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Robin Ruiz, Barbara Hersant, Simone La Padula, Jean-Paul Meningaud
Determining which facelift procedures yield the most long-term rejuvenating effects and stability over time is an important question in cosmetic surgery: does radical and invasive surgery produce the most long-lasting results? The experience of our team suggests that using a combination of various techniques (liposuction, lipectomy, myotomies, suspensions, tissular induction techniques) appears to be essential to achieve satisfactory, lasting results. In this paper, we describe the lower facelift and neck rejuvenation combined method...
February 2, 2018: Journal of Cranio-maxillo-facial Surgery
Ozcan Cakmak, Berke Özücer, Mustafa Aktekin, Fazil Emre Özkurt, Rami Al-Salman, Ismet Emrah Emre
Background: Inadequate release of retaining ligaments during facelift surgery may lead to an unnatural appearance. However, most facelift surgeons are hesitant in transecting these ligaments to avoid possible injury to facial subbranches. Objectives: In our surgical practice for modified composite flap rhytidectomy we use the finger-assisted malar elevation (FAME) technique in order to enable safe release of the zygomatic cutaneous ligaments through the prezygomatic space under direct vision...
March 2, 2018: Aesthetic Surgery Journal
Kun Hwang, Jeongho Choi
The aim of this study is to search for the origin of the term "ligament' in the face, present its status, and suggest a principle to rectify the use of unclear terminology.The structure that connects the zygoma to the skin was first presented by McGregor (1959). Kaye (1981), in describing his "extended facelift," wrote that the adherent area of the cheek over the malar eminence (McGregor's patch) usually requires sharp dissection. Bosse (1987) reported that the zygomatic ligament is quite solidly bound to the malar eminence and usually requires sharp dissection to release it...
February 26, 2018: Journal of Craniofacial Surgery
Haydar Aslan Gülbitti, Britt Colebunders, Ali Pirayesh, Dario Bertossi, Berend van der Lei
BACKGROUND: In 2006, Villa et al. published a review article concerning the use of thread-lift sutures and concluded that the technique was still in its infancy but had great potential to become a useful and effective procedure for nonsurgical lifting of sagged facial tissues. As 11 years have passed, the authors now performed again a systematic review to determine the real scientific current state of the art on the use of thread-lift sutures. METHODS: A systematic review was performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines using the PubMed database and using the Medical Subject Headings search term "Rhytidoplasty...
March 2018: Plastic and Reconstructive Surgery
V Mitz
There has been a growing number of patients asking for a lighter face lift than the classical biplane procedure with wide undermining; This explains the popularity of medical threads lifts. A surgical approach is nevertheless possible by performing a new technique, derived from minilfts, but with a dissection elevating skin and SMAS layers together, preserving as much retaining ligaments as possible, and allowing a predesigned skin excision. Thirty-two patients have been operated this way since 2014; 3 asked and sustained for a redo because of skin relapse at one year postoperatively...
February 21, 2018: Annales de Chirurgie Plastique et Esthétique
Dario Bertossi, Giovanni Botti, Alessandro Gualdi, Piero Fundarò, Riccardo Nocini, Ali Pirayesh, Berend van der Lei
Background: Minimally invasive facelift techniques involving barbed suture insertion have become popular among patients who wish to correct facial tissue ptosis. Objectives: The authors sought to determine the effectiveness, longevity, complications, and postoperative sequelae associated with facelift by means of barbed polydioxanone (PDO) threads. Methods: A total of 160 consecutive patients who underwent facelift with barbed threads were evaluated retrospectively...
February 21, 2018: Aesthetic Surgery Journal
Vasileios Theocharidis, Ioannis Katsaros, Emmanouil Sgouromallis, Nikolaos Serifis, Vasileios Boikou, Sotirios Tasigiorgos, George Kokosis, Konstantinos P Economopoulos
BACKGROUND: Smoking is considered to be a significant risk factor for the development of postoperative complications after various surgical procedures, mainly by limiting oxygen delivery to tissues. Evidence on the collective impact of smoking in aesthetic procedure outcomes is scarce. The aim of this study is to evaluate the current evidence on the association between smoking and postoperative outcomes in patients who underwent common elective procedures in plastic surgery. METHODS: PubMed and Cochrane bibliographical databases were searched from January 1950 to October 2016 for studies reporting on patients who underwent facelift, abdominoplasty, breast reduction and breast reconstruction and for studies with included data on smoking history of treated patients...
