Patient Selection for Follicular Unit Extraction versus Linear Strip Donor Harvesting
Facial Plast Surg DOI: 10.1055/s-0043-1776993Follicular unit grafts can be harvested using two methods: strip follicular unit transplantation and follicular unit excision. Each method can generate outstanding results, but both are uniquely different with respect to the advantages and disadvantages they offer. Devising a sound surgical plan is instrumental to assure that a patient's short-term and long-term goals can be met, but creating the best plan possible for the graft harvest process is not straightforward. This paper will review the various advantages and disadvantages of each graft harvest method, along with their s...
Source: Facial Plastic Surgery - November 28, 2023 Category: Cosmetic Surgery Authors: Konior, Raymond J. Tags: Original Article Source Type: research

Follicular Unit Excision-Linear Ellipse Donor Harvesting Technique: Combining Standard Follicular Unit Excision with Follicular Unit Excision inside a Linear Strip (Modified Linear Strip Excision) to Optimize Graft Yield
Facial Plast Surg DOI: 10.1055/a-2198-2703Follicular unit excision (FUE) graft dissection has become the dominant method of donor harvesting globally, however, only a percentage of donor hair can be excised inside the safe donor area before visible donor thinning occurs. Compared to linear strip excision (LSE) where all follicular units inside the harvested ellipse of hair are used, FUE poses substantial limitations for lifetime graft yield and, therefore, cosmetic coverage in patients with advanced pattern hair loss. This paper reviews how combining the donor harvesting methods of FUE and LSE has been shown to optimize gr...
Source: Facial Plastic Surgery - November 28, 2023 Category: Cosmetic Surgery Authors: Keene, Sharon A. Susacasa, Alejandra Miranda, Paulo Radwanski, Henrique Tags: Original Article Source Type: research

Deep Neck Contouring: Indications and Techniques
This article serves as a comprehensive guide, describing indications, strategies, and providing a step-by-step description of the senior author's techniques for mastering deep neck contouring. [...] 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 - November 28, 2023 Category: Cosmetic Surgery Authors: Bogari, Ahmad Cakmak, Ozcan Tags: Original Article Source Type: research

Follicular Unit Excision in Hair Restoration Surgery
Facial Plast Surg DOI: 10.1055/s-0043-1776873 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Full text (Source: Facial Plastic Surgery)
Source: Facial Plastic Surgery - November 28, 2023 Category: Cosmetic Surgery Authors: Gabel, Steven Tags: Introduction Source Type: research

Considerations in Forehead Reduction for Men
Facial Plast Surg DOI: 10.1055/s-0043-1777319Although frontal prominence is an infrequent benign defect that causes no sequelae, it gives the patient distress due to its unaesthetic visual aspect. Proper surgical recontouring of the forehead can radically change one's appearance. In consequence, different techniques have been proposed for its management and correction. The aim of this study is to describe a surgical algorithm to treat male patients with forehead reduction to soften the “forceful” look. An observational cross-sectional study was conducted at the head and neck surgery ward of a general hospital between 2...
Source: Facial Plastic Surgery - November 22, 2023 Category: Cosmetic Surgery Authors: N úñez-Castañeda, José Miguel Chang-Grozo, Silvana Lucia Tags: Original Research Source Type: research

PHAT Lips and PHAT Face: Platelet Hybridized Adipose Therapy for Superficial Musculoaponeurotic System and Dermal Rejuvenation
Facial Plast Surg DOI: 10.1055/a-2188-8608Platelet-rich plasma has been increasingly used for facial rejuvenation in conjunction with other modalities such as microneedling or on its own. Nanofat grafting to the face has also been utilized for skin quality improvements. Our group previously described the novel combined Platelet Hybridized Adipose Transplant (PHAT) technique for hair restoration. In this series, we describe our experience with the PHAT technique for lip and facial rejuvenation to improve the quality of facial skin and superficial musculoaponeurotic system, and enhancing surgical results. [...] Thieme Medica...
Source: Facial Plastic Surgery - November 20, 2023 Category: Cosmetic Surgery Authors: Talei, Benjamin Ziai, Hedyeh Tags: Original Article Source Type: research

Utility of Follicular Unit Excision Using Nonscalp Donor Hair
Facial Plast Surg DOI: 10.1055/s-0043-1776401Nonscalp donor hair harvesting or body hair transplantation offers patients an additional source of donor hair in cases when the scalp does not have an adequate supply for the intended recipient area. The most common applications for nonscalp donor hair are for patients with advanced hair loss or to camouflage scarring from prior hair restoration procedures. For patients with available body hair, the beard is probably the best source followed by the chest and abdomen. Combined, these sources may be able to provide thousands of additional grafts for transplantation. Nonscalp hair...
Source: Facial Plastic Surgery - November 20, 2023 Category: Cosmetic Surgery Authors: Gabel, Steven Tags: Original Article Source Type: research

What We Know About Facial Volume Restoration with Autogenous Fat
Facial Plast Surg DOI: 10.1055/s-0043-1776874Facial rejuvenation involves a careful analysis of a patient's anatomic changes that are secondary to aging and then the application of several methods, tools, and technologies to reverse those changes. A central component of facial aging is the changes seen in facial soft tissue volume that occurs with atrophy and malpositioning of normal facial volume through several underlying aging processes. Although many surgical and nonsurgical interventions are available to remedy many of the sequela of aging, the restoration of volume is one of the most important goals that has to be en...
Source: Facial Plastic Surgery - November 20, 2023 Category: Cosmetic Surgery Authors: Fedok, Fred G. Tags: Original Article Source Type: research

