Pub Date : 2025-07-01Epub Date: 2025-07-09DOI: 10.1097/PSN.0000000000000610
Ali McCoy Stengel, J Cole Stengel
This article outlines the data collection process we used to document treatment efficacy and longevity changes in 1,298 patients who received a total of 4,583 treatments with either onabotulinumtoxinA, abobotulinumtoxinA, or both during the Sars-COV-2 (COVID-19) pandemic outbreak in 2020 and the adult COVID-19 vaccination program rollout in 2021. We divided the study patients into two groups based on the year they were treated (2020 = 791; 2021 = 1,037). We did not include any new patients in the study. We found that 2.5% (n = 19) of the patients in the 2020 group experienced a lack of treatment effect and 5.2% (n = 40) experienced a decrease in treatment duration. We found that 2.1% (n = 22) of the patients in the 2021 group experienced a lack of treatment effect and 13.6% (n = 141) experienced a decrease in treatment duration. We also identified a sample population of patients who experienced a decrease in treatment duration incidents when receiving the COVID-19 vaccine after their last treatment. Our data show there is an apparent relationship between patients experiencing a lack of treatment efficacy and/or a decrease in treatment duration and having a Sars-COV-2 infection or receiving a COVID-19 vaccine.
{"title":"Lack of Treatment Efficacy and Duration of OnabotulinumtoxinA and AbobotulinumtoxinA Post Sars-COV-2 Infection and COVID Vaccination.","authors":"Ali McCoy Stengel, J Cole Stengel","doi":"10.1097/PSN.0000000000000610","DOIUrl":"10.1097/PSN.0000000000000610","url":null,"abstract":"<p><p>This article outlines the data collection process we used to document treatment efficacy and longevity changes in 1,298 patients who received a total of 4,583 treatments with either onabotulinumtoxinA, abobotulinumtoxinA, or both during the Sars-COV-2 (COVID-19) pandemic outbreak in 2020 and the adult COVID-19 vaccination program rollout in 2021. We divided the study patients into two groups based on the year they were treated (2020 = 791; 2021 = 1,037). We did not include any new patients in the study. We found that 2.5% (n = 19) of the patients in the 2020 group experienced a lack of treatment effect and 5.2% (n = 40) experienced a decrease in treatment duration. We found that 2.1% (n = 22) of the patients in the 2021 group experienced a lack of treatment effect and 13.6% (n = 141) experienced a decrease in treatment duration. We also identified a sample population of patients who experienced a decrease in treatment duration incidents when receiving the COVID-19 vaccine after their last treatment. Our data show there is an apparent relationship between patients experiencing a lack of treatment efficacy and/or a decrease in treatment duration and having a Sars-COV-2 infection or receiving a COVID-19 vaccine.</p>","PeriodicalId":74460,"journal":{"name":"Plastic and aesthetic nursing","volume":"45 3","pages":"150-156"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144593122","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 : 2025-07-01Epub Date: 2025-07-09DOI: 10.1097/PSN.0000000000000607
Jovian Wan, Kyu-Ho Yi
The appearance of an individual's nose plays a pivotal role in facial aesthetics. A nose that is proportionate to a person's face enhances facial balance and appearance. Traditional surgical rhinoplasty has been a common solution for addressing the flatter nasal dorsum and broader alar base and improving nasal prominence for individuals of Asian descent. Recently, nonsurgical rhinoplasty (NSR) has gained popularity because it offers a minimally invasive alternative to surgical rhinoplasty with reduced downtime. This review examines the application of hyaluronic acid (HA) fillers in NSR, particularly for Asian patients, highlighting techniques and considerations tailored to the unique nasal anatomy of this population. We discuss the historical context of filler use, the specific nasal characteristics of East Asian individuals, and the clinical techniques for successful filler application. Additionally, we detail five primary subcategories of HA filler-based NSR: nasal dorsum augmentation, glabella correction, nasal tip correction, columella correction, and nasolabial angle correction that emphasize the importance of using biphasic HA fillers with large particle sizes to mitigate risks such as swelling and lateral expansion. We identify the anatomical and procedural nuances critical for achieving optimal results. We suggest that future research in this area should focus on refining injection techniques and exploring new filler formulations to enhance the safety and efficacy of NSR in Asian populations.
