Facial Plast Surg [JOURNAL]
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200 papers
The Functional and Aesthetic Results of Fibrin Glue, Platelet-Rich Plasma (PRP), and Warm Blood as a Scaffold for Diced Cartilage in Saddle Nose Deformity: A Descriptive Study.
Rabie AN, El Samny TA, Askoura AM … +2 more , Desouky MS, Aty AMKA
Facial Plast Surg · 2026 Feb · PMID 40311642 · Publisher ↗
Irregularities on the nasal dorsum post rhinoplasty remain a prevalent concern for both surgeons and patients. Various techniques using cartilage are used to hide the nasal dorsum, such as crushed cartilage, free diced c...
Irregularities on the nasal dorsum post rhinoplasty remain a prevalent concern for both surgeons and patients. Various techniques using cartilage are used to hide the nasal dorsum, such as crushed cartilage, free diced cartilage, surgical-wrapped diced cartilage, or diced cartilage mixed with blood glue. Diced cartilage can address issues that arise with solid materials. However, it may lead to undesirable outcomes such as graft deformation and migration. It is challenging to uniformly implant the loosely linked cartilage pieces. To prevent issues, cartilage is mixed with other materials to serve as a stabilizing scaffold.This descriptive study will examine fibrin glue, platelet-rich plasma (PRP), and warm blood as stabilizing scaffolds for correcting saddle nose deformity.To compare functional and aesthetic results of the fibrin glue, PRP, and warm blood usage with diced cartilage for correction of saddle nose deformity in rhinoplasty as a descriptive study.This prospective interventional study was conducted on 30 patients with saddle nose undergoing rhinoplasty with dorsal nasal augmentation using three materials to collide the diced cartilage. All patients were divided into three groups: Study group 1 includes 10 patients who used fibrin glue. Study group 2 includes 10 patients who used PRP. Study group 3 includes 10 patients who used warm blood in Otorhinolaryngology Department, Faculty of Medicine, Ain Shams University hospitals from August 2021 till July 2023. The study was approved by an ethical committee before the start of the recruitment (FMASU M D 44/2021).Our study included 19 primary and 11 revision cases. The mean age of the patients was 31.10 years. Mean postoperative follow-up period was 12 months. There was a statistically significant improvement in rhinoplasty outcome evaluation score (ROE) and dorsal height postoperatively among the studied patients with -value <0.001, with no statistical difference between the three different groups regarding postoperative resorption.One can augment the nasal dorsum significantly with diced cartilage combined with any of the three different materials, fibrin glue, PRP (PRP), or warm blood, guided by the availability of prerequisites of each material. As the warm blood can fit any patient with no required complex tools, it seems to be the best material to correct saddle nose and maintain the nasal dorsal height.
Evaluation and Treatment Planning to Maximize Perioral, Submental, and Neck Aesthetics.
Ma C, Parikh A, Lighthall JG
Facial Plast Surg · 2025 Oct · PMID 40306690 · Publisher ↗
Aesthetic rejuvenation of the perioral, submental, and neck regions is a complex topic with multiple different treatment approaches. Aging changes in the skin, muscles, fat and soft tissue, and bones are driven by multip...
Aesthetic rejuvenation of the perioral, submental, and neck regions is a complex topic with multiple different treatment approaches. Aging changes in the skin, muscles, fat and soft tissue, and bones are driven by multiple internal and external factors. To obtain the best cosmetic outcome, a deep understanding of the perioral, submental, and neck region and proper patient evaluation are necessary. Here, we discuss the process of evaluating patients and planning treatment for perioral, submental, and neck rejuvenation.Patients presenting for evaluation of perioral, submental, and neck aging may have multiple aesthetic complaints. The approach to evaluating patients should be comprehensive and consistent. This involves careful history taking and consideration of medical co-morbidities, a thorough evaluation of the skin, tone, dynamic movement, and soft-tissue distribution of each subunit, and individualized pretreatment counseling to discuss risks and set expectations.An individualized plan may consist of either nonsurgical, surgical or a combination of approaches. Nonsurgical approaches excel at addressing aging skin, volume deficits, and overactivation of facial musculature. Surgical approaches address more severe manifestations of skin aging, uneven volume distribution, loss of contour in the jaw and neck, and bony deformities.
