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The American Journal of Cosmetic Surgery最新文献

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Objections on Using the Fasanella-Servat Operation to Repair Eyelid Ptosis Fasanella-Servat手术修复上睑下垂的反对意见
Pub Date : 2023-04-06 DOI: 10.1177/07488068231166998
J. Schwember, L. Madrid
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引用次数: 0
Familial Multiple Lipomatosis: A Case Report 家族性多发性脂肪瘤病1例报告
Pub Date : 2023-03-31 DOI: 10.1177/07488068231161043
Tatevik Malisetyan, Skylar Harmon, Neng Zhong, Gevork Tatarian
A 32-year-old man presents to the clinic with multiple subcutaneous masses. Further history and a review of the literature are discussed. This is a case study of a patient with familial multiple lipomatosis and our management. Liposuction was performed after informed consent was obtained to manage familial multiple lipomatosis in an aesthetically pleasing manner without recurrence. Liposuction is an excellent technique for an aesthetically pleasing outcome to manage familial multiple lipomatosis. Additional therapy modalities including laser, chemicals, high-pressure tumescent injection, and Vibration Amplification of Sound Energy at Resonance (VASER) are reviewed. To avoid multiple incisions and scars, liposuction for familial multiple lipomatosis is an aesthetically pleasing, definitive treatment modality with no recurrence of lipomas.
一名32岁男性,因多个皮下肿块就诊。进一步的历史和文献综述进行了讨论。这是一个家族性多发性脂肪瘤病患者的病例研究和我们的管理。在获得知情同意后进行抽脂,以美观的方式处理家族性多发性脂肪瘤病而不会复发。抽脂术是一种治疗家族性多发性脂肪瘤病的好方法。其他治疗方法包括激光,化学药物,高压肿胀注射和共振声波能量振动放大(VASER)。为了避免多切口和疤痕,抽脂治疗家族性多发性脂肪瘤病是一种美观,明确的治疗方式,不会复发的脂肪瘤。
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引用次数: 0
Thanks to Reviewers 感谢审稿人
Pub Date : 2023-02-13 DOI: 10.1177/07488068231155319
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引用次数: 0
Tip Plasty: A New Modified Vertical Dome Division. “How I Do It?” 尖端成形术:一种新的改进的垂直圆顶分割。“我是怎么做到的?”
Pub Date : 2023-01-23 DOI: 10.1177/07488068221145086
E. Akl, Michel El Hajj
This manuscript aimed to report a new vertical dome division technique for the correction of different common nasal tip deformities. This technique is a novel approach and was never reported in the literature to the best of our knowledge. The technique was performed using an open approach on 337 patients presenting with a combination of different nasal tip deformities: overprojected nasal tips, drooping tips, asymmetical tips and wide domal arches. The included patients were operated on between 2012 and 2018, with a follow-up period of at least 1 year. A detailed description of the surgical steps used is provided. Surgery outcomes were predominately positive, with unsatisfactory results obtained only in 11 of the 212 included patients (125 patients were excluded from the study due to inadequate or no follow-up). Satisfactory results and minor complications were detected following this procedure. In conclusion the presented technique is an easy and effective method for the narrowing, uprotation, and deprojection of nasal tips as well as the correction of tip asymmetries mainly in thick-skin patients, with a low complication rate.
本文旨在报道一种新的垂直穹窿分割技术,用于纠正不同常见的鼻尖畸形。这项技术是一种新颖的方法,据我们所知从未在文献中报道过。该技术采用开放入路对337例出现不同鼻尖畸形组合的患者进行了手术:鼻尖过度突出、鼻尖下垂、鼻尖不对称和鼻窦弓宽。纳入的患者于2012年至2018年期间接受手术,随访期至少1年。提供了所使用的手术步骤的详细描述。手术结果主要是积极的,212例纳入的患者中只有11例结果不满意(125例患者因随访不充分或未随访而被排除在研究之外)。结果令人满意,术后并发症较少。总之,本技术是一种简便有效的鼻尖狭窄、拔除、脱出及鼻尖不对称矫正的方法,主要适用于厚皮患者,并发症发生率低。
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引用次数: 0
Durable Suture Technique: A Simple and Versatile Nonsurgical Technique to Create/Reshape Double Eyelid in Asians 持久缝合技术:一种简单而通用的非手术技术来创造/重塑亚洲人的双眼皮
Pub Date : 2023-01-06 DOI: 10.1177/07488068221148315
Peter Sang-Hui Kim, Joonsuk Ahn
Nonincisional double-eyelid plasty, the Durable Suture Technique, is a popular nonsurgical procedure for creating double eyelids on monolids. We report cases where the Durable Suture Technique was successfully applied to other Asian cosmetic eyelid indications. A series of before-and-after photos of patients who underwent the Durable Suture Technique were shown to demonstrate that it is effective in reshaping and rejuvenating the double eyelids, as well as treating post-blepharoplasty complications. The rationale for applying the Durable Suture Technique in the above nonstandard indications was discussed. The Durable Suture Technique is a versatile, nonsurgical cosmetic eyelid enhancement procedure in Asians.
