Daily Cosmetic Research Analysis
Analyzed 21 papers and selected 3 impactful papers.
Summary
Analyzed 21 papers and selected 3 impactful articles.
Selected Articles
1. Psychosocial Factors Surrounding Aesthetic Rhinoplasty: A Systematic Review.
This PRISMA-compliant systematic review shows that preexisting mental health conditions (e.g., body dysmorphic disorder, anxiety, depression) consistently predict lower satisfaction after technically successful aesthetic rhinoplasty. Psychological readiness, social context, and expectation setting critically shape patient-reported outcomes, supporting routine preoperative psychosocial assessment.
Impact: It consolidates evidence linking mental health to perceived surgical success, offering actionable guidance for screening and expectation management in aesthetic rhinoplasty.
Clinical Implications: Implement standardized preoperative mental health screening (including BDD assessment), integrate counseling/psychiatric referral as needed, and explicitly align expectations to improve satisfaction and reduce postoperative distress.
Key Findings
- Patients with BDD, anxiety, or depression consistently reported lower postoperative satisfaction after aesthetic rhinoplasty.
- Psychological readiness, social context, and expectation setting strongly influenced patient-reported outcomes.
- PRISMA-guided systematic review across multiple databases supports routine preoperative psychosocial assessment to optimize outcomes.
Methodological Strengths
- PRISMA-compliant systematic search across PubMed, Cochrane Library, and Embase
- Focus on patient-reported outcomes linking psychosocial status to satisfaction
Limitations
- Heterogeneity of psychological measures and outcome instruments across studies
- Predominance of nonrandomized, observational evidence; limited meta-analytic synthesis
Future Directions: Develop and validate standardized preoperative psychosocial screening tools; test stepped-care interventions in prospective trials to assess impact on satisfaction and mental health outcomes.
BACKGROUND: Rhinoplasty, widely known to improve form and function, is growing in popularity for both cosmetic and functional purposes. The preexisting psychosocial state of a patient significantly affects the perceived outcome of aesthetic rhinoplasty, even when surgery is technically successful. Given the elevated rates of distress, depression, social dysfunction, and body dysmorphic disorder among candidates, psychosocial optimization is essential. METHODS: A systematic review was performed following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Studies published from January 2000 to August 2024 examining associations between aesthetic rhinoplasty outcomes and psychological factors were identified through PubMed, Cochrane Library, and Embase. Eligible studies evaluated psychosocial characteristics, preoperative mental health status, and postoperative satisfaction. RESULTS: Patients with preexisting mental health conditions, including body dysmorphic disorder, anxiety, and depression, consistently reported lower postoperative satisfaction despite technically successful results. Patient-reported outcome measures demonstrated that psychological readiness, social context, and expectation setting significantly influenced perceived outcomes. Individuals with diminished psychosocial functioning were more likely to experience reduced postoperative satisfaction, underscoring the interplay between psychological pathology and subjective assessment of surgical success. CONCLUSIONS: Evaluating patient motivations, expectations, and psychosocial readiness allows physicians to better predict satisfaction and improve expectation management. Incorporating a thorough preoperative mental health assessment can help identify modifiable psychosocial factors and optimize outcomes for patients pursuing aesthetic rhinoplasty.
2. The hidden mechanism of vacuum bell therapy: Local fat hypertrophy drives cosmetic outcome in adolescents with pectus excavatum.
In 19 adolescent males treated with vacuum bell for a median of 1.8 years, real-time MRI showed no significant improvement in skeletal indices (Haller Index/Correction Index), while increased subcutaneous tissue at the defect suggested localized adipose hypertrophy as the main driver of cosmetic improvement. Skeletal remodeling likely plays a minor role in older adolescents.
Impact: It provides a mechanistic explanation for cosmetic gains with vacuum bell therapy in adolescents, challenging assumptions about skeletal remodeling and informing patient counseling and indications.
Clinical Implications: Counsel adolescents and families that VB may yield cosmetic improvement predominantly via soft-tissue changes rather than chest wall remodeling; consider VB beyond traditional age thresholds for appearance goals, while setting realistic expectations about structural correction.
Key Findings
- No significant change in skeletal metrics (Haller Index and Correction Index) after a median 1.8 years of vacuum bell therapy.
- Real-time MRI indicated increased subcutaneous soft tissue thickness at the deformity site consistent with localized adipose hypertrophy.
- Cosmetic improvement in older adolescents appears driven primarily by soft-tissue changes rather than skeletal remodeling.