Hybrid Rhinoplasty in Mixed Race Patients: A Mix and Match Philosophy.
Cobo R, Mendoza C, Espinosa J … +3 more , Heredia N, Ochoa J, Henao F
Facial Plast Surg · 2025 Dec · PMID 40306689 · Publisher ↗
Rhinoplasty remains a leading facial plastic procedure globally. The term "ethnic patients" has been replaced by "mixed race patients" reflecting today's interracial mixing, globalization, and massive migrations."Hybrid...
Rhinoplasty remains a leading facial plastic procedure globally. The term "ethnic patients" has been replaced by "mixed race patients" reflecting today's interracial mixing, globalization, and massive migrations."Hybrid rhinoplasty" combines two different philosophies: dorsal preservation and structural techniques to achieve optimal surgical results. Selection is dependent on anatomical findings for each patient.Mixed-race primary rhinoplasty patients with V- or S-shaped humps measuring less than 3 mm were included. Patients with important dorsal abnormalities humps greater than 3 mm, or platyrrhine noses were excluded.The different surface dorsal preservation and structural nasal tip procedures are explained in detail. A selection criteria for the dorsal surface techniques is presented.A total of 143 patients between January 2020 and February 2024, who had at least 1 year of follow-up were included. 85.2% were female and 17.48% were male. Surface preservation techniques comprised 56.6% cartilage modification techniques and 43.3% cartilaginous push-down techniques. Structural techniques were used for all nasal tips. The complication rate was very low, with no documented revisions.A hybrid mix-and-match philosophy has extended the application and utility of these concepts, improved outcomes, and minimized re-interventions and complications.
Enhanced SJ Tripod Suspension Technique: Achieving Comfort and Predictable Outcomes in Severe Nasal Fracture Treatment.
Joshi S, Mirza S, Yadav R … +1 more , Ranganathan A
Facial Plast Surg · 2026 Feb · PMID 40294630 · Publisher ↗
Managing comminuted and complicated nasal fractures is challenging because it requires obtaining both functional and cosmetic satisfaction.This research examines patient satisfaction with the closed reduction strategy pa...
Managing comminuted and complicated nasal fractures is challenging because it requires obtaining both functional and cosmetic satisfaction.This research examines patient satisfaction with the closed reduction strategy paired with the use of SJ tripod suspension and splintage technique for severe nasal fractures. Our hypothesis is that proper duration of internal and external splintage is the key to satisfying results.Case series.A total of 186 consenting individuals presenting over 10 years with severe nasal fractures underwent this technique. The average duration of splintage was 10 days. Patients assessed their satisfaction using a visual analog scale.Out of the total 186 cases, 183 cases were highly satisfied with both functional (98.91%) and cosmetic (91.39%) outcomes.The tripod suspension and splintage approach is an effective and comfortable technique for the closed reduction and splintage of comminuted and complicated nasal fractures.
H-Index or Hype Index? Are High H-Index Surgeons the Real Influencers on Social Media?
Abraham-Aggarwal K, Yang AB, Spertus D … +1 more , Frodel J
Facial Plast Surg · 2026 Feb · PMID 40280553 · Publisher ↗
Social media platforms, particularly TikTok and Instagram Reels, have transformed professional visibility in medicine. Facial plastic surgeons (FPS) leverage these platforms for public education and patient outreach. How...
