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Understanding Clinical and Biophysical Differences Between Non-Cross-Linked and Cross-Linked Hyaluronic Acid Dermal Fillers.
[BACKGROUND] The rising popularity of injectable soft-tissue fillers in esthetic medicine is driven by their potential to provide facial rejuvenation through minimally invasive techniques. Hyaluronic acid (HA)-based fillers exhibit distinct…
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Lip Flip Revisited: Clinical Outcomes and Neuromodulatory Basis of Upper Lip Eversion.
The lip flip procedure, involving intramuscular injection of botulinum toxin into the orbicularis oris, has gained popularity as a minimally invasive alternative to lip fillers. In this prospective study, 17 women underwent standardized upp…
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Comparative Trial Evaluating a High- Versus Low-Integration Hyaluronic Acid Filler for Contouring the Jawline.
[BACKGROUND] Contour deficits of the jawline are an area of concern for many aesthetic patients. While the use of hyaluronic acid (HA) for jawline enhancement has been described previously, comparative investigations of HA fillers manufactu…
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Bridging the Gap Rather Than Filling the Entire Valley-Anatomic Insights When Treating the Medial Infraorbital Region.
[BACKGROUND] The treatment of the medial infraorbital region also termed the tear trough has become increasingly popular by the use of soft tissue fillers in a minimally invasive approach using a cannula. [METHODS] A total of 246 tear trou…
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Point-of-Care Ultrasound (POCUS) for Precision Management in Ellanse-Treated Patients.
[BACKGROUND] Innovative use of a point-of-care ultrasound (POCUS) device facilitates the diagnosis and management of potential challenges associated with Ellanse treatment. Our case series of 6 patients illustrates the effectiveness of POCU…
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Rates of Positive Aspiration Prior to Facial Hyaluronic Acid Filler Injections: Outcomes of a Multicenter, Cross-sectional Study.
[BACKGROUND] Before administering hyaluronic acid (HA) fillers, aspiration can be performed as a safety measure to determine whether the needle tip is located within a vascular structure. However, the efficacy and utility of aspiration have…
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When to change needles during neuromodulator injections-An electron-microscopy investigation into needle tip deformation.
[BACKGROUND] Neuromodulator injections are minimally invasive procedures performed across the globe. Despite their ubiquity, there is a dearth of information on whether and how needle tips used for neuromodulator procedures are deformed aft…
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Accessing the Levator Labii Superioris Alaeque Nasi (LLSAN) Muscle for the Treatment of Infraorbital Dimples-A Case Report.
[BACKGROUND] Medial infraorbital dimples are dynamic soft tissue depressions that can emerge or intensify following neuromodulator treatment in the periorbital region. Rather than being congenital or structural in origin, these dimples ofte…
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Increasing Facial Attractiveness by Lateralizing the Auricle-Analyzing the Pan-Facial Effects of the Postauricular Injection Technique in Chinese Patient Populations.
[BACKGROUND] The postauricular injection technique is a needle-based technique that places soft tissue fillers behind the ears into the supra-periosteal plane of the mastoid process of the temporal bone. The resulting clinical effect pushes…
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Understanding the impact of eyebrow and lateral canthal height on the perception of character traits: A rating-based analysis of 2081 participants.
[BACKGROUND] Cosmetic surgery procedures in the United States increased by 5% from 2022 to 2023, with notable increase in eyelid surgeries and forehead lifts. These procedures often aim to alter the height and position of the eyebrow and la…
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A Prospective Clinical Trial Evaluating the Efficacy and Safety of Non-Animal Stabilized Hyaluronic Acid Injections for Non-Surgical Rhinoplasty.
Non-surgical rhinoplasty with hyaluronic acid (HA) filler is a three-dimensional reshaping technique that achieves tissue enhancement by placing HA deep to nasal skin. Due to its unique rheology, Restylane® Lyft (HA-L, Galderma, Uppsala, Sw…
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Preventing Hump Recurrence in Dorsal Preservation Rhinoplasty: The 5 Key Tenets.
Preservation rhinoplasty has re-emerged over the past decade and continues to gain traction in the rhinoplasty community. Dorsal preservation rhinoplasty (DPR), one of the tenets of preservation rhinoplasty, centers on preservation of the n…
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Pitanguy Ligament Preservation in Structural Precision Rhinoplasty.
The Pitanguy ligament is a crucial structure in nasal tip support and in maintaining the integrity of the soft-tissue envelope of the nose. In this cadaveric study, the authors dissected out the Pitanguy ligament on a series of fresh human …
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Pharmacologic and Other Noninvasive Treatments of the Aging Face: A Review of the Current Evidence.
Aging of the face is the result of the interrelation of three-dimensional changes occurring over time among the 5 different layers of the face and its associated structures. Knowledge regarding the causes of these changes and identification…
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The Influence of Scar Patterns After Reduction Mammoplasty on Eye Movement and Gaze Pattern: An Eye-Tracking Investigation.
