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Book ReviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Facial plast Surg 2009; 25: 277-277DOI: 10.1055/s-0029-1242133© Thieme Medical PublishersGet connected:Table of contents | Full text (Source: Facial Plastic Surgery)
Source: Facial Plastic Surgery - November 19, 2009 Category: Cosmetic Surgery Source Type: journals

Applications of Platelet-Rich Fibrin Matrix in Facial Plastic SurgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes its use for cosmetic facial applications.[...]© Thieme Medical PublishersGet connected:Table of contents | Abstract | Full text (Source: Facial Plastic Surgery)
Source: Facial Plastic Surgery - November 19, 2009 Category: Cosmetic Surgery Source Type: journals

Pins and Needles: Minimally Invasive Office Techniques for Facial RejuvenationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Facial plast Surg 2009; 25: 260-269DOI: 10.1055/s-0029-1242038ABSTRACTThe desire for minimally invasive facial rejuvenation has continued to increase from the perspective of both the patients and injectors. For successful rejuvenation, it is important to understand the anatomic changes of the aging face as well as the properties of available neuromodulators and soft tissue fillers. The injector should be knowledgeable of the advantages and disadvantages of each product. Patient selection, perhaps, plays the largest role in success, choosing patients that would truly benefit from and have reasonable expectations for minimal...
Source: Facial Plastic Surgery - November 19, 2009 Category: Cosmetic Surgery Source Type: journals

The Aging Midfacial Skeleton: Implications for Rejuvenation and Reconstruction Using ImplantsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Facial plast Surg 2009; 25: 252-259DOI: 10.1055/s-0029-1242037ABSTRACTTraditional theories on facial aging and methods for rejuvenation focus primarily on soft tissues with ptosis as the major mechanism responsible for senescent changes. Anatomic studies demonstrate that there are also many changes to the craniofacial skeleton as patients age. Midface skeletal augmentation, using implants made of porous polyethylene, is a simple and effective method to reverse age-related changes of the facial skeleton in patients with intact occlusion. Skeletal implants correct concave morphology by increasing projection and provide a mea...
Source: Facial Plastic Surgery - November 19, 2009 Category: Cosmetic Surgery Source Type: journals

A Paradigm for Facial Skin RejuvenationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Facial plast Surg 2009; 25: 245-251DOI: 10.1055/s-0029-1242036ABSTRACTThere is a significant desire by patients to reverse the signs of aging caused by photodamage. Numerous procedures for facial skin rejuvenation have been developed in an attempt to minimize the erythema, dyspigmentation, and rhytides associated with photoaging. The initial procedures developed for facial rejuvenation involve skin resurfacing via complete ablation of layers of skin. Of these procedures, ablative laser resurfacing is the most precise technique and is considered the gold standard for facial skin rejuvenation. Although ablative procedures ar...
Source: Facial Plastic Surgery - November 19, 2009 Category: Cosmetic Surgery Source Type: journals

Fat Management in Lower Lid BlepharoplastyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article outlines the evolution of our approach to lower eyelid blepharoplasty with a specific focus on the importance of management of fat in the periocular region. A discussion of various surgical approaches with their advantages and disadvantages is presented, and the importance of maintaining a safe lower eyelid is emphasized. A comprehensive and systematic approach to restoration of the lower eyelid is highlighted with specific postoperative results.[...]© Thieme Medical PublishersGet connected:Table of contents | Abstract | Full text (Source: Facial Plastic Surgery)
Source: Facial Plastic Surgery - November 19, 2009 Category: Cosmetic Surgery Source Type: journals

Endoscopic Forehead and Brow LiftEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Facial plast Surg 2009; 25: 222-233DOI: 10.1055/s-0029-1242034ABSTRACTEndoscopic method of rejuvenating the brow-forehead complex has evolved into the procedure of choice for many aesthetic surgeons. Safe and reliable application of the endoscopic technique depends on several important factors. These include technical expertise with the endoscopic equipment, understanding of the surgical goals in patients seeking rejuvenation in the forehead region, and detailed comprehension of the steps involved in altering forehead anatomy during endoscopic lifting. In this manuscript, the senior author reviews his experience with the e...
Source: Facial Plastic Surgery - November 19, 2009 Category: Cosmetic Surgery Source Type: journals

