Facial Plast Surg [JOURNAL]
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200 papers
Dimple Creation Surgery.
Lee KJ, Cutri RM
Facial Plast Surg · 2025 Oct · PMID 40555380 · Publisher ↗
Dimple creation surgery, or dimpleplasty, recreates the dynamic cheek indentations found in approximately 30% of faces. This review highlights current evidence and provides surgical insights for predictable, natural outc...
Dimple creation surgery, or dimpleplasty, recreates the dynamic cheek indentations found in approximately 30% of faces. This review highlights current evidence and provides surgical insights for predictable, natural outcomes.Since 1962, successive refinements of the technique have focused on smaller incisions and precise dermomuscular fixation.Awareness of zygomaticus major variants, orbicularis oculi bands, Stenson's duct, and buccal branches of the facial nerve underpins safe practice.Bipolar cautery may assist with hemostasis.Healthy adults with realistic expectations benefit most. Those with keloid tendency warrant caution.A 5-mm intraoral incision, selective muscle fenestration, and dermomuscular plication produce an immediate dimple that softens with healing.Brief oral antibiotics support recovery.AI-assisted 3D smile simulation is being conducted and refined to boost dimple creation precision and predictability.With surgical precision and careful patient selection, dimpleplasty remains a low-risk procedure that can deliver high patient satisfaction.
Trial, Error, and Expertise: My Evolution Through Structural and Preservation Rhinoplasty Techniques.
Çakır B, Coşkun E
Facial Plast Surg · 2025 Dec · PMID 40550487 · Publisher ↗
Rhinoplasty continues to evolve, with small technical refinements yielding significant aesthetic and functional gains. This article reflects on nearly two decades of surgical experience, focusing on the balance between s...
Rhinoplasty continues to evolve, with small technical refinements yielding significant aesthetic and functional gains. This article reflects on nearly two decades of surgical experience, focusing on the balance between structural support and anatomical preservation.The study aims to evaluate the effectiveness of combining preservation and structural techniques in closed rhinoplasty. It is hypothesized that this hybrid approach enhances surgical consistency and long-term outcomes.A retrospective, experience-based review of a single surgeon's rhinoplasty evolution is presented, highlighting technical transitions and refinements over time.Key refinements include Pitanguy ligament preservation, controlled mucosal resection, scroll area preservation, dual-plane dissection, rim flap techniques, subdomal grafting, and wide subperiosteal dissection. Open and closed approaches were selected based on anatomical features and case complexity.The adoption of preservation principles in closed rhinoplasty led to improved tip definition, supratip contour control, and dorsal stability. Wide dissection techniques enhanced skin redraping and minimized postoperative complications. Combining structural support with anatomical preservation yielded more predictable outcomes in primary cases.Closed rhinoplasty techniques that integrate both preservation and structural strategies offer a reproducible and refined surgical result. Continuous evaluation and adjustment of technical details are key to optimizing long-term functional and aesthetic success.
The Role of Toxins and Fillers in Optimizing Perioral Rejuvenation.
Lorenz FJ, Schopper HK, Walen SG
Facial Plast Surg · 2025 Oct · PMID 40550475 · Publisher ↗
Neurotoxins and fillers have become increasingly popular for restoring age-related changes in the perioral region. This review examines their roles in optimizing perioral rejuvenation.The perioral region composes the low...
Neurotoxins and fillers have become increasingly popular for restoring age-related changes in the perioral region. This review examines their roles in optimizing perioral rejuvenation.The perioral region composes the lower third and middle three-fifths of the face. It includes the lips, surrounding perioral skin, chin, muscles of facial expression, maxilla, and mandible. Changes in the perioral region are significant contributors to the visible signs of aging.Ideal candidates for perioral rejuvenation with toxin and filler are individuals experiencing age-related rhytids or volume loss who are interested in minimally invasive, nonsurgical interventions.Neurotoxins like Botox, Xeomin, Dysport, Jeuveau, and Daxxify are used to relax muscles that contribute to rhytids. Common treatment areas and techniques include perioral rhytids, lip flip, oral commissure elevation, dimpled chin, and gummy smile. Dermal fillers such as hyaluronic acid, calcium hydroxyapatite, and poly-L-lactic acid restore volume in areas like the nasolabial folds, lips, marionette lines, chin, prejowl sulcus, and perioral rhytids.Neurotoxins and dermal fillers offer effective, minimally invasive solutions for perioral rejuvenation. With an understanding of underlying anatomy, proper patient selection, and precise injection techniques, facial plastic surgeons can achieve natural, youthful results with minimal downtime.
