• 대한두개안면성형외과학회지
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• 제20권6호
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• pp.382-387
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• 2019

Background: Defects of the nasal ala and tip have a complex three-dimensional structure that makes them challenging to reconstruct. Many reconstructive options have been described for nasal ala and tip defects, ranging from primary closure to local flaps and skin grafts. However, it is difficult to determine which method will yield the best cosmetic results in each individual case. Thus, the purpose of this study was to determine which surgical procedures for reconstructing defects of the nasal ala and tip have better cosmetic results. Methods: From 2008 to 2018, 111 patients underwent surgery to reconstruct skin defects after resection of skin cancer in the nasal ala or tip. Their charts were reviewed to obtain data on age, sex, surgical location, size of the defect, surgical method, and cosmetic results using a visual analog scale (VAS). Results: For nasal ala reconstruction, the most commonly used surgical technique was the nasolabial flap (n= 42). This method also had the highest VAS score (7/10). The most commonly selected surgical method for nasal tip reconstruction was the bilobed flap (n= 13), and bilobed flaps and primary closure had the highest VAS score (7/10). Conclusion: Nasolabial flaps showed excellent cosmetic results for the reconstruction of nasal ala defects, while primary closure and bilobed flaps yielded excellent cosmetic results for the reconstruction of nasal tip defects.

• Journal of Chest Surgery
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• 제53권5호
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• pp.277-284
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• 2020

Background: Cardiac arrest during or after office-based cosmetic surgery is rare, and little is known about its prognosis. We assessed the clinical outcomes of patients who developed cardiac arrest during or after cosmetic surgery at office-based clinics. Methods: Between May 2009 and May 2016, 32 patients who developed cardiac arrest during or after treatment at cosmetic surgery clinics were consecutively enrolled. We compared clinical outcomes, including complications, between survivors (n=19) and non-survivors (n=13) and attempted to determine the prognostic factors of mortality. Results: All 32 of the patients were female, with a mean age of 30.40±11.87 years. Of the 32 patients, 13 (41%) died. Extracorporeal life support (ECLS) was applied in a greater percentage of non-survivors than survivors (92.3% vs. 47.4%, respectively; p=0.009). The mean duration of in-hospital cardiopulmonary resuscitation (CPR) was longer for the non-survivors than the survivors (31.55±33 minutes vs. 7.59±9.07 minutes, respectively; p=0.01). The mean Acute Physiology and Chronic Health Evaluation score was also higher among non-survivors than survivors (23.85±6.68 vs. 16.79±7.44, respectively; p=0.01). No predictor of death was identified in the patients for whom ECLS was applied. Of the 19 survivors, 10 (52.6%) had hypoxic brain damage, and 1 (5.3%) had permanent lower leg ischemia. Logistic regression analyses revealed that the estimated glomerular filtration rate was a predictor of mortality. Conclusion: Patients who developed cardiac arrest during or after cosmetic surgery at office-based clinics experienced poor prognoses, even though ECLS was applied in most cases. The survivors suffered serious complications. Careful monitoring of subjects and active CPR (when necessary) in cosmetic surgery clinics may be essential.

• Archives of Plastic Surgery
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• 제42권1호
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• pp.46-51
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• 2015

Background In all branches of medicine, it is the surgeon's responsibility to provide the patient with accurate information before surgery. This is especially important in cosmetic surgery because the surgeon must focus on the aesthetic results desired by the patient. Methods An experimental protocol was developed based on an original questionnaire given to 72 patients. The nature of the responses, the patients' motivation and expectations, the degree of patient awareness regarding the planned operation, and the patients' perceptions of the purpose of the required consent for cosmetic surgery were all analyzed using Fisher's exact test. Results Candidates for abdominal wall surgery had significantly more preoperative psychological problems than their counterparts did (P=0.035). A significantly different percentage of patients under 40 years of age compared to those over 40 years of age searched for additional sources of information prior to the operation (P=0.046). Only 30% of patients with a lower educational background stated that the preoperative information had been adequate, whereas 92% of subjects with secondary schooling or a postsecondary degree felt that the information was sufficient (P=0.001). A statistically significant difference was also present between patients according to their educational background regarding expected improvements in their quality of life postoperatively (P=0.008). Conclusions This study suggests that patients require more attention in presurgical consultations and that clear communication should be prioritized to ensure that the surgeon understands the patient's expectations.

