Daily Cosmetic Research Analysis

BACKGROUND: Childhood cancer survivors (CCS) face elevated skin cancer risk, especially after radiotherapy or hematopoietic stem cell transplantation (HSCT). The authors evaluated the prevalence and predictors of sun protection, sunburn, and physician skin examination (PSE) among CCS in Switzerland. METHODS: The authors surveyed CCS diagnosed <21 years and surviving ≥5 years after diagnosis about sun protection, sunburns during last summer, and PSE within the last year. They retrieved cancer-related data from the Swiss Childhood Cancer Registry and used multivariable logistic regression, stratified by age group, to identify predictors. RESULTS: The authors included 1048 children (5-15 years), 572 adolescents (16-19 years), and 1959 adults (≥20 years). Regular sun protection was reported by 89% of children, 65% of adolescents, and 77% of adults, and sunburns by 23%, 49%, and 43%, respectively. PSE prevalence among those treated with radiotherapy was 21%, 18%, and 17%, and among HSCT recipients 36%, 28%, and 28%, respectively. Radiotherapy was unrelated to sun protection and PSE, but associated with fewer sunburns (odds ratio [OR], 0.63-0.77). HSCT recipients were more likely to have attended a PSE (OR, 2.06-3.75), but not radiotherapy recipients. Across age groups, survivors born more recently were less likely to protect from sun (OR, 0.94-0.97) and more likely to report sunburn (OR, 1.04-1.14). CONCLUSION: Sunburn prevalence was high despite good sun protection. Only few at heightened risk for skin cancer due to their treatment history attend PSEs as recommended by the Children's Oncology Group. Health care practitioners should systematically integrate yearly PSE after radiotherapy or HSCT and encourage consistent sun protection, particularly among younger generations and adolescents. TRIAL REGISTRATION: Clinicaltrials.gov (NCT03297034).

BACKGROUND: Non-incisional double eyelid surgery is widely performed in East Asia, but crease loss remains a major concern, leading to patient dissatisfaction and revision. The relative impact of surgical technique, anatomical characteristics, and surgeon experience on crease retention has not been fully clarified. METHODS: This retrospective, observational study included 513 consecutive patients who underwent transcutaneous, non-incisional double eyelid surgery between July 2021 and July 2022. Patients were stratified by surgeon experience (<100 vs. ≥100 prior cases). Baseline variables included age, sex, crease design, fixation method, puffy eyelid status, and surgeon experience. Crease loss was defined as the need for revision due to patient-reported fading or disappearance of the crease. Kaplan-Meier analysis and Cox proportional hazards regression were used to evaluate predictors of crease survival, including interaction terms for potential effect modification. RESULTS: Of 513 patients, 264 were treated by beginner surgeons, and 249 by experienced surgeons. Experienced surgeons more frequently used the continuous buried suture method ( CONCLUSION: Fixation method and eyelid puffiness were the primary determinants of crease retention, whereas surgeon experience was not an independent predictor. Continuous fixation provided superior outcomes, especially for patients with puffy eyelids. These findings suggest that, within standardized training systems, surgical technique and individualized anatomical consideration are more critical than case volume for achieving durable results in non-incisional double eyelid surgery.

Patients with unilateral cleft lip nasal deformities (UCLND) suffer from both cosmetic deformities and functional impairments. While secondary rhinoplasty primarily targets aesthetic enhancement, its long-term effects on patient-reported function, particularly airway patency and olfactory function, are not well-documented. The primary purpose of this study is to conduct a longitudinal assessment of patient-reported satisfaction, nasal patency, and olfactory function following secondary rhinoplasty in patients with UCLND. This study included 144 patients who underwent secondary rhinoplasty of UCLND between February 2022 and November 2023. Nasal morphology and function were assessed using the Rhinoplasty Outcome Evaluation (ROE) scale, Nasal Obstruction Symptom Evaluation (NOSE) scale, and the Visual Analog Scale (VAS) for olfactory function. A total of 144 patients were followed for 6 months postoperatively, of whom 100 completed an additional follow-up at 12 months. Comparison between preoperative and 6-month postoperative outcomes revealed significant improvements in both ROE and olfactory VAS scores (both P<0.001), whereas the NOSE score showed no statistically significant change (P=0.83). At 12 months postoperatively, ROE and olfactory VAS scores remained significantly elevated compared with preoperative levels, and the NOSE score demonstrated a significant reduction (P<0.001, P<0.001, and P=0.003, respectively). Secondary rhinoplasty for unilateral cleft lip nasal deformity has been shown to improve nasal satisfaction and subjective perception of nasal airway patency and olfactory sense. Notably, the improvement in patient-reported nasal patency appears to be a progressive and sustained process over time.