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Aesthet Surg J 2019 Apr 18. Epub 2019 Apr 18.

Department of Plastic and Reconstructive Surgery, Shanghai 9th People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Tissue Engineering, Shanghai, China.

Background: Adipose tissue and its derivatives, including adipose-derived stem cells, stromal vascular fraction (SVF), and SVF-gel, have been used in the treatment of many ischemic disorders. However, the use of these products is limited in clinical applications by concerns related to the presence of cells in these derivatives.

Objectives: This study aims to isolate a cell-free fat extract (FE) from fat tissue and to evaluate its proangiogenic ability in vitro as well as its protective effects on skin flap survival in vivo. Read More

Aesthet Surg J 2019 Apr 11. Epub 2019 Apr 11.

Private facial plastic surgery practice in New York, NY.

Background: The vector of SMAS redraping in rhytidectomy is often described in relation to the zygomaticus major muscle, so that suspension prevents distortion of the mimetic musculature and a "facelifted appearance." There is no data describing the true orientation of this muscle in the midface.

Objective: Define the vector of the zygomaticus major muscle relative to the Frankfort horizontal plane. Read More

Aesthet Surg J 2019 Apr 17. Epub 2019 Apr 17.

Dr Goldberg is a Professor of Ophthalmology, David Geffen School of Medicine at UCLA; and Chief, Orbital and Ophthalmic Plastic Surgery Division, UCLA Stein Eye Institute, Los Angeles, CA.

Aesthet Surg J 2019 Apr 17. Epub 2019 Apr 17.

Dr Rosenfield is a Professor of Surgery, Division of Plastic and Reconstructive Surgery, University of California, San Francisco (UCSF), San Francisco, CA; and an Adjunct Clinical Professor, Division of Plastic and Reconstructive Surgery, Stanford University, Stanford, CA.

Aesthet Surg J 2019 Apr 13. Epub 2019 Apr 13.

private practice in Beverly Hills/West Hollywood, CA, and Paradise Valley, AZ.

Aesthet Surg J 2019 Mar 6. Epub 2019 Mar 6.

Private practice in Istanbul, Turkey.

Background: Management of the nasal dorsum is an important part of rhinoplasty. Hump removal results in the destruction of the internal valve and keystone area, which are reconstructed with either spreader flaps or grafts for aesthetic and functional reasons.

Objectives: The goal of this work was to present the dorsal roof technique for both dorsum reduction and narrowing during rhinoplasty. Read More

Aesthet Surg J 2019 Apr 11. Epub 2019 Apr 11.

Hagey Laboratory for Pediatric Regenerative Medicine, Department of Surgery, Division of Plastic Surgery, Stanford University School of Medicine, Stanford, CA.

Background: Breast capsular contracture is a major problem following implant-based breast reconstruction, particularly in the setting of radiation therapy. Recent work has identified a fibrogenic fibroblast subpopulation characterized by CD26 surface marker expression.

Objective: This work aimed to investigate the role of CD26-positive fibroblasts in the formation of breast implant capsules following radiation therapy. Read More

Aesthet Surg J 2019 Apr;39(Supplement_3):S103-S111

ophthalmic plastic surgeon in private practice in Boca Raton, FL.

This paper introduces the concept of "skin bed preparation" prior to surgical procedures. Following the theory of chronic wound bed preparation and adapting the skin model to one of chronic wound changes related to extrinsic and intrinsic factors, a topical formulation aimed at recycling the extracellular matrix (ECM) from accumulated waste products is evaluated and discussed. The clearance of these products and stimulation of new replacements has the potential to change the regenerative milieu of the skin so that when procedures are carried out, cellular signaling and cross-talk at the dermal level are improved and healing is optimized. Read More

Aesthet Surg J 2019 Apr;39(Supplement_3):S112-S119

Plastic and Reconstructive Surgeons, Division of Plastic Surgery, Manhattan Eye, Ear, Throat Infirmary, New York, NY.

