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The Detailed Anatomy of the Deep Plane of the Face and Neck with Current Nomenclature Facial Plast. Surg. (IF 1.0) Pub Date : 2024-03-15 Benjamin Talei, Hedyeh Ziai
The 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
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Cartilage-Sparing Otoplasty: An Overview of the Mustardé and Furnas Suture Techniques Facial Plast. Surg. (IF 1.0) Pub Date : 2024-03-15
Otoplasty is commonly used to treat prominauris. Cartilage-sparing techniques for otoplasty are well popularized. The most common cartilage-sparing otoplasty techniques include the Mustardé and Furnas techniques. This article discusses the preparation, surgical steps, postoperative care, and associated complications for Mustardé and Furnas otoplasty in detail.
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“Should Pediatric Septal Surgery and Septorhinoplasty Be Performed for Nasal Obstruction?”—A Systematic Review of the Literature Facial Plast. Surg. (IF 1.0) Pub Date : 2024-03-15 Theodore Howard, Isabelle Williams, Annakan Navaratnam, Nora Haloob, Kostadin Stoenchev, Hesham Saleh
Corrective 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
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Effect of Dorsal Preservation Techniques on Septum Strength: An Experimental Animal Study Facial Plast. Surg. (IF 1.0) Pub Date : 2024-03-08 Ozan Erol, Veysel Berber, Germán Armando Soto-Galindo, Fazil Apaydin
This 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
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Reconstructive Techniques in Pediatric Congenital Microtia: A Systematic Review and Meta-analysis Facial Plast. Surg. (IF 1.0) Pub Date : 2024-02-23 Hugh Andrew Jinwook Kim, Amirpouyan Namavarian, Urooj Khan, Ben B. Levy, Hedyeh Ziai, Ben Talei, Andres Gantous
Autografts 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
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The Body Dysmorphic Disorder Questionnaire—Aesthetic Surgery: Are We Screening the Troublesome Patients? Facial Plast. Surg. (IF 1.0) Pub Date : 2024-02-15
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
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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. (IF 1.0) Pub Date : 2024-02-15 Edwin F. Williams III, Matthew J. Urban
The 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
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Surgical Rhinoplasty in Mild Forms of Body Dysmorphic Disorder: Safety, Protocols, and Long-Term Outcomes Facial Plast. Surg. (IF 1.0) Pub Date : 2024-02-09 Munish Shandilya, Stephanie Bourke, Avi Shandilya
Body dysmorphic disorder (BDD) is an obsessive–compulsive disorder concerning body image which negatively distorts the patient's perception of their appearance. In rhinoplasty, surgery on patients with severe BDD is considered contraindicated as patients are often dissatisfied and their BDD symptoms rarely improve. For patients with borderline to mild BDD, however, there has been some preliminary evidence
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Outcomes of Free Flap Transfer in Facial Reanimation: A Review Facial Plast. Surg. (IF 1.0) Pub Date : 2024-02-09
Free 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
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An Evidence-based Pathway for Body Dysmorphic Disorder in Facial Aesthetics Facial Plast. Surg. (IF 1.0) Pub Date : 2024-02-09 Rishi Mandavia, Hanna D'Souza, Thiara Rupasinghe, Massimiliano Cariati, Tatiana Mandavia
Aesthetic 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
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Impact of Psychiatric Symptoms on Nasal Perception in Septorhinoplasty Patients Facial Plast. Surg. (IF 1.0) Pub Date : 2024-02-09 Ralph Hohenberger, Ingo Baumann, Frank Riedel, Peter K. Plinkert, Olcay Cem Bulut
Psychological 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
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Doxycycline Sclerodesis—“Rhinodesis”—for Enhanced Soft Tissue Adhesion in Rhinoplasty: A Preliminary Study Facial Plast. Surg. (IF 1.0) Pub Date : 2024-02-08 Milos Kovacevic, Aaron M. Kosins, Richard Davis, Salwa Al Maamari, Alwyn D'Souza
The use of doxycycline as a sclerosing agent is well-established. Given the clinical efficacy of doxycycline sclerosant therapy, we embarked upon a study to evaluate the efficacy of small-volume liquified doxycycline particularly in thick skinned rhinoplasty patients to promote re-adhesion of the nasal skin-soft tissue envelope (SSTE) thereby minimizing surgical dead space and enhancing surface contour
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Overview of Nasal Airway and Nasal Breathing Evaluation Facial Plast. Surg. (IF 1.0) Pub Date : 2024-02-08 Rui Xavier
