Aesthetic Surgery Journal

Aesthetic Surgery Journal Aesthetic Surgery Journal, an official publication of The Aesthetic Society. It is also the official journal of The Rhinoplasty Society.

Aesthetic Surgery Journal is a peer-reviewed international journal focusing on scientific developments and clinical techniques in aesthetic surgery. An official publication of the American Society for Aesthetic Plastic Surgery (ASAPS), ASJ is also the official English-language journal of many major international societies of plastic, aesthetic and reconstructive surgery representing South America, Central America, Europe, Asia, and the Middle East.

Partial parotidectomy (Bravo Type I) during neck lift procedures can enhance posterior jawline definition by deepening t...
10/22/2025

Partial parotidectomy (Bravo Type I) during neck lift procedures can enhance posterior jawline definition by deepening the retromandibular groove — but until now, data on the relevant facial nerve anatomy have been limited.

📊 Study Overview:
Between June 2022 and March 2025, surgeons performed 118 parotidectomy cases, measuring the depth of the facial nerve trunk and its inferior division intraoperatively.

Key Findings:

Mean facial nerve trunk depth: 23 ± 2.0 mm

Inferior division depth: 15 ± 2.3 mm

BMI correlated moderately with trunk depth (r = 0.6, P < .001)

Only 2 transient facial nerve palsies and 1 sialocele, all resolving spontaneously

Clinical Implications:
These results suggest that Type I parotidectomy can be effectively and safely integrated into face and neck lift surgery, offering enhanced contouring and operative efficiency — when guided by a clear understanding of facial nerve anatomy.

🔗 Read the full article in the Aesthetic Surgery Journal: https://doi.org/10.1093/asj/sjaf126

Female ge***al cosmetic procedures, especially labiaplasty, are increasingly sought for both aesthetic and functional re...
10/21/2025

Female ge***al cosmetic procedures, especially labiaplasty, are increasingly sought for both aesthetic and functional reasons. This study of 48 women (ages 21–52) used validated psychometric tools to assess outcomes, including:

Beck Depression Inventory (BDI)

Female Ge***al Self-Image Scale (FGSIS)

Female Sexual Function Index (FSFI)

Quality of Sexual Experience (QSE)

Sexual Quality of Life Questionnaire–Female (SQoL-F)

🔑 Key Findings:
✔️ Significant improvements in ge***al self-perception, sexual function, and quality of life (P < .001)
✔️ Depression scores decreased postoperatively (P = .037)
✔️ Leading motivations: labial asymmetry (48%), low self-esteem (42%), and partner-related concerns (10%)

📌 Clinical takeaway:
Labiaplasty offers psychological and functional benefits beyond aesthetics, supporting its role as a valuable intervention in appropriately selected patients.

🔗 Read the full article: https://doi.org/10.1093/asj/sjaf145

💗 As we recognize , the Aesthetic Surgery Journal celebrates the research shaping excellence in breast reconstruction a...
10/20/2025

💗 As we recognize , the Aesthetic Surgery Journal celebrates the research shaping excellence in breast reconstruction and patient care.

As the top-ranked journal in aesthetic and plastic surgery, ASJ remains dedicated to advancing outcomes and supporting reconstructive surgeons in their mission to restore confidence and quality of life after breast cancer.

Here are some of the top-cited Aesthetic Breast Reconstruction papers from the past two years:

1️⃣ Patient-reported Outcomes Utilizing the BREAST-Q Questionnaire After Breast-Conserving Surgery With and Without Oncoplastic Breast Surgery: A Systematic Review and Meta-analysis
https://doi.org/10.1093/asj/sjae002

2️⃣ Implant-Based Breast Reconstruction After Nipple-Sparing and Skin-Sparing Mastectomy in Breast-Augmented Patients: Prepectoral or Submuscular Direct-to-Implant Reconstruction?
https://doi.org/10.1093/asj/sjad383

3️⃣ Direct-to-Implant vs Tissue Expander Placement in Immediate Breast Reconstruction: A Prospective Cohort Study
https://doi.org/10.1093/asj/sjae054

4️⃣ Comparison of Different Acellular Dermal Matrix in Breast Reconstruction: A Skin-to-Skin Study
https://doi.org/10.1093/asj/sjae035

5️⃣ Long-term Implications of Cosmetic Breast Surgeries on Subsequent Breast Reconstruction
https://doi.org/10.1093/asj/sjae138

These highly cited studies reflect the continued evolution of reconstructive surgery — where innovation, compassion, and evidence-based care come together to enhance patient outcomes.

This pilot study (March 2022–December 2024) compared BTX-A monotherapy with TAC + BTX-A combination therapy in patients ...
10/17/2025

This pilot study (March 2022–December 2024) compared BTX-A monotherapy with TAC + BTX-A combination therapy in patients with hypertrophic scars and keloids, with confirmation in a rat burn scar model.

🔑 Key Findings:

Both therapies reduced scar thickness, VSS scores, pain (NRS), and pruritus (VAS)

Combination therapy showed superior improvements in scar thickness (V2–V4) and VSS scores (V3, V4)

Animal data confirmed enhanced suppression of fibroblast proliferation, TGF-β/CTGF downregulation, and improved collagen I/III & laminin/fibronectin ratios

📌 Clinical Takeaway:
TAC + BTX-A offers a more effective approach to scar remodeling, providing both functional and aesthetic benefits. These findings support its use for patients with hypertrophic scars or keloids and provide mechanistic insights for future therapies.

