Evidence map›Paper›PMID 39171244›Full record

ArticlePlastic and reconstructive surgery. Global open2024

AI-enhanced "Two-thirds Guidelines" for Lipolifting: Addressing Multiple Hallmarks of Facial Aging.

Kemal Tunç Tiryaki, Serli Canikyan, Jack Woods, Aris Sterodimas, Pietro Gentile, Steven Cohen, Katarina Andjelkov, Kai-Uwe Schlaudraff, Eva Siolo, Yaren Kul and 1 more

Abstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Kemal Tunç TiryakiFrom the Department of Plastic and Reconstructive Surgery, Cadogan Clinic, London, United Kingdom.
Serli CanikyanDepartment of Genetics and Bioengineering, Yeditepe University, Istanbul, Turkey.
Jack WoodsFrom the Department of Plastic and Reconstructive Surgery, Cadogan Clinic, London, United Kingdom.
Aris SterodimasPlastic and Reconstructive Surgery Department, Metropolitan General Hospital, Athens, Greece.
Pietro GentileDepartment of Plastic and Reconstructive Surgery, University "Tor Vergata," Rome, Italy.
Steven CohenDepartment of Plastic Surgery, University of California, San Diego, Calif.
Katarina AndjelkovFaculty of Medicine, University of Belgrade and BelPrime Clinic, Belgrade Serbia.
Kai-Uwe SchlaudraffDepartment of Plastic and Reconstructive Surgery, Concept-Clinic, Geneva, Switzerland.
Eva SioloPrivate Wellness Practice, Johannesburg, South Africa.
Yaren KulDepartment of Bioengineering, Yildiz Technical University, Istanbul, Turkey.
Ceren DuyanDepartment of Research and Development, Lipocube Biotechnology, Istanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Facial aging involves complex changes such as volume loss, ligament weakening, and skin quality alterations. The "two-thirds guidelines" emerge as a novel strategy to combat these aging signs, drawing from an extensive analysis of 2800 facial fat grafting procedures conducted over two decades. Methods: Guided by facial lipolifting data, including patient age, fat type (microfat and nanofat), and injection depth, this study devises a systematic framework for multilayer fat rejuvenation and ligament restoration. The two-thirds guidelines advocate injecting two-thirds of the patient's age for microfat and one-third for nanofat, with specific injection codes for lower, middle, and upper facial regions. Results: A prospective study involving 400 patients confirms the efficacy of the two-thirds guidelines. However, applicability may vary for patients outside SD ranges, particularly concerning facial proportions and body mass index. Patients within the golden ratio range (1.4-1.9) report high satisfaction rates and a 50% fat graft uptake, with minimal complications. For patients outside this range, an artificial intelligence (AI) program was implemented. Conclusions: The two-thirds guidelines offer a comprehensive approach to facial rejuvenation, addressing volume loss, ligament weakening, and skin quality. They are applicable in early aging stages, promising enduring and natural outcomes while mitigating effects of weight fluctuations. These guidelines provide a safe, replicable, and adaptable approach to facial fat grafting, either standalone or in combination with facelift techniques, with minimized overfilling risks. A dataset obtained from 2800 patients serves as the foundation for developing an AI program tailored to aid doctors in diagnosing and treating similar cases.

Identifiers

PMID39171244
PMCPMC11338263

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.