To investigate the effectiveness of isotretinoin use in patients with thick nasal skin to improve rhinoplasty outcomes. The Population Intervention Comparison Outcome framework was utilized for selecting relevant studies for review. The databases of Medline, Embase, Cinahl, Central, Scopus, and Web of Science were searched in June 2024. Original research in adults (≥18 years) who underwent rhinoplasty and administered Isotretinoin pre- and/or postoperatively was included. Case reports, case series (<5 patients), and other letters were excluded. This review identified, 3 (50%) retrospective studies and 3 (50%) randomized controlled trials on the topic. Although four studies demonstrated an improvement in patient's aesthetic satisfaction up to at least 6 months after rhinoplasty, only two studies without control groups, demonstrated a sustained improvement in patient's aesthetic satisfaction up to a year postoperatively. Based on the results of this study, the effectiveness of isotretinoin in rhinoplasty though promising could not be determined due to inconsistent use of treatment protocols, outcome measures, control groups, and long-term follow-up.

Bell's palsy (BP) is reported as the most common cause of facial paralysis, yet literature lacks a standardized definition of BP. To identify and categorize how the term "Bell's palsy" is defined and applied in published medical literature. Randomized controlled trials, clinical trials, systematic reviews, meta-analyses, and reviews containing "Bell's palsy" were identified in MEDLINE, Embase, and CENTRAL databases from inception until April 2, 2024. Articles were indexed by their definition of BP: (1) acute (≤72-h onset) idiopathic facial paralysis with no known etiologies, (2) acute "idiopathic" facial paralysis despite providing etiologies, (3) acute non-idiopathic facial paralysis, (4) non-acute but "idiopathic" facial paralysis with or without providing etiologies, (5) synonymous with facial paralysis, and (6) no definition. Ascribed etiologies were recorded. Original articles' exclusion criteria for patients with BP were also categorized. Of 4,395 articles obtained, 924 met the criteria. Based on the aforementioned categories, incongruent definitions of BP exist in the literature: (1) 12.88%, (2) 14.72%, (3) 4.00% (4) 15.26%, (5) 8.12%, and (6) 45.02%. Ascribed etiologies and exclusion criteria for BP also varied. BP is a common condition seen by providers of many specialties, and as such patient diagnosis, management, and research rely on consistency and a shared language. This systematic review found inconsistent definitions and applications of the term "Bell's palsy" in the literature.

The rise of social media parallels a mental health epidemic. The effect of social media usage on rates and severity of body dysmorphic disorder is not well-understood. To determine if an association exists between social media engagement, body dysmorphia symptoms, and/or interest in cosmetic surgery in a demographically diverse cross-section of the U.S. adult population. : In a Qualtrics platform-based survey study of the general U.S. adult population, responses to demographic information, social media activity questionnaire and the body dysmorphic disorder screening questionnaire, and interest in cosmetic surgery were collected. Descriptive statistics and a multivariate logistic regression model were carried out. A total of 1,013 respondents completed the survey. The average age was 40.9 (SD, 14.8) years, 72% were women. Median time spent on social media (IQR) was 4 (2-7) h/day. Respondents who screened positive for symptoms of body dysmorphia had higher daily mean social media usage time (odds ratio [OR] 1.49), tend to be female (OR 2.17), younger (OR 0.97), identify as Caucasian (OR 1.65), and are more likely considering a cosmetic procedure in the next year (OR 2.98). This study demonstrates a positive association between daily social media usage, self-reported symptoms of body dysmorphia, and interest in cosmetic procedures.

Various large language models (LLMs) can provide human-level medical discussions, but they have not been compared regarding rhinoplasty knowledge. To compare the leading LLMs in answering complex rhinoplasty consultation questions as evaluated by plastic surgeons. Ten open-ended rhinoplasty consultation questions were presented to ChatGPT-4o, Google Gemini, Claude, and Meta-AI LLMs. The responses were randomized and ranked by seven rhinoplasty-specializing plastic surgeons (1 = worst, 4 = best) considering their quality. Textual readability was analyzed via Flesch Reading Ease (FRE) and Flesch-Kincaid Grade (FKG). Claude provided the top answers for seven questions while ChatGPT provided the top answers for three questions. In overall collective scoring, Claude provided the best answers with 224 points, followed by ChatGPT's 200, Meta's 138, and Gemini's 138 scores. Claude (mean score/question 3.20 ± 1.00) significantly outperformed all the other models ( < 0.05), while ChatGPT (mean score/question 2.86 ± 0.94) outperformed Meta and Gemini. Meta and Gemini performed similarly. Meta had a significantly lower FKG than Claude and ChatGPT and a significantly lower FRE than ChatGPT. According to ratings by seven rhinoplasty-specializing surgeons, Claude provided the best answers for a set of complex rhinoplasty consultation questions, followed by ChatGPT. Future studies are warranted to continue comparing these models as they evolve.

There is limited literature assessing cosmetic lip size preferences in darker-skinned individuals. To measure preinjection lip augmentation preferences and postinjection satisfaction using the revised Lip Fullness Scale (LFS) in female participants with Fitzpatrick Skin Type V and VI. Females, aged 21 and over, with Fitzpatrick Skin Type V and VI desiring lip augmentation were recruited from a high-volume outpatient facial plastic surgery clinic. The LFS scale was administered pre- and postinjection. FACE-Q scales which measure patient reported outcomes for facial cosmetic procedures were administered postinjection. Twenty-two female subjects participated in the study. The average age was 33.2 years (SD = 8.1). Fourteen participants (14) were Fitzpatrick V and eight (8) were Fitzpatrick VI. The average preinjection self-assessment LFS was 3.5. The final average postinjection self-assessment LFS score was 4.3. The increase in final postinjection LFS scores was found to be statistically significant with a -value <0.001 when compared with preinjection LFS scores. Patients reported high satisfaction on postinjection FACE-Q. Patients with darker skin may prefer marked to very marked lip fullness, and physicians should be conscientious in understanding patients' individual perspectives and aesthetic goals.[Box: see text].

Large cutaneous defects of the face have traditionally been reconstructed with cervicofacial rotation flaps. To measure advancing distance and assess vascular reliability of superficial musculoaponeurotic system (SMAS) island flaps for reconstruction of large cutaneous facial defects. The study design was a retrospective case series of all patients who had undergone reconstruction of facial defects 3 cm or greater with fasciocutaneous SMAS island flaps from 2009 to 2023. Flap advancing distance and vascular compromise were analyzed. The average patient age at the time of surgery was 69 (standard deviation [SD] 15) years with more males ( = 33, 92%) than females ( = 3, 8%). Of 36 patients, 18 had posterior defects, 16 had anterior defects, and 2 had defects straddling both regions. Fifteen cases had a full fasciocutaneous SMAS island flap, and 21 underwent the partial island modification. Flap ischemia occurred in three cases (8%). The mean flap advancing distance was 3.8 cm (SD 1.1). Of the 5 smokers, none had ischemia of the flap. The median follow-up time was 2 years (range 12-3,170 days). Fasciocutaneous SMAS island and partial island flaps are reliable options for the reconstruction of large cheek defects (3 cm or greater). Anterior pedicle blood supply is more reliable for defects anterior to the line from the lateral brow to the angle of the mandible, whereas the posterior pedicle is a better choice for defects posterior to that line.