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Matthew J Zdilla, Jordan V Swearingen, Kyle D Miller, Adam Bender-Heine, H Wayne Lambert
The anterior belly of the digastric muscle (ABDM) is important in numerous esthetic surgeries including rhytidectomy, alteration of the cervicomental angle via partial resection of the ABDM muscle belly, and suprahyoid muscular medialization and suspension. Recently, the connection between the ABDM and the mylohyoid muscle (MH) has been proposed as important for the mechanism of the digastric corset procedure. This report refers to the connection between the ABDM and the MH as a type of retaining ligament of the anterior digastric muscle (RLAD)...
December 30, 2016: Journal of Craniofacial Surgery
Andrew A Jacono, Melanie H Malone, Thomas John Lavin
BACKGROUND: Facial rejuvenation in patients younger than 50 years of age has experienced an unprecedented growth with multimodality nonsurgical and less invasive rhytidectomy techniques. OBJECTIVES: To analyze the nonsurgical treatment habits of patients prior to undergoing rhytidectomy at <50 years of age. METHODS: Retrospective study to enlist patients who underwent primary rhytidectomy at age <50 years between January 1, 2003 and December 31, 2013 by the senior author (AAJ) to complete a survey...
December 12, 2016: Aesthetic Surgery Journal
M Tarallo, M Toscani, G Di Taranto, V Sorvillo, P Fino
OBJECTIVE: The new lift is a procedure for facial rejuvenation with minimal incision, giving the patient a significant improvement of mid face and neck, with limited dissection and minimal scars. A further "One-stitch" of anchorage to the deep temporal fascia is required to hold tissues. By a minimal surgical access, we get a suitable cheek lift with the improvement of nose-labial folds, mandibular edge and neck contour. PATIENTS AND METHODS: Between February 2009 and June 2012, 32 patients underwent facial rejuvenation surgery called new lift at a mean age of 46 years (range 35-55 years)...
November 2016: European Review for Medical and Pharmacological Sciences
Simon F Williams, David P Martin, Arikha C Moses
The GalaFLEX Scaffold (Galatea Surgical, Inc., Lexington, MA) for plastic and reconstructive surgery belongs to a new generation of products for soft tissue reinforcement made from poly-4-hydroxybutyrate (P4HB). Other members of this new family of products include MonoMax Suture (Aesculap AG, Tuttlingen, Germany) for soft tissue approximation, BioFiber Scaffold (Tornier, Inc., Edina, MN) for tendon repair, and Phasix Mesh (C.R. Bard, Inc., Murray Hill, NJ) for hernia repair. Each of these fully resorbable products provides prolonged strength retention, typically 50% to 70% strength retention at 12 weeks, and facilitates remodeling in vivo to provide a strong, lasting repair...
November 2016: Aesthetic Surgery Journal
Matthew Allen Richardson, Daniel Elliott Rousso, William H Replogle
Importance: To our knowledge, long-term, objective results of lip augmentation using superficial musculoaponeurotic system (SMAS) tissue transfer beyond 1 year have not been previously described. Objective: To evaluate the efficacy, longevity, and safety of lip augmentation using SMAS tissue transfer. Design, Setting, and Participants: A retrospective single-blind cohort study was designed to evaluate all patients who underwent surgical lip augmentation using SMAS following rhytidectomy between January 1, 2000, and November, 16, 2015, at a private facial plastic surgery practice in Birmingham, Alabama...
January 1, 2017: JAMA Facial Plastic Surgery
Harry Mittelman, Summit Kundaria, Herman P Lam
The aging face results in increase in laxity of the skin and the underlying supporting tissue. There is a fundamental volume loss in the face and it is most apparent in the midface. A traditional superficial musculoaponeurotic system (SMAS) rhytidectomy addresses the laxity of the face but not volume loss. Multivector high SMAS plication allows for natural excess tissue to be placed into the area of volume loss, thereby addressing midface volume loss. This technique is easy to perform, reproducible, and effective with the added benefit of helping to volumize the lower face...