• Journal of Chest Surgery
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• 제33권2호
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• pp.183-185
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• 2000

With the marked decrease in operative mortality in simple heart diseases there have been several reports on the minimally invasive and cosmetic techniques including submammary incision right parasternal approach right anterolateral thoracotomy partial sternotomy and subxiphoid approach. We report here subxiphoid approach without sternotomy for the repair of atrial septal defect as the procedure that has less invasive technique and more cosmetic effect.

• 대한족부족관절학회지
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• 제27권3호
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• pp.93-98
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• 2023

Purpose: This study compared the functional and cosmetic treatment outcomes of intramedullary nailing (IM nail) and minimally invasive plate osteosynthesis (MIPO) for distal tibia shaft fractures. Materials and Methods: Forty-eight patients with distal tibia shaft fractures (distal 1/3 of the diaphysis, AO/OTA [AO Foundation/Orthopaedic Trauma Association]) 43 managed by an IM nail (n=30) or MIPO (n=18) who had minimum one-year follow-up were enrolled in this study. The radiological, functional, and cosmetic outcomes in the two groups were compared retrospectively. Results: All patients achieved bone union. The mean bone union time of the IM nail and MIPO groups was 18.5 and 22.6 weeks, respectively (p=0.078). One patient in the MIPO group showed posterior angulation and valgus deformity of more than five degrees. The mean American Orthopaedic Foot and Ankle Society (AOFAS) functional scores were similar: 83.3 in the IM nail group and 84.6 in the MIPO group (p=0.289). The most salient difference was the cosmetic result of the surgical scar. The length of the scars around the ankle in the IM nail group was significantly smaller than the MIPO group (2.6 cm vs. 10.6 cm; p=0.035). The patient satisfaction survey of surgical scars revealed a significantly higher satisfaction rate in the IM nail group than in the MIPO group (93% vs. 44%; p<0.001). Conclusion: This study showed that both treatment methods for distal tibia shaft fractures have similar therapeutic efficacy regarding the radiological and functional outcomes. On the other hand, the IM nail technique showed superior cosmetic outcomes than the MIPO technique. IM nails may be more recommended in patients with high demand for cosmetic results.

• 한국의류학회지
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• 제30권1호
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• pp.59-70
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• 2006

This study has analyzed females' motives and psychological experiences related to appearance-enhancement seeking behavior(weight control practice and cosmetic surgery). In this study, in-depth interviews were carried out to 11 females who had experienced weight control practices and cosmetic surgery in June 2001. There is social standard in ideal body image. One perceive a physical idea and own body through society(mass media, reference group), others and clothing, and recognize the ideal body and internalize the social standard as own worth. The discrepancies between ideal body image internalized as standards of own worth and real body image became a setup for body dissatisfaction. Increasing in body dissatisfaction, rejection of own body grow, furthermore body is perceived with distortion. In order to remove a negative body image and to reach ideal body image, appearance-enhancement seeking behavior such as weight control and cosmetic surgery is made. By appearance enhancing, one come to closer to ideal image of which one pursuit oneself. Therefore body satisfaction feeling increase, self·esteem rise, manner of life and character change to with affirmation. Otherwise, strengthening of appearance-concern and of appearance enhancement seeking desire has the possibility of developing into bulimia and cosmetic surgery addiction. Also, the standard of beauty in appearance rise by degrees, and that produces motives of appearance-enhancement seeking behavior.

• 한국산학기술학회논문지
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• 제16권12호
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• pp.8707-8718
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• 2015

본 연구는 미용성형 경험이 있는 여대생의 얼굴미용성형 재수술 의도에 미치는 이론 변수들 간의 가설적 모형을 구축하며 여대생의 얼굴미용성형 재수술 의도 모형과 실제 자료간의 적합성을 검증하고자 시도되었다. 대상은 미용성형 경험이 있는 여대생으로 2014년 7월 15일부터 2014년 9월 20일까지 설문지 320부 중 300부가 회수되었으며, 최종적으로 응답이 불확실한 5부를 제외한 총 295부를 분석에 이용하였다. 본 연구 결과 수술 후 외모만족도, 자아존중감, 주관적 규범, 외모지상주의는 인지부조화에 직접적으로 영향을 미치는 것으로 확인되었다. 자아존중감, 주관적 규범, 외모지상주의는 재수술 의도에 직접적 영향을 미쳤으며, 자아존중감과 외모지상주의는 인지부조화를 매개로 미용성형 재수술 의도에 직 간접적으로 영향을 미치는 것으로 확인되었다. 이러한 결과를 토대로 미용성형 재수술 의도는 신체적 정신적 건강 향상을 위한 간호 중재 프로그램 개발의 기초자료를 제공하는데 기여할 것으로 기대된다.

