Aesthetic Plastic Surgery最新文献

Background: The primarily self-employed aesthetics healthcare sector frequently overlooks key issues concerning maternity leave and the return-to-work (RTW) process. These are areas that significantly impact aesthetic clinicians, predominantly women. This study explores the effects of maternity leave on aesthetic clinicians, an area previously unexplored in the literature. It examines the challenges encountered during the RTW process and identifies critical elements for a successful RTW scheme.

Methods: Female aesthetic clinicians from the UK participated in one-on-one semi-structured interviews. Participants were female doctors, dentist or nurses who perform non-surgical facial aesthetics and had at least one child during their aesthetic career. The interviews, conducted with an interview guide, explored: experiences of maternity leave, challenges of returning to work, and perspectives on an ideal RTW scheme. Interviews were recorded, transcribed verbatim and anonymised. They underwent reflexive thematic analysis by two independent researchers. Interviews were conducted until thematic saturation was reached.

Results: Participants (n=8) took an average of 2.6 months of maternity leave, which was influenced by economic factors, client retention concerns and botulinum toxin treatment scheduling. Returning to work presented obstacles such as breastfeeding, psychological struggle and staying updated. Participants unanimously agreed there was no formal guidance and informal networks played a crucial role. RTW scheme should prioritise mentorship, support and a system of maternity cover that safeguards against client attrition.

Conclusion: RTW in aesthetics has not been examined previously. This research contributes new insights into a RTW process in aesthetics, highlighting the need for tailored support structures within this predominantly self-employed sector.

Level of evidence v: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

The objective of this paper is to respond to the comment regarding "Text-to-Video Models and Sora in Plastic Surgery: Pearls, Pitfalls, and Prospectives" and to provide further explanation on the opinions discussed therein. The emergence of text-to-video models, like Sora, allows us to see more vivid examples of artificial intelligence applied to life. The development of new technologies, like text-to-video models, needs to be recognized, questioned, regulated, and upgraded. We believe that the current problems of text-to-video models can be solved in the orderly development of the future, and the professional version of text-to-video models for practitioners in different industries will be more convenient for the liberation of productivity and the dissemination of corresponding professional knowledge.Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Background: The increasing popularity of Large Language Models (LLMs) in various healthcare settings has raised questions about their ability to provide accurate and reliable information. This study aimed to evaluate the informational value of Large Language Models responses in aesthetic plastic surgery by comparing them with the opinions of experienced surgeons.

Methods: Thirty patients undergoing three common aesthetic procedures-dermal fillers, botulinum toxin injections, and aesthetic blepharoplasty-were selected. The most frequently asked questions by these patients were recorded and submitted to ChatGpt 3.5 and Google Bard v.1.53. The answers provided by the Large Language Models were then evaluated by 13 experienced aesthetic plastic surgeons on a Likert scale for accessibility, accuracy, and overall usefulness.

Results: The overall ratings of the chatbot responses were moderate, with surgeons generally finding them to be accurate and clear. However, the lack of transparency regarding the sources of the information provided by the LLMs made it impossible to fully evaluate their credibility.

Conclusions: While chatbots have the potential to provide patients with convenient access to information about aesthetic plastic surgery, their current limitations in terms of transparency and comprehensiveness warrant caution in their use as a primary source of information. Further research is needed to develop more robust and reliable LLMs for healthcare applications.

Level of evidence i: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors  www.springer.com/00266 .

Background: The scroll ligament provides support to the internal and external valve, and its repair in rhinoplasty provides good functional and aesthetic results. In this study, it was aimed to repair the scroll ligament complex by leaving cartilage in the nasal skin envelope, and clinical results were shared.

Patients and methods: 216 patients who underwent closed preservation rhinoplasty with modified low septal strip septoplasty were included in the study. A 10 x 1 mm of cartilage is left in the nasal skin envelope at the midpoint of the cranial part of the lateral crus of the LLC, leaving it as a guide to repair the scroll ligament complex in the anatomically correct place. Demographic data, complications, revision surgeries, follow-up periods and satisfaction of the patients were analyzed retrospectively.

