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Facial Plastic Surgery: FPS

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https://www.readbyqxmd.com/read/28033645/the-facial-adipose-tissue-a-revision
#1
Ilja Kruglikov, Oscar Trujillo, Quick Kristen, Kerelos Isac, Julia Zorko, Maria Fam, Kasie Okonkwo, Asima Mian, Hyunh Thanh, Konstantin Koban, Anthony P Sclafani, Hanno Steinke, Sebastian Cotofana
Recent advantages in the anatomical understanding of the face have turned the focus toward the subcutaneous and deep facial fat compartments. During facial aging, these fat-filled compartments undergo substantial changes along with other structures in the face. Soft tissue filler and fat grafting are valid methods to fight the signs of facial aging, but little is known about their precise effect on the facial fat. This narrative review summarizes the current knowledge about the facial fat compartments in terms of anatomical location, histologic appearance, immune-histochemical characteristics, cellular interactions, and therapeutic options...
December 2016: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/28033644/dome-division-a-viable-technique-today
#2
Armando Boccieri, Sebastiano Sciuto, Valerio Cervelli, Michele Pascali
Dome division can still be regarded as a valid surgical procedure today in some particular cases of revision rhinoplasty where the scarring is so extensive as to make precise isolation of the alar cartilages impossible. The presence of asymmetry of the nasal tip, a recurrent feature in the results of rhinoplasty, constitutes the primary indication, as division makes it immediately possible to restore balance between the two domes in such cases. The technique also proves useful in cases of overprojection of the tip as a result of rhinoplasty...
December 2016: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/28033643/suspension-threads
#3
Elen C D J De Masi, Flávia D J De Masi, Roberta D J De Masi
Suture threads are a minimally invasive surgical technique for facial rejuvenation. Its use was initiated by Sulamanidze et al with propylene after Serdev introduced suture with polycaproamide; however, these types of suture increased inflammatory reaction. For correction of the aging face, surgeons are devising more procedures with fewer incisions and shorter postoperative recovery periods. Many of these procedures use absorbable and nonabsorbable sutures in the dermis and subcutis to lift lax skin. The polydioxanone suture is currently a great option for antiaging treatment, because besides the ease of applicability and good results, it also has a low incidence of adverse reactions...
December 2016: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/28033642/isotretinoin-use-in-thick-skinned-rhinoplasty-patients
#4
Roxana Cobo, Liliana Vitery
One of the characteristics of mestizo patients can be the thick sebaceous skin associated with a poor osteocartilaginous underlying nasal structure. In spite of using a proper structural approach where grafts and sutures are used to define the nasal tip, frequently the results are suboptimal. Surgical techniques have been described to reduce the thickness of the skin-soft tissue envelope, but these frequently give unreliable results. The monitored use of isotretinoin given orally as a complement after performing a rhinoplasty can adequately control the production of the sebaceous glands and thin the skin-subcutaneous tissue envelope in a uniform fashion without compromising the underlying bony and cartilaginous structures of the nose...
December 2016: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/28033641/optimizing-the-soft-tissue-triangle-alar-margin-furrow-and-alar-ridge-aesthetics-analysis-and-use-of-the-articulate-alar-rim-graft
#5
Jennifer L Goodrich, B J F Wong
The alar lobule, alar margin, and soft triangle facet are receiving more attention in the literature as critical elements to address both preoperatively and during rhinoplasty. We have found that the use of the articulated alar rim graft (AARG) corrects deficiencies in these areas as well as provides mechanical stability to the external valve. In this article, we describe indications for AARG, describe in detail the procedure for AARG placement, and highlight the transformation AARGs can achieve in two illustrated case studies...
