The American Journal of Cosmetic Surgery最新文献

{"title":"Comparisons of Outcomes of Chin Implantation Using the Transoral Versus Submental Technique: A Systematic Review","authors":"C. Best, B. Best, J. Choi, J. Sykes, Hedyeh Javidnia","doi":"10.1177/07488068221127831","DOIUrl":"https://doi.org/10.1177/07488068221127831","url":null,"abstract":"Background: Chin implantation is a commonly performed facial plastic surgery procedure. There are 2 approaches to this procedure: submental and transoral. There is no consensus as to which is the best and safest approach. Objective: The objective of this review is to ascertain the risks and benefits of using an intraoral versus submental approach for chin implantation. Methods: A systematic review of all articles published in MEDLINE, Embase, Cochrane Library, and Google Scholar was performed from 1966 to 2020. Results: A total of 1410 articles were reviewed and 38 were chosen for the review based on predetermined selection criteria. Total complication rates in the transoral group ranged from 0% to 14.7%, whereas total complication rates in the submental group ranged from 0% to 15%. No clear difference in the rates of any specific complication was found between the 2 groups. Conclusion: There is no demonstrated difference in complication rates between the 2 approaches to chin implantation. Individual patient assessment and surgeon preference remain the most important determinants of surgical approach.","PeriodicalId":297650,"journal":{"name":"The American Journal of Cosmetic Surgery","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122756259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Breast Fat Grafting: 10-Year Learned Clinical Experience","authors":"R. Troell","doi":"10.1177/07488068221131759","DOIUrl":"https://doi.org/10.1177/07488068221131759","url":null,"abstract":"Our being strives for staying youthful and being beautiful. Beauty for woman encompasses the entire body from the face, down to the breasts, the torso, buttocks, and extremities. Breast enhancement using implants is consistently ranked as one of the most common aesthetic surgical procedure undertaken by woman. However, as alloplastic implants suffer numerous potential complications and revision surgery, some practitioners and patients seek alternative treatment. Autologous fat grafting has gained popularity due to its safety and scientific advances yielding increased adipocyte survival. The low complication rate and valuable cosmetic outcomes will continue to have patients request natural breast augmentation. The authors’ more than 12 years of clinical experience with autologous fat transfer to the breast is presented. Advances in fat processing, enrichment, and administration are highlighted. The addition of stem cells, stromal vascular fraction, and platelet-rich plasma (PRP) is elucidated during the clinical experience. Laboratory evaluation of fat survival comparing ultrasound- and suction-assisted fat harvesting is presented. A comparison of 2 distinct fat processing methods is done using both clinical evaluation by the patients and surgeon, and the use of diagnostic ultrasound to assess fat thickness before and after surgical placement. The filtration device (Puregraft, Solana Beach, California) was compared with the Lipokit or filtration, centrifugation device (Medi-Khan USA, Inc., Los Angeles, California). Breast fat grafting was used for sole breast augmentation, after silicone breast implant surgery, in conjunction with mammopexy surgery, and reconstruction after breast cancer surgery or explantation. The authors’ observation with breast fat grafting volumetric outcomes has seen an increase from about 30% to almost 80%. This increased volume is related to the placement of a purer fat graft with less wetting solution fluid with less blood and oil. Minimizing ultrasound energy during the harvesting, lower suction levels, short fat storage times of 1 to 2 hours prior to administration, purification of fat without washing away growth factors, and the enrichment of fat with fat-derived autologous stem cells and blood-derived PRP have been observed techniques to optimize fat survival. Breast fat grafting using much of the current knowledge of harvesting, processing, enrichment, and administration has yielded superior adipocyte survival. This increased survival has provided more consistent breast enhancement results.","PeriodicalId":297650,"journal":{"name":"The American Journal of Cosmetic Surgery","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115704206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"AACS 2023 Annual Scientific Meeting, Taking Place February 9-11, 2023","authors":"","doi":"10.1177/07488068221134143","DOIUrl":"https://doi.org/10.1177/07488068221134143","url":null,"abstract":"arm elevation. The 3 approaches yield very similar results, and all can be implemented based on the Surgeon’s preference and expertise. Conclusion: A properly performed breast augmentation surgery starts with a thorough evaluation, preoperative measurements, and surgical planning, including identifying the new IMF location. There are different methods to calculate the new IMF location; however, it is important to keep in mind that there are many variables, and these geometrical methods need to be combined with the artistic eye and operative judgment of the surgeon. Abstract: In the past few years, studies appeared in the literature addressing the growing