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Yassir A Yassir, Ahmed M El-Angbawi, Grant T McIntyre, Gavin F Revie, David R Bearn
Objective: To compare the quality of orthodontic treatment between 0.018-inch and 0.022-inch slot bracket systems. Subjects and methods: Eligible participants aged 12 years or over were allocated to the 0.018-inch or 0.022-inch slot MBT appliance (3M-Unitek, Monrovia, California, USA) using block randomization in groups of 10. Outcome measures included: 1. ABO cast-radiograph evaluation (CR-EVAL), 2. peer assessment rating (PAR) scores, 3. incisor inclination, and 4...
July 11, 2018: European Journal of Orthodontics
Stephanie E Dreifuss, Danielle Minteer, Beth R Gusenoff, Jeffrey A Gusenoff
Background: Pedal fat grafting is a cosmetic procedure indicated to treat the functional and aesthetic sequelae of pedal fat pad atrophy. Fat grafting has been found to mitigate these symptoms, but the exact mechanism is unknown. Objectives: We hypothesize that pedal fat grafting may improve skin quality, accounting for prolonged symptomatic improvement despite loss of grafted fat. Methods: Patients with pedal atrophy were enrolled in a randomized crossover clinical trial...
July 10, 2018: Aesthetic Surgery Journal
Bishara Atiye, Fadel Chahine
Breast surgery has long been viewed as an art more than a science. However, defining and objectively measuring the ideal breast morphology and aesthetic proportions are fundamental for surgical planning and to setting the goals of surgery as well as to evaluate surgical outcomes. Despite the fact that much has been written about aesthetic and reconstructive breast surgery, there is still no real consensus about what the attributes are of an ideal breast. Moreover, there are in fact no objective standard measurement systems and guidelines to describe ideal or even normal breast shape...
July 13, 2018: Aesthetic Plastic Surgery
Eduardo C Yap
The South East Asian nose is usually small with voluminous thick skin, low dorsum, wide and hanging ala, bulbous tip, and retracted premaxilla. The surgical approach of rhinoplasty for these types of noses includes the following: dorsal augmentation, counterrotation and projection of the tip, and correction of hanging ala and alar flare/base. A usual ideal rhinoplasty outcome of a South East Asian nose should be a nose that fits the face with good function and has all the aesthetic landmarks achieved: natural looking dorsum, supratip break, tip, subtip break, columellar show, good alar-columellar relationship, improved premaxilla, improved nostril, and improved alar flare...
August 2018: Facial Plastic Surgery Clinics of North America
Dong Hak Jung, Sang Gyun Jin, Sang Min Hyun
To correct an Asian short nose with low dorsum, short columella, and poorly defined nose tip, augmentation rhinoplasty has been popularized. A simple augmentation no longer is considered an efficient rhinoplasty approach for Asians aesthetically; most surgeons simultaneously perform nasal elongation and augmentation during rhinoplasty. To extend the nose length successfully, important factors are cartilages, mucosal and skin conditions, and presence and degree of fibrotic changes. In addition, surgeons should consider preoperatively how much should be extended from an aesthetics perspective...
August 2018: Facial Plastic Surgery Clinics of North America
Ji Yun Choi
Nasal base modification can improve nostril shape and orientation, reduce alar flaring, improve nasal base width, correct nasal hooding, improve symmetry, and create overall facial harmony. For the correction of alar rim deformities, careful examination, consultation, and analysis and consideration of the condition of the skin are essential. Understanding the ala and surrounding tissue, supporting the lower lateral cartilage, and selecting the proper technique produce functionally and aesthetically good results...
August 2018: Facial Plastic Surgery Clinics of North America
Yong Ju Jang, Sung Hee Kim
Tip surgery during rhinoplasty is particularly difficult in Asians. Tip grafting is the best approach. Conchal cartilage with perichondrium and costal cartilage are powerful grafting materials. The most important grafting techniques are tip-onlay grafting, shield grafting, and multilayer tip grafting. Tip-onlay grafts are useful for dorsal convexity. Shield grafts require sufficient support to prevent bending. Multilayer tip grafts (usually 2 layers) are versatile. Asians vary in cartilage configuration, skin thickness, and aesthetic desires: tip-grafting strategies must be tailored to meet the aesthetic goals of individuals...
