Facial Plast Surg [JOURNAL]
Sun
200 papers
In-Office Surgical Procedures for Prejuvenation.
Morrissette M, Stein E, Tai K … +1 more , Trujillo O
Facial Plast Surg · 2026 Jun · PMID 42379225 · Publisher ↗
AIMS AND BACKGROUNDS: This review describes surgical interventions that address structural and anatomical changes in younger patients with the aim of delaying traditional rejuvenating or corrective surgery in an operativ...
AIMS AND BACKGROUNDS: This review describes surgical interventions that address structural and anatomical changes in younger patients with the aim of delaying traditional rejuvenating or corrective surgery in an operative setting. HISTORICAL ASPECTS: Traditionally, surgical procedures like submentoplasty and rhytidectomy are used to rejuvenate and/or correct anatomical, structural, and/or age-related defects in patients with advanced aging. ANATOMY: For appropriate younger patients, we describe a shift away from cutaneous, surface-level changes to procedures aimed to correct structural changes resulting from aging, trauma, or genetic manifestation, specifically addressing submental fat, plastysmal diastasis, jowling, and periorbital dermatochalasis. PATIENT SELECTION: Candidates are younger patients with high skin elasticity and mild structural changes. TECHNIQUES: Targeted procedures include submentoplasty, mini-facelift, and preservation-focused upper and lower blepharoplasty performed in the office, under local anesthesia for younger patients. POSTOPERATIVE CARE: Emphasis is placed on compression, cold therapy, and supplements to minimize downtime and swelling. CONCLUSIONS AND CLINICAL RELEVANCE: In appropriate patients, the surgical, structural prejuvenation techniques described herein offer a proactive, durable result from procedures performed entirely in-office.
Platelet-Rich Plasma and Platelet-Rich Fibrin in Facial Plastic Surgery: A Comprehensive Literature Review.
Shah S, Kamal T, Ben Ner D … +2 more , D'Souza A, Joshi A
Facial Plast Surg · 2026 Jun · PMID 42331032 · Publisher ↗
AIM AND BACKGROUND: To summarize current evidence on Platelet-rich plasma (PRP) and platelet-rich fibrin (PRF) applications and outcomes in facial plastic surgery. TECHNOLOGY: PRP and PRF are autologous platelet concentr...
AIM AND BACKGROUND: To summarize current evidence on Platelet-rich plasma (PRP) and platelet-rich fibrin (PRF) applications and outcomes in facial plastic surgery. TECHNOLOGY: PRP and PRF are autologous platelet concentrates with regenerative potential. They release growth factors that promote tissue repair, angiogenesis, extracellular matrix remodeling, graft integration, and scar remodeling, making them increasingly relevant in facial plastic surgery. PATIENT SELECTION: A narrative review of clinical studies, meta-analyses, and systematic reviews was conducted. Key outcomes included wound healing, graft retention, postoperative edema and ecchymosis, scar improvement, and patient satisfaction. CURRENT AND FUTURE DEVELOPMENT: PRP improved wound healing, reduced crusting, and enhanced patient satisfaction in rhinoplasty, while PRF decreased cartilage resorption and improved graft stability. In rhytidectomy, PRP offered modest reductions in edema and ecchymosis. Both agents enhanced scar revision and fat graft outcomes, with PRF showing superior remodeling and long-term graft retention. In periorbital rejuvenation, PRP improved pigmentation and satisfaction, whereas PRF improved skin texture and wrinkles. Both were safe with minimal adverse events. CONCLUSION AND CLINICAL RELEVANCE: PRP and PRF are effective biologic adjuncts in facial plastic surgery, supporting tissue regeneration, graft integration, and aesthetic outcomes. Efficacy is influenced by patient factors and technique. High-quality, procedure-specific trials are needed to optimize protocols.
Neck Contouring Prejuvenation Techniques.
Reynolds E, Ho TT
Facial Plast Surg · 2026 Jun · PMID 42331030 · Publisher ↗
AIMS AND BACKGROUND: This paper discusses neck contouring prejuvenation techniques, focusing primarily on neck lift and submental liposuction to optimize neck definition. HISTORICAL ASPECTS: Traditional neck rejuvenation...