• 복식문화연구
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• 제24권6호
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• pp.756-776
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• 2016

The concern over beauty is increasing as the importance of appearance is becoming more prominent. Accordingly, the importance of studying beauty is now apparent. The purpose of this study is to analyze existing beauty-related research in order to assess current trends in beauty-related studies. Materials were collected from the master's theses and academic journals from 1997 through 2016. In addition, 81 beauty-related papers were selected and classified into 3 categories according to their subjects and content. There were 19 hair attitude papers, 52 papers about make-up and skincare, and 10 papers on cosmetic surgery. Each type was divided into detailed themes according to the study theme and its number was grasped. Consequently it was classified into 9 themes about the attitude toward hair and the relevant variable study, 10 themes about the attitude toward hair style and relevant variable study, 24 themes about the make-up attitude and relevant variable study, 28 themes about the skin care attitude and relevant variable study, and 10 themes about the cosmetic surgery attitude and relevant variable study. The results revealed that academic concern about beauty sharply increased starting in 2005. Moreover, we determined that the methodologies used in hair and make-up studies were sound and detailed, while cosmetic surgery studies were more inconsistent and poorly analyzed. Thus cosmetic surgery should be further researched in a more standardized and thorough manner. This review of attitudes toward beauty will serve as a basis for follow-up studies that employ meta-analyses to draw more quantitative conclusions by aggregating many more study results.

• 대한치과의사협회지
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• 제50권11호
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• pp.677-681
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• 2012

Orthognathic surgery(2-jaw or 1-jaw surgery) is very famous one of cosmetic techniques. However, primary purpose of orthognathic surgery is to improve the occlusion of jaw and secondary purpose is to improve the esthetic result. Unfortunately, many patients don't only confuse often primary and secondary purpose of orthognathic surgery but they think the esthetic result is more important than the occlusion. Therefore, oral and maxillofacial surgeon has to fully understand cosmetic needs of patient and reflect that in the treatment plan. Patients with prominent mandibular angle want to have the narrower face of so called 'V-line' shape. Various techniques like the angle shaving, ostectomy of the lateral cortex around the mandibular angle and masseter musclectomy can be used for improving the mandibular angle hypertrophy. These techniques also can be applied in orthognathic surgery at the same time. We operated patients of orthognathic surgery, especially, with wide lower face and post-operative results were satisfactory in all cases. So, we propose mandibular angle management for improving the esthetic result of orthognathic surgery.

• Archives of Plastic Surgery
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• 제35권6호
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• pp.680-686
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• 2008

Purpose: Breast conserving surgery(BCS) for breast cancer has a common treatment protocol. Oncoplastic surgery represents a form of BCS which combines both a cosmetic mammoplasty approach and oncologic resection for the treatment of breast cancer. Depending on the tumor site, BCS can make an unsatisfactory cosmetic result, especially in inferiorly placed tumors. This study describes the use of oncoplastic techniques for inferiorly located breast tumors in immediate partial mastectomy reconstruction. Methods: From September of 2006 to February of 2008, these techniques were used in 11 patients at the ${\bigcirc}{\bigcirc}$ hospital. After BCS was preceded, breast reshaping by oncoplastic techniques were selected depending on the location and size of the tumor within the breast as well as the size of breast itself. Oncoplastic techniques after partial mastectomy included 'Wise pattern (inverted T)' reduction mammoplasty, 'vertical pattern' mammoplasty, 'J-pattern' mammoplasty. In order to improve the cosmetic outcome, repositioning of the nipple areola complex(NAC) or reshaping of the contralateral breast may be considered additionally. Results: These techniques have been used in 11 patients. The mean age was 51 and the average follow-up period was 8 months. Eleven of these patients underwent the 'Wise pattern(inverted T)' reduction mammoplasty(n=6), 'vertical pattern' mammoplasty(n=3) and 'J-pattern' mammoplasty(n=2). There was one wound dehiscence during the follow-up periods. This complication was treated by conservative approach. The overall cosmetic result was evaluated in 6 months. The majority of patients were satisfied at the cosmetic result. Conclusion: Oncoplastic techniques in inferiorly located breast tumors could be a reasonable and safe option for breast cancer patients who desire conserving surgery with esthetical breast.