Follicular Unit Extraction (FUE) Basics
Facial Plast Surg DOI: 10.1055/a-2179-4729Follicular unit excision (FUE) has risen to the forefront as the world's most popular hair transplant procedure. However, most writing on this subject has catered to the advanced practitioner. The goal of this article will be to focus on safe planning and decision making along with key technical steps that will guide the beginner surgeon to harvest a graft safely and to harvest the donor area in a uniform way to avoid overharvesting. Topics covered in this article also include instrumentation and decision making between FUE versus linear strip excision. [...] Thieme Medical Publish...
Source: Facial Plastic Surgery - October 30, 2023 Category: Cosmetic Surgery Authors: Lam, Samuel M. Tags: Original Article Source Type: research

A 20-Year Experience with Tissue Expansion for Large Cervical Fascial Defects: An Algorithm Based on Different Clinical Flap Designs
This study was performed to propose a treatment strategy for flap selection for the reconstruction of different facial units. The authors retrospectively reviewed the application of cervical expanded flaps for facial rehabilitation in our department between January 2003 and January 2023. The study included 122 patients with unilateral (62.3%) and bilateral (37.7%) facial deformities ranging from the zygomatic arch to the chin. The median area of the tissue defect was 15.2 × 8.5 cm2 (ranging from 6 × 4 cm2 to 27 × 12 cm2). The expansion period ranged from 61 to 175 days (mean: 86.5 days). Maximum and mi...
Source: Facial Plastic Surgery - October 9, 2023 Category: Cosmetic Surgery Authors: Luo, Si-Si Yang, Zhe Ma, Ning Li, Yang-Qun Tags: Original Research Source Type: research

A Review of “Regenerative Facial Surgery” Book by Authors Steven R. Cohen, Tunc Tiryaki, Patrick L. Tonnard, and Alexis M. Verpaele
Facial Plast Surg DOI: 10.1055/a-2176-7239 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Full text (Source: Facial Plastic Surgery)
Source: Facial Plastic Surgery - October 9, 2023 Category: Cosmetic Surgery Authors: Al Maamari, Salwa A. D'Souza, Alwyn R. Tags: Book Review Source Type: research

Cervical Chondrocutaneous Branchial Remnants: A Rare Congenital Anomaly of the Neck. A Case Series, Literature Review, and Associated Anomalies
Facial Plast Surg DOI: 10.1055/a-2158-1529Cervical chondrocutaneous branchial remnants (CCBRs) are rare anomalies found in the neck. These remnants can be easily misdiagnosed due to their low incidence, and they are often associated with other anomalies. Previous studies have reported an association with other anomalies in up to 76% of cases. In this article, the authors present a case series of two patients with bilateral CCBRs and investigate the associated anomalies through a literature review. Patients diagnosed with CCBRs who presented with cervical masses were included. Records were reviewed to investigate factors su...
Source: Facial Plastic Surgery - September 25, 2023 Category: Cosmetic Surgery Authors: Şimşekcan, Efe Sar ıay, Büşra Turcan, Didem Tags: Original Research Source Type: research

Quantifying the Subjective Experience of Nasal Obstruction: A Review
Facial Plast Surg DOI: 10.1055/a-2160-4998Nasal obstruction is an exceedingly common problem and challenging to treat due to its multifactorial etiology. Therefore, measuring treatment outcomes of nasal obstruction can be equally complex yet vital to appropriately assessing symptom improvement or resolution. Both physiologic and anatomic assessments of the nasal airway exist in addition to validated patient-reported outcome measures (PROMs), which objectify subjective nasal obstruction and sinonasal symptoms. Correlation between objective and subjective treatment outcome measures is controversial with clinical guidelines f...
Source: Facial Plastic Surgery - September 25, 2023 Category: Cosmetic Surgery Authors: Rossi Meyer, Monica K. Most, Sam P. Tags: Original Research Source Type: research

Complications Associated with Alloplastic Materials in Rhinoplasty and Their Operative Management
We report our experiences of the extrusion of alloplastic materials and their management. We report of 18 patients, who had rhinoplasty in the past for dorsal augmentation with alloplastic material. Augmentation rhinoplasty was performed in Asia (n = 15) and Germany (n = 3). All cases showed recurrent signs of foreign body infection and/or partial extrusion and therefore underwent revision surgery in our centers. Once all patients had been successfully treated with antibiotics, we performed a one-stage revision rhinoplasty with explantation of the alloplastic material and subsequent reconstruction with autologous r...
Source: Facial Plastic Surgery - September 14, 2023 Category: Cosmetic Surgery Authors: Storck, K. Kotz, S. Riedel, F. Veit, J.A. Tags: Original Research Source Type: research

A Retrospective Analysis of Pinnaplasty Outcomes: The Welsh Experience
Facial Plast Surg DOI: 10.1055/a-2150-8632Prominent ears (PEs) are the most frequent congenital external ear deformity, occurring in ∼5% of the population. Although the deformity does not usually cause functional difficulties, it can significantly affect the patient's psychological and social health. The authors aim to present the Welsh experience of pinnaplasty, reviewing our outcomes and complications. A retrospective cross-sectional study was performed of all patients undergoing pinnaplasty in Morriston Hospital, Swansea, Wales. We represent the tertiary plastic surgery referral unit across Wales. We included all pati...
Source: Facial Plastic Surgery - September 14, 2023 Category: Cosmetic Surgery Authors: Kadhum, Murtaza Atherton, Samuel Jawad, Ali Wilson-Jones, Nick Javed, Muhammad Umair Tags: Original Research Source Type: research