AIMS AND BACKGROUND: This paper discusses neck contouring prejuvenation techniques, focusing primarily on neck lift and submental liposuction to optimize neck definition. HISTORICAL ASPECTS: Traditional neck rejuvenation has relied on platysmaplasty, fat excision, and skin resuspension for addressing the aging neck. With growing demand for early neck rejuvenation, surgical approaches focused more on definitive sculpting such as submental liposuction and deep neck lifts have become increasingly popular. ANATOMY: The neck consists of multiple layers and structures including skin, subcutaneous fat, platysma muscle, submandibular glands. PATIENT SELECTION: Ideal candidates for prejuvenation surgical neck contouring procedures are patients aged 20-40 with early signs of submental fullness or a soft jawline with otherwise good skin elasticity. TECHNIQUE: The senior author performs deep neck lift surgery using a small submental crease incision and sculpts prominent subplatysmal fat, anterior digastric muscle, and submandibular glands down to the level of the mandible. POSTOPERATIVE CARE: Following neck lift surgery, patients are instructed to follow a bland diet for 1 week and activity restriction for 2 weeks as well as appropriate wound care to the incisions. CONCLUSION AND CLINICAL RELEVANCE: Neck lift and submental liposuction remain the cornerstones of effective surgical neck contouring procedures for younger adults. KEY WORDS: Neck Lift, Submental Liposuction.
Lip Rejuvenation Options in the Youthful Population.
Altman A, Higgs J, Shtraks J
Facial Plast Surg · 2026 Jul · PMID 42320880 · Publisher ↗
AIM AND BACKGROUND: The lips play a critical role in the perception of youth, beauty, and facial harmony. This review examines lip enhancement techniques in the youthful population, emphasizing anatomy, aesthetic conside...
AIM AND BACKGROUND: The lips play a critical role in the perception of youth, beauty, and facial harmony. This review examines lip enhancement techniques in the youthful population, emphasizing anatomy, aesthetic considerations, and both surgical and nonsurgical modalities. ANATOMY: The lips consist of the upper and lower cutaneous and vermilion lip, encircled by the orbicularis oris muscle and supplied by the superior and inferior labial arteries. TECHNIQUES: Lip enhancement can be achieved with neuromodulators, hyaluronic acid fillers, and surgical techniques. Botulinum toxin creates subtle lip eversion, while hyaluronic acid fillers provide volume and definition. Surgical lip lift procedures shorten the cutaneous upper lip, evert the red lip, and increase maxillary incisor show, improving overall lip proportion. CONCLUSION AND CLINICAL RELEVANCE: Successful lip enhancement relies on thoughtful patient selection and an understanding of lip anatomy and aesthetic proportions. Both nonsurgical and surgical treatments can provide natural and harmonious results.
Impact of Functional Rhinoplasty on Sleep-Disordered Breathing: A Systematic Review and Meta-Analysis.
Ang LF, Chua NYM, Loh SBJ … +2 more , Di Pierro F, Ng CL
Facial Plast Surg · 2026 Jun · PMID 42314704 · Publisher ↗
INTRODUCTION: Structural nasal obstruction is an important modifier of sleep-disordered breathing (SDB), but the specific impact of functional rhinoplasty on validated sleep-related outcomes has not been quantitatively s...
INTRODUCTION: Structural nasal obstruction is an important modifier of sleep-disordered breathing (SDB), but the specific impact of functional rhinoplasty on validated sleep-related outcomes has not been quantitatively synthesized. OBJECTIVE AND HYPOTHESIS: To systematically review and meta-analyze studies of adults with SDB undergoing functional rhinoplasty or septorhinoplasty, testing the hypothesis that surgery yields large improvements in nasal obstruction and modest improvements in sleep-related symptoms. STUDY DESIGN: PROSPERO-registered systematic review and random-effects meta-analysis conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020. METHODS: PubMed, Embase and Cochrane Library were searched to September 2025 for studies reporting validated symptom scores before and after functional rhinoplasty or septorhinoplasty in adults with SDB. Standardized mean differences (SMDs) with Hartung-Knapp-adjusted confidence intervals were pooled; risk of bias and publication bias were formally assessed. RESULTS: Eight studies (27 cohorts; = 1,192) met inclusion criteria. Surgery was associated with large improvement in nasal obstruction (Nasal Obstruction Symptom Evaluation SMD: -4.99; 95% CI: -9.12 to -0.85), moderate reductions in daytime sleepiness (Epworth Sleepiness Scale SMD: -1.09; 95% CI: -2.33 to 0.15) and global sleep disturbance (Pittsburgh Sleep Quality Index SMD: -0.74; 95% CI: -1.21 to -0.26), and modest gains in functional status (Functional Outcomes of Sleep Questionnaire-10 SMD: 0.41; 95% CI: 0.16-0.65). Heterogeneity was substantial for most outcomes and small-study effects were detected. CONCLUSION: Functional rhinoplasty and septorhinoplasty appear to improve nasal obstruction and sleep-related patient-reported outcomes in adults with SDB, supporting their role as adjunctive procedures in selected patients. High heterogeneity and predominantly observational data highlight the need for larger, phenotype-driven studies to refine effect estimates and patient selection (PROSPERO registration number: CRD420251168358).