Increasingly, patients are seeking minimally invasive methods to tighten skin and remodel adipose tissue. A large treatment gap exists among 3 types of patients: (1) the younger demographic, who increasingly desire soft tissue tightening without traditional operations, scars, and downtime; (2) patients with soft tissue laxity who are not "severe enough" to justify an excisional procedure, but not "mild enough" to rely on liposuction with soft tissue contraction alone; and (3) those with recurrent laxity who already underwent traditional excisional procedures. In these populations, plastic surgeons risk under- or overtreating with traditional methods. Read More

Aesthet Surg J 2019 Apr;39(Supplement_3):S95-S102

plastic surgeon in private practice in Geelong, VIC, Australia.

Background: Although general guidelines are available for established silicone gel breast implants, the unique characteristics of the latest Motiva implants warrant specific guidelines.

Objectives: This study aimed to generate consensus recommendations and summarize expert-based advice to better understand current surgical practices and to establish guidelines for surgeons transitioning from other implant devices to the Motiva implants.

Methods: A survey was compiled by 12 plastic surgeon experts in aesthetic and reconstructive breast surgery and 1 biotechnology scientist, and distributed to 36 plastic surgeons to establish a consensus on the use of these devices. Read More

Aesthet Surg J 2019 Apr;39(5):581-583

Professor of Plastic Surgery, Department of Surgery, Emory University School of Medicine, Atlanta GA.

Aesthet Surg J 2019 Apr 8. Epub 2019 Apr 8.

Department of Plastic Surgery, University of California, Irvine School of Medicine, Irvine, CA.

Background: Preservation Rhinoplasty (PR) is a new chapter in rhinoplasty history. The term was coined by Daniel in 2018 and represents a fundamental change in philosophy.

Objectives: To discuss a single surgeon case series utilizing PR techniques. Read More

Aesthet Surg J 2019 Apr 8. Epub 2019 Apr 8.

Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada.

Background: Despite significant growth of the global skin care market, many plastic surgeons do not offer skin care products through their aesthetic practice. However, skin care products represent a significant potential revenue stream for plastic surgeons, not only by generating revenue from product sales but by improving patient retention over time and, in turn, generating additional surgical and nonsurgical revenue.

Objective: The purpose of this study was to determine the financial implications that skin care sales can have on an aesthetic surgery practice. Read More

Aesthet Surg J 2019 Apr 8. Epub 2019 Apr 8.

Hospital Central Sur de Petróleos Mexicanos, Mexico City, Mexico.

Background: Hyaluronic acid fillers are the second most commonly performed nonsurgical procedure. Arterial thrombosis is their most devastating complication. Recent research shows that along hyaluronic acid thrombi, a platelet/fibrin thrombus forms in the site of injection. Read More

Aesthet Surg J 2019 Apr 6. Epub 2019 Apr 6.

Assistant Professor, Division of Plastic Surgery, Department of Surgery, McMaster University, Hamilton, ON, Canada; and is Evidence-Based Medicine Section Co-editor for Aesthetic Surgery Journal (ASJ).

Aesthet Surg J 2019 Apr 6. Epub 2019 Apr 6.

Washington University School of Medicine, St. Louis, MO.

Background: Staphylococcus epidermidis is a primary cause of breast implant-associated infection. S. epidermidis possesses several virulence factors that enable it to bind both abiotic surfaces and host factors to form a biofilm. Read More

Aesthet Surg J 2019 Apr 5. Epub 2019 Apr 5.

Expert2Expert Group, Paris, France.

Background: PrabotulinumtoxinA is a 900 kDa botulinum toxin type A produced by Clostridium botulinum.

Objective: To investigate the efficacy and safety of prabotulinumtoxinA compared to onabotulinumtoxinA and placebo for the treatment of glabellar lines.

Methods: This was a 150-day, multicenter, double-blind, controlled, single-dose Phase III study. Read More

Aesthet Surg J 2019 Apr 4. Epub 2019 Apr 4.

Aesthet Surg J 2019 Apr 4. Epub 2019 Apr 4.

Department of Plastic Surgery, Korea University College of Medicine, Seoul, Korea.

Background: Paranasal augmentation has been performed commonly using alloplastic materials such as silicone or porous polyethylene. However, there are problems such as bone absorption, implant migration, and infection risk attributable to intraoral approaches.

