Effect of Surgical versus Nonsurgical Rhinoplasty on Perception of the Patient
According to this study, the nasal appearance, especially in a lateral view, is more fundamentally altered when surgical rhinoplasty is performed, compared with nonsurgical rhinoplasty. (Source: Facial Plastic Surgery Clinics of North America)
Source: Facial Plastic Surgery Clinics of North America - April 30, 2022 Category: Cosmetic Surgery Authors: Ramtin Kassir, Sheila Kassir, Luzi Hofmann, Nikita Breyer, Sebastian Cotofana, Nicholas Moellhoff, Michael G. Alfertshofer, Mia Cajkovsky, Konstantin Frank, Lukas H. Kohler Source Type: research

The Deep Columellar Approach for Liquid Rhinoplasty – A Case Series of 511 Procedures over 16 years
This study describes a novel standardized 4-step treatment algorithm for safe, reproducible, and effective liquid rhinoplasty procedures using a “deep columellar approach.” Medical records of n = 511 t reatments were retrospectively analyzed with respect to the occurrence and severity of adverse events. The low rate and severity reported for such incidents can be correlated to a precise and verifiable filler placement in the deep, supraperiosteal, and supraperichondrial layers, using blunt cannula s. (Source: Facial Plastic Surgery Clinics of North America)
Source: Facial Plastic Surgery Clinics of North America - April 30, 2022 Category: Cosmetic Surgery Authors: Fabiano Nadson Magacho-Vieira, Michael G. Alfertshofer, Sebastian Cotofana Source Type: research

The Fascias of the Forehead and Temple Aligned —An Anatomic Narrative Review
A thorough understanding of 3-dimensional facial anatomy and its fascial concepts is essential to allow for further development of novel surgical and nonsurgical treatment strategies to increase patient safety and effectiveness. The layered anatomy and its interconnections of the forehead, scalp, and temple is complex and is thus summarized and aligned in a unified nomenclature in this review. The scalp consists of 5 layers, which transition into 8 layers in the forehead and into a total of 13 layers in the temple. (Source: Facial Plastic Surgery Clinics of North America)
Source: Facial Plastic Surgery Clinics of North America - April 30, 2022 Category: Cosmetic Surgery Authors: Fabio Ingallina, Michael G. Alfertshofer, Leonie Schelke, Peter J. Velthuis, Konstantin Frank, Samir Mardini, Elena Millesi, Denis Ehrl, Jeremy B. Green, Sebastian Cotofana Source Type: research

Facial Recognition Pattern before and after Lower Eyelid Blepharoplasty
This study investigated eye movement patterns using eye tracking technology when looking at preoperative and postoperative images of patients that underwent bilateral periorbital cosmetic surgery. The sequence of facial recognition before surgery was periorbital-nose-perioral, whereas following surgery it was nose-periorbital-perioral. This study revealed that the sequence of facial feature recognition is influenced by the aesthetic liking of the observer and that alteration to facial features influences the sequence of facial feature recognition. The eye movement pattern, however, seems to follow the internal representati...
Source: Facial Plastic Surgery Clinics of North America - April 30, 2022 Category: Cosmetic Surgery Authors: Francesco Bernardini, Tim Staiger, Nicholas Moellhoff, Riccardo E. Giunta, David Braig, Denis Ehrl, Julie Woodward, Sebastian Cotofana, Lukas H. Kohler, Konstantin Frank Source Type: research

Anatomic Differences Between the Asian and Caucasian Nose and Their Implications for Liquid Rhinoplasties
The objective of this article is to analyze and compare morphometric features of the nose in a mixed Asian-Caucasian study population. The nasal length in Asians was statistically significantly greater than in Caucasians, also after having adjusted for facial height. The nasal dorsal bridge and the nasal base showed statistically significant differences. By keeping these anatomic differences in mind while treating patients, greater efficacy and safety can be achieved. (Source: Facial Plastic Surgery Clinics of North America)
Source: Facial Plastic Surgery Clinics of North America - April 30, 2022 Category: Cosmetic Surgery Authors: Zhouxiao Li, Konstantin Frank, Lukas H. Kohler, Nicholas Moellhoff, Riccardo E. Giunta, Sebastian Cotofana, Michael G. Alfertshofer, Julie Woodward, Daria Voropai, Konstantin Christoph Koban Source Type: research

Accuracy Assessment of Three-Dimensional Surface Imaging –Based Distance Measurements of the Face
The objective of this investigation was to compare the accuracy of facial surface distance measurements using both a handheld facial 3DSI device and a stationary whole-body 3DSI device. Users should be aware of deviations when obtaining 3DSI using the presented imaging devices but should not refrain from using them, as the absolute differences might be too small to play a role in both, clinical and research, settings. (Source: Facial Plastic Surgery Clinics of North America)
Source: Facial Plastic Surgery Clinics of North America - April 30, 2022 Category: Cosmetic Surgery Authors: Konstantin Christoph Koban, Ya Xu, Nicholas Moellhoff, Denis Ehrl, Michael G. Alfertshofer, Sebastian Cotofana, Riccardo E. Giunta, Julie Woodward, Daria Voropai, Konstantin Frank Source Type: research

Electrophysiologic Frontalis Muscle Response Following Neuromodulator Injections
Neuromodulator treatments limit the contractility of the frontalis muscle, resulting in reduced dynamic and static horizontal forehead line formation of the overlying skin. This interventional study investigated the electrophysiologic response (via signal-to-noise [SNR] ratio) and the overlying skin displacement of the frontalis muscle following neuromodulator injections in a total of 11 healthy neuromodulator-na ïve volunteers. Relating SNR to the respective skin movement revealed that the higher the SNR, the more vertical the skin displacement is; this remained statistically relevant after gender stratification. These r...
Source: Facial Plastic Surgery Clinics of North America - April 30, 2022 Category: Cosmetic Surgery Authors: Konstantin Frank, Shirin Assemi-Kabir, Michael G. Alfertshofer, Denis Ehrl, Robert H. Gotkin, Nicholas Moellhoff, Paul Z. Lorenc, Tatjana Pavicic, Claudia A. Hernandez, Sebastian Cotofana Source Type: research