Social media platforms, particularly TikTok and Instagram Reels, have transformed professional visibility in medicine. Facial plastic surgeons (FPS) leverage these platforms for public education and patient outreach. However, the relationship between social media popularity and scholarly impact remains unclear.This study examines whether an otolaryngologist's social media presence correlates with their H-index, a measure of academic credibility. We hypothesize that higher H-index scores predict greater social media engagement on Instagram and TikTok.Cross-sectional study.We extracted HypeAuditor data for TikTok and Instagram engagement metrics among users with otolaryngology content with ≥25,000 followers. H-index was retrieved from Scopus, Web of Science, and Google Scholar. Correlation analyses were performed.Instagram H-index correlated positively with follower count and quality audience, while TikTok showed no significant association.Academic credibility influences Instagram engagement but not TikTok, highlighting platform-specific differences in professional influence.
Feasibility and Efficacy of Transdermal Skin Contour Sutures: A Retrospective Propensity Score Matched Study.
Lavrysen E, Maarten B, Pingnet L … +3 more , Verkest V, Fransen E, Declau F
Facial Plast Surg · 2026 Feb · PMID 40273943 · Publisher ↗
Achieving optimal contour and projection of the nasal tip is one of the most challenging aspects of rhinoplasty. The skin-soft tissue envelope (STE) plays a pivotal role in determining the final outcome, as its thickness...
Achieving optimal contour and projection of the nasal tip is one of the most challenging aspects of rhinoplasty. The skin-soft tissue envelope (STE) plays a pivotal role in determining the final outcome, as its thickness and elasticity significantly impact the predictability of postoperative results. Avoiding dead space in the lower third of the nose is essential to ensure consistent outcomes. Recently, transcutaneous skin contour sutures (TSCS) have been proposed to enhance the precision of tip definition and contouring, particularly in patients with thick STE. To mitigate risks such as skin necrosis or scarring associated with traditional TSCS techniques, we modified the approach by placing the knot of the transdermal contour suture on the internal nasal surface.A retrospective, propensity-score matched analysis was conducted on 159 patients who underwent rhinoplasty. After matching, two cohorts of 120 patients were retained: 60 patients underwent rhinoplasty with TSCS, while the control cohort of 60 patients underwent rhinoplasty without TSCS. Patient-reported outcome measures (PROMs) were utilized to evaluate functional and aesthetic outcomes.Using PROMs, we found significant improvements in mean preoperative scores for all PROMs in both cohorts. Postoperative assessments revealed that while the overall healing trajectories were not significantly different, TSCS offered notable early benefits in nasal contour and patient satisfaction, especially during the first 3 to 6 months postoperatively.The modified TSCS technique shows significant early postoperative benefits, particularly in the first 3 to 6 months. However, the overall healing trajectories over 12 months of follow-up were similar between both groups. This suggests that while TSCS has a short-term impact, the natural healing processes in both groups likely converge over time, leading to a diminishing of observable differences. Future research should focus on identifying patient subgroups that experience the greatest benefits from TSCS. The level of evidence is 3.
Structural Rhinoplasty through the Endonasal Approach.
Shah A, Nnabue OE
Facial Plast Surg · 2025 Dec · PMID 40262776 · Publisher ↗
Structural endonasal rhinoplasty, unlike traditional reductive rhinoplasty, achieves aesthetic and functional objectives while maintaining key structural anatomical elements and minimizing complications.Previously, rhino...
Structural endonasal rhinoplasty, unlike traditional reductive rhinoplasty, achieves aesthetic and functional objectives while maintaining key structural anatomical elements and minimizing complications.Previously, rhinoplasty was performed using primarily reductive techniques that frequently led to poor functional and cosmetic consequences.Pertinent nasal framework anatomy is reviewed in select highlighted cases.Preferred tools/technology are reviewed for each procedure, including the use of ultrasonic devices.Indications for each endonasal technique are systematically outlined.The most common techniques are reviewed: dorsal hump reduction, spreader graft placement, alar batten and rim grafts, and columellar strut, and caudal extension grafts.Endonasal rhinoplasty allows for reduced postoperative swelling, loss of nasal tip support, as well as decreased scar tissue/contracture formation.Structural endonasal techniques continue to evolve and become more refined with studies demonstrating cosmetic and functional outcomes similar to that of open surgery while achieving less operating time, postoperative complications, and long-term complications. As a result, structural endonasal rhinoplasty is an important surgical principle and approach for the modern rhinoplasty surgeon.
