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Aesthetic Surgery Journal

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Aesthetic Surgery Journal

Aesthetic Surgery Journal, an official publication of The Aesthetic Society. It is also the official journal of The Rhinoplasty Society.

Aesthetic Surgery Journal is a peer-reviewed international journal focusing on scientific developments and clinical techniques in aesthetic surgery. An official publication of the American Society for Aesthetic Plastic Surgery (ASAPS), ASJ is also the official English-language journal of many major international societies of plastic, aesthetic and reconstructive surgery representing South America, Central America, Europe, Asia, and the Middle East.

12/29/2025

Nasolabial folds (NLFs) are a key marker of facial aging, and hyaluronic acid (HA) fillers remain a cornerstone of aesthetic correction 💉✨. This new study compares Lunaphil Ultra and Juvéderm Ultra 4 in a rigorous 24-week evaluation.

Each participant received Lunaphil Ultra in one NLF and Juvéderm Ultra 4 in the other. Researchers assessed wrinkle severity using the Wrinkle Severity Rating Scale (WSRS) and allowed touch-up injections if needed.

The results: both fillers produced similar improvements (mean WSRS change: −0.80 vs −0.81, P > .99), with comparable rates of touch-up injections (71% vs 66%). Safety profiles were also equivalent, confirming Lunaphil Ultra as a reliable alternative in this patient population ✅.

These findings offer actionable insight for clinicians selecting HA fillers for NLF correction and highlight the importance of evidence-based product choices in aesthetic practice.

Full article: https://doi.org/10.1093/asj/sjaf156

12/25/2025

⭐️Two new studies highlight evidence-based strategies for improving surgical results:

1️⃣ Capsular Contracture Prevention
Researchers compared tranilast and montelukast in a mouse model of breast implant surgery, testing prophylactic vs postoperative administration. All drug interventions reduced capsular thickness, but preoperative tranilast showed the greatest efficacy, reducing collagen deposition and macrophage infiltration more than any other regimen. This study supports prioritizing preoperative tranilast in future clinical trials to enhance breast implant outcomes ✅.

2️⃣ Fat Graft Survival
In a separate mouse study, botulinum toxin type A (BoNTA) was evaluated for nonmuscle-mediated effects on fat grafts. Both simultaneous and pre-grafting BoNTA administration significantly increased graft retention (~34–35% vs 21% in controls) and improved histological quality, including vascularization, adipocyte preservation, and antiapoptotic activity. The timing of administration was shown to influence outcomes, providing practical guidance for clinical application 🌱.

Together, these studies offer actionable insights for plastic and aesthetic surgeons seeking to optimize implant safety and fat grafting results.

➡️Read the full papers:
🔗Capsular Contracture: https://doi.org/10.1093/asj/sjaf143
🔗Fat Graft Survival: https://doi.org/10.1093/asj/sjaf160

12/22/2025

🌟A journey through three decades of ASJ. 🙌

Every cover tells a story of how far the field, and our journal, has come. As we mark our 30th anniversary, we’re proud of our history and excited for the next chapter.

12/18/2025

ASJ Editor-in-Chief Jeffrey M. Kenkel, MD, FACS, () with an announcement about new and exciting things in store for 2026!

12/17/2025

Lower eyelid blepharoplasty just gained a powerful new tool for objective evaluation 👁️📊. This study demonstrates how 3D imaging and grayscale analysis can quantify surgical outcomes with far greater precision than traditional visual assessment.

The research followed 68 patients treated between January and June 2023, using the EinScan H2 system to capture detailed pre- and postoperative scans. Measurements of key anatomical landmarks and skin texture values were processed through SPSS, showing excellent reliability with intraclass correlation coefficients above 0.80 ✅.

What the data revealed: postoperative scans showed a significant decrease in sagittal distance and a meaningful increase in grayscale values, supporting improved contour and enhanced skin texture following surgery ✨.

Together, these findings highlight an emerging, evidence-backed approach to evaluating eyelid surgery—one that brings quantifiable accuracy to aesthetic outcomes and supports more personalized treatment planning.

Full article: https://doi.org/10.1093/asj/sjaf133

12/16/2025

Presenting ASJ’s new cover!