February 6, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Ozcan Cakmak, Ismet Emrah Emre, Berke Özücer
Patients with thick skin typically present with a redundant, baggy, lax skin envelope together with prominent nasolabial folds, jowls, and a heavy neck. Durable and natural-appearing rejuvenation is not possible unless the deformities are addressed adequately and harmoniously in these patients. Traditional superficial musculoaponeurotic system techniques do not include surgical release of the zygomatic cutaneous ligaments and repositioning of descendent malar fat pad, and may lead to an unbalanced, unnatural appearance and the lateral sweep phenomenon...
February 2018: Facial Plastic Surgery: FPS
Pan Zhang, Bing Sui, Lihong Ren, Jenny Yang, Xu Ma, Qingchun Li, Daping Yang
PURPOSE: Among multiple influential factors affecting facial symmetry, the role of soft tissue is often overlooked. Skin and skeletal differences between Asian and Caucasian people also require the adaptation of current techniques for Asian patients. This article aimed to explore the ability of individual facelift techniques to improve facial symmetry and reset youthful eye in Asian people, while a new method, called the grid method, was tried to evaluate the improvement in facial symmetry...
January 25, 2018: Ophthalmic Plastic and Reconstructive Surgery
Patrick J Buchanan, Danielle C Mihora, Bruce A Mast
BACKGROUND: Facial rejuvenation is an elective procedure commonly performed to combat the consequences of normal aging. The senior author's practice initially consisted of traditional facelifts with superficial muscular apopneurotic system plication and/or superficial muscular apopneurotic system flap. After the development of the minimal access cranial suspension (MACS) technique by Tonnard et al., the senior author transitioned to an almost exclusive MACS facelift practice. The purpose of this study was to determine the efficacy of the MACS technique versus the traditional facelift approach and objectively incorporate these results into practice...
January 24, 2018: Annals of Plastic Surgery
Min-Hee Ryu, Victor A Moon, Weimin Yin
BACKGROUND: In the malar region, the SMAS flap can be thin and tear easily, making it difficult to securely fix it. And the surgical anatomy of the region may be unclear and confusing. The authors performed an anatomical study on the location of the lateral margin of the orbicularis oculi muscle (OOM) and the origin of the zygomaticus major muscle (ZMM) when using a high-SMAS facelift with finger-assisted spaces dissection technique, which included elevation of the SMAS flap with OOM...
January 4, 2018: Aesthetic Plastic Surgery
Jacqueline A Wulu, Jeffrey H Spiegel
No abstract text is available yet for this article.
December 27, 2017: Laryngoscope
Kai O Kaye, Sonja Kästner, Felix J Paprottka, Phillipp Gonser
OBJECTIVE: Recently, water jet-assisted liposuction (WAL) was successfully applied by several other authors to remove fat and induce skin contraction in nonfacial body areas. Extending the range of indications for this new method, the authors of this article report on their first experience with its use in facial contouring, fat harvesting, and hydrodissection of the facial skin flap in rhytidectomy in a case series of 25 patients. METHODS: Twenty-five patients (median age: 56 years) had facelift surgery under sedation, and the WAL technique was used for facial contouring, fat harvesting for facial lipotransfer, and hydrodissection of the facial skin flap...
February 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Sofia Kalantary, Elke Van de Casteele, Nasser Nadjmi
PURPOSE: This report describes the first case of congenital infiltrating lipomatosis of the face (CIL-F) that was successfully managed with 2-jaw orthognathic surgery. MATERIALS AND METHODS: The patient was followed from 4 to 18 years of age. The multistep approach used consisted of a facelift-type procedure at 12 years to improve the soft tissue profile. At 13 years, the transverse maxillary deficiency was treated with transpalatal distraction. At 14 years, the patient underwent bimaxillary orthognathic surgery with a genioplasty...
