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Wang JV, Ugonabo N, Bajaj S, Jairath N, Munavalli G, Chapas A, Geronemus RG, Kilmer S. High-Intensity, High-Frequency, Parallel Ultrasound Beams for Cellulite of the Buttocks and Thighs. Dermatol Surg 2024; 50:922-925. [PMID: 38754134 DOI: 10.1097/dss.0000000000004240] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/18/2024]
Abstract
BACKGROUND Ultrasound energy can successfully treat fine lines and wrinkles, as well as lift the eyebrow and submentum. Ultrasound waves of high intensity induce thermal injury in the dermis with subsequent tissue remodeling. OBJECTIVE To examine the utility of a novel ultrasound device that utilizes high-intensity, high-frequency, parallel ultrasound beams to improve the clinical appearance of cellulite on the thighs and buttocks. MATERIALS AND METHODS A prospective, multicenter, clinical study investigated this novel ultrasound device using 2 treatments. RESULTS Sixty-five subjects completed both treatments. The mean age was 46 years, and 100% were women. Fitzpatrick skin types I to VI were represented. Assessments compared 3-month follow-up with baseline. Two blinded reviewers agreed in identifying pretreatment and post-treatment photographs for 89.2%. For Cellulite Severity Scale rating, there was significant improvement of 1.61 units ( p < .001). For cellulite Global Aesthetic Improvement Scale (GAIS), 89.2% had improvement, with a mean of 0.87 units ( p < .001). For Laxity Scale rating, there was significant improvement of 0.70 units ( p < .001). For skin laxity GAIS, 89.2% had improvement, with a mean of 0.76 units ( p < .001). No device-related adverse events occurred. CONCLUSION A novel ultrasound device that utilizes high-intensity, high-frequency, parallel ultrasound beams can safely and effectively improve the clinical appearance of cellulite on the thighs and buttocks.
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Affiliation(s)
- Jordan V Wang
- Laser & Skin Surgery Center of New York, New York, New York
| | | | - Shirin Bajaj
- Laser & Skin Surgery Center of New York, New York, New York
| | - Neil Jairath
- The Ronald O Perelman Department of Dermatology, New York University Langone Health, New York, New York
| | - Girish Munavalli
- Dermatology, Laser, & Vein Specialists of the Carolinas, Charlotte, North Carolina
| | | | - Roy G Geronemus
- Laser & Skin Surgery Center of New York, New York, New York
- The Ronald O Perelman Department of Dermatology, New York University Langone Health, New York, New York
| | - Suzanne Kilmer
- Laser & Skin Surgery Center of Northern California, Sacramento, California
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2
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Li V, Frasier K, Woolhiser E, Daly K, Christoforides S, Harpine C, Stech K, Acosta S, Lephart ED. Exploring the Intersection of Body Dysmorphic Disorder (BDD) and Dermatological Conditions: A Narrative Review. Dermatol Ther (Heidelb) 2024; 14:2693-2708. [PMID: 39266863 PMCID: PMC11480305 DOI: 10.1007/s13555-024-01256-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2024] [Accepted: 08/12/2024] [Indexed: 09/14/2024] Open
Abstract
This narrative literature review examined the intricate relationship between body dysmorphic disorder (BDD) and dermatological conditions, with a brief focus on those characterized by conspicuous skin irregularities such as acne vulgaris, psoriasis, and vitiligo. Highlighting the significant prevalence of BDD among individuals afflicted with dermatological issues, our analysis illuminated the profound psychological repercussions stemming from an exaggerated preoccupation with perceived skin imperfections. Through an exploration of the underlying BDD symptoms, we analyzed the complex dynamics between skin health and mental well-being, emphasizing the disorder's impact on patients' psychological and social functioning. This narrative review further investigated the consequential effects of BDD on essential aspects of dermatological treatment, including patient adherence to therapeutic regimens, overall quality of life (QOL), and the effectiveness of available treatments. In addition to presenting current therapeutic approaches, we advocate for the integration of psycho-dermatological interventions tailored to mitigate the dual burden of skin conditions and psychological distress. Future research directions proposed include longitudinal studies to assess the long-term effects of BDD on skin disease prognosis and psychosocial well-being, which aim to refine and optimize treatment modalities to contribute to a more holistic understanding of BDD within dermatological practice.