December 2016: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/28033640/rebuilding-the-middle-vault-in-rhinoplasty-a-new-classification-of-spreader-flaps-grafts
#6
Fazil Apaydin
After hump removal in reduction rhinoplasty, one of the main steps is to rebuild the middle vault. Spreader grafts have long been the main tool for the surgeon. Within the last two decades, the spreader flaps have started to be very popular as well. In accordance with the experience and technical preferences of the surgeon, there are many different options. In this article, the spreader grafts are classified as traditional, modified, splinting, and reconstructive. The spreader flaps are designed in accordance with their relationship with the septum and the spreader grafts...
December 2016: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/28033639/optimizing-outcomes-with-clinical-data-registries
#7
Lisa Ishii
Clinical data registries are platforms to extract, store, analyze, and disseminate large amounts of clinical data. The type of data contained in clinical data registries varies by the registry, and may include patient demographics, clinical examination findings, imaging and laboratory results, procedures performed, and patient-reported outcomes. When large numbers of participants submit data to a clinical data registry the data can then be analyzed in aggregate to answer new clinical questions. Analyses on the data may be performed to show outcomes over time, compare procedures, evaluate care patterns, among others...
December 2016: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/28033638/transpalpebral-eyebrow-lift
#8
Lucas Gomes Patrocinio, Tomas Gomes Patrocinio, Jose Antonio Patrocinio
Forehead rejuvenation goals are to raise the eyebrow, attenuate forehead wrinkles, and decrease glabellar frown lines. Endoscopic forehead lift represents a significant progress, even replacing the classic coronal and pretriquial techniques. The transpalpebral eyebrow lift allows safe direct visualization of anatomic structures comparable to the allowed by the endoscopic-assisted technique but dispenses the endoscopic instrumentation, is less expensive, and takes less time to learn. Transpalpebral eyebrow lift is a technique that produces satisfactory results in mild-to-moderate eyebrow ptosis improving eyebrow lateral third ptosis and glabellar wrinkles...
December 2016: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/28033637/use-of-submental-muscular-medialization-and-suspension-to-improve-the-cervicomental-angle
#9
Phillip R Langsdon, Samuel Moak
Many techniques have been presented over recent decades to address the neck contour in facial cosmetic surgery. Despite advances, limitations remain when dealing with the obtuse cervicomental angle. The authors describe a technique for improving the obtuse cervicomental angle. Submental muscular medialization and suspension is a simple yet highly effective surgical technique that can result in dramatic and enduring improvement in the cervicomental angle.
December 2016: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/28033636/treatment-strategy-for-revision-rhinoplasty-in-asians
#10
Yong Ju Jang, Do-Youn Kim
Revision rhinoplasty in Asian patients is associated with problems related to the use of grafts or implant materials. Moreover, the septal cartilage of Asian individuals is generally weak and small, which makes it particularly vulnerable to injury or secondary deformity during primary surgery. Hence, there is an increased demand for major reconstruction of the septal cartilage framework during revision surgery in Asian patients. In revision rhinoplasty of the nose in Asian patients, appropriate management of the graft or implant is vital...
December 2016: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/28033635/endoscopic-brow-elevation-and-reshaping
#11
Olga Plowes Hernandez, Jose Juan Montes-Bracchini, Fausto López Ulloa, Keith LaFerriere
One of the first signs of aging belongs to the upper third of the face. At the same time, the height and shape of the eyebrows are key points of the periorbital aesthetics. A "tired" or "sad" look implies that the complex eyebrow-upper eyelid are showing one or more of these signs. Different surgical techniques as well as nonsurgical have been described to treat this area, every one of them aiming at making the patient look rested and natural. The objective of this study is to describe a technique for endoscopic browlifting, consisting of minimal incisions, a biplanar dissection, and a different fixation technique designed for helping reshape the brow...
December 2016: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/28033634/how-to-harmonize-the-ethnic-nose
#12
Artur Grinfeld, Rodrigo Betelli, Guilherme Arruda, Washington Almeida
The demand for cosmetic surgery has significantly increased in the past few years mainly due to economic rise witnessed in Brazil. The state of Bahia has predominately Afro-descendant population with the same countrywide scenario, where the surgeon must be able to face challenges such as the specifics demands of rhinoplasty in an ethnic nose. It represents not only a different nasal variety from the Caucasoid, but also a complex anatomical feature, with its own peculiarities, as thicker and oilier skin, with bulky fibrous fatty tissue with numerous sebaceous glands...
