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Cosmetic facial plastic surgery

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https://www.readbyqxmd.com/read/28432415/use-of-computer-imaging-in-rhinoplasty-a-survey-of-the-practices-of-facial-plastic-surgeons
#1
Prabhjyot Singh, Steven Pearlman
OBJECTIVE: The objective of this study was to quantify the use of computer imaging by facial plastic surgeons. METHODS: AAFPRS Facial plastic surgeons were surveyed about their use of computer imaging during rhinoplasty consultations. The survey collected information about surgeon demographics, practice settings, practice patterns, and rates of computer imaging (CI) for primary and revision rhinoplasty. For those surgeons who used CI, additional information was also collected, which included who performed the imaging and whether the patient was given the morphed images after the consultation...
April 21, 2017: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/28333253/resident-and-program-director-perceptions-of-aesthetic-training-in-plastic-surgery-residency-an-update
#2
Ahmed M Hashem, Joshua T Waltzman, Gehaan F D'Souza, Cagri Cakmakoglu, Kayshap Komarraju Tadisina, Jeffrey M Kenkel, James E Zins
Background: This is the third survey exploring the quality of cosmetic training in plastic surgery residency. We focused on determining: (1) the applied modalities and extent of resident exposure; and (2) resident confidence in performing variable cosmetic procedures. Objectives: To analyze trends in resident exposure and confidence in aesthetic plastic surgery procedures from the standpoint of program directors (PDs) and residents. Methods: The survey was developed and e-mailed to 424 residents enrolled in the ASAPS Residents Program and 95 PDs...
March 3, 2017: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/28301365/preserving-the-legitimacy-of-board-certification
#3
Michael S Hanemann, Holly C Wall, John A Dean
OBJECTIVES: The aims of this discussion were to inform the medical community about the American Board of Cosmetic Surgery's ongoing attempts in Louisiana to achieve equivalency to American Board of Medical Specialties (ABMS) member boards so that its diplomates may use the term "board certified" in advertising and to ensure public safety by upholding the standards for medical board certification. BACKGROUND: In 2011, Louisiana passed a truth in medical advertising law, which was intended to protect the public by prohibiting the use of the term "board certified" by improperly credentialed physicians...
March 16, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28259488/initial-comparison-of-resident-and-attending-milestones-evaluations-in-plastic-surgery
#4
Amy Yao, Benjamin B Massenburg, Lester Silver, Peter J Taub
BACKGROUND: Graduate medical education has recently undergone a major archetypal shift toward competency-based evaluations of residents' performance. The implementation of the Milestones program by the Accreditation Council for Graduate Medical Education (ACGME) is a core component of the shift, designed to ensure uniformity in measuring residency knowledge using a series of specialty-specific achievements. This study evaluates the correlation between residents' self-evaluations and program directors' assessments of their performance...
March 2, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28208179/a-quantitative-approach-to-determining-the-ideal-female-lip-aesthetic-and-its-effect-on-facial-attractiveness
#5
Natalie A Popenko, Prem B Tripathi, Zlatko Devcic, Koohyar Karimi, Kathryn Osann, Brian J F Wong
Importance: Aesthetic proportions of the lips and their effect on facial attractiveness are poorly defined. Established guidelines would aid practitioners in achieving optimal aesthetic outcomes during cosmetic augmentation. Objective: To assess the most attractive lip dimensions of white women based on attractiveness ranking of surface area, ratio of upper to lower lip, and dimensions of the lip surface area relative to the lower third of the face. Design, Setting, and Participants: In phase 1 of this study, synthetic morph frontal digital images of the faces of 20 white women ages 18 to 25 years old were used to generate 5 varied lip surface areas for each face...
February 16, 2017: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/27930752/prevalence-of-body-dysmorphic-disorder-and-surgeon-diagnostic-accuracy-in-facial-plastic-and-oculoplastic-surgery-clinics
#6
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/27922972/idiopathic-synkinesis-of-the-facial-musculature-oculo-nasal-oculo-zygomatic-and-fronto-nasal-synkinesis
#7
Sujin Bahk, SeungHwan Hwang, SuRak Eo
Facial synkinesis is the simultaneous contraction of the certain facial musculature accompanying a motion of designated muscle in the face. With the exception of rare afflictions that are congenital in origin, most patients develop as a sequel to facial nerve paralysis due to trauma, tumor, and surgical injury. As an idiopathic congenital form, oculo-nasal synkinesis which reveals co-contraction of orbicularis oculi and the compressor narium minor muscles which are innervated by separate branches of the facial nerve have been already reported...
