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Brazilian Approach to Dorsum Preservation
Brazil has always been a fertile place for plastic surgery techniques, especially cosmetic, and it was not different in rhinoplasty. In Brazil surgeons started using the dorsal preservation rhinoplasty in the 1970s. Techniques have changed, the problems and contraindications were challenged, and solutions proposed. As a result, indications were expanded to almost every kind of nose. Surface working executed with power tools, such as the piezoelectric device and the power drill, complemented the techniques and allowed for refinement in execution. Today the Brazilian preservation techniques are adopted and improved by many s...
Source: Facial Plastic Surgery Clinics of North America - November 15, 2022 Category: Cosmetic Surgery Authors: Mario Bazanelli Junqueira Ferraz, Wilson J. Dewes, Luiz Carlos Ishida, Guilherme Constante Preis Sella Source Type: research

Precision Segmental Preservation Rhinoplasty
In this study, we develop concepts that allow us to operate noses with preservation rhinoplasty that were previously considered to be among the absolute contraindications. Redefining new dorsal aesthetic lines, controlling the nasal lateral wall and the naso-facial groove surfaces, avoiding mid-vault widening and being precise in the design of bony and cartilaginous nasal profile, avoiding any type of irregularity, are strategies that will be presented. (Source: Facial Plastic Surgery Clinics of North America)
Source: Facial Plastic Surgery Clinics of North America - November 15, 2022 Category: Cosmetic Surgery Authors: Jose Carlos Neves, Ozan Erol, Diego Arancibia-Tagle, Emre Ilhan Source Type: research

Preservation Rhinoplasty Merges with Structure Rhinoplasty
Preservation rhinoplasty is making a resurgence worldwide as surgeons see the benefits of minimizing disruption of key anatomic structures of the nose. The descriptive title, “preservation rhinoplasty,” was coined by Rollin K. Daniel,1 and he and other leaders have initiated a resurgence in recent years. Preservation rhinoplasty encompasses a subperichondrial/subperiosteal dissection plane with preservation of the ligamentous supportive structures, maintenance of the alar cartilages integrity with reshaping performed primarily through tip suturing, and preserving the natural nasal dorsum with possible minor surface mod...
Source: Facial Plastic Surgery Clinics of North America - November 15, 2022 Category: Cosmetic Surgery Authors: Dean M. Toriumi Tags: Preface Source Type: research

My Approach to Preservation Rhinoplasty
Preservation rhinoplasty entails the preservation of the supportive ligaments, preservation of the cartilage structure, and preserving the anatomy of the nasal dorsum. The preservation methods I use are described in this article. (Source: Facial Plastic Surgery Clinics of North America)
Source: Facial Plastic Surgery Clinics of North America - November 15, 2022 Category: Cosmetic Surgery Authors: Bar ış Çakır, Bülent Genç, Valerio Finocchi, Sebastian Haack Source Type: research

Ultrasonic Rhinoplasty and Septoplasty for Dorsum Preservation and for Dorsum Structural Reconstruction
Ultrasonic rhinoplasty and ultrasonic septoplasty reshape the nasal bones using piezoelectric instruments specifically developed for these operations. They allow the realization of precise osteotomies under direct visual control after having performed first an open or closed extended approach, but also ostectomies and rhinosculpture. Piezoelectric instruments preserve bone stability by not damaging bone support structures and avoiding unwanted fractures. They allow precise control of nasal bone movements, their orientation, and their final position. The different inserts of ultrasonic rhinoplasty and ultrasonic septoplasty...
Source: Facial Plastic Surgery Clinics of North America - November 15, 2022 Category: Cosmetic Surgery Authors: Olivier Gerbault Source Type: research

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It is fortunately surprising, and perhaps difficult to believe presently, that there was a period in the history of our specialty of facial plastic and reconstructive surgery where we were not recognized or represented as a specialty through a journal or identified publication. Indeed, Facial Plastic Surgery as a specific entity was being actively opposed by several other identifiable specialty groups and even by some individuals within Otolaryngology. Individual physicians who wished to focus on facial plastic and reconstructive surgery procedures and were inspired to further expand and develop expertise in that direction...
Source: Facial Plastic Surgery Clinics of North America - November 15, 2022 Category: Cosmetic Surgery Authors: J. Regan Thomas Tags: Farewell Source Type: research

