Sonoelastographic Evaluation of the Lower Lateral Nasal Cartilage Lateral Crus, Auricular Conchal Cartilage, and Costal Cartilage
Facial plast Surg DOI: 10.1055/s-0039-3399577We investigated the sonoelastographic features of the lower lateral nasal cartilage lateral crus (LLNC-LC), auricular conchal cartilage (ACC), and costal cartilage (CC). In this prospective study, group 1 consisted of 60 participants (30 males and 30 females) between 18 and 35 years of age. Group 2 consisted of 60 participants (30 males and 30 females) between 35 and 50 years of age. Strain elastography (SE) and shear wave elastography (SWE) were performed. For all LLNC-LCs and ACCs, type I SE was detected more in group 2, type II SE was detected more in group 1, and type III SE...
Source: Facial Plastic Surgery - November 14, 2019 Category: Cosmetic Surgery Authors: Şahan, Mehmet Hamdi Bayar Muluk, Nuray Inal, Mikail Asal, Ne şe Şimşek, Gökçe Ar ıkan, Osman Kürşat Tags: Original Research Source Type: research

Clinical Aesthetics of the Nose for Filler Injection
Facial plast Surg 2019; 35: 561-562 DOI: 10.1055/s-0039-1696991 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Facial Plastic Surgery)
Source: Facial Plastic Surgery - October 22, 2019 Category: Cosmetic Surgery Authors: Jung, Gyu Sik Tags: Letter to the Editor Source Type: research

Temporalis Muscle Reduction Using Botulinum Toxin Type A for a Desirable Upper Face Circumference
Facial plast Surg 2019; 35: 559-560 DOI: 10.1055/s-0039-3399607 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Facial Plastic Surgery)
Source: Facial Plastic Surgery - October 22, 2019 Category: Cosmetic Surgery Authors: Jung, Gyu Sik Tags: Letter to the Editor Source Type: research

The Graduated Approach to Surgical Neck Contouring
Facial plast Surg 2019; 35: 516-524 DOI: 10.1055/s-0039-1696655Achieving a more youthful neckline is one of the most common reasons why patients seek facial plastic surgery. A variety of treatment options are available to contour the neck, ranging from injectable medications to minimally invasive energy devices to surgery. A spectrum of surgical procedures can be offered to contour the neck, including liposuction, submentoplasty, necklift, and facelift, all with or without implants. The ideal neck aesthetic, pertinent anatomy, patient evaluation process, indications, and techniques for the aforementioned procedures are dis...
Source: Facial Plastic Surgery - October 22, 2019 Category: Cosmetic Surgery Authors: Gerecci, Deniz Perkins, Stephen W. Tags: Original Article Source Type: research

Chin Reshaping in Profileplasty: Augmentative and Reductive Strategies
Facial plast Surg 2019; 35: 499-515 DOI: 10.1055/s-0039-1695750After studying this article, the reader should be able to understand how various implants, osteotomies, and reductive tissue techniques affect the aesthetic outcomes of chin reshaping surgery. The roles of standard versus custom chin implants, the operative steps and indications for a bony genioplasty and the techniques for chin reduction are described with emphasis on proper patient selection and avoiding their common complications. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents &...
Source: Facial Plastic Surgery - October 22, 2019 Category: Cosmetic Surgery Authors: Eppley, Barry L. Tags: Original Article Source Type: research

Dorsal Augmentation in Facial Profiloplasty
This study addresses our strategy to deal with various types of aesthetically unpleasant nasal profile line. The characteristics of augmentation materials and considerations in surgical technique are also addressed. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Facial Plastic Surgery)
Source: Facial Plastic Surgery - October 22, 2019 Category: Cosmetic Surgery Authors: Jang, Yong Ju Yoo, Shin Hyuk Tags: Original Article Source Type: research

Nasal Profile Hump Reduction Using the Let-Down Technique
Facial plast Surg 2019; 35: 486-491 DOI: 10.1055/s-0039-1695751In rhinoplasty, the nasal dorsum represents an important aspect for form and function. Surgical management should be performed accurately to avoid complications. The goal for dorsal preservation is to preserve the keystone area intact above the nasal bones and its relationship with the upper lateral cartilages. Unlike other rhinoplasty techniques, the lowering of the nasal dorsum requires dorsal modification prior to the surgery of the tip since it modifies the tip position by rotating it. Unlike the push-down technique, that places the nasal bones inside the n...
Source: Facial Plastic Surgery - October 22, 2019 Category: Cosmetic Surgery Authors: Montes-Bracchini, Jose Juan Tags: Original Article Source Type: research