A Simplified Algorithm for Corner Lip Lifting.
Talei B, Danielian A
Facial Plast Surg · 2025 Oct · PMID 40541231 · Publisher ↗
This study presents a simplified guideline for corner lip lifting (cheiloplasty), a procedure aimed at enhancing the lateral lip's appearance by addressing vermilion deficiency, philtral hooding, and angular depression.D...
This study presents a simplified guideline for corner lip lifting (cheiloplasty), a procedure aimed at enhancing the lateral lip's appearance by addressing vermilion deficiency, philtral hooding, and angular depression.Despite the evolution of cosmetic cheiloplasty, with numerous techniques developed to enhance lip aesthetics, tailoring the procedure to individual patients and selecting suitable candidates remain significant challenges for surgeons.Utilizing detailed anatomical mapping based on relaxed skin tension lines and the Diagonal ("D") line, we outline precise surgical techniques to optimize vermilion exposure, elevate the chelion, and improve facial character.Key considerations include dental influences and aging-related ptosis, with specific endpoints and pitfalls highlighted to ensure reproducible outcomes.We introduce three types of corner lip lifts-1, 2a, and 2b-designed to treat varying degrees of lateral lip deficiencies in both younger and older patients, either alone or in combination with subnasal lip lifts using the Cupid Lift® algorithm.Sutures are removed at days 3 and 5, and incisions are lasered with a low-energy CO at 6 and 12 weeks.Our findings demonstrate that these procedures effectively restore lateral lip aesthetics, balance stomion and chelion positions, and ameliorate aging-related changes, offering a versatile approach for practitioners. This work advances cosmetic surgery by providing a streamlined framework for corner lip lifting, enhancing patient outcomes in facial rejuvenation and aesthetic harmony.
Aesthetic and Psychological Outcomes of Combined Rhinoplasty with Lip Lift.
Sarı E, Aliyeva A
Facial Plast Surg · 2026 Feb · PMID 40527484 · Publisher ↗
This study evaluates the aesthetic and psychological outcomes of combining rhinoplasty with a lip lift, focusing on facial harmony and patient satisfaction. To assess whether the combined procedure improves facial propor...
This study evaluates the aesthetic and psychological outcomes of combining rhinoplasty with a lip lift, focusing on facial harmony and patient satisfaction. To assess whether the combined procedure improves facial proportions and satisfaction. We hypothesize significant aesthetic and psychological benefits. A retrospective cohort study of 50 female patients (aged 18-49) was conducted, compliant with STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) guidelines. Patients underwent combined rhinoplasty and lip lift between April 2021 and October 2024. Pre/post measurements of upper lip length, nasal length, and nasolabial angle were recorded. Patient satisfaction was evaluated via the Visual Analog Scale and composite score. Ethical approval was obtained from Istanbul Aydın University (approval number: 106/2024). Postoperative reductions in lip (-5.72 mm), nasal lengths (-18.8 mm), and an increase in nasolabial angle (+27.36 degrees), were statistically significant. The satisfaction rate was 96%. The combined procedure significantly enhances facial aesthetics and satisfaction, supporting its role in comprehensive facial cosmetic surgery.
The Footplates Reposition Technique for Improving Tip Stability, Balancing Columellar-Labial Junction, and Upper Lip Lifting.
Ramos HHA, Nakamura F, Loureiro RSC … +3 more , Kozelinski J, Freire L, Toriumi DM
Facial Plast Surg · 2026 Feb · PMID 40527483 · Publisher ↗
The footplates of the medial crura are relevant structures that play an important role in the columella and nostril sill design. They also work as a connection between the nasal and oral muscles, as the insertion of the...
