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Facial rejuvenation

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https://www.readbyqxmd.com/read/28069316/-hyaluronic-acid-rheology-basics-and-clinical-applications-in-facial-rejuvenation
#1
R Billon, B Hersant, J P Meningaud
Hyaluronic acid (HA) is the most widely used dermal filler to treat facial volume deficits and winkles specially for facial rejuvenation. Depending on various areas of the face, filler is exposed to two different forces (shear deformation and compression/stretching forces) resulting from intrinsec and external mechanical stress. The purpose of this technical note is to explain how rheology, which is the study of the flow and deformation of matter under strains, can be used in our clinical practice of facial volumization with fillers...
January 6, 2017: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/28045829/the-effect-of-smoking-on-facial-fat-grafting-surgery
#2
Burhan Özalp, Çağri Çakmakoğlu
Facial fat grafting has been increasingly performed to create a more youthful face. Cigarette smoking might have potential harmful effects on fat graft survival. The aim of this study was to evaluate the effects of cigarette smoking on facial lipofilling.Eighteen smoker patients (13 females and 5 males) with a mean age of 37.4 years (range: 21-53 years) who underwent facial lipofilling were enrolled in this retrospective study. The patients were followed up for an average of 19.3 months (range: 14-32 months)...
December 30, 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28040813/efficacy-and-safety-of-new-dermal-fillers
#3
Joanna Dong, Madeleine Gantz, Gary Goldenberg
Many dermal fillers are available for various cosmetic rejuvenation purposes including but not limited to treatment of facial rhytides, nasolabial folds (NLFs), facial volume deficits, and lipoatrophy; facial contouring; and lip and/or cheek augmentation. To update clinicians on best practices, we review the efficacy and safety data on the most recently approved dermal fillers.
November 2016: Cutis; Cutaneous Medicine for the Practitioner
https://www.readbyqxmd.com/read/28040807/current-concepts-in-lip-augmentation
#4
Gabrielle N Mannino, Shari R Lipner
Facial rejuvenation, particularly lip augmentation, has gained widespread popularity. An appreciation of perioral anatomy as well as the structural characteristics that define the aging face is critical to achieve optimal patient outcomes. Although techniques and technology evolve continuously, hyaluronic acid (HA) dermal fillers continue to dominate aesthetic practice. A combination approach including neurotoxin and volume restoration demonstrates superior results in select settings.
November 2016: Cutis; Cutaneous Medicine for the Practitioner
https://www.readbyqxmd.com/read/28033643/suspension-threads
#5
Elen C D J De Masi, Flávia D J De Masi, Roberta D J De Masi
Suture threads are a minimally invasive surgical technique for facial rejuvenation. Its use was initiated by Sulamanidze et al with propylene after Serdev introduced suture with polycaproamide; however, these types of suture increased inflammatory reaction. For correction of the aging face, surgeons are devising more procedures with fewer incisions and shorter postoperative recovery periods. Many of these procedures use absorbable and nonabsorbable sutures in the dermis and subcutis to lift lax skin. The polydioxanone suture is currently a great option for antiaging treatment, because besides the ease of applicability and good results, it also has a low incidence of adverse reactions...
December 2016: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/28032176/minimal-undermining-suspension-technique-must-combined-eyebrow-and-mid-face-lift-via-temporal-access
#6
Alessandro Gualdi, Janos Cambiaso-Daniel, Jonatann Gatti, Dario Bertossi, Giorgio Pietramaggiori, Saja S Scherer, Paul Wurzer, David B Lumenta
BACKGROUND: Less downtime following esthetic interventions leads to the popularity of injectable solutions for facial rejuvenation treatments. Surgical interventions for esthetic purposes are usually associated with higher complication rates and longer recovery times when compared to less invasive treatments. Here we present for the first time a minimally invasive surgical technique for a simultaneous mid-face and eyebrow lift using one small temporal incision. MATERIALS AND METHODS: We prospectively studied patients who underwent facial rejuvenation using a minimal undermining suspension technique (MUST) in an outpatient setting...
December 28, 2016: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/28027252/evidence-based-medicine-face-lift
#7
Brian M Derby, Mark A Codner
LEARNING OBJECTIVES: After studying this article, the participants should be able to: 1. Describe pertinent surgical anatomy relevant to safe and effective face-lifting techniques. 2. Identify key aspects of facial aging. 3. Incorporate risk-reduction strategies during preoperative assessment. 4. Tailor their approach to face lifting based on patient anatomy. 5. Identify and treat complications after face-lift surgery. 6. Incorporate use of valid patient outcomes assessment tools in their practice to facilitate standardized outcomes reporting in the face-lift literature...
