Facial Feminization: Middle Third of the Face
Oral Maxillofac Surg Clin North Am. 2024 Feb 14:S1042-3699(24)00003-7. doi: 10.1016/j.coms.2024.01.003. Online ahead of print.ABSTRACTFacial feminization surgery (FFS) as applied to the midfacial region targets modifications to the nasal and malar esthetic complexes. Although a global assessment is paramount in achieving desired functional results, most patients benefit from malar feminization in the form of bony and soft tissue augmentation, and nasal feminization in the form of reductive rhinoplasty. For patients with signs of aging, additional interventions in the form of rhytidectomy are powerful adjuncts to feminizati...
Source: The Surgical Clinics of North America - February 15, 2024 Category: Surgery Authors: Mona Ascha Bashar Hassan Fan Liang Source Type: research

Facial Feminization: Middle Third of the Face
Oral Maxillofac Surg Clin North Am. 2024 Feb 14:S1042-3699(24)00003-7. doi: 10.1016/j.coms.2024.01.003. Online ahead of print.ABSTRACTFacial feminization surgery (FFS) as applied to the midfacial region targets modifications to the nasal and malar esthetic complexes. Although a global assessment is paramount in achieving desired functional results, most patients benefit from malar feminization in the form of bony and soft tissue augmentation, and nasal feminization in the form of reductive rhinoplasty. For patients with signs of aging, additional interventions in the form of rhytidectomy are powerful adjuncts to feminizati...
Source: The Surgical Clinics of North America - February 15, 2024 Category: Surgery Authors: Mona Ascha Bashar Hassan Fan Liang Source Type: research

Facial Feminization: Middle Third of the Face
Oral Maxillofac Surg Clin North Am. 2024 Feb 14:S1042-3699(24)00003-7. doi: 10.1016/j.coms.2024.01.003. Online ahead of print.ABSTRACTFacial feminization surgery (FFS) as applied to the midfacial region targets modifications to the nasal and malar esthetic complexes. Although a global assessment is paramount in achieving desired functional results, most patients benefit from malar feminization in the form of bony and soft tissue augmentation, and nasal feminization in the form of reductive rhinoplasty. For patients with signs of aging, additional interventions in the form of rhytidectomy are powerful adjuncts to feminizati...
Source: The Surgical Clinics of North America - February 15, 2024 Category: Surgery Authors: Mona Ascha Bashar Hassan Fan Liang 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

Facial Feminization
Facial feminization surgery (FFS) as applied to the midfacial region targets modifications to the nasal and malar esthetic complexes. Although a global assessment is paramount in achieving desired functional results, most patients benefit from malar feminization in the form of bony and soft tissue augmentation, and nasal feminization in the form of reductive rhinoplasty. For patients with signs of aging, additional interventions in the form of rhytidectomy are powerful adjuncts to feminization. As with FFS techniques directed toward the upper and lower thirds, the overarching goal is to obtain complementary outcomes that e...
Source: Oral and Maxillofacial Surgery Clinics - February 14, 2024 Category: ENT & OMF Authors: Mona Ascha, Bashar Hassan, Fan Liang Source Type: research

Management of Traumatic Nasal Avulsion Injuries
Soft tissue injuries to the midface (and nose) are common causes for seeking trauma care. As trauma patients, observing advanced trauma life support protocols is warranted given the risk of concomitant injuries. Here, options for optimizing tissue preservation, microvascular replantation, non-microvascular tissue replacement, and wound stabilization are discussed. Included in this discussion are data-driven predictors for successful replantation as well as technique descriptions with anatomic references to guide surgeons in choosing optimal donor vessels. In both partial and complete avulsion injuries, venous congestion is...
Source: Facial Plastic Surgery Clinics of North America - February 13, 2024 Category: Cosmetic Surgery Authors: Scott Bevans Source Type: research