The footplates of the medial crura are relevant structures that play an important role in the columella and nostril sill design. They also work as a connection between the nasal and oral muscles, as the insertion of the superficial orbicularis oris nasalis (SOON) is placed into the footplates and the continuation of the superficial muscular aponeurotic system (SMAS) is situated within the membranous septum. Moreover, the SOON is a powerful depressor of the nasal tip.Many techniques attempt to reconstruct the tip support with grafts, but footplates and their connections can play an important role.We describe a surgical technique that involves footplate release and repositioning for better sill design, improvement of tip support and stability, better balance of the columellar-labial junction (CLJ), upper lip lifting, and eversion of the vermilion.This retrospective study reviewed the medical records of 64 patients who underwent all steps described in the paper.The patients were followed up for 12 months and decreases in philtrum length were accompanied by an enhanced vermilion showing creating a more favorable balance.The footplate release and repositioning technique can be incorporated as an adjunct in rhinoplasty to provide additional tip support, facilitate nasolabial angle adjustment, and assist in upper lip repositioning.
Surgical Chin Reduction: Achieving a Balanced Result.
Sykes J, Mehrdad M
Facial Plast Surg · 2025 Oct · PMID 40494552 · Publisher ↗
The chin plays a critical role in establishing facial balance and proportions. Abnormalities of chin projection, height, width, and symmetry can affect perioral aesthetics, gender alignment, and aging.Patients who presen...
The chin plays a critical role in establishing facial balance and proportions. Abnormalities of chin projection, height, width, and symmetry can affect perioral aesthetics, gender alignment, and aging.Patients who present for aesthetic perioral enhancement should have a complete evaluation of the perioral bony anatomy. Chin excess may occur in the horizontal, vertical, and transverse dimensions. Surgical chin contouring may require both deprojection and shortening.The technique for both horizontal and vertical chin reduction will be reviewed in addition to complications.The chin is a critical component of facial harmony and should be evaluated and addressed during aesthetic enhancement and rejuvenation.
Lip Augmentation with Autografts and Allografts.
Mella J, Beck JV, Hilger P
Facial Plast Surg · 2025 Oct · PMID 40473258 · Publisher ↗
Lip augmentation is a popular cosmetic procedure aimed at enhancing lip volume, symmetry, and contour, which significantly influences overall facial aesthetics.Historically, lip enhancement dates back centuries, with var...
Lip augmentation is a popular cosmetic procedure aimed at enhancing lip volume, symmetry, and contour, which significantly influences overall facial aesthetics.Historically, lip enhancement dates back centuries, with various cultures emphasizing the allure of fuller lips. Lip Augmentation with alloplastic implants like silicone and Gore-Tex was favored for a time for their versatility and consistency, but modern practice has increasingly favored biologically derived implants due to their natural integration, reduced complications, and desirable texture. Autologous tissues, such as superficial muscular aponeurotic system grafts, offer additional benefits including minimal immune response, high compatibility, and lasting enhancement.The technique is consistent across most implants which includes making vertical stab incisions just medial to the oral commissure, dissecting in an intramuscular plane within the orbicularis marginalis just under the white roll, and then tunneling the implant to the other side with a tendon passer. The lips are stretched to incorporate the implant and inspected for irregularities prior to closing the incisions.Augmentation with implants offers the appeal of a more permanent augmentation minimizing the need for repeated interventions. Successful lip augmentation enhances lip volume and contour while preserving facial aesthetic harmony and respecting the dynamic anatomical function of the lips.
Cryolipolysis for Submental Fat Reduction: A Systematic Review and Meta-Analysis.
Do K, Ghani N, Lloyd N … +6 more , Sagalow ES, Young K, Tam B, Tian S, Ching HH, Bigcas JL
Facial Plast Surg · 2025 Oct · PMID 40473257 · Publisher ↗
Submental fat can be addressed using both surgical and nonsurgical techniques. Cryolipolysis is a noninvasive treatment that uses cold temperatures to trigger apoptosis in adipose tissue.This study aims to evaluate the e...
Submental fat can be addressed using both surgical and nonsurgical techniques. Cryolipolysis is a noninvasive treatment that uses cold temperatures to trigger apoptosis in adipose tissue.This study aims to evaluate the efficacy and safety of cryolipolysis for submental fat reduction, specifically analyzing changes in submental fat thickness and volume. It is hypothesized that cryolipolysis leads to measurable improvements in submental fat among patients.This is a systematic review and meta-analysis conducted in accordance with the PRISMA reporting guidelines.A literature search was performed across PubMed, Scopus, and Web of Science from 1973 to 2025. A total of 951 articles were screened, and eight pre-post studies involving 206 patients met inclusion criteria.Pooled analysis showed a mean reduction in submental fat thickness of -2.78 mm and volume of -19.57 cm.Cryolipolysis significantly reduces submental fat with minimal, transient side effects.
