Daily Cosmetic Research Analysis

BACKGROUND: Reconstruction of full-thickness lower-lip defects after skin cancer excision is challenging, as both oral function and appearance must be restored. Conventional methods may be insufficient for moderate-sized defects. MATERIALS AND METHODS: This prospective observational study included 36 patients with T1-T2N0M0 basal or squamous cell carcinoma (SCC) of the lower lip treated between January 2021 and April 2023. Defects involving roughly one-third to two-thirds of the lip were repaired using a combined subcutaneous pedicle flap and labial mucosa flap. Patients were followed for 6-24 months. Functional and aesthetic outcomes, wound healing, scar quality, and recurrence were assessed using standardized scoring systems. RESULTS: Delayed healing was more common in patients over 70 years (37.5% CONCLUSIONS: The combined flap technique is a safe, effective option for moderate-sized full-thickness lower-lip defects, providing reliable functional restoration and satisfactory cosmetic results.

BACKGROUND: In recent decades, thermal ablation (TA) has gained acceptance as an effective and safe treatment for benign thyroid nodules (BTNs). However, despite its increasing popularity, the indications and techniques of TA for BTNs lack a unified standard, resulting in differences in treatment outcomes. In particular, the current guidelines and consensus statements adopt indications based on surgical criteria, which focus on larger BTNs with symptoms or cosmetic concerns. However, these indications may not adequately demonstrate the advantages of TA, as it is a fundamentally distinct therapeutic approach. To establish novel and specific indications for TA in BTNs and to standardize the use of this technique, a panel of experts issued the current expert consensus. MATERIALS AND METHODS: Based on a systematic review of the literature and clinical experience, the drafting group developed preliminary recommendations on TA for BTNs. A multidisciplinary panel of 30 experts with specific competence and expertise in TA for thyroid nodules reviewed, rated, and revised these recommendations through multiple rounds of the modified Delphi method. RESULTS: Twenty-six recommendations on TA for BTNs were proposed in the present consensus, covering indications and contraindications, physician training suggestions, preablation preparation, technical procedures, complications, efficacy assessment, follow-up strategies, and postablation management. CONCLUSION: The present consensus emphasizes the indication of TA for BTNs and outlined the technique details and periablation management. The implementation of this consensus is expected to standardize treatment practices, enhance patient outcomes, and shape future research and policy developments in the management of BTNs.

BACKGROUND: Post-traumatic breast implant and tissue expander (TE) complications are increasingly relevant as more patients undergo reconstructive or cosmetic breast surgery. Prior studies are limited to case reports, with little known about the mechanisms of injury or timing of clinical recognition. METHODS: Using the Nationwide Readmission Database (2017-2020), we identified adults with trauma admissions followed by breast implant-related diagnoses or procedures. Mechanisms of injury (MOI) and clinical presentations were characterized using ICD-10 codes. Patients were classified as having received "immediate" management (diagnosis or procedure during index admission) or "delayed" (on readmission). Cox regression identified predictors of earlier diagnosis or intervention. RESULTS: A total of 573 patients with post-traumatic implant complications were included (488 breast implants, 85 TEs). Falls were the most common MOI (53.2%), followed by transport accidents (25.0%). TEs were disproportionately associated with burn injuries (20.5% vs. 4.9% in non-TEs). At presentation, 78.2% of patients were diagnosed with implant rupture or underwent surgical correction. Rib or clavicle fractures (21.1%) and breast symptoms (12.6%) were associated with earlier diagnosis, but not with likelihood of surgery. Plastic surgery consultation significantly decreased time to surgery. Age, sex, and ZIP code did not have notable effects on diagnostic and surgical timing. CONCLUSIONS: Post-traumatic breast implant complications often present without breast-specific symptoms, resulting in diagnostic delays. Trauma protocols should include routine breast imaging in patients with implants, especially after transport, burn, or blunt-force injuries. TE patients may be uniquely susceptible to thermal injury and warrant focused preventive counseling. 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 .