The Detailed Anatomy of the Deep Plane of the Face and Neck with Current Nomenclature
Facial Plast Surg DOI: 10.1055/a-2268-6735The fundamental goal of modern face and neck lifting is to enhance and restore a more youthful facial appearance by addressing soft tissue descent. There are variations in described facelift technique including superficial musculoaponeurotic system (SMAS) flaps, composite flaps, deep plane, skin flaps, and subperiosteal facelifts, among others. The term “deep plane rhytidectomy” was originally described by Hamra. This term has since been linked with facelift surgery with recent advances including incision placement, treatments of SMAS–platysma complex, and mastoid crevasse am...
Source: Facial Plastic Surgery - March 15, 2024 Category: Cosmetic Surgery Authors: Talei, Benjamin Ziai, Hedyeh Tags: Original Article Source Type: research
Cartilage-Sparing Otoplasty: An Overview of the Mustard é and Furnas Suture Techniques
This article discusses the preparation, surgical steps, postoperative care, and associated complications for Mustardé and Furnas otoplasty in detail. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Abstract | Full text (Source: Facial Plastic Surgery)
Source: Facial Plastic Surgery - March 15, 2024 Category: Cosmetic Surgery Authors: Levin, Marc Ziai, Hedyeh Gantous, Andres Adamson, Peter A. Tags: Original Article Source Type: research
“Should Pediatric Septal Surgery and Septorhinoplasty Be Performed for Nasal Obstruction?”—A Systematic Review of the Literature
Facial Plast Surg DOI: 10.1055/a-2219-9266Corrective septal surgery for children with nasal obstruction has historically been avoided due to concern about the impact on the growing nose, with disruption of midfacial growth. However, there is a paucity of data evaluating complication and revision rates post-nasal septal surgery in the pediatric population. In addition, there is evidence to suggest that failure to treat nasal obstruction in children may itself result in facial deformity and/or developmental delay. The aim of this systematic review is to evaluate the efficacy and safety of septal surgery in pediatric patients...
Source: Facial Plastic Surgery - March 15, 2024 Category: Cosmetic Surgery Authors: Howard, Theodore Williams, Isabelle Navaratnam, Annakan Haloob, Nora Stoenchev, Kostadin Saleh, Hesham Tags: Original Article Source Type: research
Effect of Dorsal Preservation Techniques on Septum Strength: An Experimental Animal Study
Facial Plast Surg DOI: 10.1055/a-2263-2101This experimental animal model study investigates the impact of different methods employed in preservation rhinoplasty (PR) on the strength of the nasal roof, focusing on three techniques: high strip, low strip, and intermediate strip. Using 15 lamb heads as surgical models, the study addresses key questions related to the strengths of each PR techniques, the influence of septal cartilage harvesting on septum strength, and the effectiveness of spreader grafts for stability. The research involves detailed dissection steps and measurements at various nasal points, evaluating the resi...
Source: Facial Plastic Surgery - March 8, 2024 Category: Cosmetic Surgery Authors: Erol, Ozan Berber, Veysel Soto-Galindo, Germ án Armando Apaydin, Fazil Tags: Original Research Source Type: research
Reconstructive Techniques in Pediatric Congenital Microtia: A Systematic Review and Meta-analysis
Facial Plast Surg DOI: 10.1055/a-2247-5109Autografts and allografts are commonly used in microtia reconstruction. We aimed to systematically review and compare these reconstructive materials in pediatric congenital microtia reconstruction. A systematic review of the literature was performed. MEDLINE, Embase, PubMed, Web of Science, and CINAHL databases were searched for original studies on congenital microtia reconstruction in pediatric patients since database inception to 2021. Microtia grade was stratified as high or low. Meta-analysis of pooled proportions and continuous variables was performed using inverse variance we...
Source: Facial Plastic Surgery - February 23, 2024 Category: Cosmetic Surgery Authors: Kim, Hugh Andrew Jinwook Namavarian, Amirpouyan Khan, Urooj Levy, Ben B. Ziai, Hedyeh Talei, Ben Gantous, Andres Tags: Original Article Source Type: research
The Body Dysmorphic Disorder Questionnaire —Aesthetic Surgery: Are We Screening the Troublesome Patients?