非切口双眼皮成形术,持久缝合技术,是一种流行的非手术方法,用于在单眼皮上创造双眼皮。我们报告了耐用缝合技术成功应用于其他亚洲美容眼睑指征的病例。一系列接受持久缝合技术的患者的前后照片显示,它在重塑和恢复双眼皮以及治疗眼睑成形术后的并发症方面是有效的。讨论了在上述非标准适应症中应用持久缝合技术的基本原理。持久缝合技术是一种多功能的、非手术性的亚洲人眼睑美容增强手术。
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引用次数: 0
Brazilian Butt Lift Patient Safety: Best Practices and Recent Regulatory Requirements 巴西提臀术患者安全:最佳实践和最新法规要求
Pub Date : 2022-12-29 DOI: 10.1177/07488068221146685
Alton E. Ingram, Wilbur Hah, A. Cuzalina, A. Mowlavi
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引用次数: 0
Effect of the COVID-19 Pandemic on Nonsurgical Cosmetic Procedure Interest COVID-19大流行对非手术美容手术兴趣的影响
Pub Date : 2022-12-20 DOI: 10.1177/07488068221141168
M. Lem, J. Pham, J. K. Kim, Cathy J. Tang
The COVID-19 pandemic caused many shifts in the national economy, job market, and healthcare sector, especially elective procedures such as in cosmetic plastic surgery. While there has been research in the changes in cosmetic plastic surgery since the start of the COVID-19 pandemic, there have been no study to date determining the changes in distinct sectors, such as nonsurgical plastic surgery procedures and the popular trends that may be more sensitive to changes to general public interest. The Google Trends tool was used to determine these changes in interest. Nonsurgical procedures were retrieved from the American Society of Plastic Surgery (ASPS) website, grouped into categories, such as neurotoxin, chemical peel, filler, hair removal, dermaplaning, skin laser treatment, skin tightening, and thread lift, and used as Google Trends search terms. Search term weekly data were collected from March 2018 to March 2020 and March 2020 to March 2022, divided by the start of the COVID-19 lockdown, and compared. After the start of the COVID-19 pandemic, the majority of nonsurgical procedures showed an increase in interest, with the most significant changes including neurotoxin procedures especially lip Botox, filler in the chin, cheek, jawline, tear trough, lip, and nose, skin-improving treatments, non-invasive forms of body contouring, and thread lift. Brands like Dysport, Radiesse, Restylane, Sculptra, Versa, Emsculpt, and Morpheus8 showed increased interest. Most nonsurgical procedures increased in interest after the COVID-19 lockdown, with facial and skin-improving procedures showing the most increase in interest.
