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Facial Plastic Surgery: FPS

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https://www.readbyqxmd.com/read/29433146/reconstruction-of-tragus-and-external-auditory-meatus-using-remnant-auricle-during-microtia-reconstruction
#1
Gao-Feng Li, Yi-Gao Hu, Wei Ding, Jun Tan, Xin Chen, Tao Luo, Bo Zhang, Xiao-Jia Liu
This article investigates an effective method with which to reconstruct the tragus and external auditory meatus for microtia reconstruction. The external ear was reconstructed using a delayed postauricular skin flap in patients with congenital microtia. After the first stage of delaying the postauricular skin flap and the second stage of otoplasty with ear framework fabricated from autogenous rib cartilage draping with the delayed skin flap, the third stage involved tragus and external auditory meatus canaloplasty...
February 12, 2018: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/29378380/intra-arterial-thrombolytic-therapy-is-not-a-therapeutic-option-for-filler-related-central-retinal-artery-occlusion
#2
Yi-Chun Chen, Hsiu-Mei Wu, Shin-Jen Chen, Han-Jui Lee, Jiing-Feng Lirng, Chung-Jung Lin, Feng-Chi Chang, Chao-Bao Luo, Wan-Yuo Guo
Cosmetic facial filler-related central retinal artery occlusion (CRAO) is a devastating complication of facial hyaluronic acid (HA) injection and can be managed by intra-arterial thrombolytic therapy (IATT). The authors report on a 20-year-old woman who developed unilateral CRAO due to facial HA injection and who, despite prompt IATT, lost vision. A review of the related literature found 14 other female patients who developed cosmetic facial filler-related CRAO and accepted IATT management. In no case was vision loss clinically improved...
January 29, 2018: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/29325183/validation-of-the-modified-surgeon-periorbital-rating-of-edema-and-ecchymosis-spree-questionnaire-a-prospective-analysis-of-facial-plastic-and-reconstructive-surgery-procedures
#3
Jeremie D Oliver, Deanna Menapace, Ahmed Younes, Chelsey Recker, Grant Hamilton, Oren Friedman
Although periorbital edema and ecchymosis are commonly encountered after facial plastic and reconstructive surgery procedures, there is currently no validated grading scale to qualify these findings. In this study, the modified "Surgeon Periorbital Rating of Edema and Ecchymosis (SPREE)" questionnaire is used as a grading scale for patients undergoing facial plastic surgery procedures. This article aims to validate a uniform grading scale for periorbital edema and ecchymosis using the modified SPREE questionnaire in the postoperative period...
January 11, 2018: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/29304516/ablative-fractional-co2-laser-for-facial-atrophic-acne-scars
#4
Yaqin Xu, Yunhua Deng
Ablative fractional carbon dioxide laser resurfacing is a well-established treatment for acne scars. However, there are limited consensus and guidelines regarding the procedure, such as its treatment plan, efficacy, and safety. In this study, we performed a systematic review to assess the efficacy and safety of the fractional carbon dioxide laser treatment procedure, and to provide evidence-based recommendations concerning its practical use on atrophic acne scars. A comprehensive search was performed in, EMBASE, Ovid, Web of Science, and Cochrane databases, using the keywords "scar(s)," "acne vulgaris," "carbon dioxide," and "fraction* laser(s)" for the period from January 1987 to December 2016...
January 5, 2018: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/29304515/the-prevalence-of-cosmetic-facial-plastic-procedures-among-facial-plastic-surgeons
#5
Roxana Moayer, Jordan P Sand, Albert Han, Vishad Nabili, Gregory S Keller
This is the first study to report on the prevalence of cosmetic facial plastic surgery use among facial plastic surgeons. The aim of this study is to determine the frequency with which facial plastic surgeons have cosmetic procedures themselves. A secondary aim is to determine whether trends in usage of cosmetic facial procedures among facial plastic surgeons are similar to that of nonsurgeons. The study design was an anonymous, five-question, Internet survey distributed via email set in a single academic institution...
January 5, 2018: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/29278863/otoplasty-online-information-a-comprehensive-analysis-of-the-websites-and-videos-that-patients-view-regarding-cosmetic-ear-surgery
#6
Michael E Nissan, Amar Gupta, Hani Rayess, Kevin Z Black, Michael Carron
Physicians should be aware of both websites and videos available online regarding the otoplasty procedure to provide quality care. This study systematically analyzes the authorships, reliability, quality, and readability of the websites, as well as the authorships and primary objectives of the videos regarding otoplasty. Validated instruments were used to analyze the reliability, quality, and readability of websites, and videos were systematically categorized and analyzed. A Google search was conducted, and the first five pages of results were included in this study...