{"title":"Nonsurgical Rhinoplasty Using Hyaluronic Acid Dermal Filler in Asian Patients.","authors":"Jovian Wan, Kyu-Ho Yi","doi":"10.1097/PSN.0000000000000607","DOIUrl":"10.1097/PSN.0000000000000607","url":null,"abstract":"<p><p>The appearance of an individual's nose plays a pivotal role in facial aesthetics. A nose that is proportionate to a person's face enhances facial balance and appearance. Traditional surgical rhinoplasty has been a common solution for addressing the flatter nasal dorsum and broader alar base and improving nasal prominence for individuals of Asian descent. Recently, nonsurgical rhinoplasty (NSR) has gained popularity because it offers a minimally invasive alternative to surgical rhinoplasty with reduced downtime. This review examines the application of hyaluronic acid (HA) fillers in NSR, particularly for Asian patients, highlighting techniques and considerations tailored to the unique nasal anatomy of this population. We discuss the historical context of filler use, the specific nasal characteristics of East Asian individuals, and the clinical techniques for successful filler application. Additionally, we detail five primary subcategories of HA filler-based NSR: nasal dorsum augmentation, glabella correction, nasal tip correction, columella correction, and nasolabial angle correction that emphasize the importance of using biphasic HA fillers with large particle sizes to mitigate risks such as swelling and lateral expansion. We identify the anatomical and procedural nuances critical for achieving optimal results. We suggest that future research in this area should focus on refining injection techniques and exploring new filler formulations to enhance the safety and efficacy of NSR in Asian populations.</p>","PeriodicalId":74460,"journal":{"name":"Plastic and aesthetic nursing","volume":"45 3","pages":"173-179"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144593123","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 : 2025-07-01Epub Date: 2025-07-09DOI: 10.1097/PSN.0000000000000644
Sharon Ann Van Wicklin
{"title":"A New Legal Standard for Malpractice.","authors":"Sharon Ann Van Wicklin","doi":"10.1097/PSN.0000000000000644","DOIUrl":"10.1097/PSN.0000000000000644","url":null,"abstract":"","PeriodicalId":74460,"journal":{"name":"Plastic and aesthetic nursing","volume":"45 3","pages":"134-135"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144593108","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 : 2025-07-01Epub Date: 2025-07-09DOI: 10.1097/PSN.0000000000000653
Sharon Ann Van Wicklin
{"title":"June Blooms Bright!","authors":"Sharon Ann Van Wicklin","doi":"10.1097/PSN.0000000000000653","DOIUrl":"10.1097/PSN.0000000000000653","url":null,"abstract":"","PeriodicalId":74460,"journal":{"name":"Plastic and aesthetic nursing","volume":"45 3","pages":"129-130"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144593121","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 : 2025-07-01Epub Date: 2025-07-09DOI: 10.1097/PSN.0000000000000609
Lam Bee Lan, Leo Kah Woon, Siew Tuck Wah, Mathelda Weni, Teh Sheau Jye, Nurul Ain Abdullah, Laura Tanzini, Clara Cigni, Franco Grimolizzi, Gilberto Bellia
This real-world data evaluation assesses the effectiveness of a hyaluronic acid-based product (Profhilo®, IBSA Farmaceutici Italia, Lodi, Italy) for improving neck skin laxity, firmness, tone, and texture in a satisfaction survey involving 26 patients from Malaysia (n = 9), Singapore (n = 9), and Indonesia (n = 8). Each patient received two treatments: the first at baseline, and the second on Day 30. Using the IBSA Neck Skin Laxity Scale (IBSA NSLS), physicians evaluated photographs of the patients' necks at baseline, Day 30, and Day 90. Before treatment on Day 30 and at the follow-up visit on Day 90, physicians and patients assessed clinical improvement and satisfaction related to skin laxity, firmness, and texture. After each treatment, the patients recorded their pain level using a visual analogue scale. The mean IBSA NSLS grades for all patients significantly decreased from 3.08 at baseline to 2.12 at follow-up (p < .0001). At Day 90, the most frequent response from all participants was that their neck laxity and skin firmness and tone was either improved or much improved and their skin texture was very much improved. Following the injections, the patients reported low to moderate pain levels. In this real-world satisfaction survey involving patients from Malaysia, Singapore, and Indonesia, the physicians concluded that Profhilo® was an effective and well tolerated treatment for improving neck skin laxity, firmness, tone, and texture in patients of varying ages, genders, and baseline skin laxity and wrinkle severity.
