Reducing Surgical Risks for Septal and Turbinate Surgery
Septoplasty is one of the most frequently performed procedures in otolaryngology. The procedure is also performed by oral and maxillofacial surgeons as well as plastic surgeons. Septal deviation is one of the most common findings on physical examination in the otolaryngologist ’s office. Nasal obstruction when caused by septal deviation may be addressed with septoplasty. Turbinate surgery may be performed in conjunction to further improve the airway. (Source: Facial Plastic Surgery Clinics of North America)
Source: Facial Plastic Surgery Clinics of North America - February 26, 2023 Category: Cosmetic Surgery Authors: Sapideh Gilani Source Type: research

Reducing Surgical Risks for Otoplasty
Prominauris is a common auricular deformity most often due to underdevelopment of the antihelical fold or overdevelopment of the conchal bowl. Significant psychosocial distress may result from prominent ears, leading to the development of a variety of surgical techniques over the years. A thorough understanding of the anatomy of both the normal and prominent ear is crucial for accurate analysis and surgical correction of the deformity. The procedure is well-tolerated and careful preoperative evaluation and adherence to meticulous cartilage-sparing techniques will lead to good results and low complication rates. (Source: Fa...
Source: Facial Plastic Surgery Clinics of North America - February 26, 2023 Category: Cosmetic Surgery Authors: Steven G. Hoshal, Megan V. Morisada, Travis T. Tollefson Source Type: research

Reducing Surgical Risks in a Blepharoplasty
Blepharoplasty is one of the commonest procedures performed for facial rejuvenation. The eyelids play a vital role in maintaining ocular surface integrity and visual functioning. Care must be taken to avoid complications that pose a risk to vision and ocular comfort. In addition, cosmetic complications can adversely affect patient satisfaction. Here the authors review the common complications encountered with blepharoplasty surgery and discuss how to minimize the risk of these and how to treat them if they do arise. With careful preoperative patient counseling, sound intraoperative technique, and appropriate postsurgical c...
Source: Facial Plastic Surgery Clinics of North America - February 26, 2023 Category: Cosmetic Surgery Authors: Bobby S. Korn, Michelle Ting Source Type: research

Reducing Surgical Risks in a Rhytidectomy
Complications after rhytidectomy will occur even in the best of circumstances. Establishing a good rapport with the patient, taking a thorough history and physical exam to elicit potential risk factors such as hypertension or a bleeding diathesis, enlisting staff members to help understand a patient ’s goals, psychology, and supports, as well as setting realistic expectations help both the surgeon and the patient navigate the journey of surgery toward a successful outcome. Lastly, understanding how to manage potential complications when they arise, in a supportive and caring manner, is vital to the patient relationship a...
Source: Facial Plastic Surgery Clinics of North America - February 26, 2023 Category: Cosmetic Surgery Authors: William H. Truswell, Albert J. Fox Source Type: research

Reducing Risks for Midface and Mandible Fracture Repair
The midface skeleton provides structural scaffolding to the middle third of the face. Complications associated with fracture repair in these regions can result from incomplete, inaccurate, or delayed assessment, poor initial and subsequent reduction and fixation, infection, uncontrolled hemorrhage, hardware failure and associated soft tissue injuries. A systematic approach to managing the patient with facial trauma that includes Acute Trauma Life Support principles, early reconstruction, and precise reduction and fixation is essential to reducing the short-term and long-term risks of complications. (Source: Facial Plastic ...
Source: Facial Plastic Surgery Clinics of North America - February 26, 2023 Category: Cosmetic Surgery Authors: N éha Datta, Sherard A. Tatum Source Type: research

Reducing Systemic Risks in a Traumatic Panfacial Injury Patient
This article describes surgical critical care for panfacial injuries, a component of the acute-care surgery model, to reduce systemic risks, improve the patient's condition, and enable a successful surgical outcome. (Source: Facial Plastic Surgery Clinics of North America)
Source: Facial Plastic Surgery Clinics of North America - February 26, 2023 Category: Cosmetic Surgery Authors: Kendra Black, Jay Doucet Source Type: research

Reducing Risk for Perioperative Anesthesia Complications
Aging patients and outpatient settings add complexity to the anesthetic management of facial plastic surgery, which emphasizes a quiet surgical field and smooth perioperative journey, absent rocky emergence phenomena, postoperative nausea and vomiting, prolonged post-anesthesia care unit stays, or last-minute hospital admissions. Monitored anesthesia care can be ideal with proper patient selection and a conscientious provider, although overlooking potential risks has led to catastrophic consequences, including burns, hypoxic brain injury, and death. Inherently isolated, emergency preparedness is more crucial in outpatient ...
Source: Facial Plastic Surgery Clinics of North America - February 26, 2023 Category: Cosmetic Surgery Authors: Sara Meitzen, Jessica Black Source Type: research