December 26, 2017: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/29278862/frontal-fibrosing-alopecia-a-retrospective-analysis-of-72-patients-from-a-german-academic-center
#7
Markus V Heppt, Valerie Letulé, Ieva Laniauskaite, Markus Reinholz, Julia K Tietze, Hans Wolff, Thomas Ruzicka, Elke C Sattler
Frontal fibrosing alopecia (FFA) describes the scarring, band-like recession of the frontotemporal hairline. Treatment is difficult, and currently, no evidence-based therapy exists. The purpose of this study is to report clinical features and treatment responses in a large cohort of patients with FFA. The authors analyzed a series of 72 patients with a clinical or histologic diagnosis of FFA. A total of 70 patients were female (97.2%), and 2 were male (2.8%). In females, the first onset of FFA was postmenopausal in 81...
December 26, 2017: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/29278861/hemitransdomal-versus-dome-binding-suture
#8
Fernando Casanueva, Deniz Gerecci, Felipe Cardemil
The dome-binding suture (DBS) and hemitransdomal suture (HTS) are suture techniques used to narrow and define the nasal tip. The DBS can create a pinched, unnatural appearance, while the HTS puts the lateral crus in a more favorable orientation. This allows a natural contour between the nasal tip and alar lobule while maintaining alar margin support. Objective measurement of the rotational axis of the lateral crus between the DBS and the HTS has not been reported in the literature. To determine whether the DBS or HTS technique results in a more favorable rotational axis of the lateral crus as measured by the alar surface septal angle (ASSA)...
December 26, 2017: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/29409107/indications-and-use-of-isotretinoin-in-facial-plastic-surgery
#9
Markus V Heppt, Michael C Kirchberger, Thomas Ruzicka, Carola Berking, Werner J Heppt
Isotretinoin is a first generation retinoid with pleiotropic effects on keratinocyte differentiation, proliferation, and activity of sebaceous glands. For years, there has been intense debate on whether the use of isotretinoin combined with cosmetic or surgical procedures is safe and potentially more efficient than either therapy alone. Due to delays in wound healing and keloid formation, conservative recommendations were not to combine isotretinoin with any plastic surgery or local treatment at 6 to 12 months after discontinuation of the drug...
February 2018: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/29409106/cool-atmospheric-plasma-j-plasma-and-new-options-for-facial-contouring-and-skin-rejuvenation-of-the-heavy-face-and-neck
#10
Richard D Gentile
Treating patients with heavy or thick features comes with challenges not present in those patients lacking these physical characteristics. The authors report our experience with cool atmospheric plasma for facial contouring and skin rejuvenation of the heavy face and neck including rhinophyma. Cool atmospheric plasma is generated by running helium gas over radiofrequency energy. The resulting plasma is a fourth state of matter and has enhanced clinical effects for ablation and thinning of skin and soft tissues as well of contouring and tightening of deeper soft tissues and fascia...
February 2018: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/29409105/surgical-approach-to-the-thick-nasolabial-folds-jowls-and-heavy-neck-how-to-approach-and-suspend-the-facial-ligaments
#11
Ozcan Cakmak, Ismet Emrah Emre, Berke Özücer
Patients with thick skin typically present with a redundant, baggy, lax skin envelope together with prominent nasolabial folds, jowls, and a heavy neck. Durable and natural-appearing rejuvenation is not possible unless the deformities are addressed adequately and harmoniously in these patients. Traditional superficial musculoaponeurotic system techniques do not include surgical release of the zygomatic cutaneous ligaments and repositioning of descendent malar fat pad, and may lead to an unbalanced, unnatural appearance and the lateral sweep phenomenon...
February 2018: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/29409104/managing-the-lower-eyelid-complex-in-the-thick-skinned-patient
#12
Elizabeth Mia Floyd, Stephen W Perkins
Thick skin presents a unique set of challenges within the realm of facial plastic surgery, and addressing the lower lid complex is no exception. There are several procedures for addressing the lower lids, the first and foremost being lower lid blepharoplasty. However, the remaining procedures combined with surgical techniques have exclusive implications in thick skin. Understanding the anatomy and various techniques that can be applied to thick skin can help achieve aesthetically more pleasing results in comparison to those of thin skin...