Fads, Progress, and Paradigm Shifts
Strategic Inflection Point: An event that changes the way we think and act. —Andy Grove (co-founder, Intel Corp)The Edison Illuminating Company was established in 1882 to provide direct current electricity to power indoor incandescent lights. Nikola Tesla emigrated to the United States in 1884, having already experimented with alternating current and constructed his first induction motor. After briefly working for Thomas Edison, Tesla licensed (and later gave) his patent rights to George Westinghouse. (Source: Facial Plastic Surgery Clinics of North America)
Source: Facial Plastic Surgery Clinics of North America - November 15, 2022 Category: Cosmetic Surgery Authors: Anthony P. Sclafani Tags: Foreword Source Type: research

Hail and Farewell!
After 30 years, J. Regan Thomas, MD steps down as Editor of Facial Plastic Surgery Clinics of North America. Dr Thomas has been the Editor of the Facial Plastic Surgery Clinics of North America since its inception in 1993. We thank Dr Thomas not only for his efforts in leading Facial Plastic Surgery Clinics of North America but also as someone who helped create a strong scientific, academic, and clinical foundation for Facial Plastic Surgery. As a clinician, teacher, researcher, administrator, and always an advocate, Dr Thomas has been instrumental in cementing the position of Facial Plastic and Reconstructive Surgery in t...
Source: Facial Plastic Surgery Clinics of North America - November 15, 2022 Category: Cosmetic Surgery Authors: Anthony P. Sclafani Tags: Tribute Source Type: research

Preservation Rhinoplasty Merges with Structure Rhinoplasty
FACIAL PLASTIC SURGERY CLINICS OF NORTH AMERICA (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

Copyright
ELSEVIER (Source: Facial Plastic Surgery Clinics of North America)
Source: Facial Plastic Surgery Clinics of North America - November 15, 2022 Category: Cosmetic Surgery Source Type: research

Contributors
ANTHONY P. SCLAFANI, MD, MBA, FACS (Source: Facial Plastic Surgery Clinics of North America)
Source: Facial Plastic Surgery Clinics of North America - November 15, 2022 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 - November 15, 2022 Category: Cosmetic Surgery Source Type: research

Forthcoming Issues
Reducing Risks in Surgical Facial Plastic Procedures (Source: Facial Plastic Surgery Clinics of North America)
Source: Facial Plastic Surgery Clinics of North America - November 15, 2022 Category: Cosmetic Surgery Source Type: research

Global Perspectives on Beauty
Beauty is a mystical and powerful, indeed existential, force. Beauty can be described philosophically, quantified mathematically, and defined biologically. Our individual attractiveness confers real benefits and impacts our reproductive success. Natural beauty is perceived similarly by all races and cultures yet has unique ethnic characteristics. Various artificial beauty interventions are used across all cultures to enhance natural beauty. The forces of globalization, especially social media and even the pandemic, are accelerating the evolution of attractiveness and beauty standards worldwide. Future neuropsychiatric and ...
Source: Facial Plastic Surgery Clinics of North America - October 28, 2022 Category: Cosmetic Surgery Authors: Blake S. Raggio, Peter A. Adamson Source Type: research

Skin-Tightening Devices (Radiofrequency) in Mixed-Race Patients
Mixed-race patients seeking noninvasive esthetic procedures with minimal to no downtime are increasing, the most common issue in this group of patients when using medical technologies is post-inflammatory hyperpigmentation or hypopigmentation. Radiofrequency (RF) is an energy that is safe for treating all skin types because it does not interact target chromophore, its mechanism of action is the production of heat by shooting electrons into tissue and the interaction with that tissue ’s impedance or resistance is what produces the heat, and the heat induces collagen remodeling and collagenesis, so skin color, melanin, and...
Source: Facial Plastic Surgery Clinics of North America - October 28, 2022 Category: Cosmetic Surgery Authors: Rafael Espinosa Delgado, Miriam de la Torre Campos Source Type: research