BACKGROUND: Lips are central to facial aesthetics, influencing overall balance and harmony. Ultrasound has become a key tool for assessing lip musculature and neurovascular structures, particularly in aesthetic filler injections. By enhancing precision and safety, ultrasound is valuable in procedures addressing age-related lip changes, yet standardized scanning protocols remain underexplored. AIMS: This review examined lip anatomy, summarized ultrasound applications in aesthetic procedures, introduced a structured scanning protocol, and highlighted its role in guiding filler injections. METHODS: A systematic search of PubMed, Scopus, Embase, and Web of Science was conducted up to August 1, 2024, using keywords related to ultrasound and lip anatomy. Studies involving human subjects or cadavers using ultrasound for lip assessment and injection guidance were included, whereas nonhuman studies, alternative imaging methods, and research unrelated to the lip region were excluded. Six studies met the criteria. RESULTS: Ultrasound improves precision in lip injections by identifying key structures, including the superior and inferior labial arteries and the orbicularis oris muscle, reducing vascular risks. A structured scanning approach enhances procedural safety and efficacy. CONCLUSIONS: Ultrasound is a valuable tool in aesthetic lip procedures, improving accuracy and minimizing complications. Further research is needed to refine protocols and establish ultrasound as a standard practice in lip augmentation.

• MeSH
• dermální výplně * aplikace a dávkování   škodlivé účinky   MeSH
• estetika MeSH
• intervenční ultrasonografie * metody   škodlivé účinky   MeSH
• kosmetické techniky * škodlivé účinky   MeSH
• lidé MeSH
• ret * diagnostické zobrazování   anatomie a histologie   krevní zásobení   MeSH
• stárnutí kůže MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• přehledy MeSH

Už niekoľko desaťročí podiel seniorov v populácii vyspelých krajín rastie, a to aj pre predlžovanie života. To má byť spojené s napĺňaním jedného zo základných princípov geriatrie – s „pridávaním života rokom“, t. j. so zlepšovaním kvality života. Tá je medzi ľuďmi i v odbornej komunite hodnotená rôzne, multidimenzionálne. U nemalej časti starších ľudí pozorujeme stúpajúcu tendenciu akejsi „estetickej komponenty“ vnímania kvality vlastného života – aj seniori stále častejšie dbajú na svoj estetický vzhľad. V tzv. západnom svete je tento trend dokumentovaný dlhšie, v ostatných rokoch ho pozorujeme už aj na Slovensku. Moderná medicína ponúka viacero prístupov, ako naplniť očakávania seniorov, ktorí chcú zlepšiť vlastný pocit zo svojho vzhľadu. Z medicínskeho hľadiska budeme u seniorov aj v tomto prípade preferovať neinvazívne alebo miniinvazívne metódy. Predkladaná práca sa zaoberá možnosťami a obmedzeniami niektorých bežne dostupných minimálne invazívnych „antiageingových“ procedúr u starších ľudí.

For several decades, there has been an increase in the proportion of seniors in developed countries, one of the reasons of which is the prolongation of life expectancy. In accordance with one of the basic principles of geriatrics, it should be one’s aim to „add life to years“, meaning improving the quality of life of the elderly. Quality of life is evaluated differently among people and in the scientific community – it is multi-dimensional. Among a considerable number of elderly people, we observe a rising tendency of an „aesthetic component“ in the perception of the quality of their life – even seniors pay more attention to their aesthetic appearance. In the so-called Western world this trend has been observed for a long time, and in recent years so have we in Slovakia. Modern medicine offers several approaches to meet the expectations of seniors who want to improve perception of their appearance. From a medical point of view, we will prefer noninvasive or mini invasive methods for seniors. The presented work deals with the possibilities and limitations of some commonly available minimally invasive „anti-ageing“ procedures for seniors.

