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Aesthetic Plastic Surgery OnlineFirst articles

Kintsugi and Wabi-Sabi: Reframing Aesthetic Surgery as the Art of Golden Repair

  • Commentary & Discussion

The Japanese art of kintsugi—repairing broken ceramics with gold—offers a philosophical framework for reconceptualising aesthetic plastic surgery. Rather than concealing damage, kintsugi uses precious metal to honour an object’s history of …

Is Local Tranexamic Acid Worth Using in Hair Transplantation? An Intrapatient Comparison

  • Original Articles

Androgenetic alopecia is a progressive, patterned form of hair loss that may require surgical intervention when pharmacologic therapies are insufficient. In such cases, hair restoration procedures play a key role in achieving durable esthetic …

Risk of Concomitant Abdominoplasty and Breast Surgery versus Isolated Procedures: A Systematic Review and Meta-analysis

  • Review

The simultaneous endeavor of esthetic enhancement of the abdomen and breasts, popularly referred to as the “mommy makeover,” has grown increasingly popular of the last years—particularly among postpartum women seeking to revert changes resulting …

Combined and Layered Fat Injection for Lower Eyelid Wrinkles: Comparative Efficacy in Mild and Severe Cases

  • Original Articles

Lower eyelid wrinkles are a prominent and challenging manifestation of facial aging, primarily resulting from the progressive degradation of elastic fibers and collagen, loss of subcutaneous adipose tissue, and deterioration of the dermal …

Can Artificial Intelligence Replicate Clinical Judgment in Aesthetic Surgery? A Comparison of ChatGPT and Plastic Surgeons’ Recommendations

  • Original Article

Artificial intelligence (AI) has emerged as a rapidly expanding tool in medicine, with applications ranging from diagnostic support to therapeutic planning [ 1 ]. In plastic surgery, its incorporation has enabled significant advances in aesthetic …

Postoperative Seroma in Lipedema Surgery: A Retrospective Analysis of 93 Cases from a Single Surgical Team

  • Original Articles

Lipedema is a chronic adipose disorder, primarily affecting women, first described by Allen and Hines in 1940 [ 1 ]. It is characterized by symmetrical fat deposition in the lower and upper extremities, sparing the trunk. Symptoms include …

Revision Rhinoplasty in Retrocolumellar Perforation

  • Open Access
  • Original Article

Unlike classical septal perforations, retrocolumellar perforations (RCPs) are more complex defects, frequently accompanied by columellar retraction, shortened nasal length, and underprojected nasal tips. Their actual functional and aesthetic …

Functional Stratification of Adipose-Derived Stem Cells via Gradient Density Centrifugation: D-ASCs Drive Vascularization for Enhanced Fat Graft Survival

  • Original Articles

Soft tissue defect repair remains a major challenge in plastic surgery, and free fat grafting has been widely used in cosmetic and reconstructive procedures as an effective solution. Despite continuous advancements in fat grafting techniques, the …

Evaluation of the Safety and Efficacy of Tranexamic Acid Use in Blepharoplasty: A Systematic Review of Randomized Controlled Trials

  • Original Article

Upper eyelid blepharoplasty is a commonly performed plastic surgery procedure for treating cosmetic and functional outcomes of dermatochalasis, an upper eyelid condition characterized by excess redundant skin [ 1 ]. Although severe complications …

The Use of Tranexamic Acid in Liposuction for Lipedema: A Retrospective Study on 230 Procedures

  • Original Article

Lipedema is a chronic, progressive disease of subcutaneous adipose tissue characterized by symmetric, disproportional fat hypertrophy predominantly involving the lower limbs and, in a substantial number of cases, the upper extremities [ 1 ].

Surgical Management of Dorsocervical Fibro-Lipodystrophy (Buffalo Hump): Systematic Review and Meta-Analysis

  • Original Article

Dorsocervical fibro-lipodystrophy, often termed “buffalo hump,” is defined by an abnormal and progressive accumulation of dense adipose and fibrous tissue in the upper posterior neck region. Once considered primarily a cosmetic concern, this …

Combined Ultrasound and Power-Assisted Liposuction Improves Outcomes in Lipedema: A Retrospective Study

  • Original Article

Lipedema is a chronic, progressive disorder of adipose tissue that predominantly affects women, with an estimated prevalence of 11% in the general population [ 1 ]. This condition is characterized by symmetrical, disproportionate fat accumulation …

Comparison of PECS I Block and Local Anesthetic Infiltration for Pain Management in Breast Augmentation: A Prospective, Split-Body Study

  • Open Access
  • Original Articles

In breast augmentation, the surgical approach depends on patient anatomy and desired outcomes, with each technique offering specific considerations [ 1 ]. Techniques involving muscle dissection, such as submuscular and dual-plane placements, are …

Histological and Biomechanical Comparison of Different Dissection Planes in Brow Lift: An Experimental Rabbit Model and Its Clinical Implications

  • Open Access
  • Original Articles

Eyebrow position plays a key role in achieving a youthful and dynamic upper face. Age-related brow ptosis has led to various surgical techniques for forehead and periorbital rejuvenation [ 1 – 6 ]. Brow lift surgery has evolved since the early 20th …

Single-Stage Reconstruction with a Bilayer Artificial Dermal Regeneration Matrix for Nasal Skin Malignancies Defects in Middle-Aged and Elderly Asian Patients: Minimizing Scarring and Morbidity

  • Original Articles

Nasal reconstruction is inherently challenging due to the complex three-dimensional anatomy and its central role in facial aesthetics. Even small defects can cause noticeable deformities and functional limitations.

Surgical and Postoperative Radiotherapy for Keloids on Congenital Microtia Reconstructed Auricles: Site-specific Incision Design

  • Original Article

Congenital microtia is a common craniofacial congenital deformity characterized primarily by varying degrees of auricular dysplasia, external auditory canal stenosis or atresia, and middle ear and mandibular malformations [ 1 ]. The global …

Effectiveness of Radiofrequency Microneedling in the Treatment of Dermatological Conditions: A Systematic Review

  • Open Access
  • Review

Radiofrequency (RF) technology has undergone significant evolution over the past two decades, originating from early monopolar and bipolar devices used for tissue tightening and coagulation. The introduction of fractional RF in the mid-2000s …

The Dark Triad of Personality in Relation to Acceptance to Cosmetic Surgery Among University Students

  • Original Articles

Currently, the popularity of cosmetic procedures has surged, especially among young adults seeking to modify their physical appearance [ 1 – 7 ]. Data from surveys done by the International Society of Aesthetic Plastic Surgery, globally, indicate …

Three-Dimensional Laser Scanning-Assisted Prosthetic Breast Augmentation for Breast Asymmetry

  • Original Article

Silicone implant-based breast augmentation has emerged as one of the most prevalent and well-established cosmetic surgical procedures globally, with a long-standing track record of safety and efficacy supported by extensive clinical data [ 1 ].

Comparison of Nasal Tip Projection and Rotational Stability between Structural Rhinoplasty with Strut Graft and Preservation Rhinoplasty with Pitanguy Ligament Graft

  • Original Articles

The nasal tip is considered one of the important structures forming facial aesthetics, and its surgery is a vital issue for rhinoplasty surgeons. Various techniques exist to achieve an appropriate nasal tip shape, including sheen graft, cartilage …