Aesthetic Treatment Research Articles

O IMPACTO DOS PROCEDIMENTOS ESTÉTICOS NAS MULHERES EM TRATAMENTO ONCOLÓGICO

Objective: To evaluate the benefits of aesthetics in patients undergoing chemotherapy, focusing on self-esteem, self-image, and the positive impacts of aesthetic procedures. Method: This descriptive and exploratory study utilized a qualitative approach conducted at the Santa Casa de Misericórdia Hospital in Vitória. The sample included women at various stages of oncology treatment, selected through simple random sampling. Semi-structured questionnaires were administered to women who had already undergone aesthetic procedures and those considering such interventions. Data collection concluded upon reaching saturation of information, followed by statistical analysis. Results: Among the 10 participants, it was observed that most did not pursue aesthetic interventions during treatment, citing financial constraints and concerns about compromising their therapy as primary obstacles. However, those who opted for aesthetic procedures reported an increase in self-esteem. Emotional support was deemed crucial, with the majority agreeing that the lack of such support could exacerbate their situation. Conclusions: Aesthetic procedures have a significant impact on the self-esteem of women undergoing oncological treatment; however, they face financial and medical barriers. The research highlights the need for a more comprehensive approach to the relationship between aesthetics and emotional health, emphasizing the importance of familial and professional support in decision-making regarding aesthetic interventions during treatment. These findings indicate a necessity for greater understanding and support, which can significantly enhance the quality of life for these patients.

Insights Into Minimally Invasive Aesthetic Procedures- Defining Demographic Factors and Impact of the Treatment on Self Perception: A Propensity Matched Cross Sectional Study

Abstract Background The lion´s share of the research on facial aesthetic procedures focuses on visual results and patient satisfaction. Objectives To characterize treated and untreated potential patients and the identification of determinants that influence the decision making as well as the impact of such treatments on patients’ self-perception. Methods A cross-sectional propensity-score-matched study on minimally invasive aesthetic procedures was performed through a survey comprising elements regarding demographics, conduct towards minimally invasive facial plastic interventions as well as psychological well-being and social self-esteem domains of the validated Face-Q module. Results Complete data was collected from 598 participants. Among those, 88% (n=529) were female and 12% (n=69) were male. Forty-six percent (n=277) of the participants were below the age of 30, and 39% (n=233) percent were between 30 and 45 years of age. Of the 598 participants, 22% (n=134) participants had undergone a minimally invasive aesthetic procedure of botulinum toxin and/or hyaluronic acid injection and 78% (n=464) participants had never received any aesthetical treatment. Female gender, 30-45 years of age, self-employment and an income over 75000€ were significant predictors of undergoing minimally invasive aesthetic procedures. Among treated participants, the overall Face-Q score as well as the scores for the social-esteem and the psychological well-being domains improved significantly with the aesthetic treatment. Conclusions This study highlights the major role of healthcare providers in better informing patients and the positive impact of facial aesthetic treatments on patients’ appearance as well as on psychological wellbeing and self-esteem.

Exploring the influence of tooth, ceramic, and resin luting agent variations on laminate veneer optical characteristics: a prospective clinical investigation.

This study evaluated the influence of tooth shade, resin-based luting agent shade values, and ceramic thickness on the optical properties of CLVs. The study involved 16 participants who received 95 CLVs. CIE L*, a*, b* color coordinates were assessed with a clinical spectrophotometer. Variables considered were: luting agent value in three levels (high, medium, low); tooth shade before and after preparation in two levels (lighter and darker shades); and CLV thickness in two levels (< 1mm, ≥ 1mm). The color difference (ΔE00) was analyzed under four scenarios, utilizing statistical methods suitable for non-normal distributions. Ninety-five CLVs (n = 95) were analyzed, ceramic thicknesses mean (SD) values were 0.70 (± 0.15) for < 1mm group and 1.19 (0.20) for ≥ 1mm group. ΔE00 values ranging from 2.93 to 9.72, all exceeding the thresholds of perceptibility and acceptability. Significant variations were observed in optical outcomes based on the clinical variables studied, particularly showing that high-value luting agents are more effective over darker substrates (p = 0.043). Thicker ceramics significantly improved masking capabilities, demonstrating their critical role in esthetic treatments (p = 0.024). No significant differences were found regarding the tooth shade after preparation (p = 0.215). The study confirmed that luting agent shade values and ceramic thickness, critically influence the final optical properties of CLVs. High-value luting agents and thicker ceramics effectively achieved acceptable color differences, especially over darker tooth substrates. These findings underscore the importance of carefully selecting materials and techniques to optimize optical outcomes in CLV restorations. Luting agent's value and ceramic thickness plays a critical role in achieving natural-looking ceramic laminate veneers, especially on darker tooth substrates. These factors significantly impact the final color matching and esthetic outcome.