Several 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
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Peak Nasal Inspiratory Flow (PNIF) for Nasal Breathing Evaluation Facial Plast. Surg. (IF 1.0) Pub Date : 2024-02-08 Rui Xavier
Measuring 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
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Body Dysmorphic Disorder: A Decade of Mandatory Psychiatric Evaluation in Cosmetic Rhinoplasty Aspirants Facial Plast. Surg. (IF 1.0) Pub Date : 2024-02-08
The 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
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Algorithm for Nasal Breathing Impairment Evaluation Facial Plast. Surg. (IF 1.0) Pub Date : 2024-02-01 Rui Xavier
Assessing patients with complaints of nasal obstruction has traditionally been done by evaluation of the nasal airway looking for fixed or dynamic obstructive locations that could impair nasal airflow. Not infrequently, however, symptoms of nasal obstruction do not match the clinical examination of the nasal airway. Addressing this subset of patients may be a challenge to the surgeon. Evaluation of
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Evaluation of the Patient with Facial Palsy: A Multidisciplinary Approach Facial Plast. Surg. (IF 1.0) Pub Date : 2024-02-01 Hala Kanona, Shakeel R. Saeed, Premjit Randhawa, Rebecca Kimber, Anne Rodger, Sherif Khalil, Peter Andrews
This article aims to provide an overview of the management of facial palsy within a multidisciplinary team setting and discusses considerations used to develop patient-specific management plans. The national landscape of facial function services is also discussed including suggestions on what may enable a more equitable and sustainable service for the future.
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Forehead Reduction Surgery with Hairline Advancement Facial Plast. Surg. (IF 1.0) Pub Date : 2024-01-30 Jorge Espinosa, Luis Solís, Roxana Cobo, Nicolas Heredia, Mauricio Puerta, Diego Corredor, Carol Fonseca
Hairline reduction surgery, also known as aesthetic forehead reduction, is a surgical procedure that aims to reduce the upper facial third and improve facial harmony. This article describes the anatomy of hairline advancement surgery and the surgical technique used by the author. The study included 21 patients from 2019 to 2023, and the forehead reduction length was on average 22.48 ± 2.64 mm. The
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Aesthetic Outcomes of Rhinoplasty Performed in the Early Posttrauma Period after Nasal Bone Fracture Facial Plast. Surg. (IF 1.0) Pub Date : 2024-01-29 Pei-Hsun Liao, Junyong Go, Chak Yuen Fung, Yong Ju Jang
The optimal timing of rhinoplasty for patients with nasal bone fractures remains controversial. We investigated whether the timing of rhinoplasty after nasal trauma affects the aesthetic outcome of the procedure. A total of 41 adult patients with nasal bone fractures who underwent rhinoplasty between 2006 and 2021 were enrolled in this study. A visual analog scale (VAS) was used to indicate the assessor's
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Secondary Forehead Lift in Transgender Women Facial Plast. Surg. (IF 1.0) Pub Date : 2024-01-29 Lucas G. Patrocinio, Jose A. Patrocinio
Facial feminization surgery includes a series of procedures that aim to attenuate the masculine features of the face and make the face more feminine and harmonic. During the past few years, several feminization techniques have been developed or adapted to this discipline. The current intervention of the forehead for feminization is based on the setback of the anterior wall of the frontal sinus and
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A Combined Approach of Facial Neuromuscular Rehabilitation and Surgical Reconstruction in the Remediation of Facial Palsy: A Multidisciplinary Team Approach Facial Plast. Surg. (IF 1.0) Pub Date : 2024-01-29 Rebecca Kimber, Anne Rodger, Rachel Higgins, Gerry Christofi
Facial neuromuscular rehabilitation (fNMR) is an evidence-based practice for the treatment of peripheral facial palsy (PFP). Surgical reconstruction can be indicated for patients who demonstrate poor or no recovery to support symmetry, function, and aesthesis. There is paucity of research demonstrating the therapeutic benefit of a multidisciplinary team (MDT) in facial recovery of this specific subpopulation
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Artificial Intelligence in Facial Plastic and Reconstructive Surgery: A Systematic Review Facial Plast. Surg. (IF 1.0) Pub Date : 2024-01-22 Jorge Alberto Espinosa Reyes, Mauricio Puerta Romero, Roxana Cobo, Nicolas Heredia, Luis Alberto Solís Ruiz, Diego Andres Corredor Zuluaga