The Use of Muscle-Hitch and Internal Gradual Tension Quilting Sutures for Eyebrow Lift Using an Open Temple Approach.
Dargan D, Ma Y, Khan MAA … +2 more , Khan UD, Riaz M
Facial Plast Surg · 2026 Jun · PMID 42302857 · Publisher ↗
INTRODUCTION: Brow lift incorporates an assessment and correction of multiple factors which differ considerably between patients. Various options for brow lift exist, each with its limitations when correcting the full sp...
INTRODUCTION: Brow lift incorporates an assessment and correction of multiple factors which differ considerably between patients. Various options for brow lift exist, each with its limitations when correcting the full spectrum of age-related changes to the eyebrow. OBJECTIVES AND HYPOTHESES: To describe a brow lift technique that addresses the limitations seen in other techniques. STUDY DESIGN: Case series. METHODS: The technique was performed from 2022 to 2023 for 70 patients aged 40 to 77 years. All patients were female. RESULTS: All patients underwent the technique with satisfactory results and no complications. No infection of the wound or asymmetry was observed, and no patients required a revision operation. No major complications such as facial paralysis or necrosis were observed. CONCLUSION: This technique is a versatile procedure with good aesthetic outcomes which preserves facial animation and can be combined with other procedures while effectively elevating the lateral third of the eyebrow.
Biostimulatory Injectables for Collagen Stimulation.
Somenek MT
Facial Plast Surg · 2026 Jun · PMID 42297014 · Publisher ↗
AIM AND BACKGROUND: Biostimulatory injectables represent a transformative paradigm in aesthetic medicine, shifting the therapeutic focus from immediate volumization to biologically driven tissue regeneration. Unlike trad...
AIM AND BACKGROUND: Biostimulatory injectables represent a transformative paradigm in aesthetic medicine, shifting the therapeutic focus from immediate volumization to biologically driven tissue regeneration. Unlike traditional hyaluronic acid fillers, agents such as calcium hydroxylapatite (CaHA) and poly-L-lactic acid (PLLA) harness the body's endogenous regenerative capacity by activating fibroblasts and promoting neocollagenesis. This chapter reviews the scientific foundations, mechanisms of action, clinical applications, and evolving role of these two principal biostimulatory agents. ANATOMY: CaHA and PLLA exert their regenerative effects primarily within the dermis and subdermal connective tissue. Optimal outcomes require a precise injection technique within the subdermal plane, and treatment zones include the face, neck, décolletage, and body. TECHNOLOGY: CaHA microspheres provide immediate structural support while simultaneously functioning as a biologic scaffold for neocollagenesis. PLLA microparticles achieve their regenerative effect through gradual polymer hydrolysis and prolonged fibroblast stimulation, yielding cumulative and durable improvements across staged treatment sessions. TECHNIQUES: Both PLLA and Hyperdilute CaHA formulations enable versatile treatment across multiple anatomic regions. Optimal outcomes depend on proper patient selection, appropriate dilution strategies, and precise injection technique within the subdermal plane. POST OPERATIVE CARE: Thorough patient counseling regarding the delayed onset of results is essential to manage expectations. PLLA, in particular, requires staged treatment sessions to achieve cumulative improvements. CONCLUSION AND CLINICAL RELEVANCE: Together, CaHA and PLLA offer clinicians a sophisticated, biologically grounded complement to the broader injectable armamentarium, addressing the underlying structural causes of facial aging rather than solely masking their clinical manifestations.
Non-Surgical Hair Restoration Options: Current Techniques and Emerging Technologies in Prejuvenation.
Paul BC
Facial Plast Surg · 2026 Jun · PMID 42285172 · Publisher ↗
AIMS AND BACKGROUNDS: Hair loss is a highly prevalent condition, and patients are increasingly seeking prejuvenation and restoration. This review evaluates contemporary non-surgical hair restoration modalities. HISTORICA...
