Daily Cosmetic Research Analysis

BACKGROUND: Body dysmorphic disorder (BDD) is underdiagnosed in aesthetic surgery and poses significant risks for postoperative dissatisfaction and complications. Structured screening tools are required to improve early detection and guide surgical decision-making. This study evaluated the effectiveness of an automated, rule-based screening system incorporating the Body Dysmorphic Disorder Questionnaire (BDDQ) in a large cohort of patients undergoing cosmetic surgery. METHODS: This prospective study enrolled 3722 adult patients who underwent elective cosmetic procedures between January 2021 and July 2024 in a solo plastic surgery practice. The patients completed an online dynamic questionnaire, including the BDDQ. A rule-based algorithm integrates BDDQ scores with clinical variables to flag BDD risk. Patients with positive screening results underwent psychological assessments before surgical eligibility was determined. Postoperative outcomes were assessed using a multidimensional satisfaction questionnaire that included a visual analog scale. Inter-rater reliability was calculated for the exclusion and satisfaction ratings. RESULTS: Among the 3722 patients, 1080 (29.02%) tested positive for BDD. Only 8 BDD-positive patients underwent surgery after psychological evaluation, of whom 75% reported high satisfaction at follow-up (mean: 15.7 mo). Cohen κ indicated strong inter-rater agreement for BDD classification (κ = 0.86), exclusion decisions (κ = 0.81), and satisfaction (κ = 0.79). The prevalence aligns with the upper estimates in aesthetic surgery populations and reflects enhanced detection via structured screening. CONCLUSIONS: Automated rule-based BDD screening improves psychological risk detection and planning in aesthetic surgery. This approach supports early referral and may enhance patient safety and satisfaction. Therefore, multicenter validation is recommended.

INTRODUCTION: Adipose-derived therapies hold promise in addressing the increasing prevalence of skin wounds, scars, and ulcers. This systematic review, conducted following the PRISMA guidelines, evaluates the therapeutic potential of adipose derived stem cells for improving wound healing, scar development and ulcer management. METHODS: An extensive search was conducted across PubMed, EMBASE, Scopus, Web of Science, Cochrane Central, and LILACS. The search strategy employed a combination of keywords and Medical Subject Headings (MeSH) terms related to "adipose tissue", "fat derivatives", "ulcers", "wound healing", and their synonyms, covering articles published from inception to October 2024. Our search yielded 589 records, with 16 randomized clinical trials and two ongoing studies meeting inclusion criteria after screening and full-text assessment. RESULTS: Findings indicate that adipose-derived therapies significantly enhance wound healing, reduce pain, and improve cosmetic appearance, patient satisfaction, and health-related quality of life compared to conventional treatments. DISCUSSION: These therapies demonstrate efficacy across various wound types and scars, with a favorable safety profile. However, further standardized protocols and large-scale randomized trials are essential to validate these outcomes and assess longterm safety. While adipose-derived therapies show promise in enhancing wound healing and managing scars, ongoing research is essential to facilitate their integration into routine clinical practice. SYSTEMATIC REVIEW REGISTRATION: https://www.crd.york.ac.uk/PROSPERO/view/CRD42024503209, PROSPERO CRD42024503209.

Remote access approaches to the neck have gained attention due to cosmetic concerns with conventional cervical incisions. Their safety, reproducibility, and oncologic outcomes remain to be fully validated. We retrospectively analyzed our initial experience with retroauricular robotic neck surgery using the Da Vinci system. Thirty-two patients were included. Data collected comprised demographics, procedure type, surgical features, and oncological follow-up. Thirty-five surgeries were performed: 13 posterolateral neck dissections (levels II-V) with central (VI), 5 modified radical dissections (I-V), 5 posterolateral dissections (II-V), and 1 super-selective neck dissection (I). Twelve neck dissections were combined with thyroidectomy. Additional procedures included 4 partial thyroidectomies, 3 submandibular gland resections, 3 schwannoma resections, and 1 branchial cyst excision, totaling 60 procedures. Twenty patients had malignant disease (62.5%). Median hospital stay was 2 days (range 1 9), similar to conventional approaches. Complications included 5 temporary nerve palsies, 1 lymphatic fistula, 1 transient hypoparathyroidism, and 1 minor flap necrosis, all managed conservatively; 1 hematoma required reoperation. Conversion to a conventional approach occured in 4 cases (6.7%). No additional intraoperative or postoperative complications were observed. The mean lymph node yield was 54 in posterolateral/radical dissections and 13 in central dissections. Median follow-up of malignant cases was 41.3 months (range 18-56), with a 3-year regional control rate of 94.7%. Our experience with 60 retroauricular robotic procedures demonstrates this approach to be safe, feasible, and oncologically effective, with complication rates, hospital stay, and oncological outcomes comparable to conventional surgery.