Subjects -> BEAUTY CULTURE (Total: 22 journals)
    - BEAUTY CULTURE (20 journals)
    - PERFUMES AND COSMETICS (2 journals)

BEAUTY CULTURE (20 journals)

Showing 1 - 19 of 19 Journals sorted alphabetically
Achiote.com - Revista Eletrônica de Moda     Open Access  
American Journal of Cosmetic Surgery     Hybrid Journal   (Followers: 9)
Australian Advanced Aesthetics     Full-text available via subscription   (Followers: 4)
Corps et culture     Open Access   (Followers: 4)
Critical Studies in Fashion & Beauty     Hybrid Journal   (Followers: 14)
Dress     Hybrid Journal   (Followers: 13)
Fashion and Textiles     Open Access   (Followers: 20)
Flavour and Fragrance Journal     Hybrid Journal   (Followers: 5)
Ground Breaking     Open Access   (Followers: 1)
Instyle     Full-text available via subscription   (Followers: 1)
International Journal of Cosmetic Science     Hybrid Journal   (Followers: 11)
Materiali di Estetica     Open Access  
Media, Culture & Society     Hybrid Journal   (Followers: 47)
Mind Culture and Activity     Hybrid Journal   (Followers: 10)
Parallax     Hybrid Journal   (Followers: 11)
Professional Beauty     Full-text available via subscription   (Followers: 8)
Science as Culture     Hybrid Journal   (Followers: 13)
The Rose Sheet     Full-text available via subscription   (Followers: 2)
Transactions of the Burgon Society     Open Access   (Followers: 2)
ZoneModa Journal     Open Access   (Followers: 2)
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American Journal of Cosmetic Surgery
Number of Followers: 9  
 
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 0748-8068 - ISSN (Online) 2374-7722
Published by Sage Publications Homepage  [1166 journals]
  • Analysis of Facial Muscle Depths to Guide Botulinum Toxin Therapy of the
           Periocular Region

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      Authors: Arian S. Mowlavi, Rebecca L. Van Alstine, Mariam Berri, Samar Arshad, Michael Ablavsky, Swapnil Kachare, Bradon J. Wilhelmi
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      Purpose:Botulinum toxin (BTX) injections are used in cosmetic surgery to efface facial wrinkles. Botulinum toxin relaxes the muscle by preventing the release of the neurotransmitter acetylcholine at the neuromuscular junction located at the posterior muscle surface causing local muscle paralysis. The purpose of this study is to provide anatomic knowledge of muscle belly depths of the frontalis, corrugator supercilii, procerus, and orbicularis oculi muscles in an attempt to improve the efficacy of BTX treatment of glabellar, forehead, and lateral eyelid rhytides.Methods:Six-millimeter punch biopsies were obtained from 7 fresh cadavers. Biopsies were taken from the corrugator supercilii, frontalis, procerus, and orbicularis oculi muscles at the sites of routine BTX injection. Specimens were fixed in formalin, and representative H&E-stained sections were used to measure muscle surface depths by light microscopy equipped with digital camera that includes a digital micrometer. One-way analysis of variance test analyses were used to identify statistical differences between measured muscle depths.Results:The measured anterior muscle depth of the corrugator supercilii, frontalis, procerus, and orbicularis oculi was found to be 4.2 ± 0.6, 3.9 ± 0.6, 2.9 ± 0.4, and 2.3 ± 0.7 mm, respectively. The anterior muscle surface of the corrugator supercilii and frontalis was found to be deeper than that of the procerus and orbicularis oculi (P < .001). The posterior surface depth of the corrugator supercilii, frontalis, procerus, and orbicularis oculi was found to be 6.6 ± 0.8, 5.1 ± 0.7, 4.9 ± 0.7, and 3.8 ± 1.0 mm, respectively. The posterior surface depth of the corrugator supercilii was found to be significantly deeper than that of the frontalis, procerus, and orbicularis oculi (P < .001); the posterior surface depth of the frontalis and procerus was deeper than that of the orbicularis oculi (P < .001). The muscle belly width of the corrugator supercilii, frontalis, procerus, and orbicularis oculi measured 2.5 ± 0.9, 1.1 ± 0.4, 2.0 ± 0.6, and 1.5 ± 0.5 mm, respectively. The corrugator supercilii was found to be thicker than the frontalis and orbicularis oculi, while the procerus was found to be thicker than the frontalis (P < .001).Conclusion:The findings above demonstrate statistical differences in the posterior muscle surface depth of the corrugator supercilii, frontalis, procerus, and orbicularis oculi which can be used clinically to improve BTX injection efficacy when used to efface facial rhytides.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-10-07T08:47:18Z
      DOI: 10.1177/07488068211047086
       
  • Corrigendum to “Ten Women Cosmetic Surgeons Comment on Their Cosmetic
           Fellowship Experiences”

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      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.

      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-10-05T09:37:13Z
      DOI: 10.1177/07488068211051437
       
  • Book Review: Textbook of Plastic, Reconstructive and Aesthetic Surgery
           Volume VI by Kuldeep Singh, Lokesh Kumar, Anil K. Garg, Rakesh Kalra, and
           K. Ramchandran

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      Authors: Jane Petro
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.

      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-09-28T12:03:18Z
      DOI: 10.1177/07488068211045519
       
  • Single-Staged Mastopexy With Augmentation: A Retrospective Review of 260
           Patients in a Single Surgeon Practice

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      Authors: Nalin Dayal, Joseph Castellano
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      Mastopexy has become a widely popularized procedure across the country over the last 20 years. Women have seen the benefits of various forms of breast lifts to correct breast ptosis. While older teachings focused on mastopexy and augmentation as separate, staged procedures, many centers now perform both simultaneously. Our center primarily performs mastopexy procedures with simultaneous augmentation with implants, and we reviewed 260 patient charts to examine complications when compared to mastopexy alone. Complications reviewed include the following: hematoma formation, incision openings, and revision surgeries. Our data showed only minor rates of hematoma formation, incision openings, and revision surgeries with a negligible difference between the 2 groups. Patients in both groups overall had few surgical complications. Patients undergoing mastopexy with simultaneous augmentation had similar rates of complications when compared to patients with mastopexy alone. Many previously believed that simultaneous augmentation with mastopexy would place too much tension on the mastopexy incisions due to the rapid breast volume increase. However, with no significant changes in complications between the groups, it is clear that surgical technique and planning has improved to allow this to be a safely performed single-staged procedure. Overall, we had minimal complications and show that mastopexy with simultaneous augmentation is safe for patients who desire these procedures.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-09-20T04:45:08Z
      DOI: 10.1177/07488068211043740
       
  • Evaluation of Neurotoxin and Filler Injection Training in Otolaryngology
           Residency