• MeSH
• botulotoxiny typu A farmakologie   terapeutické užití   MeSH
• dermální výplně MeSH
• estetika * MeSH
• geriatrie * metody   MeSH
• kosmetické techniky klasifikace   MeSH
• kvalita života MeSH
• kyselina hyaluronová farmakologie   terapeutické užití   MeSH
• lidé MeSH
• mezoterapie metody   MeSH
• miniinvazivní chirurgické výkony metody   MeSH
• senioři MeSH
• stárnutí kůže účinky léků   MeSH
• Check Tag
• lidé MeSH
• senioři MeSH
• Publikační typ
• přehledy MeSH

BACKGROUND: Breast reconstruction following prophylactic mastectomy in women with ptotic or hypertrophic breasts often poses challenges. We describe a combined technique of large-volume fat grafting (>100 mL) and an inferior dermal flap, aiming to improve aesthetic outcomes and patient satisfaction. METHODS: We conducted a retrospective analysis of 21 patients undergoing immediate breast reconstruction with the described technique. All patients were asked to complete the BREAST-Q questionnaire preoperatively and at least 12 months postoperatively (median interval: 20 months). Statistical analysis (Wilcoxon signed-rank test) was used to assess changes in satisfaction and well-being; aesthetic outcomes were scored by an independent, multidisciplinary team. RESULTS: Among 13 patients with complete BREAST-Q data, satisfaction with the breasts increased significantly from a median score of 38-85 (p = 0.002), psychosocial well-being from 57-70 (p = 0.045), and physical well-being (chest) from 68 to 81 (p = 0.045). Sexual well-being rose from 47-63 (p = 0.023). Aesthetic evaluation by an independent panel showed notable improvements in breast symmetry, shape, and overall appearance. Minimal and asymptomatic fat necroses or oil liponecrotic pseudocysts were observed. CONCLUSIONS: Combining large-volume fat grafting with an inferior dermal flap appears promising for women with ptotic breasts, yielding high satisfaction and low complication rates. Despite requiring multiple operative stages, this autologous reconstruction technique may offer a less invasive alternative for high-risk patients seeking natural outcomes without implants.

• MeSH
• chirurgické laloky * MeSH
• dospělí MeSH
• estetika MeSH
• kohortové studie MeSH
• lidé středního věku MeSH
• lidé MeSH
• mamoplastika * metody   MeSH
• nádory prsu * prevence a kontrola   chirurgie   MeSH
• profylaktická mastektomie * MeSH
• prsy chirurgie   patologie   MeSH
• průzkumy a dotazníky MeSH
• retrospektivní studie MeSH
• senioři MeSH
• spokojenost pacientů MeSH
• tuková tkáň * transplantace   MeSH
• výsledek terapie MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH

Existing research indicates that the shape of various facial regions is linked to perceived attractiveness and perceived formidability. Interestingly, little evidence shows that people directly focus on these specific facial regions during judgments of attractiveness and formidability, and there is little support for the notion that the levels of attractiveness and formidability affect raters' visual attention. We employed eye-tracking to examine visual attention (the number of fixations and dwell time) in 40 women and 37 men, while they assessed 45 male faces in life-sized photographs for attractiveness and formidability. The facial photographs were grouped by varying levels of attractiveness and formidability (low, medium, and high). Our results showed that regardless of the characteristics rated, both men and women paid the most visual attention to the eyes, nose, mouth, and forehead regions. We found statistically discernible variation in visual attention in relation to the rater's sex or target's attractiveness levels for other facial features (the chin, cheeks, or ears), but these differences may not be substantial enough to have practical implications. We suggest that the eyes, the nose, and the mouth regions play a central role in the evolution of face perception as regions most salient to the acquisition of informative cues about others. Further, during both attractiveness and formidability judgments, men looked longer at the stimuli than women did, which may hint at increased difficulty of this task for men, possibly because they compare themselves with the stimuli. Additionally, irrespective of sex, raters looked marginally longer at faces with a medium level of formidability than at those with a high formidability level, which may reflect ambiguity of these stimuli and uncertainty regarding assessment. We found no other significantly relationships between the target's attractiveness and formidability levels and the rater's visual attention to whole faces.