AIMS AND BACKGROUNDS: Hair loss is a highly prevalent condition, and patients are increasingly seeking prejuvenation and restoration. This review evaluates contemporary non-surgical hair restoration modalities. HISTORICAL ASPECTS: Therapeutic strategies have evolved from topical vasodilators to targeted hormonal, regenerative, and device-based interventions reflecting advances in our understanding of follicular biology and technology. ANATOMY: Hair follicle cycling is regulated by dermal papilla signaling, epithelial stem cells, and perifollicular vascular and inflammatory environments. TECHNOLOGY: Non-surgical therapies include oral and topical pharmacologics, hormonal therapies, platelet-rich plasma (PRP), microneedling, peptide-based treatments, exososomes, nutraceuticals, low-level laser (light) therapy (LLLT), lasers, and transdermal delivery systems. PATIENT SELECTION: Appropriate candidates include patients with androgenetic alopecia and other non-scarring alopecias; accurate diagnosis is critical. TECHNIQUES: Combination therapy is increasingly utilized to target multiple biologic pathways. POST OPERATIVE CARE: Minimal downtime is expected; long-term adherence is required. CURRENT AND FUTURE DEVELOPMENT: Emerging therapies include exosome-based treatments, peptides, and advanced drug delivery platforms. CONCLUSION AND CLINICAL RELEVANCE: Non-surgical modalities are central to prejuvenation and can delay or complement surgical intervention when appropriately applied.
German Translation and Validation of the Standardized Cosmesis and Health Nasal Outcomes Survey Questionnaire.
Haack S, Saltychev M, Most SP … +5 more , Brandstetter M, Mann S, Wurm A, Nolli M, Mahrhofer M
Facial Plast Surg · 2026 Jun · PMID 42259384 · Publisher ↗
INTRODUCTION: The Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS) is a validated patient-reported outcome measure assessing both functional and cosmetic aspects of rhinoplasty. Despite widespread use, no...
INTRODUCTION: The Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS) is a validated patient-reported outcome measure assessing both functional and cosmetic aspects of rhinoplasty. Despite widespread use, no validated German version has been available to date. OBJECTIVE AND HYPOTHESIS: To translate and validate the German version of the questionnaire. STUDY DESIGN: Prospective case-control study. METHODS: This study followed international translation guidelines including forward and backward translation, patient interviews ( = 10), and a validation study involving 25 rhinoplasty patients and 25 healthy controls. Internal consistency, test-retest reliability, and construct validity were evaluated. RESULTS: The German SCHNOS demonstrated excellent internal consistency (Cronbach's α: 0.95 for SCHNOS-O, 0.94 for SCHNOS-C). Test-retest reliability was very strong. Exploratory factor analysis confirmed unidimensionality of both domains. CONCLUSION: The German SCHNOS is a valid and reproducible tool for evaluating rhinoplasty outcomes. It facilitates standardized assessment of functional and aesthetic results to be used in clinical practice and research within German-speaking populations.
Resting Angle Correction beyond Aesthetics: A Retrospective Cohort Study Demonstrating Its Role in Nasal Valve Repair.
Daoud M, Fufezan ML, Bahaa-Eddin W … +2 more , Gherasie LM, Zainea V
Facial Plast Surg · 2026 Jun · PMID 42259383 · Publisher ↗
INTRODUCTION: The resting angle forms between the lateral crus of the lower lateral cartilage (LLC) and the upper lateral cartilage. While conventional nasal valve repair relies on cartilage grafting for reinforcement of...
INTRODUCTION: The resting angle forms between the lateral crus of the lower lateral cartilage (LLC) and the upper lateral cartilage. While conventional nasal valve repair relies on cartilage grafting for reinforcement of these structures, the functional significance of resting angle adjustment remains underexplored. OBJECTIVE AND HYPOTHESIS: We describe a technique to reposition the LLC, adjusting the resting angle to support the lateral nasal wall and restore external nasal valve (ENV) function without grafts, with the hypothesis that this approach improves functional and aesthetic outcomes. STUDY DESIGN: Retrospective cohort study. METHODS: We retrospectively identified patients with ENV collapse-related nasal obstruction who underwent the described surgery. Pre- and postoperative peak nasal inspiratory flow (PNIF) measurements and FACE-Q scores were compared to evaluate functional and aesthetic improvement, respectively. RESULTS: Thirty patients (22 female, 8 male) were included. Postoperatively, median PNIF increased from 74.0 L/minute (interquartile range [IQR]: 73.0-76.0; 95% confidence interval [CI]: 72.5-75.5) to 96.0 L/minute (IQR: 93.0-97.0; 95% CI: 94.0-97.5), and median FACE-Q Satisfaction with nose scores from 17 (IQR: 16.0-18.0; 95% CI: 16.0-17.5) to 37 (IQR: 35.0-38.0; 95% CI: 36.5-37.5); both improvements were statistically significant ( < 0.001). CONCLUSION: Resting angle correction may not only improve aesthetics, but also stabilize the lateral nasal wall to prevent or repair ENV collapse.