December 2016: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/28033633/rhytidoplasty-smas-imbrication-vector-comparison
#13
Fernando Pedroza, Luis Fernando Pedroza, Daniel Correal Gentry, Juan Guillermo Erazo Cordoba, Guillermo Arturo Landinez Cepeda
To determine if there are aesthetic differences in patients who have undergone a SMAS lifting with predominantly oblique-horizontal vectors versus predominantly oblique-vertical vectors. To determine if there are aesthetic differences in the results of the neck using sutures placed in specific areas of the platysmal muscle versus randomly placed sutures for platysmal plication to the mastoid. Comparative, retrospective, blind, and randomized study. Evaluation of preoperative and postoperative photographs of 54 patients who underwent predominantly oblique-horizontal SMAS lifting versus 53 patients who underwent predominantly oblique-vertical traction of the SMAS flap, reviewed by three external, unbiased facial plastic surgeons in a blind study...
December 2016: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/28033632/aesthetic-rhinoplasty-as-a-surface-contour-operation-from-analysis-to-surgery-personal-concepts
#14
Palma Pietro, Khodaei Iman, Vasilenko Irina
Numerous beautiful rhinoplasty results have been created by closed rhinoplasty techniques over the past 100 years. This operation was mainly a "reduction" surgery. Overaggressive reduction rhinoplasty is not a hallmark of the closed approach per se, but represents the result of inappropriate aesthetic appraisal, inadequate technical execution, or lack of sound anatomical understanding. Clearly, an operation based primarily on reduction intrinsically exposes the surgeon to the possibility of excessive diminution of support structures and consequently undesirable side effects...
December 2016: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/28033631/worldwide-perspectives-in-facial-plastic-surgery
#15
Fred G Fedok
No abstract text is available yet for this article.
December 2016: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/28033630/a-tribute-to-tony-bull-surgeon-teacher-leader-gentleman-1934-2016
#16
Werner Heppt, Anthony P Sclafani
No abstract text is available yet for this article.
December 2016: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/27680531/lasers-and-light-peels-and-abrasions
#17
Paul J Carniol
No abstract text is available yet for this article.
October 2016: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/27680530/a-case-of-basaloid-degeneration-of-nevus-sebaceous-during-childhood-should-nevus-sebaceous-be-excised-or-followed-up
#18
Arnaud Depeyre, Isabelle Barthelemy, Pierre Dechelotte, Nathalie Pham Dang
No abstract text is available yet for this article.
October 2016: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/27680529/modified-endonasal-tongue-in-groove-technique
#19
Sameep Kadakia, Alexander Ovchinsky
UNLABELLED: Achieving stable and desirable changes in tip rotation (TR) and tip projection (TP) is among the primary goals of modern day rhinoplasty. The tongue-in-groove (TIG) technique is one technique in rhinoplasty used to improve TR and/or TP. Performing TIG endonasally using a permanent suture can be quite cumbersome as the suture needs to be buried under the skin. We describe a variation of TIG technique for endonasal rhinoplasty using a permanent suture buried in small columellar skin incisions...
October 2016: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/27680528/tissue-engineering-and-the-future-of-facial-volumization
#20
Marsha Reuther, Deborah Watson
Volume loss due to facial aging can be restored by facial volumization using a variety of materials. Volumization can be performed in isolation or concurrent with other facial rejuvenation procedures to obtain an optimal aesthetic result. There is a myriad of manufactured products available for volumization. The use of autologous fat as facial filler has been adopted more recently and possesses certain advantages; however, the ideal filler is still lacking. Tissue engineering may offer a solution. This technology would provide autologous soft-tissue components for use in facial volumization...
October 2016: Facial Plastic Surgery: FPS
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