Aesthetic Modifications Research Articles

Correction of Lying Ear and Aesthetic Modification of Helix and Ear Lobule With Hyaluronic Acid Filler Injection: Experience in Chinese Patients.

Large and long ears are regarded as symbols of wealth and health in East Asian culture, and people with lying ears often want their ears to be more exposed and prominent. Surgeries to correct lying ears have been documented. The aim of this study was to report the correction of lying ears and the aesthetic modification of helix and ear lobule with hyaluronic acid (HA) injections. HA injections were performed at the auriculocephalic sulcus to increase the cranioauricular angle (CA) and correct lying ears. The injections at helix and lobule were case specific. The CA was measured and photographs were taken at baseline and at 1-, 3-, 6-, and 10-month follow-ups. Efficacy was assessed with the 5-point Global Aesthetic Improvement Scale (GAIS). Adverse events were recorded. Forty-six patients (92 ears) received HA injections and completed follow-ups. Instant correction outcomes were observed. Sixteen (34.8%) patients received 1 touch-up injection, the clinical efficacy of which persisted for 1 to 1.5 years. For over 90% of cases with touch-up treatment the GAIS was "very much improved" or "much improved" at all follow-ups. The GAIS for over 70% of cases without touch-up treatment was "very much improved" or "much improved" at 1-, 3-, and 6-month follow-ups. CA increased significantly compared with the baseline. Patients also reported "more V-shaped face shape" and "lifted jawline" effects. No serious adverse events occurred. As an alternative technique to surgeries, HA filler injections at the auriculocephalic sulcus effectively corrected lying ears. This technique produced immediate, long-lasting, and aesthetically pleasing results. The side effects and downtime were minimal.

Comparing the esthetic impact of virtual mandibular advancement, bichectomy, jawline, and their combination

The purpose of this study was to compare the effects of mandibular advancement (MA), bichectomy, jawline, and their combination on facial attractiveness. The 3-dimensional (3D) visual sculpting is a method to perform the task. FaceBuilder software, a Blender 2.93 LTS add-on, was used to generate a 3D head and face model of a female patient with Class II Division I malocclusion. MA, bichectomy, jawline, and combination modifications were performed on the model using a 3D virtual sculpting tab, and 4 new head models were created. Five hundred thirteen participants scored lateral and frontal views of the modified and reference models. The Mann-Whitney U, Kruskal-Wallis, and Wilcoxon tests were used for statistical analysis. MA modification received the highest frontal and lateral image scores. The raters found the jawline frontal photograph to be the least attractive. Significant differences were observed between the lateral and frontal attractiveness scores in all modifications except bichectomy. The combination of 3 modifications in both frontal and lateral images received the second-lowest score. Facial esthetic modifications receive different attractiveness scores in lateral or frontal evaluations. MA outperforms bichectomy and jawline augmentation in terms of improving facial attractiveness.

Aesthetics and ontological constructions of law

Aesthetic perception of legal phenomena is a complex mental process based on a rational sense, emotions, preferences, and the values of the recipient. At the same time, the evaluation criteria are not only stylistic beauty, but also internal content, therefore, the aesthetic dimension is inextricably linked with axiology and ontology. The main goal of the article is to study the effect of aesthetics on the ontological constructions of law. For this, with the help of structural-functional, formal-legal, regulatory, logical, comparative methods are distinguished several aesthetic levels (structural, dynamic, receptive, contextual). Ways to achieve balance between conflicting ideals, principles, institutions at different levels are offered. Recognizing the importance of the individual perception of legal phenomena and the influence of relevant contexts on them, it is important not to lose objective grounds for law. Particular attention in the article is paid to the sign of supervision, which denotes the complex relationship of aesthetic categories and objects of legal reality. The possibility of logical supervenience of legal phenomena in ideal categories is postulated. The application of the concept of the ontological relativity of Quine to determine status of objects of reality made it possible to propose the methodology of combining ontological units of law and aesthetic modifications into a harmonious whole. Based on the results of the work, a conclusion is drawn on the instrumental significance of aesthetic holism for the formation of ontological constructions of law.

