Excising the Extra: A Scoping Review of Direct Excision Safety, Complications, and Prevention Strategies in Facial Aesthetic Plastic Surgery.

Direct excision demonstrates a favorable safety profile across the periorbital and nasal regions. Major complications were confined to the cervical region.

Preoperative patient selection, meticulous intraoperative technique, and prompt recognition of postoperative complications are essential.

Future prospective studies with standardized reporting of complications are needed to strengthen evidence-based recommendations.