Nasal Analysis of Classic Animated Movie Villains versus Hero Counterparts
Facial Plast Surg DOI: 10.1055/s-0040-1716885Opposing facial features between animated villains and heroes have historically been used to demonstrate contrasting morality between characters, and this could have an impact on how humans view someone as good or evil in everyday life. Studies have been done investigating classic dermatologic features of villainous characters. This principle can be applied to nasal features as well. A search for “top animated characters” was performed. Characters were chosen from American Film Institute's “The Top Tens,” Rolling Stone's “25 Best Pixar Movie Charact...
Source: Facial Plastic Surgery - September 16, 2020 Category: Cosmetic Surgery Authors: Allen, Meredith A. Lucas, Jordyn P. Chung, Michael Rayess, Hani M. Zuliani, Giancarlo Tags: Original Research Source Type: research

Special Editorial: Diversity and Inclusion in Medical Publishing
Facial Plast Surg DOI: 10.1055/s-0040-1717089 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 - September 16, 2020 Category: Cosmetic Surgery Authors: Sclafani, Anthony P. D'Souza, Alwyn Tags: Editorial Source Type: research

Delayed Reconstruction with Full-Thickness Skin Grafts Following Defect Size Reduction in Head and Neck Nonmelanoma Skin Cancer
Facial Plast Surg DOI: 10.1055/s-0040-1715619Different treatment modalities have been applied for nonmelanoma skin cancers (NMSCs) of the head and neck area. One of the most important points after surgical treatment is the selection of appropriate reconstruction methods. The aim of this study is to investigate the efficacy and feasibility of the use of both defect size reduction with sutures and secondary healing with delayed reconstruction with full-thickness skin grafts in NMSC patients. In total, 18 (42.8%) male and 24 (57.2%) female patients with NMSC were operated. Defect size was measured both after excision and just...
Source: Facial Plastic Surgery - September 15, 2020 Category: Cosmetic Surgery Authors: Sezgin, Baha Kaya, Isa Turhal, Goksel Apaydin, Fazil Tags: Original Research Source Type: research

Facelift Surgery: History, Anatomy, and Recent Innovations
Facial Plast Surg DOI: 10.1055/s-0040-1715616Facelift surgery has become a beautifully predictable, safe, and extremely effective operation. Our patients can expect natural and long-lasting results as a direct outcome of our improved understanding and applications of surgical facial anatomy. Rhytidectomy, once an operation of simple well-placed elliptical skin excisions, evolved to include longer skin flaps, skin and platysma flaps with various superficial muscular aponeurotic system (SMAS) manipulations, and various deep plane techniques involving the skin and SMAS as a single unit composite flap. Extended deep plane rhyt...
Source: Facial Plastic Surgery - September 15, 2020 Category: Cosmetic Surgery Authors: Luu, Neil N. Friedman, Oren Tags: Original Article Source Type: research

Medial Epicanthoplasty: What Works and What Does Not
Facial Plast Surg DOI: 10.1055/s-0040-1715617Blepharoplasty is the most frequently performed cosmetic surgical procedure in Asia. The epicanthal fold, which is common in Asians, is characterized by a curved skin fold that partially hides the caruncle and lacrimal lake. The epicanthal fold may cause weakening of the esthetic appearance after blepharoplasty. It makes the palpebral fissure height narrower and the length shorter horizontally. Blepharoplasty with epicanthoplasty can enhance the esthetic appearance, but no gold standard surgical technique has been established for epicanthoplasty. Surgeons can choose the surgical...
Source: Facial Plastic Surgery - September 15, 2020 Category: Cosmetic Surgery Authors: Baek, Ji Sun Choi, Young Joo Jang, Jae Woo Tags: Original Article Source Type: research

The Importance of Calibration of Projectometers for Intraoperative Rhinoplasty Profile Measurement
Facial Plast Surg DOI: 10.1055/s-0040-1714674 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 - September 15, 2020 Category: Cosmetic Surgery Authors: Asher, Scott A. Toriumi, Dean M. Tags: Letter to the Editor Source Type: research

A Rare Congenital Case: Aplasia Cutis Congenita
Facial Plast Surg DOI: 10.1055/s-0040-1715621 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 - September 10, 2020 Category: Cosmetic Surgery Authors: Uyar, Ilker Sahin Uyar, Sibel Burcak Cem Yildirim, Mehmet Emin Yarar, Serhat Dadaci, Mehmet Tags: Letter to the Editor Source Type: research