Denervation Neck Lift: An Updated Rhytidectomy Technique and Prospective Follow-Up of 80 Patients.
Criollo-Lamilla G, Trévidic T, Imanilov A … +1 more , Trévidic P
Facial Plast Surg · 2026 Feb · PMID 40456286 · Publisher ↗
Platysma bands are caused by excessive muscular activity and a novel threefold approach (denervation, platysmaplasty, and skin resection) was developed to minimize recurrence.To investigate the efficacy, tolerability, an...
Platysma bands are caused by excessive muscular activity and a novel threefold approach (denervation, platysmaplasty, and skin resection) was developed to minimize recurrence.To investigate the efficacy, tolerability, and satisfaction of this new technique in a larger cohort.A total of 80 patients were included in this prospective descriptive study and followed for 1 year.Surgical platysma transection with intentional denervation was performed simultaneously with a primary rhytidectomy and recurrence, complications, and satisfaction were assessed.Platysma band recurrence occurred in 10% of patients all of whom were >63 years old. There were no major postoperative complications, with a total of 35 minor complications (in 43.7% of patients). Satisfaction scores were high for both patients and the surgeon 1 year after treatment, with Global Aesthetic Improvement Scale scores of 4.64 and 4.54, respectively.This technique was effective and well tolerated, with low rates of recurrence and only minor complications.
Blepharoplasty Revision Technique for Disappearing Double Eyelid Line: A Biomimetic Approach for Establishing Skin and Pretarsal Fascia Connection.
Zhao M, Wang T, Zou C
Facial Plast Surg · 2026 Feb · PMID 40446845 · Publisher ↗
Double eyelid surgery has associated complications including fold disappearance over time.To assess a novel surgical method for double eyelid revision.Retrospective study.We analyzed data from 60 patients with disappeari...
Double eyelid surgery has associated complications including fold disappearance over time.To assess a novel surgical method for double eyelid revision.Retrospective study.We analyzed data from 60 patients with disappearing double eyelid folds. The procedure involved suturing the pretarsal fascia, orbicularis oculi muscle, and dermis at the lower incision edge. Aesthetic outcomes and patient satisfaction were assessed during postoperative follow-up.All patients had satisfactory results with no double eyelid crease disappearance during the follow-up period. The eyelid morphology was satisfactory in 59 cases and moderately satisfactory in one case. Patient satisfaction was 98.3%. Crease disappearance was not observed during the follow-up.This study discusses a novel surgical method for stable double eyelid morphology with more secure internal fixation and low fold disappearance risk. Moreover, dynamic force transmission leads to more stability with less noticeable incision scars.
Lip Reduction.
Basharmal AA, Ho TT
Facial Plast Surg · 2025 Oct · PMID 40436396 · Publisher ↗
This study discusses the surgical technique and the ideal candidates for lip reduction as well as highlights the low-risk, yet efficacious nature of this in-office procedure.Lip augmentation procedures such as hyaluronic...
This study discusses the surgical technique and the ideal candidates for lip reduction as well as highlights the low-risk, yet efficacious nature of this in-office procedure.Lip augmentation procedures such as hyaluronic acid fillers and lip lift surgery are the most common cosmetic lip treatments; however, lip reduction is growing in popularity.The lips are highly vascularized and sensitive tissue supplied by the superior and inferior labial arteries and innervated by the trigeminal nerve.Patients may be ideal candidates for lip reduction surgery if they possess a large upper and/or lower lip and desire decreased lip volume and projection.The senior author's surgical technique entails marking an elliptical incision along the wet-dry border, excising the mucosal tissue en bloc, and closing the wounds following the rule of halves.Patients are instructed to follow a soft diet for 1 week and activity restrictions for 2 weeks as well as to frequently apply Aquaphor or Vaseline to the wounds.Lip reduction surgery is a cosmetic procedure intended to decrease lip size and projection. Lip reduction is a safe and relatively quick in-office procedure that is associated with minimal downtime.