A INTERVENÇÃO ESTÉTICA MEDICAMENTOSA NO TRATAMENTO DA ACNE NA ADOLESCÊNCIA: UMA REVISÃO INTEGRATIVA

INTRODUCTION: Acne is a multifactorial condition that mainly affects adolescents and can persist into adulthood, causing physical and psychological impact. Treatments range from topical to systemic, depending on severity, and include benzoyl peroxide, salicylic acid, and isotretinoin, which act to reduce inflammation and prevent scarring. The pursuit of healthy skin is linked to both personal well-being and social and professional expectations. GENERAL OBJECTIVE: To analyze the efficacy of different acne treatments, considering their physical and psychological impacts on affected individuals. METHODOLOGY: The methodology consisted of an integrative literature review with a qualitative approach, analyzing articles published between 2020 and 2024, obtained from several databases, using specific descriptors and applying inclusion and exclusion criteria to select relevant studies. RESULTS: This study analyzed articles on the efficacy of aesthetic interventions in the treatment of acne, focusing on medications such as benzoyl peroxide, salicylic acid, and isotretinoin. The results highlight their different actions, therapeutic potential, and the importance of professional monitoring to optimize treatment. CONCLUSION: The integrative review highlighted the importance of pharmacological and aesthetic approaches in the treatment of acne, evidencing the efficacy of medications such as benzoyl peroxide, salicylic acid, and isotretinoin. The study emphasizes the need for integrated strategies to improve both skin health and the emotional well-being of affected adolescents.

PREVENÇÃO DO ENVELHECIMENTO CUTÂNEO NA MENOPAUSA

Menopause, in the transition phase that generally occurs between the ages of 45 and 55, causes significant hormonal changes that affect a woman's physical and emotional health and quality of life. The reduction in hormones such as estrogen and progesterone especially impacts the skin, making it thinner, drier and less elastic, which facilitates the appearance of wrinkles and sagging. This process intensifies the search for aesthetic treatments aimed at revitalizing the skin and strengthening self-esteem. Among these interventions, radiofrequency (RF) and the use of dermocosmetics stand out, which stimulate fibroblasts and promote collagen production, being effective in facial, body and intimate rejuvenation. This study reviews scientific articles, dissertations, scientific journals, which were published between 2020 and 2024, with the aim of identifying treatments that prevent the signs of skin aging and promote skin health, seeking to offer effective aesthetic care alternatives for menopausal women.

Maryland Bridges: A Conservative Approach to Aesthetic Tooth Replacement – A Case Report

Restoring missing central incisors in the mandibular jaw is a challenging esthetic challenge in dentistry, especially for younger patients. Maryland bridges are a highly effective treatment option, restoring oral function and aesthetics, and resulting in high patient satisfaction. These bridges have advantages over conventional fixed dental prosthesis, such as minimal removal of the tooth structure, minimal pulpal trauma risk, and reduced time and cost. Provisional restorations are usually not required. Maryland bridges are cemented to the abutment tooth using electrolytic etching to retain the metal framework. The bond is strengthened after etching, and the development of resin cements has enhanced bridge retention. A missing anterior tooth poses an esthetic, functional, and rehabilitative problem, especially for younger patients. Resin bonded bridges are minimally invasive, offering advantages such as minimal removal of the tooth structure, minimal pulpal trauma risk, and reduced time and cost. This case report describes the fabrication technique for a single missing lower anterior tooth, focusing on conservative, economical, and esthetic treatment outcomes.

Clinical Outcomes and Safety Profile of a Dextranomer-Hyaluronic Acid Hybrid Filler: A Case Series Analysis.