concern of mortality in patients undergoing buttock fat augmentation, A.K.A Brazilian Butt Lift. The need for safety measures could not be more prudent, giving rise to safety guidelines such as limiting the injection level to the subcutaneous layer and intricate knowledge of anatomy. Ways to facilitate such recommendations is by using ultrasound guidance. Still, it was not very practical as it had to be held with one hand or elic-ited Abstract: Facial wrinkles and creases are part of the aging process. They appear as the underlying collagen and elastin fibers break down and wear out. While this breakdown is part of the natural aging process, it can also result from excessive squinting, frowning, and smiling. Fat cells taken from your body are the 2 most frequently used materials for filling facial wrinkles and frown lines. While hyaluronic acid can smooth out wrinkles, injectables are not for everyone. Some patients may develop an allergic reaction over time. Patients may consider filler injections to correct the early signs of aging must be repeated yearly. Abstract: Augmentation mammoplasty is one of the most used procedures in breast surgery, and its complications have been very well studied. However, periprosthetic galactocele after prosthetic breast augmentation surgery is a very little-known complication. Galactorrhea is a rare complication after breast plastic surgery. Its cause is still unknown, although it is most likely that its appearance has a multifacto-rial origin. Our casuistry consists of 40 cases ranging from 18 to 40 years, occurring in nulliparous and multiparous women. Postsurgical galactorrhea often follows a benign and self-limited course, culminating in spontaneous resolution. Depending on the severity of the symptoms, its treatment can be medical and surgical, with drainage or even removal of breast implants. It is a disorder characterized by Abstract: Veins are thin-walled, low-pressure conduits whose function is the return of blood from the periphery (lower extremities) to the heart. The mechanism that favors this return involves the presence of venous valves, the muscular action, through its contraction, the arterial pulsatility neighboring the deep veins, and the respiratory physiology, by alternating the intrathoracic pressure, among other mechanisms. The venous flow ","PeriodicalId":297650,"journal":{"name":"The American Journal of Cosmetic Surgery","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132776516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of Medical Weight Loss in the Cosmetic Surgery Practice","authors":"J. Marcoe, Kevin Ward, M. Kang, Lionel D. Meadows","doi":"10.1177/07488068221128699","DOIUrl":"https://doi.org/10.1177/07488068221128699","url":null,"abstract":"Weight loss is an achievement desired by many in our current society. Those who struggle to obtain their desired result with diet and exercise regimens are interested in other options. Although bariatric surgery is undeniably the surest way to achieve dramatic weight loss results, many patients are ineligible for the procedure or are uneasy regarding the surgery and desire an alternative. Thus, medical weight loss is a suitable option for many of these patients. We postulated that cosmetic patients undergoing medical weight loss would be more aggressive toward losing weight, which would synergistically result in a more significant degree of weight loss compared with noncosmetic, control patients. Our retrospective study revealed no statistically significant difference in the weight loss achieved by each group. We concluded that medical weight loss does not act synergistically with a desire to improve one’s cosmesis; however, as both groups lost weight efficaciously, it can be concluded that medical weight loss can be used as an effective tool in a cosmetic practice for eligible patients.","PeriodicalId":297650,"journal":{"name":"The American Journal of Cosmetic Surgery","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130028915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Boomerang Technique: Redefining Skin-Only Lower Blepharoplasty","authors":"N. Fakih-Gomez, M. Haneef, Juan Martin Zarate, Samir Rodriguez-Chaker, Ibrahim Fakih-Gomez","doi":"10.1177/07488068221124720","DOIUrl":"https://doi.org/10.1177/07488068221124720","url":null,"abstract":"Blepharoplasty is a widely performed, tried, and tested procedure for periorbital rejuvenation. Most patients seeking cosmetic surgery of the lower eyelid are mostly concerned with excess skin, fat bags underneath their eyes, and a tired-looking appearance. A variety of techniques and approaches have been described for aesthetic alteration of the lower lid complex. For skin-only transcutaneous lower blepharoplasty, 2 surgical techniques have been described: the only skin flap and the skin pinch. In our experience, many patients seek only skin corrective resection fearing changes in their eye shape and some others have only excess skin. In this article, we will outline our approach to skin-only lower blepharoplasty. The boomerang technique is based only on skin removal with a superolateral vector design and can be incorporated, if needed, with other adjunctive procedures. To our knowledge, no previous article has described a precise and calculated design for skin removal. This serves the purpose of producing an aesthetic reproducible result with additional advantages inherent to the design over other