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      Authors: Robert T. Cristel, Alexander J. Caniglia
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      Introduction:Residency training courses are fundamental to an Otolaryngology (ENT) residency curriculum. Neurotoxin and filler injections have become common during ENT residency, and the outcomes of training courses have not been previously evaluated. We hypothesize that after participating in the course, resident knowledge, skill, and likelihood of using neurotoxin and filler injections in future practice will significantly improve.Materials and Methods:A prospective study was designed among ENT residents undergoing neurotoxin and filler injection educational training courses from April 2019 to November 2020. After the completion of the course and injections, residents completed a self-evaluation to assess their level of knowledge and skill level with neurotoxin and filler injections.Results:The mean number of neurotoxin and filler injections besides within the course was 1.67 and 0.33, whereas during the course was 3.39 (P = .008) and 1.39 (P = .0009), respectively. Resident knowledge, skill, and likelihood of using neurotoxin and filler injections in future practice all significantly improved (P < .05). This study found that a biannual training course for neurotoxin and injectable fillers was an effective strategy at improving resident knowledge, skill, and likelihood of use in future practice.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-09-18T11:42:48Z
      DOI: 10.1177/07488068211043980
       
  • Combining Aesthetic Septorhinoplasty With Bioabsorbable Implants for Nasal
           Valve Insufficiency

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      Authors: Scott Bueno, Blake Nguyen Lam, Mohammed Al-Obaidi, Thomas Schlieve
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      This case report demonstrates the usage of a bioabsorbable nasal implant (BNI) in conjunction with an aesthetic septorhinoplasty. The authors uniquely chose to use this allograft due to inadequate autologous tissue secondary to previously performed temporomandibular joint arthroplasties. In addition to evaluating our case of a 22-year-old woman who received a BNI with an aesthetic septorhinoplasty, the authors performed a comprehensive literature review on the topic. Spanning 3 databases (Scopus, PubMed, and Cochrane), this review revealed 4 primary studies, totaling 349 patients. Each utilized nasal obstruction symptom evaluation (NOSE) scores to subjectively measure symptomatic improvement. We chose to use the NOSE questionnaire on our patient both preoperatively and postoperatively, in order to help demonstrate subjective improvement. The patient’s functional and aesthetic concerns were addressed in the operating room at Parkland Memorial Hospital under general anesthesia. Notably, the patient had previously had conchal cartilage harvested bilaterally, had insufficient septal cartilage for adequate grafting, and did not desire to undergo costal cartilage harvest. Therefore, all parties agreed to use a BNI to complete the functional component of the patient’s septorhinoplasty. This day-surgery first focused on the aesthetic septorhinoplasty followed by the placement of the BNI bilaterally. Following an uneventful postoperative course, our patient endorsed not only an aesthetic improvement but also an 88% functional improvement based on her NOSE score within 4 months of surgery. The authors were able to successfully integrate functional as well as aesthetic septorhinoplasty techniques under the constraints of having both limited autologous tissue and limited accepted options from the patient. For the patient and provider team, this newer allograft was confirmed to be effective and efficient. With the correct patient selection, this is an excellent adjunct procedure that can be quickly and safely performed either in conjunction with surgical rhinoplasty or as a standalone procedure by facial surgeons.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-09-15T05:47:24Z
      DOI: 10.1177/07488068211044027
       
  • The Effect of Extended SMAS Face-lift on Earlobe Ptosis and Pseudoptosis

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      Authors: Allison Altman, Zachary Sin, Erik Dan Tran, Jeanie Nguyen, Arian Mowlavi
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      In this study, we explore the changes in the earlobe segments following an extended superficial musculoaponeurotic system (SMAS) face-lift and neck lift. We proposed to delineate the effect of the cheek and neck skin tension vectors on the earlobe based on the amount of excised skin length. A retrospective study identified patients who underwent extended SMAS rhytidectomy performed by the senior author (A.M.) at the Cosmetic Plastic Surgery Institute (CPSI) from 2017 to 2020. A total of 34 North American Caucasians, who had preoperative and postoperative photographs available for comparison, were evaluated. Preoperative and postoperative cephalic (the distance from the intertragal notch to the otobasion inferius, abbreviated as I to O) and caudal earlobe segment (the distance from the otobasion inferius to the subaurale, abbreviated as O to S) heights were collected. The change from the postoperative to preoperative measurements was calculated. The effects of the degree of cheek skin (superior ear [SE]) and neck skin (mastoid peak [MP]) excision lengths were then determined by comparing the change in I to O and O to S. The postoperative attached cephalic segment (15.94 ± 1.02 mm) increased significantly compared with the preoperative attached cephalic segment (12.99 ± 1.03 mm). The postoperative free caudal segment (3.62 ± 0.81 mm) decreased significantly compared with the preoperative free caudal segment (5.44 ± 0.95 mm). The SE median was found to be 3.0 cm and the MP median was found to be 3.5 cm. I to O increased by 3.85 mm for SE ≤3.0 cm compared with only 1.57 mm for SE >3.0 cm. O to S decreased by 2.79 mm for SE ≤3.0 cm compared with only decrease of 0.14 mm for SE >3.0 cm. I to O increased by only 1.67 mm for MP < 3.5 cm. O to S decreased less dramatically by 0.55 mm for MP ≤3.5 cm compared with decrease of 2.39 mm for MP >3.5 cm. These data demonstrate that more aggressive SE >3.0 cm cheek excision lengths resulted in a protective effect on decreasing the free caudal segment of the earlobe. More aggressive excisions of the cheek demonstrate a protective effect on preserving the free earlobe caudal segment, whereas more aggressive neck skin excisions result in higher propensity for loss of the free earlobe caudal segment. In our study, we demonstrate findings observed with clinical observations that a face-lift and neck lift will result in increase in the attached cephalic earlobe segment height (I to O) and a decrease in caudal free earlobe segment height (O to S). These findings may assist plastic surgeons when trying to fine-tune the earlobe aesthetics during face-lift and neck lift. If the patient has a small free hanging earlobe, the more aggressive pull on the cheek flap will result in less reduction in the earlobe hang.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-08-19T09:11:59Z
      DOI: 10.1177/07488068211039054
       
  • Modified Breast Band Improving the Postoperative Breast Augmentation and
           Reconstructive Experience