January 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28027232/anatomy-of-the-facial-danger-zones-maximizing-safety-during-soft-tissue-filler-injections
#8
Jack F Scheuer, David A Sieber, Ronnie A Pezeshk, Carey F Campbell, Andrew A Gassman, Rod J Rohrich
With limited downtime and immediate results, facial filler injections are becoming an ever more popular alternative to surgical rejuvenation of the face. The results, and the complications, can be impressive. To maximize safety during injections, the authors have outlined general injection principles followed by pertinent anatomy within six different facial danger zones. Bearing in mind the depth and the location of the vasculature within each zone, practitioners can tailor their injection techniques to prevent vessel injury and avoid cannulation...
January 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28005826/porous-polyethylene-implant-as-aesthetic-complement-in-orthognathic-surgery
#9
Juliana Dreyer da Silva de Menezes, Lucas Borin Moura, Renato Parsekian Martins, Eduardo Hochuli-Vieira
Porous polyethylene implants have been used as an alternative in the treatment of patients with zygomatic and paranasal projections deficiency. These implants promote a facial rejuvenating effect due to the attenuation of the nasal and chin prominences. The advantages of porous polyethylene include biocompatibility, dimensional stability, easy adaptation and fixation, low complication rate, and its availability in different sizes and shapes. A 27-year-old woman presenting vertical deficiency associated with midface hypoplasia was treated with orthognathic surgery...
November 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28005785/eyebrow-shapes-over-the-last-century
#10
Kun Hwang, Seong Kyung Yoo
The aim of this study was to analyze eyebrow shapes as represented in the British edition of "Vogue" over the last century (1916-2015). Photographs containing distinguishable eyebrows were selected from a book entitled "Vogue 100: A Century of Style." A total of 120 frontal pictures in which the eye and eyebrows were identifiable were included and analyzed. The relative width of the eyebrow (REW), as well as relative medial (RMH), midpupillary (RPH), and lateral (RLH) eyebrow height were measured in reference to the length of the palpebral fissure...
November 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28002252/validating-facial-aesthetic-surgery-results-with-the-face-q
#11
E A Kappos, M Tremp, D J Schaefer, M Haug, D Kalbermatten, B A Toth
INTRODUCTION: In aesthetic clinical practice surgical outcome is best measured by patient satisfaction and quality of life (QoL). For many years there has been a lack of validated questionnaires. Recently the FACE-Q was introduced and we present the largest series of facelift patients evaluated by FACE-Q with the longest follow-up to date. MATERIALS/METHODS: 200 consecutive patients were identified who underwent high SMAS facelifts, with or without additional facial rejuvenation procedures, between Jan 2005 and Jan 2015...
December 19, 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28001455/assessment-of-efficacy-and-safety-of-a-fractionated-bipolar-radiofrequency-device-for-the-treatment-of-lower-face-wrinkles-and-laxity
#12
Yueqi Jiang, Xuting Zhang, Zhong Lu, Michael H Gold
Skin aging, as a natural course, is a gradual process. It can be classified as either intrinsic or photo-aging. In recent years, as the attention to lower face wrinkles and laxity has raised significantly, the demands to facial rejuvenation also increased, along with a variety of technologies coming into being. Fractional bipolar RF as a novel means of rejuvenation has been used in clinical practice, but questions remain in terms of its efficacy and safety. Considering a large population in our country and huge demands for skin tightening, we did this research to evaluate the efficacy and safety of fractional bipolar radiofrequency...
December 21, 2016: Journal of Cosmetic and Laser Therapy: Official Publication of the European Society for Laser Dermatology
https://www.readbyqxmd.com/read/27987257/a-new-tool-to-improve-delivery-of-patient-engaged-care-and-satisfaction-in-facial-treatments-the-aesthetic-global-ranking-scale
#13
Ravi Jain, Peter Huang, Rodrigo M Ferraz
BACKGROUND: Physicians face the challenge of individualizing aesthetic treatments in order to match the aesthetic needs of patients with their expectations. OBJECTIVE: To review issues underlying patient satisfaction with minimally invasive aesthetic treatment and to present a patient-centric assessment tool (the Global Ranking Scale [GRS]) designed to set higher standards for patient consultation and treatment experience; ensure a comprehensive patient-centric aesthetic consultation process; and raise patient satisfaction with facial rejuvenation treatment...
December 16, 2016: Journal of Cosmetic Dermatology
https://www.readbyqxmd.com/read/27986754/cannula-versus-sharp-needle-for-placement-of-soft-tissue-fillers-an-observational-cadaver-study
#14
Jani A J van Loghem, Dalvi Humzah, Martina Kerscher
BACKGROUND: Soft-tissue fillers have become important products for facial rejuvenation. Deep fat compartments and facial bones lose volume during the natural aging process. For the most natural-looking results, deep volumetric injections at strategic sites are therefore preferred. Supraperiosteal placement is performed with a sharp needle or a non-traumatic cannula. OBJECTIVES: The primary objective was to determine whether there is a difference in precision between supraperiosteal placement with a sharp needle compared with a non-traumatic cannula in cadaver specimens...