This study aims to clarify the current concept of performing rhinoplasty in patients with possible body dysmorphic disorder (BDD). The primary objective was to investigate the validity and evolution over time of the Body Dysmorphic Disorder Questionnaire—Aesthetic Surgery (BDDQ-AS) before and after surgery. Together with the BDDQ-AS, also the Nasal Obstruction Symptom Evaluation scale, FACE-Q nose and nostrils, and Utrecht questionnaire (UQ) were used for convergent validation. In this prospective study, 187 patients completed these patient-reported outcome measures at four time points: at the preoperative consultation a...
Source: Facial Plastic Surgery - February 15, 2024 Category: Cosmetic Surgery Authors: Declau, Frank Pingnet, Laura Smolders, Yannick Fransen, Erik Verkest, Val érie Tags: Review Article Source Type: research
Trials, Tribulations, and Techniques for Transitioning to an Extended Deep Plane Facelift for All Patients: Insight from a Very Experienced Surgeon's Perspective
Facial Plast Surg DOI: 10.1055/s-0044-1779626The extended deep plane facelift is a powerful technique to correct aging of the midface and neck. After many years of superficial muscular aponeurotic system lift techniques, the senior author transitioned to an extended deep plane facelift for all patients. The primary catalyst for this shift in practice was the pursuit of superior rejuvenation of the midface. Consistent uniform elevation of the deep plane with complete ligament release and management of the soft tissue flap were the most significant challenges in the early adoption period. Navigating the transition was facili...
Source: Facial Plastic Surgery - February 15, 2024 Category: Cosmetic Surgery Authors: Williams, Edwin F. Urban, Matthew J. Tags: Original Article Source Type: research
Surgical Rhinoplasty in Mild Forms of Body Dysmorphic Disorder: Safety, Protocols, and Long-Term Outcomes
This study shows that in the presence of safe protocols, including a two-specialist model, safe outcomes can be expected even in the long term. Further, the request for revision surgery appears to be common in borderline to mild BDD cases, and we like to warn the patients against it before surgery. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Abstract | Full text (Source: Facial Plastic Surgery)
Source: Facial Plastic Surgery - February 9, 2024 Category: Cosmetic Surgery Authors: Shandilya, Munish Bourke, Stephanie Shandilya, Avi Tags: Original Article Source Type: research
Outcomes of Free Flap Transfer in Facial Reanimation: A Review
Facial Plast Surg DOI: 10.1055/s-0044-1779628Free functional muscle transfer is is an option for reanimating the face in chronic facial nerve paralysis. The optimal outcome in these patients is the ability to restore a spontaneous smile in response to emotion. We discuss the role of free functional muscle transfer in facial paralysis treatment, the choices of nerve used in reconstruction surgery, and the application of different types of muscle flaps in facial reanimation. In this paper, we review the relevant and up-to-date academic literature regarding the outcomes of free functional muscle flap transfer in facial paraly...
Source: Facial Plastic Surgery - February 9, 2024 Category: Cosmetic Surgery Authors: Shamil, Eamon Tan, Denise Jia Yun Grobbelaar, Adriaan Tags: Original Article Source Type: research
An Evidence-based Pathway for Body Dysmorphic Disorder in Facial Aesthetics
Facial Plast Surg DOI: 10.1055/a-2244-1066Aesthetic procedures should be avoided in patients with body dysmorphic disorder (BDD) since they can negatively impact mental health and lead to further aesthetic dissatisfaction. There are no evidence-based patient pathways for BDD in facial aesthetics which can result in the failure to identify patients with BDD, leading to unsuitable treatments and suboptimal patient care. We aim to construct the first evidence-based patient pathway for BDD in surgical and nonsurgical facial aesthetics. A systematic review was performed and articles that discussed screening or patient pathways ...