The Role of Hyperbaric Oxygen Therapy in Enhancing Skin Regeneration and Aesthetic Outcomes: A Literature Review.
AlKandery M, Ben Ner D, D'Souza AR
Facial Plast Surg · 2026 Jun · PMID 42259382 · Publisher ↗
INTRODUCTION: Hyperbaric oxygen therapy (HBOT) involves the administration of 100% oxygen at pressures greater than atmospheric pressure, leading to increased tissue oxygenation and enhanced wound healing. Its role in su...
INTRODUCTION: Hyperbaric oxygen therapy (HBOT) involves the administration of 100% oxygen at pressures greater than atmospheric pressure, leading to increased tissue oxygenation and enhanced wound healing. Its role in surgical practice has expanded due to its potential to improve tissue viability and manage a myriad of complications. OBJECTIVE AND HYPOTHESIS: To evaluate the clinical indications, therapeutic benefits, and treatment protocols of HBOT in facial plastic and aesthetic surgery. STUDY DESIGN: Literature review. METHODS: A literature search of electronic databases including PubMed, the Cochrane Library, and Google Scholar was performed to identify studies evaluating HBOT in facial plastic surgery, including its use in rhytidectomy, rhinoplasty, vascular ischemia following dermal filler injections, and keloid management. CONCLUSION: HBOT serves as a valuable adjunct, improving tissue oxygenation, promoting wound healing, and potentially reducing complications. Early utilization may enhance surgical outcomes and recovery.
Preservation of Nasal Valve Function in Congenital Deficiency of the Lower Lateral Cartilage: A Systematic Review and Case Series.
Daoud M, Fufezan ML, Bahaa-Eddin W … +2 more , Gherasie LM, Zainea V
Facial Plast Surg · 2026 Jun · PMID 42248592 · Publisher ↗
INTRODUCTION: Isolated congenital lower lateral cartilage (LLC) anomalies are incidental intraoperative findings that challenge surgical planning. Despite their role in external nasal valve (ENV) support, variable clinic...
INTRODUCTION: Isolated congenital lower lateral cartilage (LLC) anomalies are incidental intraoperative findings that challenge surgical planning. Despite their role in external nasal valve (ENV) support, variable clinical presentation suggests the existence of compensatory mechanisms that warrant further investigation. OBJECTIVE AND HYPOTHESIS: We evaluate the available evidence on isolated congenital LLC deficiency to explore reported preoperative nasal valve dysfunction and surgical outcomes, with the hypothesis that the available evidence demonstrates an association between isolated congenital LLC deficiency and nasal valve dysfunction. STUDY DESIGN: Preferred Reporting Items for Systematic Reviews and Meta-Analyses-compliant systematic review and case series. METHODS: A systematic search of three databases was undertaken to identify reports of isolated congenital LLC deficiency. Studies without intraoperative confirmation and those involving pediatric populations were excluded. The validated Joanna Briggs Institute (JBI) Critical Appraisal Tools and Case Report Guidelines were used to assess evidence quality. RESULTS: Fifteen studies ( = 18) were eligible, comprising 14 case reports and one case series. Unilateral involvement was most common ( = 16), with the middle crus most frequently affected. Eight patients were asymptomatic. Only three studies were rated as high quality (JBI: 6-7/8). In our case series, the incidence of isolated congenital LLC absence was 0.002, and lateral crus absence was asymptomatic, whereas absence of the medial and middle crura was associated with dynamic ENV collapse. These observations are hypothesis-generating, suggesting a greater functional role for medial crus integrity in nasal valve competence, with lateral crus absence appearing more consistently asymptomatic across the literature. CONCLUSION: Potential compensatory mechanisms may help preserve nasal valve function despite isolated LLC deficiency, a rare anomaly that underscores the need for intraoperative preparedness and tailored reconstruction when encountered incidentally.