• MeSH
• dospělí MeSH
• krása MeSH
• lidé MeSH
• mínění MeSH
• mladý dospělý MeSH
• obličej * MeSH
• pozornost * fyziologie   MeSH
• rozpoznání obličeje fyziologie   MeSH
• technologie sledování pohybu očí MeSH
• výběrové chování fyziologie   MeSH
• zraková percepce fyziologie   MeSH
• Check Tag
• dospělí MeSH
• lidé MeSH
• mladý dospělý MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH

BACKGROUND: Face transplantation has emerged as a viable solution for reconstructing the most complex facial injuries. Previous work has demonstrated that surgical revisions are necessary to optimize outcomes. The authors' group has updated the previous report of revisions in their cohort, quantified and described which revisions were performed for functional, aesthetic, or mixed indications, and described the rationale, safety, and long-term outcomes of these revisions. METHODS: A retrospective analysis of the authors' 10 face transplants from April of 2009 to February of 2023 was performed. The patients' medical records, preoperative facial defects, and operative reports (index and secondary revisions) were reviewed. RESULTS: Nine patients were included. One patient underwent irreversible acute-on-chronic allograft rejection and received a second face transplant. The average number of revisions was 5.2 per patient (range, 2 to 11 procedures). The median time interval from transplantation to first revision was 4 months (range, 1 to 21 months). Median follow-up was 106 months (range, 39 to 142 months). Most interventions consisted of debulking the allograft or revising the periorbital tissues. CONCLUSIONS: In the current study, the authors report longer-term data on revision procedures needed in face transplant recipients. Patients should expect to undergo revisions for both functional and aesthetic considerations. Although the majority of revisions are performed within 2 years after transplantation, revisions can be safely performed at any time point. Shared decision-making between the patient and provider team is essential in deciding which revisions are performed and when. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, V.

• MeSH
• časové faktory MeSH
• dospělí MeSH
• estetika MeSH
• lidé středního věku MeSH
• lidé MeSH
• mladiství MeSH
• mladý dospělý MeSH
• následné studie MeSH
• poranění obličeje * chirurgie   MeSH
• rejekce štěpu MeSH
• reoperace * statistika a číselné údaje   MeSH
• retrospektivní studie MeSH
• transplantace obličeje * metody   MeSH
• výsledek terapie MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mladiství MeSH
• mladý dospělý MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH

Publikace se zaměřuje na pozitivní postoj k životu, na psychologii a psychosomatiku a plastickou chirurgii. Autor popisuje své zkušenosti jako plastický chirurg. Určeno široké veřejnosti.; Dobrá mysl dokáže vyléčit i vážná onemocnění, naproti tomu špatná mysl je může i způsobit. Mezi lidmi stoupá agresivita, nevraživost, závist a vlivem narůstajících stresových situací jsou na vzestupu i psychosomatické a jiné zdravotní problémy, které ve svých důsledcích mohou ohrožovat naše životy. Autor se prostřednictvím této knihy snaží nasměrovat člověka ke spokojenému životu a poskytnout naději ke štěstí na základě zkušeností získaných za desetiletí klinické praxe plastického chirurga. Kniha nastíní možné projevy štěstí a radosti a zabývá se myšlenkou, že život nejvýznamněji ovlivňuje kvalita naší mysli.

• MeSH
• chirurgové dějiny   MeSH
• copingové dovednosti MeSH
• dějiny 20. století MeSH
• dějiny 21. století MeSH
• krása MeSH
• optimismus MeSH
• plastická chirurgie etika   MeSH
• psychický stres terapie   MeSH
• psychosomatické lékařství MeSH
• Check Tag
• dějiny 20. století MeSH
• dějiny 21. století MeSH
• Publikační typ
• populární práce MeSH
• Geografické názvy
• Česká republika MeSH

• Konspekt
• Hygiena. Lidské zdraví
• NLK Obory
• psychologie, klinická psychologie