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      Authors: Arian Mowlavi, Bryce Bash, Shea Skenderian, Zachary Sin
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      Superior displacement of implants is a common complication in the early postoperative period following breast augmentation surgery. Postoperative breast bands are used during the first 4 weeks to optimize breast implant position following breast augmentation and reconstructive procedures. Although currently available breast bands are effective in maintaining implants in an inferior position, they have been observed to irritate the armpit region. We hypothesized that a modified breast band geometry with cut outs to accommodate the armpit region would provide equal maintenance of desired implant position while providing improved postoperative comfort. Forty patients who underwent breast augmentation and/or reconstruction were randomly assigned to receive either the traditional breast band or the modified cut out designed breast band following surgery for 4 weeks. Patients rated their breast bands on a 1 to 10 scale regarding (1) comfort, (2) appearance, and (3) overall satisfaction at their routine postoperative visits at 1, 2, and 4 weeks following surgery. The modified breast band scored higher for all factors at 1, 2, and 4 weeks following surgery. The traditional band demonstrated decreasing scores for comfort and overall satisfaction when compared at 4 weeks versus 1 week. There was no change in the modified breast band scores for comfort, appearance, nor overall satisfaction over the same time period. This study of 40 patients found that the modified band provides equally effective maintenance of implants in a desired position without compromising comfort and appearance. Patients who used the modified band had a better experience with the band comfort, appearance, and overall satisfaction in comparison to the traditional band. The higher ratings for the cut out band for comfort, appearance, and overall satisfaction were consistent from week 1 to 4. In contrast, the traditional band not only scored lower in comfort, appearance, and overall satisfaction compared to the modified band but also demonstrated significant decrease in the patients’ ratings for comfort and overall satisfaction for the traditional band from week 1 to 4. This study supports the conclusion that a modified cut out breast band design provides an equally effective maintenance of implants in a desired position without compromising comfort, appearance, and overall satisfaction when compared to the traditional band.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-08-13T07:04:36Z
      DOI: 10.1177/07488068211032731
       
  • Power-Assisted High Definition Liposuction in Male Patients With or
           Without VASER: Comparison of Seroma Formation

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      Authors: Roland Böni, Paul von Waechter-Gniadek
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      In power-assisted high definition liposuction (PA-HDL), large areas of the body surface are treated, followed by superficial aspiration along definition lines between muscle groups. Both factors can contribute to seroma formation. The purpose of this study was to evaluate if the use of vibration amplification of sound energy at resonance (VASER) prior to PA-HDL would increase the frequency of seroma formation. In this retrospective study, 164 male patients underwent PA-HDL with (n = 82) or without VASER (n = 82). No drains were used. Lymphatic drainage was performed in all patients. Seroma formation was determined by physical examination 1 and 2 weeks postoperatively. The incidence of seroma was 11% (n = 9) in the group with VASER treatment prior to PA-HDL, and 4.9% (n = 4) in the group without previous VASER use. The difference was statistically not significant (P > .05). The most frequent area of seroma formation was at the lower part of the linea semilunaris. PA-HDL has an increased risk of seroma formation, which in our series was mainly located at the lower part of the linea semilunaris. VASER treatment prior to PA-HDL showed a tendency to further increase the risk of seroma formation in an open drainage—no-drains technique, albeit the difference was not statistically significant.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-07-31T07:08:59Z
      DOI: 10.1177/07488068211032456
       
  • A Retrospective Study to Evaluate the Efficacy of a Plasma Energy System
           (Renuvion) in the Management of Skin Laxity to Improve Tightening at the
           Time of Standard Liposuction of the Arms

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      Authors: Angelo Cuzalina, Pasquale G. Tolomeo
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      The aim of this study was to determine the efficacy of cool atmospheric plasma (Renuvion/J-plasma) in promoting skin tightening and soft tissue contouring following liposuction of the upper extremities. The study was a retrospective review of upper extremity liposuction with associated Renuvion therapy performed by the same surgeon. Patients were made aware of Renuvion therapy to assist with skin laxity and offered adjunctive treatment following liposuction. While a majority of patients elected to have Renuvion therapy performed bilaterally, a small subset of patients elected for unilateral treatment. This subset of patients pursued delayed treatment on the control side. The inclusion criteria for the study included patients with moderate fat excess of the upper extremity with associated mild to moderate cutaneous laxity. Exclusion criteria for the study included severe medical comorbidities, body mass index greater than 35 kg/m2 and those below the age of 30. The study included 5 female patients between the ages of 46 to 52. The method of treatment was liposuction of the bilateral upper extremities with removal of equal proportions of fat. The recipient site for Renuvion treatment was randomly selected by the study coordinator; the surgeon and clinical staff remained blinded to the selection. Following treatment, the patients were evaluated at 1 week, 6 weeks, and 6 months postoperatively to assess surgical outcomes subjectively. The surgeon and clinical staff were unblinded at the final visit. Patients were evaluated based on subjective criteria and photographic evaluation at each postoperative visit. At the 1-week visit, no significant differences were noted in all subjects. At the 6-week visit, two patients demonstrated improved results to the treatment site when compared with the control site. At the 6-month visit, four out of the five patients demonstrated a significant improvement in contour and laxity at the treatment site when compared with the control site. One patient demonstrated equal results on both treatment and control sites with no major abnormalities. Following the final evaluation, the patients underwent a secondary procedure to the control site with Renuvion to obtain similar results as the recipient site. One patient demonstrated equal results on both test and control sites with no major abnormalities. The use of plasma energy via Renuvion in conjunction with liposuction has demonstrated esthetic results with proposed long-term benefits. The plasma energy device, as an adjuvant therapy, may be beneficial in cases where liposuction alone may not address tissue laxity concerns. Additional studies with a larger sample size, objective criteria, and extended follow-ups are necessary to statistically analyze the results and determine its significance.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-07-29T10:01:19Z
      DOI: 10.1177/07488068211031096
       
  • Readability Analysis of Online Patient Educational Materials on
           Blepharoplasty

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      Authors: Manish J. Patel, Parth V. Shah, Stuti P. Garg, Robert T. Cristel
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      Blepharoplasty is a common procedure for correction of eyelid appearance. Online educational material among surgical procedures is often written higher than the recommended fifth-grade level. The objective of this study is to evaluate the readability of online patient education materials (OPEMs) available on Google for patients interested in blepharoplasty. Using 6 different pre-established readability scores, the top 100 Google results on blepharoplasty were screened for analysis. A total of 87 OPEMs were found to be relevant yielding an average grade reading level of 11.90 (range 7-20; 95% confidence interval [CI], 11.45-12.33). In addition, OPEMs readability scores were not influenced by whether the author was a medical provider. This study demonstrated the average reading level for available information on blepharoplasty is higher than the recommended fifth-grade reading level. Readability is only one metric for evaluating comprehendible information; however, authors of online medical education need to be more conscious of the public’s ability to comprehend and should tailor their content delivery appropriately.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-07-10T06:21:02Z
      DOI: 10.1177/07488068211028344
       
  • High Eyelid Crease Deformity in Asians: A Clinical Evaluation and
           Corrective Strategies