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Affiliation(s)
- Vivian Li
- Nuvance Health/Vassar Brothers Medical Center, Poughkeepsie, NY, USA
| | - Kelly Frasier
- Nuvance Health/Vassar Brothers Medical Center, Poughkeepsie, NY, USA
| | | | - Kathleen Daly
- Medical College of Georgia at Augusta University, Augusta, GA, USA
| | | | - Courtnee Harpine
- Edward Via College of Osteopathic Medicine, Spartanburg, SC, USA
| | - Karina Stech
- Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA
| | - Stefany Acosta
- Michigan State University College of Osteopathic Medicine, East Lansing, MI, USA
| | - Edwin D Lephart
- Department of Cell Biology, Physiology and The Neuroscience Center, College of Life Sciences, Brigham Young University, Provo, UT, 84602, USA.
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Yazıcı SDS, Fındık Y, Yazıcı T. Evaluation of social appearance concerns and satisfaction after orthognathic surgery. JOURNAL OF STOMATOLOGY, ORAL AND MAXILLOFACIAL SURGERY 2024; 125:101934. [PMID: 38825238 DOI: 10.1016/j.jormas.2024.101934] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/19/2024] [Revised: 05/26/2024] [Accepted: 05/30/2024] [Indexed: 06/04/2024]
Abstract
The main aim of orthognathic surgery is to provide a good occlusion and masticatory function and to achieve positive changes in facial aesthetics. The aim of this study was to determine the reasons behind patients' acceptance of orthognathic surgery and their expectations from this treatment, to assess whether their expectations were met, the change in their self-confidence and their satisfaction, and finally, to use the results obtained to inform future surgical procedures to increase patient satisfaction. The study was designed as a cross-sectional observational study and included 73 people treated with orthognathic surgery (surgery group) and 42 people with minimal crowding who did not require treatment (control group). The study found that the primary reason for requesting orthognathic surgery was to improve facial appearance and that patients had high expectations in this regard. Using the Social Appearance Anxiety Questionnaire and the Expectation and Satisfaction Questionnaire, 73.97 % of patients in our study said the treatment met their expectations and 90.41 % said they were satisfied with the overall results of the surgery. The study also highlighted the importance of surgeon-patient communication and the satisfaction of the patient's environment with the final result in determining patient satisfaction. In conclusion, since patients' high expectations of orthognathic surgery influence treatment success and patient satisfaction, it is important to know and manage patients' expectations before treatment and to have good patient-surgeon communication to increase patient satisfaction after surgery.