Results: Residual humps were observed in 2 patients. Inferior turbinate hypertrophy was observed in 4 patients. In 1 patient, total septal reconstruction was performed. Two hundred and three patients were evaluated the results as poor, moderate, good and very good. One hundred and sixteen patients rated the functional outcome as very good, 80 patients as good, 4 patients as moderate and 3 patients as poor. One hundred and twenty-eight patients rated the aesthetic result as very good, 72 as good and 3 as moderate.

Conclusion: Repairing the scroll ligament complex provides both internal and external valve support, better redraping and eliminating the dead space. Leaving cartilage on the nasal skin envelope as a guide helps to repair the scroll ligament complex in the anatomically correct place at the end of the surgery.

Level of evidence iv: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors  www.springer.com/00266 .

Objective: To evaluate the safety profile of using tutoplast-processed fascia lata (TPFL) as a graft material in patients undergoing both primary and revision rhinoplasty.

Methods: PubMed, CENTRAL, Scopus, Web of Science, and EMBASE were searched. Eligible studies were evaluated for bias using the National Institutes of Health (NIH) assessment tool for cohort studies. Our safety outcomes included the incidence of graft resorption, infection, graft displacement, dorsal irregularity, overcorrected dorsal augmentation, and revision rates. Data were pooled as event rate (%) with a 95% confidence interval (CI) using STATA software.

Results: Nine studies, comprising 827 patients, were included. Eight studies were evaluated with a low risk of bias, and one study had a moderate risk of bias. The pooled proportion analysis demonstrated a low graft resorption rate (event rate = 2.64%, 95% CI [0.69%, 5.62%]), infection rate (event rate = 0.30%, 95% CI [0.02%, 0.83%]), dorsal irregularity rate (event rate = 0.96%, 95% CI [0.09%, 2.51%]), graft displacement rate (event rate = 0.45%, 95% CI [0.07%, 1.12%]), overcorrected dorsal augmentation rate (event rate = 1.29%, 95% CI [0.39%, 2.65%]), and revision rate (event rate = 3.99%, 95% CI [1.82%, 6.90%]).

Conclusion: This meta-analysis of 827 patients demonstrated that TPFL has a favorable safety profile in both primary and revision rhinoplasty, with low complication and revision rates. TPFL, whether used alone or in combination with cartilage, is a viable graft option for dorsal augmentation and enhancing nasal dorsum contour.

Level of evidence i: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors  www.springer.com/00266 .

Background: Lower pole constricted breasts, part of the spectrum of tuberous breast deformities, significantly impact patients' self-esteem and body image. To address the complexity and variety of clinical presentation of this type of deformity, a wide assortment of different surgical approaches has been proposed. The authors sought to determine the effectiveness of high-cohesivity silicone gel texturized anatomical implants in correcting lower pole constricted breast, emphasizing implant choice and the role of implant features on patient outcomes.

Methods: The study retrospectively analyzed data from 468 Caucasian female patients treated from March 2009 to July 2022 for type I and II tuberous breast deformities. Surgical correction involved the use of extensive radial and horizontal scoring to release lower pole strictures and high-cohesiveness microtextured anatomical implants placement in a subfascial pocket. Major and minor complications during the follow-up were recorded.

Results: Implant volume ranged from 260cc to 495cc with an average of 345cc. We report minimal major complications (Baker grade III-IV capsular contracture 4.2%, implant rotation 1.4%) within a mean follow-up time of 60 months. Further implant-related complications including bottoming out, double-bubble deformity, and wrinkling were not observed.

Conclusions: The selected surgical approach for correcting lower pole constricted breasts using high-cohesivity silicone gel texturized anatomical implants proves to be effective, offering predictable and satisfying outcomes for patients. The surgical approach, combining anatomical implant characteristics with precise lower pole expansion techniques, yielded stable, esthetically pleasing results that positively impacted patients' quality of life.

Level of evidence iv: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors  www.springer.com/00266 .

Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors   www.springer.com/00266 .