Evidence map›Paper›PMID 40135477›Full record

ArticleJournal of cosmetic dermatology2025

Consensus Statements on Managing Aesthetic Needs in Prescription Medication-Driven Weight Loss Patients: An International, Multidisciplinary Delphi Study.

Andreas Nikolis, Kaitlyn M Enright, Sabrina G Fabi, Michael Somenek, Hugues Cartier, Luiz Avelar, Johnny Franco, Alessandra Haddad, Maria Angelo-Khattar, Jeff Huang and 3 more

Abstract readConsensus Statement
In one paragraph

Article in Journal of cosmetic dermatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

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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

13 authors.

Andreas NikolisClinical Research Unit, Erevna Innovations Inc, Westmount, Quebec, Canada.
Kaitlyn M EnrightClinical Research Unit, Erevna Innovations Inc, Westmount, Quebec, Canada.ORCID https://orcid.org/0000-0001-6555-4838
Sabrina G FabiCosmetic Laser Dermatology, San Diego, University of California-San Diego, San Diego, California, USA.
Michael SomenekSomenek+Pittman MD Advanced Plastic Surgery, Washington DC, USA.
Hugues CartierSaint-Jean Dermatology Center, Arras, France.
Luiz AvelarDOMANI Clinic, Belo Horizonte, Brazil.ORCID https://orcid.org/0000-0002-4711-8837
Johnny FrancoAustin Plastic Surgeon, Austin, Texas, USA.
Alessandra HaddadDepartment of Plastic Surgery, Federal University of São Paulo UNIFESP, Sao Paulo, Brazil.
Maria Angelo-KhattarAltaderma Clinic, Dubai, UAE.
Jeff HuangL'excellence Clinica, Taipei, Taiwan.
Tyler SafranDivision of Plastic and Reconstructive Surgery, McGill University, Montréal, Québec, Canada.
Inna PrygovaGalderma, Uppsala, Sweden.
Steven DayanDepartment of Otolaryngology, University of Illinois, Chicago, Illinois, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo handle the increasing influx of prescription medication-driven weight loss (mdWL) patients in aesthetic practices, clinicians must be aligned on identifying discerning factors and strategies for managing this unique patient population.

objectives(1) Define the mdWL patient; (2) describe the mdWL patient's aesthetic expectations; (3) determine the most relevant methods of assessing mdWL patients in clinical practice; (4) determine the effects of mdWL on specific facial tissue layers; (5) identify important treatment considerations for the mdWL patient; and (6) identify the temporal sequencing of non-surgical options in the mdWL patient.

methodsPreparatory research included patient interviews, market research, and a systematic literature review. Following this, an international, multidisciplinary three-round Delphi study was conducted to collect information on practice setting, physician and patient demographics, and previous experience, and for panelists to vote on consensus statements regarding managing mdWL patients in aesthetics.

resultsmdWL is best defined by the percent of BMI lost within ≤ 6 months. Three-dimensional volumetric analysis is an effective quantitative assessment, while photo-numeric scales and patient-reported outcome measures are relevant qualitative measures. Tissue layers most affected by mdWL include the skin and superficial and deep fat pads. A major concern for aesthetic mdWL patients seeking aesthetic treatments is the fear of appearing to have gained weight following treatments, while for physicians it is ensuring their mdWL patients look healthy and natural. The key selection and critical timing of aesthetic treatments throughout the mdWL journey are described.

conclusionsThe first global consensus-based guidelines for understanding and managing the aesthetic needs of mdWL patients are presented.

Indexed as

Anti-Obesity AgentsCosmetic TechniquesObesityWeight LossAdultDelphi TechniqueEstheticsFaceFemaleHumansMaleMiddle AgedPatient Reported Outcome MeasuresAnti-Obesity Agentsanti‐obesity drugsglucose‐lowering drugsobesityozempic‐facetype 2 diabetes

Identifiers

PMID40135477
PMCPMC11938202

What OpenQuestion holds

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Registered trials

None linked

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.