Modified Spreader Flap Tension Suture Technique for Internal Nasal Valve Reconstruction: A 580-Patient Cohort Study.
Daoud M, Bahaa-Eddin W, Fufezan ML … +2 more , Gherasie LM, Zainea V
Facial Plast Surg · 2026 Jun · PMID 42248591 · Publisher ↗
INTRODUCTION: The internal nasal valve (INV) is a key determinant of nasal airflow and is dependent on middle vault integrity. While spreader grafts remain the gold standard for reconstruction, the spreader flap offers a...
INTRODUCTION: The internal nasal valve (INV) is a key determinant of nasal airflow and is dependent on middle vault integrity. While spreader grafts remain the gold standard for reconstruction, the spreader flap offers a tissue-preserving alternative. OBJECTIVE AND HYPOTHESIS: This study evaluates outcomes of a modified spreader flap tension suture technique with composite flap elevation in 580 patients, with the hypothesis that this approach yields favorable functional improvements. STUDY DESIGN: Retrospective cohort study. METHODS: Patients who underwent the described procedure were retrospectively identified. Inclusion required a dorsal hump reduction of >3 mm in all cases. Patients were stratified into three groups according to clinical presentation: those undergoing dorsal refinement alone, those with concurrent septal deviation or turbinate hypertrophy, and those with primary INV insufficiency. Prior dorsal rhinoplasty or significant septal deviation were exclusion criteria. Pre- and postoperative (6 months) peak nasal inspiratory flow (PNIF) measurements and visual analog scale (VAS) scores were compared to evaluate objective and subjective functional improvement, respectively. RESULTS: The dorsal refinement group ( = 362) demonstrated stable functional outcomes, with a mean VAS improvement of 2 points. The septal deviation/turbinate hypertrophy group ( = 158) had a mean PNIF increase of 27 L/minute and a 3.5-point VAS improvement, while the INV insufficiency group ( = 60) showed greater gains (PNIF +35 L/minute; VAS +5 points). CONCLUSION: The modified spreader flap is an effective, cartilage-preserving technique for INV reconstruction, yielding consistent functional and aesthetic outcomes. Further controlled studies are required to assess long-term results.
The Role of Anti-Inflammatory Nutrition in Facial Cosmetic Surgery Outcomes: A Scoping Review.
Baldwin RB, Dyer BJ, Bedalov L … +1 more , Toman J
Facial Plast Surg · 2026 Jun · PMID 42242242 · Publisher ↗
INTRODUCTION: Prolonged inflammatory responses are associated with impaired wound healing, increased surgical complications, and poor health outcomes. Additionally, anti-inflammatory diet and nutrition have been shown to...
INTRODUCTION: Prolonged inflammatory responses are associated with impaired wound healing, increased surgical complications, and poor health outcomes. Additionally, anti-inflammatory diet and nutrition have been shown to reduce harmful inflammatory markers in the body. However, the relationship between anti-inflammatory diet and surgical outcomes remains poorly understood in cosmetic surgery populations. OBJECTIVES AND HYPOTHESES: This scoping review aims to evaluate the quality and quantity of the current literature regarding the impact of the anti-inflammatory diet on facial cosmetic surgery outcomes. STUDY DESIGN: Scoping Review following PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines. METHODS: A literature search was performed in PubMed, Embase, Scopus, and CINAHL with keywords relating to anti-inflammatory diet, surgical outcomes, and elective surgery. Duplicate articles were removed, and the remaining were reviewed by two independent reviewers. Inclusion criteria consisted of studies with elective surgery patients, immunomodulating nutritional interventions, and outcomes relating to facial cosmetic surgery. Exclusion criteria included studies focused on gastrointestinal surgery, oncological surgery, emergent surgery, total parenteral nutrition, or malnourished populations. Additionally, we excluded systematic reviews, commentaries, editorials, abstracts, non-English studies, and protocols. RESULTS: Our literature search yielded 2,954 articles, of which 36 articles underwent full-text review, and 7 studies met inclusion criteria. There was substantial variability in surgeries performed, study quality, specialties covered, outcome measures, and interventions. Three studies reported clinical outcomes such as wound complications or postoperative morbidity, whereas the remaining four studies focused on immune cell recovery and inflammatory markers. Importantly, multiple studies demonstrated statistically significant improvements in length of hospital stay, inflammatory markers, or complication rates. Unfortunately, no studies evaluated facial cosmetic surgery directly. CONCLUSION: While the evidence is extremely limited, anti-inflammatory nutrition shows promise in modulating factors that are related to cosmetic surgery outcomes. These findings suggest that anti-inflammatory diets and nutrition for cosmetic surgery patients warrant further investigation.