Single-stage acellular dermal matrix reconstruction of defects in the nose and ears with exposed cartilage: a prospective case series

BackgroundThe treatment of soft tissue defects with exposed cartilage after tumor excision is challenging. Local flap reconstruction causes occasional scarring, especially in non-Caucasian populations. Scar treatment requires secondary procedures for aesthetic modifications. Two-step reconstruction with an acellular dermal matrix addresses this issue and yields highly acceptable aesthetic resultsWe aimed to investigate the efficacy of an artificial dermal matrix cover using one-step reconstruction for defects with cartilage exposure.MethodsFrom July 2018 to September 2020, seven patients were enrolled and underwent a single-stage operation using acellular dermal matrices. Patients were followed up for at least 6 months and the size of the wound, days to heal, patient satisfaction, and scar scale scores were recorded.ResultsPatients were followed up for an average of 25.7 months. The average time to heal was 23.4 days postoperatively. No hyperpigmentation, tumor recurrence, or retraction was noted. High acceptance and satisfaction with the outcome were observed in all patients.ConclusionsSingle-stage reconstruction yielded high acceptance of aesthetic results similar to that in two-stage reconstruction. Less time and cost make this an effective and efficient treatment for soft tissue defects compared with traditional techniques.

Generic Health-Related Quality-of-Life Changes after Rhinoplasty: A Prospective Study with Long-Term Results.

Our objective was to investigate changes in specific generic health-related quality-of-life (HRQoL) domains achieved by rhinoplasty, to investigate whether modifications of somatic-, psychologic-, and social-related HRQoL domains are different in patients with functional or aesthetic motivation for rhinoplasty, and to investigate if HRQoL changes are related to a functional or an aesthetic nasal improvement. This was a prospective study with 1 year of follow-up. Fifty-four consecutive Caucasian patients submitted to rhinoplasty were evaluated with 36-item Short Form Health Survey (SF-36) and EuroQuality-of-Life 5 Domain (EQ-5D) questionnaires. To correlate changes in generic HRQoL with functional and aesthetic modifications achieved by rhinoplasty, evaluation of patients also included assessment of Peak Nasal Inspiratory Flow and Nasal Obstruction Symptom Evaluation, Visual Analogue Scale for nasal airway obstruction (NAO), and Rhinoplasty Outcome Evaluation scores.Modifications in each generic HRQoL health-domain were analyzed to investigate the possible relation with motivation for surgery and with functional or aesthetic improvement. There was a significant improvement in EQ-5D (p < 0.001), EQ-5D VAS (p = 0.002) and in the SF-36 domains of general health (p < 0.001), energy (p < 0.001), physical functioning (p < 0.001), physical limitation (p = 0.005), pain (p = 0.003), and well-being (p = 0.018). Improvement was significant in groups of patients with NAO or in whom a septoplasty was performed and was associated with patient-reported functional improvement. There was a significant improvement in health change (p < 0.001), verified in all groups of patients. This prospective study with long-term results demonstrates that rhinoplasty significantly improves most domains of generic HRQoL. This improvement is associated with patient-reported functional improvement. Emotional limitation and social functioning are not significantly changed by rhinoplasty. IV.

Patching for Amblyopia: A Novel Occlusion Dose Monitor for Glasses Wearers to Track Adherence

ABSTRACT Purpose To evaluate the acceptability of a novel occlusion dose monitor (ODM) for glasses wearers with amblyopia. The novel ODM consists of a patch worn over the glasses, a logger affixed to the glasses frame, and a system that processes the logged data for interpretation by an algorithm. Methods In this pilot study, pediatric amblyopes (ages 2–8) were recruited for a cosmesis test of a sham logger for a 1-week period. Patients were then recruited to test a functional ODM for a 2-week period and their parents were asked to document patch wear in a diary. Feedback was solicited using a modified Pediatric Eye Disease Investigator Group (PEDIG) Amblyopia Treatment Index (ATI). Results Five children tested the sham logger and eight children tested the functional ODM. Early feedback recommended esthetic modifications including the use of colored shrink wrap to affix the logger to the glasses’ frame. The modified patch did not reduce patients’ willingness to wear the patch as compared to a standard patch. ODM-recorded wear correlated with diary-recorded wear. The specific timestamps for wear were identical for patients with good ODM-diary concordance. Conclusions The novel ODM is acceptable for parents and children and correlates with diary records of patch wear.