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Affiliation(s)
| | - Yavuz Fındık
- Oral & Maxillofacial Surgery, Suleyman Demirel University Faculty of Dentistry, Isparta 32100, Turkey
| | - Tayfun Yazıcı
- Oral & Maxillofacial Surgery, Suleyman Demirel University Faculty of Dentistry, Isparta 32100, Turkey
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4
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Gupta R, Tao J, Hashemi DA, Geronemus RG. The ethics of cosmetic overtreatment. JAAD Int 2024; 16:1-2. [PMID: 38745897 PMCID: PMC11089345 DOI: 10.1016/j.jdin.2024.03.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/16/2024] Open
Affiliation(s)
- Rachit Gupta
- Division of Dermatology, Loyola University Medical Center, Maywood, Illinois
| | - Joy Tao
- Laser & Skin Surgery Center of New York, New York City, New York
| | - David A Hashemi
- Laser & Skin Surgery Center of New York, New York City, New York
| | - Roy G Geronemus
- Laser & Skin Surgery Center of New York, New York City, New York
- Ronald O. Perelman Department of Dermatology, New York University Langone Health, New York City, New York
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5
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Ntovas P, Diamantopoulou S, Johnston WM, Papazoglou E. Perceptibility and acceptability of lightness difference of a single maxillary central incisor. J ESTHET RESTOR DENT 2024; 36:1068-1074. [PMID: 38712860 DOI: 10.1111/jerd.13245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2023] [Revised: 03/07/2024] [Accepted: 04/27/2024] [Indexed: 05/08/2024]
Abstract
OBJECTIVES The aim of this study was to assess the lightness difference perceptibility and acceptability thresholds, for a single maxillary central incisor, and to investigate possible differences in these thresholds regarding the direction (+ΔL* vs. -ΔL*), the observer group (dentists vs. laypersons), and the gender and age of the observers. MATERIALS AND METHODS A series of images with varying lightness (L*), were created by altering the right maxillary central incisor of a male Caucasian, on a frontal view full-portrait image. Digital modification of one central incisor by 1 ΔL* unit resulted in 15 different images: one control, seven with increased and seven with decreased lightness. The images were presented in random order, on a digitally calibrated monitor, to 158 observers, grouped into 79 dentists, and 79 laypersons, who were asked to evaluate every image and answer whether they perceive a difference and if yes, whether they accept this difference. A multifactorial analysis of covariance was performed to analyze the perception and acceptance of any difference in the central incisors and to estimate the thresholds. The statistical significance level was α = 0.05. RESULTS Overall, the magnitude of ΔL*, direction of ΔL*, observer group and age were each significant (p < 0.001), as was gender (p = 0.03). The effect of the magnitude of ΔL* interacted with its direction and the observer group (p = 0.045), and the effect of age interacted with the direction of ΔL*, and the gender and the group of the observers. Estimated 50%:50% perceptibility thresholds ranged from 0.1 to 2.7, and 50%:50% acceptability thresholds ranged from 2.3 to 4.5. Overall, dentists perceived lightness differences at lower magnitudes than laypersons; difference in lightness was perceived and accepted at lower magnitudes when the tooth become lighter instead of darker; and female observers perceived and accepted lightness differences at lower magnitudes compared to males. As age increased overall, differences of lightness were perceived and accepted at higher magnitudes. CONCLUSIONS Perceptibility and acceptability of lightness differences of a single maxillary central incisor are affected by the magnitude and the direction of lightness change, as well as the gender, the age, and the type of the observers. CLINICAL SIGNIFICANCE Even small changes in lightness are perceivable; however, thresholds of perception and acceptance are dependent on the magnitude and the direction of change and are also dependent on the observer, with women, dentists and younger people perceiving and accepting changes at lower magnitudes of ΔL*.