October 2016: Facial Plastic Surgery: FPS
Fred G Fedok, Harry Mittelman
The prejowl sulcus is a complex anatomic structure that results from several age-related changes in the lower face. These changes include the localized atrophy of a segment of the mandible inferior to the mental foreman, fat atrophy, and dehiscence and laxity of the ligamentous and muscular components of the region. The correction of the prejowl sulcus is rarely accomplished through rhytidectomy alone. Instead, the volume deficit of the sulcus usually requires the replacement of volume. Solid implants, fillers, and fat transfer may be used to improve the contour of the lower face...
October 2016: Facial Plastic Surgery: FPS
Daniel R Butz, Peter D Geldner
No abstract text is available yet for this article.
May 2016: Plastic and Reconstructive Surgery. Global Open
Daniel Man
BACKGROUND: Recognition of the effects of aging on the ear and the mechanisms leading to ear deformity associated with facelift procedures aid in achieving improved aesthetic results. In 2009, the author developed a novel rhytidectomy technique to provide more natural-looking results than those achieved through other facelift procedures, which often result in facial and ear distortion/deformity. This technique is designed to optimize aesthetic outcomes by employing incisions hidden within the ear, autologous fat transfer to restore normally lost facial volume, and absorbable bidirectional sutures, all of which allow less skin removal and shorter, more concealable scars within the inside perimeter of the ear, and thus less-distorted facial contours...
October 2016: Aesthetic Plastic Surgery
Kai Oliver Kaye, Hans-Eberhard Schaller, Patrick Jaminet, Phillipp Gonser
The peeling-assisted volume-enhancing (PAVE) lift is a single-stage approach that combines superficial musculoaponeurotic system (SMAS) plication techniques with fat grafting and different peeling agents. To evaluate the safety of this approach, we analyzed the records of 159 patients who underwent surgery between 2008 and 2014. The percentage of complications observed was not higher than values reported in the literature for each treatment entity: surgical facelift: n=3 haematomas (1.89 %), n=2; temporary apraxia of the mandibular branch (1...
August 2016: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Paul Covello, Daniel Buchbinder
PURPOSE OF REVIEW: The management of benign, locally aggressive odontogenic tumors, namely, keratocystic odontogenic tumors (KOTs) and ameloblastomas, can be challenging. The purpose of this article is to briefly summarize important features of these lesions and review recent trends in the literature regarding their treatment. RECENT FINDINGS: Currently, KOTs are frequently treated with a conservative approach consisting of enucleation and adjuvant decompression or local microablation with peripheral ostectomies, Carnoy's solution, or cryotherapy...
August 2016: Current Opinion in Otolaryngology & Head and Neck Surgery
Dean M Toriumi, Victor K Chung, Quintin M Cappelle
In facial plastic surgery, attaining hemostasis may require adjuncts to traditional surgical techniques. Fibrin tissue adhesives have broad applications in surgery and are particularly useful when addressing the soft tissue encountered in facial plastic surgery. Beyond hemostasis, tissue adhesion and enhanced wound healing are reported benefits associated with a decrease in operating time, necessity for drains and pressure dressings, and incidence of wound healing complications. These products are clinically accessible to most physicians who perform facial plastic surgery, including skin grafts, flaps, rhytidectomy, and endoscopic forehead lift...
June 2016: Otolaryngologic Clinics of North America
Matthew J Zdilla, Alex R Pancake, H Wayne Lambert
The anterior belly of the digastric muscle (ABDM) is important in a variety of surgeries including submental lipectomy, rhytidectomy, alteration of the cervicomental angle via muscle resection, the "digastric corset" procedure for submental rejuvenation, the submental artery flap, and reanimation of the mouth after facial nerve palsy. Despite its clinical significance, little information exists regarding the morphometrics of the ABDM or its associated intermediate tendon. This study analyzed a total of 35 intact ABDMs and 43 intact intermediate tendons from 23 cadavers...