Objectives: The authors have attempted anterior positioning of the alar crease junction as an adjunct method of rhinoplasty. Read More

Aesthet Surg J 2019 Mar 29. Epub 2019 Mar 29.

Department of Plastic, Reconstructive, Aesthetic and Maxillofacial Surgery, Henri Mondor Hospital, Créteil, France.

Background: High-intensity focused ultrasound (HIFU) is an advanced technology that has been developed in response to the growing demand of noninvasive face rejuvenation.

Objectives: The aim of this study was to evaluate the rejuvenation effects, patient satisfaction, and safety of HIFU treatment of the neck in a European population.

Methods: This was a prospective study of 20 patients. Read More

Aesthet Surg J 2019 Mar 27. Epub 2019 Mar 27.

Clinical Associate Professor, Department of Plastic Surgery, Indiana University School of Medicine, Indianapolis, IN.

Aesthet Surg J 2019 Mar 27. Epub 2019 Mar 27.

Gratis Clinical Faculty Member, Division of Plastic Surgery, University of Louisville, Louisville, KY.

Aesthet Surg J 2019 Mar 20. Epub 2019 Mar 20.

Neurology Development, Ipsen Innovation, Les Ulis, Paris, France.

Background: Safety and efficacy of botulinum toxin A for glabellar line (GL) treatment are well established. Currently approved formulations require reconstitution before injection.

Objective: The authors sought to assess 6-month efficacy, safety, and patient satisfaction of new ready-to-use abobotulinumtoxinA solution for injection (ASI) in patients with moderate-to-severe GL at maximum frown. Read More

Aesthet Surg J 2019 03 20. Epub 2019 Mar 20.

Department of Plastic Surgery, Vanderbilt University, Nashville, TN.

Surgical site infections represent one of the most common postoperative complications in patients undergoing aesthetic surgery. As with other postoperative complications, the incidence of these infections may be influenced by many factors, and varies depending on the specific operation performed. Understanding of the risk factors for the development of these infections is critical since careful patient selection and appropriate perioperative counselling will set the right expectations, and can ultimately improve patient outcomes and satisfaction. Read More

Aesthet Surg J 2019 Mar 20. Epub 2019 Mar 20.

facial plastic surgeon and dermatologist in private practice in Beverly Hills, CA.

Aesthet Surg J 2019 Mar 19. Epub 2019 Mar 19.

Managing Editor of Aesthetic Surgery Journal.

Aesthet Surg J 2019 Mar 16. Epub 2019 Mar 16.

Assistant Clinical Professor of Plastic Surgery, University of California at Los Angeles School of Medicine, Los Angeles, CA.

Aesthet Surg J 2019 Mar 18. Epub 2019 Mar 18.

Plastic Surgeon at King Edward VII Hospital, London, UK.

Aesthet Surg J 2019 Mar 16. Epub 2019 Mar 16.

Private practice in Genova and Milano, Italy.

Background: Chronic, long-lasting edema accompanied by the Tyndall effect as a delayed reaction to hyaluronic acid (HA) filler injection seems to occur exclusively in the eyelids.

Objectives: To present a treatment algorithm for management of patients with chronic lower eyelid edema as a delayed complication of HA filler injection.

Methods: Retrospective study including 61 patients with delayed-onset chronic periocular edema following uneventful HA filler injection in the lower eyelids or cheeks. Read More

Aesthet Surg J 2019 Mar 15. Epub 2019 Mar 15.

Division of Plastic Surgery, Department of Surgery, University of Kentucky, Lexington, KY.

Background: Direct comparison studies of outcomes and aesthetic satisfaction of anatomic implants compared to other implants are scarce in the literature.

Objectives: The objective of this study is to compare outcomes and aesthetic satisfaction of patients who underwent breast reconstruction with anatomic implants vs other implants (smooth round silicone).

Methods: A retrospective chart review was performed of patients who underwent implant-based breast reconstruction over 3 years. Read More

Aesthet Surg J 2019 Mar 15. Epub 2019 Mar 15.

