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Facial Plastic Surgery Clinics of North America

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https://www.readbyqxmd.com/read/30078396/truly-asian-rhinoplasty
#1
EDITORIAL
Yong Ju Jang
No abstract text is available yet for this article.
August 2018: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/30005794/rhinoplasty-for-south-east-asian-nose
#2
REVIEW
Eduardo C Yap
The South East Asian nose is usually small with voluminous thick skin, low dorsum, wide and hanging ala, bulbous tip, and retracted premaxilla. The surgical approach of rhinoplasty for these types of noses includes the following: dorsal augmentation, counterrotation and projection of the tip, and correction of hanging ala and alar flare/base. A usual ideal rhinoplasty outcome of a South East Asian nose should be a nose that fits the face with good function and has all the aesthetic landmarks achieved: natural looking dorsum, supratip break, tip, subtip break, columellar show, good alar-columellar relationship, improved premaxilla, improved nostril, and improved alar flare...
August 2018: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/30005793/correction-of-short-nose
#3
REVIEW
Dong Hak Jung, Sang Gyun Jin, Sang Min Hyun
To correct an Asian short nose with low dorsum, short columella, and poorly defined nose tip, augmentation rhinoplasty has been popularized. A simple augmentation no longer is considered an efficient rhinoplasty approach for Asians aesthetically; most surgeons simultaneously perform nasal elongation and augmentation during rhinoplasty. To extend the nose length successfully, important factors are cartilages, mucosal and skin conditions, and presence and degree of fibrotic changes. In addition, surgeons should consider preoperatively how much should be extended from an aesthetics perspective...
August 2018: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/30005792/alar-base-reduction-and-alar-columellar-relationship
#4
REVIEW
Ji Yun Choi
Nasal base modification can improve nostril shape and orientation, reduce alar flaring, improve nasal base width, correct nasal hooding, improve symmetry, and create overall facial harmony. For the correction of alar rim deformities, careful examination, consultation, and analysis and consideration of the condition of the skin are essential. Understanding the ala and surrounding tissue, supporting the lower lateral cartilage, and selecting the proper technique produce functionally and aesthetically good results...
August 2018: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/30005791/hump-nose-correction-in-asians
#5
REVIEW
Tae-Bin Won
Nasal hump surgery is frequently regarded as a reduction surgery in most Western rhinoplasty textbooks and referred to as reduction rhinoplasty. Most Asian hump noses have a small hump frequently associated with a low nasal dorsum and underprojection of the nasal tip. Correcting a hump nose in Asians has distinct differences in concept and technique. A small hump and additional need for augmentation of the dorsum and the tip often minimizes the amount of hump removal or obviates resection itself. Characteristics of the Asian hump nose with emphasis on surgical techniques commonly used to obtain reliable results are presented...
August 2018: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/30005790/tip-grafting-for-the-asian-nose
#6
REVIEW
Yong Ju Jang, Sung Hee Kim
Tip surgery during rhinoplasty is particularly difficult in Asians. Tip grafting is the best approach. Conchal cartilage with perichondrium and costal cartilage are powerful grafting materials. The most important grafting techniques are tip-onlay grafting, shield grafting, and multilayer tip grafting. Tip-onlay grafts are useful for dorsal convexity. Shield grafts require sufficient support to prevent bending. Multilayer tip grafts (usually 2 layers) are versatile. Asians vary in cartilage configuration, skin thickness, and aesthetic desires: tip-grafting strategies must be tailored to meet the aesthetic goals of individuals...
August 2018: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/30005789/septal-extension-graft-in-asian-rhinoplasty
#7
REVIEW
Na-Hyun Hwang, Eun-Sang Dhong
A septal extension graft (SEG) can control nasal tip projection, shape, and rotation. SEG and dorsal alloplastic implants have predominated in Asian rhinoplasty, leading to iatrogenic complications such as a foreshortened nose and destruction of remaining septum. The lower nasal two-thirds can be enhanced anteriorly and caudally using the septal L-strut extension graft in Asians with relatively small noses. The septal L-strut extension graft is indicated in primary cases in which the bony dorsum is acceptable but the cartilaginous dorsum is relatively hypoplastic, and in secondary cases with an iatrogenic short-nose deformity due to alloplastic implants...