The demand for aesthetic treatments targeting the middle and lower face is on the rise, especially because of changes in appearance associated with aging. This study aimed to assess the use of a hybrid filler for sculpting and contouring of the chin, jaw, and malar region. A retrospective analysis was performed on patients who underwent jaw and chin contouring and cheek augmentation using a hybrid filler (hyaluronic acid and dextranomer). The evaluation focused on the naturalness of appearance, enhancement in volume, and the durability of the results, employing a 5-point scale. Both patient satisfaction and physician evaluations were measured using the Likert scale and the Global Aesthetic Improvement Scale (GAIS), respectively. Follow-up with patients extended up to 6 months after treatment, during which any treatment-related adverse events (AEs) were meticulously recorded and analyzed. Nineteen patients participated in the study, receiving an average injection volume of 2.4 ± 0.9 mL to attain the desired outcomes. The evaluation of natural appearance, volumizing effects, and durability at the analyzed time point consistently scored above 4. All 19 patients' aesthetic improvement was evaluated as "very much improved" and "much improved", at the GAIS score. All patients report improvement in their appearance, with 89.5% rating it as "very much improved" or "much improved" on the Likert scale. Only expected AEs such as mild pain and lower swelling were registered. The hybrid filler proved effective and safe for facial contouring, with significant patient satisfaction and minimal adverse effects.

Private practice dentists' conceptions of overtreatment: A qualitative study from Norway.

As overtreatment has gained attention and is a threat to sustainable healthcare, the objective of this study is to investigate Norwegian private practice dentists' conceptions of overtreatment. Material and Methods: Six private practice dentists were interviewed. Interviews were transcribed verbatim and analyzed by thematic analysis in a six-step process including coding and identifying main- and sub-themes. The main themes identified were conceptions of overtreatment, internal factors, and external conditions of importance for overtreatment. Norwegian private practice dentists are familiar with the concept overtreatment and provide several examples of overtreatment. Although they see overtreatment as a problem, they express that the boundaries of what is considered necessary or professionally justified treatment have changed over time - particularly towards aesthetic and cosmetic treatment. Overtreatment is considered to be less problematic if the patients are informed and consent. The participants point to several internal factors and external conditions furthering overtreatment: professional status and prestige, general social trends, social media, demographicchanges, overcapacity, and the expansion of commercial chains. The dentists in the interviews demonstrated that they are aware of their power, but also acknowledge their responsibility. Conclusion: Private practice dentists in Norway are aware of overtreatment and their drivers. They acknowledge their power to promote overtreatment, but also that this gives them responsibility. This raises important issues about dentists' professional accountability and integrity.

Facial Rejuvenation Strategy in Asian Women with Autologous Fat Transplantation.

To explore the clinical strategy of autologous fat transplantation in facial rejuvenation. From September 2016 to May 2023, 2715 female patients with facial filling by autologous fat were retrospectively analysed. After treatment, they were followed up for 3-6 months to summarize the relationship between aesthetic design and treatment outcomes. In total, 2306 patients were followed up and completed the questionnaires of satisfactory. Most patients (97%, 2237 cases) achieved satisfactory results after one operation, and about 3% (69 cases) achieved satisfactory results after secondary filling. Autologous fat granule transplantation in the treatment of facial rejuvenation can achieve an excellent therapeutic outcome. Customized design according to the different lineaments, age, and other factors, and extensive use of various treatment methods can achieve better results. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Non-Surgical Medical Aesthetics and Patient Quality of Life: An Umbrella Review

Abstract Background Non-surgical cosmetic facial procedures have become popular treatment options for individuals seeking aesthetic improvements. Despite a breadth of literature on patient satisfaction with treatment outcomes, there is a lack of information specific to changes in quality of life outcomes. Objectives The objective of this umbrella review was to report the effectiveness of non-surgical facial aesthetic treatments on reported quality of life in cosmetic treatment seeking patients. We also aimed to identify gaps in the literature on measures of quality of life outside of patient satisfaction. Methods We completed a comprehensive, systematic search of review articles across six databases including Medline, CINAHL Plus, EMBASE, APA PsychINFO, Cochrane Reviews and Google Scholar. We included review-level studies examining the change in quality of life measures following treatment. Critical appraisal was completed for each review article included. Results A total of seven reviews included. One review was of strong quality, two moderate, and four were weak. Several non-surgical procedures were evaluated across reviews including injectable neurotoxins, dermal fillers and laser skin resurfacing. The majority of included studies reported increases in measures of quality of life, post treatment in the same patient or compared to controls. The most commonly reported measure was psychological wellbeing, followed by self-perception. There was a lack of measures outside of improvements to aesthetics, including those specific to mental health (e.g., depression). Conclusions Overall, studies that report on non-surgical treatments report increases in overall quality of life. This conclusion should be interpreted with caution as the majority of reviews included were of moderate to weak quality. A major gap in this literature includes mental health outcomes. Future research should focus on increasing the rigour of reporting for systematic reviews.

