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Aesthetic consultation

Veerasamy Yengopal, Soraya Yasin Harnekar, Naren Patel, Nandi Siegfried
BACKGROUND: Childhood caries (tooth decay) consists of a form of tooth decay that affects the milk teeth (also known as baby or primary teeth) of children. This may range from tooth decay in a single tooth to rampant caries affecting all the teeth in the mouth. Primary teeth in young children are vital to their development and every effort should be made to retain these teeth for as long as is possible. Dental fillings or restorations have been used as an intervention to repair these damaged teeth...
October 17, 2016: Cochrane Database of Systematic Reviews
Julie Dohin, Caroline Coiffier-Leone, Prune Payre, Beatrice Bayle, Bruno Dohin, Vincent Gautheron
Congenital agenesis and acquired amputations of upper limb in children are a great traumatic experience in affected families. Patients, families and caregivers are then exposed to many functional and social difficulties. These states require accurate analysis of functional impairment, child's coping skills and therapeutic plan to implement for optimal social integration. These children and their families must be supported since early childhood by multidisciplinary teams. This can require psychological support, the use of an aesthetic and/or functional prosthesis, and occupational therapy...
September 2016: Annals of Physical and Rehabilitation Medicine
V Navalón-Monllor, M V Ordoño-Saiz, F Ordoño-Domínguez, V Sabater-Marco, Y Pallás-Costa, P Navalón-Verdejo
OBJECTIVES: To present our experience with the diagnosis and treatment of median raphe cysts treated in our department in the last 25years. MATERIAL AND METHOD: We conducted a retrospective study of 28men with median raphe cysts who underwent surgery in our department from June 1990 to March 2015. We analysed the age of presentation, reason for consultation, clinical manifestations, histological findings, treatment and outcome after exeresis. RESULTS: The majority of the patients (22; 79%) were asymptomatic and consulted for the aesthetic defect...
August 16, 2016: Actas Urologicas Españolas
Jesse D Meaike, Ryan M Dickey, Elizabeth Killion, Erica L Bartlett, Rodger H Brown
Nonmelanoma skin cancers are the most common skin cancers in the United States and the most common malignancies afflicting the head and neck region. Reconstruction of resulting defects has significant aesthetic and functional implications, and plastic surgeons are frequently consulted for reconstruction. Reconstruction can be accomplished via a multitude of approaches spanning the reconstructive ladder, and the approach should be individualized based upon both patient-related and defect-related factors. Here the authors propose a simplified approach to facial reconstruction broken down by aesthetic region...
August 2016: Seminars in Plastic Surgery
Maurice Y Mommaerts, John N Blythe
There are growing number of patients attending aesthetic consultations and requesting the rejuvenation of ageing upper lips. Often these patients also have nasal tip ptosis. There are a number of direct and indirect upper lip lifting procedures. We describe a novel technique, which combines upper lip and nasal tip rejuvenation through hidden incisions and the use of suspension micro-screws.
September 2016: Journal of Cranio-maxillo-facial Surgery
Alan Matarasso, Jeremy Nikfarjam, Lauren Abramowitz
Minimally invasive procedures in an aesthetic practice have grown over the past decade. Plastic surgery practices are embracing the incorporation of injectables and lasers as adjuncts to their surgical procedures. The use of botulinum toxin, hyaluronic acid fillers, and lasers has made a significant impact on the authors' practice. The authors describe the important considerations, consultation goals, and procedural steps with injectables and fillers. The novel use of deoxycholic acid injections is also described...
July 2016: Clinics in Plastic Surgery
S Iacob, B Hersant, M SidAhmed Mezi, J P Meningaud
INTRODUCTION: After surgery, the plastic surgeon is very often questioned about how to maintain the result and more frequently how to slow down the aging process. However, this type of knowledge is not commonly delivered during medical education or at least needs an update. This review could be used as a guide to help plastic surgeons to manage these frequent postoperative consultations. The aim of this literature review was to focus discussion on specific positive factors, identified to have a significant impact on human longevity...
