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Facial aesthetics

Izolda Heydenrych, Krishan M Kapoor, Koenraad De Boulle, Greg Goodman, Arthur Swift, Narendra Kumar, Eqram Rahman
The recent rapid growth in dermal filler use, in conjunction with inadequate product and injector control, has heralded a concerning increase in filler complications. The 10-point plan has been developed to minimize complications through careful preconsideration of causative factors, categorized as patient, product, and procedure related. Patient-related factors include history, which involves a preprocedural consultation with careful elucidation of skin conditions, systemic disease, medications, and previous cosmetic procedures...
2018: Clinical, Cosmetic and Investigational Dermatology
Martina Kerscher, Arti Tania Nurrisyanti, Christine Eiben-Nielson, Susanne Hartmann, Judith Lambert-Baumann
INTRODUCTION: Combined cosmetic treatments are becoming increasingly popular. The objective of this clinical evaluation was to assess the long-term safety and efficacy of combining microfocused ultrasound with visualization (MFU-V) treatment with a calcium hydroxylapatite (CaHA) dermal filler to tighten skin at the submental region and contour the jawline. METHODS: Women with loss of contour and skin laxity in the lower face received MFU-V treatment. If subjects did not respond satisfactorily after 12 weeks, they received CaHA to the jawline...
December 8, 2018: Dermatology and Therapy
Gordon H Sasaki
Background: Numerous methodologies have been suggested to enhance fat graft survival, but few long-term studies are available. Objectives: The authors of this institutional review board-approved study investigated the safety and efficacy of utilizing platelet-rich plasma (PRP). Methods: Each of 10 patients received equal volumes of syringe-harvested, centrifuged fat to opposing midfaces with a lateral submuscular aponeurotic system-plication or no face lift and hands that were combined with equal volumes of either concentrated PRP or normal saline...
December 10, 2018: Aesthetic Surgery Journal
Kate Elzinga, Abelardo Medina, Regan Guilfoyle
The nose plays a critical role in olfaction, air filtration and humidification, and facial aesthetics. Most nasal amputations result from animal bites, human bites, and lacerations from glass. Successful replantation yields the best aesthetic and functional outcomes and is preferred compared with multistage nasal reconstruction. However, nasal replantation is technically challenging; establishing venous outflow can be particularly difficult. A 17-year-old male sustained a complete nose and upper lip amputation in a motor vehicle accident...
October 2018: Plastic and Reconstructive Surgery. Global Open
Tom Shokri, Sameep Kadakia, Masoud Saman, Mutaz Habal, Scott Kohlert, Mofiyinfolu Sokoya, Yadranko Ducic, Donald Wood-Smith
Nasal reconstruction is considered the historic foundation of facial plastic surgery, and the forehead flap remains the workhorse of repair. To recreate both the aesthetic contour and function of the nose, all anatomic layers must be addressed-covering, lining, and structural support. This article reviews the noteworthy history underlying the development of the paramedian forehead flap as the primary tool in reconstruction of large nasal defects while highlighting its implications on modern nasal repair. Current developments in the use of 2-staged paramedian forehead flap reconstruction are examined and a modern technique is presented...
December 10, 2018: Journal of Craniofacial Surgery
Rami S Kantar, Michael J Cammarata, William J Rifkin, Allyson R Alfonso, Evellyn M DeMitchell-Rodriguez, Daphney Y Noel, Jason A Greenfield, Dina Levy-Lambert, Eduardo D Rodriguez
INTRODUCTION: Orthognathic surgery plays an important role in restoring aesthetic facial contour, correcting dental malocclusion, and the surgical treatment of obstructive sleep apnea. However, the rate of complications following bimaxillary as compared with single-jaw orthognathic surgery remains unclear. The authors therefore sought to evaluate complication rates following bimaxillary as compared with single-jaw orthognathic surgery MATERIALS AND METHODS:: The American College of Surgeons National Surgical Quality Improvement Program database was used to identify comparison groups...