August 2018: Facial Plastic Surgery Clinics of North America
In-Sang Kim
Augmentation rhinoplasty is one of the most common aesthetic procedures in Asian countries with silicone implant being the most widely used material for augmentation rhinoplasty. Despite potential advantages, use of alloplastic materials in rhinoplasty is often discouraged in Western countries because of concern for possible risk of infection and extrusion of the implant. The collective experience of long-term favorable outcomes in Asia makes the silicone augmentation rhinoplasty a common procedure. Complication rates for silicone implants vary significantly, depending on surgeon experience, surgical technique, and implant design...
August 2018: Facial Plastic Surgery Clinics of North America
Hani Sbitany
Breast reconstruction is offered to women undergoing mastectomy or breast conservation, given its safe nature and highly aesthetic reconstructive outcomes. Breast implants are safe, offer flexibility of sizes and projections, and shorter recovery. Autologous flaps allow women to avoid prosthetic devices, using skin and fat to replace breast tissue. The increasing frequency of nipple-sparing mastectomy, autologous fat grafting, use of acellular dermal matrices, and prepectoral prosthetic reconstruction have enhanced aesthetic outcomes...
August 2018: Surgical Clinics of North America
Leon H Kircik
Dermatology is often described as a "visual" specialty. While it is true that many of our diagnoses can be made based on a relatively quick recognition of morphology, such a characterization of our profession overlooks the reality that dermatologists are "doers" in the clinic. From aesthetic injections to biopsies and cryosurgery, much of our patient care time is spent performing minor and major procedures. We are well known for our in-office efficiency and cost saving practices.
July 1, 2018: Journal of Drugs in Dermatology: JDD
Denise L Sweeney, Erica B Wang, Evan Austin, Jared Jagdeo
BACKGROUND: As body contouring procedures have become more popular, post-procedural skin laxity is a concern. Non-invasive body contouring technologies may effectively reduce body fat, but modestly affect skin tightening. OBJECTIVE: To assess the efficacy and safety of a topical skin tightening agent in combination with hyperthermic diode laser lipolysis. METHODS: Herein, we describe five patients in which a skin tightening concentrate of 5% yeast extract, 2% hydrolyzed rice protein content, and 2...
July 1, 2018: Journal of Drugs in Dermatology: JDD
Gunilla Pousette Lundgren, Gun-Inger Morling Vestlund, Göran Dahllöf
OBJECTIVES: Amelogenesis imperfecta (AI) is a rare, genetically determined defect in enamel mineralization. Several problems are associated with AI: hypersensitivity, wear, restorations requiring replacement, gingivitis, aesthetic problems, and social avoidance. We conducted a randomized controlled trial of crown therapy in young individuals with AI showing excellent results. This study reports results from a long-term-follow-up with focus on quality, longevity and adverse events. METHODS: The RCT included 27 patients (aged 11-22 years) with severe AI in need of crown therapy and used a split-mouth technique...
July 9, 2018: Journal of Dentistry
Pablo René Costanzo, Néstor Antonio Pacenza, Sergio Mario Aszpis, Sebastián Matías Suárez, Uriel Marcelo Pragier, Jorge Guillermo Stewart Usher, Miguel Vásquez Cayoja, Sergio Iturrieta, Silvia Elisa Gottlieb, Rodolfo Alberto Rey, Pablo Knoblovits
Objectives: To evaluate the characteristics of presentation, biochemical profile, and etiology of gynecomastia in adults. Methods: Medical records of 237 men aged 18-85 years with gynecomastia were evaluated. Results: Highest prevalence of gynecomastia was observed between 21 and 30 years (n = 74; 31.2%). The most common presenting complaints were aesthetic concerns (62.8%) and breast pain (51.2%). 25.3% of the subjects had a history of pubertal gynecomastia...
