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.

A comprehensive review of 69,424 liposuction patients (2015–2022) compares complication rates across five liposuction mo...
12/12/2025

A comprehensive review of 69,424 liposuction patients (2015–2022) compares complication rates across five liposuction modalities: conventional, infusion-assisted, laser-assisted, power-assisted, and ultrasound-assisted.

○ Infusion-assisted liposuction had the highest risk of serious complications, including infection.
○ Laser-assisted liposuction demonstrated a 50% lower risk compared with conventional techniques.
○ Overall, liposuction remains a low-risk procedure, with hematoma and infection as the most prevalent complications.
○ Patient factors such as diabetes and being underweight significantly influence complication rates.

This large-scale, data-driven analysis provides actionable insights for plastic surgeons, emphasizing the importance of technique selection and patient risk stratification in aesthetic practice.

Read the full study here: https://doi.org/10.1093/asj/sjaf147

TOMORROW!Explore the innovation behind the hemostatic “A-Net” technique for facelifts in our upcoming ASJ GEMS webinar. ...
12/11/2025

TOMORROW!

Explore the innovation behind the hemostatic “A-Net” technique for facelifts in our upcoming ASJ GEMS webinar. Join us on December 12 (12 PM EDT / 2 PM Brazil) as Dr. Andre Auersvald and discussant Dr. Luiz Auersvald share insights, technique pearls, and real-world applications—moderated by Phaedra Cress.

Register by scanning the QR code in the post or emailing Anastasia@theaestheticsociety.org.

Does tranexamic acid (TXA) increase wound healing complications in facelift surgery? New data says no—and challenges rec...
12/10/2025

Does tranexamic acid (TXA) increase wound healing complications in facelift surgery? New data says no—and challenges recent anecdotal claims.

🟣 This large-scale, single-surgeon retrospective matched cohort study (2014–2024) evaluated 522 facelift patients who received local anesthetic with or without TXA. Both groups were matched for age, BMI, s*x, and hypertension to ensure methodological rigor.

🟣 The results: no significant differences in minor wound issues, delayed healing, skin necrosis, or hematoma. Notably, major skin necrosis occurred only in the non-TXA group, supporting the safety profile of TXA when used at 1–2 mg/mL.

🟣 Clinical takeaway: Local TXA administration does not increase wound healing complications in facelift procedures with wide skin undermining. With proper dosing, screening, and technique, TXA remains a safe and effective adjunct for aesthetic surgery.

🔗Full article here: https://doi.org/10.1093/asj/sjaf130

A comprehensive systematic review and meta-analysis evaluates the efficacy, safety, and patient satisfaction of biostimu...
12/09/2025

A comprehensive systematic review and meta-analysis evaluates the efficacy, safety, and patient satisfaction of biostimulants—including calcium hydroxyapatite, poly-L-lactic acid, and polycaprolactone—in aesthetic medicine.

📊 Key Findings:

Pooled patient satisfaction: 91% (95% CI, 67%-98%)

Adverse events: bruising 27%, ecchymosis 22%, edema 5%, erythema 16%, nodules 5%, pain 92%

Significant improvements in dermal, volume, and anatomic outcomes

💡 Clinical Implications:
Despite minor adverse events, biostimulants demonstrate strong clinical promise and a favorable tolerability profile, supporting their use in facial rejuvenation and volume restoration strategies.

Read the full study for a data-driven perspective on integrating biostimulants in aesthetic practice: https://doi.org/10.1093/asj/sjaf142

We’re preparing something exciting for ASJ’s 30th anniversary!A new cover is on the horizon to celebrate three decades o...
12/08/2025

We’re preparing something exciting for ASJ’s 30th anniversary!

A new cover is on the horizon to celebrate three decades of advancing aesthetic surgery. The reveal is coming soon.

Topical TXA: A Game-Changer for Nasal Surgery Recovery?Bleeding, swelling, and bruising are common concerns in rhinoplas...
12/05/2025

Topical TXA: A Game-Changer for Nasal Surgery Recovery?

Bleeding, swelling, and bruising are common concerns in rhinoplasty and septoplasty. Surgeons often consider tranexamic acid (TXA) to improve hemostasis—but what does the evidence say about topical application?

