Pub Date : 2021-01-29DOI: 10.14730/AAPS.2020.02313
Daekwan Chi, S. Lee, Jae-Hee Kim, T. Kim, J. Jeong, Sunje Kim, Sang-Ha Oh
Rhinoplasty in Asian patients has been greatly advanced overall and in terms of specific associated techniques over the past few decades [1]. In most Asian patients, autologous graft materials are necessary to augment or change the shape of the nose [2,3]. Among autologous graft materials, ear cartilage is most frequently used due to its efficiency and safety. However, instability of the auricular framework may arise as a form of donor site morbidity after the harvest of ear cartilage. This instability makes it difficult for patients to wear face masks or insert earphones [4,5]. Of the parts of the ear cartilage, the cymba, cavum, and tragus are generally used, and these are perceived to be the main components that account for auricular stability. The harvest of additional ear cartilage is sometimes unavoidable, even in patients with histories of multiple ear Daekwan Chi, Seokui Lee, Jae-Hee Kim, Taek-Kyun Kim, Jae-Yong Jeong, Sunje Kim, Sang-Ha Oh
{"title":"Surgical importance of the posterior auricular ligament when harvesting ear cartilage in rhinoplasty","authors":"Daekwan Chi, S. Lee, Jae-Hee Kim, T. Kim, J. Jeong, Sunje Kim, Sang-Ha Oh","doi":"10.14730/AAPS.2020.02313","DOIUrl":"https://doi.org/10.14730/AAPS.2020.02313","url":null,"abstract":"Rhinoplasty in Asian patients has been greatly advanced overall and in terms of specific associated techniques over the past few decades [1]. In most Asian patients, autologous graft materials are necessary to augment or change the shape of the nose [2,3]. Among autologous graft materials, ear cartilage is most frequently used due to its efficiency and safety. However, instability of the auricular framework may arise as a form of donor site morbidity after the harvest of ear cartilage. This instability makes it difficult for patients to wear face masks or insert earphones [4,5]. Of the parts of the ear cartilage, the cymba, cavum, and tragus are generally used, and these are perceived to be the main components that account for auricular stability. The harvest of additional ear cartilage is sometimes unavoidable, even in patients with histories of multiple ear Daekwan Chi, Seokui Lee, Jae-Hee Kim, Taek-Kyun Kim, Jae-Yong Jeong, Sunje Kim, Sang-Ha Oh","PeriodicalId":41514,"journal":{"name":"Archives of Aesthetic Plastic Surgery","volume":"27 1","pages":"12-17"},"PeriodicalIF":0.3,"publicationDate":"2021-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41652859","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}
Pub Date : 2021-01-29DOI: 10.14730/AAPS.2020.02306
Jun Hyeok Kim, Na Rim Kim, Ye Sol Kim, D. Oh
Breast reconstruction continues to evolve on both the artistic and scientific fronts. The deep inferior epigastric artery perforator (DIEP) flap is considered the gold standard for breast reconstruction and results in patient satisfaction, aesthetically satisfactory outcomes, and favorable donor site morbidity [1]. For delayed reconstruction of the breast, a dual-pedicled DIEP flap is indicated to overcome insufficient hemi-abdominal tissue and extensive radiation effects on the chest wall [2]. The dual-pedicled DIEP flap provides a sufficient skin envelope and subcutaneous fat tissue for the creation of a natural-looking breast with adequate volume to match the contralateral breast [3]. The dual-pedicled DIEP flap requires microvascular augmentation, including turbocharging or supercharging; however, radiation therapy can damage candidate recipient vessels [4], resulting in uncertain patency that may lead to flap failure. Thus, the present report suggests a novel and effective surgical method, a dual-pedicled conjoined abdominal flap that uses a free DIEP flap combined with a pedicled transverse rectus abdominis muscle (TRAM) flap for volume-demanding, unilateral breast reconstruction, even in patients who have undergone radiotherapy. Jun Hyeok Kim, Na Rim Kim, Ye Sol Kim, Deuk Young Oh