Facing geography: A new research agenda

This paper offers a new disciplinary research agenda for a geography of the human face. Locating a research lacuna within the subfield of embodied geographies, the paper highlights existing interdisciplinary scholarship on the face, suggesting avenues through which geographers can both complement and advance such discussions. The overall proposal is to (re)consider the spatialities of the face via three routes: the political and biometric, the aesthetic and facial modification. The paper concludes by suggesting a disciplinary opportunity for a future facialised geography, providing valuable insight into this dynamic bodily site upon and through which the world is encountered and experienced.

Stakeholder-Guided Development of Dialysis Vascular Access Education Materials.

Initiating hemodialysis via an arteriovenous (AV) access is considered best practice for most patients. Despite the well-recognized advantages of AV access, 80% of US patients start hemodialysis with a catheter. Limited patient knowledge about vascular access, among other factors, may play a role in this high rate. We used iterative stakeholder input to develop novel, mixed media vascular access education materials and evaluated their preliminary acceptability. We conducted preliminary focus groups and interviews with key stakeholders to assess patient vascular access understanding and elicit perspectives on existing education materials. We then used stakeholder input to inform initial development and iterative updates to the content and design of an animated video and complementary brochure. Video development (scripting, storyboarding, animation) was guided by an evidence-based framework and two health behavior change models. We assessed acceptability of the completed materials with patients and medical providers/personnel via interviews. Overall, 105 stakeholders participated in education materials development and review (80 patients/care partners, 25 medical providers/personnel). Preliminary qualitative work included 52 patients/care partners and 16 providers/personnel; video development included 28 patients/care partners and nine providers/personnel. The video script, storyboards, and animation underwent 14, four, and nine stakeholder-guided iterations, respectively. Responsive changes included aesthetic modifications, technical updates, and content additions (e.g., HD circuit, access self-monitoring, enhanced patient testimonials). The final 18-minute video and complementary brochure define vascular access types, describe care processes, outline potential complications, and address common patient concerns. Interviews with 28 patients/care partners and nine providers/personnel from diverse geographic regions revealed preliminary acceptability of, and enthusiasm for, the materials by patients and providers. In collaboration with key stakeholders, we developed mixed media vascular access education materials that were well-received by patients and providers. Preliminary findings suggest that the materials are promising to improve vascular access understanding among patients.

Rehabilitation of the face and temporomandibular joint in systemic sclerosis.

Background:Systemic sclerosis (SSc) alterations of the face and of the mouth cause aesthetic modifications and disability, impairing self-esteem and quality of life (QoL). The aim of this study was to verify the effects of two rehabilitation protocols on facial mimic and mouth opening.Methods:A total of 47 SSc patients (40 females and 7 males, mean age ± SD 59.08 ± 10.31 years), were consecutively selected: 22 were randomly assigned to protocol 1 [home exercises for temporomandibular joint (TMJ), mimic, masticatory and cervical spine muscles] and 25 to protocol 2 (home exercises and combined physiotherapeutic procedures performed by a physiotherapist). Each treatment had a duration of 12 weeks with a follow up of 8 weeks. TMJ dysfunction, orofacial involvement, disability, QoL, and safety were assessed at enrollment (T0), at the end of the treatment (T1), and at follow up (T2).Results:Both Protocol 1 and Protocol 2 induced significant improvements of some clinical and clinimetric parameters, but better results were obtained with Protocol 2. In the comparison between the effects of Protocol 1 and Protocol 2 at T1 and T2, a significant difference was observed only for Mouth Handicap in SSc [MHISS; Total (p = 0.00178] and for MHISS Mouth opening (p = 0.0098) at T1. No significant difference of indices of short-form 36 was observed.Conclusion:The present data suggest that TMJ involvement in SSc may be managed by rehabilitation treatments. The action of a physiotherapist prescribing and personalizing exercises may induce better therapeutic effects.

