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Cheek augmentation

Femke Staal, Britt Pluijmers, Eppo Wolvius, Maarten Koudstaal
Craniofacial microsomia (CFM) is a congenital anomaly with a variable phenotype. The most prominent feature of CFM is a predominantly unilateral hypoplasia of the mandible, leading to facial asymmetry. Even after correction of the midline, there is often a remaining hard- and soft-tissue deficiency over the body of the mandible and cheek on the affected side. This clinical report describes the skeletal augmentation of the mandible with a patient-specific implant to treat residual facial asymmetry in two female patients with unilateral CFM...
September 2016: Craniomaxillofacial Trauma & Reconstruction
Antonio Scarano, Maurizio Ceccarelli, Massimiliano Marchetti, Adriano Piattelli, Carmen Mortellaro
Background. Facial aging is a dynamic process involving both soft tissue and bony structures. Skin atrophy, with loss of tone, elasticity, and distribution of facial fat, coupled with gravity and muscle activity, leads to wrinkling and folds. Purpose. The aim of the study was to evaluate microporous tricalcium phosphate (β-TCP) and autologous platelet gel (APG) mix in mice for oral and maxillofacial soft tissue augmentation. The hypothesis was that β-TCP added with APG was able to increase the biostimulating effect on fibroblasts and quicken resorption...
2016: BioMed Research International
Yeo Reum Jeon, Dong Kyun Rah, Dae Hyun Lew, Tai Suk Roh, Young Seok Kim, Hong Lim Choi
BACKGROUND: Narrow and chubby pretarsal fullness is a characteristic of attractiveness and youthfulness, and pretarsal augmentation has gained popularity in Asia. Conventional lower blepharoplasty has focused on correcting the aged appearance of the lower eyelids by repositioning fat and removing excess skin. However, this technique can create flat lower eyelids and provide an indication that cosmetic surgery was performed. Therefore, our pretarsal augmented lower blepharoplasty technique focuses on restoring pretarsal fullness and creating a three-dimensional lower eyelid-cheek complex...
July 2016: Plastic and Reconstructive Surgery
Antonio Scarano, Luca Valbonetti, Massimiliano Marchetti, Felice Lorusso, Maurizio Ceccarelli
BACKGROUND: The platelets used in oral, maxillofacial, and plastic surgery are generally grouped as concentrated platelet-rich plasma. The general principle of production consists of a centrifugation, making it possible to eliminate red blood cells, then acellular plasma, to preserve only the concentrated platelets. OBJECTIVE: The aim of the present study was that micro porous tricalcium phosphate (β-TCP) mixed with autologous platelet-derived growth factors could be an alternative to fat and hyaluronic acid which are widely used for oral and maxillofacial soft tissue augmentation...
July 2016: Journal of Craniofacial Surgery
Carrie S Stern, Jillian E Schreiber, Chris C Surek, Evan S Garfein, Elizabeth B Jelks, Glenn W Jelks, Oren M Tepper
BACKGROUND: Given the widespread use of facial fillers and recent identification of distinct facial fat compartments, a better understanding of three-dimensional surface changes in response to volume augmentation is needed. Advances in three-dimensional imaging technology now afford an opportunity to elucidate these morphologic changes for the first time. METHODS: A cadaver study was undertaken in which volumization of the deep medial cheek compartment was performed at intervals up to 4 cc (n = 4)...
May 2016: Plastic and Reconstructive Surgery
Carrie S Stern, Jillian E Schreiber, Christopher L Surek, Evan S Garfein, Elizabeth B Jelks, Glenn W Jelks, Oren M Tepper
BACKGROUND: Given the widespread use of facial fillers and recent identification of distinct facial fat compartments, a better understanding of 3D surface changes in response to volume augmentation is needed. Advances in 3D imaging technology now afford an opportunity to elucidate these morphological changes for the first time. METHODS: A cadaver study was undertaken in which volumization of the deep medial cheek (DMC) compartment was performed at intervals up to 4cc (n=4)...
January 12, 2016: Plastic and Reconstructive Surgery
Christopher I Zoumalan, Jason Roostaeian
Blepharoplasty remains one of the most common aesthetic procedures performed today. Its popularity stems partly from the ability to consistently make significant improvements in facial aesthetics with a relatively short operation that carries an acceptable risk profile. In this article, the authors attempt to simplify the approach to both upper and lower lid blepharoplasty and provide an algorithm based on the individual findings for any given patient. The recent trend with both upper and lower lid blepharoplasty has been toward greater volume preservation and at times volume augmentation...