The Segmental Preservation Rhinoplasty: The Split Tetris Concept
We describe a brand-new philosophy of approaching the nasal dorsum hump that combines both safety and delicacy in dealing with the anatomical structures with elegancy and accuracy and achieving the aesthetic goal required. [...] 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 - September 3, 2020 Category: Cosmetic Surgery Authors: Neves, Jose Carlos Arancibia Tagle, Diego Dewes, Wilson Ferraz, Mario Tags: Original Research Source Type: research

Outcome of Free Diced Cartilage Grafts in Rhinoplasty: A Systematic Review
Facial Plast Surg DOI: 10.1055/s-0040-1714664Diced cartilage grafts are used to increase and refine the nasal contour, providing easy molding and versatility when compared with block grafts. However, all grafts present the possibility of visibility, distortion, and absorption. The aim of this study is to evaluate, through a systematic review, the outcome of the use of the free diced graft cartilage in rhinoplasty. A systematic search of the literature was performed in the databases (PubMed, Lilacs, Scielo, Cochrane) with the terms “diced cartilage” and “rhinoplasty.” Studies were selected according ...
Source: Facial Plastic Surgery - September 3, 2020 Category: Cosmetic Surgery Authors: Ledo, Taynara Oliveira Ramos, Helena Hotz Arroyo Buba, Cibele Madsen Webster, Guilherme de Lima Jr, Jesse Teixeira de Paiva, Di ógenes Lopes Jurado, Jos é Tags: Original Research Source Type: research

Rhinophyma: Combined Surgical Treatment and Quality of Life
This article will demonstrate our experience of treating rhinophyma using a combined surgical approach and propose a novel classification system. This is a retrospective analysis of cases operated by a single surgeon over 9 years using the Glasgow Benefit Inventory (GBI) tool. Thirty-three patients were identified. Twenty-nine patients had three techniques used in one sitting, two patients had two techniques used, and two further patients had one technique used. Total GBI showed a +50.99 result following surgery. Rhinophyma treatments can benefit patients as demonstrated by the GBI outcome. This can improve the patients' q...
Source: Facial Plastic Surgery - September 3, 2020 Category: Cosmetic Surgery Authors: Daoud, Mahmoud Ullas, Gautham Kumar, Rakesh Raghavan, Ullas Tags: Original Research Source Type: research

A Rare Congenital Facial Abnormality: Complete Arhinia
Facial Plast Surg DOI: 10.1055/s-0040-1715620 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 - September 3, 2020 Category: Cosmetic Surgery Authors: Altuntas, Zeynep Uyar, Ilker Yildirim, Mehmet Emin Cem Tags: Letter to the Editor Source Type: research

Modification of the Staged Retroauricular Flap for Repair of Midhelical Defects
Facial Plast Surg 2020; 36: 493-494 DOI: 10.1055/s-0039-3401021 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, 2020 Category: Cosmetic Surgery Authors: Ensslin, Courtney J. Fisher, Juliya Samie, Faramarz H. Tags: Letter to the Editor Source Type: research

Complications in Lower Face Rejuvenation: Avoiding, Minimizing, Recognizing, Dealing with Them, and Helping the Patient through the Process of Fixing the Problems
This article examines the complications that could occur after rejuvenation surgery and minimally invasive procedures of the lower face and neck, what measures can be undertaken to reduce the risks, and how to recognize and manage them. [...] 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, 2020 Category: Cosmetic Surgery Authors: Truswell, William H. Tags: Original Article Source Type: research

Adjunctive Procedures in Facelifting
This article will cover some additional options that every facial plastic surgeon should be familiar with and experienced to both describe and perform. [...] 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, 2020 Category: Cosmetic Surgery Authors: Winslow, Catherine P. Tags: Original Article Source Type: research

Use of Polydioxanone Threads as an Alternative in Nonsurgical Procedures in Facial Rejuvenation
Facial Plast Surg 2020; 36: 447-452 DOI: 10.1055/s-0040-1714266Minimally invasive cosmetic procedures are in increasing demand worldwide. Patients are constantly searching for office-based techniques that can help improve the signs of aging but without the morbidity of a surgical procedure. Thread lifting with polydioxanone (PDO) sutures is a cosmetic procedure where lax tissue is lifted and repositioned trying to create a more youthful looking facial contour. The threads are absorbable and come in different shapes and lengths. The rate of complications and the downtime of the procedure are low, which are something patient...
Source: Facial Plastic Surgery - August 30, 2020 Category: Cosmetic Surgery Authors: Cobo, Roxana Tags: Original Article Source Type: research