December 10, 2018: Journal of Craniofacial Surgery
Shou-Fan Lee, Sarayuth Dumrongwongsiri, Lun-Jou Lo
OBJECTIVE: Lip cant is a feature of facial deformity and commonly seen in patients with facial asymmetry. Because of its importance in aesthetic assessment, it is necessary to define the perceptions of lip cant and investigate differences in perception between laypersons and professionals. These data were insufficient in the literature. METHODS: Photographs of 30 male and 30 female individuals with normal faces were collected, and the lip line angles were measured...
November 30, 2018: Annals of Plastic Surgery
Jenny T Chen, Daniel B Schmid, Jacqueline S Israel, John W Siebert
BACKGROUND: Parry Romberg disease (hemifacial atrophy) and linear scleroderma (coup de sabre) are progressive, usually unilateral facial atrophies of unknown cause. The gold standard treatment for these patients has been microsurgical reconstruction following the "burning out" of the facial atrophy and stable contour for 2 years. METHODS: The authors report their experience treating patients with hemifacial atrophy and linear scleroderma with free tissue transfers between 1989 and 2016...
November 2018: Plastic and Reconstructive Surgery
Yorikatsu Watanabe, Ryo Sasaki, Isao Matsuno, Tanetaka Akizuki
Severe facial asymmetry in adults with hemifacial microsomia or other types of mandibular hypoplasia is challenging to treat with simultaneous maxillomandibular distraction osteogenesis using an external distractor combined with intermaxillary fixation (IMF). Using an external distractor also produces significant distress for patients for at least 8 weeks. Furthermore, mandibular-driven distraction tends to elongate the midface, with difficulty positioning of the center of the maxilla in the center of the face and horizontalization of the occlusal plane...
November 30, 2018: Journal of Craniofacial Surgery
M Berger, R Weigert, E Pascal, K Hufschmidt, V Casoli
INTRODUCTION: Assessment of patient satisfaction following an aesthetic surgery has shown an increasing trend over the past years. To date, there is no prospective and comprehensive study evaluating this aspect after surgical facial and neck rejuvenation. The aim of the current work was to address patient satisfaction after face and neck lift surgery using a validated questionnaire. PATIENTS AND METHODS: We present a prospective and multicenter study (five regional centers) involving all patients undergoing face and neck lift surgery between April 2015 and April 2017 in several French centers for aesthetic surgery...
November 28, 2018: Aesthetic Plastic Surgery
Michelle Henry, Neil Sadick
The world is flat when it comes to aesthetic treatments, meaning women and men from all walks of life, regardless of culture and ethnicity or even socioeconomic status, are seeking ways to improve their appearance, prevent aging, and rejuvenate their skin. Year after year, statistics show a steady increase in people of color undergoing aesthetic treatments, with neurotoxins, fillers, laser resurfacing, and body contouring being the most sought-after procedures. When treating this cohort of patients, however, dermatologists need to be sensitized to how a patient's ethnicity affects facial structure, the tissue reaction to treatments, and patient's specific expectations for recommended therapies...
December 2018: Seminars in Cutaneous Medicine and Surgery
Gernot Gerger, Matthew Pelowski, Tomohiro Ishizu
An outstanding question in empirical aesthetics concerns whether negative emotions (e.g., fear, disgust) can improve aesthetic judgments of liking. Although negative emotions are sometimes linked with enjoyment in music or visual design/art, emotion priming studies have shown conflicting results, reporting both more negative and more positive assessments. These divergences may be driven by key differences in priming procedures. Specifically, past studies' use of either emotional faces or emotional scenes as primes as well as differing negative emotion content (fear, disgust) may involve differing processes leading to opposing effects, particularly in aesthetic judgments...
November 26, 2018: Emotion
F J Kupilas, J Kleinheinz
In the presented case, the resulting defect size after resection of a dermatofibrosarcoma protuberans exceeded the treatment capability with local flaps in the region of the exposed facial skin. Through the use of conventional wound healing in combination with a meshed split-thickness skin graft, plastic aesthetic soft tissue treatment with an aesthetically satisfactory result was possible.