Facial Transplantation
Facial transplantation is a vascularized composite allotransplantation, which may be considered in patients with extensive and challenging facial defects for which conventional reconstructive approaches fail to provide satisfactory functional and esthetic outcomes. Facial transplantation has the advantage of replacing defective or absent structures with anatomically identical tissues. Facial transplantation may provide functional, esthetic, and psychosocial benefits, but must be weighed against risks such as lifelong immunosuppression. Success is reliant on patient understanding, motivation, consent and compliance, and a m...
Source: Facial Plastic Surgery Clinics of North America - April 30, 2022 Category: Cosmetic Surgery Authors: Krishna Vyas, Karim Bakri, Waleed Gibreel, Sebastian Cotofana, Hatem Amer, Samir Mardini Source Type: research

Superficial Nasal Filler Injections –How I do It
Nasal enhancement is one of the most challenging and intriguing of aesthetic procedures. Although the nose is the most central and prominent facial feature, it should not be dominant while maintaining both a harmonious relationship with the face and its own intrinsic beauty. In this article, the first author shares his experience on how to specifically apply intradermal soft-tissue fillers (for particular indications) in nasal enhancement and incorporates patient assessment, anatomy of the nose, and injection techniques to provide guidance. Intradermal injections are required for specific regions, as for example in the tre...
Source: Facial Plastic Surgery Clinics of North America - April 30, 2022 Category: Cosmetic Surgery Authors: Arthur Swift, Kent Remington, Konstantin Frank, Sebastian Cotofana Source Type: research

Understanding the Vascular Anatomy of the Face
The demand and use of injectable fillers are increasing and performed by practitioners at different levels. They are frequently used to rejuvenate and volumize the face, but there are well-known complications that can occur with intraluminal injection or compression of the facial vessels. The knowledge of the vascular anatomy of the face, particularly the predictable depth, can prevent these devastating complications. (Source: Facial Plastic Surgery Clinics of North America)
Source: Facial Plastic Surgery Clinics of North America - April 30, 2022 Category: Cosmetic Surgery Authors: Jonathan M. Sykes, Haley N. Bray Source Type: research

The Columellar Arteries in the Asian Nose
The morphologic characteristics of Asian nose are a short or retracted columella, an acute nasolabial angle, and deficient tip projection. Both operative rhinoplasty and filler rhinoplasty have been used to improve the columellar angle and the tip of the nose in Asia. However, the possibility that complications may occur following aesthetic interventions from the vascular compromises at the columella, for example, skin necrosis, deformity, and blindness. Thus, it is crucial to operate the aesthetic approach by understanding the detailed configurations of the columellar artery that might help physicians minimize the chances...
Source: Facial Plastic Surgery Clinics of North America - April 30, 2022 Category: Cosmetic Surgery Authors: Benrita Jitaree, Thirawass Phumyoo Source Type: research

Deep Plane Anatomy for the Facelift Surgeon
This article highlights and summarizes the high-yield anatomic pearls in facelift surgery, particularly in sub-SMAS (superficial musculoaponeurotic system) dissection techniques. Emphasis is placed on the depth and transitions of the facial nerve branches and the sub-SMAS potential spaces and their role in deep plane facelift dissection. Key anatomic structures in the deep neck are described. (Source: Facial Plastic Surgery Clinics of North America)
Source: Facial Plastic Surgery Clinics of North America - April 30, 2022 Category: Cosmetic Surgery Authors: Christopher C. Surek, Amanda Moorefield Source Type: research

Virtual Surgical Planning (VSP) in Craniomaxillofacial Reconstruction
The complex three-dimensional (3D) anatomy of the craniomaxillofacial skeleton creates a challenge for surgical reconstruction. Advances in virtual surgical planning (VSP) have enhanced reconstructive outcomes in craniomaxillofacial aesthetic and reconstructive surgery. This technology has been especially useful in spatially complex cases due to the ability to visualize and manipulate 3D configurations of the cranium through virtual surgery, printing of stereolithographic models, fabrication of cutting and positioning guides, creation of prefabricated hardware, and refinements of custom implants. In many cases, VSP results...
Source: Facial Plastic Surgery Clinics of North America - April 30, 2022 Category: Cosmetic Surgery Authors: Krishna Vyas, Waleed Gibreel, Samir Mardini Source Type: research

Preface
Dear colleagues, (Source: Facial Plastic Surgery Clinics of North America)
Source: Facial Plastic Surgery Clinics of North America - April 30, 2022 Category: Cosmetic Surgery Authors: Sebastian Cotofana Source Type: research

Facial and Nasal Anatomy
A key area of expertise for those individuals whose medical and surgical practice is facial plastic and reconstructive surgery is an accurate knowledge of facial and nasal anatomy. Sebastian Cotofana, MD, PhD has been selected to be Guest Editor of this issue of Facial Plastic Clinics of North America due to his recognition as an excellent anatomist. Dr Cotofana has organized a unique and in-depth approach to discussing facial and nasal anatomy through a group of interesting and pertinent topics authored by outstanding experts in our field. (Source: Facial Plastic Surgery Clinics of North America)
Source: Facial Plastic Surgery Clinics of North America - April 30, 2022 Category: Cosmetic Surgery Authors: J. Regan Thomas Tags: Foreword Source Type: research