Reduction Structured Rhinoplasty.
Juszczak HM, Ferzli G, Romo T
Facial Plast Surg · 2025 Dec · PMID 40262775 · Publisher ↗
Reduction structured rhinoplasty is a rhinoplasty technique that combines elements from two rhinoplasty philosophies: simple reductive rhinoplasty and structural rhinoplasty. The goal is to achieve decreased nasal size w...
Reduction structured rhinoplasty is a rhinoplasty technique that combines elements from two rhinoplasty philosophies: simple reductive rhinoplasty and structural rhinoplasty. The goal is to achieve decreased nasal size while supporting a life-long, lasting nasal shape by employing the use of structural grafts.Reducing nasal size without replacing disrupted nasal support structures has historically led to poor outcomes.Structural grafts include spreader grafts, onlay tip grafts, columellar strut grafts, caudal septal extension grafts, and more. They are utilized to prevent internal nasal valve collapse, provide tip support, and prevent tip ptosis, retraction, or poor healing outcomes due to scarring. Different materials, including autologous cartilage and allogenic implants (i.e., high-density porous polyethylene) can be used as graft material. Preference for specific graft use differs from surgeon to surgeon, and continuous debate exists surrounding which grafts provide the most optimal results.This study outlines Romo III's tenured approach to reduction structured rhinoplasty and discusses various trends and debates in grafts that are currently utilized.
Differences in Gaze Patterns for Facial Areas of the Asian Human Face between Female Patients Undergoing Upper Blepharoplasty and Nonoperators: An Eye-Tracking Analysis.
Cheng Z, Xia W, Shi J … +1 more , Zhang C
Facial Plast Surg · 2026 Feb · PMID 40239955 · Publisher ↗
Blepharoplasty's psychological effects are well-studied, but its impact on social cognition, particularly gaze behavior, remains unexplored. Understanding how cosmetic surgery alters visual attention to faces has implica...
Blepharoplasty's psychological effects are well-studied, but its impact on social cognition, particularly gaze behavior, remains unexplored. Understanding how cosmetic surgery alters visual attention to faces has implications for patient counseling and social interaction research.We hypothesized that postblepharoplasty patients would exhibit altered gaze patterns, specifically increased attention to eyes due to heightened self-awareness. Primary outcomes were fixation duration and time to first fixation on facial regions.Case-control study (STROBE guidelines) comparing 20 females who underwent upper blepharoplasty alone with 20 nonoperated controls.Participants viewed standardized AI-generated Asian faces while eye-tracking recorded fixation metrics. ANOVA compared groups (IRB-approved). AI was used solely for image generation.Patients after upper blepharoplasty alone showed longer eye fixation (male: = 0.03; female: = 0.041) and faster female eye fixation ( = 0.029). Male forehead fixation increased ( = 0.004). Other regions showed no difference.Blepharoplasty modifies visual attention, potentially reflecting postsurgical self-perception changes. Findings suggest cosmetic procedures may influence social cognition.
Comparison of the Effects of Conventional and Ultrasonic Bone Cutting in Septorhinoplasty Surgery on Intraocular Pressure in the Postoperative Period.
Atasoy E, İnan BK, Sayın İ … +1 more , Kaya KH
Facial Plast Surg · 2026 Feb · PMID 40239954 · Publisher ↗
Septorhinoplasty is a complex facial surgery that involves osteotomy, a procedure that can lead to complications such as postoperative edema, ecchymosis, and potential changes in intraocular pressure (IOP). However, ther...