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Affiliation(s)
- Panagiotis Ntovas
- Department of Operative Dentistry, National and Kapodistrian University of Athens, Athens, Greece
| | - Sofia Diamantopoulou
- Department of Operative Dentistry, National and Kapodistrian University of Athens, Athens, Greece
| | - William Michael Johnston
- Division of Restorative and Prosthetic Dentistry, The Ohio State University College of Dentistry, Columbus, Ohio, USA
| | - Efstratios Papazoglou
- Department of Operative Dentistry, National and Kapodistrian University of Athens, Athens, Greece
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Taishan WS, Ali MA, Al Sulaiman I, Alsiwed K, Hobani A, Bin Abbas GA, AlOtaibi A, Aldhahri A. The Effect and Implication of Social Media Platforms on Cosmetic Facial Plastic Surgery Among Females in Saudi Arabia. Cureus 2024; 16:e60137. [PMID: 38864039 PMCID: PMC11166013 DOI: 10.7759/cureus.60137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/04/2024] [Indexed: 06/13/2024] Open
Abstract
Introduction Facial plastic surgery addresses various facial imperfections, offering a range of procedures like rhinoplasty and facelifts. Social media promotes unrealistic beauty standards, leading to increased demand for such surgeries. Studies highlight its influence, emphasizing the need for research in this area. Our study aimed to evaluate the effect of social media advertisements and selfies on facial cosmetic surgery decisions and plans among females in Saudi Arabia. Methodology This is a cross-sectional study conducted in the Kingdom of Saudi Arabia that targeted females aged 18-80 years old. An electronic questionnaire in Arabic was used for data collection. Data was analyzed in IBM SPSS Statistics for Windows, Version 29 (Released 2023; IBM Corp., Armonk, New York, United States). Results Our study assessed 568 Saudi females regarding social media's impact on facial cosmetic surgery. Most of them were aged 21-30 years (39.4%) and Saudi nationals (94.2%). The majority, 87.9% (n=499), had not undergone cosmetic surgeries, and 12.1% (n=69) had; 68.1% (n=387) did not plan future surgeries. Notably, 42.6% (n=242) cited surgeon self-advertising and 38.0% (n=216) better selfies as an influencing factor in their cosmetic surgery decision. Logistic regression revealed several significant predictors of cosmetic surgery decisions including surgeon's advertisement (Exp(B) = 2.812, p < 0.001), cosmetic show viewing (Exp(B) = 2.327, p = 0.004), and social media photos (Exp(B) = 2.762, p = 0.001). Education (Exp(B) = 1.533, p = 0.035) and previous surgery (Exp(B) = 4.523, p < 0.001) correlated positively with considering surgery. Conclusion Our study highlights social media's influence on facial cosmetic surgery decisions among Saudi females. Surgeon advertisements, social media exposure, education, and previous surgery history emerged as significant predictors, warranting further research and targeted interventions.
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Affiliation(s)
- Wafaa S Taishan
- Department of Surgery, Faculty of Medicine, Al-Baha University, Al-Baha, SAU
| | - Mujtaba A Ali
- Department of Surgery, Faculty of Medicine, Al-Baha University, Al-Baha, SAU
| | | | - Kholoud Alsiwed
- College of Medicine, Fakeeh College for Medical Science, Jeddah, SAU
| | - Assal Hobani
- College of Medicine, Ibn Sina Medical College, Jeddah, SAU
| | | | - Aseel AlOtaibi
- Faculty of Medicine, Majmaah University, Al Majma'ah, SAU
| | - Ahmed Aldhahri
- College of Medicine, Ibn Sina National College, Jeddah, SAU
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7
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Martin ED, Eginli A, Munavalli GS. Developing relationships with patients, staff, and industry in dermatology. Clin Dermatol 2023; 41:262-267. [PMID: 37423266 DOI: 10.1016/j.clindermatol.2023.06.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/11/2023]
Abstract
Maintaining a thriving dermatology practice requires thoughtful and intentional investment in relationships with patients, staff, and industry. Growing the patient-physician relationship involves optimizing patient satisfaction and outcomes, which can provide improved ratings and reimbursement. Cultivating an environment of employee engagement is also essential for promotion of patient satisfaction, employee satisfaction, and practice productivity. Additionally, relationships with industry require careful navigation to maximize its great potential for medical advancement and benefit for all parties. There are inherent conflicts of interest between physician motivation for improved patient outcomes and industry goals of increased profits. Successful management of these relationships can be a difficult task, but it remains important.
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Affiliation(s)
- Elise D Martin
- Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA
| | - Ariana Eginli
- Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA
| | - Girish S Munavalli
- Dermatology, Laser & Vein Specialists of the Carolinas, Charlotte, North Carolina, USA.