Ultrasound-Assisted Rhytidectomy Including Sub-SMAS and Subplatysmal Dissection
Facial Plast Surg 2020; 36: 430-446 DOI: 10.1055/s-0040-1714119Energy-based facelifting techniques are a relatively new genre of surgery. In this approach, the energy-based device—whether laser, radiofrequency plasma, or ultrasound—can be used in the superficial plane to elevate skin flaps before performing more traditional facelift techniques involving the superficial musculoaponeurotic system (SMAS) or platysma. The initial reports of utilizing fiber lasers as surgical tools date back to approximately 2007 and initial lipolasers were used to elevate facial skin flaps. The other energy-based devices were also ...
Source: Facial Plastic Surgery - August 30, 2020 Category: Cosmetic Surgery Authors: Gentile, Richard D. Tags: Original Article Source Type: research

The Facelift in South American Patients
Facial Plast Surg 2020; 36: 416-429 DOI: 10.1055/s-0040-1713848South America is a vast territory; its people were made from all parts of the world. The miscegenation made a unique population comprised of Indian, Asian, Caucasian, African, Mestizo, Mulatto, and Zambo. The South American patients tend to have a wider face with a skin-soft tissue envelope (S-STE) that is thicker, heavier, and has less elasticity than the Caucasian patient. Upper eyelids may hood easily. In the same way, malar eminences and round face look are more prominent. The chin can be a little retracted. With aging, the S-STE tends to sag more, making n...
Source: Facial Plastic Surgery - August 30, 2020 Category: Cosmetic Surgery Authors: Patrocinio, Lucas Gomes Naves, Marcell Melo Patrocinio, Jose Antonio Tags: Original Article Source Type: research

The Male Facelift
Facial Plast Surg 2020; 36: 404-415 DOI: 10.1055/s-0040-1713827Rhytidectomy techniques have evolved significantly since the procedure was first described in the early twentieth century. Techniques vary based on surgeon preference, patient characteristics, and the desired outcome. As facelifts are embraced by the general public and the frequency of rhytidectomy increases, attention to male patient-specific technique is critical. Male and female facelift techniques are fundamentally similar; however, there are nuances to patient selection and technique in males that guide the surgeon to improved postoperative outcomes. Atten...
Source: Facial Plastic Surgery - August 30, 2020 Category: Cosmetic Surgery Authors: Daraei, Paul P. Marshall, Ryan V. Adams, Austin S. Rousso, Daniel E. Tags: Original Article Source Type: research

Another Look at Platysmaplasty in Facelifting
Facial Plast Surg 2020; 36: 395-403 DOI: 10.1055/s-0040-1714062Over the history of facial rejuvenation surgery there has been a progressive assimilation of knowledge about the anatomy of neck structures that are central to the manifestations of the aging neck. These advances in knowledge have been accompanied by the innovation and introduction of several surgical techniques to restore the neck to a more youthful appearance. The rejuvenation of the aging neck frequently incorporates a consideration and execution of accepted methods to restore the platysma muscles to a more aesthetic form. Lasting and dependable surgical tec...
Source: Facial Plastic Surgery - August 30, 2020 Category: Cosmetic Surgery Authors: Fedok, Fred G. Tags: Original Article Source Type: research

Different Faces: Different Facelift Techniques
Facial Plast Surg 2020; 36: 386-394 DOI: 10.1055/s-0040-1714263The introduction and evolution of different rhytidectomy techniques has spawned an exciting era of facial rejuvenation in modern times. To provide patients with the best customized approach to surgery the facial aesthetic surgeon must have familiarity and understanding of the fundamental differences between these techniques. Here we set forth to provide some historical and anatomical perspective, followed by reviewing and comparing some of the key aspects of the most commonly utilized facelift techniques. [...] Thieme Medical Publishers 333 Seventh Avenue, New ...
Source: Facial Plastic Surgery - August 30, 2020 Category: Cosmetic Surgery Authors: Sedgh, Jacob Fedok, Fred G. Tags: Original Article Source Type: research

Short or Minimum Incision Deep Plane/Extended Deep Plane Facelift/Rhytidectomy
We describe our concept of the short or minimum incision deep plane/extended deep plane facelift or rhytidectomy and address what results can be expected. [...] 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, 2020 Category: Cosmetic Surgery Authors: Van Pham, Tuan Truong, Kristy Huyen Tran Ngoc Tags: Original Article Source Type: research

