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Face lift and facial plastic surgery

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By Mohammad Mahdi Salem Otolaryngologist and head and neck surgen
Dinah Wan, Kevin H Small, Fritz E Barton
LEARNING OBJECTIVES: After studying this article, the participant should be able to: 1. Identify the essential anatomy of the aging face and its relationship to face-lift surgery. 2. Understand the common operative approaches to the aging face and a historical perspective. 3. Understand and describe the common complications following face lifting and treatment options. SUMMARY: Surgical rejuvenation of the aging face remains one of the most commonly performed plastic surgery procedures...
November 2015: Plastic and Reconstructive Surgery
Ali Manafi, Zahra Sadat Hamedi, Amir Manafi, Afsaneh Rajabiani, Ahmadreza Rajaee, Farzad Manafi
BACKGROUND: Filler materials are gaining popularity in nonsurgical rhinoplasty the major advantages are the ability to camouflage the surface deformities, and also the soft and malleable consistency; while the major drawback of the safe fillers such as hyaluronic acid is short durability. In this study, we evaluated the injectable cartilage shaving as an autologous filler material for correction of minor contour deformities in rhinoplasty. METHODS: Injectable cartilage shaving was used for correction of surface irregularities in primary or secondary rhinoplasty, and long term results of 128 patients were evaluated...
July 2015: World Journal of Plastic Surgery
Matthew K Lee, Sam P Most
Evidence-based medicine has become increasingly prominent in the climate of modern day healthcare. The practice of evidence-based medicine involves the integration of the best available evidence with clinical experience and expertise to help guide clinical decision-making. The essential tenets of evidence-based medicine can be applied to both functional and aesthetic rhinoplasty. Current outcome measures in functional and aesthetic rhinoplasty, including objective, subjective, and clinician-reported measures, is summarized and the current data is reviewed...
August 2015: Facial Plastic Surgery Clinics of North America
Kiran Varadharajan, Priya Sethukumar, Mohiemen Anwar, Kalpesh Patel
BACKGROUND: Autologous costal cartilage grafts are common in rhinoplasty. To date, no formal systematic review of complications associated with autologous costal cartilage grafting in rhinoplasty exists. OBJECTIVES: The authors review current literature to examine the rates of donor and recipient site complications associated with autologous costal cartilage in rhinoplasty. METHODS: Databases (EMBASE, PubMed, MEDLINE, and Cochrane Database of Systematic Reviews) and references of pertinent articles were searched between January 1980 to July 2014 to find studies evaluating rates of complications with autologous costal cartilage grafting in rhinoplasty...
August 2015: Aesthetic Surgery Journal
Sang Min Hyun, Gaurav Shankar Medikeri, Dong-Hak Jung
Alar vertical discrepancy including alar base has been viewed as one of the most challenging reconstructive problems in rhinoplasty. The authors have created a simple technique that consistently gives aesthetically acceptable results. The authors have designed the seesaw technique to correct alar discrepancy (type 1 to 3). Type 1 has been used in 14 patients, type 2 has been used in three patients, and type 3 has been used in seven patients. Alar discrepancy was corrected satisfactorily in all cases, with good cosmetic outcome...
September 2015: Plastic and Reconstructive Surgery
David Daehwan Park
The preoperative comprehensive evaluation of aging Asian patients seeking an Asian upper blepharoplasty and brow lift is imperative and should be performed meticulously. There are many methods of upper Asian face rejuvenation. Among them, the proper selection of operative technique is necessary. The operative technique for an aging Asian upper blepharoplasty and brow lift should be performed based on anatomical structures and their relationship. Modifications to the procedure are correlated with the degree of periorbital aging...
