Facial Plastic Surgery Clinics of North America This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Contributors
J. REGAN THOMAS, MD (Source: Facial Plastic Surgery Clinics of North America)
Source: Facial Plastic Surgery Clinics of North America - April 25, 2021 Category: Cosmetic Surgery Source Type: research

Contents
J. Regan Thomas (Source: Facial Plastic Surgery Clinics of North America)
Source: Facial Plastic Surgery Clinics of North America - April 25, 2021 Category: Cosmetic Surgery Source Type: research

Forthcoming Issues
Facial Paralysis (Source: Facial Plastic Surgery Clinics of North America)
Source: Facial Plastic Surgery Clinics of North America - April 25, 2021 Category: Cosmetic Surgery Source Type: research

Blepharoptosis Repair: External Versus Posterior Approach Surgery: Why I Select One over the Other
Ptosis surgery is performed via an anterior/external or posterior/internal approach, primarily defined by the eyelid elevator muscle surgically addressed: the levator complex anteriorly or Muller muscle posteriorly. Posterior ptosis surgery via Muller muscle conjunctival resection is an excellent first choice for cases of mild to moderate ptosis with good levator function, as it is predictable, provides a reliable cosmetic outcome, requires no patient cooperation during surgery, portends a lower rate of reoperation, and rarely leads to lagophthalmos and/or eyelid retraction postoperatively. External levator resection is pr...
Source: Facial Plastic Surgery Clinics of North America - February 15, 2021 Category: Cosmetic Surgery Authors: Liza M. Cohen, Daniel B. Rootman Source Type: research

History of Dorsal Preservation Surgery
There are 2 approaches for lowering the osseocartilaginous nasal dorsum. The most frequently used method includes resection of the osseocartilaginous nasal dorsum. The second method is based on preservation of the osseocartilaginous nasal dorsum. The concept of dorsal preservation surgery is to preserve, not resect, the nasal bones and upper lateral cartilage. Reduction rhinoplasty with preservation of the nasal dorsum is not only possible, but results in a natural appearing postoperative dorsal esthetic line. Thus, the rhetorical question: Why reconstruct the nasal dorsum when you can simply preserve it? (Source: Facial P...
Source: Facial Plastic Surgery Clinics of North America - November 19, 2020 Category: Cosmetic Surgery Authors: Eugene B. Kern Source Type: research

Dorsal Preservation Rhinoplasty
There has been particular recent interest in dorsal preservation rhinoplasty techniques because of claims of superior functional and aesthetic results relative to conventional hump reductions. The septum in dorsal preservation rhinoplasty is managed in a variety of ways with differences largely based on the location of septal excision (subdorsal resection, midseptal resection, and inferior septal resection). The technical considerations of a modified subdorsal strip method using a structural preservation technique are described. This technique maintains a subdorsal and caudal strut of cartilage. Patient-reported measures d...
Source: Facial Plastic Surgery Clinics of North America - November 19, 2020 Category: Cosmetic Surgery Authors: Priyesh N. Patel, Mohamed Abdelwahab, Sam P. Most Source Type: research

Conventional Resection Versus Preservation of the Nasal Dorsum and Ligaments
Preservation rhinoplasty may refer to preserving several anatomic components including: the nasal bones, upper lateral cartilages, the keystone area and/or ligaments of the nose. Preserving the osseocartilaginous framework or “dorsal preservation” minimizes or completely avoids violation of the dorsal aesthetic lines’ architecture. Conventional hump reduction in open rhinoplasty disrupts these lines; however, it also provides versatility to reshape the entire dorsum. Surgical success with either technique requires a thorough understanding of the underlying nasal anatomy. (Source: Facial Plastic Surgery Clinics of North America)
Source: Facial Plastic Surgery Clinics of North America - November 19, 2020 Category: Cosmetic Surgery Authors: Mohamed Abdelwahab, Priyesh N. Patel Source Type: research

Preservation Rhinoplasty
Preservation rhinoplasty is a new term for an old technique. The authors have used the endonasal push-down and let-down techniques that are attributed to Dr Maurice Cottle throughout their careers on select patients with excellent success. The endonasal Cottle technique allows the authors to manage the nasal dorsum in a conservative fashion, reducing the need for routine restructuring of the middle third and nasal dorsum. The details of their approach are presented in this publication. (Source: Facial Plastic Surgery Clinics of North America)
Source: Facial Plastic Surgery Clinics of North America - November 19, 2020 Category: Cosmetic Surgery Authors: Oren Friedman, Fausto Lopez Ulloa, Eugene B. Kern Source Type: research