Artificial intelligence (AI) is a technology that is evolving rapidly and is changing the world and medicine as we know it. After reviewing the PROSPERO database of systematic reviews, there is no article related to this topic in facial plastic and reconstructive surgery. The objective of this article was to review the literature regarding AI applications in facial plastic and reconstructive surgery
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Measurement of Nasal Obstruction: Rhinomanometry as Basic Method in Functional Rhinology Facial Plast. Surg. (IF 1.0) Pub Date : 2024-01-15
Measuring nasal obstruction should be mandatory before every nasal surgery to determine the necessary surgical steps and to separate mucosal congestion from skeletal deformity. Rhinomanometry is considered the “golden standard” for measuring nasal airway resistance. An extension of the diagnostic power was achieved by the introduction of the four-phase rhinomanometry (4PR), which provides additional
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Head and Neck Injuries among Powered Scooter Users between 2010 and 2019 Facial Plast. Surg. (IF 1.0) Pub Date : 2024-01-15
Powered scooters, including electric scooters (e-scooters), have become an increasingly available and popular mode of personal transportation, but the health risks of these devices are poorly explored. We aim to quantify the increase in frequency of powered scooter–associated head and neck region injuries occurring yearly from 2010 to 2019, and to compare the frequency and severity of injury with those
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Nasal Obstruction: Overview of Pathophysiology and Presentation of a Clinically Relevant Preoperative Plan for Rhino(Septo)plasty Facial Plast. Surg. (IF 1.0) Pub Date : 2024-01-15 Simon Snoeks, Enrique Velasco, Karel Talavera, Peter W. Hellings
Impairment of nasal breathing is a highly prevalent and bothersome symptom that affects daily functioning and/or sleep quality. Those surgeons dealing with patients seeking rhinoplasty need to carefully analyze the preoperative nasal breathing capacity and predict the positive or even negative impact of rhino(septo)plasty on nasal breathing. Given the lack of correlation between the subjective feeling
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Computational Fluid Dynamics and Its Potential Applications for the ENT Clinician Facial Plast. Surg. (IF 1.0) Pub Date : 2024-01-15 Zachary T. Root, Aspen R. Schneller, Thomas J. Lepley, Zhenxing Wu, Kai Zhao
This article is an examination of computational fluid dynamics in the field of otolaryngology, specifically rhinology. The historical development and subsequent application of computational fluid dynamics continues to enhance our understanding of various sinonasal conditions and surgical planning in the field today. This article aims to provide a description of computational fluid dynamics, the methods
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Reshaping the Face and Neck via the Deep Plane Approaches is Appropriate for the More Youthful as Well as the More Aged Face Facial Plast. Surg. (IF 1.0) Pub Date : 2024-01-15
Rhytidectomy has witnessed significant advancements in recent years, particularly in the realms deep plane facelift and more aggressive neck contouring. As the procedures have become increasingly intricate and invasive, the imperative to develop refined tools and methodologies has risen. These tools and methods are essential not only for the evaluation of aesthetic outcomes but also for the comprehensive
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Utility of J-Shaped Scar Tissue-Based Flap for Secondary Bilateral Cleft Lip Repair: A One-Stage Procedure with Successful Outcomes on Correction of Vermilion Border, Volume Deficiency of Lip, and Muscular Function Facial Plast. Surg. (IF 1.0) Pub Date : 2024-01-10 Ayhan Okumus
This study aimed to evaluate the utility of J-shaped scar-tissue-based flap as a new technique in secondary bilateral cleft lip reconstruction in patients with challenging secondary deformities. A total of 52 patients, comprising 38 males and 14 females with a mean age of 21.0 years (range: 16–42 years), who underwent secondary bilateral cleft lip repair operation via the J-shaped scar tissue flap
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ChatGPT and Rhinoplasty Recovery: An Exploration of AI's Role in Postoperative Guidance Facial Plast. Surg. (IF 1.0) Pub Date : 2024-01-10 Marta Capelleras, Germán A. Soto-Galindo, Marc Cruellas, Fazil Apaydin