August 2015: Seminars in Plastic Surgery
Byeong Ho Lee, Joo Hyun Kim, Seong Hoon Park, Duk Kyun Ahn, In Suck Suh, Hii Sun Jeong
Extraocular sebaceous carcinoma that occurs on sebaceous gland is a rare malignant cancer with unknown causes and nonspecific clinical characters, but with distinct pathology and immunohistochemical finding. In Kangnam Sacred Heart Hospital, there was a case that the result of preoperative punch biopsy was squamous cell carcinoma and malignant proliferating trichilemmal tumor, but that of postoperative permanent biopsy was sebaceous carcinoma. The type of tumor, differentiation, location, and aesthetic results are considered to get both recurrence-safe and aesthetically pleasing result...
September 2015: Journal of Craniofacial Surgery
Shabahang Mohammadi, Aslan Ahmadi, Mohammad Mahdi Salem, Mahdi Safdarian, Shahriar Ilkhani
BACKGROUND: This study aimed to compare the average amounts of facial skin and muscle lifting in two different face-lift methods, superficial musculo-aponeurotic system (SMAS) plication and minimal access cranial suspension (MACS), to evaluate the effectiveness of each method in facial excursion. METHODS: Thirty-six face-lift surgeries were performed on nine cadavers between October and December 2010. Both SMAS and MACS surgeries were done on each side of the cadaver faces...
October 2015: Aesthetic Plastic Surgery
Süleyman Taş
BACKGROUND: To correct saddle nose deformity, diced cartilage grafts have been commonly used over the past decade. However, following the correction of saddle nose deformity with diced cartilage graft, some problems like graft absorption or displacement may occur, which require revision surgery. Here, a new technique is presented for correcting saddle nose deformity when diced cartilage graft fails. METHODS: Twelve cases were admitted to my clinic with complaints of nasal dorsal irregularity and depressions, asking for tertiary rhinoplasty...
October 2015: Aesthetic Plastic Surgery
Amin Rahpeyma, Saeedeh Khajehahmadi, Arman Torabizadeh Siraji
Depressed nasal floor extension into the nostril in cleft patients is difficult to solve. Suggested ways for solving this problem need skin incisions other than routine open rhinoplasty incisions. Nasolabia subcutaneous flap makes the infrastructure in depressed nasal floor in cleft patients. Alar advancement and medial nasal floor triangular flap cover it.
June 2015: Plastic and Reconstructive Surgery. Global Open
Gurkan Kayabasoglu, Alpen Nacar
BACKGROUND: This study aims to focus on one of the lesser mentioned topics in discussions of aesthetic nose operations, the soft triangle. In addition to outlining the characteristics of the area, the various complications specific to the soft triangle are discussed along with methods and techniques utilized by the authors to avoid such complications. METHODS: One hundred twenty-seven of 841 (15 %) patients who were assessed both preoperatively and intraoperatively for the presence of an anatomical issue of the soft triangle were included in the study...
October 2015: Aesthetic Plastic Surgery
Lisa E Ishii, Travis T Tollefson
No abstract text is available yet for this article.
August 2015: Facial Plastic Surgery Clinics of North America
Marie-Michele Blouin, Mohammed Al Jasser, Arko Demanczuk, Jonathan Berkowitz, David Zloty
BACKGROUND: The cosmetic appearance of a facial scar is a concern for patients undergoing Mohs micrographic surgery (MMS). Although suturing technique may influence scar cosmesis, few studies have been published comparing suturing methods for MMS repair. OBJECTIVE: To compare the cosmetic appearance of facial MMS scars sutured with either continuous or interrupted percutaneous nylon sutures. MATERIALS AND METHODS: Patients with facial MMS defects were randomized to have half their scar sutured with interrupted 5-0 nylon stitches, whereas the other half of the scar was closed with running 5-0 nylon stitches...
August 2015: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
Minbum Kang
BACKGROUND: Zygoma reduction is commonly performed in Asian patients because a broad face is considered stubborn in appearance and unattractive. Consequently, a number of different techniques have been developed for zygoma reduction, the majority of which involve simple manipulations. However, no consensus has been reached on the optimal method. In the present report, we introduce a new method involving ostectomy and fixation that uses a 3-dimensional approach to zygoma reduction. METHODS: From 2007 to 2013, 221 Korean patients (39 men, 182 women) underwent zygoma reduction using this technique...