🔗 Read the full article: https://doi.org/10.1093/asj/sjaf094

Ruptured Breast Implants: What Are Patients Choosing and How Safe Is It?A new analysis of the NSQIP database (2011–2022)...
10/16/2025

Ruptured Breast Implants: What Are Patients Choosing and How Safe Is It?

A new analysis of the NSQIP database (2011–2022) explores outcomes after ruptured breast implant removal, focusing on whether patients opted for implant replacement, mastopexy, or simple closure.

Key insights:
✔️ 55% of patients chose implant replacement; 12% underwent mastopexy without replacement
✔️ Low complication rates across all approaches: infection (0.9–2.4%), bleeding (0–0.6%), reoperation (1.2–1.8%)
✔️ Removal of ruptured implants is safe and well tolerated, regardless of subsequent procedure
✔️ Data support long-term counseling and individualized decision-making for breast implant patients

🔗Read the paper: https://doi.org/10.1093/asj/sjaf068
🔗Read the Commentary: https://doi.org/10.1093/asj/sjaf146

Breast implant–associated anaplastic large cell lymphoma (BIA-ALCL) has affected more than 1,700 women, and early detect...
10/15/2025

Breast implant–associated anaplastic large cell lymphoma (BIA-ALCL) has affected more than 1,700 women, and early detection is critical. That’s why The Foundation funded research on a new rapid screening test that measures biomarkers in fluid around implants. Results showed 100% accuracy when positive and up to 87% sensitivity with digital analysis, demonstrating strong potential to detect BIA-ALCL earlier and improve patient outcomes.⁠
⁠
🔗Read the paper: https://doi.org/10.1093/asj/sjaf078

Optimizing Hyaluronidase Use for Hyaluronic Acid Filler Complications 💉🧪Hyaluronidase (HYAL) is the primary treatment fo...
10/14/2025

Optimizing Hyaluronidase Use for Hyaluronic Acid Filler Complications 💉🧪

Hyaluronidase (HYAL) is the primary treatment for adverse events from hyaluronic acid fillers, but dosing and dilution practices have varied widely. A new study in the Aesthetic Surgery Journal examined the effectiveness of different HYAL dilutions and concentrations, comparing ovine and recombinant HYAL across multiple filler types.

Key findings include: Restylane Lyft and Restylane Shaype were most susceptible to degradation, while Juvéderm and RHA4 required up to 300 U for complete breakdown within 1 hour. The study also confirms that a minimum 3:1 dilution ratio is necessary to provide sufficient fluid for filler dissolution, and ovine HYAL is just as effective as recombinant HYAL.

These results provide evidence-based guidance for managing HA filler complications, helping clinicians standardize treatment and improve patient safety.

🔗 Read the full paper: https://doi.org/10.1093/asj/sjaf127

October marks — a time to honor patients, survivors, and the surgeons advancing reconstruction and recovery.Throughout...
10/13/2025

October marks — a time to honor patients, survivors, and the surgeons advancing reconstruction and recovery.

Throughout the month, the Aesthetic Surgery Journal will spotlight new research shaping the future of aesthetic breast reconstruction, innovation, and patient care. 💗

In observance of this month, explore brand-new Aesthetic Breast Reconstruction articles published in ASJ:

1️⃣ Comparison of Breast Reconstruction Strategies Using Exclusive Lipofilling or Prosthesis After Total Mastectomy for Breast Cancer: Satisfaction and Morbidity After More Than 2 Years
https://doi.org/10.1093/asj/sjaf174

2️⃣ The Role of Intercostal Artery Perforator (ICAP) Flaps in the Transition From Cosmetic to Effective Modern Breast Surgery
https://doi.org/10.1093/asj/sjaf176

3️⃣ Fat Graft Replacement for Reducing Implant Size May Decrease Radiotherapy-Related Complications in Prepectoral Expander- to-Implant Breast Reconstruction
https://doi.org/10.1093/asj/sjaf166

These studies highlight innovative, evidence-based approaches to improving outcomes and supporting patients throughout their breast reconstruction journey.

10/10/2025

In for PSTM2025? Come visit ASJ & The Aesthetic Society!

🧬 New Insights into Breast Implant Capsule RemodelingBackground:Breast implants trigger fibrous capsule formation, a nat...
10/10/2025

🧬 New Insights into Breast Implant Capsule Remodeling

Background:
Breast implants trigger fibrous capsule formation, a natural foreign body response. While capsulectomy is standard for complications, its necessity in asymptomatic patients is debated.

The Study:

Rat model with subcutaneous silicone gel implants

Capsules collected at implant removal, 3 months, 6 months

Analyzed histologically for collagen, myofibroblasts, vascularization, and key cytokines

Key Findings:
✔️ Capsule thinning over time: 315 µm → 136.8 µm at 6 months
✔️ Increased MMP9 & CD31: enhanced matrix turnover & vascularization
✔️ Structural remodeling: Capsules merge with surrounding adipose tissue
✔️ Collagen & αSMA dynamics: Initial decline followed by partial rebound

Implications:
These results suggest that natural capsule remodeling occurs after implant removal, which could inform future capsulectomy guidelines for asymptomatic patients.

🔗 Read the full study: https://doi.org/10.1093/asj/sjaf089

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