January 2016: Plastic and Reconstructive Surgery
Federico Hernández-Alfaro, Adaia Valls-Ontañón, Julia C Blasco-Palacio, Raquel Guijarro-Martínez
BACKGROUND: Contemporary orthognathic surgery contemplates three-dimensional facial soft-tissue harmonization as one of the basic pillars in treatment planning. In particular, prominent malar regions are regarded as a sign of beauty and youth by Western societies. The aim of this article was to perform a subjective and objective three-dimensional evaluation of the pedicled buccal fat pad technique for malar augmentation in the context of orthognathic surgery. METHODS: Six consecutive patients with underlying dentofacial anomalies and bilateral malar hypoplasia were managed with simultaneous orthognathic surgery and pedicled buccal fat pad malar augmentation...
November 2015: Plastic and Reconstructive Surgery
Nark-Kyoung Rho, Yao-Yuan Chang, Yates Yen-Yu Chao, Nobutaka Furuyama, Peter Y C Huang, Martina Kerscher, Hee-Jin Kim, Je-Young Park, Hsien Li Peter Peng, Paisal Rummaneethorn, Berthold Rzany, Hema Sundaram, Chin Ho Wong, Yuli Yang, Adri Dwi Prasetyo
BACKGROUND: Although the use of filling agents for soft-tissue augmentation has increased worldwide, most consensus statements do not distinguish between ethnic populations. There are, however, significant differences between Caucasian and Asian faces, reflecting not only cultural disparities, but also distinctive treatment goals. Unlike aesthetic patients in the West, who usually seek to improve the signs of aging, Asian patients are younger and request a broader range of indications...
November 2015: Plastic and Reconstructive Surgery
Smita R Ramanadham, Rod J Rohrich
The identification of specific fat compartments of the face has greatly improved the plastic surgeon's approach to facial rejuvenation. These superficial and deep compartments are discretely partitioned into multiple independent units by fascial barriers and undergo age-dependant volumetric changes. This knowledge has created a topographical map allowing for the direct and precise augmentation of those compartments that are deflated preferentially. These include the deep medial cheek, nasolabial, superficial middle, and lateral cheek compartments...
November 2015: Plastic and Reconstructive Surgery
Mehmet Akyüz, Mustafa Güneş, Orhan Koca, Zülfü Sertkaya, Hüseyin Kanberoğlu, Muhammet İhsan Karaman
OBJECTIVE: To evaluate intraoral complications of buccal mucosa grafts harvested from one cheek, and used in augmentation urethroplasty. MATERIAL AND METHODS: Twenty-one patients with anterior urethral strictures were included in our study. In twelve patients, dorsal onlay, in five patients ventral onlay and in four patients lateral onlay procedures were applied. Average length of buccal mucosa graft from one cheek was 5.2 cm (3-8 cm). In all graft harvesting patients, bleeding in graft side, swelling, pain intensity of oral or perineal area, analgesic use, transition time to normal diet, slurred speech, loss of sensation, and patients' opinions about oral mucosa regrafting using this technique were evaluated using nine-item questionnaire forms...
September 2014: Turkish Journal of Urology
Hyung Woo Yim, Anh H Nguyen, Yong Kyu Kim
Many East Asians experience lower eyelid bulging and discoloration, and this is seen even in young individuals. The condition is caused by an undergrowth of the maxilla and not by aging. In this condition, the orbit appears small and the infraorbital rim is hypoplastic. This inevitably causes a depressed, tired, and sad appearance. Here, the authors present techniques of volume augmentation in the lower eyelid and cheek areas to rejuvenate the midface in Asians.
August 2015: Seminars in Plastic Surgery
Karen J Lindsay, Jonathan D Morton
UNLABELLED: The area of the nose immediately medial to the nasofacial groove is a common site for relatively small but penetrating basal cell carcinomas (BCCs). Although larger lesions may necessitate formal subunit reconstruction, smaller lesions pose a considerable dilemma. Full-thickness skin grafts (FTSGs) often result in an unsightly contour defect. Local flap options exist, but they frequently violate subunit boundaries or anatomical landmarks. In particular, the single-stage nasolabial transposition flap is particularly prone to blunting of the nasofacial angle and fullness or pin-cushioning of the flap with concomitant loss of facial symmetry...
