Aesthetic Surgery Journal

Traditional plication techniques have been ineffective in addressing the anterior midface when compared to the sub–superficial musculoaponeurotic system (SMAS) “deep plane” approaches. However, by moving the plication much closer to the mobile medial fat tissues, a more effective and long-lasting plication can be accomplished without releasing the SMAS layer.⁠
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Objectives⁠
The authors’ “Delta facelift” approach combines a rotation vertical advancement of the midface fat with a dual-vector platysmaplasty and deep cervicoplasty as indicated for a harmoniously youthful neck.⁠


🔗Read the paper: https://doi.org/10.1093/asj/sjad283

Editorial from the May issue: "Private Equity and Plastic Surgery"

🔗Read the paper: https://doi.org/10.1093/asj/sjad360

Three-dimensional facial stereophotogrammetry, a convenient, noninvasive and highly reliable evaluation tool, has in recent years shown great potential in plastic surgery for preoperative planning and evaluating treatment efficacy. However, it requires manual identification of facial landmarks by trained evaluators to obtain anthropometric data, which takes much time and effort. Automatic 3D facial landmark localization has the potential to facilitate fast data acquisition and eliminate evaluator error.

Objectives
The aim of this work was to describe a novel deep-learning method based on dimension transformation and key-point detection for automated 3D perioral landmark annotation.

🔗Read the paper: https://doi.org/10.1093/asj/sjae103

Our special Digital Editions for ASJ/ASJ Open Forum won the APEX Award of Excellence: Electronic Media - Electronic Publications.

🔗Access the Digital Editions HERE: https://digital.kwglobal.com/publication/?m=70528&l=1&view=issuelistBrowser&ver=html5

"The Mastoid Crevasse and 3-Dimensional Considerations in Deep Plane Neck Lifting"

🔗Read the paper: https://doi.org/10.1093/asj/sjad321

The volume and position of the buccal fat pad (BFP) change with age, which manifests as a hollow midface. Previous studies showed that autologous fat grafting for BFP augmentation could effectively ameliorate midfacial hollowing.⁠
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Objectives⁠
The aim of this study was to introduce a modified fat grafting technique for female patients with midfacial hollowing to restore the volume of BFP, and to evaluate the safety and effectiveness of this approach.⁠

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🔗Read the paper: https://doi.org/10.1093/asj/sjad214
🔗Read the Commentary: https://doi.org/10.1093/asj/sjad284

NEW Thematic issue available! The South Korean Thematic Issue introduces the unique anatomical characteristics and appropriate surgery and procedures for Asians, which have been explored by Korean authors through meticulous and rigorous scientific methods.

🔗Read HERE: https://academic.oup.com/asj/pages/south-korean-thematic-issue

“Prejuvenation,” a practice gaining enormous popularity among younger adults, can largely attribute its explosive growth to TikTok. The authors investigated the reliability and actionability of prejuvenation-related TikTok content.

🔗Read the paper: https://doi.org/10.1093/asj/sjad347

We want to congratulate the authors of "Brazilian Butt Lift–Associated Mortality: The South Florida Experience," the winners of the APEX Award of Excellence for the Writing - Editorial & Advocacy category!

🔗Read the paper: https://doi.org/10.1093/asj/sjac224

Hyaluronic acid (HA) fillers are the most popular filler agents for skin rejuvenation. Although 1,4-butanediol diglycidyl ether is regarded as a relatively safe cross-linker, it still exhibits certain cytotoxicity.

Objectives
The authors presented an amino acid–cross-linked HA (ACHA) which was obtained by an amidation reaction with lysine and HA. This study aimed to investigate ACHA's efficacy and safety for skin augmentation and rejuvenation.