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      Authors: Preamjit Saonanon
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      The aim of this study was to describe the manifestations of post-blepharoplasty high eyelid crease patients and to propose steps of clinical evaluation and corrective operations. High eyelid crease patients were categorized into 3 groups, including pre-existing ptosis (PP), surgical induced levator compromised (SI), and high eyelid crease alone (HC), based on their MRD1 and signs of compromised levator muscle. The primary outcomes were the type and success rate of the operative techniques. The secondary outcomes were the complications. A total of 131 patients were enrolled, 7 males and 124 females, with an average age of 39.7 years. The mean scar height in the HC, SI, and PP groups were 10.4 ± 2.2, 12.8 ± 2.6, and 9.0 ± 2.0 mm, respectively. The scar height in the SI group was statistically differently higher than the other groups (mean: 1.7 mm, 95% CI: [0.91, 2.43]; P < 0.001). In total, 117 eyes of 67 patients underwent corrective operations with significant lower eyelid fold height and an 83.6% success rate. There were 6 re-operation eyes, 5 in the SI group and 1 in the PP group. High blepharoplasty incision scar can lead to surgical induced levator compromise and ptosis. Systematical evaluation and optimal corrective operations are needed to achieve targeted outcome.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-06-29T11:48:56Z
      DOI: 10.1177/07488068211026719
       
  • Safety and Satisfaction in High-Definition Power-Assisted Liposculpture in
           Men Under Local Anesthesia

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      Authors: Paul von Waechter-Gniadek, Thomas Kündig, Pål Johansen, Roland Boeni
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      In high-definition liposculpture (HDL), the body is shaped in such a way that an athletic appearance and a defined, contoured look is created. Typical areas in the male patient include arms, pectoralis region, the area over the serratus muscle, lower back, as well as medial and lateral abdomen. This procedure is sometimes combined with fat grafting to areas over the deltoid muscle and/or pectorals. The objective was to evaluate the safety and satisfaction of HDL in a large series of patients using reciprocating power-assisted liposuction under local anesthesia. In this bicenter study, we performed HDL on 82 male patients using reciprocating power-assisted liposuction under tumescent local anesthesia with both lidocaine and prilocaine. No drains were used. Intraoperative and postoperative data were collected, and complication and satisfaction rates were evaluated after 6 months. All overall patients’ satisfaction was high. There were no major complications. Minor complications included seroma (n = 4), and 3 patients required touch-up surgery. There were no side-effects from the anesthesia, and there was no fluid overload. High-definition liposculpture using reciprocating power-assisted liposuction in local anesthesia is a safe procedure with a high satisfaction rate.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-06-22T06:45:36Z
      DOI: 10.1177/07488068211024761
       
  • “Micro Botulinum Toxin” for the Treatment of a Deep Dermal Burn After
           Single IPL and a Second Combined IPL/Nd: YAG Laser Treatment for Skin
           Rejuvenation and Discoloration

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      Authors: Karen Soika
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      Botulinum toxin (BTX) is a neurotoxin derived from the Clostridium botulinum bacterium that inhibits the release of acetylcholine at the neuromuscular junction. Botox is not new, and it has been used for many years to treat a variety of muscular/neuromuscular conditions and now more popularly for cosmetic use. Botulinum toxins use has been experimented in some dermatological conditions, which include Rosacea and facial flushing treatment with positive outcomes. The complex mechanism underlying those results is not completely understood but was proposed that a release inhibition of acetylcholine from peripheral autonomic nerves of the cutaneous vasodilatory system combined with the blockade of substance P and calcitonin gene-related peptide (CGRP), thus modulating vasodilatation of blood vessels as the likely mechanism of action. In cosmetic and aesthetic medicine, thermal burns from laser-type treatments are the number 1 lawsuit in this field. However, seldom are reports shared on management of these patient’s burns. This is a case report of such a patient who had a deep dermal burn after 2 consecutive treatments for the goal of correcting skin discoloration and sun damage.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-06-10T09:29:29Z
      DOI: 10.1177/07488068211012875
       
  • A Hybrid Filler: Combining Calcium Hydroxylapatite and Hyaluronic Acid
           Fillers for Aesthetic Indications

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      Authors: Jonathan Kadouch, Nabil Fakih-Gomez
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      Limited data are available describing the use of calcium hydroxylapatite (CaHA) and hyaluronic acid (HA) in combination. The aim of this study is to investigate the safety of premixing CaHA and HA fillers before injection. The authors performed a retrospective chart review of patients injected with a premixed combination of CaHA and a cohesive polydensified matrix (CPM®) HA in the authors’ aesthetic practices. Patients records were evaluated for adverse events at 1-3 month, 5-7 month and >12-month posttreatment follow-up visits. The retrospective chart review identified 134 patients who had been treated with premixed CaHA: HA, most of whom were female (95%). Most patients were treated for multiple facial areas. Injections were subcutaneous and performed with 25G 38- or 50-mm cannulas, using a fanning injection technique. Injection volumes and product ratios depended on the number of areas being treated and severity of the aesthetic defect. Only 2 adverse events were reported which comprised slight cases of overcorrection at 1-3 months, both of which resolved with hyaluronidase. No other adverse events were reported. This combined evaluation of the published literature and retrospective examination of case reports raised no concerns about the use of premixed CaHA and CPM-HA (Hybrid) fillers for the treatment of a range of facial aesthetic indications.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-05-27T09:17:14Z
      DOI: 10.1177/07488068211016135
       
  • Letter to the Editor: Botulinum Toxin Dilution With Lidocaine

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      Authors: Jorge Schwember, Ariel Kurtzig
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.

      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-05-06T09:47:52Z
      DOI: 10.1177/07488068211012857
       
  • Modified Suture Technique to Improve Cosmetic Appearance and Wound
           Dehiscence in Upper Blepharoplasty

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      Authors: Nabil Fakih-Gomez, Roshini Manay, Andres Bastidas, Ibrahim Fakih-Gomez
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      The objective of the study was to compare wound dehiscence in upper blepharoplasty between the traditional suturing technique and the modified suturing technique in split-face study. A prospective, intrapatient split-face study was conducted from October 2019 to August 2020 in 40 patients who underwent upper blepharoplasty. The incision was made on both eyes, where the left eye received 3 subcutaneous buried sutures (6-0 polyglactin) before interrupted 6-0 nylon skin closure (modified technique), and the right eye underwent skin closure only (traditional technique). At 3 months, the aesthetic results using Hollander wound scale were evaluated by patients and an independent surgeon blinded to the method of closure. The study included 40 patients with an average age of 45 years. At 3 months, 39 patients (97.5%) recorded lateral wound dehiscence on the right eye and 0 patients (0%) on the left eye. The patient was scored 2 on the right eye and 5 on the left eye by the surgeon, whereas the patient scored 3 on right eye and 5.5 on left eye on Hollander wound scale. The modified technique in upper blepharoplasty proved to be a more aesthetically appealing and effective method to achieve a better scar in inverted canoe-shaped incisions with high-tension closure in well-positioned eyebrow.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-05-03T10:07:30Z
      DOI: 10.1177/07488068211010077
       
  • Oculoplastic Surgeons’ Surgical, Clinical, and Management Experiences
           During the COVID-19 Crisis