The potential applications of artificial intelligence (AI) in health care have garnered significant interest in recent years. This study presents the first published exploration of ChatGPT, an AI language model, as a tool for providing postoperative guidance during rhinoplasty recovery. The primary objective was to shed light on the role of ChatGPT in augmenting patient care during the critical postoperative
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Complications with Follicular Unit Excision Facial Plast. Surg. (IF 1.0) Pub Date : 2024-01-10 Kenneth L. Williams Jr, Shady El-Maghraby
Hair restoration surgery (HRS) is typically a safe outpatient or office-based procedure when physicians follow high ethical standards and uphold community practice standards. Patients' clinical outcomes are mostly operator dependent, and temporary and permanent complications rarely occur. Follicular unit excision (FUE) donor harvesting, in particular, is a challenging harvesting technique requiring
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The Rhinoplasty Health Care Monitor: An Update on the Practical and Clinical Benefits after 10 Years of Prospective Outcome Measurements Facial Plast. Surg. (IF 1.0) Pub Date : 2024-01-10 Victor S. van Dam, Floris V.W.J. van Zijl, Bernd Kremer, Frank R. Datema
The era of value-based health care is characterized by an increasing interest in patient-reported health outcomes. For this purpose we developed the rhinoplasty health care monitor (RHM), a streamlined outcome measurement protocol, including all rhinoplasty patients since 2014. Statistical analyses of patient-reported outcome data are automated and visually presented on a custom web-based dashboard
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Nasal Airway Evaluation Facial Plast. Surg. (IF 1.0) Pub Date : 2024-01-10 Paloma I. Perez, Christine Mei, Robin W. Lindsay, Shekhar K. Gadkaree
The nose has several important functions including inspiration, humidification of air, and filtering of allergens. The nose also has a major role in facial harmony as the central focal point. Patients will present to the rhinoplasty surgeon in an effort to fix the inability to breathe through the nose or correct a perceived nasal deformity in the shape of the nose. Choosing the optimal techniques to
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Nasal Patency Measurement: State of the Art of Acoustic Rhinometry Facial Plast. Surg. (IF 1.0) Pub Date : 2024-01-10 Giancarlo Ottaviano
Nasal obstruction is one of the main symptoms of different nasal pathologies. Many physiological and pathological conditions can produce nasal airflow impairment causing nasal obstruction and affecting patients' quality of life. There are different methods for the measurement of nasal obstruction, but in clinical practice the most common used are acoustic rhinometry, rhinomanometry, and peak nasal
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Nasal Breathing Assessment Using Computational Fluid Dynamics: An Update from the Rhinologic Perspective Facial Plast. Surg. (IF 1.0) Pub Date : 2024-01-10 Thomas Hildebrandt, Werner Johannes Heppt
An objective assessment of nasal breathing is currently insufficiently achievable. The application of computational fluid dynamics for this purpose is increasingly gaining attention. However, the suggested specific frameworks can differ considerably. To the best of our knowledge, there is not yet a widely accepted clinical usage of computational fluid dynamics. In this article, selected aspects are
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Facial Nerve Considerations for the Deep Plane Facelift and Neck Lift Facial Plast. Surg. (IF 1.0) Pub Date : 2024-01-10 Babak Azizzadeh, Richard J. Lu
The surgical approach to facial rejuvenation has evolved significantly over the last century. As surgeons have deepened their understanding of facial anatomy over the last half century, so have their surgical approaches to the rhytidectomy, with increasingly extensive manipulation of the underlying soft tissue in the face. While these procedures have become more comprehensive and natural in their approach
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Imaging Nasal Obstruction: An Objective Evaluation for a Subjective Complaint Facial Plast. Surg. (IF 1.0) Pub Date : 2024-01-10 Vasco R.L.S. Abreu, João A. Xavier
Nasal obstruction (NO) is a common clinical symptom characterized by a subjective sensation of insufficient airflow through the nasal cavity and may result from various factors, including changes in nasal anatomy, inflammatory conditions, tumoral lesions, and other etiologies. While a thorough medical history and physical examination can often identify its cause, imaging is usually necessary to fully