Complications in Reductive Profileplasty
Facial plast Surg 2019; 35: 476-485 DOI: 10.1055/s-0039-1696990The ability of a surgeon to create an aesthetically pleasing and functionally competent nasal dorsum weighs heavily on following the foundations of rhinoplasty, beginning with the examination and analysis. These same fundamental principles should be used and applied in secondary rhinoplasty. The most common chief complaints of those patients seeking primary rhinoplasty relates to the presence of a hump or dorsal convexity, and similarly complications surrounding the dorsum are the most common indications for secondary rhinoplasty. The surgeon must be able to ap...
Source: Facial Plastic Surgery - October 22, 2019 Category: Cosmetic Surgery Authors: Perkins, Stephen W. Shadfar, Scott Tags: Original Article Source Type: research

The Use of Spreader Grafts or Spreader Flaps —or Not—in Hump Reduction Rhinoplasty
This article reviews the pertinent anatomy, describes indications for spreader graft or spreader flap placement, discusses surgical techniques and approaches for spreader graft placement, and describes complications of spreader graft use after hump reduction. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Facial Plastic Surgery)
Source: Facial Plastic Surgery - October 22, 2019 Category: Cosmetic Surgery Authors: Gerecci, Deniz Perkins, Stephen W. Tags: Original Article Source Type: research

The Use of Osteotomies in Nasal Profileplasty
This article provides an overview of the instruments used for osteotomies, as well as the indications and techniques for osteotomies in nasal profileplasty. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Facial Plastic Surgery)
Source: Facial Plastic Surgery - October 22, 2019 Category: Cosmetic Surgery Authors: Berkhout, Maaike Cornelia Menger, Dirk Jan Tags: Original Article Source Type: research

Reductive Nasal Profileplasty
Facial plast Surg 2019; 35: 446-457 DOI: 10.1055/s-0039-1696653Reductive nasal profileplasty is often the pillar of aesthetic nasal surgery. The surgeon must be knowledgable in the key tenants of preoperative analysis and examination to better approach the core elements for hump takedown. Photo imaging or morphing is a practical and technically easy means to open the discussion with the patients to determine their specific goals and ensure that these goals align with their needs functionally. Various approaches can be taken dependent upon the demands from the patient's anatomy and surgical goals planned preoperatively. The...
Source: Facial Plastic Surgery - October 22, 2019 Category: Cosmetic Surgery Authors: Shadfar, Scott Tags: Original Article Source Type: research

Forehead/Brow Reduction or Augmentation with Custom Implants for Enhanced Facial Profileplasty
Facial plast Surg 2019; 35: 430-445 DOI: 10.1055/s-0039-1697962After studying this article, the reader should be able to understand the basic concepts of aesthetic reshaping of the forehead and the different methods to make those upper facial contour changes. The operative techniques for bony forehead and brow bone reduction and biomaterials for forehead and brow bone augmentation are described. Innovations in bony reduction and implant augmentation methods are emphasized. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstr...
Source: Facial Plastic Surgery - October 22, 2019 Category: Cosmetic Surgery Authors: Eppley, Barry L. Tags: Original Article Source Type: research

Anatomy of the Facial Profile
Facial plast Surg 2019; 35: 423-429 DOI: 10.1055/s-0039-1696654The facial profile is an essential part of facial analysis and significantly impacts surgical decision making. Knowledge of the underlying anatomy, which creates the facial profile, and the anatomic sources of the common abnormalities in the profile can help to ensure adequate surgical correction of the abnormality. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Facial Plastic Surgery)
Source: Facial Plastic Surgery - October 22, 2019 Category: Cosmetic Surgery Authors: Floyd, Elizabeth Mia Perkins, Stephen W. Tags: Original Article Source Type: research

Modern Facial Profileplasty
Facial plast Surg 2019; 35: 421-422 DOI: 10.1055/s-0039-1696660 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Facial Plastic Surgery)
Source: Facial Plastic Surgery - October 22, 2019 Category: Cosmetic Surgery Authors: Perkins, Stephen W. Tags: Guest Editor Preface Source Type: research

