Aesthetic Surgery Journal

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.

As implant-based breast surgery continues to rise, gaps in implant documentation and patient awareness present ongoing c...
02/06/2026

As implant-based breast surgery continues to rise, gaps in implant documentation and patient awareness present ongoing clinical and safety challenges in plastic and aesthetic surgery. 🩺

This retrospective, multi-institutional study evaluated a deep learning model trained on 28,712 breast ultrasound images from over 4,100 implants to automate implant identification. The model demonstrated strong external validity, achieving a balanced accuracy of 0.893 for manufacturer classification and 0.971 for implant texture classification. 📊

Importantly, Gradient-Weighted Class Activation Mapping (Grad-CAM) was used to enhance interpretability, offering clinicians visual insight into how the model makes its predictions. By reducing dependence on specialized ultrasound training, this approach has the potential to streamline clinical workflows, improve implant tracking, and enhance patient care—particularly in revision surgery and long-term surveillance.

While further validation is needed, these findings highlight how AI-driven imaging tools may meaningfully support plastic surgeons and improve outcomes in breast surgery.

🔗Read the full paper here: https://doi.org/10.1093/asj/sjaf220

02/02/2026

It’s here! The 30th year of ASJ and we are honored to hear the stories from our authors about why they choose ASJ as their #1 publication destination.

02/01/2026

A night to remember, in

02/01/2026

IMCAS 2026 gala and that’s a wrap!

01/30/2026

Here we are at an annual opportunity to connect with our international colleagues and MOU global alliances, authors, and members and to forge new relationships with industry to support our 2026 goals.

AI chatbots are increasingly integrated into plastic surgery and aesthetic surgery websites to support patient engagemen...
01/30/2026

AI chatbots are increasingly integrated into plastic surgery and aesthetic surgery websites to support patient engagement and scheduling—but their clinical reliability has remained largely untested. 🤖⚕️

In this study, investigators evaluated AI chatbot performance across top-ranking plastic surgery websites using 60 standardized clinical scenarios spanning emergent, urgent, and elective presentations. Chatbot responses were assessed for triage accuracy, sensitivity, specificity, escalation to human providers, and patient experience metrics. 📊

Key findings showed significant variability in urgency classification, with emergent cases most often misclassified as urgent. Sensitivity for emergent triage was low (20%), agreement with physician classification was only moderate (Cohen’s kappa 0.47), and more than half of chatbot interactions required escalation to a human provider. Misclassified scenarios were also associated with significantly lower usability and patient satisfaction scores.

The data suggest that while AI chatbots can effectively manage elective plastic surgery and aesthetic medicine inquiries, they are currently ill-equipped for urgent or emergent clinical triage. As adoption continues to expand, more clinically sophisticated and safety-aware chatbot systems are needed to protect patients and support surgeons.

Read the full paper here: https://doi.org/10.1093/asj/sjaf123

Join us for ASJ Journal Club as we review the following article: "Optimizing Safety and Precision for Secondary Liposuct...
01/29/2026

Join us for ASJ Journal Club as we review the following article: "Optimizing Safety and Precision for Secondary Liposuctions: Integrating Intraoperative Ultrasound With VASER Technology" by Damiano Tambasco, MD, Alfredo Hoyos, MD, Mauricio Perez, MD, Federica Tomaselli, MD, Jordi Mir, MD, Roberta Albanese, MD⁠

Secondary abdominal liposculpture presents unique challenges, particularly due to fibrosis and scarring from prior liposuction procedures. How can technology help optimize outcomes?

This prospective cohort study evaluated the use of intraoperative ultrasound–assisted VASER liposuction in patients undergoing secondary abdominal liposculpture at least 12 months after their initial surgery. Preoperative and intraoperative ultrasound allowed surgeons to accurately identify fibrotic lesions and map areas of chronic tissue damage. 📊

Key findings demonstrated that intraoperative ultrasound significantly improved surgical precision, facilitated faster and less traumatic fat removal, and reduced operative time and overall costs. Importantly, the authors highlight the role of ultrasound in guiding surgeon decision-making and supporting transparent patient counseling regarding realistic outcomes in secondary body contouring.

These data support intraoperative ultrasound as a valuable adjunct in advanced aesthetic surgery, offering a reproducible strategy to improve safety, efficiency, and patient satisfaction in secondary liposuction cases.

🔗Read it here: https://doi.org/10.1093/asj/sjae213

Moderators: Dr. Maryam Zamani, Dr. Deniz Sarhaddi⁠
Author Discussants: Dr. Alfredo Hoyos, Dr. Damiano Tambasco⁠
Expert Discussant: Dr. Johnny Franco⁠

Join us for a great discussion! Register now by emailing: anastasia@theaestheticsociety.org

Precision matters in aesthetic and reconstructive surgery. 🧠🔬In this retrospective cross-sectional study, the authors an...
01/12/2026

Precision matters in aesthetic and reconstructive surgery. 🧠🔬

In this retrospective cross-sectional study, the authors analyzed 197 head and neck CT angiograms to define the anatomical course of the zygomatico-orbital artery (ZOA), a vessel with critical anastomoses to the ophthalmic artery and potential implications for vision-threatening complications.

Using advanced 3D imaging techniques, 103 ZOAs were evaluated. Nearly 80% originated from the superficial temporal artery, while approximately 20% arose from the frontal branch. Notably, ZOAs from the superficial temporal artery were found at a significantly deeper level from the skin, underscoring important safety considerations for temporal injections and surgical dissection.

These data-driven insights reinforce the importance of detailed vascular knowledge when performing aesthetic and plastic surgery procedures in the temporal region. Understanding anatomical variation is key to minimizing risk and improving patient safety. 📊⚕️

Read the full article here: https://doi.org/10.1093/asj/sjaf162

Nasolabial folds (NLFs) are a key marker of facial aging, and hyaluronic acid (HA) fillers remain a cornerstone of aesth...
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

⭐️Two new studies highlight evidence-based strategies for improving surgical results:1️⃣ Capsular Contracture Prevention...
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

🌟A journey through three decades of ASJ. 🙌Every cover tells a story of how far the field, and our journal, has come. As ...
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!

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