Source: Facial Plastic Surgery - February 9, 2024 Category: Cosmetic Surgery Authors: Mandavia, Rishi D'Souza, Hanna Rupasinghe, Thiara Cariati, Massimiliano Mandavia, Tatiana Tags: Original Article Source Type: research
Impact of Psychiatric Symptoms on Nasal Perception in Septorhinoplasty Patients
Facial Plast Surg DOI: 10.1055/a-2240-8943Psychological assessment plays a crucial role in the preoperative phase of septorhinoplasty (SRPL), exerting potential influence on both pre- and postoperative aspects of quality of life (QoL). In this prospective study, SRPL patients were systematically screened using two validated questionnaires for body dysmorphic disorder (BDD) and one each for anxiety, depression, and somatic symptom disorder (SSD). Nasal perception was evaluated utilizing two disease-specific, self-report instruments: The Rhinoplasty Outcomes Evaluation (ROE) and the Functional Rhinoplasty Outcome Inventory-1...
Source: Facial Plastic Surgery - February 9, 2024 Category: Cosmetic Surgery Authors: Hohenberger, Ralph Baumann, Ingo Riedel, Frank Plinkert, Peter K. Bulut, Olcay Cem Tags: Original Article Source Type: research
Doxycycline Sclerodesis —“Rhinodesis”—for Enhanced Soft Tissue Adhesion in Rhinoplasty: A Preliminary Study
We present two clinical case series using rhinodesis. All patients were treated with the same rhinodesis protocol that included conventional splinting and taping. The first series consisted of 102 consecutive primary rhinoplasties with medium to thick nasal skin treated via open rhinoplasty. Doxycycline solution at a concentration of 20 mg/mL was applied beneath the skin flap using a 14-gauge angiocath inserted through small gaps in the marginal suture line following closure, retained for 2 to 3 minutes, and then expressed from the dead space. Firm manual compression of the SSTE was maintained for at least 1 additional...
Source: Facial Plastic Surgery - February 8, 2024 Category: Cosmetic Surgery Authors: Kovacevic, Milos Kosins, Aaron M. Davis, Richard Al Maamari, Salwa D'Souza, Alwyn Tags: Original Research Source Type: research
Overview of Nasal Airway and Nasal Breathing Evaluation
Facial Plast Surg DOI: 10.1055/s-0044-1779043Several methods are available for evaluating nasal breathing and nasal airflow, as this evaluation may be made from several different perspectives.Physiologic methods for nasal airway evaluation directly measure nasal airflow or nasal airway resistance, while anatomical methods measure nasal airway dimensions. Subjective methods evaluate nasal breathing through several validated patient-reported scales assessing nasal breathing. Computational fluid dynamics evaluates nasal airflow through the analysis of several physics' variables of the nasal airway.Being familiar to these meth...
Source: Facial Plastic Surgery - February 8, 2024 Category: Cosmetic Surgery Authors: Xavier, Rui Tags: Original Article Source Type: research
Peak Nasal Inspiratory Flow (PNIF) for Nasal Breathing Evaluation
Facial Plast Surg DOI: 10.1055/a-2236-4581Measuring nasal airflow and nasal breathing has been a major goal of rhinology. Many objective methods for measuring nasal airflow or nasal airway resistance or dimensions provide valuable data but are time-consuming and require expensive equipment and trained technicians, thus making these methods less practical for clinical practice. Peak nasal inspiratory flow (PNIF) measurement is fast, unexpensive, noninvasive, and able to provide an objective evaluation of nasal airflow in real-time. Unilateral PNIF measurements allow separated evaluation of each side of the nasal airway and ...
Source: Facial Plastic Surgery - February 8, 2024 Category: Cosmetic Surgery Authors: Xavier, Rui Tags: Original Article Source Type: research
Body Dysmorphic Disorder: A Decade of Mandatory Psychiatric Evaluation in Cosmetic Rhinoplasty Aspirants
Facial Plast Surg DOI: 10.1055/s-0044-1779045The aim of rhinoplasty is to make the patient happier with their nose. The patient's perception plays a substantial role in their outcome satisfaction. Body dysmorphic disorder (BDD) is an obsessive-compulsive disorder concerning body image, which negatively distorts the patient's perception, rendering them dissatisfied with the outcome even if the results are close to the defined objectives. In this paper, we present a protocol with a two-specialist approach (rhinoplasty surgeon and a psychiatrist) to standardize BDD diagnosis using the DSM-5 criteria. The patients deemed suita...
Source: Facial Plastic Surgery - February 8, 2024 Category: Cosmetic Surgery Authors: Shandilya, Munish Bourke, Stephanie Shandilya, Avi Tags: Original Article Source Type: research