techniques.","PeriodicalId":297650,"journal":{"name":"The American Journal of Cosmetic Surgery","volume":"113 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114166702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contemporary Direct Brow Lift With Suspension Technique","authors":"N. Fakih-Gomez, Juan Martin Zarate, Samir Rodriguez-Chaker, M. Haneef, Daniella Fakih, Ibrahim Fakih-Gomez","doi":"10.1177/07488068221126250","DOIUrl":"https://doi.org/10.1177/07488068221126250","url":null,"abstract":"Brow ptosis is one of the earliest signs of periorbital aging. To surgically correct the aging brow, several brow lift procedures have been documented with varying amounts of success. Direct brow lift is regaining its popularity as it is a simple direct surgery that allows the surgeon a precise positioning, elevation, and shaping of the brow. However, unaesthetic scarring is a potential handicap of this technique. To reduce scarring, many methods have been proposed from different design markings, beveling the incision, and tissue suspension. The versatility of direct brow lift lies in its design, execution, tissue management, and reduction of tension in the scar. In this article, we present a refined modification of the classic direct brow lift technique. The procedure is based on anatomical landmarks with a versatile and reproducible design, a 20° beveled incision, and periosteal suspension of the orbicularis muscle. In our experience, the use of this technique has enabled us to attain long-term stable aesthetic results.","PeriodicalId":297650,"journal":{"name":"The American Journal of Cosmetic Surgery","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125029933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parotid Surgery With Concurrent Bilateral Rhytidectomy","authors":"Scott Bueno, R. Sanovich, T. Schlieve","doi":"10.1177/07488068221125568","DOIUrl":"https://doi.org/10.1177/07488068221125568","url":null,"abstract":"Facial reconstruction after parotid surgery can present an aesthetic challenge. This case series describes an asymmetric cervicofacial rhytidectomy technique at the time of parotid surgery to achieve defect closure as well as volume augmentation of the postablative deformity. While unilateral superficial musculoaponeurotic system (SMAS) flaps after parotid tumor extirpation have been described many times, this is the first reported case series of parotid tumor resection with concurrent bilateral cervicofacial rhytidectomy. This series consists of two adult females with unilateral facial swelling who also desired facial rejuvenation surgery. They separately presented to the University of Texas Southwestern Maxillofacial Surgery team and proceeded to have unilateral parotid tumor removal with concurrent bilateral cervicofacial rhytidectomy. To give context to this case series, the authors also searched the PubMed, Scopus, and Google Scholar databases to look for previously reported similar cases. The authors were able to address the patients’ functional as well as aesthetic concerns with a single surgery in a safe manner. Ipsilateral to the tumor resection, there was a sizeable loss in volume in both cases. Therefore, a vascularized SMAS flap was imbricated to provide volume, while a selective SMAS removal and plication was used on the contralateral side to achieve symmetric volume bilaterally. A comprehensive literature search demonstrated one previous report of concurrent bilateral cervicofacial rhytidectomy with parotid tumor extirpation. Despite the prevalence of utilizing a rhytidectomy incision for parotid surgery, there is a dearth of literature describing concurrent bilateral cervicofacial rhytidectomy with parotid tumor extirpation. Functionally, it has been shown to decrease the incidence of gustatory sweating on the side of reconstruction. Aesthetically, the surgeon is not only re-establishing the volume by augmenting the ablative defect, but also creating a symmetrical postoperative appearance by performing a reductive rhytidectomy on the contralateral side. Utilizing an asymmetric bilateral cervicofacial rhytidectomy at the time of parotid surgery can be an efficient technique for aesthetically reconstructing a patient with a parotid mass. It should be considered in patients with benign parotid disease who have the desire for facial rejuvenation surgery.","PeriodicalId":297650,"journal":{"name":"The American Journal of Cosmetic Surgery","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114687431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of Self-photography in Patients Presenting for Primary Aesthetic Rhinoplasty","authors":"R. Araslanova, S. Pearlman","doi":"10.1177/07488068221121542","DOIUrl":"https://doi.org/10.1177/07488068221121542","url":null,"abstract":"Habitual self-photographs or selfies have been anecdotally associated with patients presenting for cosmetic rhinoplasty. Our objective was to establish the prevalence of self-photography in patients presenting for aesthetic rhinoplasty. Secondary objective was to determine if presenting nasal concerns have changed since taking selfies became widely accepted in 2013. Demographic data, referral source, and nasal concerns were retrospectively collected for 100 consecutive patients seeking cosmetic rhinoplasty consultations in 2018 and 2012. Revision cases were excluded. A voluntary, paper-based survey was used to capture the frequency of self-photography during the initial