February 2018: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/29409103/upper-lid-thick-skin-blepharoplasty
#13
Norman Pastorek, Benjamin Bradford
While many of the basic tenants of upper lid blepharoplasty remain constant regardless of skin type, the thick-skinned eyelid patient requires special consideration. The brow may be naturally lower in the thick-skinned patient. These patients are more prone to having the brow pulled downward while attempting to remove redundant skin. There may also be more fat in the medial and central compartments. There may be fat in a lateral compartment overlying the lacrimal gland. Patient's expectations for a deep lid sulcus and complete excision of redundant skin may not be possible...
February 2018: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/29409102/management-of-the-heavy-brows-long-term-surgical-options
#14
Olga Plowes Hernandez, Jose Juan Montes Bracchini
One of the first signs of aging belongs to the upper third of the face. With the aging process, mestizo facial features become more prominent. The thicker skin-soft tissue envelope (S-STE) has a tendency to sag more, hooding of the eyelids tends to be more pronounced, and there is a tendency for eyebrows to droop, specifically the tail of the brows, because of the loss of support. A "tired" or "sad" look implies that the complex eyebrow-upper eyelid is showing one or more of these signs...
February 2018: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/29409101/surgical-tips-for-the-management-of-the-wide-nasal-base
#15
Eric T Carniol, Peter A Adamson
Alar base reduction (ABR) was first described by Weir in 1892, but continues to be a controversial topic in rhinoplasty in terms of optimal techniques. The authors describe the techniques for ABR including internal, external and combined ABR, flare excisions, and alar hooding reductions. The techniques described have resulted in consistent outcomes with acceptable scarring and high patient satisfaction.
February 2018: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/29409100/surgical-management-of-the-thick-skinned-nose
#16
Richard E Davis, Emily N Hrisomalos
When executed properly, open structure rhinoplasty can dramatically improve the consistency, durability, and quality of the cosmetic surgical outcome. Moreover, in expert hands, dramatic transformations in skeletal architecture can be accomplished with minimal risk and unparalleled control, all while preserving nasal airway function. While skeletal enhancements have become increasingly more controlled and precise, the outer skin-soft tissue envelope (SSTE) often presents a formidable obstacle to a satisfactory cosmetic result...
February 2018: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/29409099/reducing-periorbital-edema-and-ecchymosis-after-rhinoplasty-literature-review-and-personal-approach
#17
Abel-Jan Tasman
Postoperative periorbital edema and ecchymosis are most bothersome to rhinoplasty patients. The degree of swelling and bruising is influenced by several factors, and numerous prophylactic and therapeutic measures have been described in the literature. This article reviews the current literature and concludes with the author's suggestions on how to best minimize postoperative periorbital edema and ecchymosis.
February 2018: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/29409098/use-of-5-fluorouracil-for-management-of-the-thick-skinned-nose
#18
Leslie E Irvine, Paul S Nassif
Patients with a thick nasal skin and soft tissue envelope can have unpredictable results and irregular scarring after rhinoplasty surgery. These patients typically have sebaceous tissue over the nasal tip and are particularly susceptible to soft tissue polly beak formation and excess scar tissue in the radix, tip, and septum. Targeted injections of 5-fluorouracil alone or mixed with low concentrations of steroid can be useful to prevent and treat excess postoperative scar tissue deposition. Ideally, four to six injections are performed every 1 to 4 weeks beginning 1 week postoperatively...
February 2018: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/29409097/integrated-management-of-the-thick-skinned-rhinoplasty-patient
#19
Roxana Cobo, Juan Gabrie Camacho, Jorge Orrego
Patients with thick skin are a challenge in facial plastic surgery. Rhinoplasty is still the most frequently performed facial plastic procedure worldwide and it becomes very difficult to obtain optimal consistent results in these patients. A systematic presurgical skin evaluation is performed dividing skin into type I-III depending on the elasticity, oiliness, presence of skin alterations, size of skin pores, and laxity. Depending on the skin type, presurgical, surgical, and postsurgical management of the epidermis and dermis is defined...
February 2018: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/29409096/managing-the-thick-skin-in-facial-plastic-surgery
#20
Roxana Cobo
No abstract text is available yet for this article.
February 2018: Facial Plastic Surgery: FPS
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