乳房重建在艺术和科学两个方面继续发展。上腹部深下动脉穿支（DIEP）皮瓣被认为是乳房重建的金标准，可使患者满意、美观、供区发病率高[1]。对于延迟重建乳房，建议使用双蒂DIEP皮瓣来克服半腹部组织不足和胸壁广泛的辐射影响[2]。双蒂DIEP皮瓣提供了足够的皮肤包膜和皮下脂肪组织，以形成具有足够体积的自然乳房[3]。双蒂DIEP皮瓣需要微血管扩张，包括涡轮增压或增压；然而，放射治疗会损伤候选受体血管[4]，导致不确定的通畅性，可能导致皮瓣失效。因此，本报告提出了一种新的有效的手术方法，即双蒂联合腹部皮瓣，该皮瓣使用游离DIEP皮瓣与带蒂腹直肌（TRAM）皮瓣相结合，用于体积要求高的单侧乳房重建，即使在接受放疗的患者中也是如此。Jun Hyeok Kim，Na Rim Kim，Ye Sol Kim，Deuk Young Oh
{"title":"Dual-pedicled conjoined abdominal flap for breast reconstruction in a patient with previous radiation therapy","authors":"Jun Hyeok Kim, Na Rim Kim, Ye Sol Kim, D. Oh","doi":"10.14730/AAPS.2020.02306","DOIUrl":"https://doi.org/10.14730/AAPS.2020.02306","url":null,"abstract":"Breast reconstruction continues to evolve on both the artistic and scientific fronts. The deep inferior epigastric artery perforator (DIEP) flap is considered the gold standard for breast reconstruction and results in patient satisfaction, aesthetically satisfactory outcomes, and favorable donor site morbidity [1]. For delayed reconstruction of the breast, a dual-pedicled DIEP flap is indicated to overcome insufficient hemi-abdominal tissue and extensive radiation effects on the chest wall [2]. The dual-pedicled DIEP flap provides a sufficient skin envelope and subcutaneous fat tissue for the creation of a natural-looking breast with adequate volume to match the contralateral breast [3]. The dual-pedicled DIEP flap requires microvascular augmentation, including turbocharging or supercharging; however, radiation therapy can damage candidate recipient vessels [4], resulting in uncertain patency that may lead to flap failure. Thus, the present report suggests a novel and effective surgical method, a dual-pedicled conjoined abdominal flap that uses a free DIEP flap combined with a pedicled transverse rectus abdominis muscle (TRAM) flap for volume-demanding, unilateral breast reconstruction, even in patients who have undergone radiotherapy. Jun Hyeok Kim, Na Rim Kim, Ye Sol Kim, Deuk Young Oh","PeriodicalId":41514,"journal":{"name":"Archives of Aesthetic Plastic Surgery","volume":"27 1","pages":"31-34"},"PeriodicalIF":0.3,"publicationDate":"2021-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44540932","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}
Pub Date : 2021-01-29DOI: 10.14730/AAPS.2020.02376
Daiwon Jun, Na Rim Kim, Y. Suh, Y. J. Kim, K. Cho, J. H. Lee
Wilson disease is an autosomal recessive genetic disorder caused by the accumulation of copper within the human body. It is the most common inherited liver disease, and its symptoms may vary depending on the affected organs. In general, liver related symptoms such as fatigue, nausea and vomiting or jaundice develop in childhood whereas central nervous system related symptoms such as personality change or psychosis develop in late adulthood. Failure to excrete copper leads to various symptoms such as vomiting, weakness, itching, tremor, muscle stiffness, and psychosis, as the brain and liver are the most commonly involved organs. Penicillamine is a metal antagonist that increases urinary copper excretion by chelation. The adverse effects of penicillamine are known to include irreversible neurologic deficits, hypersensitivity, marrow suppression, proteinuria, and teratogenic syndrome [1]. Although rare, virginal mammary hypertrophy (VMH) induced by penicillamine has been reported [2]. In this report, we would like to share our experience of the diagnosis and treatment of penicillamine-induced VMH that developed in a patient with Wilson disease.