Read the paper: https://doi.org/10.1093/asj/sjad169

Minimally invasive procedures that deliver thermal energy to subcutaneous tissue offer a solution when deciding between excisional and noninvasive options to address face and neck aging-related changes. A minimally invasive helium plasma device, Renuvion, was first utilized for subdermal tissue heating to reduce skin laxity under an FDA general clearance for cutting, coagulation, and ablation of soft tissue.⁠
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Objectives⁠
The purpose of this study was to demonstrate the safety and effectiveness of the helium plasma device for improving the appearance of loose skin in the neck and submental region.⁠
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🔗Read the paper: https://doi.org/10.1093/asj/sjad055

Evidence-based medicine underpins medical and surgical practice, with level of evidence (LOE) being a key aspect that allows clinicians and researchers to better discriminate the methodological context by which studies are conducted and appropriately interpret their conclusions, and more specifically the strength of their recommendations.

Objectives
The aim of this study was to reassess the LOE of articles published in plastic surgery journals.

🔗Read the paper: https://doi.org/10.1093/asj/sjae041

The suspensory ligamentous system of the p***s supports the p***s when erect and plays a key role during coitus. These ligaments, which are prone to injury during coitus, are clinically important in pe**le reconstruction procedures.

Objectives
The current study investigated the macro- and microanatomy of the suspensory ligamentous system of the p***s to determine the origin, course, insertion, dimensions, and tissue composition of these ligaments, knowledge of which is vital for successful pe**le reconstruction procedures.

🔗Read the paper: https://doi.org/10.1093/asj/sjad376

What are the contemporary trends in antiseptic rinse use in primary breast implant surgery based on Australian Breast Device Registry (ABDR) data, and do these trends align with the suggestions of the 14-point plan?

🔗Read the paper: https://doi.org/10.1093/asj/sjad351
🔗Read the Commentary: https://doi.org/10.1093/asj/sjae100

We're honored to announce that the ASJ/ASJ Open Forum YouTube Channel won an APEX Award of Excellence.

Access our YouTube channel HERE: https://www.youtube.com/user/ASJOnline

Reducing absorption after autologous fat grafting is a current challenge. Pyrroloquinoline quinone (PQQ) is the strongest known catalyst of redox reactions, which can scavenge reactive oxygen species (ROS) and alleviate oxidative stress.

Objectives
The aim of this study was to establish an in vivo model of PQQ-assisted lipotransfer and clarify the role of PQQ in reducing oxidative stress, alleviating apoptosis, and promoting angiogenesis during the acute hypoxic phase after grafting. In addition the study was performed to assess whether this intervention would have a positive effect on the improvement of long-term volume retention.

🔗Read the paper: https://doi.org/10.1093/asj/sjad282

Postrhytidectomy hemifacial paralysis is a frightening clinical condition affecting the proximal facial nerve and most often associated with Bell's palsy. Associated symptoms are common and include auditory, salivary, vestibular, and gustatory complaints.

Objectives
The aim of the study was to provide increased awareness of postrhytidectomy hemifacial paralysis secondary to Bell's palsy in the plastic surgery community.

🔗Read the paper: https://doi.org/10.1093/asj/sjad337

The authors analyzed the microbiological profile of ni**le flora of breast cancer patients who underwent an implant-based immediate breast reconstruction after a total mastectomy and evaluated the association of ni**le bacterial flora with postoperative complications.

🔗Read the paper: https://doi.org/10.1093/asj/sjae021

Gluteal augmentation with autologous fat transfer is one of the fastest growing aesthetic surgical procedures worldwide over the past decade. However, this procedure can be associated with high mortality from fatal pulmonary fat embolism events caused by intramuscular injection of fat. Ultrasound-guided fat grafting allows visualization of the transfer in the subcutaneous space, avoiding intramuscular injection.

Objectives
The aim of this study was to assess the safety and efficacy of gluteal fat grafting performed with ultrasound-guided cannulation.

🔗Read the paper: https://doi.org/10.1093/asj/sjad377

The popularity of labiaplasty has increased over the last decade and patients consistently report high levels of satisfaction with outcomes. Specifically, patients generally experience improved sexual satisfaction, but there is very limited research on the impacts on intimate relationships more broadly, even though these experiences are often crucial to women's lives.