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Effectiveness of ChatGPT in Identifying and Accurately Guiding Patients in Rhinoplasty Complications Facial Plast. Surg. (IF 1.0) Pub Date : 2023-12-27 Germán A. Soto-Galindo, Marta Capelleras, Marc Cruellas, Fazil Apaydin
Postoperative complications in rhinoplasty require prompt intervention for optimal outcomes. ChatGPT, an artificial intelligence (AI) tool, offers potential for assisting in postoperative care. This study aims to assess ChatGPT's effectiveness in providing guidance for various rhinoplasty complications. Different complication scenarios were input into ChatGPT. Responses were categorized into “Contact
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Way Forward in Improving Rhinoplasty Outcomes Facial Plast. Surg. (IF 1.0) Pub Date : 2023-12-27 Rui Xavier
Rhinoplasty is an elective surgical procedure to attain an aesthetic and functional improvement of the nose. The level of expectation of the patient—and the surgeon—regarding the outcome of a rhinoplasty is usually high, and any result that is less than perfect can be seen as a failure. To achieve consistently good results in rhinoplasty, the surgeon should be meticulous at every step of the procedure
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Ultrasonic Deep-Plane Neck Lift Facial Plast. Surg. (IF 1.0) Pub Date : 2023-12-20 Richard D. Gentile
Ultrasonic deep-plane neck lift is a new approach for addressing both the subsuperficial musculoaponeurotic system and subplatysmal soft tissues during facial rejuvenation procedures. This innovative surgical approach utilizes 2.2, 2.9, and 3.7 stainless steel probes that are powered by high-frequency ultrasound. Using high-frequency ultrasound in the subcutaneous spaces has been accomplished for the
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The Association of Same-Day CT Scan with Postoperative Outcomes in Isolated Orbital Fracture Repair Facial Plast. Surg. (IF 1.0) Pub Date : 2023-12-13 Kwasi Enin, Cole Pavelchek, Yupeng Liu, Sebastian Sciegienka, Emily Spataro
The potential benefits to surgical outcomes of intraoperative and/or same-day computed tomography (CT) during isolated orbital fracture reconstruction are debatable, and previous research on this topic is limited by small sample size. This retrospective IBM MarketScan Commercial and Medicare Supplemental research database study examined patients undergoing isolated orbital reconstruction from January
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Endoscopic, “Scarless” Composite Flap Face and Neck Lift Facial Plast. Surg. (IF 1.0) Pub Date : 2023-12-13 Marc Mani
Deep-plane or composite flap facelift techniques allow deep structural rejuvenation of the face by release of retaining ligaments in the subsuperficial musculoaponeurotic system (sub-SMAS) plane with elevation and fixation of the SMAS/platysma/skin flap as a single, “en bloc” unit. This means that in the cases with mild to moderate skin laxity, the preauricular incision serves the purpose of access
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Paradigm Shift from Linear Strip to Follicular Unit Excision in Hair Restoration Surgery Facial Plast. Surg. (IF 1.0) Pub Date : 2023-12-13 Konstantinos Anastassakis
Follicular unit excision (FUE) is a very effective and valuable modality for obtaining donor hair follicles using manual, motorized, or robotic devices to harvest individual donor follicular units in situ without a linear donor scar or visible scarring making it ideal for patients who wish to wear their hair short and hide signs of surgery. Over the past two decades, FUE has become increasingly popular
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Advancements in Graft Placement Techniques Facial Plast. Surg. (IF 1.0) Pub Date : 2023-12-11 Mauro Speranzini, Solon E.G. Souza
For decades, the placement of follicular units (FUs) into incisions in the recipient area was exclusively carried out using forceps. In 1992, Dr. Choi introduced an instrument known as the “implanter,” which had the advantage of simultaneously creating incisions and placing FUs without damaging sensitive parts. Its initial popularity was greater in the East, primarily due to the characteristics of
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Ethical Considerations in Follicular Unit Excision Surgical Procedures Facial Plast. Surg. (IF 1.0) Pub Date : 2023-12-06 Paul T. Rose
Follicular unit excision (FUE) is an increasingly popular hair restoration technique. In many instances, it surpasses linear strip excision (LSE) surgery in terms of number of procedures and clinics dedicated to performing FUE. The rise in popularity relates primarily to a somewhat misguided perception that FUE produces less evidence of a surgical procedure having been performed. This is based on the