October 2015: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Kristen Metzler-Wilson, Kumika Toma, Dawn L Sammons, Sarah Mann, Andrew J Jurovcik, Olga Demidova, Thad E Wilson
Facial flushing in rosacea is often induced by trigger events. However, trigger causation mechanisms are currently unclear. This study tested the central hypothesis that rosacea causes sympathetic and axon reflex-mediated alterations resulting in trigger-induced symptomatology. Twenty rosacea patients and age/sex-matched controls participated in one or a combination of symptom triggering stressors. In protocol 1, forehead skin sympathetic nerve activity (SSNA; supraorbital microneurography) was measured during sympathoexcitatory mental (2-min serial subtraction of novel numbers) and physical (2-min isometric handgrip) stress...
September 2015: Journal of Neurophysiology
Sammy Sinno, Karan Mehta, Patrick L Reavey, Christopher Simmons, James M Stuzin
BACKGROUND: Fat grafting can be used to improve the results of face lifting. The extent to which plastic surgeons use fat grafting in their face-lift practices is unknown. The goals of this study were to understand the current use of fat grafting during facial rejuvenation surgery and identify the most common techniques used. METHODS: A 28-item questionnaire was formulated for distribution to a randomized cohort of American Society of Plastic Surgeons members. Data were collected and statistically analyzed using Pearson chi-square and Fisher's exact tests...
July 2015: Plastic and Reconstructive Surgery
C Diakite, D Diep, D Labbe
UNLABELLED: In the labial palliative surgery of facial paralysis, it can persist asymmetry smile. OBJECTIVE: Evaluate the impact of an augmentation or reduction of the commissural course on the perception of a smile anomaly, and determine from which asymmetry threshold, the smile is estimated unsightly. MATERIAL AND METHOD: We took a picture of two people with a smile not forced; including one with a "cuspid smile", and the another one with a "Mona Lisa" smile...
April 2016: Annales de Chirurgie Plastique et Esthétique
Andrew A Jacono, Melanie H Malone, Benjamin Talei
BACKGROUND: Facial aging is a complicated process that includes volume loss and soft tissue descent. This study provides quantitative 3-dimensional (3D) data on the long-term effect of vertical vector deep-plane rhytidectomy on restoring volume to the midface. OBJECTIVE: To determine if primary vertical vector deep-plane rhytidectomy resulted in long-term volume change in the midface. METHODS: We performed a prospective study on patients undergoing primary vertical vector deep-plane rhytidectomy to quantitate 3D volume changes in the midface...
July 2015: Aesthetic Surgery Journal
Patrick Micheels, Joan Vandeputte, Maria Kravtsov
OBJECTIVE: Cohesive Polydensified Matrix® Hyaluronic Acid Volumizer is designed to be injected subcutaneously or in deeper soft tissue layers to restore facial volumes. This post-marketing clinical follow-up was performed to confirm the safety and effectiveness of the product up to 18 months. DESIGN: Injections were performed according to standard clinical practice and patients were followed-up at Months 1, 3, 6, 9, 12, and optionally at Month 18. Effectiveness measures included facial volume loss scale, global aesthetic improvement scale and patients' satisfaction...
March 2015: Journal of Clinical and Aesthetic Dermatology
Dienke J Bos, Bob Oranje, E Sanne Veerhoek, Rosanne M Van Diepen, Juliette Mh Weusten, Hans Demmelmair, Berthold Koletzko, Monique Gm de Sain-van der Velden, Ans Eilander, Marco Hoeksma, Sarah Durston
Attention deficit/hyperactivity disorder (ADHD) is one of the most common child psychiatric disorders, and is often treated with stimulant medication. Nonpharmacological treatments include dietary supplementation with omega-3 fatty acids, although their effectiveness remains to be shown conclusively. In this study, we investigated the effects of dietary omega-3 fatty acid supplementation on ADHD symptoms and cognitive control in young boys with and without ADHD. A total of 40 boys with ADHD, aged 8-14 years, and 39 matched, typically developing controls participated in a 16-week double-blind randomized placebo-controlled trial...
September 2015: Neuropsychopharmacology: Official Publication of the American College of Neuropsychopharmacology
Ivan Ignjatović, Dragoslav Bašić, Jablan Stanković, Milan Potić, Ljubomir Dinić
INTRODUCTION: Reconstruction of the long urethral strictures is a difficult task in urology. The most frequently usedmethod is augmentation with the free buccal mucosal graft. MATERIAL AND METHODS: Restrospective analysis of 57 patients with the long urethral stricture was performed. All patients were evaluated endosco- pically and radiologically before the surgery. Buccal mucosal graft harvested from the inner side of the cheek (unilateral or bilateral) was used for the urethral reconstruction in all patients...
2014: Acta Chirurgica Iugoslavica
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