August 2018: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/30005788/injection-rhinoplasty-using-filler
#8
REVIEW
Hyoung Jin Moon
Rhinoplasty is a commonly performed cosmetic surgery in Asia. Rhinoplasty using filler is preferred because has fewer side effects and shorter down time. The part of external nose between the skin and bone or cartilages consists of 4 layers. To prevent vascular compromise, the injection should be into deep fatty layer, preventing embolization. Filler is usually injected in the order of radix, rhinion, tip, and the supratip area. To minimize asymmetry, the surgeon should always mark the midline on the nasal bridge and perform the procedure without deviating from it...
August 2018: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/30005787/homologous-tissue-for-dorsal-augmentation
#9
REVIEW
Chang-Hoon Kim, Sang Chul Park
Homologous graft materials for dorsal augmentation are safe and biocompatible with a low risk of complications. Acellular dermal matrix (ADM) provides natural appearance of the nose and long-term structural integrity without extrusion, showing favorable augmentation results. Tutoplast-processed fascia lata (TPFL) is soft and easy to manipulate, providing a smooth postoperative contour of the nasal dorsum with low risk of infection or extrusion. ADM and TPFL carry low risk of major complications, such as infection, foreign body reaction, and graft extrusion...
August 2018: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/30005786/dorsal-augmentation-using-autogenous-tissues
#10
REVIEW
Man-Koon Suh
Autogenous materials used for Asian dorsal augmentation are temporal fascia, dermofat, solid block type of costal cartilage, and diced cartilage. The temporal fascia is used for radix augmentation or correction of minor focal depression. Dermofat, solid block costal cartilage, and diced cartilage are recommended for major dorsal augmentation. The vertically oriented folded dermal graft curtails use of the fat component. Diced cartilage wrapped in temporal fascia exhibits a lower resorption rate, and may easily fit into the contour of the dorsum...
August 2018: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/30005785/augmentation-rhinoplasty-using-silicone-implants
#11
REVIEW
In-Sang Kim
Augmentation rhinoplasty is one of the most common aesthetic procedures in Asian countries with silicone implant being the most widely used material for augmentation rhinoplasty. Despite potential advantages, use of alloplastic materials in rhinoplasty is often discouraged in Western countries because of concern for possible risk of infection and extrusion of the implant. The collective experience of long-term favorable outcomes in Asia makes the silicone augmentation rhinoplasty a common procedure. Complication rates for silicone implants vary significantly, depending on surgeon experience, surgical technique, and implant design...
August 2018: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/30005784/hybrid-approach-for-asian-rhinoplasty-open-approach-without-transcolumellar-incision
#12
REVIEW
Jae-Goo Kang, Kyung Won Kwon, Jinsoon Chang
The hybrid approach delivers unlimited exposure and technical access, enabling all the procedures of the open approach. In addition, the hybrid approach is flexible in its extent of "dissection/ exposure" It can be more of a classic endonasal or limited access approach in some cases or open structural rhinoplasty and reconstruction in others. The benefits of the nonopen approach deserve equal attention among Asian rhinoplasty surgeons and residents-in-training courses. The difference is not merely that it spares an incision, it is an opportunity to fine-tune minor millimeters of changes in every step of rhinoplasty, a real and significant benefit...
August 2018: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/30005783/surgical-anatomy-of-the-asian-nose
#13
REVIEW
Kyung-Chul Moon, Seung-Kyu Han
Rhinoplasty for Asian noses is markedly different from that for white noses. As rhinoplasty becomes increasingly popular among Asian people, it is important that the rhinoplasty surgeons master relevant anatomy and become skilled in required techniques to serve this segment of population. In this article, distinct characteristics of Asian noses are briefly described. Noses in the Asia population exhibit broad phenotypic variations. There is no typical Asian nose. Therefore, the terms of Asian noses in this article are confined to noses of people from East Asian (eg, Korea, Japan, and China)...