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      Authors: Natalie A. Homer, Aliza Epstein, John W. Shore, Marie Somogyi
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      During the COVID-19 crisis, the American Society of Ophthalmic Plastic and Reconstructive Surgeons (ASOPRS) recommended cessation of all nonurgent oculofacial services, imparting unprecedented challenges in patient care and practice management. An anonymous survey was performed to assess surgeons’ surgical, clinical, and financial experiences during the COVID-19 restrictions. Results were collected from April 20 to May 1, 2020 and analyzed. A total 112 ASOPRS members participated. A significant majority (81.52%) performed surgeries during the COVID-19 restrictions. Fourteen percent did not allow trainee participation. While operating, 34.41% always wore an N-95 mask. Preoperative patient COVID-19 testing was mandated in 37.21% of practices. Fewer than half of surgeons were required to leave the operating room during intubation. A large majority (88.76%) of ASOPRS members used telemedicine, with most finding the virtual platform to function moderately well (62.92%) for oculofacial evaluations. Senior ASOPRS members were less interested in continuing virtual patient encounters in the future (P = .0130). Nearly all private practice surgeons (95.38%) had applied for federal funding and 83.51% expressed concern about the long-term financial well-being of their practice. ASOPRS surgeons have provided emergency oculofacial patient care during COVID-19, though often without proper safety precautions. New virtual patient evaluation platforms and financial practice hardships have posed additional challenges.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-04-22T05:13:18Z
      DOI: 10.1177/07488068211009062
       
  • Dissection Methods in Abdominoplasty: A Systematic Review and
           Meta-Analysis

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      Authors: Peter Duy Tran, Clement Lam Tsang, Ron Paul Bezic
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      Abdominoplasty is one of the most common cosmetic procedures performed worldwide. Despite recent advances in surgical technique, the risk of complications remains high. The advantages of using various dissection devices as a method of flap elevation in abdominoplasty remains unclear. A systematic search was undertaken to identify studies comparing electrocautery dissection with scalpel dissection and plasma-kinetic energy-based dissection methods in abdominoplasty. A meta-analysis was performed using the selected studies. Seven studies were analyzed. These studies included a total of 1143 patients who underwent abdominoplasty using electrocautery (n = 617), steel scalpel (n = 457), or plasma dissection (n = 69). A meta-analysis was conducted, which showed an overall reduction in incidences of seroma, operative time, and length of hospital stay in the scalpel dissection group compared with the electrocautery group. The plasma dissection group showed a reduction in rate of postoperative wound infection and hematoma, as well as a reduction in drain output and length of hospital stay, compared with the electrocautery group. There are few studies comparing outcomes using different dissection techniques in abdominoplasty. These studies are small and heterogeneous in design. However, using plasma-kinetic energy-based devices or scalpel dissection appears to be associated with reduced complication rates, shorter operative time, lower drain volumes, and a reduction in the length of hospital stay.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-03-22T09:38:05Z
      DOI: 10.1177/07488068211002733
       
  • Facial Cosmetic Surgery in the Post-COVID Era

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      Authors: Elie M. Ferneini, Steven Halepas
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.

      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-03-20T07:22:04Z
      DOI: 10.1177/07488068211001247
       
  • Stress Urinary Incontinence: Treatment With Platelet-Rich-Plasma Injection
           and Placement of Polydioxanone Threads—A Pilot Study

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      Authors: Ariel Luksenburg, Juan J. Barcia, Roberto Sergio, Santiago Fernandez, Marco A. Pelosi, Marco A. Pelosi
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      Stress urinary incontinence is an important clinical problem that affects millions of women worldwide. The aim of this article was the evaluation of a minimally invasive procedure as an alternative treatment for mild urinary stress incontinence in women, using platelet-rich-plasma (PRP) injections and polydioxanone (PDO) threads. A total of 23 patients with mild urinary incontinence, mean age 46, were evaluated with detailed history, examination, urinary diary, complete laboratory tests, ultrasonography, urodynamic studies, and completion of International Consultation on Incontinence Questionaire–Urinary Incontinence Short Form (ICIQ-UI SF). Under local anesthesia, PRP was injected through the anterior vaginal wall, PDO threads placed in paraurethral, suburethral, and lateral urethrovaginal spaces, using instruments developed for safe and effective performance. Patients were analyzed at 1, 2, 4, 8 weeks and 6 months posttreatment. A total of 10 patients were biopsed preoperatively and 60 days after treatment. Symptoms and ICIQ-UI SF score were significantly improved. Postoperative urodynamic studies were normal in all cases. Biopsies after treatment showed a dense connective tissue tridimensional mesh. No complications or adverse effects were observed. All patients declared satisfaction with results, will have the procedure again, and will recommend it. The minimally invasive technique presented here results in strengthening of the paraurethral, suburethral, and lateral urethrovaginal spaces and the mucosa of the anterior vaginal wall. The combination of PRP injections and the placement of PDO threads creates a fibrotic and absorbable mesh-like structure, aimed to increase the urethral resistance, so that under effort the intravesical pressure does not overcome the urethral pressure. These results suggest that the procedure is safe and a cost-effective alternative in patients with mild urinary incontinence, reducing the need for invasive surgical procedures. Larger studies are needed to confirm the results of this study.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-03-08T05:48:24Z
      DOI: 10.1177/0748806821998100
       
  • Ability to Identify External Ear Deformities and Normal External Ear
           Anatomy Based on Year and Specialty of Medical Training

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      Authors: Rahul M. Varman, Kaylee Schrader, Callie Fort, Hannah Daniel, Mhd Hasan Al Mekdash, Joshua Demke
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      The aim of this study was to analyze a potential association between resident training level/specialty type and correct identification of external ear deformities/external ear anatomy. A Qualtrics survey was distributed via email to all pertinent residency programs in the United States. The survey captured specialty type (Otolaryngology, Pediatrics, and Plastic Surgery) and level of training (PGY 1-2 and PGY 3+). The assessment asked residents to identify 10 clinically relevant external ear deformities and 10 normal pinna anatomic subunits. Chi-square tests were used to examine the association between the level of training/specialty type and performance on individual survey items. To examine group performance on overall mean scores of the external ear deformity/external ear anatomy survey, a t-test and factorial analysis of variance (ANOVA) were used. Responses from 105 residents were analyzed. Senior residents (PGY 3+) performed significantly better in correctly identifying Microtia Grade 3, Question Mark ear, and Cryptotia as compared to junior residents (PGY 1-2). Senior residents performed significantly better in the identification of external ear deformities (P = .002) and normal pinna anatomical subunits (P < .001). Otolaryngology and Plastic Surgery residents performed significantly better in the identification of external ear deformities (P < .001) and normal pinna anatomical subunits (P < .001) than Pediatrics. There were no significant interaction effects between the level of training and the specialty type on either ear deformity or normal pinna anatomy identification. Residents had a 34.5% success rate of identifying ear deformities and showed improved confidence in identification when exposed to a digital-based examination. Improved education methods for detection will help with timely correction of ear deformities.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-02-19T09:46:26Z
      DOI: 10.1177/0748806821993681
       
