Rhinoplasty: Considerations for Patients with Facial Paralysis
Facial Plast Surg DOI: 10.1055/a-2127-3768Nasal obstruction is a common sequela of flaccid facial paralysis but one that is often underaddressed surgically. Weakness of nasal musculature on the paralyzed side of the face leads to nasal valve narrowing through loss of static and dynamic nasal side wall tone as well as inferomedial displacement of the alar base. Standard rhinoplasty techniques such as alar batten grafts or flaring sutures may be used to support the nasal side wall in facial paralysis. However, to address the inferomedial alar displacement, suspension techniques are often required. Suture resuspension and fas...
Source: Facial Plastic Surgery - August 8, 2023 Category: Cosmetic Surgery Authors: Shukla, Aishwarya Lu, G. Nina Tags: Original Article Source Type: research
Cleft Rhinoplasty: Correcting the Alar Base
Facial Plast Surg DOI: 10.1055/a-2127-3665The characteristic cleft nasal deformity presents several challenges for the rhinoplasty surgeon attempting to provide the optimal nasal function and appearance for their patient. One of the difficulties with cleft rhinoplasty is how best to address the malposition alar base. The purpose of this review is to evaluate the various surgical approaches and techniques for properly repositioning the alar base for cleft patients. Outcomes are ultimately dependent on individual patient factors, anatomy, surgical technique, and surgeon experience. Below, we will review the variety of techni...
Source: Facial Plastic Surgery - August 8, 2023 Category: Cosmetic Surgery Authors: DeVictor, Samuel R. Tollefson, Travis T. Tags: Original Article Source Type: research
Fanalysis: A Simple Web-Based Facial Analysis and Planning Tool for Rhinoplasty
Facial Plast Surg DOI: 10.1055/a-2127-3468 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 - August 8, 2023 Category: Cosmetic Surgery Authors: Arikan, Cihat Okan Akyildiz, Serdar Apaydin, Fazil Tags: Letter to the Editor Source Type: research
Septal Reconstruction: Simple to Complex
This article reviews a range of septoplasty techniques, with an emphasis on complex septal reconstruction and approaches that can be utilized to maintain keystone stability and establish a robust midline L-strut even in cases with challenging anatomy. [...] 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 - August 2, 2023 Category: Cosmetic Surgery Authors: Oliver, Jamie R. Humphrey, Clinton D. Tags: Original Article Source Type: research
Evaluation of the Patient with Nasal Obstruction
Facial Plast Surg DOI: 10.1055/a-2122-7251Patients often present with a complaint of nasal blockage, either primarily, or in conjunction with aesthetic concerns. The evaluation of the patient with nasal obstruction involves a comprehensive history and a detailed physical examination. The nose is an organ in which form and function are inseparable, and as such, examination of the patient with nasal obstruction must focus not only the internal structures that may cause obstruction of the nasal airway, but also the external structure of the nose as it impacts nasal breathing. Detailed facial analysis and a systematic nasal ex...
Source: Facial Plastic Surgery - July 28, 2023 Category: Cosmetic Surgery Authors: Taylor, Christine B. Tags: Original Article Source Type: research
Hair Restoration Techniques
This article provides a review of current techniques. [...] 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 - July 28, 2023 Category: Cosmetic Surgery Authors: Shehan, Jennifer Nicole Spiegel, Jeffrey Howard Tags: Original Article Source Type: research
Repairing the Nose after Failed Minimally Invasive Procedures
Facial Plast Surg DOI: 10.1055/a-2111-1150Minimally invasive nasal procedures can be aimed at treating both functional and cosmetic problems. These procedures include lateral nasal wall implants, dermal fillers, thread lifting, and radiofrequency ablation. Though increasingly popular, nasal surgeons have limited data to draw from when faced with operating in a nose that has been altered by these techniques. In this article, best practice recommendations are described based on the available data for each of the techniques. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle i...
Source: Facial Plastic Surgery - July 28, 2023 Category: Cosmetic Surgery Authors: Eng, James Sivam, Sunthosh K. Tags: Original Article Source Type: research
Functional Rhinoplasty
Facial Plast Surg DOI: 10.1055/s-0043-1771290 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 - July 27, 2023 Category: Cosmetic Surgery Authors: Olson, Krista Sivam, Sunthosh Kumar Tags: Preface Source Type: research
Time to Mohs Reconstruction: A Systematic Review Comparing Complication Rates between Immediate and Delayed Repair
Facial Plast Surg DOI: 10.1055/a-2112-7073Several known factors affect outcomes of Mohs facial defect reconstruction; however, the effect of repair timing on outcomes is ill-defined. The aim of this study was to determine postoperative complication rates between immediate and delayed repair of Mohs facial defects. Preferred Reporting Items of Systematic Reviews and Meta-Analyses guidelines were used. Articles were selected using PICO format—population: Mohs facial defect patients, intervention: defect repair, comparator: immediate (<24 hours), or delayed (>24 hours) repair, outcome: complication rate. PubMed/Me...