Deep-Plane Approach to the Vertical Platysma Advancement: Technical Modifications and Nuances over 25 Years
We describe how extension of this dissection and selective release of facial ligaments allows us to optimize treatment outcomes and longevity, especially in cases of difficult anatomy or revisions. Further advancements include case-specific facial volume enhancement, created by complex flap design, and facial narrowing by preauricular contouring and parotid hypertrophy treatment. Insights into anatomical landmarks, technical nuances, and alternative approaches for facial variations are presented. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents ...
Source: Facial Plastic Surgery - August 30, 2020 Category: Cosmetic Surgery Authors: Gordon, Neil A. Sawan, Tareq G. Tags: Original Article Source Type: research

Demystifying the Deep Plane Facelift: What It Means Anatomically and Why It Works
Facial Plast Surg 2020; 36: 351-357 DOI: 10.1055/s-0040-1714267Rhytidectomy is a common procedure performed by facial plastic surgeons. On well-selected patients, rhytidectomy rejuvenates the aging face by repositioning soft tissues and improving facial shape. The fundamental goal of rhytidectomy, or facelift surgery, is to provide a more youthful facial appearance by elevating soft tissues that often descend with aging. The success and longevity of any rhytidectomy procedure are based on the individual patient's anatomy and aging and on the mobilization, elevation, and fixation of the soft tissues during the facelift proc...
Source: Facial Plastic Surgery - August 30, 2020 Category: Cosmetic Surgery Authors: Sykes, Jonathan Dilger, Amanda Cotofana, Sebastian Tags: Original Article Source Type: research

The “Segmental SMAS Model”: A Didactic Concept of Face and Neck Lift Anatomy
Facial Plast Surg 2020; 36: 337-350 DOI: 10.1055/s-0040-1714117Profound understanding of the surgical anatomy of the face and neck is the key to successful face lift surgery. The “Segmental SMAS Model” presented herein is the result of a decade-long effort in teaching fellows a logical and coherent anatomic model of face lift anatomy. The superficial musculo-aponeurotic system (SMAS) consists of segments with distinct surgical characteristics. These are determined by the presence of a deep gliding plane and/or adhesion through fibrous insertions. In this article, we define SMAS segments that are profoundly hete...
Source: Facial Plastic Surgery - August 30, 2020 Category: Cosmetic Surgery Authors: Gassner, Holger G. Magdum, Ashish A. Hanga, Darinka Tags: Original Article Source Type: research

Controversies in Facelifting
Facial Plast Surg 2020; 36: 335-336 DOI: 10.1055/s-0040-1714262 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, 2020 Category: Cosmetic Surgery Authors: Fedok, Fred G. Tags: Guest Editor Preface Source Type: research

Postoperative Opioid Use in Rhinoplasty Procedures: A Standardized Regimen
The objective of this study was to create a standardized regimen for preoperative and postoperative analgesic prescribing patterns in rhinoplasty. A prospective study including patients (n = 35) undergoing rhinoplasty by a single surgeon at a tertiary hospital was conducted. Patients were enrolled in this study from August 2018 to November 2019. Patients then completed a diary documenting pain scores and analgesic use for 14 days postoperatively. Patient demographics, complications, rhinoplasty technique performed, and medical history were noted. At the second postoperative clinic visit, the diaries were subm...
Source: Facial Plastic Surgery - August 23, 2020 Category: Cosmetic Surgery Authors: Marshall, Ryan V. Rivers, Nicholas J. Manickavel, Sudhir Grayson, Jessica W. Cox, Artemus J. Tags: Original Research Source Type: research

Is Rhinoplasty Surgery a Risk Factor for Low Back Pain among Otorhinolaryngologists?
This study aimed to investigate the relationship between low back pain and performing rhinoplasty and presents the data related to the prevalence of low back pain among the otorhinolaryngologists included in a sample. The questionnaire prepared by the researchers was completed by volunteer otorhinolaryngologists who participated in the 22nd International Rhinocamp Congress. The questionnaire prepared to investigate low back problems contained items to obtain the demographic features of the participants, whether they were performing septorhinoplasty, how many years they had been performing this procedure, whether they had a...
Source: Facial Plastic Surgery - August 23, 2020 Category: Cosmetic Surgery Authors: Kaplama, Mehmet Erkan Ak, Semih Yukkaldiran, Ahmet Tags: Original Research Source Type: research

Sonic Rhinoplasty: Review and Updated Uses
Facial Plast Surg DOI: 10.1055/s-0040-1714673The ultrasonic bone aspirator (UBA) allows for precision and provides ease of use in multiple steps of cosmetic and functional rhinoplasties. Its use has previously been described; however, since the publication of many studies the UBA has been improved and its applications for rhinoplasty have been modified and expanded. Both bony and cartilaginous modifications to the nose can be aided with the use of the UBA. From our experience, patient results have subjectively been found to be more acceptable, if not better, than with the use of other rhinoplasty instruments. [...] Thieme ...
Source: Facial Plastic Surgery - August 23, 2020 Category: Cosmetic Surgery Authors: Hjelm, Nikolaus Goldfarb, Jared Krein, Howard Heffelfinger, Ryan N. Pribitkin, Edmund Tags: Original Research Source Type: research