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8
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Amici JM, Cogrel O, Jourdan M, Raimbault C, Canchy L, Kerob D, Madfes DC, Tian Y, Araviiskaia E. Expert recommendations on supportive skin care for non-surgical and surgical procedures. J Eur Acad Dermatol Venereol 2023; 37 Suppl 3:16-33. [PMID: 36635618 DOI: 10.1111/jdv.18855] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2022] [Accepted: 01/04/2023] [Indexed: 01/14/2023]
Abstract
A thorough knowledge of non-surgical procedures (laser, peelings, injections, threads) and surgical procedures (combined surgeries and skin grafts), including contraindications and potential risks and side effects, (e.g. infection, hypopigmentation, hyperpigmentation, and scarring) is essential to be able to reduce their incidence and ensure the patient receives the most benefit from the procedure. Individuals with darker skin and of high Fitzpatrick phototype are at higher risk of dyschromias, notably melasma and post-inflammatory hyperpigmentation, which may be treated using aesthetic procedures but may also arise as a complication of some procedures. A group of experts in cosmetic surgery and dermatology reviewed the published literature and discussed recommendations for optimizing outcomes with practical advice on supportive skincare before, during and after non-surgical or surgical procedures. A broad-spectrum sunscreen with a high sun protection factor against UVB and high protection against UVA, especially long UVA, is essential for all treatment modalities for the prevention and potential improvement of pigmentation disorders. Supportive skin care management to prepare, cleanse and protect the skin and post-procedure skin care with healing and anti-inflammatory ingredients are recommended to speed up regeneration and wound healing whilst minimizing scarring and downtime. Additionally, adjunctive skin care to procedures with antioxidant, anti-ageing and lightening properties may enhance skin benefits.
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Affiliation(s)
- Jean-Michel Amici
- Dermatology Department, CHU Bordeaux, Hôpital Saint-André, Bordeaux, France
| | - Olivier Cogrel
- Mohs Surgery and Laser Unit, Dermatology Department, University Hospital of Bordeaux, Bordeaux, France
| | - Marie Jourdan
- Centre Laser International de la Peau-Paris (CLIPP), Paris, France
| | | | - Ludivine Canchy
- Laboratoire Dermatologique La Roche-Posay, Levallois-Perret, France
| | - Delphine Kerob
- Laboratoire Dermatologique La Roche-Posay, Levallois-Perret, France
| | | | - Yan Tian
- Dermatology Department, Air Force Medical Center, PLA, Beijing, China
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9
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Wang JV, Geronemus RG. Reflections on practice management concepts in dermatology. Clin Dermatol 2023; 41:231-233. [PMID: 37406978 DOI: 10.1016/j.clindermatol.2023.06.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/07/2023]
Affiliation(s)
- Jordan V Wang
- Laser & Skin Surgery Center of New York, New York, New York, USA.
| | - Roy G Geronemus
- Laser & Skin Surgery Center of New York, New York, New York, USA
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10
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Annual Trends in Cosmetic Body Treatments and Consultations: Insights for Patient Care. Dermatol Surg 2022; 48:879-880. [PMID: 35617111 DOI: 10.1097/dss.0000000000003497] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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11
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Barrutia L, Vega-Gutiérrez J, Santamarina-Albertos A. Benefits, drawbacks, and challenges of social media use in dermatology: A systematic review. J DERMATOL TREAT 2022; 33:2738-2757. [PMID: 35506617 DOI: 10.1080/09546634.2022.2069661] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
The presence of dermatological information on social media has grown exponentially over the last two decades. Consequently, the recent literature on this topic is abundant. Many authors have highlighted that social media constitutes a unique opportunity for patient education. Additionally, numerous other benefits of these platforms have been reported. However, other authors have focused on the potential risks that these networks involve. The main concerns are patient confidentiality, legal considerations and ethical issues. Therefore, we stand at a crossroads where the many advantages of social media use in dermatology seem to be underestimated due to the presence of potential drawbacks. At this point, we propose that a systematic review of the positive and negative aspects of using social media in dermatology is necessary. We carried out a comprehensive systematic review dating from inception to July 2021. Finally, 161 articles were included. Fifteen benefits, 11 drawbacks and 10 challenges of social media use in dermatology were identified and discussed. Suggested strategies to address the identified drawbacks were provided. Overall, while there are risks to using social media, they are outnumbered by their benefits. Therefore, dermatologists should embrace this opportunity to educate patients and aim to create rigorous and engaging content.