Division of Dental and Maxillofacial Surgery, G.B. Rossi Hospital and Medical University of Verona, Piazzale L.A. Scuro, Verona, Italy.

Background: Canthopexies can be performed to modify the eye slant, both when the lateral canthus is lower than the medial one (congenital defect) or in case the patient asks for an almond-shaped eye (cosmetic indication).

Objectives: This peculiar type of canthopexy can be defined as "dynamic canthopexy," meaning that the later canthus is released from its original insertion and raised to a higher position.

Methods: We reviewed 30 patients treated with a "dynamic canthopexy" between January 2005 to March 2015. Read More

Aesthet Surg J 2019 Mar 9. Epub 2019 Mar 9.

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, Stanford, CA.

Background: The minimal clinically important difference (MCID) for the Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS) has not been determined.

Objective: To define the MCID for both domains of the SCHNOS questionnaire.

Methods: This prospective cohort study included patients who underwent functional, cosmetic, or combined rhinoplasty operation from June 2017-June 2018 at a tertiary referral center. Read More

Aesthet Surg J 2019 Mar 15. Epub 2019 Mar 15.

Department of Surgery, Division of Plastic Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA.

Background: The efficacy of adipose-derived stem cells (ASCs) to improve wound healing has been extensively investigated. Unfortunately, there have been no consistent reports describing significant improvements in healing time or outcomes in large-scale clinical trials using human ASCs. Primarily, these studies examined undifferentiated ASCs as opposed to specific cells differentiated from ASCs. Read More

Aesthet Surg J 2019 Mar 13. Epub 2019 Mar 13.

McMaster University; Hamilton, Ontario, Canada. Evidence-Based Medicine Section Co-editor Aesthetic Surgery Journal (ASJ).

Most published clinical research is faulty because of many reasons, one being faulty design. A remedy to this problem is the correct use of the PICOT (Population, Intervention, Comparative Intervention, Outcome and Time horizon) format in the design of a clinical research question. One element of the PICOT format, "Outcome" has not been assessed adequately in aesthetic surgery. Read More

Aesthet Surg J 2019 Apr;39(5):NP156-NP158

Clinical Fellowship, Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.

Aesthet Surg J 2019 Mar 14. Epub 2019 Mar 14.

Private practice in Chicago, IL.

Background: Microfocused ultrasound with visualization (MFU-V) is an effective way to correct skin laxity through lifting and tightening skin on the face, neck, and décolleté as well as other parts of the body such as the knees, arms, and abdomen, among others. In addition to being a non-invasive modality for tissue tightening, MFU-V has a biological effect on tissue, rejuvenating the skin through stimulation of elastogenesis and neocollagenesis. MFU-V is also commonly combined with other interventions such as fillers, neuromodulators, and absorbable suspension sutures. Read More

Aesthet Surg J 2019 Mar;39(Supplement_2):S85-S93

Department of Plastic Surgery, University of Pittsburgh, Pittsburgh, PA.

All operative interventions in plastic surgery have one thing in common: closure of an incision or wound at the conclusion of the procedure. For many years, the only option to accomplish this task was the use of sutures. Today's surgeon, however, has many more options available, ranging from smooth to barbed suture, external to internal staples, internal to external adhesive glues, and incisional negative-pressure wound therapy. Read More

Aesthet Surg J 2019 Mar;39(Supplement_2):S73-S77

Department of Plastic, Reconstructive, and Aesthetic Surgery, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.

A variety of modern surgical needles are available to today's surgeon. However, a surgeon's preference of surgical needles, is usually influenced by experience, ease of use, and the postoperative result, such as scar quality. This article describes the selection of needle designs available, and their intended clinical applications. Read More

Aesthet Surg J 2019 Mar;39(Supplement_2):S67-S72

Department of Plastic, Reconstructive, and Aesthetic Surgery, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.

Surgeons must select the optimal suture materials for tissue approximation to maximize wound healing and scar aesthetics. Thus, knowledge regarding their characteristics is crucial to minimize ischaemia, excess wound tension, and tissue injury. This article describes the selection of various suture materials available today and their intended design. Read More

Aesthet Surg J 2019 Mar;39(Supplement_2):S78-S84

Division of Plastic Surgery, Department of Surgery, Federal University of São Paulo, São Paulo, Brazil.