Trends in the Treatment of Bell's Palsy
Facial Plast Surg DOI: 10.1055/s-0040-1713808The aim of the study is to: (1) evaluate national trends in care of facial paralysis, namely Bell's palsy, patients to identify the types of treatments patients are receiving and treatment gaps and (2) identify if newer, more complex surgical therapies published in the literature are being employed. Data were collected from the MarketScan Commercial Claims and Encounters Database by Truven Health. From the database, all inpatient and outpatient claims with International Classification of Diseases, 9th Revision, Clinical Modification diagnosis codes for facial paralysis/dysfuncti...
Source: Facial Plastic Surgery - August 12, 2020 Category: Cosmetic Surgery Authors: Shokri, Tom Saadi, Robert Schaefer, Eric W. Lighthall, Jessyka G. Tags: Original Research Source Type: research

Supracrural Ligament Graft in Rhinoplasty
In conclusion, the supracrural ligament graft is a safe, simple, and effective camouflage graft for commonly encountered irregularities in rhinoplasty. Common areas of use include the nasal dorsum and nasal tip. Routine harvest of this graft may obviate the need to use either additional grafting material or an additional surgical site to help camouflage areas of concern in thin skin patients. [...] 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 12, 2020 Category: Cosmetic Surgery Authors: Lozada, Kirkland N. Locketz, Garrett D. Becker, Daniel G. Tags: Original Research Source Type: research

The Valuation of Rhytidectomy in Different Economic Markets
This study demonstrates that the trend of how rhytidectomy is valued can be used to determine not only the pricing of this good but also how receptive developing economic markets are to the export of cosmetic facial plastic surgery. This study seeks to analyze and compare the value of rhytidectomy in an established market and an emerging market. A cross-sectional survey was administered through public online forums to 162 casual observers in the United States and 74 casual observers in India. Participants were shown pre- and postoperative photos of 10 patients who underwent cosmetic rhinoplasty and 2 patients who did not u...
Source: Facial Plastic Surgery - August 12, 2020 Category: Cosmetic Surgery Authors: Kumar, Anisha R. Ishii, Lisa E. Papel, Ira Kontis, Theda C. Chen, David Liao, David Chen, Jonlin Nellis, Jason Ishii, Masaru Tags: Original Research Source Type: research

Patient Satisfaction following Structural versus Preservation Rhinoplasty: A Systematic Review
Facial Plast Surg DOI: 10.1055/s-0040-1714268Recently, dorsal preservation rhinoplasty has been gained acceptance among facial plastic surgeons. Despite this, there is limited literature on patient satisfaction following preservation rhinoplasty. This systematic review aims to evaluate all studies quantifying patient satisfaction and to compare results between structural and dorsal preservation rhinoplasty. OVID Medline, EMBASE, and PubMed databases were searched. All studies from the years 2010 to 2020 evaluating satisfaction in patients receiving either structural or dorsal preservation rhinoplasty were included. Data re...
Source: Facial Plastic Surgery - August 3, 2020 Category: Cosmetic Surgery Authors: Levin, Marc Ziai, Hedyeh Roskies, Michael Tags: Original Research Source Type: research

Unilateral Nasal Obstruction Causes Symptom Severity Scores Similar to Bilateral Nasal Obstruction
The objective of this paper is to investigate the differences between unilateral and bilateral nasal obstruction with subjective symptomatology in nasal obstruction. This is a retrospective chart review of prospectively collected data of patients with nasal obstruction presenting to a facial plastic and reconstructive surgery clinic for evaluation and treatment. Patient demographics including age and gender were recorded along with nasal physical exam findings. These included internal valve narrowing (IVN), external valve narrowing, internal valve collapse, external valve collapse, and septal deviations (inferior and super...
Source: Facial Plastic Surgery - July 26, 2020 Category: Cosmetic Surgery Authors: Weitzman, Rachel E. Feng, Allen L. Justicz, Natalie Gadkaree, Shekhar K. Lindsay, Robin W. Tags: Original Research Source Type: research