Aesthetic Outcomes, Complications, and Reported Long-Term Effects of Buccal Fat Pad Reduction: A Systematic Review.
Shapiro J, Zgardau A, Pundkay G … +5 more , Skinner J, Sone Z, Solomon Z, Nichols A, Duvdevani SI
Facial Plast Surg · 2026 Jun · PMID 42235535 · Publisher ↗
INTRODUCTION: Buccal fat pad reduction (BFPR) is increasingly used for lower facial contouring; however, long-term outcomes remain unclear. OBJECTIVE AND HYPOTHESIS: To evaluate aesthetic outcomes, patient satisfaction,...
INTRODUCTION: Buccal fat pad reduction (BFPR) is increasingly used for lower facial contouring; however, long-term outcomes remain unclear. OBJECTIVE AND HYPOTHESIS: To evaluate aesthetic outcomes, patient satisfaction, complications, and long-term sequelae following BFPR. We hypothesized that the BFPR yields high satisfaction and favorable short-term outcomes with low complication rates, while long-term effects are underreported. STUDY DESIGN: Systematic review. METHODS: A Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020-compliant review was conducted across MEDLINE, Embase, Web of Science, Scopus, and Cochrane CENTRAL through December 2025. Eligible studies reported aesthetic outcomes, satisfaction, or complications. PROSPERO registration: CRD420251274504. RESULTS: Ten studies ( = 1,123) were analyzed. Objective assessments demonstrated a reduction in lower facial volume. Satisfaction was high. Among 921 procedures, 39 complications occurred (4.2%), mostly minor. Long-term outcomes were poorly assessed because follow-up was limited; one study reported a gaunt appearance (1.6%). CONCLUSION: BFPR appears safe with high satisfaction; however, evidence is limited by low-level studies and short follow-up.
The Safety and Efficacy of At-Home Devices for Skin Care.
Layne MR, Weiser JA
Facial Plast Surg · 2026 May · PMID 42184823 · Publisher ↗
AIM AND BACKGROUND: At-home skin care devices have gained significant popularity as consumers seek convenient, noninvasive treatments for common dermatologic concerns. These devices are designed to address issues such as...
AIM AND BACKGROUND: At-home skin care devices have gained significant popularity as consumers seek convenient, noninvasive treatments for common dermatologic concerns. These devices are designed to address issues such as early signs of aging, acne, and skin dullness while maintaining a favorable safety profile for unsupervised consumer use. TECHNOLOGY: Common technologies used in at-home devices include light-emitting diode therapy, radiofrequency, microcurrent, low-energy laser, and intense pulsed light. Compared with professional in-office treatments, these devices operate at lower energy outputs and incorporate safety mechanisms to reduce the risk of burns, dyspigmentation, and scarring. Many devices are cleared by the U.S. Food and Drug Administration, indicating that they meet established safety standards when used according to manufacturer instructions. CURRENT AND FUTURE DEVELOPMENT: Evidence from small clinical studies suggests that at-home devices may stimulate collagen production, reduce acne lesions, and improve overall skin texture. However, clinical outcomes are generally more gradual and less pronounced than those achieved with professional-grade equipment due to lower treatment intensity. CONCLUSION AND CLINICAL RELEVANCE: At-home skin care devices demonstrate a favorable safety profile and modest clinical efficacy for maintenance therapy and early dermatologic intervention when used appropriately.
Thermal Effects of Monopolar Electrocautery on Cartilage.
Orhan M, Eravci FC, Kaplan Ö … +1 more , Oltulu P
Facial Plast Surg · 2026 Jun · PMID 42140231 · Publisher ↗
INTRODUCTION: Electrocautery is used for dorsal cartilage contouring in rhinoplasty, but its safe energy range and histological effects remain unclear. OBJECTIVE AND HYPOTHESIS: This study evaluated histological cartilag...
