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Face lift and facial plastic surgery

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174 papers 100 to 500 followers
By Mohammad Mahdi Salem Otolaryngologist and head and neck surgeon
Nate Jowett, Robert E Kearney, Christopher J Knox, Tessa A Hadlock
BACKGROUND: Facial palsy is a devastating condition potentially amenable to rehabilitation by functional electrical stimulation. Herein, a novel paradigm for unilateral facial reanimation using an implantable neuroprosthetic device is proposed and its feasibility demonstrated in a live rodent model. The paradigm comprises use of healthy-side electromyographic activity as control inputs to a system whose outputs are neural stimuli to effect symmetric facial displacements. The vexing issue of suppressing undesirable activity resulting from aberrant neural regeneration (synkinesis) or nerve transfer procedures is addressed using proximal neural blockade...
January 2019: Plastic and Reconstructive Surgery
Elizabeth M Floyd, Daniel C Sukato, Stephen W Perkins
Importance: Rhytidectomy, or face-lift surgery, is the mainstay of facial rejuvenation and is constantly evolving. There is continuous research to improve outcomes and minimize complications of this surgery. Objective: To synthesize the updated techniques in rhytidectomy published during the past 5 years, including surgical technique, advances in anesthetic technique, minimally invasive techniques, and adjunctive procedures performed at the time of rhytidectomy...
January 10, 2019: JAMA Facial Plastic Surgery
Brian Nuyen, Cherian K Kandathil, Katri Laimi, Shannon F Rudy, Sam P Most, Mikhail Saltychev
Importance: Although antibiotic prophylaxis following rhinoplasty is widespread, the evidence on antibiotic prophylaxis effectiveness and the superiority of particular administration regimens is controversial. To date, a meta-analysis on the topic has not been performed. Objective: To systematically review the association between use of preventive antibiotics and postoperative complications in patients undergoing rhinoplasty and quantify the review through meta-analysis...
November 29, 2018: JAMA Facial Plastic Surgery
Kyu-Lim Lee, You-Jin Choi, Young-Chun Gil, Kyung-Seok Hu, Tanvaa Tansatit, Hee-Jin Kim
BACKGROUND: The frontalis is a representative target muscle for botulinum neurotoxin type A injections aimed at treating horizontal wrinkles in the forehead region. However, a lack of information regarding the shape and thickness of the frontalis may lead to unexpected side effects. METHODS: This study dissected hemifaces of 44 embalmed Korean and Thai cadavers and performed ultrasound examinations on 20 healthy Korean volunteers. Two anatomical types were identified: (1) the lateral portion of the frontalis covered the superior temporal line (STL) in type I, and (2) the lateral border of the frontalis (LF) and the STL almost coincided in type II...
November 21, 2018: Plastic and Reconstructive Surgery
Si-Qiao Wu, Bai-Lin Pan, Yang An, Jun-Xue An, Lu-Jia Chen, Dong Li
The lip profile plays an important role in the perception of facial aesthetics; lip morphology and aesthetics research is receiving increasing attention. The advancement of research tools such as three-dimensional imaging technology has led to the clarification of lip morphologic and aesthetic characteristics. After studies of lip characteristics according to gender, ethnicity and age provided basic data, studies on lip aesthetics have been conducted by scholars worldwide. These studies could provide a basic theory to support diagnosis and treatment options, as well as the basis for evaluative criteria for precise treatment and technical improvements...
November 21, 2018: Aesthetic Plastic Surgery
Matthias Aust, Hanno Pototschnig, Sarina Jamchi, Kay-Hendrik Busch
Background Treatment of the lower eyelid region to rejuvenate the skin or treat actinic elastosis often proves difficult. Established treatment options, such as hyaluronic acid injections, botulinum toxin injections, microneedling, skin resurfacing (microdermabrasion, chemical peel (exfoliation), laser treatment), as well as blepharoplasties and autologous fat transfers, can be associated with significant risks and increased patient burden. Furthermore, they may not be effective for treating the signs of skin aging or actinic elastosis, including dark rings under the eyes, a lack of volume and cutis laxa...
July 18, 2018: Curēus
Chun-Shin Chang, Susie Lin, Christopher Glenn Wallace, Yen-Chang Hsiao, Che-Min Lin, Gavin Chun-Wui Kang, Zung-Chung Chen, Philip Kuo-Ting Chen, Lun-Jou Lo, Yu-Ray Chen, Jyh-Ping Chen
INTRODUCTION: Botulinum neurotoxin A (BoNT-A) is a minimally invasive and technically straightforward treatment of masseter muscle (MM) volume reduction and facial contouring, but the literature on its long-term effect on MM volume remains unclear. OBJECTIVE: This study aimed to assess quantitatively for progressive volume changes of lower facial contour after 3 BoNT-A injections in patients with bilateral MM hypertrophy causing square facial morphology using 3-dimensional computed tomographic scans...
January 2019: Annals of Plastic Surgery
Riaz J Karmali, Summer E Hanson, Alexander T Nguyen, Roman J Skoracki, Matthew M Hanasono
BACKGROUND: The aims of this study were to examine the surgical, oncologic, and aesthetic outcomes of patients undergoing autologous fat grafting for oncologic head and neck reconstruction. METHODS: A review was performed of 119 consecutive patients undergoing autologous fat grafting for oncologic head and neck reconstruction from 2005 to 2014. Aesthetic outcomes were rated by a group of 10 plastic surgeons and 10 laypersons using a five-point Likert scale. RESULTS: A total of 190 fat grafting procedures were performed in 116 patients...