Management of the Aging NoseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article provides an overview of versatile and proven techniques that may be applied to the majority of aging nose rhinoplasty cases and that have been found to yield predictable and lasting results.[...]© Thieme Medical PublishersGet connected:Table of contents | Abstract | Full text (Source: Facial Plastic Surgery)
Source: Facial Plastic Surgery - November 19, 2009 Category: Cosmetic Surgery Source Type: journals

Management of the Aging FaceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Facial plast Surg 2009; 25: 213-213DOI: 10.1055/s-0029-1242031© Thieme Medical PublishersGet connected:Table of contents | Full text (Source: Facial Plastic Surgery)
Source: Facial Plastic Surgery - November 19, 2009 Category: Cosmetic Surgery Tags: PREFACE Source Type: journals

Special Reconstruction Techniques for Special CircumstancesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Facial plast Surg 2009; 25: 204-211DOI: 10.1055/s-0029-1239450ABSTRACTAuricular reconstruction is a challenging, mostly multistaged procedure that requires many different techniques. Whereas standard techniques have been developed for the standard severe, third-degree dysplasia, we are often confronted with severely scarred patients due to excess trauma or prior operations. These special situations need a variety of special techniques; some of those are described here to be considered as alternative options.[...]© Thieme Medical PublishersGet connected:Table of contents | Abstract | Full text (Source: Facial Plastic Surgery)
Source: Facial Plastic Surgery - October 7, 2009 Category: Cosmetic Surgery Source Type: journals

Ear Epistheses as an Alternative to Autogenous ReconstructionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Facial plast Surg 2009; 25: 190-203DOI: 10.1055/s-0029-1239446ABSTRACTAn ear episthesis is an artificial substitute for the auricle. The term is used synonymously. The breakthrough came with the introduction of the modern silicones and their colorings. Although there are still indications for noninvasive methods of retention such as medical adhesives, the best and most reliable method of fixation is by bone anchorage. Long-lasting osseointegration with reaction-free skin penetration can be achieved with titanium implants. The first system used extraorally was the Brånemark flange fixture. Later, different solitary titaniu...
Source: Facial Plastic Surgery - October 7, 2009 Category: Cosmetic Surgery Source Type: journals

Ear Reconstruction Using a Porous Polyethylene Framework and Temporoparietal Fascia FlapEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Facial plast Surg 2009; 25: 181-189DOI: 10.1055/s-0029-1239448ABSTRACTEar reconstruction is a difficult procedure requiring a framework and soft tissue covering. The traditional method uses a rib cartilage framework placed beneath scalp skin. This method has been used for 50 years despite inherent problems with both harvesting rib cartilage and using scalp for coverage. The authors describe a method using a porous polyethylene (PPE) framework covered by a large temporoparietal fascia (TFP) flap raised with the underlying subgaleal fascia (SGF). The entire implant is covered by the two-layered flap, which can be raised with...
Source: Facial Plastic Surgery - October 7, 2009 Category: Cosmetic Surgery Source Type: journals

Treatment of Unwanted Hair in Auricular ReconstructionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Facial plast Surg 2009; 25: 175-180DOI: 10.1055/s-0029-1239447ABSTRACTIn many microtia patients, the hairline is lower than ideal. Despite this, it is essential to position the reconstructed ear in the correct place. Here is a series of tips and tricks to deal with unwanted hair on the skin that covers an autogenous tissue reconstruction. Replacement of the skin with a fascial flap and skin graft remains the mainstay of treatment for a very-low-hairline case. Surgical removal of hair on the helical rim during the release procedure is also described. Laser depilation, surgical electrolysis, and even shaving techniques are a...
Source: Facial Plastic Surgery - October 7, 2009 Category: Cosmetic Surgery Source Type: journals