Are Cosmetic Procedures Comparable to Antidepressive Medication for Quality-of-Life Improvements? A Systematic Review and Controlled Meta-Analysis
Facial plast Surg DOI: 10.1055/s-0039-1697030Cosmetic procedures, especially cosmetic minimally invasive treatments, are rising in popularity, despite societal perception that these procedures may not improve patient health. The purpose of this study was to conduct a systematic review and controlled meta-analysis to compare the effects of cosmetic procedures and antidepressant treatment on health-related quality-of-life improvement. The PubMed database was queried in two independent searches to identify peer-reviewed cosmetic and antidepressant articles published between 1996 and 2017 that prospectively assessed the impact...
Source: Facial Plastic Surgery - September 28, 2019 Category: Cosmetic Surgery Authors: Rudolph, Christina Hladik, Casey Stroup, Donna F. Frank, Konstantin Gotkin, Robert H. Dayan, Steven H. Patel, Ashit Cotofana, Sebastian Tags: Original Research Source Type: research

Temporal Augmentation: A Systematic Review
Facial plast Surg DOI: 10.1055/s-0039-1694029Clinicians employ various modalities in order to achieve temporal augmentation; however, no literature comprehensively describes these methods or provides perspective on available options. Understanding the available methodologies for cosmetic temporal augmentation allows for improved patient satisfaction with limited risk of complications. To synthesize the available literature on cosmetic temporal augmentation, including all available methodologies, patient satisfaction data, and complication rates, as well as to identify gaps in the available literature to encourage further r...
Source: Facial Plastic Surgery - September 16, 2019 Category: Cosmetic Surgery Authors: Othman, Sammy Cohn, Jason E. Burdett, Jacob Daggumati, Srihari Bloom, Jason D. Tags: Original Research Source Type: research

Factors Important in Facial Plastic and Reconstructive Surgery Fellowship Program Selection
Facial plast Surg DOI: 10.1055/s-0039-1695723Facial plastic and reconstructive surgery (FPRS) training programs offer exceptional exposure to the most current techniques in the field. However, applicants have many factors to weigh when ranking programs. Therefore, it is important to examine the factors that applicants believe to be the most critical when choosing an FPRS fellowship. This is an anonymous online survey of FPRS fellows between the years 2018 and 2020 (total 147). Respondents were asked to rate importance of program factors on a Likert scale (1–5). Of 147 applicants, 63 (43%) responded. Applicants found ...
Source: Facial Plastic Surgery - September 16, 2019 Category: Cosmetic Surgery Authors: Lozada, Kirkland N. Bloom, Jason D. Tags: Original Research Source Type: research

Safety of Concurrent Endoscopic Browlift and Blepharoplasty
The objective of the study was to evaluate the clinical safety of endoscopic browlift alone or in combination with blepharoplasty as a treatment for the aging face. This is a retrospective comparative study from 2007 to 2016 at a single tertiary care center. A consecutive sample of patients undergoing surgery for aging of the upper face was included in the study. Surgeries deemed to be inclusive were endoscopic browlift, upper blepharoplasty, and lower blepharoplasty. In total, 46 patients undergoing endoscopic browlift with concurrent blepharoplasty were included. Patient demographics, past medical history, follow-up, and...
Source: Facial Plastic Surgery - September 10, 2019 Category: Cosmetic Surgery Authors: Hjelm, Nikolaus Sanan, Akshay Krein, Howard Heffelfinger, Ryan N. Tags: Original Research Source Type: research

Aesthetic Orthognathic Surgery and Rhinoplasty by Derek Steinbacher
Facial plast Surg 2019; 35: 420-420 DOI: 10.1055/s-0039-1693470 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Facial Plastic Surgery)
Source: Facial Plastic Surgery - August 30, 2019 Category: Cosmetic Surgery Authors: Jang, Yong Ju Tags: Book Review Source Type: research

Otoplasty and Auricular Reconstruction
Facial plast Surg 2019; 35: 377-386 DOI: 10.1055/s-0039-1693745Due to the variety of abnormalities, surgery of the auricle is one of the most complex challenges in facial plastic surgery. They reach from mild protruding ears or isolated abnormalities of the supporting structures, mainly the helical rim and antihelix, over cup ear deformities and miniears all the way to severe microtia and anotia. In this article, the authors present a short overview of auricular abnormalities and malformations and their treatment options based on their experiences gained over three decades of special service for patients with auricular mal...
Source: Facial Plastic Surgery - August 30, 2019 Category: Cosmetic Surgery Authors: Siegert, Ralf Magritz, Ralph Tags: Original Article Source Type: research