Structural Approach to Revision Rhinoplasty.
Katrib ZA
Facial Plast Surg · 2025 Dec · PMID 40425156 · Publisher ↗
To explain a very clear and concise, systematic approach to revision rhinoplasty from the preoperative visit, to the operation, and finally to the postoperative course.All pertinent anatomy is discussed both in the preop...
To explain a very clear and concise, systematic approach to revision rhinoplasty from the preoperative visit, to the operation, and finally to the postoperative course.All pertinent anatomy is discussed both in the preoperative examination, and in the technical details describe in the operation. Images accompany all key maneuvers for further clarification.We discuss the key physical examination findings, functional analysis, and standardized photography of the patient prior to the operation.We describe the key foundational techniques utilized from start to finish to design and construct the most stable, functional, and aesthetic nose possible in a revision rhinoplasty. We discuss anesthesia, as well as intraoperative splints and dressings.We review all postoperative care given to our patients, as well as the reasoning behind these instructions.We provide an easy-to-follow, step-by-step logical approach to revision rhinoplasty. Despite the nearly endless combination of possible findings once in the operation, by following these guiding principles the operation can be completed in a consistent, efficient, and thorough manner.
Modified Buccal Fat Pad Reduction as a Component of Perioral Mound Rejuvenation "The Mouth Pouch".
Caughlin BP, Abud B
Facial Plast Surg · 2025 Oct · PMID 40425155 · Publisher ↗
To evaluate the effectiveness of a comprehensive surgical approach addressing perioral mounds-the "mouth pouch"-through modified buccal fat pad sculpting, targeted mucosal and muscle resection, and focal skin tightening...
To evaluate the effectiveness of a comprehensive surgical approach addressing perioral mounds-the "mouth pouch"-through modified buccal fat pad sculpting, targeted mucosal and muscle resection, and focal skin tightening for enhanced lower facial contouring.Conventional techniques often fall short in resolving contour irregularities in the perioral region due to intricate anatomy and high functional mobility.The perioral area includes a complex interplay of superficial and deep fat compartments, musculature, vasculature, and nerves. Aging-related atrophy of superficial fat and pseudoherniation of buccal fat contribute to soft tissue compartmentalization and visible mounding.Radiofrequency-assisted dermal tightening is combined with intraoral fat sculpting to promote further definition.Ideal candidates have distinct perioral mounds, robust buccal fat pads, thickened oral mucosa, and visible lines of parakeratosis.A seven-step intraoral technique under local anesthesia include mucosal resection, buccinator stripping, buccal fat pad sculpting, and radiofrequency treatment.Dual compression with intraoral packing and external head wrap minimizes hematoma and infection risk.Combining bony augmentation (e.g., chin implants) with soft tissue contouring yields comprehensive lower face rejuvenation.This technique for treating perioral mounds, in carefully selected patients, provides a reproducible, and safe method for lower facial contour enhancement.
An Algorithmic Approach to Lower Eyelid Malpositions.
Seethapathy G, Pagadala T, Premalatha T
Facial Plast Surg · 2026 Feb · PMID 40425154 · Publisher ↗
Involutional lower eyelid malpositions, such as ectropion and entropion, are frequently encountered in oculoplastic clinics, particularly among elderly patients. These conditions result from age-related weakening of the...
Involutional lower eyelid malpositions, such as ectropion and entropion, are frequently encountered in oculoplastic clinics, particularly among elderly patients. These conditions result from age-related weakening of the eyelid structures, leading to eyelid eversion (ectropion) or inversion (entropion). Similarly, lagophthalmos, often caused by facial nerve dysfunction or mechanical factors, presents with incomplete eyelid closure. Aim of this article is to propose a clinical grading and a grade based management algorithm for lower eyelid malpositions.Patients with ectropion may experience tearing, irritation, and conjunctival exposure, while those with entropion often present with foreign body sensation, redness, and corneal damage. Lagophthalmos typically manifests as dryness, exposure keratopathy, and nocturnal eye discomfort.This article proposes a structured, graded algorithm to guide the management of these conditions, offering a systematic, stepwise approach tailored to the severity of eyelid malposition.The algorithms are designed to simplify clinical decision-making by categorizing ectropion, entropion, and lagophthalmos into distinct grades, each with corresponding treatment options. These include both conventional surgical techniques and innovative approaches, allowing for individualized care that addresses both functional and aesthetic concerns.The goal of this graded approach is to optimize patient outcomes, reduce recurrence, and enhance the precision of surgical interventions.By providing a comprehensive framework for managing these complex eyelid disorders, this algorithm serves as an essential tool for ophthalmologists in clinical practice.