Sparking the Debate: Facial Injury Patterns from Fireworks
The objective of this article is to estimate the incidence, injury patterns, and demographics of patients presenting to emergency departments (EDs) for facial injury sustained from fireworks. This was an analysis of a nationwide database. The National Electronic Injury Surveillance System (NEISS) was evaluated for facial injuries from fireworks from 2013 to 2017. Relevant entries were examined for incidence, patient characteristics, location of injury, and type of injury. There were 509 NEISS entries, extrapolating to an estimated 19,816 ED visits for head and neck injuries due to fireworks from 2013 to 2017. The number of...
Source: Facial Plastic Surgery - July 26, 2020 Category: Cosmetic Surgery Authors: Mehta, Neil Ketan Cowan, Brandon Hojjat, Houmehr Johnson, Jared Chung, Michael Thomas Carron, Michael Tags: Original Research Source Type: research

Effect of Nasal Skin Type on Skin Problems following Rhinoplasty
This study was conducted to determine whether nasal skin type has an effect on skin problems after rhinoplasty. Thirty-five patients undergoing rhinoplasty in our tertiary referral center between May 2018 and August 2019 were included in the study. The nasal skin sebum level was measured with Sebumeter preoperatively and patients were divided into two groups according to the median sebum level. Among the 35 patients, half of them with higher nasal skin sebum were categorized as oily skin group (n = 17; 14 males, 3 females; mean sebum level: 200.3 ± 26.9), and the other half were categoriz...
Source: Facial Plastic Surgery - July 26, 2020 Category: Cosmetic Surgery Authors: Erdur, Zulkuf B. Öktem, Fatih İnci, Ender Yener, Haydar M. G özen, Emine D. Birben, Asl ıhan Ö. Bayazit, Samet Engin, Burhan Tags: Original Research Source Type: research

The Association between Needle Size and Waste Product and Its Effect on Cost-Effectiveness of Botulinum Toxin Injections?
Facial Plast Surg DOI: 10.1055/s-0040-1713793Clostridium botulinum toxin (BT) must be administered intramuscularly with a syringe, but dead space in the syringe–needle complex may cause product waste and result in cost implications for the patient and provider. Syringe dead space is the volume of residual fluid that remains within the syringe after the plunger is fully depressed during medication injection. We calculated the average volume of remaining product in a syringe–needle complex and cost loss implication of this volume of BT. This is a single-center, analytical study using saline and four different siz...
Source: Facial Plastic Surgery - July 19, 2020 Category: Cosmetic Surgery Authors: Golan, Shani Pena, John Moore, Jeffrey Tandalam, Sangeetha Lelli, Gary Tags: Original Research Source Type: research

Spreader Graft for Severe Deviation of Nasal Septum with Obstruction of the Internal Nasal Valve: Clinical and Functional Results
The objective of the study is to analyze the clinical and functional outcomes in a group of patients with septal deviations and valve compromise treated with spreader graft with endonasal approach. Thirty-five patients with septal deviation with compromise of the internal nasal valve (INV; area II of Cottle), treated with spreader graft and a minimum follow-up of 12 months, were included for analysis. Patients were evaluated with video nasosinusal endoscopy, photography, the Nasal Obstruction Symptom Evaluation (NOSE) questionnaire, and rhinomanometry (RM). Postoperative complications were recorded. The results obtained in...
Source: Facial Plastic Surgery - July 19, 2020 Category: Cosmetic Surgery Authors: Albergo, Leandro Desio, Ernesto Revelli, Velia Elena Acosta, Micaela B. Tags: Original Research Source Type: research

Use of Indocyanine Green Imaging for Perforator Identification in Preexpanded Brachial Artery Perforator Flaps
Facial Plast Surg DOI: 10.1055/s-0040-1713791The tissues of the medial arm as a donor site for perforator flap design have several advantages. However, they are relatively underused with limited reports, partly due to unreliable perforator anatomy. Therefore, we aimed to review our preliminary experience using indocyanine green (ICG) angiography to design and elevate preexpanded pedicled brachial artery perforator (BAP) flaps for regional reconstruction. All patients underwent soft tissue reconstructions using a preexpanded BAP flap in two or three stages. ICG angiography was used to localize perforators during both expand...
Source: Facial Plastic Surgery - July 12, 2020 Category: Cosmetic Surgery Authors: Han, Tinglu Khavanin, Nima Zang, Mengqing Zhu, Shan Chen, Bo Li, Shanshan Xie, Tingjun Yue, Shuai Wang, Danying Liu, Yuanbo Tags: Original Research Source Type: research