{"title":"Penicillamine-induced virginal mammary hypertrophy","authors":"Daiwon Jun, Na Rim Kim, Y. Suh, Y. J. Kim, K. Cho, J. H. Lee","doi":"10.14730/AAPS.2020.02376","DOIUrl":"https://doi.org/10.14730/AAPS.2020.02376","url":null,"abstract":"Wilson disease is an autosomal recessive genetic disorder caused by the accumulation of copper within the human body. It is the most common inherited liver disease, and its symptoms may vary depending on the affected organs. In general, liver related symptoms such as fatigue, nausea and vomiting or jaundice develop in childhood whereas central nervous system related symptoms such as personality change or psychosis develop in late adulthood. Failure to excrete copper leads to various symptoms such as vomiting, weakness, itching, tremor, muscle stiffness, and psychosis, as the brain and liver are the most commonly involved organs. Penicillamine is a metal antagonist that increases urinary copper excretion by chelation. The adverse effects of penicillamine are known to include irreversible neurologic deficits, hypersensitivity, marrow suppression, proteinuria, and teratogenic syndrome [1]. Although rare, virginal mammary hypertrophy (VMH) induced by penicillamine has been reported [2]. In this report, we would like to share our experience of the diagnosis and treatment of penicillamine-induced VMH that developed in a patient with Wilson disease.","PeriodicalId":41514,"journal":{"name":"Archives of Aesthetic Plastic Surgery","volume":"27 1","pages":"35-38"},"PeriodicalIF":0.3,"publicationDate":"2021-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45086641","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}
Pub Date : 2021-01-29DOI: 10.14730/AAPS.2020.02369
J. Park, Y. Myung
Reduction mammoplasty is a widely performed operation with excellent patient satisfaction [1]. The early complications of reduction mammoplasty include bleeding, infection, and wound dehiscence [2]. One of the most devastating complications is tissue necrosis, especially of the nipple-areolar complex (NAC). Although uncommon, NAC ischemia can lead to partial or total necrosis of the NAC [3]. Edema, blue discoloration, and dark sanguineous bleeding upon pinprick are suggestive of venous congestion of the NAC [4]. In most cases, NAC congestion is recognized intraoperatively after inset of the pedicle and the NAC or within a few hours after the completion of the operation [3,5]. Here, we present a case of delayed venous congestion of the NAC identified 48 hours after the completion of bilateral reduction mammoplasty.
{"title":"Treatment of delayed venous congestion of the nipple-areolar complex after reduction mammoplasty","authors":"J. Park, Y. Myung","doi":"10.14730/AAPS.2020.02369","DOIUrl":"https://doi.org/10.14730/AAPS.2020.02369","url":null,"abstract":"Reduction mammoplasty is a widely performed operation with excellent patient satisfaction [1]. The early complications of reduction mammoplasty include bleeding, infection, and wound dehiscence [2]. One of the most devastating complications is tissue necrosis, especially of the nipple-areolar complex (NAC). Although uncommon, NAC ischemia can lead to partial or total necrosis of the NAC [3]. Edema, blue discoloration, and dark sanguineous bleeding upon pinprick are suggestive of venous congestion of the NAC [4]. In most cases, NAC congestion is recognized intraoperatively after inset of the pedicle and the NAC or within a few hours after the completion of the operation [3,5]. Here, we present a case of delayed venous congestion of the NAC identified 48 hours after the completion of bilateral reduction mammoplasty.","PeriodicalId":41514,"journal":{"name":"Archives of Aesthetic Plastic Surgery","volume":"27 1","pages":"39-42"},"PeriodicalIF":0.3,"publicationDate":"2021-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46906578","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}
Pub Date : 2021-01-29DOI: 10.14730/AAPS.2020.02418
Eun-Sang Dhong, Ha-Yoon Chung
Why should we write scientific papers? It is often thought that research manuscripts are written by scholars and professors at universities. Cosmetic surgeons in private practice often feel no need to publish papers. However, as doctors, we are scientists who practice medicine. Furthermore, the internet is flooded with medical information—and, all too often, misinformation. In this piece, as editors, we would like to discuss the importance of writing articles on esthetic plastic surgery to be published in peer-reviewed journals, with a focus on two perspectives.