Reduction Rhinoplasty's Bad Wrap-Is it Time to Forgive and Forget?... Or at Least Get a Rebrand?
Deane EC, Friedman O
Facial Plast Surg · 2025 Dec · PMID 40425153 · Publisher ↗
Destigmatizing reduction rhinoplasty in a structural preservation era.Transition from the classic Joseph rhinoplasty to modern emphasis on structural preservation has imparted negative connotations to the term reduction....
Destigmatizing reduction rhinoplasty in a structural preservation era.Transition from the classic Joseph rhinoplasty to modern emphasis on structural preservation has imparted negative connotations to the term reduction.Anatomic features that predispose patients to functional compromise must be recognized and addressed in all approaches to ensure successful surgical outcomes.Piezo ultrasonic instruments provide a safe and precise way to reduce the bony framework and can be applied to all styles of rhinoplasty.Patients with no concomitant functional issues, reasonable and conservative cosmetic expectations, and strong cartilage framework, who are managed by a thoughtful surgeon can expect excellent results regardless of the approach.Reduction rhinoplasty techniques are some of the most enduring in rhinoplasty and safe limits are described.Patients should be followed for functional and/or quality of life performance.Precision recommendations regarding thresholds for resection and grafting, as well as standardized preoperative evaluation methods are required.Rhinoplasty techniques exist in a continuum as do features of the nose. A one-style-fits-all approach is not appropriate and leads to avoidable postoperative failures and revision surgery. Reduction rhinoplasty may not be the "buzz" but it still has a place in contemporary conservative cosmetic surgery.
Nonsurgical Chin and Prejowl Modification.
Melley LE, Altman A, Bloom JD
Facial Plast Surg · 2025 Oct · PMID 40389235 · Publisher ↗
The chin and prejowl areas play a critical role in the perception of facial harmony. This paper explores nonsurgical approaches for chin and prejowl rejuvenation, emphasizing anatomy, aesthetic concerns, and the plethora...
The chin and prejowl areas play a critical role in the perception of facial harmony. This paper explores nonsurgical approaches for chin and prejowl rejuvenation, emphasizing anatomy, aesthetic concerns, and the plethora of available treatment modalities.Bony landmarks such as the pogonion, menton, and mental protuberance define the chin, while muscles like the mentalis, depressor anguli oris (DAO), and depressor labii inferioris (DLI) influence facial expression and rhytid development. Aging induces volume loss, tissue laxity, and bony absorption, leading to the formation of the prejowl sulcus and reduced jawline definition.Injectable fillers and biostimulators such as hyaluronic acid, calcium hydroxylapatite, and poly-L-lactic acid address volume loss, enhance contours, correct chin underprojection, and fill both deep and superficial rhytids. Neuromodulators like botulinum toxin reduce muscle hyperactivity to smooth dynamic wrinkles. Energy-based modalities, including radiofrequency, ultrasound, and laser, offer options for skin tightening, fat reduction, and improving skin texture.The paper highlights the benefits and limitations of nonsurgical techniques available to treat the chin and prejowl, emphasizing the need for anatomical precision to optimize safety and efficacy. Although nonsurgical treatments cannot replace surgical interventions, they often provide effective, temporary solutions for patients seeking low-downtime alternatives.
Asian Augmentation Rhinoplasty.
Frederick JW, Yoo DB
Facial Plast Surg · 2025 Dec · PMID 40389234 · Publisher ↗
Asian augmentation rhinoplasty has seen marked transitions in both its technical and aesthetic aspects over time, to address the distinct anatomical needs of Asian patients while aligning with their individual standards...