Septorhinoplasty is a complex facial surgery that involves osteotomy, a procedure that can lead to complications such as postoperative edema, ecchymosis, and potential changes in intraocular pressure (IOP). However, there is limited research on how different osteotomy techniques, such as conventional osteotomy versus ultrasonic bone cutting, affect IOP.This study aimed to compare the effects of conventional osteotomy and ultrasonic bone cutting on IOP in patients undergoing septorhinoplasty. We hypothesized that ultrasonic osteotomy would result in less change in IOP compared to conventional osteotomy.Prospective, double-blind, randomized, controlled study conducted at a tertiary referral hospital in Türkiye. The study adhered to the CONSORT guidelines for randomized trials.Sixty patients undergoing septorhinoplasty were randomly assigned to either the conventional osteotomy group or the ultrasonic osteotomy group. IOP was measured preoperatively, on postoperative day 1, and on postoperative day 7 using noncontact tonometry. Statistical analyses were performed using SPSS version 25.0 with repeated measures analysis.No significant difference in IOP was observed between groups on postoperative day 7. However, the conventional osteotomy group showed a significant increase in IOP on postoperative day 1 ( < 0.001), with a subsequent decrease by day 7. The ultrasonic osteotomy group showed no significant IOP change.Ultrasonic bone cutting for osteotomy in septorhinoplasty results in more stable IOP compared to conventional osteotomy, making it potentially safer for patients at risk of glaucoma. Further studies with longer follow-ups are required to confirm these findings.
Functional Outcomes After Feminizing Rhinoplasty.
Amin L, Wu AW, Chen HH
Facial Plast Surg · 2026 Feb · PMID 40239953 · Publisher ↗
Feminizing rhinoplasty, as part of facial feminization surgery (FFS), aims to align nasal appearance with gender identity. While nasal obstruction is a known complication of rhinoplasty, its impact on feminizing rhinopla...
Feminizing rhinoplasty, as part of facial feminization surgery (FFS), aims to align nasal appearance with gender identity. While nasal obstruction is a known complication of rhinoplasty, its impact on feminizing rhinoplasty is unclear.This study investigates if feminizing rhinoplasty causes nasal obstruction secondary to structural modifications.Prospective cohort study.IRB-approved study included males and females undergoing cosmetic rhinoplasty and transgender females undergoing feminizing rhinoplasty at Cedars-Sinai Medical Center. Nasal obstruction was assessed using the nasal obstruction and symptom evaluation (NOSE) survey preoperatively and 3-, 6-, and 12-months postoperatively, analyzed with a -test.NOSE scores significantly decreased in all groups, with transgender females showing a 78, 84, and 77% reduction at 3-, 6-, and 12-months. No significant difference was found between cosmetic rhinoplasty and FFS groups postoperatively.Decreases in average NOSE scores across groups suggest that feminizing rhinoplasty does not worsen nasal obstruction and may improve functional outcomes.
Patient Satisfaction in Functional Rhinoseptoplasty: The Role of Nonsurgical Factors.
Antunes MA, Fernandes R, Peça R … +2 more , Martins P, Luís L
Facial Plast Surg · 2026 Feb · PMID 40228540 · Publisher ↗
Functional rhinoseptoplasty (FRS) is a surgical procedure with both functional and aesthetic impacts, significantly affecting patients' quality of life. The influence of nonsurgical factors on FRS outcomes remains a deba...
Functional rhinoseptoplasty (FRS) is a surgical procedure with both functional and aesthetic impacts, significantly affecting patients' quality of life. The influence of nonsurgical factors on FRS outcomes remains a debated topic in the literature. For instance, some authors deny the long-term impact of gender, age, inferior turbinectomy, or active smoking on the results. The rhinoplasty outcome evaluation (ROE) questionnaire is a useful tool for assessing patients' satisfaction once submitted to this surgery.To evaluate the subjective impact of nonsurgical factors on the long-term outcomes of FRS.The authors conducted a retrospective study of all patients who underwent FRS at a tertiary hospital between 2019 and 2023. Patients with less than 1 year of postoperative follow-up were excluded. The ROE questionnaire was used to quantify subjective surgical satisfaction. Various variables were analyzed, including previous nasal pyramid trauma, age, known hematologic pathology, psychiatric history, allergic rhinitis, smoking habits, and inferior turbinectomy. Statistical calculations were performed using the Kruskal-Wallis formula.The sample included 75 patients with an average age of 33.4 years, mostly female (51%; = 38). The average ROE score in the sample was 79.6%. Thirty-eight point seven percent ( = 29) of the procedures were performed after nasal pyramid trauma, with these patients reporting higher ROE scores than others (85.78% in the trauma group; 75.6% in the nontrauma group; -value = 0.01394). Even though no statistical correlation was demonstrated, ROE scores were also higher in patients with allergic rhinitis (82.1% vs. 78.1% on the healthy group), psychiatric disorders (85.8% vs. 75.6% on the healthy group), hematological disorders (91.7% vs. 78.9% on the healthy group), nonsmokers (81.7% vs. 74.0% on smokers), younger patients (81.7% vs. 76.8% on patients older than 33.4 years) and patients that underwent inferior turbinectomy (81.0% vs. 75.9%).This study established a correlation between the subjective degree of surgical satisfaction and previous nasal trauma in patients undergoing FRS.