Уход Пендерецкого. Несколько замечаний о его творческом наследии

In the article devoted to the passing away of the outstanding Polish composer K. Penderecki (1933–2020), an overview of the creative path and legacy of the master-experimenter is undertaken in all its large-scale diversity. The stylistic and aesthetic modifications of K. Penderecki’s art are recorded with approving of the most important creative principle of his composer biography — the constant overcoming of the aesthetic traditions’ limits. Long-term professional contacts between the author and the composer, which give the study a special personal intonation, allow to clarify the master’s creative method’ features and the aesthetic-outlooking foundations of his art.

Utopias of OneLiterary Primitivism

Utopias of OneLiterary Primitivism

Digitally fabricated aesthetic enhancements and enrichments

In this paper, we explore digitally fabricated aesthetic enhancements and modifications of the body as well as digitally fabricated fauna habitats. We will address how we utilize speculative works through our bio inspired digitally fabricated designs via two of our most recent projects: {skin} D.E.E.P. and in silico et in situ. Through these two projects we explore cultural implications of the intersection of technology and biologically inspired art/design. Technology has provided an ever increasing amount of data which has facilitated the way data can be used in aesthetic explorations. Technology can redefine the human experience by enhancing our senses, experiences, and forms of expression. In our work {skin} D.E.E.P., we explore these ideas via augmentation through wearables and biomimetic expressions on the skin through digitally fabricated prosthetics. {skin} D.E.E.P. employs temporary biomimetic skin patterns via wearable 3D printed exoskeletons. The first series of this work mimics the patterns and textures of animal skin via ephemeral impressions onto human skin. Taking inspiration from shedding snakeskin, we shed the outer layer by removing the 3D printed prosthesis. The epidermis retains the negative imprint of the prosthetic mimicking the look of serpent skin. The dermis reestablishes the smooth form of the human skin as it heals itself within the hour, erasing the ephemeral imprint, symbolically representing rebirth and renewal. Investigating the ephemeral aesthetic of textured patterns on human skin will not by any means provide a solution to an engineering problem, yet acts as a larger philosophical basis to conduct a discussion about the possibilities of blending bio inspired designs. The manifestation of data into physical form occurs via digital fabrication in our most recent series in silico et in situ: fauna habitats in the age of voxels, where we aim to create a new ecosystem for animals and to potentially augment their habitat. The habitats include pollinator waterers, spider habitats (in form of glow up rings) and turtle basking platforms. This project pushes forward with a new piece—the development of a 20-foot avian sculpture that will solely exist to support the habitat of the Chimney Swift species. The Chimney Swift is a near-threatened bird species in the US. in silico et in situ investigates the interplay of art, nature and technology by contextualizing sculptural works and placing these sculptures into nature. The project serves as a breeding ground for a larger dialogue about nature, culture, human intervention, design art and technology. Providing the artwork in the public sphere, barrier free in nature, fosters this discourse.

Adorning the Female Body: Feminist Identification, Embodied Resistance, and Esthetic Body Modification Practices

ABSTRACTUsing survey data collected from college women at three large public U.S. universities, we examine the relationship between feminist identification and the likelihood of engaging in various esthetic body modification practices. Specifically, we test a feminist embodied resistance hypothesis that asserts that compared to women who do not identify as feminist, feminist-identified women are less likely to engage in mainstream practices (e.g., body hair removal) and more likely to engage in alternative practices (e.g., body piercing and tattooing). Results from logistic regression analyses reveal that feminist-identified women are more likely to engage in alternative practices and less likely to engage in mainstream practices. Our research offers insight into recent discussions about postfeminism and women’s relationship to their bodies, identity, and bodily practices.

