Fat management in upper blepharoplasty:Addition or subtraction blepharoplasties,how and when

BACKGROUND As one of the most common aesthetic surgical procedures carried out today,blepharoplasty should be in the repertoire of every plastic surgeon.The term blepharoplasty encompasses a wide range of techniques and options that must be tailored to the specific defect and patient one has to treat.A sound knowledge of the upper and lower eyelids’anatomy is essential for proper surgical execution.Trends have shifted towards more conservative methods(especially of the fat compartment)and sometimes in combination with augmentation techniques,helping to reach a rejuvenated appearance.AIM To present an overview of the surgical techniques considered for upper lid blepharoplasty and fat pad management,in addition to information on how a surgeon may approach the best treatment for his patient based on current publications in literature.METHODS We searched the literature published between 2013,to 2023 using Medline and Reference Citation Analysis.The database was searched using the keywords“upper blepharoplasty”AND“fat”.Papers without full text/abstracts and reviews were excluded.The search strategy followed the PRISMA.The American Society of Plastic Surgeons guidelines for Therapeutic Studies checklist was used to assess all articles.Two authors individually reviewed each article and rated them for importance and relevance to the topic.A consensus was sought and the most relevant studies.RESULTS After the application of the selection criteria used in our review,13 publications were found to address upper lid blepharoplasty specifically.Three of these studies were reviews and three were retrospective studies.Five publications were comparative studies and a further two were clinical trials.CONCLUSION The tendency of modern surgery is to be conservative,by removing adipose tissue only if strictly necessary and restoring the volume of the upper eyelid in a concept of beauty that espouses a"full"sight.There is no gold standard technique to achieve younger and enhanced eyelids.Long-term prospective comparative studies are fundamental in understanding which path is the best to follow.

Perception of dental appearance and aesthetic analysis among patients,laypersons and dentists

BACKGROUND Current concepts of beauty are increasingly subjective,influenced by the viewpoints of others.The aim of the study was to evaluate divergences in the perception of dental appearance and smile esthetics among patients,laypersons and dental practitioners.The study goals were to evaluate the influence of age,sex,education and dental specialty on the participants’judgment and to identify the values of different esthetic criteria.Patients sample included 50 patients who responded to a dental appearance questionnaire(DAQ).Two frontal photographs were taken,one during a smile and one with retracted lips.Laypersons and dentists were asked to evaluate both photographs using a Linear Scale from(0-10),where 0 represent(absolutely unaesthetic)and 10 represent(absolutely aesthetic).One-way analysis of variance(ANOVA)and t-test analysis were measured for each group.Most patients in the sample expressed satisfaction with most aspects of their smiles and dental appearance.Among laypersons(including 488 participants),47 pictures“with lips”out of 50 had higher mean aesthetic scores compared to pictures“without lips”.Among the dentist sample,90 dentists’perception towards the esthetic smile and dental appearance for photos“with lips”and“without lips”were the same for 23 out of 50 patients.Perception of smile aesthetics differed between patients,laypersons and dentists.Several factors can contribute to shape the perception of smile aesthetic.AIM To compare the perception of dental aesthetic among patients,laypersons,and professional dentists,to evaluate the impact of age,sex,educational background,and income on the judgments made by laypersons,to assess the variations in experience,specialty,age,and sex on professional dentists’judgment,and to evaluate the role of lips,skin shade and tooth shade in different participants’judgments.METHODS Patients sample included 50 patients who responded to DAQ.Two frontal photographs were taken:one during a smile and one with retracted lips.Laypersons and dentists were asked to evaluate both photographs using a Linear Scale from(0-10),where 0 represent(absolutely unaesthetic)and 10 represent(absolutely aesthetic).One-way ANOVA and t-test analysis were measured for each group.RESULTS Most patients in the sample expressed satisfaction with most aspects of their smiles and dental appearance.Among laypersons(including 488 participants),47 pictures“with lips”out of 50 had higher mean aesthetic scores compared to pictures“without lips”.Whereas among the dentist sample,90 dentists’perception towards the esthetic smile and dental appearance for photos“with lips”and“without lips”were the same for 23 out of 50 patients.Perception of smile aesthetics differed between patients,laypersons and dentists.CONCLUSION Several factors can contribute to shape the perception of smile aesthetic.