December 16, 2016: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/27965217/nonsurgical-facial-rejuvenation-procedures-in-patients-under-50-prior-to-undergoing-facelift-habits-costs-and-results
#15
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
https://www.readbyqxmd.com/read/27930752/prevalence-of-body-dysmorphic-disorder-and-surgeon-diagnostic-accuracy-in-facial-plastic-and-oculoplastic-surgery-clinics
#16
Andrew W Joseph, Lisa Ishii, Shannon S Joseph, Jane I Smith, Peiyi Su, Kristin Bater, Patrick Byrne, Kofi Boahene, Ira Papel, Theda Kontis, Raymond Douglas, Christine C Nelson, Masaru Ishii
Importance: Body dysmorphic disorder (BDD) is a relative contraindication for facial plastic surgery, but formal screening is not common in practice. The prevalence of BDD in patients seeking facial plastic surgery is not well documented. Objective: To establish the prevalence of BDD across facial plastic and oculoplastic surgery practice settings, and estimate the ability of surgeons to screen for BDD. Design, Setting, and Participants: This multicenter prospective study recruited a cohort of 597 patients who presented to academic and private facial plastic and oculoplastic surgery practices from March 2015 to February 2016...
December 8, 2016: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/27923810/durability-of-three-different-types-of-hyaluronic-acid-fillers-in-skin-are-there-differences-among-biphasic-monophasic-monodensified-and-monophasic-polydensified-products
#17
Adilson da Costa, Danilo Guerreiro Zeolo Biccigo, Ellem Tatiani de Souza Weimann, Larissa Mondadori Mercadante, Paulo Roberto Grimaldi Oliveira, Stefânia Bazanelli Prebianchi, Beatrice Martinez Zugaib Abdalla
BACKGROUND: Hyaluronic acid fillers are used for facial rejuvenation and are classified as non-cross-linked or cross-linked (monophasic mono- or polydensified). OBJECTIVES: To histologically assess the intradermal durability of three types of fillers (biphasic, monophasic monodensified, and monophasic polydensified), to compare the durability of the products over 6 months, and to evaluate the structural changes after application. METHODS: In all, 25 volunteers received injections of three different fillers in the dermis of the right lumbar region (in one line), and equal amounts of the fillers were injected into three different sites (in the same column), yielding nine points of application in each patient...
December 6, 2016: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/27922559/botulinum-toxin-type-a-bont-a-injections-of-the-corrugator-muscles-for-aesthetics-and-depression
#18
Connie Brennan
The treatment of glabellar lines with botulinum toxin type-A (BoNT-A) is a staple for aesthetic providers who specialize in facial rejuvenation. Clinical efforts are currently underway to substantiate upper facial injections (the corrugator muscles are the target muscles) of BoNT-A as an antidepression therapy. This article describes the origin of "facial feedback" by Charles Darwin nearly 150 years ago, as well as "emotional proprioception"-2 neuroanatomical concepts that help provide the scientific rationale behind the general influence facial muscles have on the emotional centers of the brain, and, specifically, how the corrugator muscles-involved with frowning-promote a gloomy mood...
October 2016: Plastic Surgical Nursing
https://www.readbyqxmd.com/read/27918844/novel-method-for-facial-rejuvenation-using-er-yag-laser-equipped-with-a-spatially-modulated-ablation-module-an-open-prospective-uncontrolled-cohort-study
#19
N V Volkova, L K Glazkova, V V Khomchenko, N S Sadick
Facial aging is a complex biological process that affects the skin and superficial musculoaponeurotic system (SMAS). A new technology (RecoSMA) for skin rejuvenation based on acoustic-interference method using Er:YAG laser (2936 nm) equipped with a special module SMA that targets both the dermis and SMAS was evaluated in an open-label prospective cohort study of 100 female patients treated for facial rejuvenation. Measure of clinical improvement included investigator-rated clinical photography using the Modified Fitzpatrick Wrinkle Scale, and ultrasound measurements in the dermis a week, 30 days and six months post treatment...
December 5, 2016: Journal of Cosmetic and Laser Therapy: Official Publication of the European Society for Laser Dermatology
https://www.readbyqxmd.com/read/27918772/energy-based-facial-rejuvenation-advances-in-diagnosis-and-treatment
#20
Christopher J Britt, Benjamin Marcus
Importance: The market for nonsurgical, energy-based facial rejuvenation techniques has increased exponentially since lasers were first used for skin rejuvenation in 1983. Advances in this area have led to a wide range of products that require the modern facial plastic surgeon to have a large repertoire of knowledge. Objective: To serve as a guide for current trends in the development of technology, applications, and outcomes of laser and laser-related technology over the past 5 years...
December 1, 2016: JAMA Facial Plastic Surgery
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