consultation in 2018. One hundred consecutive patients were included from January through September of 2018. Out of 92 survey respondents, 80.4% admitted to taking selfies. Patients engaging in self-photography less than once per month composed 23.9%, followed by weekly in 21.7% and daily in 20.7% of survey respondents. A 17% increase in Internet-sourced patient referrals was observed in 2018. The top 3 nasal complaints in the 2018 cohort were tip-related followed by hump and big nose. Whereas the 2012 cohort was mostly concerned with hump, tip shape, and nasal obstruction. Most patients seeking primary cosmetic rhinoplasty engage in self-photography. Monitoring changes in the patterns of referrals and patient’s aesthetic concerns about nasal appearance are important for rhinoplasty surgeons as their practice evolves to integrate social networking and Internet-based communications. III","PeriodicalId":297650,"journal":{"name":"The American Journal of Cosmetic Surgery","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115777532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gluteal Reshaping Using a Simple Device for Collecting Fat","authors":"M. Mahgoub, A. Zeina, Ahmed Mohamed Bahaa El-Deen, A. El-Sabbagh","doi":"10.1177/07488068221118222","DOIUrl":"https://doi.org/10.1177/07488068221118222","url":null,"abstract":"Liposuction was popularized in the 80s of the previous century. Later, fat graft was widely used to augment different parts of the body especially the gluteal area. Fat collection is a part of the process of fat injection. Different methods have been described for fat collection. The objective is to address the outcome results of collecting large amount of fat using a chest tube canister for gluteal augmentation. A total of 20 females were operated for gluteal reshaping. Our choice was fat grafting for augmentation and correction of any depressed scars. The fat was collected using a canister of chest tube. Patients were assessed by measurement of hip circumference and by the usage of Likert scale with some modifications. The mean amount of liposuction was about 4315 cm3 and the mean amount of fat injected was about 1250 cm3 per secession. After 6 months, hip circumference was increased by 4.045 cm. Actually, more than half of patients (65%) were strongly satisfied. One patient suffered from oily cyst that was excised surgically. The canister is safe, cheap, and effective method for collection and preparation of large volume of fat.","PeriodicalId":297650,"journal":{"name":"The American Journal of Cosmetic Surgery","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121418889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ideal Eye, Nasal Tip, Cheek, and Forehead Structures Related to Vertical, Oblique Relationships and the Facial Oval Shape","authors":"P. Young, Chloe Young","doi":"10.1177/07488068221113656","DOIUrl":"https://doi.org/10.1177/07488068221113656","url":null,"abstract":"The Circles of Prominence is a new theory on facial beauty based on what viewers spend the most time observing when they see a face. Here, we test the influence the iris, nasal tip, and lower lip have on the ideal forehead, mouth, and cheek shapes and how they ideally relate to the general oval facial shape. This is a subjective survey where 245 participants ranked 5 sets of 20 total line drawings based on attractiveness. The survey was conducted with an online service (SurveyMonkey®). The data underwent statistical analysis. The goal was to test the ideal forehead, mouth and cheek shadowing, ideal forehead height and ideal positioning of the eyes and nasal tip. Vertical shadowing of the forehead, mouth and cheek were most ideal when they aligned with the iris. The upper border of cheek shadowing was most ideal when aligned with the top of the ears and center of the lower lip. The iris and nasal tip were ideally related in the same way the 2 diameters of the facial oval relate to each other. Forehead height is likely most ideal when it is related to the iris to center of the lower lip distance. The shape of the forehead, mouth, and cheek are influenced by the vertical position of the iris. The upper border of the cheek is ideally defined by an oblique relationship established by the top of the ears and center of the lower lip which supports the hypothesis that the face is ideally organized in part by parallel, oblique relationships that are established by the iris and nasal tip. The iris and lower lip appears to have an influence on forehead height. The iris and nasal tip orient the eye and nose units and their positioning is influenced by the vertical and horizontal diameters of the oval shape of the face. Facial beauty can be explained by simple mathematics within the face. The iris width and shape ideally dictates all shapes that are close to its size, this is progressively followed by the horizontal aperture of the eye, and the iris-to-iris distance. Here, we find that the iris-to-iris distance or just the absolute position of the iris itself exerts more influence on the forehead, cheek, and mouth shapes, and the iris and nasal tip together ideally organizes the face into parallel oblique relationships and harmonizes with the face by relating to the face’s oval dimensions.","PeriodicalId":297650,"journal":{"name":"The American Journal of Cosmetic Surgery","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127117356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}