ArticleAesthetic plastic surgery2026
A Zone-Specific, Minimally Invasive Approach with a Rotary Cutting System for Moderate-to-Severe Fibrotic Buffalo Hump.
Article in Aesthetic plastic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe management of moderate-to-severe fibrotic buffalo hump remains challenging, as current treatment options range from minimally invasive but suboptimal techniques to invasive open procedures. This study aimed to evaluate the efficacy and safety of a novel zone-specific surgical strategy using a rotary cutting system for this condition.
methodsA retrospective cohort study was conducted on 56 patients with fibrotic buffalo hump. A zone-specific strategy was employed: The avascular central zone (Zone I) was resected using a rotary cutting system, while the vascular-rich peripheral zone (Zone II) was managed with blunt dissection and liposuction. Outcomes were assessed using an observer-rated 4-point aesthetic scale and the patient-reported Neck Extension Mobility Score (NEMS).
resultsThe mean follow-up duration was 8 months. Most patients (92.9%, 52/56) achieved "Good" or "Excellent" aesthetic outcomes. Functional improvement was significant postoperatively, with the proportion of patients experiencing moderate-to-severe mobility restrictions (NEMS 3-4) dropping from 69.6% preoperatively to 5.4% postoperatively. Complications were minor, primarily transient numbness (25.0%), with a 3.6% seroma rate and no instances of hematoma or infection.
conclusionThe zone-specific application of a rotary cutting system is a safe and effective advanced minimally invasive option for moderate-to-severe fibrotic buffalo hump, potentially bridging the therapeutic gap between minimally invasive and open procedures. LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
Indexed as
Identifiers
42045686What Socratic holds
Registered trials
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 Socratic graph.