Lower Blepharoplasty Three-Dimensional Volume Assessment after Fat Pad Transposition and Concomitant Fat Grafting
This study was performed in a private practice institution (Kovac Cosmetic Center, Oakbrook Terrace, IL). Nine subjects were enrolled in the study with four males and five females. All subjects underwent lower blepharoplasty with combined fat pad transposition and fat grafting without any additional procedures. Preoperative and postoperative photographs were taken with the VectraXT 3D camera system and software. 3D photographs were then compared to assess the volume changes in the periorbital region. The volume in the lower periorbital region was assessed using 3D analysis. All subjects were found to have an increase in vo...
Source: Facial Plastic Surgery - July 5, 2020 Category: Cosmetic Surgery Authors: Cristel, Robert T. Caughlin, Benjamin P. Tags: Original Research Source Type: research

Dorsal Preservation Rhinoplasty: Core Beam Computed Tomography Analysis of the Nasal Vault, Septum, and Skull Base —Its Role in Surgical Planning
Facial Plast Surg 2020; 36: 329-334 DOI: 10.1055/s-0040-1712538Dorsal preservation rhinoplasty in cases of a convex or overprojected noses has significant advantages over resection and reconstruction of the dorsum. Analysis of the subdorsal septum in relation to the radix osteotomy to achieve a drop or hinge of the natural dorsum is important in avoiding possible complications involving the skull base, frontal sinus, and subsequent radix position. In the majority of patients, simple cut release of the perpendicular plate rather than resection superiorly may be necessary where the quadrangular cartilage junction with the pe...
Source: Facial Plastic Surgery - June 16, 2020 Category: Cosmetic Surgery Authors: Sadri, Amir East, Charles Badia, Lydia Saban, Yves Tags: Original Article Source Type: research

Periorbital Surgical Anatomy
This article discusses the periocular anatomy region thoroughly because its knowledge in detail is of paramount importance for any surgeon dedicated to periocular surgery or any practitioner who dedicate their practice to aesthetic medicine. Mastering the anatomical details permits obtaining consistently good results with the minimal amount of complications possible. [...] 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 16, 2020 Category: Cosmetic Surgery Authors: Neves, Jos é Carlos Arancibia-Tagle, Diego Medel-Jim énez, Ramón V ásquez, Luz María Tags: Original Article Source Type: research

Surgical Anatomy for Extended Facelift Techniques
Facial Plast Surg 2020; 36: 309-316 DOI: 10.1055/s-0040-1712472Preservation of the facial nerve is crucial in any type of facial procedure. This is even more important when performing plastic surgery on the face. An intricate knowledge of the course of the facial nerve is a requisite prior to performing facelifts, regardless of the technique used. The complex relationship of the ligaments and the facial nerve may put the nerve at an increased risk of damage, especially if its anatomy is not fully understood. There are several danger zones during dissection where the nerve is more likely to be injured. These include the are...
Source: Facial Plastic Surgery - June 16, 2020 Category: Cosmetic Surgery Authors: Cakmak, Ozcan Emre, Ismet Emrah Tags: Original Article Source Type: research

Comment on “Full-Thickness Skin Grafts and Quilting Sutures for Reconstruction of Internal Nasal Lining”
Facial Plast Surg 2020; 36: 305-308 DOI: 10.1055/s-0040-1713117 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 16, 2020 Category: Cosmetic Surgery Authors: Menick, Frederick Tags: Commentary Source Type: research

Full-Thickness Skin Grafts and Quilting Sutures for the Reconstruction of Internal Nasal Lining
Facial Plast Surg 2020; 36: 297-304 DOI: 10.1055/s-0040-1713116Restoration of the inner nasal lining is an essential factor in successful nasal reconstruction. Among various methods, free full-thickness skin grafting represents a readily available and feasible technique. A prerequisite for success is a secure and immobile fixation to the undersurface of the nourishing forehead flap. This retrospective study aims to evaluate the results of multiple quilting sutures to secure free full-thickness skin grafts for the reconstruction of the inner nasal lining in partial and extended nasal reconstruction. Between February 1, 2015...
Source: Facial Plastic Surgery - June 16, 2020 Category: Cosmetic Surgery Authors: Gostian, PD Dr. med. Antoniu-Oreste Balk, Dr. med. Matthias Stegmann, Dr. med. Achim Iro, Prof. Dr. med. Dr. h.c. Heinrich Wurm, Prof. Dr. med. Jochen Tags: Original Research Source Type: research

Introduction by the Editors-in-Chief
Facial Plast Surg 2020; 36: 215-216 DOI: 10.1055/s-0040-1712540 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 16, 2020 Category: Cosmetic Surgery Authors: Sclafani, Anthony P. D'Souza, Alwyn Tags: Introduction Source Type: research