{"title":"Patient Satisfaction Using Hybrid Cooperative Complexes of Hyaluronic Acid for Neck Laxity: A Survey of Asian Populations.","authors":"Lam Bee Lan, Leo Kah Woon, Siew Tuck Wah, Mathelda Weni, Teh Sheau Jye, Nurul Ain Abdullah, Laura Tanzini, Clara Cigni, Franco Grimolizzi, Gilberto Bellia","doi":"10.1097/PSN.0000000000000609","DOIUrl":"10.1097/PSN.0000000000000609","url":null,"abstract":"<p><p>This real-world data evaluation assesses the effectiveness of a hyaluronic acid-based product (Profhilo®, IBSA Farmaceutici Italia, Lodi, Italy) for improving neck skin laxity, firmness, tone, and texture in a satisfaction survey involving 26 patients from Malaysia (n = 9), Singapore (n = 9), and Indonesia (n = 8). Each patient received two treatments: the first at baseline, and the second on Day 30. Using the IBSA Neck Skin Laxity Scale (IBSA NSLS), physicians evaluated photographs of the patients' necks at baseline, Day 30, and Day 90. Before treatment on Day 30 and at the follow-up visit on Day 90, physicians and patients assessed clinical improvement and satisfaction related to skin laxity, firmness, and texture. After each treatment, the patients recorded their pain level using a visual analogue scale. The mean IBSA NSLS grades for all patients significantly decreased from 3.08 at baseline to 2.12 at follow-up (p < .0001). At Day 90, the most frequent response from all participants was that their neck laxity and skin firmness and tone was either improved or much improved and their skin texture was very much improved. Following the injections, the patients reported low to moderate pain levels. In this real-world satisfaction survey involving patients from Malaysia, Singapore, and Indonesia, the physicians concluded that Profhilo® was an effective and well tolerated treatment for improving neck skin laxity, firmness, tone, and texture in patients of varying ages, genders, and baseline skin laxity and wrinkle severity.</p>","PeriodicalId":74460,"journal":{"name":"Plastic and aesthetic nursing","volume":"45 3","pages":"163-172"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12316115/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144593124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01Epub Date: 2025-07-09DOI: 10.1097/PSN.0000000000000652
Kristi Elliott
{"title":"Celebrating 50 Years of Innovation, Inspiration, and Community!","authors":"Kristi Elliott","doi":"10.1097/PSN.0000000000000652","DOIUrl":"10.1097/PSN.0000000000000652","url":null,"abstract":"","PeriodicalId":74460,"journal":{"name":"Plastic and aesthetic nursing","volume":"45 3","pages":"131"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144593109","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 : 2025-07-01Epub Date: 2025-07-09DOI: 10.1097/PSN.0000000000000611
Raymond Wu, Jovian Wan, Kyu-Ho Yi
The aging process changes the youthful facial contour from heart-shaped to triangular. Lower face rejuvenation and jawline contouring procedures can help prevent or reduce these changes. Traditional approaches for lower face rejuvenation and jawline contouring include surgical facelifts; however, using less invasive procedures to achieve these outcomes is becoming increasingly popular. This article introduces the L-Lift, a novel technique for jawline contouring in Southeast Asians. The L-Lift involves administering sequential calcium hydroxylapatite injections along the lower border of the mandible and subzygomatic arch (lateral cheek) depression. We present three cases that demonstrate its efficacy and safety. In all cases, the L-Lift effectively improved jawline contour and reduced jowls. The patients were highly satisfied, and the results were still evident when they presented for their follow-up appointments. The L-Lift provides subtle rejuvenation, does not lead to an overly masculine appearance, and aligns with regional aesthetic preferences. Notably, patients with severe facial sagging may require alternative interventions. Tailoring treatments to patient needs is crucial for obtaining optimal results.
{"title":"The L-Lift: A Novel Technique for Jawline Contouring Using Calcium Hydroxylapatite in Southeast Asians.","authors":"Raymond Wu, Jovian Wan, Kyu-Ho Yi","doi":"10.1097/PSN.0000000000000611","DOIUrl":"10.1097/PSN.0000000000000611","url":null,"abstract":"<p><p>The aging process changes the youthful facial contour from heart-shaped to triangular. Lower face rejuvenation and jawline contouring procedures can help prevent or reduce these changes. Traditional approaches for lower face rejuvenation and jawline contouring include surgical facelifts; however, using less invasive procedures to achieve these outcomes is becoming increasingly popular. This article introduces the L-Lift, a novel technique for jawline contouring in Southeast Asians. The L-Lift involves administering sequential calcium hydroxylapatite injections along the lower border of the mandible and subzygomatic arch (lateral cheek) depression. We present three cases that demonstrate its efficacy and safety. In all cases, the L-Lift effectively improved jawline contour and reduced jowls. The patients were highly satisfied, and the results were still evident when they presented for their follow-up appointments. The L-Lift provides subtle rejuvenation, does not lead to an overly masculine appearance, and aligns with regional aesthetic preferences. Notably, patients with severe facial sagging may require alternative interventions. Tailoring treatments to patient needs is crucial for obtaining optimal results.</p>","PeriodicalId":74460,"journal":{"name":"Plastic and aesthetic nursing","volume":"45 3","pages":"180-183"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144593129","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 : 2025-07-01Epub Date: 2025-07-09DOI: 10.1097/PSN.0000000000000649
Sharon Ann Van Wicklin
{"title":"Preventing and Treating Blindness From Dermal Fillers.","authors":"Sharon Ann Van Wicklin","doi":"10.1097/PSN.0000000000000649","DOIUrl":"10.1097/PSN.0000000000000649","url":null,"abstract":"","PeriodicalId":74460,"journal":{"name":"Plastic and aesthetic nursing","volume":"45 3","pages":"142-149"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144593125","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}