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Fadri Crest, Executive Editor of the Aesthetic Surgery journal, and Hunter Alexander, Editorial Manager, discuss the challenges of peer review and offer tips for improving manuscript submissions. They emphasize the importance of image standardization in submissions, noting that pre- and post-operative images should ideally be taken in the same location to ensure consistent backgrounds. Additionally, they recommend attention to cropping, sizing, and image quality to enhance clarity and presentation during the peer review process. These practices can significantly improve the chances of a successful manuscript submission.