新冠肺炎疫情给国民经济、就业市场、医疗保健领域带来了诸多变化,尤其是整形手术等选择性手术。虽然自新冠肺炎大流行开始以来,已经有关于整容手术变化的研究,但迄今为止还没有研究确定不同领域的变化,例如非手术整形手术程序和可能对公众利益变化更敏感的流行趋势。谷歌Trends工具用于确定感兴趣的这些变化。从美国整形外科学会(ASPS)网站上检索非手术手术,并将其分类,如神经毒素、化学脱皮、填充物、脱毛、去皮、皮肤激光治疗、皮肤紧致和提线,并作为谷歌趋势搜索词使用。收集2018年3月至2020年3月和2020年3月至2022年3月的每周搜索词数据,除以COVID-19封锁开始的时间,并进行比较。在COVID-19大流行开始后,大多数非手术手术显示出人们对其的兴趣增加,其中最显著的变化包括神经毒素手术,特别是唇肉毒杆菌,下巴、脸颊、下颌、撕裂槽、嘴唇和鼻子的填充物,皮肤改善治疗,非侵入性身体轮廓和提线。Dysport、Radiesse、Restylane、Sculptra、Versa、Emsculpt和Morpheus8等品牌表现出越来越大的兴趣。在COVID-19封锁后,大多数非手术手术的兴趣增加,面部和皮肤改善手术的兴趣增加最多。
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引用次数: 1
Persistent Seroma After Abdominoplasty in a Massive Weight-Loss Patient 大量减肥患者腹部成形术后的持续性血清肿
Pub Date : 2022-11-08 DOI: 10.1177/07488068221134460
Melody N. Zoma, R. Jackson, M. Burden, Emily Lo, C. Lowery
Furosemide (Lasix) is a common diuretic used for the treatment of postoperative edema. However, caution is advised in post-bariatric patients as many are known to be deficient in albumin, which is a necessary component for Furosemide to bind allowing the adherence of interstitial fluid leading to the excretion of water. This case report discusses identifying such nutritional deficiency and switching to a less common alternative, with proven benefits in the reduction of seroma formation and tissue edema. It is important to plan accordingly in these post-bariatric patients by obtaining preoperative lab values and encouraging preoperative protein intake of 60 g/day at minimum. If patients present with persistent postoperative seroma accumulation, serial albumin levels are helpful to identify the need for using alternative diuretic medications. An example is the use of Torsemide (Demadex); a synonymous loop diuretic with a higher bioavailability and a longer half-life compared with Furosemide. This adjustment was key in resolving our patient’s persistent seroma and accompanying symptoms.
速尿(Lasix)是一种常用的利尿剂,用于治疗术后水肿。然而,对于减肥后的患者,建议谨慎使用,因为许多人已知缺乏白蛋白,白蛋白是速尿结合的必要成分,允许间质液的粘附导致水的排泄。本病例报告讨论了识别这种营养缺乏症,并转向一种不太常见的替代方案,在减少血肿形成和组织水肿方面已被证明有益。对于这些体重减轻后的患者,重要的是要制定相应的计划,获得术前实验室值,并鼓励术前蛋白质摄入量至少为60克/天。如果患者术后出现持续的血肿积累,连续白蛋白水平有助于确定是否需要使用替代利尿药物。一个例子是Torsemide (Demadex)的使用;与速尿相比具有更高生物利用度和更长的半衰期的同义循环利尿剂。这种调整是解决患者持续性血清肿和伴随症状的关键。
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引用次数: 0
Histological Evaluation of Skin Tissue Treated With Vibration Amplification of Sound Energy at Resonance 共振声能振动放大处理皮肤组织的组织学评价
Pub Date : 2022-11-05 DOI: 10.1177/07488068221133886
Rossella Mazzocca-Mattioli, Carlos Mauricio Gonzalez-Aguilera, Jose Juan Perez-Trujillo, Roberto Montes De-Oca, M. García-Pérez, Y. Castro-Govea, Daniel Salas-Treviño
Currently, ultrasound-assisted liposuction has been widely used under empirical criteria. To date, no exhaustive description of the histological effects that are exerted during Vibration Amplification of Sound Energy at Resonance (VASER) application has been reported. Here, we describe the histological alterations in the skin of lipectomy flaps after using the VASER technology at different power settings.Four lipectomy flaps were resected and treated with VASER at 50% or 100% power for 1 minute in duplicate. Therefore, each experimental condition was tested on 8 tissue samples. We described the histopathological alterations in the epidermis, dermis, and hypodermis. The observations were performed by 2 independent morphologists unrelated to the lipectomy and treatment procedures. In the histopathological analysis, we did not find significant differences in the histopathological alterations of the epidermis, dermis, and hypodermis using both power settings. However, the dermis of the flaps subjected to 100% power showed considerable collagen fibers degradation and more adipocytes with ruptured membranes in comparison with the flaps treated with 50% power. Although we did not find significant differences between the 2 power conditions tested in this study, more histological alterations in the dermis were observed with the maximum power setting even at a “safe” distance reported in the conventional technique. However, this study was the first approach to determine the histological effects of VASER application, therefore, these results must be corroborated in further studies with a greater number of lipectomies, as well as more specific histopathological analyses. Finally, the data shown in this study reflect the importance of optimizing VASER procedures to increase the safety and efficacy of this technique.
