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Facial aesthetics

Ravi Jandhyala
Background: Aesthetics remains a novel, poorly-regulated field of medicine. Objectives: This study compared the scientific backgrounds of speakers at major conferences related to aesthetic medicine. Methods: Records from conferences that took place in 2015 in aesthetics (Facial Aesthetic Conference and Exhibition [FACE]), plastic surgery (British Association of Aesthetic Plastic Surgeons [BAAPS]), and dermatology (British Association of Dermatologists [BAD]) were reviewed for professional backgrounds and publication histories of conference speakers...
September 2018: Journal of Clinical and Aesthetic Dermatology
C Lalloué, R Aimard, P-L Vincent, R Viard, J-P Comparin, D Voulliaume
INTRODUCTION: The management of facial burns in their acute stage determines most of the sequelae aspect. An initial treatment of good quality should reduce and even prevent scar ransom and should not compromise potential future corrections. This treatment is based on the respect of facial surgery standards and on the use of some particular technical points. CASE REPORTS: We described our surgical protocol through three case reports. We are performing a surgical excision of the unhealed lesions between the 12th and 15th postburn day...
October 11, 2018: Annales de Chirurgie Plastique et Esthétique
Thomas Rappl, Paul Wurzer, Simone May, Alexandru Cristian Tuca, Janos Cambiaso-Daniel, Daryousch Parvizi, Lars-P Kamolz, David B Lumenta
BACKGROUND: The use of injectable solutions for aesthetic purposes has increased tremendously, but lacks objective support. We aimed at assessing static and dynamic effects of botulinum toxin A (BoNTA) on glabellar lines by use of an objective three-dimensional methodology. METHODS: We prospectively collected three-dimensional stereographic photographs of two different facial expressions (pretreatment, 30 and 90 days posttreatment) in 21 patients, receiving a total of 20 units of BoNTA in both corrugator supercilii muscles...
October 11, 2018: Aesthetic Plastic Surgery
Jonathan D Tijerina, Shane D Morrison, Ian T Nolan, Daniel G Vail, Rahim Nazerali, Gordon K Lee
Background: The utility of Google Trends (GT) in analyzing worldwide and regional patient interest for plastic surgery procedures is becoming invaluable to plastic surgery practices. GT data may offer practical information to plastic surgeons pertaining to seasonal and geographic trends in interest in facial cosmetic procedures. Objective: The authors sought to analyze geographic and temporal trends between GT search volumes and US surgery volumes using univariate analysis...
October 10, 2018: Aesthetic Surgery Journal
Julia L Frisenda, Paul S Nassif
Rejuvenation of the lower face and neck strives to reverse signs of aging while optimizing the patient's natural anatomy. Common features of an aesthetically pleasing lower face include a well-defined and appropriately balanced mandible and an acute cervicomental angle. Correction of the aging lower face and neck is accomplished through multiple surgical interventions, performed either alone or in combination. Determination of appropriate procedures is based on individual anatomic pathology. Intimate knowledge of facial anatomy and the complexity of the aging process is paramount to achieve a natural and aesthetic result...
October 2018: Facial Plastic Surgery: FPS
Michael Somenek
In the last several years, there has been an increasing demand for surgical facial feminization or masculinization to treat the gender dysphoric patient. However, while aesthetic ideals for facial rejuvenation are well described and taught, there is a relative paucity of literature on how to achieve a feminine or masculine morphology. It is thus becoming increasingly important for facial plastic surgeons to understand patient goals regarding facial feminization or masculinization, and to have a systematic approach for analyzing the female and male face...
October 2018: Facial Plastic Surgery: FPS
Demetri Arnaoutakis, Benjamin Bassichis
The periorbital and forehead regions are among the most expressive parts of the face. A thorough understanding of the complex facial anatomy and aesthetic norms are essential when evaluating and treating a patient for facial brow rejuvenation. Not only will knowledge of the anatomy enhance facial injection and surgical outcomes, but will also diminish potential complications. Combining nonsurgical and surgical techniques, including laser and skin rejuvenation, can yield the most natural and effective aesthetic brow improvements...