The Risk of Using Cosmetics and Cosmetic Procedures During Pregnancy

This review aimed to identify the risks of cosmetics during the sensitive period of pregnancy. Pregnancy causes many hormonal changes and skin issues, such as red stretch marks, cellulite, and more. These aesthetic concerns can impact both the appearance and health of the pregnant woman. Cosmetics and aesthetic treatments can help improve these problems and positively affect the mental well-being of these women. However, the lack of clinical trials regarding the safety of such treatments during pregnancy has led to the recommendation of only the mildest aesthetic applications. Additionally, professional aestheticians and dermatologists who provide cosmetics and other aesthetic treatments (e.g., laser, radiofrequency (RF), ultrasound) during pregnancy face challenging and sometimes adverse working conditions. They should be treated with respect for their situation, with careful consideration of all the peculiarities associated with pregnancy. Further research and additional recorded data are crucial for better understanding the use of cosmetics and aesthetic treatments during pregnancy.

2D Facial Analysis Performed by a Human Operator Versus an Artificial Intelligence Software

Background: Artificial intelligence (AI) has been a contribution in recent years to the development of new tools for dental, surgical, and esthetic treatment. In the case of image diagnosis, AI allows automated analysis of some facial parameters. The aim of this study was to evaluate the precision and reproducibility of these IA analyses compared with a human operator. Methods: Thirty subjects were selected, and frontal and profile photographs were taken of each. The photographs were previously calibrated and then analyzed by a human operator and an AI for vertical, horizontal, symmetry parameters, and facial profile angles. Results: Statistically significant differences were found in at least 1 vertical, horizontal, symmetry, and facial profile measurement. Conclusions: The 2D facial analysis performed on photographs using AI is an interesting and constantly evolving tool. However, there are still many differences with the analysis performed by the human operator, so it should be used carefully. Further studies using metric measurements should be performed to contrast the values obtained by human operators and AI and to analyze the accuracy of point selection in facial soft tissues.

Zinc in Dermatology: Exploring Its Emerging Role in Enhancing Botulinum Toxin Formulations and Clinical Efficacy

This literature review provides a novel exploration of zinc’s multifaceted roles in dermatology, with a particular focus on its potential integration into botulinum toxin formulations—an area that remains relatively underexplored in clinical practice. Zinc is widely recognized for its critical functions in skin health, including morphogenesis, regeneration, and protection, and its use in aesthetic medicine offers a unique opportunity for innovation. Specifically, incorporating zinc into botulinum toxin formulations could enhance the efficacy and stability of these treatments. Although zinc has historically been used in topical dermatological products and systemic health interventions, its potential in cosmetic preparations, such as anti-aging therapies or non-invasive aesthetic treatments, remains under-researched. Emerging patents suggest promising formulations combining zinc with botulinum toxin that may improve product stability and extend therapeutic effects. While current studies on oral zinc supplementation present mixed results concerning its ability to prolong botulinum toxin effects, this underscores the need for more rigorous investigation in the realm of aesthetic medicine. Zinc’s well-established role in stabilizing dermatological products, such as sunscreens, and its applications in wound healing and skin regeneration, further highlights its potential for broader therapeutic uses beyond cosmetic applications. This review identifies a critical gap in the literature and calls for future research to optimize zinc concentrations and delivery methods specifically for aesthetic medical procedures, offering new insights into improving dermatological treatments beyond the scope of traditional cosmetic preparations.

Multicentric Retrospective Study on Safety and Efficacy of a Novel Injectable Poly-l-Lactic Acid for Buttocks Recontouring.