Reducing the Morbidity Involved in Harvesting Autogenous Rib CartilageEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Facial plast Surg 2009; 25: 169-174DOI: 10.1055/s-0029-1239449ABSTRACTAlthough the use of autogenous cartilage is the gold standard in auricular reconstruction, its main disadvantage is the morbidity due to harvesting the cartilage. This includes postoperative pain, visible scar, and possibly asymmetry and reduced stability of the thorax. To reduce all of these drawbacks, we describe some modifications that reduce pain to a low tolerable level, hide the scar invisibly in the submammary fold in females, and induce regeneration as well reestablish stability of the rib defect.[...]© Thieme Medical PublishersGet connected:Tab...
Source: Facial Plastic Surgery - October 7, 2009 Category: Cosmetic Surgery Source Type: journals

The Learning Curve in Microtia SurgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Facial plast Surg 2009; 25: 164-168DOI: 10.1055/s-0029-1239445ABSTRACTReconstruction of the auricle is known to be complex. Our objective was to evaluate the improvement of the outcome of the lobulus-type microtia reconstruction. Patient satisfaction was also evaluated. There are no previous reports of the learning process in this field. Postoperative photographs of 51 microtia reconstructions were assessed and rated by a panel made up of six surgeons. The ratings were gathered to generate learning curves. Twenty-two patients assessed the outlook of their reconstructed ears, and the results were analyzed as a self-assessme...
Source: Facial Plastic Surgery - October 7, 2009 Category: Cosmetic Surgery Source Type: journals

Learning to Perform Ear ReconstructionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Facial plast Surg 2009; 25: 158-163DOI: 10.1055/s-0029-1239452ABSTRACTLearning how to perform ear reconstruction is very difficult. There are no standardized teaching methods. This has resulted in many ear reconstructions being suboptimal. Learning requires a major commitment by the surgeon. Factors to be seriously considered by those considering performing this surgery are (1) commitment, (2) aptitude, (3) training methods available, (4) surgical skills and experience, and (5) additional equipment needs. Unless all these factors are addressed in a surgeon's decision to perform this form of reconstruction, the end result w...
Source: Facial Plastic Surgery - October 7, 2009 Category: Cosmetic Surgery Source Type: journals

Basic Techniques in Autogenous Microtia RepairEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Facial plast Surg 2009; 25: 149-157DOI: 10.1055/s-0029-1239451ABSTRACTAlthough several techniques can be used for microtia repair, some standard procedures have been developed over the past few decades. In specialized centers, these techniques are performed most frequently. They include two to four operative steps using autogenous rib cartilage for the framework and local skin for its tegument. We have been using this technique presented here in more than 800 cases over the past two decades with good and mostly stable results.[...]© Thieme Medical PublishersGet connected:Table of contents | Abstract | Full tex...
Source: Facial Plastic Surgery - October 7, 2009 Category: Cosmetic Surgery Source Type: journals

Embryology and Epidemiology of MicrotiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Facial plast Surg 2009; 25: 145-148DOI: 10.1055/s-0029-1239444ABSTRACTThe auricle derives from six hillocks arising from the first and second branchial arches. Different hillocks give rise to different parts of the pinna. In the course of embryonic development, the auricle migrates postero-cranially as the mandible enlarges. Auricular malformations, such as microtia, are thought to be related to cell death of the first and second arch derivatives. The prevalence and characteristics of microtia vary in different populations. The prevalence ranges from 0.83 to 17.4 per 10,000. Microtia is more common in males, and right-side...
Source: Facial Plastic Surgery - October 7, 2009 Category: Cosmetic Surgery Source Type: journals

