Aesthetic Plastic Surgery最新文献

Bromhidrosis significantly impacts individuals' social, professional, and emotional well-being. Traditional treatments such as en bloc excision and alcohol injections are now less favored due to associated complications and suboptimal outcomes. Current evidence identifies botulinum toxin A (BTX-A) as the first-line treatment for mild to moderate cases (Grade 0-2), attributed to its high efficacy, excellent safety profile, and minimally invasive nature. BTX-A achieves effectiveness rates exceeding 90%, with results persisting for 3-8 months. A standardized grading system guides treatment selection, reserving surgical interventions for severe cases (Grade 3) or situations where BTX-A is contraindicated. Modern surgical approaches, such as hydrosurgery and endoscopic-assisted procedures, have shown improved outcomes and significantly fewer complications compared to traditional methods. Energy-based therapies, including laser, radiofrequency, and microwave treatments, also provide viable alternatives for patients unsuitable for BTX-A, demonstrating documented efficacy and minimal invasiveness. This review proposes an evidence-based treatment algorithm for bromhidrosis management, highlighting the central role of BTX-A while detailing alternative strategies. The framework integrates disease severity assessment, patient preferences, and cost considerations to support optimal clinical decision-making. By adopting this systematic approach, clinicians can enhance treatment selection and improve patient outcomes.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 .

Introduction: Non-surgical alternatives to rhinoplasty are gaining interest but, despite its popularity, research on the long-term psychological impact and post-rhinofiller patients' satisfaction is limited. This study evaluates patient-reported satisfaction and quality of life immediately after and 6 months post-non-surgical rhinoplasty using the FACE-Q questionnaire.

Patients and methods: This prospective study was conducted from May 2023 to March 2024, involving 83 patients who underwent rhinofiller treatments for esthetic purposes. The FACE-Q questionnaire, assessing satisfaction with facial appearance, psychological function, and specific satisfaction with the nose, was administered before treatment, immediately after, and six months post-procedure. Statistical analyses compared pre- and post-treatment scores.

Results: Sixty-six patients fully responded to the FACE-Q questionnaire. Significant improvements were noted in satisfaction with facial appearance, psychological function, and specific satisfaction with the nose immediately after treatment (p < 0.05). Six months post-treatment, improvements were slightly reduced according to natural filler resorption. Nevertheless, this decrease was not statistically significant, meaning that the overall satisfaction was maintained after the procedure.

Conclusions: Rhinofiller significantly enhances patient satisfaction and quality of life, with effects lasting much more than 6 months. In literature, this is the first article in which rhinofiller efficacy, durability and its impact on patient psycho-physical well-being are demonstrated through a validated method. The FACE-Q assessments confirm that rhinofiller is a viable, less invasive alternative to traditional rhinoplasty, offering substantial psychosocial benefits. Further research with larger samples and different populations is recommended to validate these findings and expand understanding of rhinofiller's long-term impact.

Level of evidence ii: 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 .

Introduction: Cosmetic breast surgery encompasses a variety of procedures aimed at enhancing breast appearance and is increasingly popular globally. Despite this trend, the acceptance of such surgeries among Saudi women approaching menopause remains understudied. This research aims to explore the attitudes and perceptions toward cosmetic breast surgery in this demographic, considering cultural and religious influences in Saudi Arabia.

Methods: This cross-sectional study involved 3094 Saudi women aged 18 to 45 years, reached via an online survey distributed from March to April 2024. Data collection focused on demographics, past surgical history, and attitudes towards cosmetic surgery. Statistical analysis was conducted using Pearson's Chi-squared test to identify factors influencing the acceptance or refusal of breast cosmetic procedures.

Results: A majority (71%) of participants indicated they were unlikely to consider cosmetic breast surgery as they approach menopause, citing concerns over potential risks and religious reservations. Women with prior surgical experiences and higher educational levels showed a greater openness to these procedures. The findings suggest significant roles for physical appearance and societal pressures in shaping attitudes, though many express contentment with their natural body, aligning with cultural and religious norms favoring natural beauty.