Poly-l-lactic acid (PLLA) injectables have gained increasing attention in aesthetic medicine due to their biocompatibility and long-lasting effects. Although their primary application centers around facial rejuvenation, their potential for off-label use in other body areas has been investigated, demonstrating promising outcomes in terms of both efficacy and safety. This study aims to assess the safety and efficacy of a novel 630 mg PLLA-based filler (GANA X), in buttocks treatment. Six physicians treated 51 patients for buttock aesthetic treatment across six different medical facilities in Italy. A survey was filled by both physicians and patients regarding treatment safety, efficacy, and change in quality of life. We reported minor or mild adverse events, self-resolving within the next few days. Both physicians and patients confirmed notable aesthetic improvements following treatment, varying from moderate to significant enhancement. These effects endured throughout follow-up visits spanning up to 24 months. Patient-reported outcomes indicated elevated self-esteem and improved quality of life posttreatment. The high level of satisfaction reported by both physicians and patients highlights the efficacy and tolerability of GANA X filler for buttocks treatment, encouraging their use and research for off-label body areas.

Orna face analysis

Aim: Facial aesthetics is a dynamic field requiring precise professional assessment, considering beauty concepts, variability in cultural and ethnic facial features, and patient perception. This study aimed to develop the Orna Face Analysis (OFA), an integrated tool for detailed facial evaluation to improve the planning of aesthetic treatments. Methods: The OFA integrates multiple analysis methods, considering key aspects such as youthfulness, average appearance, symmetry, and dimorphic features to create a comprehensive evaluation protocol based on a critical review of the scientific literature searched through PubMed, Scielo, Web of Science, and Scopus databases without language or time restrictions. Results: The OFA was designed as an electronic form that can generate a printed file, allowing for a deep understanding of patients faces by highlighting these essential aspects. This approach enables detailed and personalized diagnostics essential for effectively planning facial aesthetic treatments and meeting patient expectations. The OFA emerges as a complementary and integrative tool in facial aesthetics, promoting a personalized and evidence-based approach to facial harmonization. After constructing the OFA prototype in electronic and printed formats, the tool was tested in a clinical setting (TRL 6 – technology readiness level) to assess its objectivity, clarity, coherence, precision, and usability. TRL 6 indicates that the system has been demonstrated in a relevant environment but requires further testing for full validation. Conclusion: A preliminary evaluation by a facial harmonization specialist confirmed that the OFA enables the creation of highly personalized treatment plans, accurately reflecting a range of aesthetic outcomes. Further validation will solidify its applicability across diverse patient populations and settings.

Art design interventions as a catalyst for sustainable development and infrastructure enhancement in intangible cultural heritage

This study explores the transformative role of art design interventions in the sustainable development and infrastructure enhancement of intangible cultural heritage, with a particular focus on honored brands. The research develops a framework that positions aesthetic and interactive art design interventions as pivotal components in revitalizing these brands. Aesthetic interventions translate the brand’s core philosophy, spirit, and values into compelling visual symbols, harmonizing cultural heritage with modern image design to elevate brand reputation and consumer preference. Interactive interventions enhance user experience, particularly among younger demographics, by integrating technological and entertainment-based engagement, thereby strengthening consumer loyalty and brand influence. The study further investigates how these art design interventions serve as catalysts for broader social development, contributing to the modern relevance and societal impact of time-honored brands. Additionally, it examines the impact of these interventions on sustainable development, societal support, and policy alignment. By weaving together these elements, the research underscores the critical importance of aligning brand strategies with societal goals, fostering environments where brands actively contribute to social welfare and sustainable growth. The findings offer valuable theoretical insights and practical strategies for the sustainable development of time-honored brands, providing clear directions for future research and practice.

The relationship of tooth shade and skin tone and its influence on smile attractiveness in native South Indians: A web-based cross sectional survey