Ear ReconstructionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Facial plast Surg 2009; 25: 143-143DOI: 10.1055/s-0029-1239443© Thieme Medical PublishersGet connected:Table of contents | Full text (Source: Facial Plastic Surgery)
Source: Facial Plastic Surgery - October 7, 2009 Category: Cosmetic Surgery Tags: PREFACE Source Type: journals

Choosing Injectable Implants According to Treatment Area: The European ExperienceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Facial plast Surg 2009; 25: 135-142DOI: 10.1055/s-0029-1220655ABSTRACTThere are now many injectable implants for face remodeling since the first product appeared in Europe in 1984. The treatment regions most in demand are the cheeks, jaws, lips, and the oval of the face. The aging process is due to fat resorption over the upper two thirds of the face, in addition to the loss of elasticity. Weakness in the skin and subcutaneous fascia becomes more apparent over the lower third of the face. The fat loss together with the slack skin gives the impression of gauntness and loss of volume under the eyes (i.e., the zygomatic and p...
Source: Facial Plastic Surgery - May 7, 2009 Category: Cosmetic Surgery Source Type: journals

The Canadian Experience with FillersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article will discuss the authors' experience with some of the more popular soft tissue fillers on the market in Canada that are not currently available in the United States.[...]© Thieme Medical PublishersGet connected:Table of contents | Abstract | Full text (Source: Facial Plastic Surgery)
Source: Facial Plastic Surgery - May 7, 2009 Category: Cosmetic Surgery Source Type: journals

The Management of Dermal Filler ComplicationsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Facial plast Surg 2009; 25: 124-128DOI: 10.1055/s-0029-1220653ABSTRACTInjectable fillers have gained widespread acceptance among the public and provide a nonsurgical means of rejuvenating the face. As the demand for fillers increases, facial plastic surgeons must become not only expert injectors but also experts in managing the complications of fillers. Little scientific data exists regarding the incidence of complications, and more adverse effects may be seen with longer-term follow-up of patients. The purpose of this article is to review the most commonly encountered complications and management thereof.[...]© Thieme Me...
Source: Facial Plastic Surgery - May 7, 2009 Category: Cosmetic Surgery Source Type: journals

New Fillers under Consideration: What Is the Future of Injectable Aesthetics?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article outlines the approval process that foreign fillers go through in their home countries and gives an idea of the fillers that are currently under consideration by the FDA. As our armamentarium of injectable fillers grows, it will be essential to know each product's strengths and weaknesses so that we can provide our patients with the best possible aesthetic results.[...]© Thieme Medical PublishersGet connected:Table of contents | Abstract | Full text (Source: Facial Plastic Surgery)
Source: Facial Plastic Surgery - May 7, 2009 Category: Cosmetic Surgery Source Type: journals

Soft Tissue Augmentation with ArteFillEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Facial plast Surg 2009; 25: 114-119DOI: 10.1055/s-0029-1220651ABSTRACTArteFill is a novel, third-generation polymethylmethacrylate (PMMA) injectable filler with unique properties. When compared with predecessor materials, ArteFill demonstrates improved biocompatibility as a result of more uniform PMMA microsphere size and shape. This translates into less adverse events after placement. ArteFill can provide a permanent volume enhancement by stimulation of fibroblasts that encapsulate nonabsorbable microspheres with collagen deposition. Currently, ArteFill is FDA approved for permanent augmentation of moderately deep nasolab...
Source: Facial Plastic Surgery - May 7, 2009 Category: Cosmetic Surgery Source Type: journals

Collagen-Based Dermal Fillers: Past, Present, FutureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article will focus on the historical benefits and risks of collagen injections and the typical outcomes. With the advent of hyaluronic acid products and other options, the risks of collagen and limited benefit have caused a marked loss of market share. Specifically, allergy is a major concern. As a result, two rounds of skin testing are required adding inconvenience and delay for both the practitioner and patient. Furthermore, a negative skin test does not guarantee allergic reactions or other more serious side effects will not occur. Finally, the perceived clinical efficacy is often short lived despite histopathologi...
Source: Facial Plastic Surgery - May 7, 2009 Category: Cosmetic Surgery Source Type: journals