January 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27893632/the-evolution-of-photography-and-three-dimensional-imaging-in-plastic-surgery
#8
Jason M Weissler, Carrie S Stern, Jillian Schreiber, Bardia Amirlak, Oren M Tepper
Throughout history, the technological advancements of conventional clinical photography in plastic surgery have refined not only the plastic surgeon's armamentarium, but have invigorated the profession through technology. The technology of the once traditional two-dimensional photograph has since been revolutionized and refashioned to incorporate novel applications, which have since become the standard in clinical photography.Contrary to traditional standardized two-dimensional photographs, three-dimensional photography provides the surgeon with an invaluable volumetric and morphological analysis by demonstrating true surface dimensions both pre and postoperatively...
November 21, 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27892976/validation-of-a-method-for-estimation-of-facial-age-by-plastic-surgeons
#9
Denis Souto Valente, Jefferson Braga da Silva, Aline Grimaldi Lerias, Daniele Dos Santos Rossi, Alexandre Vontobel Padoin
Importance: Within cosmetic facial plastic surgery, there is considerable difficulty in producing high-quality scientific publications because of the lack of scientific tools that serve to transform sensations, such as more beautiful or rejuvenated, into numbers capable of being used in statistical analysis. Objective: To validate an objective evaluation method that can be used to define the perception of facial age in scientific studies. Design, Setting, and Participants: This is a cross-sectional, observational study of evaluation by plastic surgeons of 70 photographs of patients from a private care hospital performed from March 1, 2015, through April 30, 2016...
March 1, 2017: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/27768196/correction-of-age-related-midface-volume-loss-with-low-volume-hyaluronic-acid-filler
#10
MULTICENTER STUDY
Monique Vanaman Wilson, Sabrina Guillen Fabi, Ryan Greene
Importance: The pivotal approval trial for a smooth, highly cohesive, viscous, 20-mg/mL hyaluronic acid filler demonstrated sustained aesthetic improvement, with a mean injection volume of 6.65 mL. In daily practice, however, it is not often practical or necessary to use large injection volumes to achieve the desired cosmetic outcome. Objective: To assess the efficacy, longevity, and patient satisfaction associated with correction of age-related midface volume loss using the low volumes of hyaluronic acid filler more commonly used in day-to-day practice...
March 1, 2017: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/27697886/clinical-use-of-galaflex-in-facial-and-breast-cosmetic-plastic-surgery
#11
William P Adams, Dean M Toriumi, Bruce W Van Natta
Resolution of ptosis is a key step to the success of many plastic surgery procedures. Ptosis is a manifestation of tissue stretch. Tissue stretch can occur as a result of the natural aging process or health of the patient, or tissue may stretch under added weight or volume, such as when implants are placed. Surgical rejuvenation of ptotic tissues is very effective and results in marked changes in the patient profile yet the tissue that resulted in the need for the procedure first place has not improved and ptosis can recur...
November 2016: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/27631534/face-q-eye-module-for-measuring-patient-reported-outcomes-following-cosmetic-eye-treatments
#12
Anne F Klassen, Stefan J Cano, James C Grotting, Stephen B Baker, Jean Carruthers, Alastair Carruthers, Nancy Van Laeken, Jonathan M Sykes, Jonathan A Schwitzer, Andrea L Pusic
Importance: Aesthetic eye treatments can dramatically change a person's appearance, but outcomes are rarely measured from the patient perspective. The patient perspective could be measured using an eye-specific patient-reported outcome measure. Objective: To describe the development and psychometric evaluation of FACE-Q scales and an adverse effect checklist designed to measure outcomes following cosmetic eye treatments. Design, Setting, and Participants: Pretreatment and posttreatment patients 18 years and older who had undergone facial aesthetic procedures were recruited from plastic surgery clinics in United States and Canada and completed FACE-Q scales between June 6, 2010, and July 14, 2014...
January 1, 2017: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/27595744/mri-in-detecting-facial-cosmetic-injectable-fillers
#13
Sigal Tal, Hillel S Maresky, Theodore Bryan, Ella Ziv, Dov Klein, Assaf Persitz, Lior Heller
BACKGROUND: Despite being considered a non-invasive procedure, injections can cause adverse outcomes including infections, overfilling, asymmetry, foreign body granulomas, and reactions that lead to scarring. Complications may be associated with the procedure itself, the physician's technique, and/or the type of agent injected. In these instances, it is important to be able locate and identify the substance used. This study investigated the viability of using MRI to correctly identify injected substances, their symmetry of distribution, and related complications...
