整形手术中的“臭氧脸”:对GLP-1受体激动剂介导的体重减轻和公众看法分析的文献系统回顾。

Aesthetic surgery journal. Open forum Pub Date : 2025-06-11 eCollection Date: 2025-01-01 DOI:10.1093/asjof/ojaf056
Giulia Daneshgaran, Orr Shauly, Daniel J Gould
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引用次数: 0

摘要

背景:胰高血糖素样肽-1 (GLP-1)受体激动剂在临床试验证明其减肥潜力后得到了广泛的应用。“Ozempic®脸”这个术语是用来描述西马鲁肽治疗导致的体积损失过大,导致面部衰老。目的:本研究的作者旨在回顾讨论GLP-1受体激动剂的整形外科出版物,并描述公众对这些药物对减肥效果的看法。方法:对PubMed数据库进行系统回顾,以确定讨论GLP-1受体激动剂在整形手术中的应用的文章。非英语语言或非人类主题的文章被排除在外。使用标准化检查表完成偏倚评估。谷歌Trends被用来追踪公众对这些药物的兴趣以及它们对面部和身体形态的影响。结果:23篇文章被识别出来,揭示了(1)几种可用于减肥的注射药物,(2)GLP-1受体激动剂引起类似于衰老的形态学变化,(3)存在手术和非手术选择来解决这些变化,(4)这些药物的不良反应有助于指导围手术期管理,(5)它们的使用存在重要的禁忌症。在线搜索“Ozempic®face”的同时,“补脸”和“整形外科医生”的搜索量也在上升。结论:随着GLP-1受体激动剂意外形态变化的报道越来越多,公众对寻求年轻化治疗的兴趣也越来越大。虽然受到研究偏差的限制,但通过了解GLP-1受体激动剂的风险和益处,并制定明确的临床实践指南,该系统综述可以帮助整形外科社区为这一患者群体不断增长的需求做好准备。证据等级4:治疗性:
本文章由计算机程序翻译,如有差异,请以英文原文为准。
"Ozempic Face" in Plastic Surgery: A Systematic Review of the Literature on GLP-1 Receptor Agonist Mediated Weight Loss and Analysis of Public Perceptions.

Background: Glucagon-like peptide-1 (GLP-1) receptor agonists have gained popularity after clinical trials demonstrated their weight-loss potential. The term "Ozempic® face" has been coined to describe the exaggerated volume loss from semaglutide therapy, resulting in advanced facial aging.

Objectives: The authors of this study aim to review plastic surgery publications discussing GLP-1 receptor agonists and characterize the public's perception of the effect of these medications on weight loss.

Methods: A systematic review of the PubMed database was conducted to identify articles discussing GLP-1 receptor agonist use in plastic surgery. Articles in non-English languages or on nonhuman subjects were excluded. Bias assessment was completed using standardized checklists. Google Trends was used to track public interest in these medications and their effect on face and body morphology.

Results: Twenty-three articles were identified, revealing that (1) several injectable drugs are available for weight loss, (2) GLP-1 receptor agonists cause morphological changes resembling advanced aging, (3) surgical and nonsurgical options exist to address these changes, (4) adverse effects of these medications help guide perioperative management, and (5) important contraindications exist to their use. Online searches for "Ozempic® face" were linked to rising searches for "face filler" and "plastic surgeons."

Conclusions: As the unintended morphological changes of GLP-1 receptor agonists become increasingly reported, so does the public interest in seeking rejuvenation procedures. Although limited by study biases, this systematic review can help the plastic surgery community prepare for the rising needs of this patient population by understanding the risk and benefit profile of GLP-1 receptor agonists and developing clear clinical practice guidelines.

Level of evidence 4 therapeutic:

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