August 2016: Aesthetic Plastic Surgery
Joseph Lopez, Ilona Juan, Adela Wu, Georges Samaha, Brian Cho, J D Luck, Ashwin Soni, Jacqueline Milton, James W May, Anthony P Tufaro, Amir H Dorafshar
BACKGROUND: Recently, several studies have demonstrated that articles that disclose conflicts of interests (COI) are associated with publication of positive results. The purpose of this study was to learn more about the different types of COI as they relate to the general topic of COI in plastic surgery. Specifically, we aimed to examine whether different types of COI are more likely than others to be associated with the presentation of positive findings. METHODS: We reviewed all original articles in Annals of Plastic Surgery, Journal of Plastic, Reconstructive, and Aesthetic Surgery, and Plastic & Reconstructive Surgery from January 1, 2012, to December 31, 2013...
August 2016: Annals of Plastic Surgery
A Walter Lepage, É Frouin, A Junca, V Cante, C Monégier du Sorbier, M-C Hulin-Desquiret, P Levillain, G Guillet
INTRODUCTION: Mucinous nevus is a rare disease characterized by mucin deposits in the dermis, with only 23 cases reported to date. It belongs to the connective tissue nevus family and is characterized by dermal mucin deposits. Two histological subtypes have been described: pure mucinous dermal nevus (connective tissue nevus of the proteoglycan [CTNP]) and combined mucinous nevus (combined CTNP) associating epidermal nevus with dermal mucin deposits. Lesions generally appear in childhood or early adulthood...
August 2016: Annales de Dermatologie et de Vénéréologie
Bingjun Xiong, Qiuwen Tan, Qing Lü
OBJECTIVE: To review the application and research progress of autologous fat grafting in breast reconstruction. METHODS: The recent literature concerning the technique, postoperative outcome, or limitations of autologous fat grafting in breast reconstruction was extensively consulted and reviewed. RESULTS: There are several ways of breast reconstruction using autologous fat for patients who underwent mastectomy or breast conserving surgery...
January 2016: Chinese Journal of Reparative and Reconstructive Surgery
Rod J Rohrich, Jamil Ahmad
Rhinoplasty continues to be one of the most commonly performed aesthetic surgical procedures. Over the past 25 years, the open approach has increased in popularity and is the focus of this article. The principles for successful rhinoplasty include comprehensive clinical analysis and defining rhinoplasty goals, preoperative consultation and planning, precise operative execution, postoperative management, and critical analysis of one's results. Systematic nasal analysis is critical to establish the goals of surgery...
April 2016: Plastic and Reconstructive Surgery
Anne F Klassen, Stefan J Cano, Jonathan A Schwitzer, Stephen B Baker, Alastair Carruthers, Jean Carruthers, Anne Chapas, Andrea L Pusic
IMPORTANCE: Patient-reported outcomes data are needed to determine the efficacy of cosmetic procedures. OBJECTIVE: To describe the development and psychometric evaluation of 8 appearance scales and 2 adverse effect checklists for use in minimally invasive cosmetic procedures. DESIGN, SETTING, AND PARTICIPANTS: We performed a psychometric study to select the most clinically sensitive items for inclusion in item-reduced scales and to examine reliability and validity with patients...
April 2016: JAMA Dermatology
Min-Ho Jung
PURPOSE: To evaluate the effect of severe malocclusion requiring orthognathic surgery on the self-esteem (SE) and quality of life (QOL) of female adult patients undergoing orthognathic surgery compared with a group with minor malocclusions seeking only orthodontic treatment. MATERIALS AND METHODS: Female patients, aged 18 to 30 years, who had presented for an orthodontic consultation for correction of a malocclusion were enrolled during an 18-month period. In group 1, all the patients required 2-jaw surgery, and they were subdivided into those with a Class II or Class III malocclusion...
June 2016: Journal of Oral and Maxillofacial Surgery
Garyfalia Lekakis, Peter Claes, Grant S Hamilton, P W Hellings
During the preoperative assessment in rhinoplasty, the surgeon takes a thorough history, performs a complete examination by assessing functional and aesthetic aspects of the nose, obtains a clear understanding of the patient's wishes, conducts facial analysis based on standardized photography, and communicates to the patient the goals and pitfalls of surgery. Computer imaging or morphing of the preoperative pictures of the nose has drawn a lot of interest in the last decade, and it is a sign of evolution of the preoperative consultation...
