Association Between Pain and Patient Satisfaction After Rhinoplasty
This case series survey study examines the relationship between patient-reported pain outcomes, objective opioid use, and perception of surgical success. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - September 19, 2019 Category: Cosmetic Surgery Source Type: research

Effect of Vibratory Anesthetic Device on Pain Anticipation and Perception During Dermatologic Surgery
This randomized clinical trial assesses the effect of a vibratory anesthetic device during dermatologic surgery on patients who catastrophize pain as well as those who do not catastrophize pain. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - September 12, 2019 Category: Cosmetic Surgery Source Type: research

Assessing Nasal Soft-Tissue Envelope Thickness for Rhinoplasty
This review of 190 patient photographs and computed tomography scans measured the distribution of nasal soft-tissue envelope thickness (STE) and evaluates whether 4 facial plastic surgery physicians were able to accurately predict STE thickness via visual assessment. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - September 5, 2019 Category: Cosmetic Surgery Source Type: research

Error in the Introduction
In the Surgical Pearls article titled “Suspension Technique for Unstable Nasal Bones” published online on August 1, 2019, in JAMA Facial Plastic Surgery, the first sentence of the third paragraph should read as follows: “If the nasal bones have multiple comminutions after trauma or if osteotomies lead to a fully mobile nasal bone, the suspension technique is required to reliably reposition the nose and achieve adequate nasal projection.” (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - September 1, 2019 Category: Cosmetic Surgery Source Type: research

September/October 2019 Issue Highlights
(Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - September 1, 2019 Category: Cosmetic Surgery Source Type: research

JAMA Facial Plastic Surgery
Mission Statement: JAMA Facial Plastic Surgery is a multispecialty journal whose key mission is to provide facial plastic surgeons the most accurate and innovative information available to enhance their patients ’ quality of life. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - September 1, 2019 Category: Cosmetic Surgery Source Type: research

Masseteric Nerve Transfer and Selective Neurectomy for Rehabilitation of the Synkinetic Smile
This case series evaluates masseteric-to-facial nerve transfer with selective neurectomy in rehabilitation of the synkinetic smile. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - August 29, 2019 Category: Cosmetic Surgery Source Type: research

Confounding Factors on Postoperative Use Following Plastic and Reconstructive Surgery
To the Editor I read with great interest the article by Olds et al in the July issue of JAMA Facial Plastic Surgery. The authors performed a retrospective study on patients who underwent 5 classes of plastic and reconstructive procedures (nasal, eye, breast, abdomen, and soft tissue reconstruction) between January 1, 2007, and December 31, 2015, using IBM MarketScan Commercial and Medicare Supplemental research databases and concluded that, given the substantial risk of persistent opioid use after plastic and reconstructive procedures, it is imperative to develop best practices guidelines for postoperative opioid prescript...
Source: JAMA Facial Plastic Surgery - August 22, 2019 Category: Cosmetic Surgery Source Type: research

Alopecia Following Deoxycholic Acid Treatment for Submental Adiposity
This case report describes the development of alopecia following an injection of deoxycholic acid for treatment of submental adiposity. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - August 22, 2019 Category: Cosmetic Surgery Source Type: research

Confounding Factors on Postoperative Use Following Plastic and Reconstructive Surgery —Reply
In Reply Thank you, Dr Pisano, for your insightful comments regarding our recent article. It is true that large analyses such as this should be examined critically and with an understanding of the limitations of large data sets. Regarding surgery duration, we did not adjust the analysis by surgery duration or use of regional blocks. While these could potentially be confounding factors related to pain in the immediate postoperative period and use of opioids, they would be unlikely to contribute to prolonged opioid use, which was the primary outcome analyzed in this study. Additionally, this level of detail for each procedur...
Source: JAMA Facial Plastic Surgery - August 22, 2019 Category: Cosmetic Surgery Source Type: research

Pediatric Patient Demographic and Anatomic Features and Scar Outcomes After Surgical Repair of Cleft Lip
This case-control study investigates the association between demographic and anatomic features of pediatric patients with cleft lip and the development of scars following surgical repair. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - August 22, 2019 Category: Cosmetic Surgery Source Type: research

Frontal Sinus Transillumination in Cranioplasty for Facial Feminization Surgery
This Surgical Pearl describes the use of frontal sinus transillumination during cranioplasty surgery for facial feminization. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - August 15, 2019 Category: Cosmetic Surgery Source Type: research