Injectable Calcium Hydroxylapatite Microspheres (Radiesse)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Facial plast Surg 2009; 25: 100-105DOI: 10.1055/s-0029-1220649ABSTRACTInjectable calcium hydroxylapatite (Radiesse) received FDA approval in 2006 for the correction of facial lipoatrophy and moderate to severe facial wrinkles. This product consists of microspheres of a synthetic bone suspended in a methylcellulose gel matrix. Because the product is thicker than the hyaluronic acids, it is used for the correction of moderate to severe wrinkles, such as deep nasolabial folds. It is also used “off-label” to treat multiple areas of the face, nose, and hands. Radiesse is injected into the subdermal plane, and correc...
Source: Facial Plastic Surgery - May 7, 2009 Category: Cosmetic Surgery Source Type: journals

Sculptra: A Stimulatory FillerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Facial plast Surg 2009; 25: 095-099DOI: 10.1055/s-0029-1220648ABSTRACTSculptra is a biocompatible, resorbable injectable filler composed of poly--lactic acid (PLLA). It falls in the class of a stimulatory filler that creates its effect through encouraging neocollagenesis when injected. As it differs from traditional, static fillers such as hyaluronic acid and collagen, it requires a special understanding of how it works, where it can be used, and how it should be injected. The goal of this article is to review the nature of stimulatory volume replacement with a focus on PLLA and its unique considerations. Both the natural ...
Source: Facial Plastic Surgery - May 7, 2009 Category: Cosmetic Surgery Source Type: journals

Hyaluronic Acid Fillers: A Comprehensive ReviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Facial plast Surg 2009; 25: 086-094DOI: 10.1055/s-0029-1220647ABSTRACTOver the past decade, the popularity of nonsurgical cosmetic procedures has increased exponentially. Last year, according to the American Society of Aesthetic Plastic Surgery, more than 5 million procedures were performed using cosmetic injectables such as botulinum toxin and dermal filling agents. According to the society's recent statistics, more than 85% of all dermal filler procedures occurred with a hyaluronic acid derivative.These numbers are expected to rise in the future as there is currently no other class of filling agent that rivals the popula...
Source: Facial Plastic Surgery - May 7, 2009 Category: Cosmetic Surgery Source Type: journals

The Biology of Facial FillersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Facial plast Surg 2009; 25: 073-085DOI: 10.1055/s-0029-1220646ABSTRACTThe biologic behavior of a facial filler determines its advantages and disadvantages. The purpose of this article is to look at the relevant biology as part of a logical basis for making treatment decisions. Historical perspectives and biologic characteristics such as local tissue reaction (including phagocytosis and granulomatous inflammation) cross-linking, particle concentration, immunogenicity, biofilm formation, gel hardness, and collagen neogenesis are considered. Bovine collagen is the most immunogenic facial filler. Porcine and bioengineered huma...
Source: Facial Plastic Surgery - May 7, 2009 Category: Cosmetic Surgery Source Type: journals

The History of Injectable Facial FillersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article will review the highlights of the evolution of facial filling agents.[...]© Thieme Medical PublishersGet connected:Table of contents | Abstract | Full text (Source: Facial Plastic Surgery)
Source: Facial Plastic Surgery - May 7, 2009 Category: Cosmetic Surgery Source Type: journals

Injectable FillersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Facial plast Surg 2009; 25: 065-065DOI: 10.1055/s-0029-1220644© Thieme Medical PublishersGet connected:Table of contents | Full text (Source: Facial Plastic Surgery)
Source: Facial Plastic Surgery - May 7, 2009 Category: Cosmetic Surgery Tags: PREFACE Source Type: journals

Gilbert J. Nolst TrenitéEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Facial plast Surg 2009; 25: 063-063DOI: 10.1055/s-0029-1220656© Thieme Medical PublishersGet connected:Table of contents | Full text (Source: Facial Plastic Surgery)
Source: Facial Plastic Surgery - May 7, 2009 Category: Cosmetic Surgery Tags: EDITORIAL Source Type: journals