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Affiliation(s)
- Leire Barrutia
- Dermatology, Medicine and Toxicology Department, University of Valladolid, Valladolid, Spain.,Dermatology Department, Clinical University Hospital of Valladolid, Valladolid, Spain
| | - Jesús Vega-Gutiérrez
- Dermatology, Medicine and Toxicology Department, University of Valladolid, Valladolid, Spain.,Dermatology Department, Río Hortega University Hospital, Valladolid, Spain
| | - Alba Santamarina-Albertos
- Dermatology, Medicine and Toxicology Department, University of Valladolid, Valladolid, Spain.,Dermatology Department, Clinical University Hospital of Valladolid, Valladolid, Spain
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de Barros Silva PG, Filho ELC, Nigri FMN, Dantas TS, de Miranda Candeiro GT, Neri JR. Photobiomodulation Reduces Pain-Related Symptoms Without Interfering in the Efficacy of In-Office Tooth Bleaching: A Systematic Review and Meta-Analysis of Placebo-Controlled Clinical Trials. Photobiomodul Photomed Laser Surg 2022; 40:163-177. [DOI: 10.1089/photob.2021.0105] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022] Open
Affiliation(s)
- Paulo Goberlânio de Barros Silva
- Department of Dentistry, University Center Christus, Fortaleza, Brazil
- Graduate School of Dentistry, University Center Christus, Fortaleza, Brazil
| | - Edson Luiz Cetira Filho
- Department of Dentistry, University Center Christus, Fortaleza, Brazil
- Department of Restorative Dentistry, Faculty of Pharmacy, Dentistry and Nursing, Federal University of Ceará, Fortaleza, Brazil
| | | | | | - George Táccio de Miranda Candeiro
- Department of Dentistry, University Center Christus, Fortaleza, Brazil
- Graduate School of Dentistry, University Center Christus, Fortaleza, Brazil
| | - Jiovanne Rabelo Neri
- Department of Dentistry, University Center Christus, Fortaleza, Brazil
- Graduate School of Dentistry, University Center Christus, Fortaleza, Brazil
- Graduate School of Dentistry, University of Fortaleza, Fortaleza, Brazil
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Predictors of Acceptance of Cosmetic Surgery: Instagram Images-Based Activities, Appearance Comparison and Body Dissatisfaction Among Women. Aesthetic Plast Surg 2022; 46:502-512. [PMID: 34477907 PMCID: PMC8831337 DOI: 10.1007/s00266-021-02546-3] [Citation(s) in RCA: 23] [Impact Index Per Article: 11.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2021] [Accepted: 08/15/2021] [Indexed: 11/02/2022]
Abstract
BACKGROUND This study aimed to test a model in which Instagram images-based activities related to self, friends, and celebrities were associated with acceptance of cosmetic surgery via Instagram appearance comparison and body dissatisfaction. We predicted that Instagram use for images-related activities involving celebrities and self (but not friends) was associated with acceptance of cosmetic surgery both directly and indirectly. METHODS The study participants were 305 Italian women (mean age, 23 years). They completed a questionnaire containing the Instagram Image Activity Scale, the Instagram Appearance Comparison Scale, the Body Shape Questionnaire-14, the Acceptance of Cosmetic Surgery Scale. A path analysis was performed in which the Instagram images-based activities were posited as predictors of the Instagram appearance comparison, body dissatisfaction and acceptance of cosmetic surgery, respectively. RESULTS We found that only image-based activities related to celebrities and self were significantly related to acceptance of cosmetic surgery, whereas friends' Instagram-related activities were not significantly related to this criterion variable. Moreover, the indirect effect of both Instagram self- and celebrities-images activities on acceptance of cosmetic surgery through Instagram appearance comparison and body dissatisfaction was significant. Friends' Instagram images-related activities were not associated with acceptance of cosmetic surgery. CONCLUSIONS Overall, these findings provide information about the role that activities carried out on Instagram, appearance comparison and body dissatisfaction, play on the acceptance of surgery for aesthetic reasons among women. The study highlighted the importance for surgeons to consider some psychological aspects and the influence of sociocultural factors on the interest for cosmetic surgery. LEVEL OF EVIDENCE IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