  • Perioperative Skin Conditioning for Patients With Skin of Color

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      Authors: Alix Ferdinand, Suzan Obagi
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      The interest in cosmetic procedures for patients with skin of color is on an upward trend. Globally, dyschromia and hyperpigmentation remain the most common disorders for which patients seek treatment. The goals of a perioperative skin conditioning program include allowing a broad range of patients to be treated regardless of skin phototypes, maximizing results, and reducing risk of complications such as post-inflammatory hyperpigmentation and managing post-inflammatory hyperpigmentation if it occurs. The purpose of this article is to highlight common pigmentation concerns among patients with skin of color, the topical agents used to combat these concerns, and a practical approach to creating an effective yet straightforward topical skin care regimen that can be used across a wide range of patient skin phototypes. Before and after photos of patients with a variety of pigmentation concerns are presented along with a description of the treatment regimen used to improve their conditions and to get their skin to a safer state prior to performing any office-based procedures. By understanding the main concerns of patients with skin of color, one can use a simple and effective skincare regimen to allow these patients to be more safely treated. An effective skincare regimen both prepares the skin prior to procedures and postoperatively to help minimize dyschromias in the postoperative phase.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-02-17T04:59:24Z
      DOI: 10.1177/0748806821989895
       
  • Treatment Outcomes of Facial Rejuvenation With a Novel Hyaluronic Acid
           Filler in Asian Women

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      Authors: Tae In Lee, Won Seok Shim, Jung Heum Park, Kyung Hi Choi, Cheol Jeong, Seung Soo Kim, Tae Seob Kim, Yu Kwan Song
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      We conducted this study to assess the short-term treatment outcomes and safety of facial rejuvenation with the YVOIRE volume plus (LG Chem Ltd., Seoul) in Asian women. In this multicenter, retrospective study, we evaluated a total of 291 women (n = 291) who received a facial rejuvenation with the YVOIRE volume plus. We monitored time-dependent changes in the mean Global Aesthetic Improvement Scale (GAIS) scores at 3, 6, 9, and 12 months. In addition, we estimated the duration of efficacy based on the Kaplan-Meier survival analysis. Furthermore, we analyzed incidences of postoperative complications. Our clinical series of the patients achieved mean GAIS scores of 3.44 ± 0.69 points. There were no significant time-dependent changes in the mean GAIS scores (P > .05). Moreover, the duration of efficacy was estimated at 242.71 ± 17.85 days (95% confidence interval: 228.59-263.44). A total of 37 cases (12.7%) of postoperative complications occurred, all of them were of mild severity. In conclusion, our surgical technique, combined with YVOIRE volume plus, is of significance in that it attempted to address both dynamic and static aspects of the facial rejuvenation. But this deserves further studies using 3-dimensional imaging modalities.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-02-15T07:53:26Z
      DOI: 10.1177/0748806821991422
       
  • Book Review: Suzanne Noël: Cosmetic Surgery, Feminism and Beauty in Early
           Twentieth Century France by Paula J. Martin

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      Authors: Jane Petro
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.

      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-02-13T10:36:40Z
      DOI: 10.1177/0748806821993667
       
  • Women in Cosmetic Plastic Surgery: An Analysis of Female Authorship in
           Cosmetic Plastic Surgery Over the Last 10 Years

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      Authors: Pari Swarnkar, Vikram Sinha, Carole Spake, Joseph Crozier, Ledibabari M. Ngaage, Lauren O. Roussel, Mimi R. Borrelli
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      There is a significant gender gap in research conducted by women in plastic surgery. Previous work has not explored female authorship trends in cosmetic plastic surgery. We asked how authorship trends in cosmetic plastic surgery compare with those in plastic surgery overall, over the last 10 years. All the articles published in Journal of Plastic Reconstructive and Aesthetic Surgery (JPRAS), Facial Plastic Surgery and Aesthetic Medicine (JAMA facial plastics), and Aesthetic Surgery Journal. (ASJ) in 2009, 2014, and 2019 were retrieved. The gender of the first and last author was determined. In addition, article type and total number of authors were extracted. Chi-square or Fisher exact test were performed to determine differences between groups Linear regression models were used to investigate whether total number of authors, or female last authorship predicted female first authorship. A total of 4358 articles were reviewed. Of these, 16.6% (n = 723) were published by a female first and/or last author. Percent of female first and/or last author increased with time, from only 12.2% in 2008, to 15.9% in 2014, reaching 21.7% in 2019. A total of 25% (n = 181) of randomized controlled trials were published by a female first and/or last author compared with only 14% (n = 440) of case studies. Female first and last authorship both increased across the 10-year study period, but there were consistently more female first authors than female last authors in all 3 surveyed years (P < .001). There was an 86% increased chance of female first authorship if the last author was also female (P < .001), and a 7% increased likelihood of female first authorship (P = .002). Women have a lower representation in the cosmetic plastic surgery literature than men. This gender disparity gap, however, is decreasing. While encouraging, opportunities for improvement remain.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-02-06T11:42:38Z
      DOI: 10.1177/0748806821991416
       
  • Comparison of Prabotulinumtoxin A to Onabotulinumtoxin A in the Treatment
           of Lateral Canthal Rhytids: A Side-by-Side, Randomized, Double-Blind
           Comparison

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      Authors: Wesley L. Brundridge, Craig N. Czyz, Jill A. Foster, Christopher M. DeBacker, David E. E. Holck
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      Botulinum toxin type A (Onabotulinumtoxin A, Incobotulinumtoxin A, Abobotulinumtoxin A) has been successfully used in the treatment of lateral canthal rhytid (crow’s feet) reduction. Prabotulinumtoxin A is a newer medication that has been shown to have efficacy for the treatment of upper limb spasticity and improvement in moderate to severe glabellar lines. This study evaluated the onset of action, maximal effect, duration of action, and side effect profile for Prabotulinumtoxin A compared with Onabotulinumtoxin A in the treatment of crow’s feet. A total of 18 subjects aged 25 to 60 without a previous history of neuromuscular disorders, eyelid surgery, or botulinum toxin type A injections were included. Patients received 3 injections of botulinum toxin in the crow’s feet area on each side. Each side received 4U/.1cc of Prabotulinumtoxin A or Onabotulinumtoxin A at each site for a total of 12U/.3cc. The surgeon was masked to the serotype injected. The subjects had their lateral canthal areas photographed in relaxed and smiling positions preoperatively, daily from postinjection days 1 to 4, and weekly thereafter for a total of 12 weeks. Two masked oculoplastic surgeons were given the preoperative photos and postinjection photos and graded them on a scale of 0 to 3 (0 = no wrinkles, 1 = minimal wrinkles, 2 = moderate wrinkles, 3 = significant wrinkles). All subjects tolerated the injections well with no significant side effects or complications. The average onset of action was 3.47 days (1-14) for Onabotulinumtoxin A and 3.81 (1-14) for Prabotulinumtoxin A. The average time to peak effect was 11.11 days (1-56) for Onabotulinumtoxin A and 9.58 days (2-42) for Prabotulinumtoxin A. The average duration of action with improvement compared with baseline crow’s feet was 11.22 weeks (7-12) for Onabotulinumtoxin A and 11.11 weeks (6-12) for Prabotulinumtoxin A. Treatment of crow’s feet lines with Prabotulinumtoxin A achieves a comparable efficacy and safety profile compared with Onabotulinumtoxin A at a 1:1 dose. Therefore, Prabotulinumtoxin A can be used as another option in the treatment of crow’s feet.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-02-05T12:06:56Z
      DOI: 10.1177/0748806821989882
       