[BACKGROUND] Given that scars are acknowledged as the primary cause of postoperative dissatisfaction following reduction mammoplasty, it is imperative to comprehend the patient's visual perception of different scar patterns in order to enha…
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Applied Anatomy of the Lower Eyelid Preseptal Space for Treating Ectropion and Retraction with Soft-Tissue Fillers.
[BACKGROUND] Lower eyelid malposition can result from age-related changes, such as ectropion, or postsurgical changes, such as retraction after lower lid blepharoplasty. The current accepted treatment is surgical, but soft-tissue fillers ha…
- Commentary on: Decreased Filler Volumes with Repeat Micro-Liquid Nonsurgical Rhinoplasty Sessions.
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Modern Machiavelli? The illusion of ChatGPT-generated patient reviews in plastic and aesthetic surgery based on 9000 review classifications.
[BACKGROUND] Online patient reviews are crucial in guiding individuals who seek plastic surgery, but artificial chatbots pose a threat of disseminating fake reviews. This study aimed to compare real patient feedback with ChatGPT-generated r…
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Identifying Levels of Competency in Aesthetic Medicine: A Questionnaire-based Study.
[BACKGROUND] In 2022, the US experienced a significant increase in demand for minimally invasive aesthetic procedures, underscoring its rising acceptance amid an unregulated educational environment for practitioners. The absence of standard…
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The Suitability of a Large Particle Hyaluronic Acid Filler for the Treatment of Temporal Hollowing.
[BACKGROUND] Hyaluronic acid (HA) fillers may be manufactured to have distinctive physical properties that optimize their use for specific indications. Fillers manufactured with large gel calibration (particle size; HA-V) may be particularl…
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One-Year Data on the Longevity and Safety of Hyaluronic Acid Filler for Static Horizontal Neck Rhytids.
[BACKGROUND] The long-term efficacy and safety of hyaluronic acid fillers injected into the neck have yet to be analyzed in a prospective trial in the United States. [OBJECTIVE] Analyze the long-term efficacy and safety of a hyaluronic aci…
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Periorbital venous stasis may be involved with filler induced malar edema-A duplex ultrasound-imaging-based case series.
[INTRODUCTION] Filler injections in the periocular region are regarded as a challenging and advanced maneuver in a high-risk area. Adverse events as malar edema due to filler treatment may occur. To evaluate the possible reasons, the ultras…
- Commentary on: The Dorsal Nasal Complex in Asians: Anatomical Variations and Injection Guide for Botulinum Toxin Type A.
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Facial aesthetic minimally invasive procedure: More than just vanity, a social-psychological approach.
[BACKGROUND] Due to the great importance of the face in social interaction, minimally invasive treatments can-besides their ability to rejuvenate and enhance beauty-also change the way facial impressions of a person are perceived. In recent…
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Histological effects of a combined collagen stimulation procedure consisting of microfocused ultrasound, soft tissue filler, and Ca-HA injections.
[BACKGROUND] An increasing demand for in-office aesthetic procedures aiming to improve collagen stimulation has been reported. [OBJECTIVE] To analyze the effects of combinations of different aesthetic collagen stimulation procedures using …
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Arterial Embolism After Facial Fat Grafting: A Systematic Literature Review.
[BACKGROUND] While autologous fat grafting of the face is considered a generally safe procedure, severe complications such as arterial embolism (AE) have been reported. [OBJECTIVE] To summarize data on injection-related visual compromise, …
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Facial Transplantation.
Facial transplantation is a vascularized composite allotransplantation, which may be considered in patients with extensive and challenging facial defects for which conventional reconstructive approaches fail to provide satisfactory function…
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[Change of Gaze Pattern depending on the Stage of DIEP Flap Breast Reconstruction: a Preliminary Eye-Tracking Investigation].
[BACKGROUND] Breast reconstruction using autologous tissue is an integral part of breast cancer treatment. While many studies have elucidated the impact of breast reconstruction on patients' quality of life, self-esteem, sexuality and more,…
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A Randomized, Placebo-Controlled, Split-Neck Trial of Hyaluronic Acid Filler for Static Horizontal Neck Rhytides Using Either a Cannula or Needle.
[BACKGROUND] Hyaluronic acid (HA) fillers have been studied extensively on the face; however, their safety and efficacy on the neck has not yet been evaluated in a prospective trial in the United States. [OBJECTIVE] Analyze the efficacy an…
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Identifying the most attractive umbilical position - an eye tracking- and survey-based investigation.
Abdominoplasty is a popular procedure in plastic surgery providing aesthetic, functional and psychological relief for patients suffering from excess abdominal tissue. Correct umbilical positioning is crucial for a successful aesthetic surgi…