Conclusion: The study underscores a complex interplay between cultural, religious, and personal factors influencing the decision-making process regarding cosmetic breast surgery among Saudi women. As cosmetic procedures become more prevalent, understanding these factors is crucial for healthcare providers to offer culturally and ethically appropriate guidance and support. Further research is needed to explore these attitudes as women actually reach menopause, providing deeper insights into the long-term trends in perceptions of cosmetic 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 .

Background: Congenital hypoplasia of the depressor labii inferioris muscle can lead to Asymmetrical crying facies(ACF). The objective of this research was to examine the alterations in both static and dynamic facial symmetry following the resection of the depressor labii inferioris on the healthy side through an intraoral approach.

Methods: Patients exhibiting palsy of the depressor labii inferioris muscles were included in the study. smile modiolus angle, excursion, and exposure of teeth were assessed on both sides before and after resection of the depressor labii inferioris using Emotrics photographic analysis.

Results: Thirty-six patients were included. Before the resection of the depressor labii inferioris, the modiolus excursion of the closed-mouth smile is significantly asymmetric (p = 0.001), and after the operation, it becomes symmetric (p= 0.185). The change of symmetry with modiolus angle and teeth exposure in an open-mouth smile are the most significant. The surgery can turn the obvious skew lip (p<0.0001) into an almost symmetrical (modiolus angle: p = 0.321; teeth exposure: p = 0.368) expression. The teeth exposure significantly reduced on the healthy side (p<0.01).

Conclusions: ACF patients have asymmetry both in closed-mouth and open-mouth smiles. Resection of the depressor labii inferioris muscle offers a treatment that rapidly improves the symmetry of closed-mouth and open-mouth smiles.

Level of evidence ii: 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: Studies on acceptance of cosmetic surgery may not be cross-culturally invariant, but little is known about it in non-Western populations. Therefore, it is necessary to develop cross-cultural research on it.

Methods: 230 international students in China aged 18-27 years (M = 21.69, SD = 1.93) participated in the questionnaire investigation. We conducted difference tests, correlation, multiple regression, and mediation model analysis.

Results: The study shows that (a) there were no significant differences in acceptance of cosmetic surgery among international students in China by demographics; (b) higher acceptance of cosmetic surgery scores was significantly positively correlated with objectified body consciousness and sociocultural attitudes towards appearance influenced by media; (c) objectified body consciousness, that is, perceptions of and reactions to one's body as the object of others' gaze, was not only the first predictor of acceptance of cosmetic surgery among international students in China but also a mediating variable between sociocultural attitudes towards appearance and acceptance of cosmetic surgery.

Conclusions: It suggests that to intervene international students in China to have a correct attitude towards cosmetic surgery and promote their physical and mental health, we should not only pay attention to changes in the social culture but also focus on their objectified body consciousness. This study is a powerful supplement to the existing cross-cultural research on acceptance of cosmetic surgery, which provides necessary references for universities and colleges about the mental health education and management of international students in China.

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 .

Introduction: Continued interest in the optimization of recovery in aesthetics has led to the exploration of adjunctive therapies. Hyperbaric oxygen therapy (HBOT) serves as one such therapy that may have an impact in this field. HBOT is hypothesized to improve ischemia, reduce swelling, and minimize secondary hypoxic tissue damage. Its application in aesthetic procedures aims to improve healing, reduce downtime, and enhance the overall quality of outcomes.

Methods: A systematic review was performed, searching the PubMed database. The protocol was developed following the Preferred Reporting for Items for Systematic Reviews-Protocols (PRISMA) guidelines. Included studies evaluated the use of HBOT in aesthetic surgery, medicine, and longevity and anti-aging. Selected studies matched predetermined criteria according to the employed intervention and outcomes.

Results: The systematic review was performed in April 2024, with the primary search yielding 591 articles. Abstract review resulted in 53 articles of potential relevance. Comprehensive review of the articles and manual reference checks was performed, independently, by two authors. This yielded a total of 15 articles meeting inclusion criteria.