Del ayllu a la metrópoli: Transformación de los usos y significados de la música aymara al interior de una comunidad transnacional de resurgentistas de la música andina

This article examines the processes by which a transnational community of Andean music revivalists transfers, modifies, and appropriates certain indigenous knowledge. The sikuris (interpreters of Aymara pan flutes) claim to reproduce Andean musical practices and rituals that promote values emphasizing solidarity but perceived as threatened by globalization. In the process of transferring such practices from agricultural villages in the Andes to cosmopolitan Latin American capitals, they transform them both consciously and involuntarily. In addition to aesthetic modifications, the transformations involve changes in the meanings and uses that indigenous peasants originally attribute to the music. This article updates Thomas Turino’s analysis of the first generations of non-Puneño sikuris in Lima. I examine the continuities and especially the differences between that pioneer scene and the contemporary sikuri scenes.

Multi-Analytical Investigation of Stains on Dimension Stones in Master Valentim’s Fountain, Brazil

Master Valentim’s fountain has become an important historical patrimony for Brazil, being portrayed by famous artists, among them Jean-Baptiste Debret. In 1938, it was registered as cultural heritage by the Brazilian National Historical and Artistic Heritage Institute (IPHAN), and in 1990 it was subjected to excavation and restoration works. The fountain was built in Gneiss and Lioz limestone, with metallic plates and mortar connecting the Gneiss blocks. Currently, deteriorations in the fountain stones can be observed, such as light stains and some aesthetic modifications caused by inadequate restorations. Petrography, X-ray fluorescence (XRF), XRD, physical properties, colorimetry, electrical conductivity, inductively coupled plasma optical emission spectrometry (ICP-OES), scanning electron microscopy-energy dispersive X-ray (SEM-EDX), and TGA were performed in order to characterize the Gneiss blocks, the metallic plates, and the stones used in previous restorations, as well as light stains observed on the Gneiss blocks. The petrography and XRD analyses inferred that the light stains may have been caused by the formation of an insoluble salt as a result of the association of the lead from the plates with other elements. The XRD analysis on the light staining area indicated the presence of cerussite (PbCO3) and anglesite (PbSO4), which are the probable cause of the light stains. The SEM-EDX results suggested that sulfur is the main element associated to lead.

Influence of the Subjective Body Image on the Outcome of Functional Rhinoplasty.

Improvement of nasal breathing is considered to be the major aspect of functional rhinoplasty (fRPL). Nevertheless, simultaneous aesthetic modifications can be required to achieve sufficient functional enhancement. Thus, the aim of this study was to assess the influence of the subjective perception of the nasal appearance on the outcome of fRPL. Patients undergoing fRPL were asked to complete the German version of the Utrecht Questionnaire for Outcome Assessment in Aesthetic Rhinoplasty (D-OAR) preoperatively, 1, 3 and 12months after surgery. The patients' satisfaction with the procedure's result was determined using a five-point Likert scale 1, 3 and 12months after rhinoplasty. In total, 87 patients (42 males and 45 females) with a median age of 25years undergoing fRPL were included in this study. Compared to males, females showed diminished VAS scores (4.03 ± 2.02 vs 2.71 ± 1.96, p = 0.006) and higher D-OAR scores during preoperative outpatient consultation (13.34 ± 5.00 vs 16.07 ± 5.62, p = 0.020). An increase in the VAS score and a decrease in the D-OAR score were observed independent of gender post-operatively. Significant correlations between the patients' satisfaction and the D-OAR score at each time point of assessment were demonstrated, whereas no significant correlation between the post-operative patients' satisfaction and the initial D-OAR score could be identified. These results demonstrate the importance of body image and the subjective perception of the nasal appearance in particular in patients undergoing fRPL which should be taken into consideration of surgeons preoperatively. LEVEL OF EVIDENCE IV: 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 .

