Advances in Cosmetic Surgery

Acne is an exceptionally prevalent disorder. There are several available treatment options consisting of topical, oral and procedural therapies. Frequently a combination of therapies is needed to combat acne. As many treatments take months to be effective, patients should be encouraged to be compliant and persistent to see optimal results. Each patient's treatment regimen should be tailored depending on a multitude of factors including, but not limited to: severity of disease, acne morphology, distribution of acne (ie, facial or truncal), patient preferences, age, cost, and psychological burden. In this article, several mainstay treatment methods are discussed.

Jordan Borash

Emmy Graber

Acne Treatment Strategies 2023

2023年痤疮治疗策略

Chin augmentation has grown in popularity due to the chin’s prominent role in the overall appearance of the face. Fillers provide a safe, versatile alternative to more invasive surgical options. Corrections can be made gradually, and treatments may be adjusted with age-related changes of the lower face. A variety of proposed metrics help physicians analyze the chin in the context of a patient’s other features to guide treatment. Filler use may be complemented by supplemental procedures, such as neuromodulators, deoxycholic acid , ultrasound/radiofrequency-based therapy, and fractionated laser, depending on a patient’s specific needs.

Maria C. Bell

Perry B. Hooper

Ariel E. Eber

Jessica G. Labadie

Jeffrey S. Dover

Nonsurgical Chin Augmentation

非手术下颌骨增大术

Extracellular messenger vesicles known as exosomes are being investigated widely as a new therapy for hair loss. A wide body of preclinical research has demonstrated the potential of exosomes for hair regeneration. Exosomes can affect hair growth by targeting transport of molecular signals to hair follicle components and interacting with hair growth cycle regulation molecules. Preliminary human clinical data seem favorable. The molecular effects of exosomes on hair regeneration are not completely understood and may vary widely based on exosome source. Problems with unregulated human use have emphasized the need for greater standardization and control of exosome use.

Aditya K. Gupta

Deanna C. Hall

Jeffrey A. Rapaport

Christopher R. Paradise

Exosomes and Hair Restoration

外泌体与毛发修复

Melasma is a complex hyperpigmentary disorder with a multifactorial etiology. There are multiple treatment options that aim at achieving pigment homeostasis , by either decreasing melanin production or accelerating its elimination. The mainstay of melasma management remains diligent photoprotection and topical therapy, such as hydroquinone and triple therapy (hydroquinone, retinoid , and steroid) creams. Additional novel topical treatments can be considered, such as tranexamic acid , cysteamine , azelaic acid , methimazole , metformin , and botanic agents like Rumex occidentalis. Microneedling as an adjuvant to topical therapies is an appropriate step-up second-line option.

Heidi Oi-Yee Li

Elena Pastukhova

Update on Melasma Management

黄褐斑管理的最新进展

Laser-assisted drug delivery (LADD) is an emerging and rapidly evolving approach to the treatment of a variety of conditions including benign and malignant neoplasms, photoaging, pigmentary disorders , scar revision, and topical anesthesia . In LADD, a laser-induced zone of thermal damage (or microscopic ablation zone) renders the skin more vulnerable to topically applied medications, enhancing their absorption and optimizing their results. This article discusses the clinical evidence behind LADD, as well as proper patient selection, preparation, and appropriate surgical technique to safely and effectively perform LADD.

Omer Ibrahim

Laser-Assisted Drug Delivery

激光辅助药物递送

There are currently 5 botulinumtoxin-a products approved for cosmetic use in the United States: onabotulinumtoxin-a, abobotulinumtoxin-a, incobotulinumtoxin-a, prabotulinumtoxin-a, and daxibotulinumtoxin-a. New neuromodulators are destined for the market place soon including a serotype E and 2 additional serotype A botulinumtoxins. Optimizing esthetic use of neuromodulators relies on an intimate knowledge of anatomy . By altering one's injection technique, the risk of brow ptosis can be minimized. Neuromodulators can contribute to lifting of the upper face and minimizing infraorbital hallows when injected strategically in the lower face. Contouring off-face musculature has become popular.

Jameson Loyal

Updates on Neuromodulators

神经调节剂的最新进展

This article provides a comprehensive overview of the evolving role of artificial intelligence (AI) and robotics in plastic surgery. It delves into the integration of these technologies in enhancing surgical precision, improving patient outcomes, and personalizing care. The document explores various applications of AI and robotics, from preoperative planning and intraoperative assistance to postoperative care and patient monitoring. The potential for future developments, including autonomous robotic surgery and advanced AI-driven tools, is also discussed. Ethical considerations, such as patient safety, data privacy, and the impact on surgeon training and employment, are highlighted as critical aspects to address.

Roy Kim

Nusaiba Baker

Advancements in Plastic Surgery

整形外科的进展

Gregory H. Branham

Shilpi Khetarpal

Smita R. Ramanadham

Allan E. Wulc

整形外科进展

This article will offer an in-depth review of the current literature focusing on male esthetic genital surgery. After a thorough discussion of the anatomy, we will focus on the literature involving the advancement of nonsurgical male genital enhancement procedures, which includes the individual enhancement of the glans penis, scrotum, and penile shaft, in addition to the treatment of complications that may develop from these procedures. This is followed by a review of the literature surrounding surgical male genital enhancement procedures that include the use of autologous tissue and implants. Following this, we discuss specific male genitalia abnormalities.

Alexia T. Stamatiou

Danielle Ward

Sara Eliseo

Christopher J. Salgado

Aesthetic Male Genital Surgery

男性生殖器美学手术

Radiofrequency (RF) devices provide a noninvasive or minimally invasive approach for face and body contouring . RF works by heating collagen in the dermis , which stimulates neocollagenesis and skin tightening, or adipocytes in the subcutis , which causes lipolysis and fat reduction. RF can be combined with other modalities to augment its effects. In contrast to surgical interventions such as facelift or liposuction , whereby the results are almost immediate after a single procedure, RF effects are more modest and usually requires multiple treatments , reaching peak efficacy at approximately 3 months. Downtime and risk of adverse events with RF, however, are minimal.

出版信息	出版商: Elsevier Inc.，出版周期: ，期刊类型: journal，开源期刊: 否
基本数据	创刊年份: 2018，原创研究文献占比: ，自引率:， Gold OA占比:

Advances in Cosmetic Surgery

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Acne Treatment Strategies 2023

Nonsurgical Chin Augmentation

Exosomes and Hair Restoration

Update on Melasma Management

Laser-Assisted Drug Delivery

Updates on Neuromodulators

Advancements in Plastic Surgery

Advances in Cosmetic Surgery

Aesthetic Male Genital Surgery

Radiofrequency for Face and Body Contouring