The different types of sutures utilized in plications and for correction of diastasis during abdominoplasty are reviewed and discussed. Because correction of abdominal deformities also involves fascia and muscle advancement, this review also covers the suture materials used in muscle advancement. The selection of specific techniques to treat different types of abdominal wall deformity is also considered. Read More

Aesthet Surg J 2019 Mar 14. Epub 2019 Mar 14.

Department of Plastic and Reconstructive Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi, China.

Background: Nanofats could improve photoaging. Stromal vascular fraction (SVF) and adipose-derived stem cells (ADSCs) may play pivotal roles. However, SVFs and ADSCs in nanofats processed by conventional methods cannot be enriched. Read More

Aesthet Surg J 2019 Mar 14. Epub 2019 Mar 14.

Private practice in New York, NY.

Background: Current treatment options for reduction of excess anterior periaxillary fat (APAF) include invasive procedures such as excision and liposuction.

Objective: To evaluate the efficacy and safety of ATX-101 (deoxycholic acid injection) for reduction of APAF.

Methods: In this retrospective study, 12 women with periaxillary fullness underwent ATX-101 treatment. Read More

Aesthet Surg J 2019 Mar 14. Epub 2019 Mar 14.

Division of Oculoplastics, Scheie Eye Institute, Philadelphia PA.

Background: Lower blepharoplasty is one of the most commonly performed aesthetic surgeries in the world. However, there are no studies to directly compare patients who had fat excision versus fat transposition.

Objective: To compare and contrast aesthetic results of fat excisional and fat transpositional lower blepharoplasty. Read More

Aesthet Surg J 2019 Mar 14. Epub 2019 Mar 14.

Division of Plastic Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT.

Background: Autologous fat is a safe and effective soft tissue filler. Recent evidence also suggests improved wound healing and immune modulation with fat grafting.

Objective: The aim of this study is to describe a novel technique, using fat grafting during primary open rhinoplasty. Read More

Aesthet Surg J 2019 Mar 14. Epub 2019 Mar 14.

Department of Plastic and Reconstructive Surgery, Keck Hospital of USC, Los Angeles, CA.

Background: Common treatment for chronic migraine headaches include injection of corticosteroid and anesthetic agents at local trigger sites. However, the effects of therapy are short-term and lifelong treatment is often necessary. In contrast, surgical decompression of migraine trigger sites accomplishes the same goal yet demonstrates successful long-term elimination of chronic migraines. Read More

Aesthet Surg J 2019 Mar 14. Epub 2019 Mar 14.

University of Cincinnati College of Medicine, Cincinnati, OH.

Background: The Aesthetic Surgery Journal (ASJ) is a world-renowned publication with valuable contributions from around the globe.

Objectives: To better characterize the journal's evolving representation of global contributions to aesthetic surgery, we have examined the author affiliations of all journal articles published in this journal over the last decade.

Methods: A PubMed search was performed for all journal articles published in ASJ from January 2008 to the August 2018. Read More

Aesthet Surg J 2019 Apr;39(5):NP163-NP164

Mendelson is a plastic surgeon in private practice in Victoria, Australia.

Aesthet Surg J 2019 Apr;39(5):NP161-NP162

Professor of Otorhinolaryngology, and a European Board Certified Facial Plastic Surgeon in private practice in Istanbul, Turkey.

Aesthet Surg J 2019 Apr;39(5):NP159-NP160

Mayo Clinic School of Medicine, Rochester, MN.

Aesthet Surg J 2019 Mar 9. Epub 2019 Mar 9.

Department of Plastic and Reconstructive Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, Shanxi, China.

Background: Improving the retention rate of transplanted fat is, currently, of great concern. Partial immobilization, angiogenesis, and ADSCs, all proven to be influenced by botulinum toxin A (BTX-A), are significant in fat graft retention.

Objective: To determine the impact of BTX-A on fat grafts. Read More