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Facial Plastic Surgery: FPS

Marion San Nicoló, Klaus Stelter, Haneen Sadick, Murat Bas, Alexander Berghaus
The safety and effectiveness of an absorbable implant for lateral cartilage support have been recently demonstrated in subjects with nasal valve collapse (NVC) at 12 months postprocedure. This follow-up study aimed to assess whether the safety and effectiveness of the implant persist in these patients for 24 months after the procedure. Thirty subjects with Nasal Obstruction Symptom Evaluation (NOSE) score ≥ 55 and isolated NVC were treated; 14 cases were performed in an operating suite under general anesthesia and 16 cases were performed in a clinic-based setting under local anesthesia...
September 18, 2018: Facial Plastic Surgery: FPS
Chelsea A Obourn, John L Frodel
Facelifts remain a critical part of a facial plastic surgeon's cosmetic practice. Techniques continue to evolve, while at the same time patients demand less invasive procedures with less morbidity. The authors present a facelift plication technique using wide purse-string sutures placed into the superficial musculoaponeurotic system and platysma. This is a retrospective review with a level of evidence 3 set at a medical spa and tertiary referral center designed to assess a purse-string suture technique using an inner followed by an outer purse-string, with refinements being made during the timeframe of the review...
September 18, 2018: Facial Plastic Surgery: FPS
Emily A Spataro, Sam P Most
A key concept in successful rhinoplasty surgery is maintaining or increasing tip support, and addressing tip projection and rotation. The tongue-in-groove (TIG) technique is a method to achieve this goal using sutures to create a strong connection between the septum and medial crura to change tip rotation and projection. Criticisms of this method include that it may cause stiffness of the nasal tip and columellar retraction. TIG is routinely used by the authors during anterior septal reconstructions (a modified extracorporeal septoplasty technique), as well as in primary and revision aesthetic and functional rhinoplasties...
September 14, 2018: Facial Plastic Surgery: FPS
Sridhayan Mahalingam, Anton Alatsatianos, Lisa Pitkin, Alwyn D'Souza
The cosmetic outcomes following thyroid and parathyroid surgery is a priority for patients as the surgical scar is in a visible area of the body. Although some have advocated the use of minimally invasive and robotic surgery, these are not without risks and it has been suggested that the scars are not necessarily more favorable. The three most common means of skin closure include the use of subcuticular sutures, clips, and tissue adhesive (with or without deeper subcutaneous sutures) and there are no previous reviews of the published evidence...
August 22, 2018: Facial Plastic Surgery: FPS
Jenny X Chen, Natalie Justicz, Linda N Lee
The use of platelet-rich plasma (PRP) has become increasingly commonplace in facial plastic surgery for the treatment of androgenic alopecia (AGA). However, this treatment remains novel with a range of application techniques and outcomes described in the literature. Herein, the authors systematically review the existing literature on the use and efficacy of PRP for AGA. Systematic review of PubMed, Embase, and Cochrane databases was performed. Case reports were excluded. Twenty-four papers met inclusion criteria for this study: 8 randomized control trials and 16 prospective cohort studies...
June 28, 2018: Facial Plastic Surgery: FPS
Ryan A Bartholomew, Joseph Zenga, Derrick T Lin, Daniel G Deschler, Jeremy D Richmon
Combination anterior palatectomy and rhinectomy defects result in complete loss of midface and nasal support and present a significant reconstructive challenge. A novel use of the scapular tip free flap-the tip-on-tip scapula flap-was developed to provide both palatal repair and restoration of intrinsic nasal support. The scapular tip bone is split into a large proximal segment for the anterior palate and a smaller distal bone segment for nasal framework reconstruction. Two patients undergoing reconstruction of both total palatectomy and partial rhinectomy defects at a single academic tertiary care center were reviewed...
August 2018: Facial Plastic Surgery: FPS
Anthony Bared
Hair restoration can be an integral addition to the facial plastic surgery practice. As surgeons dedicated to reconstructive and aesthetic surgery of the head and neck, hair restoration is a natural complement to a facial plastic surgeon's practice. This article presents the keys to adding and starting hair restoration to one's facial plastic surgery practice.
August 2018: Facial Plastic Surgery: FPS
Ian-James Malm, Monirah Albathi, Patrick Byrne, Masaru Ishii, Lisa Ishii, Kofi Boahene
Consistent and objective evaluation of the paralyzed face is imperative for documenting preoperative findings and assessing postoperative outcomes of reanimation techniques. Static and dynamic facial asymmetry are the key features of the paralyzed face. To date, there is no consensus among surgeons on how best to document facial asymmetry. The authors propose a Facial Asymmetry Index (FAI) as an objective measure of facial asymmetry and validate its use and reliability across numerous reanimation techniques...
August 2018: Facial Plastic Surgery: FPS
Abel-Jan Tasman, Ralph Litschel
Both intended and unintended surgical modifications of nasal width and shape of the nasal tip continue to be of interest to the rhinoplasty surgeon. As validated instruments for quantifying width and boxiness are lacking, the objective of this study was to introduce a width index and a boxiness index for the nasal dorsum and the nasal tip. A width index and a boxiness index were defined within the methodological limits of noncontact sonography. The reliability of both indices was studied by comparing the measurements of two examiners on the noses of five volunteers...