INTRODUCTION: Electrocautery is used for dorsal cartilage contouring in rhinoplasty, but its safe energy range and histological effects remain unclear. OBJECTIVE AND HYPOTHESIS: This study evaluated histological cartilage changes after monopolar electrocautery and compared postcautery and concomitant irrigation effects on chondrocyte viability. STUDY DESIGN: Experimental animal study. METHODS: Eight adult New Zealand rabbits were included. Auricular cartilage grafts were treated with monopolar electrocautery at 0, 8, 10, or 12 W for 4 seconds. Paired grafts received postcautery or concomitant irrigation with saline. Grafts were implanted subcutaneously and examined histopathologically at 60 days. CONCLUSION: Chondrocyte viability decreased with increasing energy levels (0 W: 57.8 ± 27.9%; 8 W: 22.6 ± 16.8%; 10 W: 8.5 ± 9.9%; 12 W: 5.2 ± 5.5%; < 0.001). Among the groups in which ossification was observed, the highest ossification rates were recorded at 8 W, with lower values at higher energy settings ( < 0.001). Postcautery irrigation preserved significantly higher chondrocyte viability than concomitant irrigation at all energy levels. Monopolar electrocautery causes an energy-dependent reduction in chondrocyte viability. Ossification was identified as an unanticipated finding independent of the applied energy level. Postcautery irrigation preserves higher chondrocyte viability than concomitant irrigation. When electrocautery is used for dorsal contouring, it should be applied within a limited safety range.
Bilateral Alar Hanging Correction with Modified Arrow Tip Technique: 4 Years Experience.
Kowitwibool K, Thanakitcharu J, Supakmontri T … +1 more , Soontornwesn T
Facial Plast Surg · 2026 May · PMID 42134337 · Publisher ↗
AIM AND BACKGROUND: Hanging alar deformity is an excessive caudal projection of the alar rim found particularly among Asians. In this review, we conducted a retrospective photographic analysis of cases that underwent ala...
AIM AND BACKGROUND: Hanging alar deformity is an excessive caudal projection of the alar rim found particularly among Asians. In this review, we conducted a retrospective photographic analysis of cases that underwent alar hanging correction using the modified arrow tip technique. HISTORICAL ASPECTS: Numerous techniques have been developed to address this deformity. However, these methods have their pros and cons in terms of precision and postoperative care. PATIENT SELECTION: One hundred thirty-eight patients undergoing modified arrow tip correction at a private clinic in Bangkok, Thailand, from January 2022 to October 2025 were included. TECHNIQUES: The technique relies on a partial-thickness excision. The mean frontal height decreased from 15.15 ± 1.87 to 13.21 ± 1.63 mm (-11.80 ± 10.77%). The lateral height reduced from 16.18 ± 1.93 mm to 13.88 ± 1.69 mm (-13.26 ± 9.49%). Differences between views were statistically significant. Scarring and asymmetry were found in 10.14 and 1.45%, respectively. CURRENT AND FUTURE DEVELOPMENT: Effectiveness in broader patient populations and the potential benefits of combining with complementary procedures should be explored in broader populations. CONCLUSION AND CLINICAL RELEVANCE: Modified arrow tip technique is safe, effective, and reproducible for addressing hanging alar deformity with minimal complications.
Techniques and Technology in Prejuvenation.
Bloom JD
Facial Plast Surg · 2026 May · PMID 42128371 · Publisher ↗
Abstract loading — click title to view on PubMed.
Use of Lateral Crural Strut Grafts for Correction of Alar Retraction.
Toriumi DM
Facial Plast Surg · 2026 Jun · PMID 42128014 · Publisher ↗
INTRODUCTION: Lateral crural strut grafts are versatile cartilage grafts that provide improved lateral wall support and can be used to correct post-rhinoplasty deformities such as alar retraction. OBJECTIVE AND HYPOTHESI...
INTRODUCTION: Lateral crural strut grafts are versatile cartilage grafts that provide improved lateral wall support and can be used to correct post-rhinoplasty deformities such as alar retraction. OBJECTIVE AND HYPOTHESIS: The objective of this paper is to review the indications and techniques used for lateral crural strut grafts and lateral crural extension grafts for treating alar retraction. STUDY DESIGN: Description of surgeon's technique and case examples for use of lateral crural strut grafts and lateral crural extension grafts for managing alar retraction. METHODS: Techniques demonstrated through intraoperative photography, case examples, and videos. RESULTS: Patient outcomes as evaluated in previously published clinical experience with lateral crural strut grafts and lateral crural extension grafts. CONCLUSION: Lateral crural strut grafts and lateral crural extension grafts provide excellent lateral wall support and are critical to the correction of alar retraction in secondary rhinoplasty.
About
- Frequency
- Sun
- Papers found
- 200
- RSS feed
- Subscribe