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14
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Dayal A, Bhatia A, Hsu JTS. Fat grafting in aesthetics. Clin Dermatol 2022; 40:35-44. [DOI: 10.1016/j.clindermatol.2021.08.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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15
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Psychosocial issues and body dysmorphic disorder in aesthetics: Review and debate. Clin Dermatol 2022; 40:4-10. [DOI: 10.1016/j.clindermatol.2021.08.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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16
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17
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Wang JV, Saedi N. Reflections on debates in aesthetic dermatology: Part I. Clin Dermatol 2022; 40:1-3. [DOI: 10.1016/j.clindermatol.2021.08.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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18
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Albornoz CA, Nichols SE, Wang JV, Saedi N, Munavalli GS. Optimizing skin tightening in aesthetics in men. Clin Dermatol 2021; 40:244-248. [PMID: 34838655 DOI: 10.1016/j.clindermatol.2021.11.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
The field of cosmetic dermatology has recently witnessed unbridled growth in the past several years. Part of this has been due to the increasing popularity of aesthetic treatments in men, who represent a growing patient population. Men tend to have higher levels of collagen density and greater skin thickness, but these begin to decrease earlier on. They can also more frequently have severe photodamage. Their clinical presentations can affect the selection of treatments. Physicians should be familiar with the subtle differences between treating men and women. Early studies and literature are beginning to shed more light on these important distinctions. We review the notable differences in facial aging, pathophysiology, and patient selection and discuss available treatment options with these factors in mind.
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Affiliation(s)
- Christian A Albornoz
- Department of Dermatology and Cutaneous Biology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania, USA
| | - Sarah E Nichols
- Dermatology, Laser & Vein Specialists of the Carolinas, Charlotte, North Carolina, USA
| | - Jordan V Wang
- Department of Dermatology and Cutaneous Biology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania, USA; Laser & Skin Surgery Center of New York, New York, NY, USA.
| | - Nazanin Saedi
- Department of Dermatology and Cutaneous Biology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania, USA
| | - Girish S Munavalli
- Dermatology, Laser & Vein Specialists of the Carolinas, Charlotte, North Carolina, USA
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Photo-Editing Software and the Mere Exposure Effect in Dermatology and Aesthetics. Dermatol Surg 2021; 47:1530-1532. [PMID: 34699447 DOI: 10.1097/dss.0000000000003222] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Di Gesto C, Nerini A, Policardo GR, Matera C. Invited Response on: "Letter to the Editor: Predictors of Acceptance of Cosmetic Surgery- Instagram Images-Based Activities, Appearance Comparison and Body Dissatisfaction Among Women". Aesthetic Plast Surg 2021; 46:66-69. [PMID: 34664094 DOI: 10.1007/s00266-021-02626-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2021] [Accepted: 10/05/2021] [Indexed: 10/20/2022]
Abstract
This response letter highlights the importance for cosmetic surgeons to take a psychosocial perspective, considering the role of social media influences on the acceptance of cosmetic surgery in young women. Furthermore, through this article we have provided a brief overview of possible interventions useful to prevent the negative influences that social media can have on body image and the acceptance of procedures aimed at modifying one's body for purely aesthetic reasons. LEVEL OF EVIDENCE V: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
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The new dilemma of plastic surgery and social media: a systematic review. EUROPEAN JOURNAL OF PLASTIC SURGERY 2021. [DOI: 10.1007/s00238-021-01891-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Abstract
