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https://www.readbyqxmd.com/read/28358935/comparison-of-neurovascular-characteristics-of-facial-skin-in-patients-after-primary-and-revision-rhytidectomies
#1
Farhad Ardeshirpour, Elisabeth Hurliman, Gwen Wendelschafer-Crabb, Brian McAdams, Peter A Hilger, William R Kennedy, Amy Anne D Lassig, Michael J Brenner
Importance: Wound healing influences both the cosmetic and functional outcomes of facial surgery. Study of cutaneous innervation may afford insight into patients' preoperative wound healing potential and aid in their selection of appropriate surgical procedures. Objective: To present the quantitative and qualitative differences of epidermal nerve fibers (ENFs), neurotransmitters, vasculature, and mast cells in facial skin among patients after primary and revision rhytidectomies...
March 30, 2017: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/28199538/analysis-of-factors-associated-with-rhytidectomy-malpractice-litigation-cases
#2
Aron Kandinov, Sean Mutchnick, Vaibhuv Nangia, Peter F Svider, Giancarlo F Zuliani, Mahdi A Shkoukani, Michael A Carron
Importance: This study investigates the financial burden of medical malpractice litigation associated with rhytidectomies, as well as factors that contribute to litigation and poor defendant outcomes, which can help guide physician practices. Objective: To comprehensively evaluate rhytidectomy malpractice litigation. Data Sources and Study Selection: Jury verdict and settlement reports related to rhytidectomy malpractice litigations were obtained using the Westlaw Next database...
February 9, 2017: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/28199536/is-studying-rhytidectomy-malpractice-cases-enough-to-understand-why-patients-are-dissatisfied-more-patient-communication-less-malpractice-litigation
#3
Jonathan M Sykes
No abstract text is available yet for this article.
February 9, 2017: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/28160055/earlobe-reduction-with-minimally-visible-scars-the-sub-antitragal-groove-technique
#4
Lennert Van Putte, Steven D M Colpaert
BACKGROUND: Ptosis of the earlobe is a common consequence of ageing, defined as an unappealingly large free caudal segment of over 5 mm. It is therefore important to consider reduction as a complement to rhytidectomy in selected patients. Moreover, facelifting operations can result in disproportionate or poorly positioned earlobes. Current earlobe-reducing techniques can leave a scar on the free lateral edge causing notching or involve complex pattern excisions with limited resection capability and the risk of deformities...
April 2017: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/28144754/contact-cooling-of-random-pattern-cutaneous-flaps-does-it-increase-necrosis
#5
Edward Nahabet, Hooman Riazi, Mark Asirwatham, Emily Wirtz, Donald J Harvey, Davood Varghai, Bahman Guyuron
BACKGROUND: Cooling after surgery reduces pain, swelling and ecchymosis. However, the fear of adverse effects of vasoconstriction caused by cooling may prevent its use when the skin is undermined extensively, for example, after rhytidectomy. The purpose of this study is to determine whether the contact cooling of random-pattern skin flaps increases the area of necrosis observed. METHODS: Twenty-eight random-pattern skin flaps (4 × 10 cm) were raised on four pigs...
April 2017: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/28130927/fibrin-sealants-in-soft-tissue-surgery-of-the-head-and-neck-a-systematic-review-and-meta-analysis-of-randomised-controlled-trials
#6
M S Bajwa, C Tudur-Smith, R J Shaw, A G Schache
BACKGROUND: Fibrin sealants (FS) are commercially available products used in surgical wounds as adjuncts to haemostasis and closure of dead space. The role of FS in soft-tissue head and neck surgery has not been established. OBJECTIVES: To assess if FS improves wound related outcomes in patients undergoing soft-tissue surgery of the head and neck anatomical region that would commonly require a drain. TYPE OF REVIEW: Systematic review and meta-analysis of randomised controlled trials (RCTs)...
January 28, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28125532/the-modern-male-rhytidectomy-lessons-learned
#7
Rod J Rohrich, James M Stuzin, Smita Ramanadham, Christopher Costa, Phillip B Dauwe
BACKGROUND: Cosmetic surgery among male patients has become increasingly popular. The face-lift technique is different in male patients, specifically regarding preservation of hair follicles, restoration of a youthful and well appearance, and reduction of the risk of hematoma. METHODS: A retrospective review of a single surgeon's past 20 years of consecutive male rhytidectomies revealed a cohort of 83 patients. A control group was created by random selection of 83 age-matched female rhytidectomy patients during the same period...
February 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28121861/what-is-the-lobular-branch-of-the-great-auricular-nerve-anatomical-description-and-significance-in-rhytidectomy
#8
Vicki S Sharma, Robert E Stephens, Barth W Wright, Christopher C Surek
BACKGROUND: Current literature suggests that preserving the lobular branch of the great auricular nerve has greater impact on sensory function of the auricle than preservation of the posterior branch during rhytidectomy. However, no methodology exists to efficiently and accurately determine the topographic location of the lobular branch. This study describes the branching characteristics of the lobular branch and algorithmic surface markings to assist surgeons in preservation of the great auricular nerve during rhytidectomy flap elevation...
February 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28045823/the-retaining-ligament-of-the-anterior-digastric-muscle
#9
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)...
March 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27965217/nonsurgical-facial-rejuvenation-procedures-in-patients-under-50-prior-to-undergoing-facelift-habits-costs-and-results
#10
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...
April 1, 2017: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/27874959/new-lift-the-art-of-facial-rejuvenation-with-minimal-incisions-rhytidectomy
#11
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
https://www.readbyqxmd.com/read/27697885/the-history-of-galaflex-p4hb-scaffold
#12
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
https://www.readbyqxmd.com/read/27684045/long-term-analysis-of-lip-augmentation-with-superficial-musculoaponeurotic-system-smas-tissue-transfer-following-biplanar-extended-smas-rhytidectomy
#13
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
https://www.readbyqxmd.com/read/27680527/facelift-techniques-that-restore-facial-volume
#14
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
https://www.readbyqxmd.com/read/27680523/augmenting-the-prejowl-deciding-between-fat-fillers-and-implants
#15
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
https://www.readbyqxmd.com/read/27579240/the-use-of-tranexamic-acid-in-rhytidectomy-patients
#16
Daniel R Butz, Peter D Geldner
No abstract text is available yet for this article.
May 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27353877/modified-rhytidectomy%C3%A2-that-produces-a-more-natural-look-experience-with-110-cases
#17
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
https://www.readbyqxmd.com/read/27320171/the-pave-peeling-assisted-volume-enhancing-lift-a-retrospective-6-year-clinical-analysis-of-a-combined-approach-for-facial-rejuvenation
#18
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
https://www.readbyqxmd.com/read/27314404/recent-trends-in-the-treatment-of-benign-odontogenic-tumors
#19
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
https://www.readbyqxmd.com/read/27267012/surgical-adhesives-in-facial-plastic-surgery
#20
REVIEW
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
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