Oncodermatology of the Head and Neck
Facial plast Surg 2019; 35: 368-376 DOI: 10.1055/s-0039-1695044The European Academy of Facial Plastic Surgery celebrates its 40th anniversary. We aimed to describe innovations in the diagnostics and treatment in head and neck skin cancer over the past 40 years as well as future perspectives. Landmark events, developments, and highlights over the past decades for basal cell carcinoma, cutaneous squamous cell carcinoma, and melanoma are discussed. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  | ...
Source: Facial Plastic Surgery - August 30, 2019 Category: Cosmetic Surgery Authors: Klop, W. Martin C. Elshot, Yannick S. Beck, Ann-Jean C. C. Brandsen, Renate E. Lohuis, Peter J. F. M. Tags: Original Article Source Type: research

The Development of Facial Lipofilling from a Historical Point of View
Facial plast Surg 2019; 35: 358-367 DOI: 10.1055/s-0039-1694762Lipofilling, the transplantation of adipose tissue, has already been used since the end of the 19th century. For decades, lipofilling was used to restore loss of volume due to aging, trauma, or congenital defects. Later on, the indications for the use of lipofilling expanded by treating aged skin, scars, and improving wound healing. The expansion was caused by the discovery of adipose derived stromal cells (ASCs) in adipose tissue and the development of very fine harvesting and injection cannulas which made it possible to inject small adipose tissue particles i...
Source: Facial Plastic Surgery - August 30, 2019 Category: Cosmetic Surgery Authors: van Dongen, Joris A. van Boxtel, Joeri Harmsen, Martin C. Stevens, Hieronymus P. Tags: Original Article Source Type: research

The Past, Present and Future of Facial Plastic and Reconstructive Surgery: Facelift
This article seeks to explore the evolution of this surgical procedure, focusing on the advances of the most recent 40 years. From minimal intervention to aggressive techniques and back to the minimally invasive again, the authors follow the journey of surgical intervention for facial rejuvenation and discuss some thoughts for the future. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Facial Plastic Surgery)
Source: Facial Plastic Surgery - August 30, 2019 Category: Cosmetic Surgery Authors: Floyd, Elizabeth Perkins, Stephen W. Tags: Original Article Source Type: research

Evolution of Blepharoplasty
Facial plast Surg 2019; 35: 340-352 DOI: 10.1055/s-0039-1693437The eyes and periorbital region are central components of facial beauty and harmony, but the periorbital region is also one of the earliest to show signs of aging. Over the past few decades, significant progress has been made in our understanding of the anatomy in this area, as well as the deleterious effects of aging in this region. In turn, surgical philosophy and techniques have evolved to better combat changes in this area to achieve a more youthful, natural appearance. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in T...
Source: Facial Plastic Surgery - August 30, 2019 Category: Cosmetic Surgery Authors: Hicks, Katherine Sclafani, Anthony P. Thomas, James Regan Tags: Original Article Source Type: research

Once Upon a Rhinoplasty: The History of the “Queen” of Facial Plastic Surgery
Facial plast Surg 2019; 35: 322-339 DOI: 10.1055/s-0039-1693443The history of rhinoplasty is absolutely fascinating. It is replete with mysterious practices, intrigue, and imaginative thoughts. If necessity is the mother of invention, then sex, crimes, and punishment lay a legitimate claim to being the mother of rhinoplasty. The history of rhinoplasty is a global saga spanning the millennia. Practitioners of the art and science have included those demonstrating the most admirable traits espoused in the Hippocratic Oath, as well as those to whom the word “charlatan” might more aptly be applied. The truth of a st...
Source: Facial Plastic Surgery - August 30, 2019 Category: Cosmetic Surgery Authors: Adamson, Peter A. Gantous, Andres Tags: Original Article Source Type: research

Ethnic Rhinoplasty
Facial plast Surg 2019; 35: 313-321 DOI: 10.1055/s-0039-1693034Ethnic rhinoplasty traditionally has been used to define this surgical procedure performed on non-Caucasian patients. Because of globalization, massive migrations, and interracial mixing, ethnic patients today are considered mixed race patients. Surgical techniques should be based not on what ethnic group they belong to but on anatomical findings and patients' needs and wishes. Preservation techniques are presented and structural approaches are discussed using sutures and grafts. The final objectives of rhinoplasty are better definition, more refined appearance...
Source: Facial Plastic Surgery - August 30, 2019 Category: Cosmetic Surgery Authors: Cobo, Roxana Tags: Original Article Source Type: research

The Past, Present, and Future of Facial Plastic and Reconstructive Surgery
Facial plast Surg 2019; 35: 311-312 DOI: 10.1055/s-0039-1694721 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Facial Plastic Surgery)
Source: Facial Plastic Surgery - August 30, 2019 Category: Cosmetic Surgery Authors: Menger, Dirk Jan Trenit é, Gilbert Nolst Tags: Guest Editor Preface Source Type: research