As we approach our 30th anniversary in 2026, a new era begins—celebrating three decades of advancing aesthetic surgery and looking ahead to the future of the field.

12/15/2025

How effective is intraoperative tranexamic acid (TXA) during implant-based breast reconstruction? This new multicenter analysis offers important insight for surgical decision-making.

The research team reviewed 1782 reconstructions performed between 2010 and 2023 across 3 institutions. Using rigorous multivariable modeling with inverse probability of treatment weighting, they compared patients who received IV TXA with those who did not.

Key finding: TXA use showed a nonsignificant reduction in hematoma and seroma risk. The nuances matter, though. Time to hematoma and time to drain removal were slightly longer in the TXA group, while hospital discharge occurred earlier (4 vs 5 days), suggesting mixed but clinically relevant effects.

Overall, the study suggests that TXA may offer limited impact on hematoma and seroma rates in implant-based breast reconstruction, reinforcing the need for future prospective research to clarify its role.

Full article available here: https://doi.org/10.1093/asj/sjaf154

12/12/2025

A comprehensive review of 69,424 liposuction patients (2015–2022) compares complication rates across five liposuction modalities: conventional, infusion-assisted, laser-assisted, power-assisted, and ultrasound-assisted.

○ Infusion-assisted liposuction had the highest risk of serious complications, including infection.
○ Laser-assisted liposuction demonstrated a 50% lower risk compared with conventional techniques.
○ Overall, liposuction remains a low-risk procedure, with hematoma and infection as the most prevalent complications.
○ Patient factors such as diabetes and being underweight significantly influence complication rates.

This large-scale, data-driven analysis provides actionable insights for plastic surgeons, emphasizing the importance of technique selection and patient risk stratification in aesthetic practice.

Read the full study here: https://doi.org/10.1093/asj/sjaf147

12/11/2025

TOMORROW!

Explore the innovation behind the hemostatic “A-Net” technique for facelifts in our upcoming ASJ GEMS webinar. Join us on December 12 (12 PM EDT / 2 PM Brazil) as Dr. Andre Auersvald and discussant Dr. Luiz Auersvald share insights, technique pearls, and real-world applications—moderated by Phaedra Cress.

Register by scanning the QR code in the post or emailing Anastasia@theaestheticsociety.org.

12/10/2025

Does tranexamic acid (TXA) increase wound healing complications in facelift surgery? New data says no—and challenges recent anecdotal claims.

🟣 This large-scale, single-surgeon retrospective matched cohort study (2014–2024) evaluated 522 facelift patients who received local anesthetic with or without TXA. Both groups were matched for age, BMI, s*x, and hypertension to ensure methodological rigor.

🟣 The results: no significant differences in minor wound issues, delayed healing, skin necrosis, or hematoma. Notably, major skin necrosis occurred only in the non-TXA group, supporting the safety profile of TXA when used at 1–2 mg/mL.

🟣 Clinical takeaway: Local TXA administration does not increase wound healing complications in facelift procedures with wide skin undermining. With proper dosing, screening, and technique, TXA remains a safe and effective adjunct for aesthetic surgery.

🔗Full article here: https://doi.org/10.1093/asj/sjaf130

12/09/2025

A comprehensive systematic review and meta-analysis evaluates the efficacy, safety, and patient satisfaction of biostimulants—including calcium hydroxyapatite, poly-L-lactic acid, and polycaprolactone—in aesthetic medicine.

📊 Key Findings:

Pooled patient satisfaction: 91% (95% CI, 67%-98%)

Adverse events: bruising 27%, ecchymosis 22%, edema 5%, erythema 16%, nodules 5%, pain 92%

Significant improvements in dermal, volume, and anatomic outcomes

💡 Clinical Implications:
Despite minor adverse events, biostimulants demonstrate strong clinical promise and a favorable tolerability profile, supporting their use in facial rejuvenation and volume restoration strategies.

Read the full study for a data-driven perspective on integrating biostimulants in aesthetic practice: https://doi.org/10.1093/asj/sjaf142

12/08/2025

We’re preparing something exciting for ASJ’s 30th anniversary!

A new cover is on the horizon to celebrate three decades of advancing aesthetic surgery. The reveal is coming soon.

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