The Good, The Bad, and The Beautiful: Current Opinions about Reductive, Structural, and Preservation Rhinoplasty.
Becker DG, Friedman O, Deane EC
Facial Plast Surg · 2025 Dec · PMID 40216394 · Publisher ↗
Abstract loading — click title to view on PubMed.
When Reductive Rhinoplasty Goes Wrong and How to Make it Right.
Moritz E, Asaria J
Facial Plast Surg · 2025 Dec · PMID 40199493 · Publisher ↗
Over-resection leads to many complications in rhinoplasty. Here, we detail the most common of these pitfalls and strategies to both avoid and repair them.The nose is frequently divided into thirds. The nasal bones repres...
Over-resection leads to many complications in rhinoplasty. Here, we detail the most common of these pitfalls and strategies to both avoid and repair them.The nose is frequently divided into thirds. The nasal bones represent the upper third. The middle third is composed of the dorsal septum and upper lateral cartilages. The lower third is comprised of the lower lateral cartilages and tip-supporting structures.The commonly seen sequelae of over-resection include a deep radix, saddle nose deformity, inverted-V deformity, pollybeak deformity, alar retraction, a pinched nasal tip, bossae, deep alar grooves, and external nasal valve collapse. The major mechanism to avoid these issues is avoidance; however, several grafting techniques are described here to correct overly aggressive reduction.It is critical to avoid the complications described in this manuscript. Just as important, it is necessary to know how to correct these deformities when patients present for revision rhinoplasty.
Strategic Decision-Making in Preservation Rhinoplasty: Key Considerations for Optimal Outcomes.
Longino ES, Most SP
Facial Plast Surg · 2025 Dec · PMID 40194547 · Publisher ↗
Candidacy for dorsal preservation rhinoplasty (DPR) techniques is determined by a combination of preoperative nasal analysis and intraoperative assessment of the bony vault and septum. Classic ideal candidates have a ple...
Candidacy for dorsal preservation rhinoplasty (DPR) techniques is determined by a combination of preoperative nasal analysis and intraoperative assessment of the bony vault and septum. Classic ideal candidates have a pleasing frontal aesthetic, shorter nasal bones, bony cap at or cephalic to the rhinion, straight and appropriately narrow dorsal aesthetic lines (DALs), and a small to medium-sized hump.Alongside the growing popularity of DPR in recent years there have been numerous new methods described for approaching the bony vault and septum that expand both the definition of dorsal preservation and its potential indications. These techniques expand DPR candidacy to the crooked nose, S-shaped hump, wide or irregular DALs, and deviated caudal septum.The decision toward choosing a dorsal preservation approach is nuanced, surgeon-dependent, and may be less obvious with these new modifications. Classical or modified DPR, when executed well in appropriate candidates, is an excellent method to achieve a natural reduction of the dorsal profile.
Two-Point Fixation in Low-Septal-Resection Dorsal Preservation Rhinoplasty.
Erdal AI, Özçiler MF, Şibar S
Facial Plast Surg · 2026 Feb · PMID 40185154 · Publisher ↗
Fixation of quadrangular septal cartilage is a basic step in low-septal-resection dorsal preservation rhinoplasty. The most commonly used technique for this purpose is the fixation of the septum with a suture to the ante...