October 16, 2017: Journal of Oral and Maxillofacial Surgery
R P Singh, E S Sung, C M Song, Y B Ji, K Tae
Various approaches have been described for excision of a submandibular gland including endoscopic and robot-assisted techniques. We present the outcome of excision by a robot-assisted postauricular facelift approach and compare it with the conventional transcervical approach. We studied 30 cases of excision of the gland for benign disease (16 transcervical and 14 robot-assisted), and collected clinical and personal data, and details of patients' satisfaction with the result. The most common conditions were sialadenitis (n=15) and pleomorphic adenoma (n=12)...
November 6, 2017: British Journal of Oral & Maxillofacial Surgery
Anmol Chattha, Alexandra Bucknor, David Chi, Klaas Ultee, Austin D Chen, Samuel J Lin
INTRODUCTION: Rhytidectomy is one of the most commonly performed cosmetic procedures by plastic surgeons. Increasing attention to the development of a high-value, low-cost healthcare system is a priority in the USA. This study aims to analyze specific patient and hospital factors affecting the cost of this procedure. METHODS: We conducted a retrospective cohort study of self-pay patients over the age of 18 who underwent rhytidectomy using the Healthcare Utilization Cost Project National Inpatient Sample database between 2013 and 2014...
November 3, 2017: Aesthetic Plastic Surgery
Christodoulos Kaoutzanis, Julian Winocour, Max Yeslev, Varun Gupta, Ishan Asokan, Jason Roostaeian, James C Grotting, K Kye Higdon
Background: The number of men undergoing cosmetic surgery is increasing in North America. Objectives: To determine the incidence and risk factors of major complications in males undergoing cosmetic surgery, compare the complication profiles between men and women, and identify specific procedures that are associated with higher risk of complications in males. Methods: A prospective cohort of patients undergoing cosmetic surgery between 2008 and 2013 was identified from the CosmetAssure database...
October 14, 2017: Aesthetic Surgery Journal
Russell S Frautschi, Eliana F Duraes, Kashyap K Tadisina, Rafael A Couto, James E Zins
Background: Although the literature is replete with favorable facelift results, there are few validated facial rejuvenation outcome measures. Apparent age (AA), a visual estimate of age by objective observers, has been utilized in several studies; although attractive, AA lacks validation. Objective: The aim of this study is to examine the reliability of AA, highlighting the importance of the exclusive use of validated outcome measures in future studies. Methods: Ten blinded reviewers assessed pre- and postoperative photographs of 32 patients who underwent facelift...
September 18, 2017: Aesthetic Surgery Journal
Luiz Charles-de-Sá, Natale Ferreira Gontijo-de-Amorim, Christina Maeda Takiya, Radovan Borojevic, Donatella Benati, Paolo Bernardi, Andrea Sbarbati, Gino Rigotti
Background: In previous papers, we demonstrated that the treatment of human photoaged skin with stromal-vascular fraction-enriched fat or expanded adipose-derived stem cells showed a decrease of elastosis and the appearance of new oxytalan elastic fibers in dermis and an increase in the vascular network. The utilization of fat plus platelet-rich plasma (PRP) led to an increase in the vascular permeability and reactivity of the nervous component. Objectives: The purpose of this study was to analyze the histologic and ultrastructural changes of human skin after the injection of only PRP in the retroauricular area that was not exposed to sun and did not present the photoaging process, in comparison with our previous results...
February 15, 2018: Aesthetic Surgery Journal
Bryson G Richards, William F Schleicher, Gehaan F D'Souza, Raymond Isakov, James E Zins
Background: The plastic surgeon competes with both core and noncore physicians and surgeons for traditional cosmetic procedures. In 2007, the American Society for Aesthetic Plastic Surgery (ASAPS) and the American Society of Plastic Surgeons (ASPS) joined efforts to form a Cosmetic Medicine Task Force to further analyze this trend. Objectives: Our objective is to document and quantify the patient capture and total collections generated in a single surgeon's practice exclusive from Botulinum Toxin A and filler injections over a 10-year period...
October 1, 2017: Aesthetic Surgery Journal
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