September 2018: Plastic and Reconstructive Surgery
Mehmet Dadaci, Mehmet Emin Cem Yildirim, Bilsev İnce
No abstract text is available yet for this article.
October 4, 2018: Plastic and Reconstructive Surgery
Jeffrey H Spiegel
No abstract text is available yet for this article.
August 23, 2018: JAMA Facial Plastic Surgery
Vicente Faus-Matoses, Ignacio Faus-Matoses, Ana Jorques-Zafrilla, Vicente J Faus-Llácer
Excessive gingival display is an esthetic concern for patients. It is a condition in which an overexposure of the maxillary gingiva (>3mm) is present during smiling. There are different etiologies of a gummy smile, such as vertical maxillary excess, short and hyperactive upper lip, altered passive eruption, anterior dentoalveolar extrusion, or a combination of these causes. The correct diagnosis of all etiologic factors is imperative for its appropriate management. Many techniques have been used to restore the dentogingival relation for the management of gummy smile...
April 2018: Journal of Clinical and Experimental Dentistry
Alberto Diaspro, Maurizio Cavallini, Piersini Patrizia, Giuseppe Sito
Background: A perfect smile is dictated by the balance among 3 parameters: the white (teeth), the pink (gum), and the lips: excessive gingival display while smiling has been a cause of esthetic embarrassment for many patients, thus affecting their psychosocial behavior. With respect to different etiologies, treatment of gummy smile must be properly planned: treatment options include facial surgery, oral surgery, or laser. Objectives: Given the growing demand for less invasive techniques and observed complications secondary to botulinum toxin injection, we present a novel treatment option aimed at correcting gummy smile using hyaluronic acid injection and review the published techniques and the anatomy of the involved facial muscles...
November 12, 2018: Aesthetic Surgery Journal
Jong Hun Lee, Yu Gil Park, Eun Soo Park
BACKGROUND: Botulinum toxin is used extensively, and its use for aesthetic indications in the lower face and neck is now becoming increasingly popular. It is the ideal alternative to surgical procedures for patients who are too young for facelift surgery or who are unwilling to take recuperation time. We review current approaches to BTX A treatment for horizontal neck lines. METHODS: Subjects were 20 women with an average age of 43 with mild to moderate horizontal neck lines but have had no treatment by BTX A for the past 3 months...
October 2018: Aesthetic Plastic Surgery
Jaeyong Jeong, Goh Terence, Jaehee Kim
BACKGROUND: A complete release of the transverse nasalis aponeurotic fibers (TNAFs) during Asian rhinoplasty is critical for accurate positioning of the nasal implant and lengthening of the short nose. The objectives of this article are to clarify the anatomy of the TNAFs using cadaveric dissections and to present the clinical results after complete TNAF release in Asian rhinoplasty. METHODS: An anatomical dissection was performed in 8 cadavers to study the TNAFs, specifically the origin, insertion, and boundary of the TNAFs and the effect of the TNAF release on nasal length...
November 2018: Annals of Plastic Surgery
Ruben Yap Kannan, Catriona Neville, Charles Nduka
No abstract text is available yet for this article.
September 1, 2018: JAMA Facial Plastic Surgery
Jacob Tower, Kimberly Seifert, Boris Paskhover
BACKGROUND: Volumetric changes to facial fat that occur with aging remain poorly understood. The aim of this study was to evaluate for longitudinal changes to midfacial fat volumes in a group of individuals. METHODS: We conducted a retrospective longitudinal study of adult subjects who underwent multiple facial computed tomographic (CT) scans timed at least 8 years apart. Subjects who underwent facial surgery or suffered facial trauma were excluded. Facial CT scans were analyzed, and superficial cheek fat volumes were measured and compared to track changes that occurred with aging...
August 2018: Aesthetic Plastic Surgery
Antonio Carlos Abramo
BACKGROUND: In this series of patients the cutaneous insertion and strength of voluntary contraction of the muscles in the upper third of the face were used as guidelines for botulinum toxin application named "BTA Codes." METHOD: Anatomical dissection of fresh cadavers identified the shape and cutaneous insertions of the muscles in the upper third of the face. Patient voluntary contraction of the muscles in the upper third of the face created different patterns of skin lines classified by the 4-grade Facial Wrinkle Scale...
October 2018: Aesthetic Plastic Surgery
Yuewei Wu-Fienberg, Kunaal R Bafna, Bahman Guyuron
BACKGROUND: In his facial aesthetics practice, the senior author (B.G.) observed that many patients presenting with horizontal forehead lines also demonstrated upper eyelid ptosis or enough blepharodermachalasia to require compensation. This study was conducted to investigate this observation. METHODS: Photographs of patients presenting for facial rejuvenation were retrospectively reviewed for the presence of forehead lines, ptosis, brow ptosis, and blepharodermatochalasia...
July 20, 2018: Aesthetic Plastic Surgery
Don A Hudson
No abstract text is available yet for this article.
August 2018: Plastic and Reconstructive Surgery
Ian Newberry, Eric W Cerrati, J Regan Thomas
Greater life expectancy with advancements in technology and medicine has led to an increasing interest in facial rejuvenation. Facial aging is an inevitable process that largely results from soft tissue descent and volumetric deflation. However, a comprehensive knowledge of the aging process and precise assessment of the exact pathologies yielding the patient's senescent appearance is essential to produce the best cosmetic outcome. The surgeon must evaluate each region independently and the aging face as a whole to ensure a pleasing, natural appearance...
August 2018: Otolaryngologic Clinics of North America
2018-05-28 03:40:14
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