Editor's Choice: August 2013

Dear Readers,

In the August issue of “The Gold Journal,” I am highlighting 6 papers that I believe will interest you: one each in Facial Surgery, Oculoplastic Surgery, Breast Surgery, Body Contouring, Cosmetic Medicine, and Research.

In the Facial Surgery section, Drs. Alghoul and Codner review the current thinking on facial retaining ligaments and their clinical relevance to facial rejuvenation. Our knowledge of intricate facial anatomy continues to evolve, and I recommend this timely update to further your understanding of these important concepts.

In the Oculoplastic Surgery section, Drs. Bravo, Kufeke, and Pascual from Madrid describe their technique for measuring eyelid asymmetry. Their findings reveal that 90.2% of the 240 individuals they studied had some degree of asymmetry. Their findings are clinically relevant and I recommend that you also watch their video, which will undoubtedly inform your own approach to counseling blepharoplasty patients preoperatively.

In the Breast Surgery section, I was surprised by the findings reported by White et al from Canada, and I would encourage you to read this interesting paper reporting the results of a prospective survey of patient preferences for breast reduction scars. The 60 patients in their study preferred the horizontal (no vertical scar) to the vertical and Wise patterns.

In the Body Contouring section, Dr. Stevens, Ms. Pietrzak, Dr. Spring report their extensive experience with the Coolsculpting (ZELTIQ; Pleasanton, CA) cryolipolysis device in 528 patients and 1,785 anatomic sites. I believe their work confirms the safety and efficacy of this technology. They also emphasize the potential practice and revenue growth of offering cryolipolysis. This article has an “open access” designation, so I also encourage you to share the link with your colleagues who might not yet subscribe to Aesthetic Surgery Journal.

In the Cosmetic Medicine section, Dr. Ozturk and colleagues present an updated review of complications associated with injection of soft tissue fillers. Their review includes 41 articles reporting on complications in 61 patients. The study was limited to FDA approved fillers, but they estimate a very low 0.0001% incidence of complications.

In the Research section, Drs. Hanson, Kim and Hematti report their findings from an ASERF-funded study comparing adipose-derived mesenchymal stem cells (ADSC) from breast and abdominal tissue. Though there were similarities, the fibroblast growth factor (FGF) seen in breast ADSC (as opposed to abdominal ADSC) was significantly higher. The authors discuss the clinical implications of their research. This manuscript received the Gaspar W. Anastasi Award at the Resident and Fellows Forum of The Aesthetic Meeting, and also received the 2012 Aesthetic Surgery Journal award for Best Resident Paper in the Research division. (Note that this year’s competition is open until August 31, 2013, and all residents and fellows are encouraged to submit their papers. The winners are awarded iPads and have their articles published in a future issue of the Journal.)

As always, I encourage you to read the entire issue cover to cover. I still do, even after seeing the papers during peer review! I invite your suggestions and comments as we continue to build a better journal.

Dr. Foad Nahai
Editor-in-Chief, Aesthetic Surgery Journal
Atlanta, GA

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