Face Perception in Face Transplant Patients
Facial plast Surg DOI: 10.1055/s-0038-1666786The authors tested face discrimination, face recognition, object discrimination, and object recognition in two face transplantation patients (FTPs) who had facial injury since infancy, a patient who had a facial surgery due to a recent wound, and two control subjects. In Experiment 1, the authors showed them original faces and morphed forms of those faces and asked them to rate the similarity between the two. In Experiment 2, they showed old, new, and implicit faces and asked whether they recognized them or not. In Experiment 3, they showed them original objects and morphed form...
Source: Facial Plastic Surgery - August 20, 2019 Category: Cosmetic Surgery Authors: G ülbetekin, Evrim Bayraktar, Seda Özkan, Özlenen Uysal, Hilmi Özkan, Ömer Tags: Rapid Communication Source Type: research

All I Have Learned, I Have Learned from Google: Why Today's Facial Rejuvenation Patients are Prone to Misinformation, and the Steps We can take to Contend with Unreliable Information
This study assesses the reliability, quality, and readability of online materials patients have access to through the Internet and evaluates the social media presence of information providers. An online search was conducted for facial rejuvenation by utilizing three ubiquitously used web search engines: Google, Bing, and Yahoo. The first 25 result pages were collected from each search engine, and exclusionary criteria were applied to exclude online stores and advertisements. Website reliability and quality were assessed via the DISCERN method. Readability was measured through six measurements: Flesch–Kincaid Grade Le...
Source: Facial Plastic Surgery - August 14, 2019 Category: Cosmetic Surgery Authors: Mehta, Neil Gupta, Amar Nissan, Michael Tags: Original Research Source Type: research

Effect of Eyelid Involvement in the Reconstruction of Medial Canthal Defects
This study included 31 patients who underwent medial canthal reconstruction after tumor excision during a 6-year period. Data regarding patient demographics, defect size, tumor pathology, surgery techniques, functional and cosmetic outcomes, and complications were recorded. The reconstructive methods used in the study were divided into groups as per the site of the defect (medial canthal, medial canthal with upper eyelid, medial canthal with lower eyelid, and medial canthal with both eyelids). The most common histopathological diagnosis of the lesions was basal cell carcinoma (74.2%). Postoperative complications (6.4%) inc...
Source: Facial Plastic Surgery - August 9, 2019 Category: Cosmetic Surgery Authors: Altin Ekin, Meryem Karadeniz Ugurlu, Seyda Tags: Original Research Source Type: research

Turkish Validation of the Standardized Cosmesis and Health Nasal Outcomes Survey
The objective of this study is to provide a valid and reliable Turkish version of the original Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS). The SCHNOS questionnaire was translated from English to Turkish using standardized guidelines. Participants completed the questionnaire twice, with an interval of 7 to 10 days. Reliability and validity analyses were performed based on these answers. Differences between the rhinoplasty and control groups, the internal consistency of the instrument (Cronbach's alpha coefficient), and the strength of association between the two repeated measures (Pearson's correlation ...
Source: Facial Plastic Surgery - July 22, 2019 Category: Cosmetic Surgery Authors: Gode, Sercan Ozturk, Arin Sahin, Mustafa Berber, Veysel Apaydin, Fazil Tags: Original Research Source Type: research

Considerations for Timing of Defect Reconstruction in Cutaneous Melanoma of the Head and Neck
The objective of this study is to identify the incidence and characteristics of cases with positive margins on wide local excision for cutaneous melanoma of the head and neck (CMHN) and therefore provide a potential basis for selectively delaying reconstruction pending final histological clearance of melanoma. A systematic review of English language articles was performed on studies retrieved from PubMed and Web of Science. Original investigations published between July 1999 and June 2018 reporting on margin status of CMHN wide local excision specimens were included in the review. The incidence of positive margins after de...
Source: Facial Plastic Surgery - July 17, 2019 Category: Cosmetic Surgery Authors: Namin, Arya W. Cornell, Georgeanne E. Smith, Emily H. Zitsch, Robert P. Tags: Original Research Source Type: research