Review of Aesthetic Orthognathic Surgery and Rhinoplasty
Aesthetic Orthognathic Surgery and Rhinoplasty, edited by Derek Steinbacher, is a personal attempt by the editor to combine the complex procedures of orthognathic surgery and rhinoplasty into an interrelated evaluation and surgical plan. The editor combines his extensive knowledge of both procedures to work out an orderly, sensible, and precise system to analyze and plan these operations to treat patients who might benefit from them. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - August 8, 2019 Category: Cosmetic Surgery Source Type: research

Perioperative Multimodal Analgesia vs Narcotic Use and Pain Control After Head and Neck Free Flap Reconstruction
This cohort study of patients undergoing free flap reconstructive surgery assesses whether multimodal analgesia is associated with reduced narcotic use and improved pain control at discharge and in the immediate postoperative period. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - August 8, 2019 Category: Cosmetic Surgery Source Type: research

Suspension Technique for Unstable Nasal Bones
This Surgical Pearl describes the suspension procedure for unstable nasal bones. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - August 1, 2019 Category: Cosmetic Surgery Source Type: research

Categorization and Analysis of Nasal Base Shapes Using a Parametric Model
This cohort study evaluates a parametric model of nasal base shape and compares it with categorization by surgeons to create an objective classification system for clinical evaluation and communication. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - July 25, 2019 Category: Cosmetic Surgery Source Type: research

Brassiere Suture Technique in Upper Eyelid Blepharoplasty
This Surgical Pearl presents a description and video illustrating the application of the brassiere suture technique in upper eyelid blepharoplasty for optimizing volume and contour of the brow-eyelid complex. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - July 25, 2019 Category: Cosmetic Surgery Source Type: research

The Need for Routine Investigation of Masseter Function After Masseteric Nerve Harvest With the Borschel Method
This case series compares clinical vs magnetic resonance imaging/electromyography assessment of masseter width after masseteric nerve harvest with the Borschel method. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - July 18, 2019 Category: Cosmetic Surgery Source Type: research

Evaluation of Personality Perception in Men Before and After Facial Cosmetic Surgery
This survey study examines the association of facial cosmetic surgery in men with perceptions of attractiveness, masculinity, and personality traits. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - July 11, 2019 Category: Cosmetic Surgery Source Type: research

Use of a Lateral Extended Nasal Island Flap for Nasal Reconstruction
This case series examines the application of a novel lateral extended nasal island flap and its cosmetic outcome in nasal reconstruction of cosmetic defects. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - July 3, 2019 Category: Cosmetic Surgery Source Type: research

The Use of Racial and Ethnic Terms —Reply
In Reply We thank Dr Benavides and Mr Gallo for their response to our article; we concur with the points brought forward and believe their recommendations are essential for future studies. Race and ethnicity are 2 separate identifiers and prone to misuse. We were aware of this issue in constructing our study and elected to compare our 2 cohorts equivalently —white/Caucasian (race) and Hispanic/Latino (ethnicity)—owing in part to the self-identification patterns of our participants and the country in which we conducted our study. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - July 1, 2019 Category: Cosmetic Surgery Source Type: research

July/August 2019 Issue Highlights
(Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - July 1, 2019 Category: Cosmetic Surgery Source Type: research

JAMA Facial Plastic Surgery
Mission Statement: JAMA Facial Plastic Surgery is a multispecialty journal whose key mission is to provide facial plastic surgeons the most accurate and innovative information available to enhance their patients ’ quality of life. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - July 1, 2019 Category: Cosmetic Surgery Source Type: research

Is There a Selfie Epidemic?
Chen et al should be commended for this novel study, which attempts to directly relate the current landscape of social media to the acceptance of cosmetic surgery. Their findings that social media investment had a positive effect on the consideration of surgery corroborates the rising trend noticed among facial plastic surgeons. The discussion provided on the negative effect of social media and, more specifically, selfies highlights the need to better understand the underlying motives and characteristics of our patients. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - June 27, 2019 Category: Cosmetic Surgery Source Type: research

Pedicled Fat Transposition vs Free-Fat Grafting
To the Editor We read with interest the description by Kim et al of their lower blepharoplasty technique using autologous fat grafting. We recognize their excellent surgical results, but respectfully dissent against the authors ’ claims of the technique’s superior safety relative to lower blepharoplasty with fat transposition. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - June 27, 2019 Category: Cosmetic Surgery Source Type: research

