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Bahman Guyuron
No abstract text is available yet for this article.
January 2017: Aesthetic Surgery Journal
Kailash Narasimhan, Rod J Rohrich
No abstract text is available yet for this article.
October 6, 2016: Plastic and Reconstructive Surgery
Kailash Narasimhan, Rod J Rohrich
No abstract text is available yet for this article.
December 2016: Plastic and Reconstructive Surgery
André Auersvald, Luiz A Auersvald, Carlos Oscar Uebel
BACKGROUND: Improvement of neck contour is a primary goal of patients who seek rejuvenation of the face and neck. Subplatysmal structures, including fat, the digastric muscle, and the submandibular salivary glands (SMSGs), may contribute to the appearance of a disproportionately large neck. OBJECTIVES: The authors sought to evaluate the safety, effectiveness, and predictability of necklift combined with reshaping and repositioning of the subplatysmal structures...
January 2017: Aesthetic Surgery Journal
Kemal Tunc Tiryaki, Esin Aksungur, James C Grotting
BACKGROUND: Most younger patients expect to be able to achieve significant improvements and lift to their neck, yet they don't want to undergo extensive surgery. They are now able to do that and restore their youthful appearance thanks to new concepts the techniques through volume redistribution. OBJECTIVES: The authors' goal was to achieve results that are comparable to a necklift and durable through minimally invasive surgery, utilizing punctures instead of incisions...
June 2016: Aesthetic Surgery Journal
C Le Louarn
BACKGROUND: Although there are numerous techniques for necklift, medium-term instability is frequent with this procedure. A misunderstanding of the functional anatomy of the neck may explain these unsatisfactory surgical outcomes. OBJECTIVES: The author analyzes the functional anatomy of the platysma (PLA) and of the hyoplatysma ligament. The depressor labii lateralis (DLL) is described for the first time. METHODS: The PLA was dissected in 4 fresh adult cadavers to infer its function and to reevaluate current knowledge regarding this anatomic region...
April 2016: Annales de Chirurgie Plastique et Esthétique
M G Berry, Jan J Stanek
INTRODUCTION: Although available for decades, fibrin-based tissue adhesives (FTAs) have enjoyed only variable popularity in aesthetic surgery since their introduction in the 1980s. Whilst benefits in facelift surgery have been reported for a range of measures, including expanding haematoma, oedema and ecchymosis, irrefutable evidence has not yet been forthcoming. We instigated a prospective study to test the hypothesis that an underappreciated property of FTA, namely its ability to distribute tension, would reduce complications and revision due to early relapse...
October 2015: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Lorne King Rosenfield
BACKGROUND: The competitive efficacy of the superficial musculoaponeurotic system (SMAS) rhytidectomy (SMASectomy) facelift has been well established. However, the outcomes after an associated open necklift have not been as reliable; the persistent incidence of recurrent bands and iatrogenic deformities has prompted a change in technique. OBJECTIVES: The author conducted a long-term retrospective review to evaluate a variation on the SMASectomy facelift technique...
August 2014: Aesthetic Surgery Journal
Myriam Loyo, Theda C Kontis
Botulinum toxin (BoNTA) has become the modern generation's treatment of choice for facial aging. Advanced uses of neurotoxin have treated specific areas of the face, in addition to the glabella, which is the only site for injection approved by the Food and Drug Administration. This article suggests that BoNTA has replaced surgical procedures that treat oral commissures, mild brow ptosis and brow asymmetries, and hypertrophic orbicularis oculi muscles. It is becoming increasingly used for lip asymmetry, platysmal banding, and necklift, although it has not replaced traditional procedures for the correction of these areas...
May 2013: Facial Plastic Surgery Clinics of North America
Jesse Kevin Duplechain
The author uses the pulsed ablative CO2 laser regularly for skin rejuvenation. This decision is based on the gold standard status of the CO2 modality and an innovative aftercare treatment shown in the author's practice to greatly reduce the complications of ablative pulsed CO2 laser treatment. Depending on the patient and the severity of the skin condition, the author customizes each treatment, which may also include fractional CO2 lasers, fat grafting, facelifting, or any combination of these techniques. This article presents a detailed description of the evolution of skin rejuvenation with lasers and the current role of lasers as an adjunct to face and necklift surgery...
May 2013: Facial Plastic Surgery Clinics of North America
Gregory P Mueller, Norman Leaf, Sherrell J Aston, Corbett W Stone
BACKGROUND: Controversy persists regarding the optimal procedure to rejuvenate the aging neck. More invasive procedures carry increased risks of complications, whereas less invasive approaches may deliver marginal results. The challenge is selecting the appropriate procedure for delivering consistent, durable results meeting both the patient's and surgeon's expectations. OBJECTIVES: The authors describe their trampoline platysmaplasty (TPP) approach, a percutaneous suture suspension necklift that constitutes a less invasive approach for neck rejuvenation...
January 2012: Aesthetic Surgery Journal
Stephen M Weber, Brian W Downs, Mario B J Ferraz, Tom D Wang, Ted A Cook
OBJECTIVE: To describe our experience with coblation technology for facial resurfacing METHODS: Retrospective chart review of all patients treated with coblation at our institution RESULTS: Twenty-four patients (22 female) underwent a total of 29 coblation procedures for aging face (n = 21) or acne scarring (n = 3). The perioral region was the most frequently treated aesthetic subunit (n = 14), followed by the lower eyelid (n = 7). Five patients underwent full-face coblation...
2008: Medscape Journal of Medicine
C Scott Hultman, Lindsee E McPhail, Jeffrey H Donaldson, David A Wohl
PURPOSE: HIV-associated lipodystrophy is a frequent consequence of highly active antiretroviral therapy and has been associated with several metabolic disorders (increased triglycerides, hypercholesterolemia, insulin resistance) as well as altered fat distribution, including lipohypertrophy (neck, trunk, breasts) and lipoatrophy (nasolabial fold, cheek, extremities). Medical treatment of fat redistribution is usually ineffective. We evaluated the efficacy and safety of the surgical management of HIV lipodystrophy...
March 2007: Annals of Plastic Surgery
Carolyn I Jacob, Michael S Kaminer
BACKGROUND: Platysma banding along with excess submental adipose tissue and sagging skin can lead to an aged appearance. Several methods for improving neck and submental contours exist, including neck liposuction, bilateral platysma plication, midline platysma plication with transection of distal fibers, necklift with skin excision, and botulinum toxin injection for platysma relaxation. With the current interest in minimally invasive procedures, surgeons and patients are searching for techniques that produce maximal improvement with minimal intervention...
March 2002: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
U Frohberg
Conventional techniques in facial esthetic surgery are based on skin and flap elevation by sharp surgical dissection. The hydrodissection technique of local anesthetic administration facilitates creation of an atraumatic field for subcutaneous flap preparation. Its application in face- and necklifting procedures is described.
September 1997: Mund-, Kiefer- und Gesichtschirurgie: MKG
R E Amar
The last three decades have irreversibly changed the history of face-lifting. Based on the muscular approach of the Skoog, SMAS and "Composites" techniques and numerous recent anatomical studies, we decided to investigate the anatomical structures responsible for the first signs of ageing of the face. In addition to Hamra's techniques for orbicularis lifting and Connell's and Baker's techniques for platysma lifting, we have added our experience zygomaticus minor lifting in what we have called "the zygomatic complex"...
February 1996: Annales de Chirurgie Plastique et Esthétique
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