Cross-Modal Consistency with Aesthetic Similarity for Multimodal False Information Detection

With the explosive growth of false information on social media platforms, the automatic detection of multimodalfalse information has received increasing attention. Recent research has significantly contributed to multimodalinformation exchange and fusion, with many methods attempting to integrate unimodal features to generatemultimodal news representations. However, they still need to fully explore the hierarchical and complex semanticcorrelations between different modal contents, severely limiting their performance detecting multimodal falseinformation. This work proposes a two-stage detection framework for multimodal false information detection,called ASMFD, which is based on image aesthetic similarity to segment and explores the consistency andinconsistency features of images and texts. Specifically, we first use the Contrastive Language-Image Pre-training(CLIP) model to learn the relationship between text and images through label awareness and train an imageaesthetic attribute scorer using an aesthetic attribute dataset. Then, we calculate the aesthetic similarity betweenthe image and related images and use this similarity as a threshold to divide the multimodal correlation matrixinto consistency and inconsistencymatrices. Finally, the fusionmodule is designed to identify essential features fordetectingmultimodal false information. In extensive experiments on four datasets, the performance of the ASMFDis superior to state-of-the-art baseline methods.

Value Recognition:The International Communication of Shared Human Values and Aesthetics:A Case Study of the Overseas Dissemination and Reception of Chinese Literature

International communication should fundamentally aim at promoting the exchange and mutual learning of civilizations,achieving a transformation from"cultural clashes"to""civilizational exchange and mutual learning."The manifestation of international communication that facilitates this exchange and mutual learning is that the values contained in the communication texts ultimately become integrated into the culture of the receiving party and even into human culture as a whole due to this exchange and mutual learning.Achieving civilizational exchange and mutual learning in international communication requires"value recognition"efforts between the disseminating and receiving parties,focusing on the universal values of human happiness for all,which is the"greatest common divisor"of value recognition among different receiving subjects.International communication that facilitates the exchange and mutual learning of civilizations must take the inevitable route of such international communication:the path of aesthetic communication.

Insights into upper blepharoplasty: Conservative volume-preserving techniques

This editorial commentary critically examines the systematic review by Miotti et al,which discusses the evolving trends in upper lid blepharoplasty towards a conservative,volume-preserving approach.The review emphasizes the shift from traditional tissue resection to techniques that maintain anatomical integrity,paralleling broader trends in panfacial rejuvenation.Miotti et al delve into the nuances of fat pad management,advocating for conservation over reduction to sustain natural contours and improve long-term aesthetic outcomes.This perspective is supported by comparative studies and empirical data,such as those from Massry and Alghoul et al,highlighting the benefits of conservative approaches in terms of patient satisfaction and aesthetic longevity.The review also stresses the importance of surgeon discretion in adapting procedures to diverse patient demographics,particularly in addressing distinct features such as the Asian upper eyelid.However,it identifies a significant gap in long-term comparative research,underscoring the need for future studies to substantiate the safety and efficacy of these minimalist techniques.Overall,Miotti et al.'s work contributes profoundly to the discourse on personalized,conservative cosmetic surgery,urging ongoing research to refine and validate surgical best practices in upper eyelid blepharoplasty.

Radio Sound and Auditory Nostalgia in Toni Morrison’s Love

Radio sound is a key signal sound in Toni Morrison’s 2003 novel Love.The intertwining of memories and radio music constitutes an intriguing window on how radio sound serves as a vehicle for exploring the cultural and historical implications of African American women’s listening experiences with home radio,as is presented by Toni Morrison in her first new millennium novel Love.Far from a simple sonic link with the larger external world,radio sound in is a primary means for individual nostalgia,collective memory,and expression of auditory aesthetics.It is a mechanical sound which conveys a particular“black restorative nostalgia.”