Pedicled Fat Transposition vs Free-Fat Grafting for Lower Blepharoplasty With Volume Preservation —Reply
In Reply We sincerely appreciate the interest of Huggins and colleagues in our study. We completely understand their opinion and their reasoning. Despite the low incidence rates, eyelid retraction and tethering are important drawbacks of fat transposition. These might be related to the inadequate skills of individual surgeons rather than to problems related to the technique itself. However, these complications are not simply anecdotal. In fact, several patients have visited our clinic because of complaints about previous transconjunctival lower blepharoplasty performed in other clinics. Besides recurrence, the main complai...
Source: JAMA Facial Plastic Surgery - June 27, 2019 Category: Cosmetic Surgery Source Type: research

Association Between Social Media and Photograph Editing Use, Self-esteem, and Cosmetic Surgery Acceptance
This survey study examines whether self-esteem and the use of social media and photo editing applications are associated with cosmetic surgery attitudes among participants responding to a web-based survey. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - June 27, 2019 Category: Cosmetic Surgery Source Type: research

Social Perception of the Nasal Dorsal Contour in Male Rhinoplasty
This study examines the association between changes to the male nasal dorsum on profile view and 503 survey respondents ’ social perceptions. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - June 20, 2019 Category: Cosmetic Surgery Source Type: research

Comparison of Myelin-Associated Glycoprotein and Vincristine for Nerve Inhibition in a Transgenic Thy1-Gfp Rat Model
This laboratory animal experiment assesses whether myelin-associated glycoprotein, a specific neuroinhibitor, can prevent neuroregeneration with efficacy comparable with that of vincristine, a well-established neurotoxin, and a saline control treatment. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - June 20, 2019 Category: Cosmetic Surgery Source Type: research

Health Utility Value Analysis of Outcomes for Patients Following Septorhinoplasty in Revision Rhinoplasty
This cohort study examines whether patients who underwent primary septorhinoplasty and revision septorhinoplasty had similar improvements in health utility values following surgery. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - June 13, 2019 Category: Cosmetic Surgery Source Type: research

Association of Smoking and Other Factors With the Outcome of Mohs Reconstruction
This case-control study examines the outcomes of flaps and grafts used in Mohs micrographic surgery reconstruction with respect to smoking status and patient-specific and surgery-specific variables. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - June 13, 2019 Category: Cosmetic Surgery Source Type: research

The Use of Racial and Ethnic Terms
To the Editor We wish to make some comments on the excellent article by Darrach et al. Specifically, we want to state our point of view regarding scientific accuracy when using terms such as race, ethnicity, and Latin American race. The termsrace andethnicity are used interchangeably in the article; however, anthropological publications consistently describe race as being biological and referring to the physical characteristics of a person, while ethnicity is a construct in social science that describes a person ’s cultural identity. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - June 6, 2019 Category: Cosmetic Surgery Source Type: research

The Use of Racial and Ethnic Terms —In Reply
In Reply We thank Dr Benavides and Mr Gallo for their response to our article; we concur with the points brought forward and believe their recommendations are essential for future studies. Race and ethnicity are 2 separate identifiers and prone to misuse. We were aware of this issue in constructing our study and elected to compare our 2 cohorts equivalently —white/Caucasian (race) and Hispanic/Latino (ethnicity)—owing in part to the self-identification patterns of our participants and the country in which we conducted our study. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - June 6, 2019 Category: Cosmetic Surgery Source Type: research

Management of Mandible Fracture in Children
This cohort study assesses treatment of 150 pediatric patients who presented to a level 2 tertiary care unit between 2010 and 2016 with mandible fracture. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - June 6, 2019 Category: Cosmetic Surgery Source Type: research

Unique Venous Anatomy in a Face Donor
This case report describes an anomalous bilateral facial vein drainage into the anterior jugular veins, encountered in a face donor. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - May 30, 2019 Category: Cosmetic Surgery Source Type: research

Characterization of Injury Induced by Routine Surgical Manipulations of Nasal Septal Cartilage
This in vitro porcine study examines the cell viability and cartilage health outcomes of 4 distinct surgical manipulations for cartilage autografts in rhinoplasty compared with a control group. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - May 30, 2019 Category: Cosmetic Surgery Source Type: research