August 2018: Facial Plastic Surgery: FPS
Yung Yuan Chen, Yong Ju Jang
Saddle nose correction remains a challenging procedure for rhinoplasty surgeons due to both aesthetic and functional issues. The most common causes of saddle nose are nasal trauma and prior septal surgery, and a defective relationship between the caudal septum and the anterior septal spine is the principal postoperative pathology. The authors propose their own classification system for saddle nose with one new category and several approaches to deal with this condition in accordance with the level of severity...
August 2018: Facial Plastic Surgery: FPS
Miguel Gonçalves Ferreira, Mariline Santos, Diogo Oliveira E Carmo, José Carlos Neves, Cecília Almeida E Sousa, Frank R Datema
One of the key points of a successful rhinoplasty is communication between the patient and surgeon. The surgeon needs to get a clear understanding of the patient's motivation for surgery and expectations of the procedure. This information is mandatory in formulating an optimal surgical plan and managing realistic expectations of the procedures. Ideally, surgeons and patients see, discuss, and quantify the same nasal defects. In reality, the subjective nature of perceiving aesthetics can cause variability of inter-rating nasal appearance...
August 2018: Facial Plastic Surgery: FPS
Christoph Spiekermann, Eleftherios Savvas, Claudia Rudack, Markus Stenner
Outcome of functional rhinoplasty depends on different domains such as functional and aesthetic improvement. The aim of this study was to develop a brief and comprehensible questionnaire to identify patient motivation to undergo rhinoplasty and to measure the outcome of an intervention within a short time during outpatient consultation. Patients undergoing rhinoplasty were asked to complete the Rhinoplasty Outcome Evaluation (ROE) questionnaire, the Nasal Obstruction Symptom Evaluation (NOSE) scale, and the Utrecht Questionnaire for Outcome Assessment in Aesthetic Rhinoplasty (OAR) preoperatively, as well as one, three, and twelve months postoperatively...
August 2018: Facial Plastic Surgery: FPS
Hade D Vuyk, D P Engberts
No abstract text is available yet for this article.
August 2018: Facial Plastic Surgery: FPS
Abel-Jan Tasman, Holger G Gassner
No abstract text is available yet for this article.
August 2018: Facial Plastic Surgery: FPS
Yong Ju Jang, Shin Ae Kim, Sami Alharethy
No abstract text is available yet for this article.
August 2018: Facial Plastic Surgery: FPS
Houmehr Hojjat, Peter F Svider, Syed N Raza, Giancarlo Zuliani, Michael A Carron, Mahdi A Shkoukani
No abstract text is available yet for this article.
August 2018: Facial Plastic Surgery: FPS
Mirco Raffaini, Raffaella Perello, Marco Conti, Federico Hernandèz-Alfaro, Tommaso Agostini
The sagittal split osteotomy (SSO) is an indispensable tool in the correction of dentofacial abnormalities. In elective orthognathic surgery, it is important that surgeons inform patients about the risk of complications related to inferior alveolar nerve damage and unfavorable split. The purpose of this article is to describe a novel, hybrid technique to SSO by combining a reciprocating saw and piezoelectric devices with several advantages over traditional "pure" methods (osteotomies performed by reciprocating saw or piezoelectric devices only) in terms of precision, rapidity, easier splitting, and decreased complications related to inferior alveolar nerve damage and bad split with reduced overall morbidity...
August 2018: Facial Plastic Surgery: FPS
Jen-Wu Huang, Chih-Sheng Huang, Szu-Hsien Wu, Yu-Chung Shih, Yi-Ying Lin, Cherng-Kang Perng
Without well recognizing the vascular territories of the perforator, surgery might damage the pedicle and diminish flap survival. This study described a transillumination method for intraoperative mapping of the subfascial plexus of the perforator in the head and neck reconstruction with an anterolateral thigh (ALT) flap and also compared the perioperative outcomes and complications of the method with those of the conventional two-pedicle ALT flap. Between January 2011 and December 2017, 26 patients who underwent head and neck reconstruction with ALT flaps were evaluated as follows: 13 underwent the transillumination method (case group), and 13 (age- and sex-matched) underwent standard two-pedicle flap procedures (control group)...
August 2018: Facial Plastic Surgery: FPS
Houmehr Hojjat, Peter F Svider, Syed N Raza, Giancarlo Zuliani, Michael A Carron, Mahdi A Shkoukani
A decision tree was constructed to determine the incremental cost-effectiveness ratio (ICER) of grafting techniques used to prevent Frey Syndrome. The authors performed a sensitivity analysis to calculate what the probability of preventing Frey Syndrome would have to be and maximum costs associated with using grafting techniques to warrant their use as more "cost-effective" choice than using neither. Decision pathways utilized were uses of (1) free fat graft (FFG), (2) acellular dermis, and (3) no grafting...
August 2018: Facial Plastic Surgery: FPS
Robert Glasgold, Joelle Rogal, Lesley A Rabach, Mark Glasgold
The subciliary and skin pinch approaches are the most widely accepted techniques for treating dermatochalasis of the lower eyelid. Direct excision (DE) is an accepted method for treating festoons; however, it is not a popular technique for the treatment of dermatochalasis and pigment of the lower lid. DE of the lower lid offers a safe and excellent aesthetic result for dermatochalasis and pigment of the lower lid, without causing lower lid malposition, which can occur with more traditional methods. In addition to being able to remove significantly more skin without risking lower lid malposition, this procedure allows for removal of the most pigmented and poorly textured skin overlying the nasojugal groove...
August 2018: Facial Plastic Surgery: FPS
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