✨ Key findings from 7 RCTs (514 patients):
💉 Reduced intraoperative blood loss
🩹 Lower postoperative edema and ecchymosis
⏱ No significant change in operative time or surgeon satisfaction

These results suggest that topical TXA is an effective adjunct, enhancing safety and recovery without systemic exposure. For plastic surgeons, facial plastic surgeons, and otolaryngologists, this provides data-driven guidance for incorporating TXA into practice.

Read the full study here: https://doi.org/10.1093/asj/sjaf172

How reliable is pretreatment aspiration as a safety measure during hyaluronic acid (HA) filler injections? A new multice...
12/04/2025

How reliable is pretreatment aspiration as a safety measure during hyaluronic acid (HA) filler injections? A new multicenter, cross-sectional observational study provides real-world data to help answer this ongoing question in aesthetic and plastic surgery practice.

○ Conducted across 14 aesthetic/dermatologic practices in 9 countries, this 12-week study captured data from 5,106 aspirations performed on 1,007 patients undergoing facial HA injections.
○ Investigators recorded 35 positive aspirations (0.69%), though reported rates varied substantially across sites (0%–6.72%).
○ Aspiration was standardized using slow plunger retraction with a ≥5-second hold.

These findings offer valuable insight into global practice patterns and help clinicians evaluate the utility and limitations of aspiration as a vascular safety technique. They also highlight how operator technique, anatomy, and clinical context may influence positive aspiration rates under real-world conditions.

Read the full article here: https://doi.org/10.1093/asj/sjaf150

As social media reshapes how patients approach aesthetic care, many plastic surgeons now face increasing misconceptions ...
12/03/2025

As social media reshapes how patients approach aesthetic care, many plastic surgeons now face increasing misconceptions about the value of the initial consultation.

In this new Editorial, Aesthetic Surgery Journal explores why the first visit is a critical medical encounter—not a transactional moment—and why both established and early-career surgeons should treat it as a professional service grounded in clinical judgment, safety, and expertise.

The piece also highlights how surgeons can use social platforms to clarify expectations and strengthen patient understanding.

Read the full Editorial: https://doi.org/10.1093/asj/sjaf170

Ever wondered how the hemostatic A-Net can improve outcomes in facelift surgery? Find out on December 12 during our next...
12/02/2025

Ever wondered how the hemostatic A-Net can improve outcomes in facelift surgery? Find out on December 12 during our next ASJ GEMS session with Drs. Andre and Luiz Auersvald and moderator Phaedra Cress.

Scan the QR code on the graphic or email Anastasia@theaestheticsociety.org to sign up. Don't miss it!

Big things are ahead… 💜As we look toward our 30th anniversary in 2026, we’re excited to share what’s coming next. Stay t...
12/01/2025

Big things are ahead… 💜

As we look toward our 30th anniversary in 2026, we’re excited to share what’s coming next. Stay tuned.

Regenerative science is rapidly reshaping aesthetic surgery. In this new Editorial, Aesthetic Surgery Journal announces ...
11/26/2025

Regenerative science is rapidly reshaping aesthetic surgery. In this new Editorial, Aesthetic Surgery Journal announces the launch of a dedicated Regenerative Medicine Section beginning in 2026—led by Dr. Daniel J. Gould.

Learn why this milestone matters and how it will shape the future of the specialty.

Read the full Editorial: https://doi.org/10.1093/asj/sjaf197

Understanding age-related changes in vaginal wall collagen is critical for advancing female reproductive health.In this ...
11/25/2025

Understanding age-related changes in vaginal wall collagen is critical for advancing female reproductive health.

In this study, 40 healthy women were divided into four age groups (20–30, 30–40, 40–50, 50+) and evaluated using colposcopy and histological staining (H&E, Masson, Sirius Red). Researchers examined mucosal morphology and collagen content in the lamina propria and muscularis.

○ Key findings:
• Vaginal mucosa color and surface moisture changed with age, and rugae density decreased.
• Epithelial thickness and collagen content in the lamina propria declined significantly with age, while muscularis collagen remained relatively stable until after 40.
• The Type I/III collagen ratio increased in an age-dependent manner, indicating a shift in collagen subtypes that may contribute to functional decline.

○ Clinical implications:
These findings provide the first systematic mapping of age-related vaginal collagen changes, offering insight for data-driven interventions targeting collagen metabolism and strategies to preserve vaginal function in aging women.

Read the full study here: https://doi.org/10.1093/asj/sjaf157

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