  • Trading Osteoplasty for Osteotomy in an Attempt to Achieve a Rapid
           Recovery Rhinoplasty

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      Authors: Dominick J. Gadaleta, Anna Frants, Benjamin C. Paul, David Rosenberg
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      Nasal bone lateral osteotomies are a critical component of open and closed rhinoplasty. Lateral osteotomies represent the most traumatic component of rhinoplasty and contribute to significant edema and ecchymosis in the periorbital region. We believe that lateral osteotomies are often performed more frequently than necessary. The senior author of this article has significantly decreased the number of lateral osteotomies that he performs during rhinoplasty and instead advocates for the use of osteoplasty with a rasp when appropriate to narrow and shape the bony dorsum without forming a wide flat open-roof deformity. This study is a retrospective chart review of 239 patients who underwent rhinoplasty with the senior author. Almost half of the patients (44%) did not undergo osteotomies. The revision rate is less than 1% (2 patients). Avoidance of lateral osteotomies in carefully selected patients can offer a more appealing “rapid recovery rhino,” which is characterized by decreased edema, swelling, and faster recovery time with less limitations on postoperative restrictions.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-02-05T09:44:26Z
      DOI: 10.1177/0748806821991427
       
  • Comparative Study of Intradermotherapy With Pressurized Injection System
           and Needles

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      Authors: Rafaella Rêgo Maia, Rodrigo Marcel Valentim da Silva, Patrícia Froes Meyer, Eneida de Morais Carreiro, Fábio dos Santos Borges, Joyce Rodrigues, Stephany Luanna Queiroga Farias, Generina Temoteo de Oliveira Varela
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      Intradermotherapy allows for treatment of different aesthetic conditions. Currently, it can be applied in its conventional form using needles or using the pressurized technique. The sample consisted of 35 women with adiposity located in the abdominal region. The volunteers were randomly assigned to 3 subgroups: G1 (n = 12) who were subject to the pressurized technique and the conventional technique with needles using only saline substance, with 6 volunteers in each application mode; G2 (n = 9), who received pressurized application using Concept Ti Liporedutor (lipolytic substance); and G3 (n = 14), who were treated with the needle injection technique, with the same substance used in G2. All groups received 4 treatment sessions with 2-week intervals between them. The analysis of the fat layer conducted 90 days after the initial application demonstrated a significant reduction in measurements in the treated groups, and also when compared with the control group, both for ultrasound, perimetry, and plicometry (only right side) data. Despite the effectiveness of the 2 application techniques, the pressurized method showed superior results. Hyperemia and skin marks were among the adverse reactions reported by the groups, but they showed quick resolution. It is noteworthy that most of the volunteers in the treated groups evaluated the results positively and were satisfied with the treatment. The intradermotherapy protocol with lipolytic substance significantly reduced the fat layer, with more evident results when using the pressurized application method.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-02-03T10:34:36Z
      DOI: 10.1177/0748806821990167
       
  • Nonsurgical Rhinoplasty: A Technical Note

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      Authors: Ian S. Lehrer, Joe Niamtu
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      Cosmetic facial surgery procedures and therapies have continued to evolve with an emphasis on minimally invasive techniques with a shorter recovery time. We present a how-to guide for nonsurgical rhinoplasty including the use of different hyaluronic acid fillers. We provide examples of before and after patient photos as well as photos demonstrating our technique. This technical note highlights the popular concept of minimally invasive nasal contouring using dermal fillers. As such, we provide a brief overview of different dermal fillers that can be used for this application, potential problems and complications, as well as remedies. Dermal fillers have become an entry point into cosmetic surgery for many patients. Our technique of nasal contouring with hyaluronic acid fillers in particular yields safe, effective, and repeatable results.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-02-03T10:32:16Z
      DOI: 10.1177/0748806821990159
       
  • Quality and Reliability of YouTube for Patient Information on Facial
           Fillers

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      Authors: Manish J. Patel, Mit M. Patel, Brittany T. Abud, Robert T. Cristel
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      YouTube proves to be a source of health information for patients. This is the first study to analyze the source reliability and educational value of YouTube videos on facial filler treatments. On August 12, 2020, YouTube.com was queried using the keywords “facial filler” or “dermal filler” or “fillers.” A total of 100 were initially reviewed in which 74 videos met the inclusion criteria and were included in the final analysis. Video characteristics were recorded, and each video was graded for source reliability and educational value by using the Journal of the American Medical Association (JAMA) benchmark criteria and the Global Quality Score (GQS), respectively. Furthermore, each video was assessed to determine whether there was discussion of 5 different topics that were deemed to be useful to patients prior to undergoing a facial filler treatment. A total of 74 videos met the inclusion criteria and had an average length of 436 seconds (7 minutes and 16 seconds), 146 805 views, 1906 likes, 73 dislikes, and 241 comments. Forty-five videos (61%) were posted with an intention to educate patients, whereas 29 videos (39%) were posted with an intention to describe a patient’s experience with facial filler treatment. Patient education videos were found to have a significantly higher educational value (PGQS < .001). Patient experience videos showed no difference in reliability score (PJAMA > .05) to patient education videos, but patient experience videos were found to have lower educational value compared with patient education videos (PGQS < .001). In addition, both categories are not providing sufficient information for informed decision-making prior to treatment deemed by the 5 selected categories we found most informative. As patients will continue to seek educational material online, clinicians should use this information to help primarily educate patients with standardized and accurate information about their treatment.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-02-01T11:05:13Z
      DOI: 10.1177/0748806821991408
       
  • Successful Treatment of Refractory Atopic Dermatitis With the Use of
           High-Peak Power 1064 nm Nd:YAG Laser Therapy