Minimally Invasive Orthognathic SurgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes the historical developments of the fields of orthognathic surgery and minimally invasive surgery, as well as the integration of the two disciplines. Indications, techniques, and the most current outcome data for specific minimally invasive orthognathic surgical procedures are presented.[...]© Thieme Medical PublishersGet connected:Table of contents | Abstract | Full text (Source: Facial Plastic Surgery)
Source: Facial Plastic Surgery - February 11, 2009 Category: Cosmetic Surgery Source Type: journals

Endoscopic Repair of Anterior Table Frontal Sinus FracturesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Facial plast Surg 2009; 25: 043-048DOI: 10.1055/s-0028-1112231ABSTRACTFrontal sinus fractures account for 5 to 15% of all maxillofacial injuries. The majority of these fractures are the result of high-velocity injuries such as motor vehicle accidents, assaults, and sporting events. The treatment algorithm for frontal sinus fractures is controversial due to the associated risks of brain injury, meningitis, cerebrospinal fluid fistula, and mucocele formation. However, mild to moderately displaced anterior table fractures carry a relatively low risk of long-term morbidity and are generally treated as aesthetic deformities. Un...
Source: Facial Plastic Surgery - February 11, 2009 Category: Cosmetic Surgery Source Type: journals

Endoscopic Management of ExophthalmosEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes the authors' techniques for performing endoscopic orbital decompression.[...]© Thieme Medical PublishersGet connected:Table of contents | Abstract | Full text (Source: Facial Plastic Surgery)
Source: Facial Plastic Surgery - February 11, 2009 Category: Cosmetic Surgery Source Type: journals

Endoscopic Management of Cerebrospinal Fluid LeaksEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Facial plast Surg 2009; 25: 029-037DOI: 10.1055/s-0028-1112229ABSTRACTCerebrospinal fluid (CSF) rhinorrhea is an uncommon but important medical condition. It can result from trauma, intracranial hypertension, or be idiopathic in origin. If left untreated, significant sequelae can result including infectious meningitis. Beta-2 transferrin is a sensitive and specific protein marker for CSF. Various radiographic modalities have been used to localize defects, including computed tomography (CT), magnetic resonance imaging, and CT cisternography. In recent years, surgical management of this condition has evolved significantly, p...
Source: Facial Plastic Surgery - February 11, 2009 Category: Cosmetic Surgery Source Type: journals

Endoscopic Approaches to Subcondylar Fractures of the MandibleEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Facial plast Surg 2009; 25: 023-028DOI: 10.1055/s-0028-1112228ABSTRACTThe endoscope-assisted technique for the repair of subcondylar fractures of the mandible has been in use for approximately a decade, and its acceptance continues to grow as more surgeons gain experience. It provides for transoral access to the condylar neck region of the mandible, allowing for repair of fractures in this region with minimal if any facial scarring, while also minimizing the risk of facial nerve injury. The authors describe their technique for performing the transoral, endoscopic-assisted approach for repair of subcondylar fractures and re...
Source: Facial Plastic Surgery - February 11, 2009 Category: Cosmetic Surgery Source Type: journals

Endoscopic Endonasal Management of Medial Orbital Blowout FracturesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study demonstrated that endoscopic endonasal sinus surgery is a successful technique for reducing medial orbital blowout fractures and does not cause complications. Twenty-three patients with isolated medial blowout fractures that did not involve the inferior wall underwent reduction surgery using the endoscopic endonasal approach. Surgery was indicated if the patient experienced persistent diplopia, ocular motility limitation, or enophthalmos. Septoplasty and submucous resection of the inferior turbinate bone were performed to access the fracture site safely in 3 and 15 patients, respectively. The bone fragments entr...
Source: Facial Plastic Surgery - February 11, 2009 Category: Cosmetic Surgery Source Type: journals