PURPOSE OF REVIEW Photograph-based social media use among children and adolescents has skyrocketed over the past decade, raising concerns about the implications for self-confidence and behavior in this population. Social media 'challenges' encourage participants to complete potentially dangerous tasks while sharing their completion of the tasks on social media. Many of these challenges affect the skin and lead to recognizable findings on physical examination. This review discusses the history of prominent social media challenges and their effects on the skin. Attention is also given to the effects of social media trends on self-confidence and body image in children and adolescents. RECENT FINDINGS Over the past several years, there have been several notable social media trends that can harm the skin. These include the Kylie Jenner lip challenge, salt and ice challenge, deodorant challenge, eraser challenge, fire challenge, and hot water challenge. Participation in these challenges can cause morbidity in children and adolescent that should be recognized by clinicians. SUMMARY Social media has become an important platform for communication and self-expression among children and adolescents. Pediatricians should remain aware of social trends in this age group and look out for cutaneous findings that may signal dangerous behavior on social media.
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Affiliation(s)
- Trevor K Young
- The Ronald O. Perelman Department of Dermatology, New York University Grossman School of Medicine, New York, New York, USA
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Nunes D, Bran G. The Impact of the Philtrum on Facial Attractiveness, Perioral Proportions, and Perceptions of Facial Aging. Aesthet Surg J 2021; 41:816-825. [PMID: 32582914 DOI: 10.1093/asj/sjaa174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND Lip enhancement continues to be one of the most popular facial procedures. State-of-the-art lip enhancement involves sculpting of perilabial soft tissue, in particular, the philtrum, but it is unclear how patients perceive their philtral contours. OBJECTIVES The aim of this study was to test the impact of the philtrum on attractiveness, and on the perception of facial proportions and age. METHODS Respondents (1100, including 50 aesthetic specialists) were presented with 2 sets of identical portraits, 1 set of a young Caucasian female and 1 set of an aged Caucasian female, with 1 portrait in each set having an upper lip lacking any philtral contours. The respondents were asked to choose which upper lip was more attractive, appeared longer, and looked older. Rankings were analyzed according to population demographics. RESULTS Overall, most respondents considered the young face (84%) and the aged face (68%) with philtral contours to be more attractive. Moreover, the majority of respondents (81%) considered the upper lip of the young face without a philtrum to appear longer in a craniocaudal orientation (67% for the aged image), and 67% of respondents described the image of the young woman with no philtral definition as appearing older (55% for the aged face with no philtrum). CONCLUSIONS This study confirms the authors' hypothesis that the existence of philtral contours exerts a significant impact on perioral attractiveness, and that its absence can be related to a longer appearance of the upper lip as well as an older facial appearance.
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Affiliation(s)
- Diogo Nunes
- Department of Otolaryngology, Head and Neck Surgery, Klinikum Bremen-Mitte, Bremen, Germany
| | - Gregor Bran
- Department of Otolaryngology, Head and Neck Surgery, University Hospital Mannheim, Mannheim, Germany
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Wang JV, Akintilo L, Geronemus RG. Growth of cosmetic procedures in millennials: A 4.5‐year clinical review. J Cosmet Dermatol 2020; 19:3210-3212. [DOI: 10.1111/jocd.13768] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2020] [Accepted: 10/01/2020] [Indexed: 11/29/2022]
Affiliation(s)
| | - Lisa Akintilo
- The Ronald O Perelman Department of Dermatology New York University Grossman School of Medicine New York NY USA
| | - Roy G. Geronemus
- Laser & Skin Surgery Center of New York New York NY USA
- The Ronald O Perelman Department of Dermatology New York University Grossman School of Medicine New York NY USA
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