Abordaje urológico y psicológico de las complicaciones secundarias a las modificaciones estéticas peneanas

ObjectivesDue to the scarcity of scientific articles that review the technical alternatives available for aesthetic modifications in the penis that are the cause of subsequent uro-andrological problems, the existing literature is reviewed after the assistance of a penile infection by injection of subcutaneous hyaluronic acid with aesthetic purposes. Material and methodsA 38-year-old male patient with no medical or psychiatric remarkable reports who came to the emergency room due to inflammation and abscess in penile skin after injection of hyaluronic acid. Surgical treatment was required and degloving and excision of affected skin was performed, with subsequent satisfactory evolution. The psychological analysis showed a narcissistic personality possibly secondary to traumas in childhood. We have reviewed the literature present in medical databases as well as information available on-line. ResultsEnlargement of the penis is an important cultural and social concern, so that there are different devices in the market to meet this demand, among them: herbal medicine, stretching exercises, weights, vacuum pumps or extensor devices. Among the surgical techniques, there have been described the pubic liposuction, the section of the suspensory ligament of the penis or the injection of autologous material or synthetic substances among others. As for the aesthetic modifications of the penis, there is a wide variety of genital piercings, tattoos and subcutaneous implants also called “pocketing” or “3D implants”. All of these techniques or modifications are described in this article along with their possible associated more frequent urological complications. ConclusionsAesthetic manipulations in the penis are becoming increasingly popular, and both its terminology and its medical implications should be known by urologists and andrologists. community.

Clinical uses of botulinum toxin A in smile aesthetic modification.

In this article we review the pharmacodynamics of commercially available preparations of botulinum toxin type A, and discuss the potential uses of the drug in smile modification. A major emphasis is placed on applications relevant to modern dental practice, and to the complications arising from its use. Botulinum toxin A, when applied correctly, is a safe and effective means of achieving aesthetic smile modification, with limited data on any demonstrable long-term adverse effects.

Bone Resorption after Use of Silicone Chin Implants, Long-term Follow-up Study with Lateral Chin Radiography.

Summary:Silicone chin implants are frequently used in cosmetic surgery to enhance a harmonic face. Obtaining an aesthetically pleasing face is increasingly becoming more important for people, and a considerable part of this goal can be achieved through different aesthetic modifications of the chin. The purpose of this study was to analyze the presence of bone resorption after the insertion of silicone chin implants, with lateral chin radiographs. Fifteen patients were studied, all of whom had a chin silicone implant inserted at least 1 year ago using the same surgical technique. The surgery was done intraorally with insertion of the silicone implant under the periosteum of the chin. Fourteen patients presented bone erosion, with the maximum of 2.0 mm erosion. However, none of them manifested any symptoms of this erosion. In conclusion, even though the majority of the patients presented with bone erosion, the results were minimal and completely asymptomatic; thus, this technique produced an excellent final result.

Can combined maxillomandibular distraction osteogenesis avoid bilateral sagittal split osteotomies?

Background: Maxillary expansion and transversal maxillary distraction osteogenesis are becoming increasingly popular approaches in orthognathic surgery. Intraoral transversal mandibular distraction (TMD) osteogenesis procedures are utilised in many cases of transverse mandibular deficiency with dental crowding of the mandibular anterior teeth in class I, II and III malocclusions. Dental and skeletal positional changes after TMD were studied prior to osteotomies on patients with diverse malocclusions. Le Fort I advancement, trans palatal distraction (TPD) and TMD were performed both together or in later cases separately starting with the TMD followed by TPD, Le Fort I about 4 weeks later. Methods: We sought to determine the facial aesthetic amelioration and the subsequent degree of mandibular advancement resulting in an adequate realignment of the dental arch. We also note that these changes result in a change in the facial mask both anteroposteriorly and transversally. Findings: The facial aesthetic modifications after TMD were evaluated with cephalometric analysis, computed tomography scan, three-dimensional analysis and photographic data in 50 patients. Conclusions: The combination of TMD with or without repositioning of the maxilla (Le Fort I) and TMD allows a relatively good restoration of the facial structure and harmony. In most cases we were able to avoid a bilateral sagittal split osteotomy due to significant mandibular lengthening.