{"title":"The role of peer-reviewed journals in esthetic surgery","authors":"Eun-Sang Dhong, Ha-Yoon Chung","doi":"10.14730/AAPS.2020.02418","DOIUrl":"https://doi.org/10.14730/AAPS.2020.02418","url":null,"abstract":"Why should we write scientific papers? It is often thought that research manuscripts are written by scholars and professors at universities. Cosmetic surgeons in private practice often feel no need to publish papers. However, as doctors, we are scientists who practice medicine. Furthermore, the internet is flooded with medical information—and, all too often, misinformation. In this piece, as editors, we would like to discuss the importance of writing articles on esthetic plastic surgery to be published in peer-reviewed journals, with a focus on two perspectives.","PeriodicalId":41514,"journal":{"name":"Archives of Aesthetic Plastic Surgery","volume":"27 1","pages":"1-2"},"PeriodicalIF":0.3,"publicationDate":"2021-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47811931","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}
Pub Date : 2020-10-27DOI: 10.14730/aaps.2020.02201
Y. Lee, Il Seok Lee, Ho Jik Yang
The demand for facial rejuvenation surgery is increasing with the increase in the elderly population. Facelift surgery is widely used to lift the soft tissue, thereby weakening the nasolabial groove and providing volumetric fullness to the face [1]. However, owing to differences in anatomical structures between Asian and Caucasian faces, this method does not always result in satisfying outcomes for all Asian women. Asian faces differ from Caucasian faces with respect to the skull structure and distribution of facial fat. Compared with Caucasians, Asians generally have wider and shorter faces. Facial fat descends with age, and Asian faces become more rectangular and boxy [2,3]. For the aforementioned reasons, some old Asian women have a prominent mandibular angle and a face with a rectangular appearance. In these patients, performing only a soft tissue facelift will cause the face to look more rectangular and the mandibular angle to appear more protruded. In Asian cultures, an overly prominent mandible and rectangular face are undesirable because they suggest a harsh and masculine appearance. Instead, facial beauty is characterized by an oval appearance. Patients with a prominent mandibular angle often complain that their face looks more rectangular after surgery when only a facelift is performed without consideration of this cultural difference. Therefore, in light of the cultural and anatomical differences between Asians and Caucasians, lifting soft tissue alone does not proYoon Joo Lee, Il Seok Lee, Ho Jik Yang
随着老年人口的增加，对面部年轻化手术的需求也在增加。面部拉皮手术被广泛用于提升软组织，从而削弱鼻唇沟，使面部丰满。然而，由于亚洲人和高加索人面部解剖结构的差异，这种方法并不总是对所有亚洲女性产生令人满意的结果。亚洲人的脸与高加索人的脸在头骨结构和面部脂肪分布方面有所不同。与白种人相比，亚洲人的脸通常更宽更短。面部脂肪随着年龄的增长而减少，亚洲人的脸变得更长方形和四方形[2,3]。由于上述原因，一些亚洲老年妇女下颌角突出，面部呈矩形。在这些患者中，只进行软组织拉皮会使面部看起来更长方形，下颌角看起来更突出。在亚洲文化中，过于突出的下颌骨和长方形的脸是不受欢迎的，因为它们会让人觉得粗鲁和男性化。相反，面部美的特征是椭圆形。下颌角突出的患者经常抱怨，如果不考虑这种文化差异，只进行拉皮手术，他们的脸看起来更长方形。因此，考虑到亚洲人和高加索人之间的文化和解剖学差异，仅仅抬起软组织并不能证明yoon Joo Lee, Il Seok Lee, Ho Jik Yang
{"title":"Mandibular angle reduction combined with facelift via the premasseter space","authors":"Y. Lee, Il Seok Lee, Ho Jik Yang","doi":"10.14730/aaps.2020.02201","DOIUrl":"https://doi.org/10.14730/aaps.2020.02201","url":null,"abstract":"The demand for facial rejuvenation surgery is increasing with the increase in the elderly population. Facelift surgery is widely used to lift the soft tissue, thereby weakening the nasolabial groove and providing volumetric fullness to the face [1]. However, owing to differences in anatomical structures between Asian and Caucasian faces, this method does not always result in satisfying outcomes for all Asian women. Asian faces differ from Caucasian faces with respect to the skull structure and distribution of facial fat. Compared with Caucasians, Asians generally have wider and shorter faces. Facial fat descends with age, and Asian faces become more rectangular and boxy [2,3]. For the aforementioned reasons, some old Asian women have a prominent mandibular angle and a face with a rectangular appearance. In these patients, performing only a soft tissue facelift will cause the face to look more rectangular