Dear Readers,

Whilst I always encourage you to do as I do and read every issue from cover to cover, I have picked five papers to bring to your attention.

In the Facial Surgery section, I have selected an international contribution from China: “Are There Differences Between the Upper and Lower Parts of the Superficial Musculoaponeurotic System? A Preliminary Biomechanical Study” by Xiaoqing Hu, MMS; Zhijun Wang, MD; Hongzhi Qin, MMS; Qi Wang, MB; Gang Hu, MD; and Chen Zhang, MD. In this biomechanical cadaver study, the authors compare the viscoelasticity of the upper and lower portions of the SMAS. The findings show considerable differences with relevance to planning of SMAS procedures for facial rejuvenation.

In the Rhinoplasty section, I recommend another international contribution, this time from Turkey: “Microfat Grafting in Nasal Surgery” by Onur Erol, MD. In this, a large series of 313 patients over five years, Dr. Erol describes his experience with fat grafting for correction of secondary rhinoplasty defects. From one to six sets of injections were required depending on the severity of the defects. He clearly establishes the safety and efficacy of fat grafting in this group of patients.

In the Body Contouring section, I recommend the Level 3 study from UT Southwestern in Dallas, Texas:  “Comparison of Limited-Undermining Lipoabdominoplasty and Traditional Abdominoplasty Using Laser Fluorescence Imaging” by Jason Roostaeian, MD; Ryan Harris, BS; Jordan P. Farkas, MD; Fritz E. Barton, MD, FACS; and Jeffrey M. Kenkel, MD, FACS. In this Level 3 study, the authors apply laser fluorescence to evaluate flap perfusion between traditional and limited undermining abdominoplasty. Their findings showed no significant difference in flap perfusion between the two groups.

The Research section selection is an international contribution from Brazil: “Autologous Fat Grafting for Treatment of Breast Implant Capsular Contracture: A Study in Pigs” by Guilherme Berto Roça, MD; Ruth Graf, MD, PhD; Renato da Silva Freitas, MD, PhD; Guataçara Salles Jr, MD, PhD; Julio Cesar Francisco, MD, PhD; Lucia Noronha, MD, PhD; and Ivan Maluf Jr. In the porcine model, the authors evaluate the efficacy of pericapsular fat grafting for capsular contracture. Their research indicates that there may be a role for fat grafting in the amelioration of capsular contracture. The clinical implications of their work is far reaching and may well add to our options for the treatment of capsular contracture.

I recommend the very first article in our new My Way section: “Shoelace Breast Cast” by Daniel C. Mills II, MD, FACS; Alexander Q. Ereso, MD; Cora Engl, RN; and Lauren E. Cessna, BA. A very simple, inexpensive and non-surgical method to correct early post-operative implant malposition. Be sure to watch the video that can be found here:

In addition to the articles in the main issue, I’d like to draw your attention to the supplement being distributed with the July issue. For the second year we have printed the ASAPS Cosmetic Surgery National Data Bank Statistics (in their entirety) as a special supplement. I encourage you keep the supplement for quick and simple reference all year, and hope that this is a valuable addition to your library.

As always, I look forward to hearing from you ( with your comments on the July issue and how the “Gold Journal” can better serve your educational needs. Please also join the Conversation – friend us on Facebook (Aesthetic Surg J) and follow us on Twitter: @ASJrnl.

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

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