Impact of nutrition on skin wound healing and aesthetic outcomes: A comprehensive narrative review

Background: While current wound treatment strategies often focus on antimicrobials and topical agents, the role of nutrition in wound healing and aesthetic outcomes is crucial but frequently overlooked. This review assesses the impact of specific nutrients and preoperative nutritional status on surg...

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Main Authors: Ishith Seth, Bryan Lim, Jevan Cevik, Dylan Gracias, Marcel Chua, Peter Sinkjaer Kenney, Warren M. Rozen, Roberto Cuomo
Format: Article
Language:English
Published: Elsevier 2024-03-01
Series:JPRAS Open
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S235258782400007X
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author Ishith Seth
Bryan Lim
Jevan Cevik
Dylan Gracias
Marcel Chua
Peter Sinkjaer Kenney
Warren M. Rozen
Roberto Cuomo
author_facet Ishith Seth
Bryan Lim
Jevan Cevik
Dylan Gracias
Marcel Chua
Peter Sinkjaer Kenney
Warren M. Rozen
Roberto Cuomo
author_sort Ishith Seth
collection DOAJ
description Background: While current wound treatment strategies often focus on antimicrobials and topical agents, the role of nutrition in wound healing and aesthetic outcomes is crucial but frequently overlooked. This review assesses the impact of specific nutrients and preoperative nutritional status on surgical outcomes. Methods: A comprehensive search was conducted in PubMed, Scopus, Web of Science, and the Cochrane Library, from the inception of the study to October 2023. The study focused on the influence of macronutrients and micronutrients on aesthetic outcomes, the optimization of preoperative nutritional status, and the association between nutritional status and postoperative complications. Inclusion criteria were English language peer-reviewed articles, systematic reviews, meta-analyses, and clinical trials related to the impact of nutrition on skin wound healing and aesthetic outcomes. Exclusion criteria included non-English publications, non-peer-reviewed articles, opinion pieces, and animal studies. Results: Omega-3 fatty acids and specific amino acids were linked to enhanced wound-healing and immune function. Vitamins A, B, and C and zinc positively influenced healing stages, while vitamin E showed variable results. Polyphenolic compounds showed anti-inflammatory effects beneficial for recovery. Malnutrition was associated with increased postoperative complications and infections, whereas preoperative nutritional support correlated with reduced hospital stays and complications. Conclusion: Personalized nutritional plans are essential in surgical care, particularly for enhanced recovery after surgery protocols. Despite the demonstrated benefits of certain nutrients, gaps in research, particularly regarding elements such as iron, necessitate further studies. Nutritional assessments and interventions are vital for optimal preoperative care, underscoring the need for more comprehensive guidelines and research in nutritional management for surgical patients.
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spelling doaj.art-15a6b092604741d690885a24ea4dfc412024-02-29T05:19:38ZengElsevierJPRAS Open2352-58782024-03-0139291302Impact of nutrition on skin wound healing and aesthetic outcomes: A comprehensive narrative reviewIshith Seth0Bryan Lim1Jevan Cevik2Dylan Gracias3Marcel Chua4Peter Sinkjaer Kenney5Warren M. Rozen6Roberto Cuomo7Department of Plastic Surgery, Peninsula Health, Melbourne, Victoria 3199, Australia; Central Clinical School at Monash University, The Alfred Centre, 99 Commercial Rd, Melbourne, Victoria 3004, AustraliaDepartment of Plastic Surgery, Peninsula Health, Melbourne, Victoria 3199, Australia; Central Clinical School at Monash University, The Alfred Centre, 99 Commercial Rd, Melbourne, Victoria 3004, AustraliaDepartment of Plastic Surgery, Peninsula Health, Melbourne, Victoria 3199, AustraliaDepartment of Plastic Surgery, Peninsula Health, Melbourne, Victoria 3199, AustraliaDepartment of Plastic Surgery, Peninsula Health, Melbourne, Victoria 3199, Australia; Central Clinical School at Monash University, The Alfred Centre, 99 Commercial Rd, Melbourne, Victoria 3004, AustraliaDepartment of Plastic Surgery, Odense University Hospital, J. B. Winsløwsvej 4, Odense 5000, Denmark; Department of Plastic and Breast Surgery, Aarhus University Hospital, Aarhus 8200, DenmarkDepartment of Plastic Surgery, Peninsula Health, Melbourne, Victoria 3199, Australia; Central Clinical School at Monash University, The Alfred Centre, 99 Commercial Rd, Melbourne, Victoria 3004, AustraliaPlastic Surgery Unit, Department of Medicine, Surgery and Neuroscience, University of Siena, Siena 53100, Italy; Corresponding author at: Plastic Surgery Unit, Department of Medicine, Surgery and Neuroscience, University of Siena, Siena 53100, Italy.Background: While current wound treatment strategies often focus on antimicrobials and topical agents, the role of nutrition in wound healing and aesthetic outcomes is crucial but frequently overlooked. This review assesses the impact of specific nutrients and preoperative nutritional status on surgical outcomes. Methods: A comprehensive search was conducted in PubMed, Scopus, Web of Science, and the Cochrane Library, from the inception of the study to October 2023. The study focused on the influence of macronutrients and micronutrients on aesthetic outcomes, the optimization of preoperative nutritional status, and the association between nutritional status and postoperative complications. Inclusion criteria were English language peer-reviewed articles, systematic reviews, meta-analyses, and clinical trials related to the impact of nutrition on skin wound healing and aesthetic outcomes. Exclusion criteria included non-English publications, non-peer-reviewed articles, opinion pieces, and animal studies. Results: Omega-3 fatty acids and specific amino acids were linked to enhanced wound-healing and immune function. Vitamins A, B, and C and zinc positively influenced healing stages, while vitamin E showed variable results. Polyphenolic compounds showed anti-inflammatory effects beneficial for recovery. Malnutrition was associated with increased postoperative complications and infections, whereas preoperative nutritional support correlated with reduced hospital stays and complications. Conclusion: Personalized nutritional plans are essential in surgical care, particularly for enhanced recovery after surgery protocols. Despite the demonstrated benefits of certain nutrients, gaps in research, particularly regarding elements such as iron, necessitate further studies. Nutritional assessments and interventions are vital for optimal preoperative care, underscoring the need for more comprehensive guidelines and research in nutritional management for surgical patients.http://www.sciencedirect.com/science/article/pii/S235258782400007XNutritionSkin healingWound healingAestheticCosmetic outcomes
spellingShingle Ishith Seth
Bryan Lim
Jevan Cevik
Dylan Gracias
Marcel Chua
Peter Sinkjaer Kenney
Warren M. Rozen
Roberto Cuomo
Impact of nutrition on skin wound healing and aesthetic outcomes: A comprehensive narrative review
JPRAS Open
Nutrition
Skin healing
Wound healing
Aesthetic
Cosmetic outcomes
title Impact of nutrition on skin wound healing and aesthetic outcomes: A comprehensive narrative review
title_full Impact of nutrition on skin wound healing and aesthetic outcomes: A comprehensive narrative review
title_fullStr Impact of nutrition on skin wound healing and aesthetic outcomes: A comprehensive narrative review
title_full_unstemmed Impact of nutrition on skin wound healing and aesthetic outcomes: A comprehensive narrative review
title_short Impact of nutrition on skin wound healing and aesthetic outcomes: A comprehensive narrative review
title_sort impact of nutrition on skin wound healing and aesthetic outcomes a comprehensive narrative review
topic Nutrition
Skin healing
Wound healing
Aesthetic
Cosmetic outcomes
url http://www.sciencedirect.com/science/article/pii/S235258782400007X
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