and the mandibular angle to appear more protruded. In Asian cultures, an overly prominent mandible and rectangular face are undesirable because they suggest a harsh and masculine appearance. Instead, facial beauty is characterized by an oval appearance. Patients with a prominent mandibular angle often complain that their face looks more rectangular after surgery when only a facelift is performed without consideration of this cultural difference. Therefore, in light of the cultural and anatomical differences between Asians and Caucasians, lifting soft tissue alone does not proYoon Joo Lee, Il Seok Lee, Ho Jik Yang","PeriodicalId":41514,"journal":{"name":"Archives of Aesthetic Plastic Surgery","volume":"26 1","pages":"132-137"},"PeriodicalIF":0.3,"publicationDate":"2020-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41403948","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}
Pub Date : 2020-10-27DOI: 10.14730/aaps.2020.02215
Y. Lee, Il Seok Lee, Ho Jik Yang
The demand for facial rejuvenation surgery is increasing with the increase in the elderly population. Among surgical treatments, facelift is widely used to lift the soft tissue, weaken the nasolabial groove, and provide volumetric fullness to the face [1]. However, due to differences in the anatomical structures of the faces of Asians and Caucasians, this method currently does not yield satisfactory outcomes for all Asian women. The faces of Asians differ from those of Caucasians with respect to the skull structure and facial fat. Relative to Caucasians, Asians generally have a wider and flatter face, a greater bizygomatic distance, and a less developed premaxilla. Moreover, the facial fat is fully distributed in the malar and submalar regions in Asians. As Asian individual ages, the facial fat descends, and the face becomes more rectangular and boxy [2,3]. For these reasons, some older Asian women exhibit zygomatic protrusion and wide faces. In these patients, performing only a soft tissue facelift will cause the face to look wider and the zygoma to appear more protruded. In Asian culture, an overly protruded zygoma and wide face are undesirable because they suggest an unaesthetic and harsh appearance. When facelift is performed in isolation, without consideration of this cultural feature, patients with zygomatic protrusion often complain that their face looks wider after surgery. Therefore, it can be concluded that without considering the cultural and anatomical differences between Asians and Caucasians, Yoon Joo Lee, Il Seok Lee, Ho Jik Yang
{"title":"Reduction malarplasty combined with facelift via the prezygomatic space","authors":"Y. Lee, Il Seok Lee, Ho Jik Yang","doi":"10.14730/aaps.2020.02215","DOIUrl":"https://doi.org/10.14730/aaps.2020.02215","url":null,"abstract":"The demand for facial rejuvenation surgery is increasing with the increase in the elderly population. Among surgical treatments, facelift is widely used to lift the soft tissue, weaken the nasolabial groove, and provide volumetric fullness to the face [1]. However, due to differences in the anatomical structures of the faces of Asians and Caucasians, this method currently does not yield satisfactory outcomes for all Asian women. The faces of Asians differ from those of Caucasians with respect to the skull structure and facial fat. Relative to Caucasians, Asians generally have a wider and flatter face, a greater bizygomatic distance, and a less developed premaxilla. Moreover, the facial fat is fully distributed in the malar and submalar regions in Asians. As Asian individual ages, the facial fat descends, and the face becomes more rectangular and boxy [2,3]. For these reasons, some older Asian women exhibit zygomatic protrusion and wide faces. In these patients, performing only a soft tissue facelift will cause the face to look wider and the zygoma to appear more protruded. In Asian culture, an overly protruded zygoma and wide face are undesirable because they suggest an unaesthetic and harsh appearance. When facelift is performed in isolation, without consideration of this cultural feature, patients with zygomatic protrusion often complain that their face looks wider after surgery. Therefore, it can be concluded that without considering the cultural and anatomical differences between Asians and Caucasians, Yoon Joo Lee, Il Seok Lee, Ho Jik Yang","PeriodicalId":41514,"journal":{"name":"Archives of Aesthetic Plastic Surgery","volume":"26 1","pages":"138-143"},"PeriodicalIF":0.3,"publicationDate":"2020-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48378513","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}