Asian augmentation rhinoplasty has seen marked transitions in both its technical and aesthetic aspects over time, to address the distinct anatomical needs of Asian patients while aligning with their individual standards of beauty. This study provides an in-depth exploration of the evolution of augmentation rhinoplasty techniques to enhance nasal projection and overall facial harmony in a population characterized by unique nasal anatomy-typically featuring a lower nasal dorsum, limited septal cartilage, and thicker soft tissue coverage.A review of augmentation techniques is provided with an emphasis on diced cartilage fascial grafting.It is critical to understand the unique anatomy of the Asian rhinoplasty patient-typically featuring a lower nasal dorsum, limited septal cartilage, and thicker soft tissue coverage.Patient selection is critical in any facial plastic surgery. Preoperative assessment is key in identifying ideal candidates with appropriate goals.This study will explore general considerations for Asian augmentation rhinoplasty, along with a review of the commonly used augmentation techniques. Emphasis will be placed on the surgical approaches utilizing autologous grafting techniques such as costal cartilage and diced cartilage fascia, as the authors feel autologous grafts have generally shown to provide superior results, safety, and permanence when compared with alloplastic implants.We hope to stress the individualized approach in Asian augmentation rhinoplasty, where the choice of technique is determined by patient-specific factors such as skin quality, anatomical structure, and desired aesthetic outcome. With appropriate preoperative planning, advanced surgical techniques, and attentive postoperative care, surgeons can achieve natural, lasting results with augmentation Asian rhinoplasty that improves nasal aesthetics but also enhances overall facial harmony.
Considerations for Maximizing Perioral Aesthetics in Gender-Affirming Surgery.
Thielhelm T, Liu K, Mavrommatis M … +1 more , Rosenberg JD
Facial Plast Surg · 2025 Oct · PMID 40355119 · Publisher ↗
Perioral aesthetics are a critical component of facial gender-affirming surgery (FGAS). The goal of this paper is to review the philosophy, techniques, and evidence supporting perioral aesthetics in FGAS with specific at...
Perioral aesthetics are a critical component of facial gender-affirming surgery (FGAS). The goal of this paper is to review the philosophy, techniques, and evidence supporting perioral aesthetics in FGAS with specific attention to the lips, chin, and submentum.Masculine appearance is typically associated with greater upper lip height, labial volume, and mouth width, whereas female appearance exhibits increased upper incisor show with a softer, tapered chin shape. The masculine chin is wider and taller with greater anterior projection, whereas the feminine chin is typically more narrowed. The contour of the submentum is impacted by skeletal and soft tissue differences, with males displaying a more angular profile.Techniques for lip feminization include the subnasal lip lift and various injectables for altering lip contour. For chin contouring, several genioplasty techniques exist, including the T-genioplasty. These procedures may utilize virtual surgical planning. Submental liposuction and platysmaplasty can refine the submental area to highlight underlying osseous structures. Augmentation of the mandible, typically using implants, can be utilized for masculinization of the perioral region.Careful attention to the lips, chin, and submentum can help achieve desired outcomes in both facial feminization and masculinization. A comprehensive understanding of perioral anatomy and an individualized technique selection are vital for achieving optimal FGAS outcomes.
Neuroplasticity and Rhinoplasty: Bridging Neuroscience and Aesthetic Surgery.
Capelleras M, Esteve FR, Suárez GA … +1 more , Cruellas M
Facial Plast Surg · 2026 Feb · PMID 40345244 · Publisher ↗
Neuroplasticity, the brain's ability to reorganize its structure and function, plays a pivotal role in adapting to anatomical changes introduced by surgical interventions such as rhinoplasty. This review explores the int...
Neuroplasticity, the brain's ability to reorganize its structure and function, plays a pivotal role in adapting to anatomical changes introduced by surgical interventions such as rhinoplasty. This review explores the interplay between functional and aesthetic outcomes of rhinoplasty and their implications on cognitive and emotional processes. Key findings highlight the involvement of specialized neural circuits, including the fusiform face area, somatosensory cortex, and mirror neuron systems, in adapting to altered facial features. Furthermore, the importance of preoperative expectations, emotional resilience, and breathing patterns in optimizing postoperative outcomes is emphasized. By integrating neuroscience with clinical insights, this paper underscores the transformative potential of rhinoplasty as both a physical and psychological intervention, fostering a holistic approach to patient care.
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