February 2016: Facial Plastic Surgery: FPS
Garyfalia Lekakis, Peter Claes, Grant S Hamilton, P W Hellings
The preoperative consultation in rhinoplasty involves a multitude of actions that are mandatory for the decision-making process: history taking with attention to the symptoms and specific requests of the patient, clinical evaluation of the aesthetics, the functional status of the nose and the patients' motivation for surgery, and acquisition of standardized preoperative photographs. During the last decade, computer imaging or morphing of the preoperative pictures of the nose has become much more common. This part of the consultation allows the surgeon and patient to reach a mutually agreeable set of expectations by demonstrating the planned outcome of rhinoplasty and describing the objectives of surgery...
February 2016: Facial Plastic Surgery: FPS
Leslie Kim, Ira D Papel
Management of the middle vault is paramount to achieving optimal aesthetic and functional outcomes in rhinoplasty. The ideal treatment for middle vault complications, such as internal nasal valve collapse, inverted-V deformity, and middle vault dorsal asymmetry, is prevention. Risk factors for middle vault problems in rhinoplasty that may be identified in preoperative consultation include short nasal bones, long and weak upper lateral cartilages, thin skin, previous trauma or surgery, preoperative positive Cottle maneuver, tension nose deformity, and anteriorly positioned inferior turbinates...
February 2016: Facial Plastic Surgery: FPS
Cüneyt Asim Aral, Erhan Dilber, Kübra Aral, Yagmur Sarica, Oya Nermin Sivrikoz
Gingival enlargements modified by medications are becoming more common because of the increased use of inducing drugs, and may create speech, mastication, tooth eruption, periodontal, and aesthetic problems. We hereby present a case of a 54-year-old man with 12-month history of generalized gingival enlargement in the keratinized gingiva was referred to our clinic. The patient had a history of kidney transplant and was under medication of cyclosporine and nifedipine. After medical consultation, cyclosporine was changed to tacrolimus and nifedipine was changed to captopril...
December 2015: Journal of Clinical and Diagnostic Research: JCDR
Hester J Kan, Esther W de Bekker-Grob, Eva S van Marion, Guido W van Oijen, Christianne A van Nieuwenhoven, Chao Zhou, Steven E R Hovius, Ruud W Selles
BACKGROUND: Although in modern medicine, patients' preferences are important, these have never been defined for characteristics of Dupuytren treatment. This study determines these patients' preferences using a discrete choice experiment. METHODS: A multicenter discrete choice experiment study was conducted among patients with Dupuytren's disease who had been treated previously. Patients were asked about their preferences for attributes of Dupuytren treatments using scenarios based on treatment method, major and minor complication rates, recurrence rates, convalescence, residual extension deficit after treatment, and aesthetic results...
January 2016: Plastic and Reconstructive Surgery
Pablo I González
Labia minora hypertrophy of unknown and under-reported incidence in the general population is considered a variant of normal anatomy. Its origin is multi-factorial including genetic, hormonal, and infectious factors, and voluntary elongation of the labiae minorae in some cultures. Consults with patients bothered by this condition have been increasing with patients complaining of poor aesthetics and symptoms such as difficulty with vaginal secretions, vulvovaginitis, chronic irritation, and superficial dyspareunia, all of which can have a negative effect on these patients' sexuality and self esteem...
November 2015: Surgical Technology International
Nicola Rocco, Giuseppe Catanuto, Maurizio Bruno Nava
INTRODUCTION: Besides the diffusion of breast reconstructive techniques, several "conservative" approaches in mastectomy have been developed, in order to perform an immediate reconstruction with better aesthetic results: the skin-sparing mastectomy (SSM), the nipple-areola complex (NAC)-sparing mastectomy (NSM) and the skin-reducing mastectomy (SRM). During the last decade, SSMs and NSMs have gained widespread acceptance and are currently considered standard treatment for early breast cancer...
December 2015: Gland Surgery
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