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William S Duke, F Christopher Holsinger, Emad Kandil, Jeremy D Richmon, Michael C Singer, David J Terris
BACKGROUND: Robotic facelift thyroidectomy (RFT) was developed as a new surgical approach to the thyroid gland using a remote incision site. Early favorable results led to this confirmatory multi-institutional experience. METHODS: Prospectively collected data on consecutive patients undergoing RFT in five North American academic endocrine surgical practices were compiled. Surgical indications, operative times, final pathology, nodule size, complications, and postoperative management (drain use and length of hospital stay) were evaluated...
October 13, 2016: World Journal of Surgery
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...
October 3, 2016: Aesthetic Surgery Journal
Harry Mittelman, Summit Kundaria, Herman P Lam
The aging face results in increase in laxity of the skin and the underlying supporting tissue. There is a fundamental volume loss in the face and it is most apparent in the midface. A traditional superficial musculoaponeurotic system (SMAS) rhytidectomy addresses the laxity of the face but not volume loss. Multivector high SMAS plication allows for natural excess tissue to be placed into the area of volume loss, thereby addressing midface volume loss. This technique is easy to perform, reproducible, and effective with the added benefit of helping to volumize the lower face...
October 2016: Facial Plastic Surgery: FPS
Cindy Wu, C Scott Hultman, Paul Diegidio, Steven Hermiz, Roja Garimella, Trisha M Crutchfield, Clara N Lee
BACKGROUND: What do patients want when looking for an aesthetic surgeon? When faced with attributes like reputation, years in practice, testimonials, photos, and pricing, which is more valuable? Moreover, are attributes procedure-specific? Currently, inadequate evidence exists on which attributes are most important to patients, and to our knowledge, none on procedure-specific preferences. OBJECTIVES: First, to determine the most important attributes to breast augmentation, combined breast/abdominal surgery, and facelift patients using conjoint analysis...
September 20, 2016: Aesthetic Surgery Journal
A K Bartella, M Ghassemi, F Hölzle, A Ghassemi
We compared the result of replacement using a modified face-lift technique with those of other commonly used surgical techniques for the treatment of defects of the soft tissue of the infraorbital and cheek region. We made a retrospective observational study of 86 patients who had defects of the facial soft tissue after excision of malignant tumours. Procedures used for reconstructions included non-vascularised skin grafts, local flaps, facelift technique, and microvascular free flaps, and we evaluated morbidity; duration of hospital stay; the need for, and duration of stay in, the intensive care unit (ICU); and functional and aesthetic outcomes...
August 16, 2016: British Journal of Oral & Maxillofacial Surgery
Gabrielle LaBove, Steven P Davison
INTRODUCTION: Operating costs are a significant part of delivering surgical care. Having a system to analyze these costs is imperative for decision making and efficiency. We present an analysis of surgical supply, labor and administrative costs, and remuneration of procedures as a means for a practice to analyze their cost effectiveness; this affects the quality of care based on the ability to provide services. The costs of surgical care cannot be estimated blindly as reconstructive and cosmetic procedures have different percentages of overhead...
July 2016: Plastic and Reconstructive Surgery. Global Open
Eduardo Sucupira, Renato Matta, Patrícia Zuker, Jorge Matta, Juan Pablo Arbeláez, Carlos O Uebel
INTRODUCTION: About one in ten patients experiences iatrogenic events, and more than half of these occur in the perioperative environment. The objective of this study was to develop a complete and functional checklist for aesthetic plastic surgery and test it in patients who would undergo elective plastic surgeries. METHODS: Patient data were collected from a general hospital and the particular clinic between October 2013 and October 2015, through history, physical examination, diagnosis, laboratory tests, pre-, during, and postoperatively, and complications...
October 2016: Aesthetic Plastic Surgery
Rebecca Voelker
No abstract text is available yet for this article.
July 5, 2016: JAMA: the Journal of the American Medical Association
(no author information available yet)
No abstract text is available yet for this article.
July 2016: European Journal of Immunology
Dane M Barrett, Deniz Gerecci, Tom D Wang
The primary purpose of the facelift is to restore the shape, volume, and contours of the youthful face. Facelift surgery has evolved over the years into multiple techniques to accomplish the same results. This article discusses the common controversies in facelift surgery and evaluates the best available evidence to guide surgical decision-making. In regard to the salient question of whether there is a "best" technique, the literature suggests that the options are generally equal in efficacy. This highlights the need for high-quality research with standardized preoperative assessment and evaluation of postoperative results to better assess outcomes...
August 2016: Facial Plastic Surgery Clinics of North America
Rebecca Voelker
No abstract text is available yet for this article.
