Daily Cosmetic Research Analysis

INTRODUCTION: Blepharophimosis-ptosis-epicanthus inversus syndrome (BPES) is a rare congenital eyelid disorder that leads to drooping eyelids, narrowing of the palpebral fissures, and a characteristic facial appearance. It is a genetic condition, typically inherited in an autosomal dominant pattern, and is primarily caused by mutations in the FOXL2 gene, which is essential for eyelid development. Two types of BPES have been described: type II presents eyelid malformations and facial dysmorphism, while type I is additionally associated with premature ovarian insufficiency. If untreated, these features can lead to visual impairment and psychosocial consequences. A pronounced epicanthal fold may lead to a reduction in the visual field and contribute to visual disturbances, including strabismus. BPES is associated with underdeveloped or dysplastic levator palpebrae muscles, leading to four clinical features-telecanthus, ptosis, epicanthus inversus, and blepharophimosis-with reduced horizontal palpebral fissure length. METHODS: A systematic review of the literature was performed to summarize current surgical management strategies for BPES. Surgical indications, outcomes, and complications were extracted and analyzed. RESULTS: Surgical treatment remains the standard of care for BPES. In recent years, numerous techniques have been developed to correct deformities including both classic and modern methods of epicanthoplasty, canthoplasty, and forehead muscle suspension using autologous and synthetic materials. Complication rates vary depending on technique and patient factors. This systematic review summarizes current surgical strategies, indications, outcomes and complications, highlighting modern approaches that optimize visual function and aesthetic outcomes. CONCLUSION: Surgical management of BPES is essential to restore eyelid function, improve the visual field, and achieve favorable cosmetic outcomes. A range of classical and contemporary techniques are available, and selection should be individualized. Modern approaches optimize both functional and aesthetic results, though further prospective studies are needed to standardize procedures and minimize complications.

OBJECTIVE: The aim of this study was to prospectively assess the effects of labiaplasty on female sexual function, genital self-image, body dysmorphic symptoms, self-esteem, and life satisfaction, and to examine the sociodemographic and motivational profiles of women undergoing the procedure. METHODS: A prospective single-center study was conducted between October 2024 and March 2025 on heterosexual, sexually active women undergoing labiaplasty. Women completed the Female Sexual Function Index, Female Genital Self-Image Scale, Rosenberg Self-Esteem Scale, Yale-Brown Obsessive Compulsive Scale modified for Body Dysmorphic Disorder, and Satisfaction With Life Scale before surgery and 3 months postoperatively. RESULTS: The study included 42 women with a mean age of 39.7±9.2 years. Postoperative assessments revealed significant improvements in genital self-image (p<0.001, Cohen's d=0.66), sexual function (p<0.001, d=0.67), and body dysmorphic symptoms (p=0.016, adjusted p=0.048, d=0.39). No significant changes were observed in self-esteem (p=0.857) or life satisfaction (p=0.071). A majority (69.0%) reported that others, predominantly family members, were the primary decision-makers in their relationships. Motivations included boosting self-confidence (22.0%), feeling "normal" (18.3%), and increasing sexual pleasure (11.9%), with participants endorsing multiple reasons (mean: 3.2±1.4). Most women had considered surgery for more than 1 year (73.9%). CONCLUSION: Labiaplasty significantly improves genital-specific outcomes but does not alter global psychological measures. The high prevalence of external influence on surgical decision-making highlights the need for comprehensive psychosocial assessment and patient-centered counseling prior to female genital cosmetic surgery.

BACKGROUND: The rising incidence of breast cancer and the growing number of survivors underscore the need for further research into quality of life. The BREAST-Q is one of the most comprehensive tools for assessing quality of life (QL) in patients undergoing breast surgery. Although translated into multiple languages, it has only been fully validated in English. MATERIAL AND METHODS: This longitudinal study was conducted to validate and evaluate the psychometric properties of the BREAST-Q in Brazilian Portuguese. Breast cancer-related modules were assessed in 195 patients, mastectomy modules in 66 patients, breast-conserving therapy (BCT) modules in 79 patients, and reconstruction modules in 50 patients. Patient characteristics were analyzed using the mastectomy, BCT, and breast reconstruction modules, along with surgical data on complications and cosmetic outcomes. The psychometric properties of the questionnaires were evaluated for reliability using Cronbach's RESULTS: A total of 195 patients were recruited from the outpatient breast surgical oncology clinic. The sample was divided into five groups: mastectomy without reconstruction, mastectomy with reconstruction (short form), mastectomy with reconstruction (long form), BCT, and BCT with radiotherapy (RT). Internal reliability, measured by Cronbach's CONCLUSION: The findings indicate that all breast cancer-related modules of the BREAST-Q effectively measured QL in Brazilian patients.