Fixation of quadrangular septal cartilage is a basic step in low-septal-resection dorsal preservation rhinoplasty. The most commonly used technique for this purpose is the fixation of the septum with a suture to the anterior nasal spine. This study presents the use of a previously described dorsal fixation suture as a second fixation maneuver in addition to anterior nasal spine fixation in low-septal-resection cases.Eighty-six patients who underwent closed-approach low-septal-resection dorsal preservation rhinoplasty between January and December 2022 were included in this retrospective study. Depending on the number of surgical maneuvers performed for stabilization of quadrangular septal cartilage, the patients were divided into two groups as follows: (i) a one-point fixation group in which the septum was fixed only to the anterior nasal spine and (ii) a two-point fixation group in which the septum was fixed to both the anterior nasal spine and the septal mucoperichondrium with dorsal fixation suture. Standardized postoperative 12-month lateral-view photographs were scanned for the presence of hump recurrence. The rhinoplasty outcome evaluation (ROE) scale was applied at 12 months.Hump recurrence was observed in five patients in the one-point fixation group ( = 31) and in one patient in the two-point fixation group ( = 55; < 0.05). No statistically significant difference was found between the groups ( > 0.05) for the ROE scores and ratio of satisfied patients.The addition of dorsal fixation suture to anterior nasal spine fixation (two-point fixation) may reduce the rate of hump recurrence in low-septal-resection dorsal preservation rhinoplasty. The level of evidence is 4.
Selecting the Right Technique for the Treatment of Submental Adiposity.
Jones EA, Sturm A
Facial Plast Surg · 2025 Oct · PMID 40164115 · Publisher ↗
This study focuses on interventions to improve the contour of the submentum. Various therapies for the submentum are available to the conscientious provider. To partner with patients effectively in today's aesthetic land...
This study focuses on interventions to improve the contour of the submentum. Various therapies for the submentum are available to the conscientious provider. To partner with patients effectively in today's aesthetic landscape, a provider must be well-versed in both surgical and minimally invasive techniques. This study aids decision-making and provides therapeutic options for a diverse patient population.Given the wide array of options for treating the submentum, this study differentiates based on invasiveness. Transcutaneous therapies include cryolipolysis, ultrasound, microwave, and laser. Percutaneous treatments include Kybella or enzymatic mixture injection and transcutaneous energy delivery. Liposuction with or without adjunctive treatments and deep neck lifts are the subcutaneous and structural options.Submental interventions, whether percutaneous, transcutaneous, or subcutaneous, amplify the natural characteristics and beauty of the patient. Aligning the proper technique with the proper patient is the mark of a perceptive surgeon who accounts for underlying anatomy and treatment goals.
Factors Contributing to Burnout and Professional Fulfillment among AAFPRS Members.
Morrissette M, Michalowski A, Sclafani AP
Facial Plast Surg · 2026 Feb · PMID 40097167 · Publisher ↗
Physician wellness is important for physician engagement and reduction of medical errors 1-6, impacting patient care. A recent survey showed that academic otorhinolaryngologists reported low levels of professional fulfil...
Physician wellness is important for physician engagement and reduction of medical errors 1-6, impacting patient care. A recent survey showed that academic otorhinolaryngologists reported low levels of professional fulfillment and high levels of burnout 7,8. This study explores wellness factors in facial plastic and reconstructive surgery (FPRS).To examine factors associated with fulfillment, burnout, and intent to leave within FPRS.Cross-sectional survey.AAFPRS members completed an anonymous and standardized survey to assess professional fulfillment and burnout. Chi-square testing was used for data analysis.Among 75 respondents (5% response rate), 34% lacked professional fulfillment and 18% experienced burnout, lower than reported rates in academic otorhinolaryngology7. Lack of decision-making power in recruitment/purchasing decisions and uncompensated otolaryngology call were driving factors.Decreased autonomy and extra-subspecialty responsibilities drive burnout, lack of fulfillment, and intent to leave and should be considered in employment arrangements.