Endoscopic Management of Orbital Floor FracturesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Facial plast Surg 2009; 25: 008-016DOI: 10.1055/s-0028-1112226ABSTRACTThe management of orbital floor fractures involves several issues. Different surgeons have diverse opinions about who needs surgery and how best to do it. This is especially so with regard to use of transantral diagnostic and therapeutic endoscopic surgery over traditional lower eyelid approaches. Transantral endoscopy provides precise and complete information about the orbital floor fracture and makes possible the repair of these fractures under unobstructed vision at all times, minimizing the risk of implant misplacement and, hence, enophthalmos. Contr...
Source: Facial Plastic Surgery - February 11, 2009 Category: Cosmetic Surgery Source Type: journals

Endoscopic Transnasal Approach for Treatment of the Medial Orbital Blowout Fracture Using Nasal Septum GraftEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present the experience of the Ear, Nose, and Throat Department of Santa Casa de Misericórdia de Curitiba and Hospital Universitário Cajuru PUC-PR in the transnasal endoscopic approach to medial orbital blowout fractures using nasal septum grafts. Seventeen patients have undergone endoscopic repair since June 2005, and septum grafts were used to maintain the orbital contents in position. All 17 patients were treated with this method. Two patients had diplopia on immediate postoperative evaluation. This symptom was corrected with orthoptic exercises in one patient, and the other had a little residual diplopia. Postopera...
Source: Facial Plastic Surgery - February 11, 2009 Category: Cosmetic Surgery Source Type: journals

Endoscopy in Craniomaxillofacial SurgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Facial plast Surg 2009; 25: 001-001DOI: 10.1055/s-0028-1112224© Thieme Medical PublishersGet connected:Table of contents | Full text (Source: Facial Plastic Surgery)
Source: Facial Plastic Surgery - February 11, 2009 Category: Cosmetic Surgery Tags: PREFACE Source Type: journals

Distraction Osteogenesis of the Cleft MaxillaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Facial plast Surg 2008; 24: 467-471DOI: 10.1055/s-0028-1102910ABSTRACTDistraction osteogenesis is a method of enhancing bony deficiencies of the hypoplastic cleft maxilla. Whether it is the result of inherited growth deficiency or of iatrogenic causes from operative intervention, 20 to 25% of cleft maxilla patients require maxillary advancement. Traditionally, this has been done by standard orthognathic surgery at varying LeFort levels. Predictable results have been achieved with standard techniques in minor to moderate maxillary hypoplasia; however, limited advancement and relapse is common in severe cases. Distraction os...
Source: Facial Plastic Surgery - November 27, 2008 Category: Cosmetic Surgery Source Type: journals

Incorporating Hair Replacement into Your PracticeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Facial plast Surg 2008; 24: 462-466DOI: 10.1055/s-0028-1102909ABSTRACTThe author defines the essential management skills that are unique to building a successful hair restoration surgery team and contrasts these skills with those needed to manage a general cosmetic surgery practice. Strategies for hair technician selection, training, supervision, and management are discussed, emphasizing the management skill areas that are different from those of general medical office or cosmetic surgery practices. Attention is given to the components of a contemporary hair restoration surgery operating suite: size, specialized equipment ...
Source: Facial Plastic Surgery - November 27, 2008 Category: Cosmetic Surgery Source Type: journals

Hair Restoration Complications: An Approach to the Unnatural-Appearing Hair TransplantEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Facial plast Surg 2008; 24: 453-461DOI: 10.1055/s-0028-1102908ABSTRACTHair restoration surgery has emerged as a leading technique for rejuvenation of the upper third of the face. Using contemporary techniques, the results are generally indistinguishable from the appearance of native scalp hair. Unfortunately, older techniques of hair transplantation did not produce this quality result. As a result, there are a considerable number of patients who bear the visual and psychological burden of older hair transplant techniques. In addition, there are regrettably additional patients who have similar unnatural hair transplant resu...
Source: Facial Plastic Surgery - November 27, 2008 Category: Cosmetic Surgery Source Type: journals