Objectives
The aim of this study was to conduct an in-depth qualitative exploration of the impacts of labiaplasty on intimate relationship quality. Qualitative semistructured telephone interviews were conducted with adult women (n = 15), who had undergone labiaplasty between 1 and 72 months previously (mean [standard deviation], 28.1 [24.3] months). Participants were asked about any perceived changes to their intimate relationships and how labiaplasty may have influenced those changes (if any). Thematic analysis of the transcribed interview data was performed.

🔗Read the paper: https://doi.org/10.1093/asj/sjad380

Based on the previous anatomy of the inner canthus region, the authors proposed and described a simple epicanthoplasty for correcting moderate and severe epicanthal fold.

🔗Read the paper: https://doi.org/10.1093/asj/sjae004

Laser hair removal (LHR) is one of the most requested cosmetic procedures worldwide. A rare side effect is the appearance of excess hair around previously treated areas, known as paradoxical hypertrichosis.

Objectives
The aim of this study was to retrospectively identify the cause of this side effect.

🔗Read the paper: https://doi.org/10.1093/asj/sjae018

TikTok is a powerful and popular source of patient education. However, the lack of content regulation raises concerns about the spread of medical misinformation.

Objectives
We aimed to analyze the source, content, quality, and reliability of TikTok posts focusing on surgical and nonsurgical cosmetic treatments for men.

🔗Read the paper: https://doi.org/10.1093/asj/sjad350

Breast implant–associated anaplastic large cell lymphoma (BIA-ALCL) is a type of non-Hodgkin lymphoma first linked with breast implants in 2011. The correlation between BIA-ALCL and textured devices has led to increased use of smooth devices. However, much of the data surrounding smooth and textured devices investigates breast implants specifically and not tissue expanders.

Objectives
We performed a systematic review and a meta-analysis to compare surgical outcomes for smooth tissue expanders (STEs) and textured tissue expanders (TTEs).

🔗Read the paper: https://doi.org/10.1093/asj/sjad319
🔗Read the Commentary: https://doi.org/10.1093/asj/sjad366

With the rising toll of the opioid crisis, oculoplastic surgeons have been looking at methods to decrease opioid prescription.

Objectives
The aim of this study was to identify factors that correlate with opioid usage after oculoplastic surgery.

🔗Read the paper: https://doi.org/10.1093/asj/sjae014

The aim of this article was to provide a primer for plastic surgeons on , LLM, and , including an analysis of current demonstrated and proposed clinical applications.

🔗Read the paper: https://doi.org/10.1093/asj/sjad260

"A Systematic Review of the Efficacy and Safety of Tranexamic Acid in Facelift Surgery"

🔗Read the paper: https://doi.org/10.1093/asj/sjad213

Implant-based breast reconstruction is associated with increased risk of early infection and late-stage capsular contracture.

Objectives
We evaluated the feasibility of a dual drug–releasing patch that enabled the controlled delivery of antibiotics and immunosuppressants in a temporally and spatially appropriate manner to the implant site.

🔗Read the paper: https://doi.org/10.1093/asj/sjae008

"Silicone Shell Breast Implants in Patients Undergoing Risk-Reducing Mastectomy With a History of Breast-Conserving Surgery and Adjuvant Radiotherapy: A Long-term Study"

Indications for breast-conserving surgery and adjuvant radiotherapy (BCSAR) in patients with breast carcinoma are increasing, as are indications for risk-reducing mastectomy (RRM) in healthy subjects. Most of these cases are reconstructed with silicone shell breast implants (SSBIs).

Objectives
The aim of this work was to study complications of SSBIs in breast reconstruction in patients undergoing RRM with previous BCSAR.

🔗Read the paper: https://doi.org/10.1093/asj/sjad300