January 2016: Annals of Plastic Surgery
Dario Bertossi, Pier-Francesco Galzignato, Massimo Albanese, Chiara Botti, Giovanni Botti, Pier Francesco Nocini
BACKGROUND: The aesthetic relevance of the chin and its relatively simple correction through different approaches make genioplasty one of the most performed aesthetic procedures of the face. Sliding genioplasty is extremely rewarding, particularly when performed as an adjunction to rhinoplasty, rhytidectomy, or jaw surgery. In the scientific literature, many different surgical techniques are described, but the biological implications and the economical impact can shape the surgeon's decision on which can be the best treatment: surgical correction with osteotomy, chin implants, or with fillers...
October 2015: Aesthetic Plastic Surgery
Bernd Schuster
Injection rhinoplasty offers an attractive, reversible alternative to surgery. Here we assessed outcome, longevity of benefits, adverse effects, and patient assessment of injection rhinoplasty, using degradable synthetic fillers. Forty-six patients who underwent injection rhinoplasty using degradable fillers over the past 3 years were assessed (calcium hydroxyapatite: 26 patients, hyaluronic acid: 20 patients). Comparison of pre- and postoperative images indicated realistically achievable treatment results...
June 2015: Facial Plastic Surgery: FPS
Sydney R Coleman, Evan B Katzel
Plastic surgeons have come to realize that fat grafting can rejuvenate an aging face by restoring or creating fullness. However, fat grafting does much more than simply add volume. Grafted fat can transform or repair the tissues into which it is placed. Historically, surgeons have hesitated to embrace the rejuvenating potential of fat grafting because of poor graft take, fat necrosis, and inconsistent outcomes. This article describes fat grafting techniques and practices to assist readers in successful harvesting, processing, and placement of fat for optimal graft retention and facial esthetic outcomes...
July 2015: Clinics in Plastic Surgery
Michael P Chae, Warren M Rozen, Paul G McMenamin, Michael W Findlay, Robert T Spychal, David J Hunter-Smith
Modern imaging techniques are an essential component of preoperative planning in plastic and reconstructive surgery. However, conventional modalities, including three-dimensional (3D) reconstructions, are limited by their representation on 2D workstations. 3D printing, also known as rapid prototyping or additive manufacturing, was once the province of industry to fabricate models from a computer-aided design (CAD) in a layer-by-layer manner. The early adopters in clinical practice have embraced the medical imaging-guided 3D-printed biomodels for their ability to provide tactile feedback and a superior appreciation of visuospatial relationship between anatomical structures...
2015: Frontiers in Surgery
Paul J Carniol, Mark M Hamilton, Eric T Carniol
Fractional lasers were first developed based on observations of lasers designed for hair transplantation. In 2007, ablative fractional laser resurfacing was introduced. The fractionation allowed deeper tissue penetration, leading to greater tissue contraction, collagen production and tissue remodeling. Since then, fractional erbium:YAG resurfacing lasers have also been introduced. These lasers have yielded excellent results in treating photoaging, acne scarring, and dyschromia. With the adjustment of microspot density, pulse duration, number of passes, and fluence, the surgeon can adjust the treatment effects...
September 2015: JAMA Facial Plastic Surgery
Sammy Sinno, Karan Mehta, Patrick L Reavey, Christopher Simmons, James M Stuzin
BACKGROUND: Fat grafting can be used to improve the results of face lifting. The extent to which plastic surgeons use fat grafting in their face-lift practices is unknown. The goals of this study were to understand the current use of fat grafting during facial rejuvenation surgery and identify the most common techniques used. METHODS: A 28-item questionnaire was formulated for distribution to a randomized cohort of American Society of Plastic Surgeons members. Data were collected and statistically analyzed using Pearson chi-square and Fisher's exact tests...
July 2015: Plastic and Reconstructive Surgery
2015-06-28 13:42:52
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