The Effect of Platelet-Rich Fibrin on Nasal Skin Thickness in Rhinoplasty
Facial plast Surg DOI: 10.1055/s-0039-1693436The study hypothesized the potential positive effects of platelet-rich fibrin (PRF) in postoperative rhinoplasty patients, such as better wound healing, less dead space, and less edema. The authors assessed PRF for nasal dorsum camouflage and studied its potential effects on nasal dorsal skin in rhinoplasty. Thirty-eight patients who underwent open approach primary rhinoplasty were categorized into two groups: nasal dorsal PRF group and control group. PRF membrane was used for nasal dorsum camouflage and laid over the bony dorsum and cartilage framework of the supratip area. Ski...
Source: Facial Plastic Surgery - July 15, 2019 Category: Cosmetic Surgery Authors: Gode, Sercan Ozturk, Arin K ısmalı, Erkan Berber, Veysel Turhal, Goksel Tags: Original Research Source Type: research

Effect of Injectable Platelet-Rich Fibrin on Diced Cartilage's Viability in Rhinoplasty
Facial plast Surg DOI: 10.1055/s-0039-1693035Diced cartilage is one of the most widely used camouflage technique in rhinoplasty. Its variable resorption rate creates issues in postoperative time period. Platelet-rich fibrin is an autologous concentrated blood derivative containing growth factors that accelerate tissue healing. The authors evaluate the effect of injectable platelet-rich fibrin (I-PRF) on the viability of diced cartilage, which has been used for dorsum camouflage in rhinoplasty. Forty patients were randomly divided into two groups based on dorsal camouflage grafts: diced cartilage with I-PRF (study group) an...
Source: Facial Plastic Surgery - July 15, 2019 Category: Cosmetic Surgery Authors: Gode, Sercan Ozturk, Arin Berber, Veysel K ısmalı, Erkan Tags: Original Research Source Type: research

Perspectives of Facial Plastic Surgeons on Opioid Dependence in Rhinoplasty Patients
The objective of this study is to understand facial plastic surgeons' perspectives on opioid dependence in rhinoplasty patients. A key secondary objective was to quantify facial plastic surgeons' opioid prescribing patterns. This was a prospective survey study. A nine-question survey was sent to all members of the American Academy of Facial Plastic and Reconstructive Surgery in July of 2018, and analysis of the data was completed in August of 2018. The primary study outcome measurement was surgeon perspectives on opioid dependence. This was measured by an online survey. A total of 164 facial plastic surgeons responded to t...
Source: Facial Plastic Surgery - July 10, 2019 Category: Cosmetic Surgery Authors: Levin, Marc Roskies, Michael G. Asaria, Jamil Tags: Original Research Source Type: research

Fat Grafting for Facial Contouring
This article outlines who is a suitable prospect for fat grafting and juxtaposes the two methods of facial volume restoration: fat grafting versus injectable fillers. Then a detailed exposition of the operative technique is outlined, including anesthesia, harvesting, processing, and injection. Finally, this article concludes with a description of the postoperative course and the management of potential complications. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Facial Plastic Surgery)
Source: Facial Plastic Surgery - June 12, 2019 Category: Cosmetic Surgery Authors: Lam, Samuel M. Tags: Original Article Source Type: research

Overview of Kybella (Deoxycholic Acid Injection) as a Fat Resorption Product for Submental Fat
Facial plast Surg 2019; 35: 274-277 DOI: 10.1055/s-0039-1688943There has been an increasing interest in addressing the issue of submental fat (SMF) when it comes to cosmetic medicine. With the rise of social media, video calls, and the now almost omnipresent accessibility of cameras, there is perhaps now more than ever an emphasis on the facial image. Although invasive procedures such as liposuction and neck lift still play a significant role in reducing SMF, the trend toward minimally invasive methods has finally given rise to a single Food and Drug Administration-approved injectable that is both safe and effective: ATX-1...
Source: Facial Plastic Surgery - June 12, 2019 Category: Cosmetic Surgery Authors: Liu, Michael Chesnut, Cameron Lask, Gary Tags: Original Article Source Type: research

Dermabrasion for Scars and Wire Loop Electrocautery for Rhinophyma
Facial plast Surg 2019; 35: 267-273 DOI: 10.1055/s-0039-1688845Dermabrasion and wire loop electrocautery are controlled scalpel-less procedures to remove superficial skin layers to treat dermal surface irregularities. Their postprocedure healing involves healing by secondary intention. The purpose of this paper is to discuss the use of diamond fraise dermabrasion to improve scars and the use of wire loop electrocautery to treat rhinophyma surface irregularities. Both techniques are minimally invasive and low cost, and at the same time, can significantly improve facial skin deformities. An advantage in using wire loop elect...
Source: Facial Plastic Surgery - June 12, 2019 Category: Cosmetic Surgery Authors: Hom, David B. Harmon, Jeffrey Tags: Original Article Source Type: research