When the Combination of a Chinese Flap and Dufourmentel Makes It Possible to Treat a Hopeless Case of Squamous Cell Carcinoma of the Upper Lip

Cancers of the lip are the leading cause of labial defects, and treatment is essentially surgical. The success of a repair is assessed by two essential criteria: The functional character of the lip (restoration of continence allowing feeding) and the aesthetic quality of the repair. However, for many patients from countries whose medical infrastructure does not allow them to undertake complex reconstructions locally, medical transfers represent their only chance of treatment. The aim of this article is to share with you an extreme clinical case of labial reconstruction, the management of which was a real challenge, using two major flaps: the free ante-brachial flap and the DUFOURMENTEL-type bi-pediculated scalp flap.

Translation of Culture-loaded Words in The Golden Cangue under the Perspective of Reception Aesthetics

Good translations play a very important role in cultural exchange.The idea of reception aesthetics think the reader as the center in translation process.This paper will study the translation of culture-loaded words from the perspective of reception aesthetics.It is divided into five parts.The first part mainly introduces the background and theoretical foundation of this paper,the second part introduces the writer’s works,the third part gives examples to analyze the culture-loaded words appearing in The Golden Cangue,the fourth part gives examples of the translation methods,and the fifth part is the conclusion.It aims to provide a reference for the English translation of culture-loaded words.

Intention and Standing Image:Interpretation of the Aesthetic Intention of Arhat Portrait on Mount Wutai

Mount Wutai,a place endowed with fine spirits of humanities and prolific remains of Arhats portrait art.The existing Mount Wutai Arhats portrait spans the Ming,Qing,and Republic of China periods,and through the artistic creation of successive generations of literati painters,exquisite Arhats portraits are painted on different artistic carriers.On the basis of inheriting the traditional Chinese paradigm painting expression,the portrait of Mount Wutai Arhats constantly draws on folk nutrients.It integrates foreign Buddhist culture for refinement and sublimation.The reconstructed portrait pays attention to the image expression of its objects and the shaping of spiritual temperament.The shape is ancient and vivid,and the scene is ethereal and mysterious,which rationally expresses the Buddhist philosophy of generosity,benevolence and kindness,and contains unique oriental aesthetics.

The Aesthetic Characteristics of Emotional Abuse in The Japanese Movie“0.5mm”

The Japanese movie“0.5mm”connects the life clips between the nursing-care helper Sawa and several old people in the form of a road movie,highlighting many thought-provoking social problems,and revealing how the elements of emotional abuse hidden between the old people and their relatives and friends affect people’s dignity and decency,and at the same time trying to offset the persecution from the emotional abuse with the warm kindness between the elderly and the care workers.The film’s implicit description of emotional abuse and explicit display of good deeds are blended in the quiet and mysterious narrative character,achieving the effect of synchronizing the artistic narrative rhythm with the flow of life,reflecting the unique aesthetic characteristics of Japanese films.

The Aesthetic Connotation of Ancient Calligraphy

From the origin of writing to the formation of the writing system,the names and aesthetics of calligraphy have been evolving with time.Calligraphy has different mainstream writing styles across different eras and has been assigned different names,which also maps the aesthetic orientation of the times.Not only is calligraphy the evolution of the designation of successive generations but also in the continuous pursuit of“name”and“reality”of the unity of the ancient connotation of calligraphy and the era of aesthetic integration.This paper discusses the flavorful meaning behind the concept of ancient calligraphy,as well as its various forms of expression.

Mastering Metaphors: A Possible Path to Understand Modern Poetry

Understanding modern poetry is a big problem for average readers because of all kinds of rhetorical devices filled with them,especially metaphors,which are hard for the readers to understand clearly.Thus,grasping metaphors would provide a possible solution to enhance the understanding of modern poetry.Based on the motivation to better understand modern poetry,the paper explores the 11 mechanisms of metaphors in modern poetry with examples in detail,i.e.,blending,mapping,frame shifting,image schema,conceptual integration,contextual grounding,inter-subjectivity,embodied cognition,recursiveness,juxtaposition,shape-moulding,by borrowing some concepts from Cognitive Linguistics,literary studies,and Rhetorics,which can be adopted as means and methods to understand modern poems.