Simplifying Mandible Fracture Repair
Repairing mandible fractures is difficult. Contemporary treatment of a displaced or symptomatic fracture often includes open reduction of the fracture and internal fixation with plates and screws. Rigid or semirigid internal fixation typically eliminates the need for prolonged maxillomandibular fixation, which makes postoperative recovery easier for the patient. Reconstruction plates at least 2 mm thick are known to reliably withstand mastication forces and stabilize fractures to facilitate bony healing. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - May 23, 2019 Category: Cosmetic Surgery Source Type: research

Evaluation of a Vertical Box Plating Technique for Mandibular Body Fractures
This comparative study and retrospective medical record review evaluates the biomechanical behavior of a vertically oriented box plate vs traditional rigid internal fixation plating techniques for mandibular body fractures. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - May 23, 2019 Category: Cosmetic Surgery Source Type: research

Health Utility Values as an Outcome Measure in Patients Undergoing Functional Septorhinoplasty
This cohort study evaluates health utility values derived from the EuroQol 5-Dimension questionnaire and patient factors associated with postoperative improvements in these values among patients undergoing functional septorhinoplasty. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - May 23, 2019 Category: Cosmetic Surgery Source Type: research

Trends in Concurrent Orbital Floor Repair During Zygomaticomaxillary Complex Fracture Repair
This retrospective cohort study examines the rates and outcomes of concomitant orbital floor fracture repair during zygomaticomaxillary complex fracture reduction. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - May 16, 2019 Category: Cosmetic Surgery Source Type: research

Clinician and Automated Assessments of Facial Function Following Eyelid Weight Placement
This cohort study compares the results of a clinician-based assessment tool with an automated facial-measurement algorithm in a preoperative and postoperative analysis of 53 patients with facial palsy who had eyelid weight-placement surgery. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - May 16, 2019 Category: Cosmetic Surgery Source Type: research

Condition-Specific Standard Sets of Outcome Measures
(Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - May 9, 2019 Category: Cosmetic Surgery Source Type: research

Collaborative Approach to Standardized Outcome Measures in Pediatric Facial Palsy
This study describes the complete process, outcomes, and advantages of developing a standard set of outcome measures for children who undergo treatments for facial palsy. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - May 9, 2019 Category: Cosmetic Surgery Source Type: research

Masseteric Nerve –Based Selective Neurotization for Multivectorial Augmentation of the Weak Smile
This cohort study of 11 patients evaluates the use of masseteric nerve –based selective neurotization for the multivectorial augmentation of the weak smile. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - May 2, 2019 Category: Cosmetic Surgery Source Type: research

Association of Corrugator Supercilii and Procerus Myectomy With Endoscopic Browlift Outcomes
This cohort study evaluates the association of corrugator supercilii and procerus myectomy with endoscopic browlift procedure outcomes. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - May 2, 2019 Category: Cosmetic Surgery Source Type: research

Social Networks and the Rhinoplasty Patient —Reply
In Reply We appreciate the valuable and thought-provoking comments by Pendolino and Ottaviano on our recent Viewpoint. We agree that social media exerts a powerful influence on peoples ’ lives and recognize that many social media users dedicate hours to crafting the perfect and unrealistic self-image to post on their personal accounts. Digital influencers with their unattainable photographs promote a concept of beauty and instigate their followers to seek a degree of perfection that may simply be unachievable and unhealthy. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - May 1, 2019 Category: Cosmetic Surgery Source Type: research

May 2019 Issue Highlights
(Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - May 1, 2019 Category: Cosmetic Surgery Source Type: research

JAMA Facial Plastic Surgery
Mission Statement:JAMA Facial Plastic Surgery is a multispecialty journal whose key mission is to provide facial plastic surgeons the most accurate and innovative information available to enhance their patients ’ quality of life. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - May 1, 2019 Category: Cosmetic Surgery Source Type: research

Validation of a High-fidelity Facial Flap Surgical Simulator
This validation study examines the realism, experience, and applicability of a 3-dimensionally printed, multilayer, anatomically accurate facial flap model for use in surgical education. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - April 25, 2019 Category: Cosmetic Surgery Source Type: research

The Evolving Clinical Presentation of Acute Rejection in Facial Transplantation
This cohort study examines the use of clinical signs as indicators of rejection in patients who have undergone partial or full facial transplantation. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - April 18, 2019 Category: Cosmetic Surgery Source Type: research