September 6, 2016: Head & Face Medicine
https://www.readbyqxmd.com/read/27585247/objective-comparison-of-nasal-tip-contours-in-the-basal-view-between-dome-binding-and-hemitransdomal-tip-suture-techniques-in-rhinoplasty
#14
Fernando Casanueva, Deniz Gerecci
Importance: The dome binding suture (DBS) used for nasal tip refinement creates the unwanted effects of nasal tip pinching owing to shadowing and loss of alar support. The hemitransdomal suture (HTS), however, refines the nasal tip while maintaining a natural contour between the nasal tip and the alar lobule. To our knowledge, no objective comparison between the DBS and HTS techniques has been described in the literature to date. Objective: To determine whether the DBS or HTS technique results in an objectively satisfactory outcome in nasal tip contouring when assessed from the perspective of the basal view...
December 1, 2016: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/27536497/mucormycosis-of-the-forehead-and-sinuses-in-a-trauma-patient
#15
Pallavi A Kumbla, Nathan Lee, Mary K Kimbrough
Mucormycosis is a rare fungal infection in immunocompetent patients. It is not commonly seen in trauma patients who sustain multisystem injuries and are often exposed to numerous infectious sources. A multidisciplinary approach between medical and surgical specialties is crucial to ensuring timely diagnosis and treatment as morbidity and mortality can be high once acquired. In addition to antifungal therapy, radical debridement and reconstruction by plastic surgery is often necessary. Review of the literature shows that there is no definitive reconstructive technique for mucormycosis of the forehead and sinuses because the amount of tissue destruction may be varied in location and depth, therefore requiring varying extents of debridement...
July 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27430225/implementation-of-a-miniaturised-navigation-system-in-head-and-neck-surgery-for-the-detection-and-removal-of-foreign-bodies
#16
K J Lorenz, A Böckers, U Fassnacht, F Wilde, M Wegener
The removal of embedded blast-generated fragments from soft tissue is very difficult, especially in the head and neck regions. First, because many retained foreign materials are non-metallic and can, therefore, not be detected by fluoroscopy, and second, because a broad exploration of the soft tissue is not possible in the facial area for functional and cosmetic reasons. Intraoperative navigation computer-assisted surgery (CAS) may facilitate the retrieval of foreign bodies and reduce exploration trauma. In a blind trial, five test specimens of different materials (glass, metal, wood, plastic, and stone) were inserted on the left and right sides of the head and neck of ten body donors through an intraoral incision...
January 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/27280098/integrated-internal-stabilization-for-saddle-nose-surgery
#17
Ebrahim Karimi, Jalal Mehdizadeh, Shahin Bastaninejad, Mohammad Koohkan
INTRODUCTION: Correction of Saddle nose deformity is one of the most challenging issues in facial plastic surgery. MATERIALS AND METHODS: In this study, a single structure in the form of L-strut was attempted to be created by using one 0.035" Kirschner wire and an autologous costal graft out of the 10th and 11th ribs. This study involved 13 cases, most of whom were traumatic. The corrective surgical techniques used in this study will be described in detail. RESULTS: There was no warping, no rejection, and no infection in the created L-strut and patients' satisfaction was very good during the follow up period...
March 2016: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/27186871/piezotome-rhinoplasty-reduces-postsurgical-morbidity-and-enhances-patient-satisfaction-a-multidisciplinary-clinical-study
#18
Angelo Troedhan
PURPOSE: Experimental and clinical studies in various fields of oral and maxillofacial surgery suggest the use of piezotomes to reduce postsurgical morbidity and enhance healing. The aim of the study was to investigate if rhinoplasty surgery with piezotomes might decrease postsurgical morbidity and increase overall patient satisfaction when compared with rhinoplasty with traditional instruments and protocols. MATERIALS AND METHODS: In this prospective clinical study, patients in a cosmetic surgery department, ear-nose-throat (ENT) department, and the department for maxillofacial surgery, scheduled for cosmetic reductive rhinoplasty, underwent rhinoplasty with traditional instruments or an ultrasonic surgical device called a "piezotome...
August 2016: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/26994394/who-is-publishing-in-facial-cosmetic-surgery-a-citation-analysis-across-specialties-over-five-decades
#19
Joshua T Waltzman, Kashyap Komarraju Tadisina, Susan Orra, Huseyin Elbey
BACKGROUND: Competition among our sister cosmetic specialties continues to increase. Once a field dominated by plastic surgeons, there is a clear trend toward increased competition from core and non-core disciplines. While these marketplace trends are obvious, how such competition has affected academia or peer reviewed publications is less clear. OBJECTIVES: We analyzed the most cited peer reviewed facial aesthetic literature over the past five decades to see if marketplace trends are echoed in a similar manner across the academic disciplines of plastic surgery, otolaryngology, dermatology, and ophthalmology...
July 2016: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/26934294/development-and-psychometric-validation-of-the-face-q-skin-lips-and-facial-rhytids-appearance-scales-and-adverse-effects-checklists-for-cosmetic-procedures
#20
RANDOMIZED CONTROLLED TRIAL
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
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