ObjectivesThis study aimed to investigate the influence of tooth shade and skin tone on smile attractiveness among native South Indians. The primary research question was whether there is a significant relationship between these variables and perceived smile attractiveness. Materials and methodsA web-based cross-sectional survey was conducted with approval from the Institutional Review Board of (Thai Moogambigai Dental College and Hospital, Chennai). Standardized smile photographs of two South Indian models (one male and one female) were digitally modified to display four different tooth shades and four different skin tones, resulting in 32 images. These images were incorporated into a Google Form along with a questionnaire and a Visual Analog Scale (VAS) for attractiveness rating. The survey was distributed to 1200 participants, including both dental professionals and the general population, with 1000 valid responses recorded. Statistical analysis was performed using IBM SPSS Statistics, employing parametric tests to evaluate the data. ResultsThe study found that lighter tooth shades were consistently rated higher in attractiveness for both genders. Lighter tooth shades such as FS1T1 and FS2T1 scored means of 6.88 and 7.27 respectively for females, while darker shades like FS1T4 scored lower with a mean of 4.95. Similarly, males showed a preference for lighter tooth shades with MS1T1 and MS2T1 scoring means of 5.57 and 5.78 respectively compared to darker shades like MS1T4 with a mean of 3.63. Significant differences were noted across age groups and genders, with younger participants and females showing a stronger preference for lighter tooth shades. ConclusionsThe study concludes that both tooth shade and skin tone significantly influence smile attractiveness, with a clear preference for lighter tooth shades among the surveyed population. These findings suggest the importance of considering these factors in aesthetic dental treatments to enhance patient satisfaction and achieve optimal results. Clinical relevanceThe results underscore the necessity for dental practitioners to take into account both tooth shade and skin tone when planning aesthetic dental treatments. This approach will help in achieving a more harmonious and natural appearance, ultimately improving patient satisfaction with the treatment outcomes. Future research should continue to explore the cultural and individual factors that contribute to these preferences in dental aesthetics.

Regenerative topical skincare: stem cells and exosomes.

Regenerative medicine and its offshoot, regenerative aesthetics, have been hot topics over the past 15 years. Studies with heterochronic parabiosis and others pointed to a circulating factor that could rejuvenate aging tissues. Stem cells are known to have regenerative powers, but they are difficult to extract, grow in culture or maintain. Exosomes (EVs), extracellular vesicles from 30 to 150 nm, have been discovered to be a primary form of communication between tissues. Using stem cell supernatants to generate desirable EVs has become a heralded treatment for aesthetic treatments. Preclinical studies with EVs show many benefits including improving the function of fibroblasts and healing wounds more rapidly. Clinical studies with EVs in aesthetics are very few. Thus, the excitement generated by EVs should be tempered with realism about the lack of available treatment products as well as the lack of scientific proof.

TRATAMENTO ESTÉTICO COM RADIOFREQUÊNCIA NO REJUVENESCIMENTO FACIAL: UMA REVISÃO INTEGRATIVA

Introduction: Aging is a natural, continuous, gradual phenomenon or process that manifests itself in a multifactorial and degenerative way in accordance with intrinsic and extrinsic factors, and these affect the entire human body, especially its largest organ, the skin. Aging in the facial region is due to the loss of elastin and collagen proteins, which support the physiological tissue and muscle functions of the skin. There are several aesthetic treatments for facial rejuvenation, among which Radiofrequency can be highlighted to treat sagging skin. Objective: To check the impacts of Radiofrequency as an aesthetic resource for the treatment of facial skin sagging with an emphasis on the rejuvenation process. Methods: it will be used based on the techniques and methods of bibliographic research, which consisted of collecting research sources using scientific platforms: Scientific Electronic Library Online (Scielo), National Library of Medicine (PubMed), Virtual Libraries (BVS). Results: After detecting scientific data using the inclusion and exclusion criteria, reading titles and abstracts, 14 articles were requested, then the pre-selected publications were read in full, paying attention to the proposed theme, 11 were counted. articles for analysis and construction of the review. Conclusion: The studies carried out show that radiofrequency is established as an effective and safe technique for facial rejuvenation, providing significant beneficial results and showed that radiofrequency is a viable and promising alternative for treating signs of facial aging, contributing to the good -being and self-esteem of individuals.

Aesthetic Resistance: Reimagining Critical Epistemology and the Grammars of Silence

ABSTRACT This article argues that critical epistemology should aim at centering the voices and perspectives of those who have been excluded and silenced, proposing a way of doing that by combining Black feminist standpoint theory and Latina feminist theory as they converge in María del Rosario Acosta López’s philosophy of radical listening. The article also argues for the crucial significance of aesthetic interventions for creating epistemic friction that can transform our sensibilities so that we can start to listen to silences. The author offers an analysis of the subversive potential in Doris Salcedo’s public art as an illustration of how aesthetic resistance can be used in practices of epistemic activism that resist insensitivity and promote new ways of listening to silenced voices and liminal sites.