Pub Date : 2020-10-27DOI: 10.14730/aaps.2020.02278
W. Do, Y. Choi
The forehead is the most prominent facial region due to its convexity. Therefore, asymmetry and scarring of the forehead cause patients more concern than cosmetic issues in other regions. Depressed facial scars can occur on any part of the face, but their presence on the forehead often results in psychological and aesthetic effects [1]. The forehead is a common site of benign tumors, such as osteoma and lipoma [2]. The most common site of cranial osteomas is the frontal sinus; however, osteomas that involve only the frontal bone periosteum are occasionally observed [3]. Lipomas also frequently occur in the forehead region; superficial subcutaneous lipomas are likely underreported, and they have been depicted on the faces of kings minted onto coins as far back as 32–37 BC [4]. The increased interest over recent years in these forehead tumors and excisional scars has led to the development of various surgical methods for their removal. The gold standard for removing tumors of the forehead is direct incision over the mass. However, the diWon Hyuck Do, Young Woong Choi
前额因其凸起而成为最突出的面部区域。因此，前额的不对称和疤痕比其他区域的美容问题更引起患者的关注。凹陷性面部疤痕可以出现在脸部的任何部位，但如果出现在额头上，往往会造成心理和美学上的影响。额部是良性肿瘤的常见部位，如骨瘤和脂肪瘤。颅骨瘤最常见的部位是额窦;然而，仅累及额骨骨膜的骨瘤也偶见。脂肪瘤也经常发生在前额区域;浅表性皮下脂肪瘤可能被低估了，早在公元前32-37年，它们就被描绘在铸造在硬币上的国王脸上。近年来对这些前额肿瘤和切除疤痕的兴趣增加，导致了各种手术方法的发展。切除前额肿瘤的黄金标准是直接在肿块上切开。然而，diWon Hyuck Do, Young Woong Choi
{"title":"Patient satisfaction following benign forehead mass excision through a direct or remote approach","authors":"W. Do, Y. Choi","doi":"10.14730/aaps.2020.02278","DOIUrl":"https://doi.org/10.14730/aaps.2020.02278","url":null,"abstract":"The forehead is the most prominent facial region due to its convexity. Therefore, asymmetry and scarring of the forehead cause patients more concern than cosmetic issues in other regions. Depressed facial scars can occur on any part of the face, but their presence on the forehead often results in psychological and aesthetic effects [1]. The forehead is a common site of benign tumors, such as osteoma and lipoma [2]. The most common site of cranial osteomas is the frontal sinus; however, osteomas that involve only the frontal bone periosteum are occasionally observed [3]. Lipomas also frequently occur in the forehead region; superficial subcutaneous lipomas are likely underreported, and they have been depicted on the faces of kings minted onto coins as far back as 32–37 BC [4]. The increased interest over recent years in these forehead tumors and excisional scars has led to the development of various surgical methods for their removal. The gold standard for removing tumors of the forehead is direct incision over the mass. However, the diWon Hyuck Do, Young Woong Choi","PeriodicalId":41514,"journal":{"name":"Archives of Aesthetic Plastic Surgery","volume":"26 1","pages":"157-162"},"PeriodicalIF":0.3,"publicationDate":"2020-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42860277","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}
Pub Date : 2020-10-27DOI: 10.14730/aaps.2020.02124
Dong Chul Kim, Chi Ho Shin, S. Yu, Ji Hoon Kim, Chong Kun Lee, Chang En Chung, B. Min
The abdomen is the one of the most common areas treated in plastic surgery procedures. In recent years, abdominoplasty has been increasingly used to manage abdominal hypertrophy, laxity, and striae [1,2]. After pregnancy or weight changes, patients often desire improvement of abdominal striae and laxity, including the repair of additional ventral hernias. It is reasonable for postpartum middle-aged women to request some extent of lower abdominal tightening without major surgery, along with the removal of multiple striae on the mid lower abdomen and periumbilical area. Many modalities have been used to correct unsightly striae of the lower abdomen, including laser treatments, intense pulsed light, micro-dermabrasion, and