Clinical Advances in Facial, Breast, and Body Aesthetic Surgery

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Plastic, Reconstructive and Aesthetic Surgery/Aesthetic Medicine".

Deadline for manuscript submissions: 10 December 2024 | Viewed by 1645

Special Issue Editors


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Guest Editor
Division of Hand, Plastic and Aesthetic Surgery, LMU University Hospital, LMU Munich, 80336 Munich, Germany
Interests: facial anatomy; facial rejuvenation; periorbital surgery; aesthetic surgery; breast surgery; regenerative medicine; tissue engineering; reconstructive surgery

E-Mail Website
Guest Editor
Division of Hand, Plastic and Aesthetic Surgery, LMU University Hospital, LMU Munich, 80336 Munich, Germany
Interests: breast surgery; breast reconstruction; autologous breast reconstruction; aesthetic breast surgery; aesthetic surgery; microsurgery

Special Issue Information

Dear Colleagues,

The landscape of aesthetic surgery is experiencing significant advances. Innovations in surgical techniques, technology, and patient care are reshaping the field, offering improved outcomes and patient satisfaction. The strong increase in publications and scientific research over the last decade has expanded knowledge in aesthetics, driving forward the development of safer and more effective interventions.

From minimally invasive facial rejuvenation to complex breast reconstruction, this Special Issue explores the cutting edge of aesthetic surgery. Authors are invited to explore topics such as novel surgical approaches, advances in implants, emerging trends in body contouring, and the integration of non-surgical modalities. By showcasing the latest breakthroughs in both surgical and minimally invasive aesthetic procedures, this Special Issue aims to foster dialogue, collaboration, and continued progress in the pursuit of aesthetics and patient well-being.

Dr. Nicholas Möllhoff
Dr. Felix Hubertus Vollbach
Guest Editors

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Keywords

  • aesthetic surgery
  • breast surgery
  • body contouring
  • facial rejuvenation
  • injectables
  • breast augmentation
  • im-plant-based breast reconstruction
  • autologous breast reconstruction
  • eyelid surgery
  • blepharoplasty
  • soft-tissue fillers
  • liposuction
  • lipofilling

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Published Papers (2 papers)

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14 pages, 2641 KiB  
Article
To Shrink or Not to Shrink? An Objective Assessment of Free Gracilis Muscle Volume Change in Lower-Extremity Defect Reconstruction
by Konstantin Christoph Koban, Constanze Kuhlmann, Nikolaus Wachtel, Maximilian Hirschmann, Marc Hellweg, Konrad Wojcieck Karcz, Riccardo Enzo Giunta and Denis Ehrl
J. Clin. Med. 2024, 13(16), 4811; https://doi.org/10.3390/jcm13164811 - 15 Aug 2024
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Abstract
Background: The use of free gracilis muscle flaps in reconstructive surgery of the lower leg is common practice to cover defects. However, there is still a lack of understanding of the morphometric changes that occur in the transferred muscle and area of interest [...] Read more.
Background: The use of free gracilis muscle flaps in reconstructive surgery of the lower leg is common practice to cover defects. However, there is still a lack of understanding of the morphometric changes that occur in the transferred muscle and area of interest over time, particularly the characteristic volume decrease that is observed over the course of the first year. This study aimed to assess volume changes in patients with free gracilis muscle flap reconstruction following infection, trauma, or malignancies of the lower extremity. Methods: Three-dimensional surface imaging was performed intraoperatively after 2 weeks, 6 months, and 12 months with the Vectra H2 system. A total of 31 patients were included in this study and analyzed. Results: There was an average volume increase of 146.67 ± 29.66% 2 weeks after reconstruction. Compared to this volume increase, there was a reduction of 108.44 ± 13.62% after 12 months (p < 0.05). Overall, we found a shrinkage to 85.53 ± 20.14% of the intraoperative baseline volume after 12 months. Conclusions: The use of non-invasive 3D surface imaging is a valuable tool for volume monitoring after free flap reconstruction of the lower extremity. The free gracilis muscle flap undergoes different phases of volume change over the first year, with the greatest influence on overall change being the development and decongestion of edema. Precise initial surgical tailoring is crucial for optimal long-term functional and cosmetic results. Full article
(This article belongs to the Special Issue Clinical Advances in Facial, Breast, and Body Aesthetic Surgery)
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27 pages, 994 KiB  
Systematic Review
Arterial Vascularization of the Forehead in Aesthetic Dermatology Procedures: A Review
by Katarzyna Kliniec, Zygmunt Domagała, Bartosz Kempisty and Jacek C. Szepietowski
J. Clin. Med. 2024, 13(14), 4238; https://doi.org/10.3390/jcm13144238 - 19 Jul 2024
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Abstract
Background: The growing popularity of aesthetic procedures on the face raises the question of their safety. The forehead region is crucial aesthetically, but due to its abundant vascularization, it is also one of the most dangerous areas for dermatologic procedures, especially in the [...] Read more.
Background: The growing popularity of aesthetic procedures on the face raises the question of their safety. The forehead region is crucial aesthetically, but due to its abundant vascularization, it is also one of the most dangerous areas for dermatologic procedures, especially in the glabella area. The purpose of this article is to review the literature on the arterial vascularization of the forehead to identify potential high-risk zones for aesthetic dermatology procedures. Methods: A database search (PubMed, Web of Science, Scopus, and Embase) was conducted, and the titles and abstracts of all identified studies were screened, followed by full-text evaluation. Results: We identified 714 articles during the database search, and 25 articles were included in the review. The included studies used cadaveric dissection and computed tomography applied to cadavers as well as Doppler ultrasonography on volunteers to evaluate the forehead arteries (supratrochlear (STrA), supraorbital (SOA), central (CA), paracentral artery (PCA), and frontal branch of superficial temporal artery(FBSTA)). A total of 1714 cases involving the forehead arteries were analyzed. The included arteries were observed over a relatively large area, and their locations varied. The CA and PCA in cadaver studies were observed in an area of 0.2 to 10.8 mm and 0.8 to 16.2 mm, respectively, on the entire path from the glabellar point to the frontal prominence point. The distances from the midline in cadaveric studies at various measurement points ranged from 0.6 to 28.0 mm for the superficial branch of the STrA and 13.6 to 40.7 mm for the deep branch of STrA. In case of SOA, the distance from the midline ranged from 23 to 32 mm. Measurements from the midline in Doppler studies ranged from 0 to 23 mm for STrA and from 10 to 50 mm for the SOA. In studies using computed tomography, STrA was observed at a distance of 11 to 21 mm and the SOA at a distance of 21 to 32 mm, both lateral to the midline. Conclusions: Medical professionals should be aware of zones where frontal arteries are more likely to be encountered. The glabella region appears to be one of the most dangerous areas for dermatologic procedures. It is believed that the supratrochlear, supraorbital, and the paracentral arteries may cause ophthalmic complications due to occlusion of the ophthalmic artery, while this risk for the frontal branch of the superficial temporal artery seems to be low but cannot be completely excluded. Full article
(This article belongs to the Special Issue Clinical Advances in Facial, Breast, and Body Aesthetic Surgery)
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