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      Authors: Mistica LaBrasca, Simone Stalling, Georgann Anetakis Poulos, Suzan Obagi
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      Atopic dermatitis is a chronic inflammatory skin disease involving the complex association of genetic, immunologic, and environmental causes. Until recently, the treatment of eczematous processes was limited to the use of topical corticosteroids, systemic immunosuppressants, and controlling environmental triggers. Photobiotherapy offers a promising approach to the management of atopic dermatitis. Photobiotherapy is the clinical application of light for healing superficial wounds. We present 2 cases of patients with biopsy-proven, long-standing, poorly controlled atopic dermatitis successfully treated with a high-peak power 1064-nm neodynium:yttrium aluminum garnet (Nd:YAG) laser. Over the course of 9 years, each patient continued to undergo periodic laser treatments to maintain control over their disease. Both patients underwent a series of laser using high-peak power treatments with long-pulsed 1064-nm Nd:YAG laser (Cool Glide, Cutera, Brisbane, California) in “photorejuvenation/Genesis mode” over the course of 9 years. Case 1 received 29 treatments over a 9-year period. When financially able to, the patient had 1 treatment a month for 2 to 6 treatments a year. At the very least, she had a treatment during her worst flares. Case 2 received 19 treatments over 9 years with the timing being monthly when possible but with longer intervals between treatments if her disease was not flaring. One patient that was on systemic immunotherapy to control her atopic dermatitis was able to successfully come off this medication early in her treatment, and both patients experienced long-lasting improvement in their symptoms. The dramatic improvement in the skin eruption, symptoms, and quality of life in these patients further supports addition of the 300-µs 1064-nm Nd:YAG laser for the treatment of refractory atopic dermatitis. The authors are using this modality for less severe eczema that is refractory to topical therapies. However, a greater number of patients are needed as well as larger studies to further elucidate the mechanisms of lasers for eczematous processes. If further studies support this modality, it would be a safe alternative to systemic immunotherapies.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-01-29T11:10:00Z
      DOI: 10.1177/0748806821989885
       
  • Female Cosmetic Surgeons: Past and Present Perspectives

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      Authors: Aliza Epstein, Natalie Homer, Alison Watson, Tanuj Nakra, Emily Bratton, Marie Somogyi
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.

      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-01-22T05:12:19Z
      DOI: 10.1177/0748806820988434
       
  • Social Media Filter Use and Interest to Pursue Cosmetic Facial Plastic
           Procedures

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      Authors: Rahul M. Varman, Nicole Van Spronsen, Mia Ivos, Joshua Demke
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      Our aim was to explore the effect of social media face-altering programs on desire for subsequent facial plastic procedures. This was a cross-sectional survey study in two cities, incorporating participants ages 18 to 29 in undergraduate and graduate programs. Demographic and social media–specific factors were descriptively and quantitatively analyzed. Total respondents were n = 398. The use of face-enhancing Instagram filters was associated with subsequent desire to undergo facial plastic procedures (chi-square = 5.04, p < .05). History of prior psychiatric diagnosis was also independently associated with a desire to undergo facial plastic procedures (chi-square = 7.34, p < .05). The use of face-altering software on social media has a significant association with subsequent desire to undergo facial cosmetic procedures. Comorbid psychiatric disorders also independently have a significant effect on the desire to pursue such procedures. Continued studies and elucidation of these factors may benefit the facial plastic surgeon for appropriate counseling and management to optimize patient outcomes.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-01-08T06:14:59Z
      DOI: 10.1177/0748806820985751
       
  • Case of Angular Blepharitis Caused by Demodex folliculorum

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      Authors: Susan Luo, Cat Burkat, Suzanne W. van Landingham
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      Angular blepharitis is inflammation of the eyelid skin at the lateral canthus, most commonly caused by Staphylococcus and Moraxella species. The Demodex mite is an external parasite that often infests the human eyelid margin and has been implicated in both anterior and posterior blepharitis. The authors describe the case of a 43-year-old female who presented for evaluation of a 3-month history of bilateral canthal eyelid irritation, consistent with angular blepharitis. This is a case report and review of relevant literature. Skin biopsy showed evidence of Demodex folliculorum infestation. Multiple D. folliculorum organisms were visualized within the hair follicles and on the surface, along with pockets of acute and chronic nongranulomatous inflammation surrounding hair follicles. The patient was treated with tea tree oil applied to her eyelids and eyelashes twice daily with complete resolution of symptoms. To our knowledge, this is the first report of angular blepharitis with histopathologic confirmation of Demodex infestation. In this discussion, we cover manifestations of the Demodex mite, angular blepharitis, and treatment options. Due to the lack of literature regarding this entity, we feel that it may be an underrecognized periocular and dermatologic condition that can lead to misdiagnosis, visits to multiple practitioners, and significant functional and cosmetic sequelae to the patient. Demodex infestation should be considered on the differential diagnosis for cases of refractory angular blepharitis, particularly when unresponsive to topical steroids. Based on results from treating Demodex anterior and posterior blepharitis and this case, treatment with tea tree oil should be considered.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-01-06T10:33:18Z
      DOI: 10.1177/0748806820985762
       
  • Liposuction of the Neck Using Reciprocating Power Assisted Liposuction

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      Authors: Roland Boeni, Paul von Waechter-Gniadek
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      Neck liposuction in local anesthesia is a minimally invasive technique for fat reduction and skin tightening. The purpose of this study was to evaluate the clinical safety of reciprocating power assisted liposuction (PAL) of the neck. Neck liposuction with PAL was performed on 104 consecutive patients (male = 39, female = 65), and the occurrence of side effects were noted. There were no hematomas and no marginal mandibular nerve dysfunction. Transient alopecia at the site of liposuction was found in 3 out of the 39 male patients. In the hands of an experienced surgeon, reciprocating PAL of the neck is a safe method with a very low complication rate.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-01-06T10:30:17Z
      DOI: 10.1177/0748806820985754
       
  • Combined Upper Blepharoplasty With Upper Eyelid Filler Injection

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      Authors: Mehryar Ray Taban
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      To describe our experience with treating upper eyelid aging with combined upper blepharoplasty and upper eyelid hyaluronic acid gel filler injection. Retrospective analysis of patients with upper eyelid aging (including skin laxity/excess and fat deflation) undergoing combined upper blepharoplasty and upper eyelid hyaluronic acid gel filler injection by one surgeon. Minimum follow-up time was 3 months. Preoperative and postoperative photographs at longest follow-up visit were evaluated by blind observers. Patient satisfaction was recorded using questionnaire and phone call. A total of 40 patients (34 females, 6 males) underwent combined upper blepharoplasty with upper eyelid hyaluronic acid gel filler injection. Mean age was 43 years old (range: 26-75). All patients reported satisfaction with the surgical outcome, with no complications. 6 patients received additional touch-up filler injection postoperatively. One patient underwent additional skin removal. Upper blepharoplasty and upper eyelid hyaluronic acid gel filler injection can be safely and effectively combined together to treat upper eyelid aging for more youthful results.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-01-06T10:28:37Z
      DOI: 10.1177/0748806820985333
       
 
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