August 2018: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/29636155/controversies-in-facial-plastic-surgery
#14
EDITORIAL
Fred G Fedok, Robert M Kellman
No abstract text is available yet for this article.
May 2018: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/29636154/evaluating-new-technology
#15
REVIEW
Paul J Carniol, Ryan N Heffelfinger, Lisa D Grunebaum
There are multiple complex issues to consider when evaluating any new technology. First evaluate the efficacy of the device. Then considering your patient population decide whether this technology brings an added benefit to your patients. If it meets these 2 criteria, then proceed to the financial analysis of acquiring this technology. The complete financial analysis has several important components that include but are not limited to cost, value, alternatives, return on investment, and associated marketing expense...
May 2018: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/29636153/orbital-fractures
#16
REVIEW
Kris S Moe, Andrew H Murr, Sara Tullis Wester
Anatomic, rather than volumetric, reconstruction leads to improved outcomes in orbital reconstruction. Endoscopic visualization improves lighting and magnification of the surgical site and allows the entire operative team to understand and participate in the procedure. Mirror-image overlay display with navigation-guided surgery allows in situ fine adjustment of the implant contours to match the contralateral uninjured orbit. Precise exophthalmometry is important before, during, and after surgery to provide optimal surgical results...
May 2018: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/29636152/injectable-fillers-panel-discussion-controversies-and-techniques
#17
REVIEW
Theda C Kontis, Lisa Bunin, Rebecca Fitzgerald
Injectable products are now being designed to treat specific areas of the face, including the lower lid/cheek region, the midface, and circumoral rhytids. Expert injectors from 3 core disciplines (facial plastic surgery, oculoplastic surgery, and dermatology) were asked to discuss their approaches to the midface, lower lid, and cheek region and their opinions about using cannulas versus needles. The authors describe their techniques for avoiding and managing filler complications. They give insight into how their techniques have changed over the past few years and their use of new products that have been developed...
May 2018: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/29636151/grafting-techniques-in-primary-and-revision-rhinoplasty
#18
REVIEW
Brian J F Wong, Oren Friedman, Grant S Hamilton
With the adoption of open structure techniques, rhinoplasty has become more reliant on the use of structural grafts to resist change that occurs over time owing to both gravity and the aging process. As surgical procedures have become more technically complex, the type of grafts use for both primary and secondary rhinoplasty have undergone significant evolution. This article provides a case approach focused on the use of structural grafting in rhinoplasty.
May 2018: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/29636150/lip-augmentation
#19
REVIEW
Louis M DeJoseph, Anurag Agarwal, Timothy M Greco
This article examines 6 questions about lip augmentation answered by 3 experts in their field of facial plastic surgery. The topics covered include high-yield areas such as injection, surgical enhancement, rhytid resurfacing, implants, complications, and technique changes over the years. All the authors answered these questions in a "How I do it" manner to provide the reader with a true understanding of their thoughts and techniques. This article provides a practical resource to all physicians and practitioners performing lip augmentation on some of the most common questions and issues...
May 2018: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/29636149/management-of-the-prominent-ear
#20
REVIEW
Andres Gantous, Abel-Jan Tasman, Jose Carlos Neves
This article incorporates the opinions and preferred surgical options in managing patients of 3 prominent facial plastic surgeons who have large otoplasty practices. Six different questions covering the management of prominent ears are answered by the 3 practitioners. Nonsurgical options for the treatment of prominent ears are discussed. The role of cartilage-cutting and cartilage-sparing techniques as well as individual preferred otoplasty techniques are thoroughly covered. Postoperative management of these patients is presented by the individual surgeons...
May 2018: Facial Plastic Surgery Clinics of North America
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