Methodological Strengths
- Pre- and post-therapy real-time MRI quantification of morphology
- Objective measurement of subcutaneous tissue thickness at multiple thoracic sites
Limitations
- Small, single-cohort retrospective series of 19 males without a control group
- Incomplete reporting of statistical significance for all indices and lack of functional outcome measures
Future Directions: Prospective, controlled imaging studies quantifying adipose and skeletal changes across age strata; investigate metabolic and tissue-level responses to negative pressure and strategies to modulate soft-tissue remodeling.
PURPOSE: Vacuum bell (VB) therapy is a non-invasive treatment option for pectus excavatum (PE), traditionally considered most effective in children under 12 due to greater skeletal remodeling potential. However, the extent and mechanisms of cosmetic improvement in older adolescents remain poorly understood. METHODS: We retrospectively analyzed 19 male patients (median age 14.8 years) who underwent VB therapy for at least 1 year. Real-time MRI was performed before and after therapy to assess morphological changes. Key parameters included the Haller Index (HI), Correction Index (CI), and pectus excavation depth (PED). Additionally subcutaneous soft tissue thickness was measured at the deformity site and at the lateral thoracic wall. RESULTS: After a median treatment duration of 1.8 years, HI and CI did not show significant reductions (HI: 5.4 to 5.3, CONCLUSIONS: The improvement in visual appearance of PE morphology during VB therapy results primarily from localized adipose tissue hypertrophy, while skeletal remodeling is likely to contribute to a much lesser degree. From a cosmetic perspective, these findings might justify the continued use of VB therapy beyond the traditional age threshold.
3. Frequency of Migraine and Sinus Headaches in Patients Undergoing Primary Rhinoplasty.
Among 190 consecutive primary rhinoplasty patients, 33.68% reported sinus or migraine headaches and 18.42% reported migraine (with or without sinus headaches), exceeding the global migraine prevalence estimate (14–15%). Routine screening for rhinogenic migraine/sinus headache may allow surgeons to address symptoms concurrently with aesthetic goals.
Impact: It quantifies a clinically meaningful burden of migraine/sinus headaches in rhinoplasty candidates, supporting integrated screening and potential dual-benefit septorhinoplasty.
Clinical Implications: Integrate headache screening into preoperative assessment; consider addressing rhinogenic triggers during septorhinoplasty and coordinate with neurology/otolaryngology as appropriate.
Key Findings
- In 190 primary rhinoplasty candidates, 33.68% reported either sinus or migraine headaches.
- Migraine prevalence (18.42%) in this cohort exceeded global estimates (14–15%).
- Findings support routine preoperative screening for rhinogenic headache to enable potential dual functional–cosmetic benefits.
Methodological Strengths
- Consecutive patient sampling minimizing selection bias
- Standardized preoperative questionnaire capturing headache history
Limitations
- Retrospective design with self-reported headache status and no confirmatory diagnostics
- Single-surgeon context and absence of postoperative outcome data
Future Directions: Prospective studies with validated headache diagnostics and postoperative follow-up to test whether septorhinoplasty reduces rhinogenic headache burden.
BACKGROUND: Nearly two thirds of patients who suffer from migraine headaches (MH) have a rhinogenic trigger site. A majority of rhinoplasty patients are female, and an estimated 18% of females suffer from MH. Rhinogenic MH and sinus headaches (SH) are commonly triggered by elements which can be readily addressed during septorhinoplasty. Consequently, this surgery may present a dual opportunity to address MH/SH and cosmetic concerns simultaneously. OBJECTIVES: This study aims to quantify the incidence of MH and SH in patients presenting for primary rhinoplasty. METHODS: A retrospective review was conducted on a consecutive sample of patients who presented for primary rhinoplasty. The senior author's 2-page preoperative questionnaire which inquires about MH and SH was used to identify patients who self-reported MH and SH. MH and SH incidences were calculated as a percentage of the total number of patient responses. RESULTS: A total of 190 primary rhinoplasty patients (164 females (86.32%) and 26 males (13.68%)) were included in this study. In total, 64 (33.68%) had either SH or MH. Twenty-nine patients (15.26%) had SH only, 12 (6.32%) MH only, 23 (12.11%) both MH and SH, and 35 (18.42%) had MH with or without SH. CONCLUSIONS: MH incidence (18.42%) in this patient sample was greater than the reported global migraine rate of 14-15%. By screening for and treating rhinogenic MH and SH, surgeons can both alleviate symptoms while fulfilling aesthetic objectives.