Incorporating Dorsal Preservation Rhinoplasty into Your Practice
For rhinoplasty surgeons, surgery of the dorsum has never been so dynamic or as easily learned. Reproducible techniques offer excellent results that can be difficult to achieve in certain patients using component reduction. An expanding repertoire of dorsal preservation (DP) techniques is evolving. Each DP operation builds on the others. To understand DP requires a new appreciation of the cartilaginous septum, the perpendicular plate of ethmoid, nasal osteotomies, and anatomy of the nose where surgeons do not operate with traditional component reduction. The result is more beautiful noses where the normal anatomy is preser...
Source: Facial Plastic Surgery Clinics of North America - November 19, 2020 Category: Cosmetic Surgery Authors: Aaron M. Kosins Source Type: research

Key Points in Subperichondrial-Subperiosteal Dissection
“Subperichondrial-subperiosteal dissection technique (SSDT) decreases soft tissue injury to a minimum by protecting soft tissues from dissection and retraction traumas. The fact remains that dissecting the perichondrium of the nasal tip cartilages is not effortless. Cartilages may be harmed if dis section is not initiated at the right location. The aforementioned surgeons have routinely used the SSDT between the years 2008 and 2019 in more than 4000 rhinoplasties. The number of the surgeons making use of the SSDT will increase with the understanding of the key points in dissection, their orde ring, and use of correct ins...
Source: Facial Plastic Surgery Clinics of North America - November 19, 2020 Category: Cosmetic Surgery Authors: B ülent Genç, Ali Murat Akkuş, Barış Çakır Source Type: research

Tip Ligament Preservation and Suspension
This issue of Clinics explores the concept of “preservation” rhinoplasty. At present, this topic is gaining considerable attention. As proponents of preservation suggest, a great number of problems we encounter in rhinoplasty are problems that were not present before the surgery; therefore, they can often be attributable to the deconstructi on and reconstruction that took place. Preservation rhinoplasty should be viewed generally as a mindset to limit deconstructive steps in rhinoplasty when possible, understanding that these steps and those to later reconstruct provide the potential to create new problems that did not...
Source: Facial Plastic Surgery Clinics of North America - November 19, 2020 Category: Cosmetic Surgery Authors: Jeffrey R. Marcus, Analise B. Thomas, Heather A. Levites Source Type: research

Piezoelectric Osteotomies in Dorsal Preservation Rhinoplasty
Dorsal preservation rhinoplasty requires precise management of the osseocartilaginous vault. Ultrasonic piezo instruments offer several advantages compared with traditional tools such as hand saws, rasps, and osteotomes. As always, an understanding of the dynamics of manipulation of the vault, anatomy, and proper technique are paramount and are reviewed herein. (Source: Facial Plastic Surgery Clinics of North America)
Source: Facial Plastic Surgery Clinics of North America - November 19, 2020 Category: Cosmetic Surgery Authors: Abd ülkadir Göksel, Priyesh N. Patel, Sam P. Most Source Type: research

Combined Functional and Preservation Rhinoplasty
Dorsal preservation rhinoplasty has aesthetic advantages over conventional hump takedown rhinoplasty. In dorsal preservation surgery, the nasal vault is treated en bloc. The internal nasal valve angle is not disrupted and there is no need for midvault reconstruction. Two techniques for management of the bony vault exist in dorsal preservation surgery: the let-down and the push-down techniques. There are a variety of techniques used for management of the septum in dorsal preservation. Available patient-reported outcomes of suggest positive results in nasal breathing. More robust data are needed to clarify the functional res...
Source: Facial Plastic Surgery Clinics of North America - November 19, 2020 Category: Cosmetic Surgery Authors: Priyesh N. Patel, Mohamed Abdelwahab, Sam P. Most Source Type: research

Preservation Rhinoplasty (Let-Down Technique) for Endonasal Dorsal Reduction
This article focuses on the anatomy of the keystone area and the dynamics of the dorsum explained through the biotensegrity concept. Differences between push-down and let-down techniques are addressed from a nasal valve physiology point of view. The let-down technique maintains the tensegrity of the nasal pyramid. Preservation should be preferred, in most cases, over resection, as well as reposition over manipulation. (Source: Facial Plastic Surgery Clinics of North America)
Source: Facial Plastic Surgery Clinics of North America - November 19, 2020 Category: Cosmetic Surgery Authors: Jose Juan Montes-Bracchini Source Type: research

Preservation Rhinoplasty and the Crooked Nose
Crooked or deviated noses pose a specific challenge as many of the elements in a deviated nose are not symmetric and therefore not ideal for preservation techniques. Deviated noses are often where a hybridization between preservation and structural rhinoplasty is required. Careful preoperative evaluation of the soft tissue and bony anatomy of the patient is very important and congenital or post-traumatic asymmetry may involve more than the nasal pyramid. Full exposure of the nasal pyramid allows for visualization and appropriate osteotomy or rhinosculpture. (Source: Facial Plastic Surgery Clinics of North America)
Source: Facial Plastic Surgery Clinics of North America - November 19, 2020 Category: Cosmetic Surgery Authors: Charles East Source Type: research