Nonsurgical Treatment of Keloids and Hypertrophic Scars
This article will review the pathophysiology of excessive scar formation, define the most common scars—hypertrophic scars and keloids—and discuss the evidence to support the current nonsurgical therapies in use to both prevent and treat excessive scars. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Facial Plastic Surgery)
Source: Facial Plastic Surgery - June 12, 2019 Category: Cosmetic Surgery Authors: Saddawi-Konefka, Robert Watson, Deborah Tags: Original Article Source Type: research

The Applications of Medical Tattooing in the Head and Neck Region
Facial plast Surg 2019; 35: 256-259 DOI: 10.1055/s-0039-1688842Medical tattooing has been used in various circumstances. In this review, the authors focus on the utilization of medical tattooing in the head and neck region as a minimally invasive alternative to corrective surgeries. It is mostly used to camouflage noticeable surgical scars on scalp, face, and perioral areas. Its use has also been described in cases of concealing depigmentation or hypopigmentation, hair loss, postirradiation telangiectasia, and congenital vascular malformation. These procedures are well-tolerated and safe. Its effects are long-lasting and s...
Source: Facial Plastic Surgery - June 12, 2019 Category: Cosmetic Surgery Authors: Hou, Zhe Lee, Patrick K. Tags: Original Article Source Type: research

Diode Laser and Fractional Laser Innovations
Facial plast Surg 2019; 35: 248-255 DOI: 10.1055/s-0039-1688846Laser technology continues to increase in popularity and expand treatment options for patients with common but challenging skin conditions including facial telangiectasias, facial aging, striae distensae, and acne scars. Facial telangiectasias have been estimated to occur in tens of millions of people worldwide. The 585-nm laser was the first to follow the principle of selective photothermolysis for the treatment of cutaneous vascular lesions, but it caused significant postoperative purpura. Newer diode lasers target superficial and deep telangiectasias without...
Source: Facial Plastic Surgery - June 12, 2019 Category: Cosmetic Surgery Authors: Archer, Kaete A. Carniol, Paul Tags: Original Article Source Type: research

Chemical Peels: Deep, Medium, and Light
Facial plast Surg 2019; 35: 239-247 DOI: 10.1055/s-0039-1688944Chemical peels, laser resurfacing, and dermabrasion all offer unique options for skin resurfacing for rhytids and dyschromias. Laser resurfacing has developed over the previous decades, but it is the chemical peel against which all modern forms of skin resurfacing are measured. Phenol–croton oil peels have been modernized and depend on croton oil concentration to minimize risks. Complications associated with skin resurfacing are uncommon with proper technique and postoperative management. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10...
Source: Facial Plastic Surgery - June 12, 2019 Category: Cosmetic Surgery Authors: Starkman, Sidney J. Mangat, Devinder S. Tags: Original Article Source Type: research

Neurotoxins
This article will review the aesthetic and functional uses of botulinum toxin as it relates to the field of facial plastic and reconstructive surgery. In addition, the authors will discuss the suggested quantity of units per injection site based on onabotulinumtoxinA. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Facial Plastic Surgery)
Source: Facial Plastic Surgery - June 12, 2019 Category: Cosmetic Surgery Authors: Ong, Adrian A. Sherris, David A. Tags: Original Article Source Type: research

Overview of Deep Dermal Fillers
Facial plast Surg 2019; 35: 224-229 DOI: 10.1055/s-0039-1688843Dermal fillers have become an integral part of both medical and cosmetic dermatology. Our expanding knowledge of the aging face has allowed us to shift the focus from skin-reduction lifting procedures to soft tissue augmentation. Within the past 5 years alone, nine new dermal fillers have been approved by the U.S. Food and Drug Administration for soft tissue augmentation. The rise in both the use and number of dermal fillers in recent years is a testament to their safety and efficacy. Dermal fillers can be broken down to three major types: temporary, semiperman...
Source: Facial Plastic Surgery - June 12, 2019 Category: Cosmetic Surgery Authors: Liu, Michael H. Beynet, David P. Gharavi, Nima M. Tags: Original Article Source Type: research