Research on Dynamic Graphic Features in Digital Media Interfaces

In digital media interfaces,dynamic graphics integrate elements of animation design,graphic design,and cinematic language,presenting in various forms and demonstrating significant inclusivity.From the perspective of visual cognition,by capturing dynamic graphics within the interface,three-dimensional information such as time and space is acquired,and the cognition process exhibits characteristics of spatial and temporal correlation.In terms of information cognition,dynamic representation fragments information,resulting in a sense of discontinuity and intermittent memory.The efficiency of information cognition and transmission is enhanced through the coordination of audio,video,and other elements.In aesthetic perception,with the rise of Internet culture,people’s aesthetic perceptions towards dynamic graphic design have evolved,showcasing a generalization of form and the instantaneous nature of content.Technically,the complexity of design and the diversity of applications have established dynamic graphics as a typical design style label in digital media interfaces.

Integration of Red Aesthetic Education into Kindergarten and its Practical Paths

Red culture has important educational value.The integration of red aesthetics into the kindergarten provides strong support for children to establish correct values and historical views in the multi-cultural environment,and cultivate their creativity and aesthetic consciousness.Red aesthetic education activities should pay attention to the real embodiment of children’s subjectivity and the deep integration of application and practice.Practical paths of red aesthetic education in kindergarten include art activities,multi-field penetration,traditional festivals,and red aesthetic education environment infiltration.

Research on the Innovative Path of Integrating Qilu Costume Culture into Aesthetic Education in Elementary Schools

Inheriting and promoting the excellent traditional Chinese culture should begin with the youth,as elementary school aesthetic education plays a crucial role in this process of cultural dissemination.At present,elementary school aesthetic education mainly focuses on traditional fields such as art,music,dance,calligraphy,etc.,and there is still much room for innovation in communication carriers and paths.Based on this status quo,combining professional and regional advantages,this article proposes to take Qilu characteristic costume culture as a carrier to integrate the innovation of excellent traditional Chinese culture into elementary school aesthetic education.It aims to cultivate humanistic literacy and a sense of belonging in school-age children and establish cultural confidence.

Modern blepharoplasty:From bench to bedside

The demand for procedures aiming to rejuvenate the upper third part of the face and the periocular region has increased in the past several years.Blepharoplasty is one of the most frequently performed procedures worldwide to date.Surgery is currently the first choice in order to achieve permanent and effective results;however,it is burdened by potential surgical complications feared by patients.There is an increasing trend in individuals to request less invasive,non-surgical,effective,and safe procedures for eyelid treatment.The aim of this minireview is to present a brief overview of non-surgical blepharoplasty techniques that have been reported in the literature in the past 10 years.Numerous modern techniques that provide a rejuvenation of the entire area have been described.Numerous less invasive methods have been proposed in the current literature and in modern-day routine clinical settings.Dermal fillers are a commonly chosen option for providing enhanced aesthetic results,especially considering that volume loss can be one of the main underlying causes of facial and periorbital aging.Deoxycholic acid use may be considered when the problem is represented by periorbital excess fat deposits.The simultaneous excess and loss of elasticity of the skin can be assessed with techniques such as lasers and plasma exeresis.Furthermore,techniques such as platelet-rich plasma injections and the insertion of twisted polydioxanone threads are emerging as viable methods to rejuvenate the periorbital region.

SRAFE:Siamese Regression Aesthetic Fusion Evaluation for Chinese Calligraphic Copy

Evaluation of calligraphic copy is the core of Chinese calligraphy appreciation and in-heritance.However,previous aesthetic evaluation studies often focussed on photos and paintings,with few attempts on Chinese calligraphy.To solve this problem,a Siamese regression aesthetic fusion method is proposed,named SRAFE,for Chinese calligraphy based on the combination of calligraphy aesthetics and deep learning.First,a dataset termed Evaluated Chinese Calligraphy Copies(E3C)is constructed for aesthetic evalu-ation.Second,12 hand‐crafted aesthetic features based on the shape,structure,and stroke of calligraphy are designed.Then,the Siamese regression network(SRN)is designed to extract the deep aesthetic representation of calligraphy.Finally,the SRAFE method is built by fusing the deep aesthetic features with the hand‐crafted aesthetic features.Experimental results show that scores given by SRAFE are similar to the aesthetic evaluation label of E3C,proving the effectiveness of the authors’method.