Facial Fillers and Surgical Rhinoplasty: Cross-Sectional Study.
Vansteelant G, D'Souza A, EAFPS Filler Working Group
Facial Plast Surg · 2025 Dec · PMID 39993423 · Publisher ↗
This study aims to provide an overview of how rhinoplasty surgeons manage patients with previous nonsurgical rhinoplasty and facial fillers. A multicenter international cross-sectional study was conducted in accordance w...
This study aims to provide an overview of how rhinoplasty surgeons manage patients with previous nonsurgical rhinoplasty and facial fillers. A multicenter international cross-sectional study was conducted in accordance with strengthening the reporting of observational studies in epidemiology (STROBE) guidelines. A survey was distributed to members of the European Academy of Facial Plastic Surgery and associated colleagues, with responses analyzed from surgeons performing over 10 rhinoplasties annually. A total of 171 surgeons from 45 countries participated, with 165 meeting the inclusion criteria. The respondents included ear, nose, and throat (41%), plastic (7%), maxillo-facial (10%), and facial plastic surgeons (23%), averaging 116 rhinoplasties annually and 13 years of experience. Among the surgeons, 74% perform rhinoplasty on patients with prior nasal fillers, typically waiting 21 weeks after filler rhinoplasty before surgery. Additionally, 44% of surgeons remove nasal fillers preoperatively, primarily using hyaluronidase. During surgery, 76% of surgeons remove nasal fillers, and 25% modify their surgical steps for patients with a history of fillers. This study shows that there is no clear consensus in the management of patients with nasal fillers. Surgeons are often unaware of the preoperative existence of nasal and facial fillers, their potential complications, and their management. To address this, guidelines should be established to facilitate the management of the growing number of patients with facial fillers.
Nonsurgical Rhinoplasty: Histopathological Effects of Dermal Fillers on Nasal Cartilage in a Rabbit Model.
Gürlek İÖ, Gülüstan F, İnan BK … +4 more , Göktaş AB, İnan Ö, Sayın İ, Kaya KH
Facial Plast Surg · 2026 Feb · PMID 39965763 · Publisher ↗
Nonsurgical rhinoplasty has emerged as a preferred nasal aesthetic treatment due to its safety, predictability, and high patient satisfaction. It utilizes dermal fillers, primarily hyaluronic acid (HA), to enhance nasal...
Nonsurgical rhinoplasty has emerged as a preferred nasal aesthetic treatment due to its safety, predictability, and high patient satisfaction. It utilizes dermal fillers, primarily hyaluronic acid (HA), to enhance nasal profiles and correct defects. However, limited data exist on the effects of HA-containing dermal fillers on nasal cartilage. This study aimed to evaluate these effects histopathologically. Sixteen New Zealand white rabbits were divided into two groups (A and B). Group A's right lateral cartilages (AR) received 0.1 mL of VYC-20L filler, while the left (AL) received isotonic saline. Group B's right lateral cartilages (BR) received 0.1 mL of VYC-25L filler, with the left (BL) serving as the control. After 90 days, the rabbits were sacrificed, and cartilage samples were analyzed histopathologically for cartilage thickness, chondrocyte nucleus loss, inflammation, fibrosis, giant cells, granulation tissue, abscess, and necrosis. Statistical significance was set at < 0.05. Significant differences were found between groups for chondrocyte nucleus loss, fibrosis, and giant cells ( = 0.005, 0.018, <0.001, respectively). No difference was observed in cartilage thickness between AR and BR ( = 0.918). Chondrocyte nucleus loss was present in AR and BR but absent in AL and BL. Giant cells were detected in all VYC-20L and VYC-25L samples. Chronic inflammation and fibrosis varied but were not statistically significant. No abscess or necrosis was observed. This study demonstrated the histopathological effects of VYC-20L and VYC-25L on nasal cartilage using a rabbit model. Further studies with larger samples and diverse fillers are recommended.
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