0% (RB) and 13.3% (EW; P < .001). Awakening time was shorter in RB (4.88 min) and EW (4.57 min) than in control (7.72 min; P < .001). Thermal imaging confirmed better heat retention with RB and EW.</p><p><strong>Conclusions: </strong>RBs are effective in maintaining normothermia during liposuction and improving recovery outcomes. Their low cost, ease of use, and energy-free operation make them a practical alternative to EW, especially in resource-limited settings.</p><p><strong>Level of evidence: 2 (therapeutic): </strong></p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":"914-921"},"PeriodicalIF":3.0,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144207415","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}
引用次数: 0
Response to: Considerations on Incision Type in Indocyanine Green Angiography-assisted Nipple-sparing Mastectomy and Direct-to-implant Breast Reconstruction. 对吲哚菁绿血管造影辅助保留乳头乳房切除术和直接植入乳房重建术切口类型的考虑。
IF 3 2区 医学
Aesthetic Surgery Journal Pub Date : 2025-08-14 DOI: 10.1093/asj/sjaf165
Mi Kyung Lee, Woo Sung Lim, Kyong-Je Woo
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