Successful treatment of eyebrow intradermal nevi by shearing combined with electrocautery and curettage:Two case reports

BACKGROUND An intradermal nevus is a common skin tumour,and the classical method of removal has a risk of recurrence and scarring.It is a challenge for dermatologists to treat eyebrow intradermal nevi quickly and efficiently.This study focused on investigating the efficacy and safety of shearing combined with electrocautery and curettage in the treatment of eyebrow intradermal nevi.CASE SUMMARY We describe two adult patients with eyebrow intradermal nevi treated by shearing combined with electrocautery and curettage.Both patients were followed up regularly after surgery.At follow-up,no recurrence of eyebrow intradermal nevus and no obvious scars or hypopigmentation were found in either patient.The results indicated that shearing combined with electrocautery and curettage could remove eyebrow intradermal nevus without side effects and confirmed the efficacy and safety of this modality for treating these skin lesions.CONCLUSION Shearing combined with electrocautery and curettage has superior merits,including simple operation,good cosmetic effects,and high patient satisfaction,presenting great application potential for treating intracutaneous nevus.

Landscape Aesthetic Characteristics of Wulingyuan World Natural Heritage Property and Realization Path of Aesthetic Education Value

Wulingyuan is a world natural heritage property mainly dominated by rare quartz sandstone peak forest landscape at home and abroad and supplemented by karst landscapes,with a large number of geological and historical sites,biological and ecological landscape and unique cultural landscapes.Preserving the secluded and beautiful scenery environment,biological environment and ecosystem of subtropical zone,Wulingyuan presents a splendid and magnificent landscape,with high aesthetic value,and becomes an important practice base of aesthetic education.The aesthetic education value of Wulingyuan World Natural Heritage Property can be realized by systematically studying and presenting the aesthetic education value of Wulingyuan World Natural Heritage Property,developing a series of aesthetic education courses to lead tourists into the world of Wulingyuan aesthetic education,carrying out a series of popular science activities of“Wulingyuan World Natural Heritage Property Entering Campus”,and incorporating into the aesthetic education curriculum system of schools,etc.This paper analyzes the landscape aesthetic characteristics of Wulingyuan World Natural Heritage Property thoroughly,which indicates the direction for realizing the aesthetic education value of the property,and also provides a reference for realizing the aesthetic education value of similar world natural heritage property.

Treatment and Sequelae of Panfacial Fractures in the Maxillofacial Surgery and Stomatology Department of the Hospital University of Treichville-Abidjan (Cote d’Ivoire)

Introduction: The treatment of panfacial fractures is complex and constitutes a challenge for the maxillofacial surgeon, who, despite therapeutic progress, frequently suffers functional and aesthetic sequelae. This study aimed to describe the treatment and evaluate the functional and aesthetic sequelae of panfacial fractures in the stomatology and maxillofacial surgery department of the Treichville University Hospital. Materials and Methods: We conducted a retrospective study over a 6 years in the stomatology and maxillofacial surgery department of Treichville University Hospital. Forty-two patients with panfacial fractures were included in the study. Results: Forty-two patients were registered. The average time to osteosynthesis was 12.4 days. Nasotracheal intubation was used most often (88%), and in the majority of cases, mixed osteosynthesis combining a screwed plate and steel wire was performed (64.29%). The “Bottom-up and Outside-in” surgical sequence was the most commonly used (64.29%). All patients had at least one functional and/or cosmetic sequela after treatment. Functional sequelae were dominated by occlusal problems and aesthetic sequelae by nasal deformities. Discussion: Panfacial fractures are characterised by their complexity, presenting maxillo-facial surgeons with a therapeutic and evolutionary challenge. The quality of the initial, often multidisciplinary, management of panfacial fractures is an essential factor in both functional and aesthetic prognosis. Conclusion: The treatment of panfacial fractures, even if well managed, is sometimes a source of sequelae, requiring often complex secondary management.