Reducing Risks in Facial Plastic Surgery
Facial plastic and reconstructive surgeries encompass a wide variety of procedures to treat our patients. Despite their many favorable and positive outcomes for our patients, unfavorable occurrences and complications can happen even among experienced facial plastic surgeons. (Source: Facial Plastic Surgery Clinics of North America)
Source: Facial Plastic Surgery Clinics of North America - February 15, 2023 Category: Cosmetic Surgery Authors: David B. Hom, Deborah Watson Tags: Preface Source Type: research

Overview of Dorsal Preservation Rhinoplasty
Renewed interest in dorsal preservation rhinoplasty (DPR) stems from theoretic esthetic and functional advantages over conventional hump resection. DPR fundamentally consists of en bloc dorsal lowering via a combined septal resection and mobilization of the bony pyramid. Several technical modifications exist, allowing for the expansion of DPR indications. Although studies suggest success with these techniques, comparative data to conventional hump resection are limited. Challenges and stigmata of DPR include a radix step-off, hump recurrence, supratip saddling, and widening of the midvault. The fusion of structural techniq...
Source: Facial Plastic Surgery Clinics of North America - November 15, 2022 Category: Cosmetic Surgery Authors: Priyesh N. Patel, Sam P. Most Source Type: research

Long-Term Follow-Up with Dorsal Preservation Rhinoplasty
The rapid resurgence of interest in performance of dorsal preservation (DP) rhinoplasty techniques in recent years has come with scarcity of data for long-term outcomes. In this article, the authors aim to contribute to preservation rhinoplasty (PR) literature by providing long-term follow-up with dorsal preservation, specifically presenting data related to superior strip DP functional and esthetic complications, followed by a detailed analysis of the same. (Source: Facial Plastic Surgery Clinics of North America)
Source: Facial Plastic Surgery Clinics of North America - November 15, 2022 Category: Cosmetic Surgery Authors: Masoud Saman, Yves Saban Source Type: research

Surface Techniques in Dorsal Preservation
Classical dorsal preservation rhinoplasty is typically done with impaction osteotomies (push/let down) and a low septal strip. These approaches are potentially highly destabilizing maneuvers in the architecture of the nasal pyramid. This is one of the reasons why these approaches did not have a popular acceptance in the 1960s and 1970s. More recently, the surgeon interested in preservation rhinoplasty has the possibility to do so with surface techniques with more control and, if needed, is easily converted to the standard structured techniques if the surgeon does not feel safe with the procedure. (Source: Facial Plastic Su...
Source: Facial Plastic Surgery Clinics of North America - November 15, 2022 Category: Cosmetic Surgery Authors: Miguel Gon çalves Ferreira, Mariline Santos Source Type: research

Subdorsal Cantilever Graft
This article will discuss the indications and technique of the SDCG in dorsal preservation rhinoplasty. (Source: Facial Plastic Surgery Clinics of North America)
Source: Facial Plastic Surgery Clinics of North America - November 15, 2022 Category: Cosmetic Surgery Authors: Dean M. Toriumi, Milos Kovacevic Source Type: research

Open Preservation Rhinoplasty Using the Piezo Electric Instrument
Preservation rhinoplasty represents a growing shift in rhinoplasty philosophy toward preserving structurally sound anatomy and reshaping existing nasal structures into esthetic and functional ideals. It is fast gaining popularity owing to the theoretic functional and esthetic benefits of preserving the dorsal keystone area and dorsal esthetic lines. The preservation technique is made more accessible by the open approach, which provides an opportunity for the deformity to be clearly visualized from the tip of the nose to the dorsum, as well as enables greater ease of powered instrument access. The addition of the Piezo-elec...
Source: Facial Plastic Surgery Clinics of North America - November 15, 2022 Category: Cosmetic Surgery Authors: Abdulkadir Goksel, Khanh Ngoc Tran Source Type: research

My First Twenty Rhinoplasties Using Dorsal Preservation Techniques
Dorsal preservation involves eliminating the dorsal hump by performing reduction while preserving the patient ’s natural dorsal anatomy. This can involve surface manipulation or foundational techniques or a combination of both. When surgeons begin performing dorsal preservation, there are important factors to consider to avoid complications. In an effort to inform surgeons on how to avoid unfavorable outc omes, I will discuss my first 20 cases where I performed dorsal preservation. I review less than ideal outcomes and how these issues can be prevented. (Source: Facial Plastic Surgery Clinics of North America)
Source: Facial Plastic Surgery Clinics of North America - November 15, 2022 Category: Cosmetic Surgery Authors: Dean M. Toriumi Source Type: research

“Managing the Severe Septal Deviation Using Dorsal Preservation”
Severe septal deviations are a constant challenge for rhinosurgeons. As the septum is the most important pillar of the nasal framework, septal deformities require correction to insure a straight nose. The septum should be on the midline without any tension to ensure a correct healing of the external nasal pyramid. In certain cases, the association of a correct septoplasty and dorsal preservation allows the treatment of the crooked nose and at the same time gives natural results with rapid postoperative recovery. The aim of this article was to underline the versatility of the dorsal preservation technique for the correction...
Source: Facial Plastic Surgery Clinics of North America - November 15, 2022 Category: Cosmetic Surgery Authors: Valerio Finocchi, Valentino Vellone Source Type: research