Source: Facial Plastic Surgery - July 27, 2023 Category: Cosmetic Surgery Authors: Sciegienka, Sebastian Slijepcevic, Allison Lipsey, Kim Spataro, Emily Chen, Collin Tags: Original Research Source Type: research
Considerations for Functional Nasal Surgery in the Obstructive Sleep Apnea Population
Facial Plast Surg DOI: 10.1055/a-2111-9255Obstructive sleep apnea (OSA) and nasal obstruction are common in the general population and frequently treated by otolaryngologists and facial plastic surgeons. Understanding the appropriate pre-, peri-, and postoperative management of OSA patients undergoing functional nasal surgery is important. OSA patients should be appropriately counseled in the preoperative period on their increased anesthetic risk. In OSA patients who are continuous positive airway pressure (CPAP) intolerant, the role of drug-induced sleep endoscopy should be discussed with the patient, and depending on the...
Source: Facial Plastic Surgery - July 27, 2023 Category: Cosmetic Surgery Authors: Coviello, Caitlin Sivam, Sunthosh Tags: Original Article Source Type: research
Facial Anthropometric Measurements and Principles – Overview and Implications for Aesthetic Treatments
Facial Plast Surg DOI: 10.1055/s-0043-1770765Facial anatomy is highly individual in each patient. Anthropometric measurements can be a useful tool to objectively analyze individual facial anatomy to allow for better comparability before and after treatments to ultimately improve standardization of facial procedures, both nonsurgical and surgical. The aim of this study was to provide a comprehensive overview over clinically relevant and feasible facial anthropometric measurements and principles for aesthetic medicine. A literature review was conducted to describe the most important and clinically relevant anthropometric mea...
Source: Facial Plastic Surgery - July 24, 2023 Category: Cosmetic Surgery Authors: Armengou, Xavier Frank, Konstantin Kaye, Kai Br ébant, Vanessa M öllhoff, Nicholas Cotofana, Sebastian Alfertshofer, Michael Tags: Original Research Source Type: research
Opioid-Sparing Pain Control after Rhinoplasty: Updated Review of the Literature
Facial Plast Surg DOI: 10.1055/a-2111-9203Rhinoplasty is one of the most performed elective surgeries, and given the opioid crisis, increasing research and studies are focused on successful pain control with multimodality opioid-sparing techniques, such as acetaminophen, nonsteroidal anti-inflammatory drugs (NSAIDs), and gabapentin. Although limiting overuse of opioids is critical, this cannot be at the expense of inadequate pain control, particularly as insufficient pain control can be correlated with patient dissatisfaction and the postoperative experience in elective surgery. There is likely significant opioid overpresc...
Source: Facial Plastic Surgery - July 24, 2023 Category: Cosmetic Surgery Authors: Liu, Rui Han Xu, Lucy J. Lee, Linda N. Tags: Original Article Source Type: research
Considerations for Optimal Grafting in Rhinoplasty
We present a review of autografts, allografts, and alloplasts used in primary and revision rhinoplasty and discuss factors that impact graft choice. Autologous grafts serve as the pillar for grafting material in rhinoplasty given their reliable long-term outcomes, low rates of infection, resorption, and extrusion, and ability to provide structural scaffolding as well as contour. Cadaveric allografts can be utilized as a source of grafting material in certain clinical scenarios including revision rhinoplasty and have been shown to be equally safe and effective as autologous grafts while avoiding donor-site morbidity. Allopl...
Source: Facial Plastic Surgery - July 24, 2023 Category: Cosmetic Surgery Authors: Dermody, Sarah M. Lindsay, Robin W. Justicz, Natalie Tags: Original Article Source Type: research
Bone Graft Substitutes and Enhancement in Craniomaxillofacial Surgery
Facial Plast Surg DOI: 10.1055/s-0043-1770962Critical-sized bone defects are a reconstructive challenge, particularly in the craniomaxillofacial (CMF) skeleton. The “gold standard” of autologous bone grafting has been the work horse of reconstruction in both congenital and acquired defects of CMF skeleton. Autologous bone has the proper balance of the protein (or organic) matrix and mineral components with no immune response. Organic and mineral adjuncts exist that offer varying degrees of osteogenic, osteoconductive, osteoinductive, and osteostimulative properties needed for treatment of critical-sized defects. In thi...
Source: Facial Plastic Surgery - July 20, 2023 Category: Cosmetic Surgery Authors: Patel, Dhruv Tatum, Sherard A. Tags: Original Article Source Type: research
Translational Research Techniques for the Facial Plastic Surgeon: An Overview
This study discusses these various research techniques and how they have and can be used for research in the context of various important diseases within the field of FPRS. [...] 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 - July 20, 2023 Category: Cosmetic Surgery Authors: Mason, William Levin, Albert M. Buhl, Katherine Ouchi, Takahiro Parker, Bianca Tan, Jessica Ashammakhi, Nureddin Jones, Lamont R Tags: Original Article Source Type: research