Photogrammetric Analysis of Orolabial Region in South Indians
The objective of the present study was to quantify the orolabial dimensions and position in South Indians. Evaluation of orolabial features was performed on standardized frontal and lateral of 400 South Indian subjects (200 males and 200 females), aged 18 to 30 years. The measured parameters were evaluated by an independent t-test. Significant sexual dimorphism was found in 12 of 13 measurements. Except upper lip reference to E plane, all other linear measurements such as mouth width, philtrum width, lower lip reference to E plane, upper lip height, cutaneous upper lip, upper and lower vermilion height, cutaneous lower lip...
Source: Facial Plastic Surgery - June 7, 2020 Category: Cosmetic Surgery Authors: Packiriswamy, Vasanthakumar Kumar, Pramod Bashour, Mounir Tags: Original Research Source Type: research

The Bilobe Flap for Nasal Reconstruction
Facial Plast Surg DOI: 10.1055/s-0040-1712160Repair of nasal defects is technically challenging due to inelastic nasal skin and unforgiving nasal geometry. The bilobe flap is a double transposition flap that can transpose skin from cephalad to caudad to repair defects of the lower third of the nose. However, pincushioning may complicate this flap, yielding untoward aesthetic outcomes. We review our single surgeon series of patients who underwent bilobe flap reconstruction of nasal defects, and describe our surgical technique to minimize pincushioning and poor aesthetic outcomes. This was a retrospective chart review of pat...
Source: Facial Plastic Surgery - June 7, 2020 Category: Cosmetic Surgery Authors: Okland, Tyler S. Lee, Yu Jin Sanan, Akshay Most, Sam P. Tags: Original Research Source Type: research

Pain after External and Endonasal Septorhinoplasty —A Propensity Score Matching Analysis
Facial Plast Surg DOI: 10.1055/s-0040-1712474Guidelines for pain management following septorhinoplasty are lacking, leading to a wide range of therapy regimes even including opioid medication. Thus, the presented study strived to investigate and compare postoperative pain intensities after external and endonasal septorhinoplasty and evaluate whether pain perception is potentially related to patient satisfaction with the aesthetic result. In addition, the effectiveness of an escalating pain treatment protocol was evaluated sparing the necessity of opioid medication. This retrospective study performed at a tertiary referral ...
Source: Facial Plastic Surgery - June 7, 2020 Category: Cosmetic Surgery Authors: Gostian, Magdalena Loeser, Johannes Heindl, Ludwig Gostian, Antoniu Oreste Tags: Original Research Source Type: research

The Influence of the Insertion Angle on Middle and Lower Face Tissue-Mechanics When Treating the Nasolabial Folds with Facial Suspension Threads —An Experimental Split-Face Cadaveric Study
Facial Plast Surg DOI: 10.1055/s-0040-1712469A novel treatment approach to address the nasolabial fold is the insertion facial suspension threads. However, there is a paucity of data available to guide insertion techniques and material selection. Three female and two male cephalic specimens of Caucasian ethnicity (73.6 ± 6.5 years; 21.41 ± 2.2 kg/m2) were included into this experimental split-face study. One facial side was treated with polycaprolactone (PCL) thread: 180 mm, bidirectional, 18G 100 mm cannula, 20 degrees trajectory, preauricular approach whereas...
Source: Facial Plastic Surgery - June 7, 2020 Category: Cosmetic Surgery Authors: Braun, Martin Frank, Konstantin Freytag, David L. Gotkin, Robert H. Lachman, Nirusha Hsu, Gloria Gavril, Diana L. Silva, Maria V. Bialowas, Christie Cotofana, Sebastian Tags: Original Research Source Type: research

Comparative Analysis and Long-Term Results of Various Septal Extension Graft Types
Facial Plast Surg DOI: 10.1055/s-0040-1712468Shape, tip projection, and position can be controlled by the use of septal extension grafts (SEG). A retrospective cohort study of patients undergoing primary and secondary rhinoplasty was reviewed. The purpose of this study was to analyze maintenance of nasal length, dorsal length, and nasolabial angle postoperatively comparing different types of SEG using standardized photography and digital measurement. Two-hundred twenty-one patients undergoing rhinoplasty were included. There was a statistically significant change regarding the nasolabial angle during the time of follow-up ...
Source: Facial Plastic Surgery - June 7, 2020 Category: Cosmetic Surgery Authors: Brandstetter, M. Bhatt, M. Pham, M. Gubisch, W. Haack, S. Tags: Original Research Source Type: research