October 2018: Facial Plastic Surgery: FPS
Christopher Ian Newberry, J Regan Thomas, Eric W Cerrati
Scars are a natural part of dermal healing following lacerations, incisions, or tissue loss. The ideal scar is narrow, flat, level with surrounding tissue, and difficult for the untrained eye to see due to color match and placement parallel to relaxed skin tension lines; however, scarring that is dyspigmented, hypertrophied, widened, contracted, or atrophic can be aesthetically displeasing or causing functional limitations. When the scar has unfavorable characteristics, scar revision is often indicated and the cosmetic surgeon must be knowledgeable of the minimally invasive as well as surgical techniques to improve aesthetics, reduced reoccurrence, or correct functional limitations...
October 2018: Facial Plastic Surgery: FPS
Naresh Kumar, Pravesh Jhingta, Kehar Singh Negi, Vinay Kumar Bhardwaj, Deepak Sharma, Arun Singh Thakur
Pathologic tooth migration is a change in tooth position resulting from disruption of the forces that maintain teeth in a normal position in relation to their arch. The disruption of the equilibrium in tooth position may be caused by various etiologic factors. Loss of attachment apparatus along with a non periodontal related condition such as excess occlusal force, a progressive migration of tooth may take place. Mostly this migration can be associated with aesthetic damage of the smile line. To solve these issues, a combination of periodontal and orthodontic treatment is often needed...
September 2018: Contemporary Clinical Dentistry
Aryan Eghbali, Lorenz Seyssens, Thomas De Bruyckere, Faris Younes, Roberto Cleymaet, Jan Cosyn
AIM: To evaluate the 5-year aesthetic outcome of single implants following alveolar ridge preservation (ARP) and connective tissue graft (CTG) at the buccal aspect. MATERIAL AND METHODS: Thirty-seven periodontally healthy non-smoking patients received flapless tooth extraction, ARP with a deproteinized bovine bone mineral with 10% collagen (DBBMC), implant placement (4-6 months later), a provisional screw-retained crown and CTG at the buccal mucosa (3 months later) and a permanent crown (3 months later)...
October 5, 2018: Journal of Clinical Periodontology
Souphiyeh Samizadeh
As the demand for cosmetic procedures increases, the importance of patient-centred care in this field becomes more prominent. The aesthetic practitioners' ideals of beauty, in addition to their knowledge and perception of patients' ideals of beauty and expectations, are important during doctor-patient communication. These are important in strengthening practices of patient-centred communication and treatment. This study was conducted to investigate ideals of facial beauty among Chinese aesthetic practitioners...
October 4, 2018: Aesthetic Plastic Surgery
Syed Nasir Abbas Bukhari, Nur Liyana Roswandi, Muhammad Waqas, Haroon Habib, Fahad Hussain, Shahzeb Khan, Muhammad Sohail, Nor Amlizan Ramli, Hnin Ei Thu, Zahid Hussain
Hyaluronic acid (HA) plays multifaceted role in regulating the various biological processes such as skin repairmen, diagnosis of cancer, wound healing, tissue regeneration, anti-inflammatory, and immunomodulation. Owing to its remarkable biomedical and tissue regeneration potential, HA has been numerously employed as one of the imperative components of the cosmetic and nutricosmetic products. The present review aims to summarize and critically appraise recent developments and clinical investigations on cosmetic and nutricosmetic efficacy of HA for skin rejuvenation...
October 1, 2018: International Journal of Biological Macromolecules
Q K Jiang, Z Y Cao, Y C Wei, Q Zhang, J F Yan, J Zhang
Objective: To investigate the clinical application value and related technology of modified cosmetic incision and cyanoacrylate octyl ester skin adhesive (Dermabond) in functional surgery of parotid benign tumor. Method: Forty-two cases of clinical cases were collected and randomly divided into groups of A and B. Group A used the approach of modified cosmetic incision,intradermal suture with 6-0 absorbable Vicryl stitches and gluing the skin with Dermabond. Group B used the approach of traditional S shaped incision and continuous suture of skin with 4-0 Prolene stitches...