some homemade cream regimens. However, the results of those methods are generally unpredictable [3]. For patients who would like to achieve favorable cosmetic outcomes of unsightly visible multiple postpartum striae on the lower mid-abdomen, and to improve their protruding belly contour by tightening of the lower abdomen, we designed the keyhole-shaped vertical mini-abdominoplasty, and herein we report our initial clinical experience. This novel abdominoplasty technique was performed in a patient with multiple postpartum striae on the lower mid-abdomen and periumbilical area. The keyhole-shaped vertical mini-abdominoplasty was designed as follows. First, the striated skin expected Dong Chul Kim, Chi Ho Shin, Sung Hoon Yu, Ji Hoon Kim, Chong Kun Lee, Chang En Chung, Byung Duk Min
腹部是整形外科手术中最常见的治疗部位之一。近年来，腹部整形术越来越多地用于治疗腹部肥大、松弛和条纹[1，2]。怀孕或体重变化后，患者通常希望改善腹部纹和松弛，包括修复额外的腹疝。产后中年妇女要求在不进行大手术的情况下对下腹进行一定程度的收紧，同时去除中下腹和脐周的多条纹是合理的。许多方法已被用于纠正下腹部难看的条纹，包括激光治疗、强脉冲光、微磨皮和一些自制的乳膏方案。然而，这些方法的结果通常是不可预测的[3]。对于那些希望在中下腹部出现难看的产后多条纹并通过收紧小腹来改善其突出的腹部轮廓的患者，我们设计了锁孔形垂直迷你腹部整形术，并在此报告我们的初步临床经验。这项新的腹部整形术是在一名产后中下腹和脐周有多条纹的患者身上进行的。锁孔形垂直迷你腹部成形术的设计如下。首先，条纹皮肤预期金东哲、申志浩、俞成勋、金智勋、李重坤、张恩忠、Byung Duk Min
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Pub Date : 2020-10-27DOI: 10.14730/aaps.2020.02173
Ryeolwoo Kim, Y. Suh, S. Ryu, Mikyung Kim, Daegu Son
Bariatric surgery has recently become popular for treatment of morbidly obese patients, and post-bariatric body contouring surgery has also become more common. Post-bariatric body contouring surgery, from conventional abdominoplasty to lowerand upper-limb contouring, focuses on reducing redundant tissues and reshaping the body. Most body contouring procedures are performed due to a decreased volume of subcutaneous fat and increased skin laxity after massive weight loss. The abdominal area is the most common area for body contouring surgery in massive weight loss patients; therefore, our study focused on abdominal subcutaneous adipose tissue (SAT). Adipose tissue is an active endocrine and immune organ. In an obese state, adipocyte metabolism is impaired and cell homeostasis is broken [1,2]. For this reason, obesity is considered to be an independent risk factor for mortality and a causative factor of several major diseases, including coronary heart disease, hypertension, and various metabolic diseases [3]. Current treatments for obesity range from dietary modifications to surgical treatment. Ryeolwoo Kim, Youngsung Suh, Seungwan Ryu, Mikyung Kim, Daegu Son
{"title":"After bariatric surgery, do superficial fat and deep fat decrease differently?","authors":"Ryeolwoo Kim, Y. Suh, S. Ryu, Mikyung Kim, Daegu Son","doi":"10.14730/aaps.2020.02173","DOIUrl":"https://doi.org/10.14730/aaps.2020.02173","url":null,"abstract":"Bariatric surgery has recently become popular for treatment of morbidly obese patients, and post-bariatric body contouring surgery has also become more common. Post-bariatric body contouring surgery, from conventional abdominoplasty to lowerand upper-limb contouring, focuses on reducing redundant tissues and reshaping the body. Most body contouring procedures are performed due to a decreased volume of subcutaneous fat and increased skin laxity after massive weight loss. The abdominal area is the most common area for body contouring surgery in massive weight loss patients; therefore, our study focused on abdominal subcutaneous adipose tissue (SAT). Adipose tissue is an active endocrine and immune organ. In an obese state, adipocyte metabolism is impaired and cell homeostasis is broken [1,2]. For this reason, obesity is considered to be an independent risk factor for mortality and a causative factor of several major diseases, including coronary heart disease, hypertension, and various metabolic diseases [3]. Current treatments for obesity range from dietary modifications to surgical treatment. Ryeolwoo Kim, Youngsung Suh, Seungwan Ryu, Mikyung Kim, Daegu Son","PeriodicalId":41514,"journal":{"name":"Archives of Aesthetic Plastic Surgery","volume":"26 1","pages":"144-149"},"PeriodicalIF":0.3,"publicationDate":"2020-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42245753","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}
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