• O autorovi
• Měšťák, Jan, 1944- Autorita

Introduction: The deep inferior epigastric perforator (DIEP) flap is widely considered as the gold standard in breast reconstruction. The inset technique of the DIEP flap is crucial in determining the overall aesthetic outcome; however, to date no systematic review is available that comprehensively assesses the various techniques. Evaluation of topic: A systematic review was performed according to the PRISMA guidelines. The methodology is outlined within our published protocol (Prospero CRD42023449477). Included articles met a minimal criterion compromising of the intervention (DIEP free flap for breast reconstruction) and outcomes (aesthetic and clinical outcomes). Six articles were included in this review, with a total of 346 patients and a follow-up ranging from 6 months to 4 years. Four articles were of a prospective case series study design, one article was a randomized controlled trial, and one article was a case-control study. The risk of bias was assessed to be high in the case series, but low and moderate in the randomized controlled trial and case-control study respectively. Conclusion: Although limited by the quality of the evidence, the single aesthetic unit principle, dual-plane inset, elimination of the need for a skin paddle, appropriate flap positioning and rotation, and algorithmic in-setting may all improve the aesthetic outcome of DIEP free flaps.

• Klíčová slova
• DIEP,
• MeSH
• estetika * MeSH
• klinická studie jako téma MeSH
• lidé MeSH
• mamoplastika * metody   škodlivé účinky   MeSH
• statistika jako téma MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• systematický přehled MeSH

Although decades of research have identified facial features relating to people's evaluations of faces, specific features have largely been examined in isolation from each other. Recent work shows that considering the relative importance of these features in face evaluations is important to test theoretical assumptions of impression formation. Here, we examined how two facial features of evolutionary interest, facial attractiveness and facial-width-to-height ratio (FWHR), relate to evaluations of faces across two cultures. Because face evaluations are typically directly measured via self-reports, we also examined whether these features exert differential effects on both direct and indirect face evaluations. Evaluations of standardized photos naturally varying in facial attractiveness and FWHR were collected using the Affect Misattribution Procedure in the United States and Turkey. When their relative contributions were considered in the same model, facial attractiveness, but not FWHR, related to face evaluations across cultures. This positive attractiveness effect was stronger for direct versus indirect evaluations across cultures. These findings highlight the importance of considering the relative contributions of facial features to evaluations across cultures and suggest a culturally invariant role of attractiveness when intentionally evaluating faces.

• MeSH
• biologická evoluce MeSH
• krása MeSH
• lidé MeSH
• obličej * MeSH
• postoj * MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH

Masseter hypertrophy (MH) is an uncommon natural condition that affects the facial contour. The etiology is debatable, and complaints are usually cosmetic in nature. The diagnosis is essentially clinical and aided by imaging tests. Treatment is still controversial. The literature is relatively scarce in relation to information on MH, particularly in the evaluation of outcomes. Through questionnaires, the progress was observed in the evaluation of the outcomes of aesthetic procedures. Thus, the purpose of this paper is to apply a Facelift Outcome Evaluation (FOE) questionnaire to evaluate the outcomes of surgical treatment in a case of MH. A 23-year-old male presented to the clinic complaining of bullying due to his facial aesthetics. Clinical and imaging evaluation was performed, with the creation of surgical guides. The patient answered the FOE questionnaire pre- and postoperatively, with results of 12.5 and 100.00 respectively. This subjectively shows the success of the treatment. We suggest that a questionnaire applied exclusively to masseter hypertrophy should be developed, as well as studies for the development of muscle volume measurement protocols, aiming at a more specific evaluation of the surgical outcomes.

• MeSH
• ambulantní zařízení * MeSH
• dospělí MeSH
• estetika MeSH
• hypertrofie chirurgie   MeSH
• lidé MeSH
• mladý dospělý MeSH
• šikana * MeSH
• Check Tag
• dospělí MeSH
• lidé MeSH
• mladý dospělý MeSH
• mužské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• kazuistiky MeSH

Kniha čtenáře uvádí do problematiky pojetí krásy napříč věky a představuje estetickou medicínu dnešního světa, kde kult těla patří k nejdůležitějším oblastem lidské existence.; Autoři vás provedou všemi úskalími oboru, který dokáže napravit širokou škálu drobných i výraznějších estetických nedostatků a v konečném důsledku pomoci uzdravit také pacientovu duši.

• Klíčová slova
• Chirurgie, ortopedie, traumatologie,
• MeSH
• estetika MeSH
• etika MeSH
• krása MeSH
• plastická chirurgie MeSH
• sociální psychologie MeSH

• NLK Obory
• plastická chirurgie
• estetická medicína