July 2016: Journal of Craniofacial Surgery
Adam J Wulkan, Sabrina G Fabi, Jeremy B Green
Microfocused ultrasound is a unique technology to treat skin laxity of the brow, lower face, and the rhytides of the décolletage. Over the past several years, the efficacy and safety of this device has been well documented and its adoption widespread. By delivering focused acoustic energy, which is converted to heat, this device creates predictable and reproducible microcoagulative zones that initiate a concentrated inflammatory wound response. By targeting the deep reticular dermis and superficial muscle and fascial planes, such as the superficial musculoaponeurotic system, platysma, and pectoralis muscle fascia, this nonablative technology increases neocollagenesis and neoelastogenesis in a novel fashion, while avoiding many of the complications related to epidermal heating observed in several other nonablative devices...
June 2016: Facial Plastic Surgery: FPS
Berend van der Lei, Theo K Bouman
No abstract text is available yet for this article.
September 2016: Plastic and Reconstructive Surgery
Ziyad S Hammoudeh, Kevin Small, Jacob G Unger, Ran Stark, Rod J Rohrich
BACKGROUND: Ear lobule ptosis and deflation are characteristics of facial aging. A rhytidectomy without rejuvenation of a deflated ear lobule may fail to address all aspects of facial aging. Fillers have been used to treat ear lobule deflation; however, autologous fat transfer has never been utilized for ear lobule rejuvenation. This investigation studies the success of autologous fat transfer to the ear lobule as part of volume augmentation rhytidectomy. METHODS: A retrospective review of patients who underwent rhytidectomy between 2000 and 2014 by a single surgeon was performed...
January 2016: Plastic and Reconstructive Surgery. Global Open
Jung-Hee Bae, Kwan-Hyun Youn, Kyung-Seok Hu, Joo-Heon Lee, Tanvaa Tansatit, Hee-Jin Kim
BACKGROUND: Despite the area of insertion of the facial portion of the platysma being broad and highly variable, the details of its pattern of extension and morphology are not well described in the medical literature. The aim of this study was to clarify the extension patterns of the platysma on the middle and lower face by topographic examination and detailed dissection. METHODS: A detailed dissection was performed in the cheek region of 34 cadaveric specimens...
August 2016: Plastic and Reconstructive Surgery
Sam T Hamra
This article is a 42-year history of the development of a comprehensive face-lift technique by the author. It describes how the composite rhytidectomy has been constructed, anatomical area by anatomical area, over the author's lifetime career as a plastic surgeon. Over the course of these years, beginning with Skoog's 1973 description of using the platysma muscle of the lower face, it describes how progressively the other significant structures of anatomy necessary to be used in achieving significant rejuvenation have been analyzed by the author and in turn surgically repositioned...
July 2016: Plastic and Reconstructive Surgery
James R Parry, Howard D Stupak, Calvin M Johnson
Silicone has been used successfully postoperatively in the prevention of hypertrophic and other types of adverse scars. The Silicone Suture Plate (SSP) is a new, minimally invasive, sterile wound closure device that is applied intraoperatively to prevent adverse scarring. The SSP device permits immediate application of silicone while concurrently allowing for wound-edge tension redistribution. In this prospective, controlled, single-blinded clinical study, 8 consecutive patients undergoing deep-plane rhytidectomy were selected...
February 2016: Ear, Nose, & Throat Journal
Andrew A Jacono, Melanie H Malone
IMPORTANCE: The evaluation of the effects of midline platysmaplasty concomitant with rhytidectomy. OBJECTIVE: To determine whether midline platysmaplasty limits the degree of lift during deep-plane face-lift. DESIGN, SETTING, AND PARTICIPANTS: Deep-plane rhytidectomy was performed on 10 cadaveric hemifaces. The redundant skin for excision after performing the face-lift was measured with and without midline platymaplasty. EXPOSURES: Deep-plane rhytidectomy...
May 1, 2016: JAMA Facial Plastic Surgery
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