Replacing Facial HairEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Facial plast Surg 2008; 24: 446-452DOI: 10.1055/s-0028-1102907ABSTRACTThe face is the second most common area for hair transplantation after the scalp. Areas that are transplanted include eyebrows, eyelashes, moustaches, beards, temples and temporal points, as well as scars either traumatic or the side effect of cosmetic procedures such as rhytidectomies or brow lifts. The hair is harvested from the same area as the hair that is transplanted to the head. For this reason, it grows longer than nongrafted facial hair and must be trimmed regularly. Occasionally, hair lower in the neck region is harvested, which is finer than o...
Source: Facial Plastic Surgery - November 27, 2008 Category: Cosmetic Surgery Source Type: journals

Scalp Reconstruction and RepairEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Facial plast Surg 2008; 24: 428-445DOI: 10.1055/s-0028-1102906ABSTRACTReconstruction and repair of scalp deformities poses several challenges. The repair and/or removal of the existing defect is often difficult; however, the appearance of the repair is often the most difficult challenge. Thus, an understanding of normal hair morphology, anatomy, and physiology is important to achieve long-lasting, satisfying results. We must anticipate future hair loss, communicate that to the patient, and consider it in surgical planning. In addition, residual effects such as radiation therapy after cancer resection may pose additional ch...
Source: Facial Plastic Surgery - November 27, 2008 Category: Cosmetic Surgery Source Type: journals

Understanding and Management of Female Pattern AlopeciaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Facial plast Surg 2008; 24: 414-427DOI: 10.1055/s-0028-1102905ABSTRACTFemale pattern hair loss is devastating to many of the 21 million U.S. women who suffer from it. It is essential to differentiate female pattern hair loss from other types of hair loss to ensure appropriate treatment. Through use of follicular units, follicular families, and follicular pairing between existing hair follicles, natural-looking results can be achieved in women. Hair transplants create the benefit of increasing density and providing options for hair styling and can be combined with medications, devices, and styling aids such as minoxidil, lo...
Source: Facial Plastic Surgery - November 27, 2008 Category: Cosmetic Surgery Source Type: journals

Follicular Unit ExtractionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes the instrumentation and surgical methodology of FUE. It also presents some surgical difficulties and how to minimize their impact. Indications and patient candidacy are also discussed.[...]© Thieme Medical PublishersGet connected:Table of contents | Abstract | Full text (Source: Facial Plastic Surgery)
Source: Facial Plastic Surgery - November 27, 2008 Category: Cosmetic Surgery Source Type: journals

Hairline Design in Hair Replacement SurgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article attempts to guide the reader through all of the considerations that must be made before settling on the best hairline for a given individual patient. Five essential components to the hairline's design and construction are considered in detail: the height of the hairline, the general contour of the hairline, the intersection of the hairline's lateral arms with the side fringe, creating macrocontouring and microcontouring, and, finally, the direction and angulation of the hairs along the hairline. The pros and cons for using either the hemioval or the flared hairline contours are outlined. The author's strong pr...
Source: Facial Plastic Surgery - November 27, 2008 Category: Cosmetic Surgery Source Type: journals

Follicular Unit TransplantationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Facial plast Surg 2008; 24: 381-388DOI: 10.1055/s-0028-1102902ABSTRACTFollicular unit transplantation (FUT) is the culmination of decades of refinement and evolution of hair transplantation techniques. Hair naturally grows in groups of one to four individual follicles separated by intervening soft tissue. These clumps or groups of hairs are termed . FUT uses microscopic dissection to separate these units for transplantation in a fashion that most closely resembles naturally occurring hair. FUT has grown to become recognized by many prominent hair restoration surgeons as the state-of-the-art method of hair replacement surge...
Source: Facial Plastic Surgery - November 27, 2008 Category: Cosmetic Surgery Source Type: journals