Superficial Dermal Fillers with Hyaluronic Acid
Facial plast Surg 2019; 35: 219-223 DOI: 10.1055/s-0039-1688797Minimally invasive aesthetic procedures with hyaluronic acid filler have increased drastically since their development in 1989. Patients' desires to avoid surgery and achieve rapid results with minimal recovery led to a transformation in facial plastic surgery, demanding that aesthetic surgeons become proficient in nonsurgical augmentation. Over the years, new hyaluronic acid filler products were developed with different intrinsic properties, allowing clinicians to better treat different deficiencies of the face, reduce postprocedural pain, and optimize outcome...
Source: Facial Plastic Surgery - June 12, 2019 Category: Cosmetic Surgery Authors: Bacos, Jonathan T. Dayan, Steven H. Tags: Original Article Source Type: research

Anything but the Knife: Nonsurgical Facial Plastic Surgery
Facial plast Surg 2019; 35: 217-218 DOI: 10.1055/s-0039-1688926 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Facial Plastic Surgery)
Source: Facial Plastic Surgery - June 12, 2019 Category: Cosmetic Surgery Authors: Watson, Deborah Hom, David B. Tags: Guest Editor Preface Source Type: research

Stretched Earlobe Piercings Negatively Impact Casual Observer Perceptions
Facial plast Surg DOI: 10.1055/s-0039-1688798Patients with stretched earlobes seek reconstruction to mitigate social stigma. To date, there have been no studies measuring the impact of stretched earlobe piercings on casual observer perceptions. One-hundred seventy-three casual observers were enrolled via public-access web sites. Participants were randomly shown frontal and profile views of six subjects with stretched earlobe piercings and four controls. Participants evaluated photos for first impressions using a survey containing choices regarding personal attributes. Latent class analysis was performed to categorize obser...
Source: Facial Plastic Surgery - May 23, 2019 Category: Cosmetic Surgery Authors: Fung, Nicholas Ishii, Masaru Huynh, Pauline Juarez, Michelle Bater, Kristin Darrach, Halley Papel, Ira D. Kontis, Theda Nellis, Jason C. Ishii, Lisa Tags: Original Research Source Type: research

The Degree of Post-traumatic Enophthalmos Detectable by Lay Observers
This study was to determine the degree of posttraumatic enophthalmos that is detectable by lay observers. In this case-control study, 60 photographs (frontal and oblique angles) of patients from an oculoplastics registry at the authors' institution were reviewed by lay observers. Patients were included if they had between 1 and 5 mm of unilateral enophthalmos, at least 6 months following trauma. They were divided into five groups of 10 and each group was separated by increments of 1 mm. Controls were selected from the same database and had 0 mm difference between each eye. Patients were excluded if they had a...
Source: Facial Plastic Surgery - May 17, 2019 Category: Cosmetic Surgery Authors: Ugradar, Shoaib Lo, Christopher Manoukian, Narek Putthirangsiwong, Bunyada Rootman, Daniel Tags: Original Research Source Type: research

Aesthetic Earlobe Reduction: A Practical Geometric Modification with Natural Contour Preservation
Facial plast Surg DOI: 10.1055/s-0039-1688704Earlobe elongation is one of the signs of aging process and surgical correction is warranted for earlobe ptosis. Most of the earlobe reduction techniques result with scars on the anterior or inferior aspect of the earlobe or unnatural appearance. The authors present a modified technique for earlobe reduction and reshaping that results with an acceptable scar set on the natural groove of the anterior surface of the earlobe. Nine healthy female patients were operated for earlobe reduction. The postoperative and preoperative otobasion inferius (O)–subaurale (S) distances of t...
Source: Facial Plastic Surgery - May 17, 2019 Category: Cosmetic Surgery Authors: Tatar, Sedat Sezgin, Billur Tags: Original Research Source Type: research

Pediatric Nasal Reconstruction by Washio Procedure
Facial plast Surg DOI: 10.1055/s-0039-1688703The use of the Washio retroauricular flap for nasal reconstruction has been infrequently covered in recent literature, particularly concerning the pediatric population. A retrospective study was conducted between 2014 and 2018 and included all pediatric patients who underwent a Washio retroauricular flap procedure for nasal reconstruction operated on by the same surgeon at a referral center for pediatric plastic and maxillofacial surgery. The mean age at the time of the first stage of the Washio procedure was just under 8 years of age (range: 6 years 3 months–8 years 10 mo...
Source: Facial Plastic Surgery - May 17, 2019 Category: Cosmetic Surgery Authors: O'Rourke, Sara Caterina Maria Neiva, Cecilia Galliani, Eva Kadlub, Natacha Picard, Arnaud Morice, Anne Tags: Original Research Source Type: research