August 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Andrew J Lindford, Heikki Mäkisalo, Hannu Jalanko, Jouni Lauronen, Veli-Jukka Anttila, Susanna Juteau, Antti-Jussi Ämmälä, Anna Eskola, Samuli Saarni, Helena Isoniemi, Antti Mäkitie, Patrik Lassus
AIM: We herein describe the establishment of the Helsinki Vascularized Composite Allotransplantation (VCA) program and its execution in the first two face transplant cases. METHODS & PATIENTS: The Helsinki VCA program initially required the fulfillment of legal, hospital, financial, and ethical requirements. Thereafter, the assembling of a multidisciplinary team commenced. A team of Plastic, maxillofacial and ENT surgeons comprise the facial VCA team. The protocol involves collaboration with the Solid Organ Transplant (SOT) team, transplant immunology, immunosuppression, microbiology, psychiatric evaluation, well-defined VCA indications and informed consent...
September 22, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Jeffrey C Posnick, Nkemakonam Egolum, Timothy J Tremont
PURPOSE: The purpose of the present study was to document the malocclusion and facial dysmorphology in primary mandibular deficiency (PMD) subjects with chronic obstructive nasal breathing before treatment and the outcomes after bimaxillary orthognathic, genioplasty, and intranasal surgery. PATIENTS AND METHODS: A retrospective cohort study of PMD subjects undergoing bimaxillary, chin, and intranasal surgery was implemented. The predictor variables were grouped into demographic, anatomic, operative, and longitudinal categories...
October 2018: Journal of Oral and Maxillofacial Surgery
Ryan M Smith, Ira D Papel
Neck rejuvenation attempts to correct the unattractive features that result from the process of facial aging. The aesthetic goals of surgery include creating a well-defined jaw contour, optimal cervicomental angle, smooth-appearing skin, and a healthy redistribution of soft tissue volume. Unique patient characteristics create inherent challenges that may limit the degree to which improvement can be made. Psychological expectations and motivations influence patient satisfaction and must be understood through careful evaluation and counseling...
October 2018: Clinics in Plastic Surgery
David A Sieber, Jeffrey M Kenkel
Demand for noninvasive aesthetic medicine options is increasing because of the popularity of nonsurgical procedures and industry's focus on direct-to-consumer marketing. Such techniques as nonablative and ablative lasers, intense pulsed light, radiofrequency, high-intensity focused ultrasound, and skin care with peeling agents may also be used in conjunction with surgery to optimize overall aesthetic results. To maximize benefits, the provider must have a detailed understanding of the science behind each device...
October 2018: Clinics in Plastic Surgery
Juliane P Araujo, Jacqueline Cruz, Jefferson X Oliveira, Alan M Canto
In some cases of dentofacial deformities such as vertical maxillary excess, administration of botulinum toxin has been used as an effective minimally invasive technique to improve the aesthetic disorder of gummy smile. This article presents a case of a woman with excessive gingival exhibition during the smile related to vertical maxillary excess and hyperactive upper lip elevator muscles. This patient was treated using botulinum toxin type A (BT) to camouflage the deformity and improve her facial aesthetic...
July 15, 2018: Dermatology Online Journal
Lingjia Yu, Yuanhao Wu, Jieying Liu, Bo Li, Bupeng Ma, Yaqian Li, Zhenfei Huang, Yu He, Hai Wang, Zhihong Wu, Guixing Qiu
Mandibular bone defect reconstruction is an urgent challenge due to the requirements for daily eating and facial aesthetics. Three-dimensional- (3D-) printed titanium (Ti) scaffolds could provide patient-specific implants for bone defects. Appropriate load-bearing properties are also required during bone reconstruction, which makes them potential candidates for mandibular bone defect reconstruction implants. However, in clinical practice, the insufficient osteogenesis of the scaffolds needs to be further improved...
2018: Stem Cells International
Rod J Rohrich, Kyle Sanniec, Paul N Afrooz
The chin makes up the central unit of the face and neck, and is a significant factor in facial harmony and aesthetics. Historically, correction of microgenia required surgical intervention with a sliding genioplasty, or placement of a permanent implant. However, these techniques require more extensive surgical intervention, prolonged downtime, with higher costs and complications. Furthermore, chin rhytides and descent of chin fat lead to an aged appearance of the chin and lower face that is difficult to correct with a chin implant alone...
October 2018: Plastic and Reconstructive Surgery
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