2018: BioMed Research International
Athanasios Christopoulos, Christina Ligoudistianou, Panagiotis Bethanis, Maria Gazouli
Poland syndrome is a rare congenital anomaly in which affected persons are born with missing or underdeveloped muscles on one side of the body. In this case study we present the case of a 28-year-old male with absence of all middle phalanges of the right hand and other rare anomalies, who underwent reconstruction with a new method that combines a mixture of adipose-derived mesenchymal stem cells and fat transfer. The patient's restoration of the pectoralis area was aesthetically successful with no complications and remained unchanged even after 3...
July 2018: Journal of Surgical Case Reports
Ching Soong Khoo, Hui Jan Tan, Syazarina Sharis Osman
BACKGROUND Dermal fillers are increasingly used for medical and aesthetic purposes in clinical practice. Common complications following filler injections include bruising, itching, infections, allergic reactions, and tissue necrosis. This case is the first report of Herpes simplex virus type 1 (HSV-1) encephalitis as a possible complication of dermal filler injection. CASE REPORT A 27-year-old woman with no past medical history presented with altered mental state, headaches, and seizures. She had a nasal dermal filler injection for aesthetic purpose five weeks before her acute presentation...
July 13, 2018: American Journal of Case Reports
Gyöngyvér Horváth
Understanding visually presented stories requires intense effort from our visual imagination. Artists and theoreticians from the Renaissance onwards suggested various ways to depict stories, either to enhance their understanding and enjoyment, or to help adjust the depictions to the aesthetic ideas of the era. Alberti's concept of istoria, Leonardo's practice of visual stimulation, Lessing's advice on how to choose the most fruitful moment of a story relied both on personal experience and the scientific knowledge of the era...
June 30, 2018: Cortex; a Journal Devoted to the Study of the Nervous System and Behavior
Liming Qing, Panfeng Wu, Fang Yu, Zhengbing Zhou, Juyu Tang
BACKGROUND: Complex soft tissue defect around the ankle and foot remains a reconstructive challenge for orthopedic and plastic surgeons. This study describes our clinical experience with the application of dual-skin paddle anterolateral thigh perforator (ALTP) flap for reconstruction of complex defects around the ankle and foot. METHODS: From June 2010 to June 2015, we retrospectively analyzed 15 patients with complex defects in the ankle and foot. Three types of soft tissue defects include irregular defect (n = 1), nonadjacent defect (n = 4), and extensive defect (n = 10)...
June 12, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Nor Shahab, Cagla Sar, Mesut Sarac, Nejat Erverdi
This case report presents an early clinical evaluation of a patient with bilateral cleft lip and palate (CLP) treated with ArchWise Distraction Osteogenesis Technique and Appliance. A 16-year-old patient with a bilateral CLP had a chief complaint of missing upper anterior teeth and poor aesthetics. The patient had class III skeletal and dental relationships, maxillary hypoplasia, maxillary posterior arch constriction, premaxillary deficiency, multiple missing teeth due to an alveolar cleft, and a concave profile...
January 1, 2018: Cleft Palate-craniofacial Journal
Ichiro Takumi, Masataka Akimoto, Kouhei Hironaka, Koji Adachi, Takashi Kon, Takashi Matsumori, Yuichiro Tanaka, Akio Morita
This technical note aims to demonstrate the usefulness, indications and its limitations of augmentation technique by bipedicle galeo-pericranial rotation flap and by monopedicle galeo-pericranial flap, both in STA (superficial temporal artery) branch compromised hosts in salvage frontotemporal cranioplasty. Although these flaps are not always idealistically vascularized owing to accidental injuries to the STA branches during previous surgeries, they are properly augmenting after salvage frontotemporal craniotomy when infection is not active...
July 12, 2018: Neurologia Medico-chirurgica
Enzo Grossi, Giorgio Tavano Blessi, Pier Luigi Sacco
We provide an experimental evaluation of the impact of aesthetic experiences in terms of stress reduction (cortisol levels) and wellbeing increase. The test experience is a visit to the vault of the Sanctuary of Vicoforte, Italy. Data have been collected using a double step method. A structured interview in relation to the individual subjective well-being has been administered to a sample of 100 subjects. In addition, a sample of their saliva has been taken, and its cortisol level measured, before and after the experience, and likewise for momentary wellbeing measured on a Visual Analogous Scale...
July 12, 2018: Culture, Medicine and Psychiatry
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