July 5, 2016: JAMA: the Journal of the American Medical Association
Daniel Man
BACKGROUND: Recognition of the effects of aging on the ear and the mechanisms leading to ear deformity associated with facelift procedures aid in achieving improved aesthetic results. In 2009, the author developed a novel rhytidectomy technique to provide more natural-looking results than those achieved through other facelift procedures, which often result in facial and ear distortion/deformity. This technique is designed to optimize aesthetic outcomes by employing incisions hidden within the ear, autologous fat transfer to restore normally lost facial volume, and absorbable bidirectional sutures, all of which allow less skin removal and shorter, more concealable scars within the inside perimeter of the ear, and thus less-distorted facial contours...
October 2016: Aesthetic Plastic Surgery
Kai Oliver Kaye, Hans-Eberhard Schaller, Patrick Jaminet, Phillipp Gonser
The peeling-assisted volume-enhancing (PAVE) lift is a single-stage approach that combines superficial musculoaponeurotic system (SMAS) plication techniques with fat grafting and different peeling agents. To evaluate the safety of this approach, we analyzed the records of 159 patients who underwent surgery between 2008 and 2014. The percentage of complications observed was not higher than values reported in the literature for each treatment entity: surgical facelift: n=3 haematomas (1.89 %), n=2; temporary apraxia of the mandibular branch (1...
August 2016: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
K Tae, Y B Ji, C M Song, E S Sung, J H Chung, S H Lee, H J Park
The aim of this study was to evaluate the technical feasibility and safety of robot-assisted modified radical neck dissection (MRND) for head and neck cancer patients with a clinically node-positive neck. The cases of 10 head and neck cancer patients who underwent unilateral therapeutic robot-assisted MRND by post-auricular facelift approach were analyzed. The robot-assisted MRND was completed successfully in all patients without any conversion to conventional neck dissection. The mean number of lymph nodes removed was 36...
June 1, 2016: International Journal of Oral and Maxillofacial Surgery
Hwan Jun Choi, Jun Beom Lee
A 66-year-old woman admitted with induration, peri-wound marceration, swelling, and tenderness on temporal area. She had repeated painful tenderness on temporal area for 10 days. In the peri-wound, discharge volume increased when she ate spicy food or drank lemon juice. She had no trauma history and special medical history. But 3 weeks ago, she had midface lift surgery at another local clinic. Initially, the authors had aspiration to swelling spot, checked 50 cc serotic discharge. The authors checked contrast enhance facial computed tomography and found homogenous fluid collection and peripheral enhancing low attenuated lesion in the anterior portion of tragus and inferior aspect of left ear lobe...
June 2016: Journal of Craniofacial Surgery
Myriam Loyo, Christine G Gourin
OBJECTIVES/HYPOTHESIS: A variety of techniques have been proposed for reconstruction of the parotidectomy defect. We reviewed our experience with free abdominal fat transfer (FAT) graft reconstruction of parotidectomy defects for benign and malignant disease. METHODS: The medical records of patients who underwent parotidectomy for benign or malignant disease from 2007 to 2015 were retrospectively reviewed. RESULTS: One hundred and five patients underwent 108 parotidectomies with FAT reconstruction, with bilateral parotidectomy performed in three patients...
May 30, 2016: Laryngoscope
K Tzanidakis, P Drury, N Kalavrezos
No abstract text is available yet for this article.
September 2016: Annals of the Royal College of Surgeons of England
Kun Hwang, Hun Kim, Dae Joong Kim, Yeo Ju Kim, Young Hye Kang
BACKGROUND: The aim of this study is to compare the superficial fascia (SF) in the cheek and parotid areas histologically and through MRI. METHODS: An in vitro study included a histological report and an MRI of the cheek of two Korean adult cadavers. The in vivo study included 100 MRI images and three axial image cuts (mandibular condyle, notch, and half the distance between the top of the condyle and the angle). Four angles, one length, and four thicknesses were measured and compared...
August 2016: Aesthetic Plastic Surgery
Cristiano Boneti, Chidinma P Anakwenze, Jorge de la Torre, Tony L Weaver, Sherry S Collawn
Skin tightening and improved facial contouring can be achieved through a variety of modalities including traditional facelifts, autologous fat injections, laser resurfacing, laser liposuction fibers, and includes the popular use of botox and synthetic fillers. Facial fat grafting has been helpful in treating the volume deficient aging face and can easily be injected following subcutaneous laser therapy. We will demonstrate in this clinical study that lasers and fat grafting can be used safely in combination with facelifts to improve skin contouring and tightness compared with single therapy...
June 2016: Annals of Plastic Surgery
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
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