目前,超声辅助吸脂术已在经验标准下得到广泛应用。迄今为止,还没有详尽的描述在共振声波能量的振动放大(VASER)应用过程中所施加的组织学效应的报道。在这里,我们描述了在使用VASER技术在不同功率设置后,皮瓣的皮肤组织学改变。切除4个皮瓣,用50%或100%功率的VASER治疗1分钟,一组2次。因此,每种实验条件在8个组织样本上进行测试。我们描述了表皮、真皮和皮下的组织病理学改变。观察由两名独立的形态学家进行,与脂肪切除术和治疗程序无关。在组织病理学分析中,我们没有发现两种功率设置下表皮、真皮和真皮的组织病理学改变有显著差异。然而,与50%功率处理的皮瓣相比,100%功率处理的皮瓣真皮显示出相当大的胶原纤维降解和更多的脂肪细胞膜破裂。虽然我们在本研究中没有发现两种功率条件之间的显着差异,但即使在传统技术中报道的“安全”距离下,也可以观察到真皮中更多的组织学改变。然而,这项研究是第一个确定VASER应用的组织学影响的方法,因此,这些结果必须在进一步的研究中得到证实,需要更多的脂肪切除术,以及更具体的组织病理学分析。最后,本研究中显示的数据反映了优化VASER程序以提高该技术的安全性和有效性的重要性。
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引用次数: 0
CO2 Laser Therapy as an Effective Solution for Stubborn Perioral Wrinkling in Smokers 二氧化碳激光治疗吸烟者顽固口周皱纹的有效方法
Pub Date : 2022-11-05 DOI: 10.1177/07488068221133664
Sarah Sussman, Emily S. Sagalow, Kathryn Landers, Vanessa Christopher, K. Holand, J. Stanek, Glen E D'Souza, Howard Krein, R. Heffelfinger
Studies have shown an association between cigarette smoking and premature aging. The objective is to compare severity of facial wrinkling in smokers and nonsmokers after rhytidectomy with concurrent procedures. Patients who underwent rhytidectomy at a single academic institution between 2009 and 2020 were identified. The main outcome measure was the Merz wrinkle scale for preoperative and postoperative photos at 3 and 12 months. Of the 155 patients included, 66 (43%) patients had a smoking history: 7 current and 59 former smokers. Average packs per day was 0.70 and pack-years was 16. All patients showed significant improvement in midface wrinkles postoperatively ( P < .001). At baseline and 3 months, smokers had significantly worse lip wrinkle scores ( P < .01). All patients who received CO2 laser at time of rhytidectomy (with and without fat transfer) showed significantly greater improvement in lip wrinkle scores at both 3 and 12 months postop ( P < .02). Severity of facial wrinkling is greater in smokers, especially around the lips. Concurrent use of CO2 laser significantly improved perioral wrinkling, and the greatest results were seen when combined with fat transfer.
研究表明吸烟和早衰之间存在联系。目的是比较吸烟者和非吸烟者在除皱手术后面部皱纹的严重程度。2009年至2020年间在同一学术机构接受除皱手术的患者被确定。主要观察指标为术前和术后3个月和12个月的Merz皱纹评分。在纳入的155例患者中,66例(43%)患者有吸烟史:7例当前吸烟者和59例既往吸烟者。每天平均包数为0.70,包年为16。所有患者术后面部中皱纹均有显著改善(P < 0.001)。在基线和3个月时,吸烟者的唇皱纹评分明显较差(P < 0.01)。所有在除皱术时接受CO2激光治疗的患者(有或没有脂肪转移)在术后3个月和12个月的唇皱纹评分均有显著改善(P < 0.02)。吸烟者的面部皱纹更严重,尤其是嘴唇周围。同时使用CO2激光可以显著改善口腔周围的皱纹,并且当结合脂肪转移时效果最好。
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引用次数: 0
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The American Journal of Cosmetic Surgery
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