Conclusions: HBOT may serve a valuable adjunct in aesthetic surgery, medicine, and anti-aging. However, the evidence to support its use, and justify its cost, is limited. This review serves as an update, capturing the currently available literature on HBOTs use in aesthetics, and provides the first discussion of HBOTs role in anti-aging. It underscores the need for future large-scale, randomized trials with standardization of HBOT protocols being employed to allow for full assessment of HBOTs utility in this clinical space.

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: Oncoplastic surgery for breast cancer patients poses the challenge of achieving optimal aesthetic outcomes without increasing the risk of complications. Omental flap has emerged as n reconstructive option in breast surgery, yet the efficacy and safety of large omental flaps remain uncertain. This study aims to conduct a systematic review and single-arm meta-analysis to comprehensively evaluate the effectiveness, safety, and cosmetic outcomes of large omental flap breast reconstruction, providing updated evidence for clinical practice.

Methods: We systematically searched Embase, PubMed, Cochrane Library, and CNKI databases until August 2023. Studies were screened using inclusion and exclusion criteria. The quality of each study was evaluated with the Newcastle-Ottawa Scale. Meta-analysis was performed using R version 4.2.0.

Results: A total of 22 studies with 1031 patients were reviewed and analyzed. Meta-analysis results showed that hematoma and seroma rate were 4.1% (95%CI 0.8-8.8, P < 0.01). The pooled cosmetic outcomes demonstrated excellent rate 56.7% (95%CI 46.4-69.3, P < 0.01), good rate 7.9% (95%CI 3.9-11.9, P < 0.01), fair rate 28.7% (95%CI 19.9-37.5, P < 0.01). The pooled blood loss was 110.74 ml (95%CI: 72.33-149.14, P = 0), hospital stays was 7.27 (95%CI 5.65-8.89, P < 0.01), the time of omental flap harvest was 65.63 min (95%CI 59.95-71.32, P < 0.01), the time for surgery was 240.87 min (95%CI 5.65- 8.89, P = 0).

Conclusions: This meta-analysis indicates that the omental flap in breast reconstruction is safe and effective with good cosmetic outcomes and a low incidence of complications. The study highlights the benefits of comprehensive assessment, warranting further investigation through high-quality studies and long-term follow-up.

Level of evidence iii: 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: Human ear growth continues beyond puberty, resulting in ears that are typically approximately 10 millimeters (mm) larger in older individuals compared to their younger counterparts. Not only is the overall growth of the ear an indicator of age, but also the disproportionate growth of its parts. The largest part, the concha, shows the slowest growth rate, while the smallest part, the earlobe, shows the greatest growth rate. Thus, over time, the net increases in the scapha, concha, and earlobe become nearly equal. Therefore, it is appropriate to make approximately equal reductions from each unit in order to restore a youthful balance to the ear.

Method: Aged and large, but otherwise normal, ears were selected for use of the "rule of threes" technique. This technique involves reducing the height of each of the three units (scapha, concha, and earlobe) by approximately 3 mm. Depending on individual needs, reductions were also applied to two units or just one unit as necessary. Adjustments in reduction amounts were made for previously disproportionate ears.

Patients and results: A total of 32 ears from 16 patients were included in the study. Scapha reduction was performed on six patients, scapha and concha reduction on five patients, combined (including earlobe) reduction on two patients, and isolated earlobe reduction on three patients. All patients were followed up for at least 6 months. The planned reduction target was achieved in all cases, resulting in balanced youthful ears. Two skin sloughs in the earlobe, one requiring revision, and bilateral hypertrophic scarring behind the earlobe were observed in one case.

Conclusion: The described ear reduction technique yields satisfactory results when performed with precision. Each ear should be assessed individually, allowing for some flexibility rather than strict adherence to the proposed amounts of reduction. Care must be taken not to disrupt the blood supply to the ear structures. Achieving harmony at junction lines requires careful planning and meticulous technique.

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.