Decision Making in Nasal Reconstruction
In this review, the paramedian forehead flap indications and uses are reviewed, specifically examining clinical situations where patient selection is important. In these settings, a preoperative discussion with a patient regarding surgical expectations and goals in the setting of their defect is paramount. The authors review the literature regarding the psychosocial aspects of major nasal reconstruction and review preoperative discussion points that are key to a well-informed patient and improved patient satisfaction through the nasal reconstructive process. (Source: Facial Plastic Surgery Clinics of North America)
Source: Facial Plastic Surgery Clinics of North America - February 12, 2024 Category: Cosmetic Surgery Authors: Virginia E. Drake, Jeffrey S. Moyer Source Type: research

Nasal Lining Reconstruction with Loco-regional Flaps
The reliability of local intranasal flaps speaks to the robust vascularity of the nose, which these flaps are based on. The goals for lining replacement, as in any other area of head and neck reconstruction, is to use tissue that best matches the qualities of what is being replaced. The goal of this review is to describe the extent to which local tissues can be used and when to consider regional flaps when the extent of a local flap will not provide enough coverage. (Source: Facial Plastic Surgery Clinics of North America)
Source: Facial Plastic Surgery Clinics of North America - February 12, 2024 Category: Cosmetic Surgery Authors: Alexander E. Graf, Lee Kaplowitz, Sydney C. Butts Source Type: research

Structural Support for Large to Total Nasal Reconstruction
This article will review approaches to the reconstruction of structural support in large nasal defects. (Source: Facial Plastic Surgery Clinics of North America)
Source: Facial Plastic Surgery Clinics of North America - February 12, 2024 Category: Cosmetic Surgery Authors: Corin M. Kinkhabwala, Krishna G. Patel Source Type: research

Changes in patient-reported satisfaction and quality-of-life 6 months after rhinoplasty
Rhinoplasty is a challenging and demanding procedure in plastic surgery. To obtain surgical success, patient satisfaction, and quality-of-life are important outcomes. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - February 9, 2024 Category: Cosmetic Surgery Authors: K.P. Luong, H.P. Slijper, B. Stubenitsky, S. Hummelink, D.J.O. Ulrich Source Type: research

Relay Graft, a Tailored Supplement Between the Nasal Hump and Established Tip in East Asian Rhinoplasty
For a group of East Asian population, the nasal bone already sustains sufficient height in an ideal dorsal profile, while the tip requires enhancement for a desired projection. The consequential gap lies between the intrinsic bony structure and the established nasal tip necessitates appropriate management. The options are either to reduce the keystone region to create a smooth bed for a conventional dorsal onlay graft, or to preserve the original osseocartilaginous structures and then customize a supplementary graft. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - February 9, 2024 Category: Cosmetic Surgery Authors: Lehao Wu, Huan Wang, Le Tian, Hengyuan Ma, Fei Fan, Jianjun You 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

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

Changes in patient-reported satisfaction and quality-of-life 6  months after rhinoplasty
Rhinoplasty is a challenging and demanding procedure in plastic surgery. Surgical success, patient satisfaction, and improved quality-of-life are important outcomes. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - February 9, 2024 Category: Cosmetic Surgery Authors: K.P. Luong, H.P. Slijper, B. Stubenitsky, S. Hummelink, D.J.O. Ulrich Source Type: research

The relay graft, a tailored supplement between the nasal hump and established tip in East Asian rhinoplasty
In East Asian individuals, the nasal bone already has sufficient height for an ideal dorsal profile, but the tip requires enhancement for a desired projection. Consequently, the gap between the intrinsic bony structure and the established nasal tip requires appropriate management. The options are either to reduce the keystone region to create a smooth bed for a conventional dorsal onlay graft or to preserve the original osseocartilaginous structures and then customize a supplementary graft. The aim of this study was to detail and validate the utilization of a relay graft, a transition graft that fills the structural gap be...
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - February 9, 2024 Category: Cosmetic Surgery Authors: Lehao Wu, Huan Wang, Le Tian, Hengyuan Ma, Fei Fan, Jianjun You Source Type: research