November 22, 2018: Der Hautarzt; Zeitschrift Für Dermatologie, Venerologie, und Verwandte Gebiete
Jing Zou
Pediatric dentistry should focus not only on the treatment of various oral diseases during the entire growth and development of children but also on the early prevention, diagnosis, and intervention of various oral diseases in this process. Early identification and removal of risk factors or early intervention for common oral diseases is necessary to the implementation of oral health management for pregnant women, infants, preschool and school-age children, and adolescents with different general and oral physiological characteristics and common oral diseases...
October 1, 2018: Hua Xi Kou Qiang Yi Xue za Zhi, Huaxi Kouqiang Yixue Zazhi, West China Journal of Stomatology
Si-Qiao Wu, Bai-Lin Pan, Yang An, Jun-Xue An, Lu-Jia Chen, Dong Li
The lip profile plays an important role in the perception of facial aesthetics; lip morphology and aesthetics research is receiving increasing attention. The advancement of research tools such as three-dimensional imaging technology has led to the clarification of lip morphologic and aesthetic characteristics. After studies of lip characteristics according to gender, ethnicity and age provided basic data, studies on lip aesthetics have been conducted by scholars worldwide. These studies could provide a basic theory to support diagnosis and treatment options, as well as the basis for evaluative criteria for precise treatment and technical improvements...
November 21, 2018: Aesthetic Plastic Surgery
Nehal Mahabbat, Nawaf Alohaideb, Faris Aldaghri, Feras Alshomer, Mohamed Amir Murad
Introduction: Facial giant congenital melanocytic nevus represents a major cosmetic deformity for the child and parents and is a challenge for the plastic surgeons to achieve best cosmetic results. Herein, we present a case of single-stage surgical reconstruction using partial-thickness scalp skin graft aided with Matriderm dermal substitute for a facial giant congenital melanocytic nevus. Methods: An 8-year-old boy presented with a facial giant congenital melanocytic nevus without leptomeningeal involvement...
2018: Eplasty
Steve Chukwulebe, Christopher Hogrefe
Appropriate medical care for a patient with a facial fracture can not only optimize aesthetic outcomes but also prevent the potential morbidity and mortality of delayed treatment. In this article, we focus on the clinical presentations, physical examination findings, diagnostic imaging, consultations, and follow-up that patients with facial fractures need related to their emergency department management. Specifically, we address the nuances of evaluating frontal, orbital, nasal, maxillofacial, and mandibular fractures...
February 2019: Emergency Medicine Clinics of North America
Anzhelika V Yakymets, Myroslava S Drohomyretska, Olena M Doroshenko, Sergii M Hermanchuk, Maryna K Bilous, Olga A Omelianenko, Volodymyr I Struk
OBJECTIVE: Introduction: This article discusses the problems of the current issue of modern orthodontics aimed at increasing the effectiveness of diagnosis and treatment of transversal anomalies of occlusion in patients in periods of alternating and permanent bites by using standard orthodontic equipment in combination with orthopedic treatment by physical rehabilitation methods. In this work, the features of cephalometric indices in patients with transversal anomalies of occlusion have been studied, which make it possible to approach the choice of orthodontic treatment method in a comprehensive way...
2018: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
Akihiro Ogino, Kiyoshi Onishi, Miho Nakamichi
BACKGROUND: In primary reconstruction after maxillectomy for cancer, simple and less invasive surgical techniques considering functionality and aesthetics are necessary. The authors performed reconstruction for tissue defects after maxillectomy using an Ultra flex mesh plate and a free rectus abdominis myocutaneous flap including the aponeurosis of the external abdominal oblique muscle. METHOD: A 72-year-old male with a maxillary squamous cell carcinoma underwent subtotal maxillectomy...
November 15, 2018: Journal of Craniofacial Surgery
E V Silina, V A Stupin, S B Bolevich, N E Manturova
Aim: The purpose of this study was to examine the role of free radical oxygen and peroxide- lipid processes along with conducting the study of blood flow level and oxygen saturation of facial tissues in patients of different ages with varying degrees of involutional changes in the skin of the face and neck. Materials and methods: One hundred and fifty-three people (84.3% women and 15.7% men) aged from 26 to 78 years with varying degrees of involutional changes in facial skin were examined...
2018: Clinical, Cosmetic and Investigational Dermatology
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