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Medical Treatment for Androgenetic Alopecia Facial Plast. Surg. (IF 1.0) Pub Date : 2023-12-04 Ratchathorn Panchaprateep
Androgenetic alopecia is a common type of hair loss, which is generally influenced by genetic factors and systemic androgens resulting in follicular miniaturization.1 It can cause cosmetic problems leading to psychological distress among affected men and women. Effective standard medical treatments available are topical minoxidil 2 to 5%, oral finasteride, oral dutasteride, and hair transplantation
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Instrumentation and Devices Specific to Follicular Unit Excision Facial Plast. Surg. (IF 1.0) Pub Date : 2023-12-04 David S. Josephitis
The volume of hair transplantation procedures done via the follicular unit excision (FUE) harvesting technique has increased tremendously over the last few years. With this growth, new advances in technology have come along. The wide variety of instrumentation and devices can be overwhelming, especially for a novice surgeon. This chapter aims to discuss the relevant aspects of FUE and its relationship
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Concepts, Terminology, and Innovations in Follicular Unit Excision Hair Restoration Surgery Facial Plast. Surg. (IF 1.0) Pub Date : 2023-12-04 Aditya K. Gupta, Shruthi Polla Ravi
Follicular unit excision (FUE) has emerged as the preferred method for hair transplants. Standardized terms and definitions established by members of the International Society of Hair Restoration Surgery and prominent hair restoration surgeons have become the standard, enabling effective knowledge sharing. This chapter provides an overview of the terminology relating to the field. The historical evolution
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From Nasolabial Folds to Pan-facial Rejuvenation—The Evolution of Fillers in my Career Facial Plast. Surg. (IF 1.0) Pub Date : 2023-12-04
This is a comprehensive review of facial fillers including landmark studies and expert commentary spanning the years from 2003 (when the first hyaluronic acid [HA] dermal filler underwent Food and Drug Administration approval in United States) to present.
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Deep-Plane Rhytidectomy: Pearls in Maximizing Outcomes while Minimizing Recovery Facial Plast. Surg. (IF 1.0) Pub Date : 2023-12-04
The deep-plane rhytidectomy was first described in 1990 and has gained traction in the past decade as supported by anatomy, embryology, and clinical evidence. Consumer dissatisfaction in facial rejuvenation procedures often occurs because procedures are too conservative and are undone. From the consumer's perspective, an outcome is a combination of the esthetic result, predictability, and the length
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Follicular Unit Excision Donor Area Management and Considerations of the Scalp Facial Plast. Surg. (IF 1.0) Pub Date : 2023-12-04 Timothy P. Carman, William Rassman
Over the last several years, follicular unit excision (FUE) donor harvesting has become the predominant donor harvest method, surpassing the traditional method of linear strip excision donor harvesting. While this may offer advantages in specific clinical settings, the reality of ongoing losses with the natural evolution of male patterned hair loss places a premium on obtaining as much lifetime donor
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Anesthesia Techniques for Harvesting via Follicular Unit Excision Facial Plast. Surg. (IF 1.0) Pub Date : 2023-12-04
Follicular unit excision (FUE) is one of the established techniques for harvesting donor hair for hair transplantation. Traditionally, hair restoration surgery is performed using local anesthesia, although some surgeons use general anesthesia for the procedure. Normally, local anesthesia is coupled with light oral sedation to make the procedure more comfortable for patients. Techniques such as “ring
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A-T Flap for Reconstruction of Nasal Dorsum Skin Defects Facial Plast. Surg. (IF 1.0) Pub Date : 2023-11-28 Peter Deutsch, Jack Limbrick, Shahram Anari
Background Reconstruction of nasal defects can be challenging, especially when encountering larger defects. We describe the use of a single-stage conversion of an ‘A’ shaped defect to a ‘T’ shaped scar of large nasal skin defects in the cosmetically sensitive supra-tip and supra-alar regions. Objective This study aimed to determine whether an A-T flap is a suitable option for nasal reconstruction and
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Revision Rhytidectomy: Pearls and Pitfalls Facial Plast. Surg. (IF 1.0) Pub Date : 2023-11-28 Kasra Ziai, Babak Azizzadeh
While rhytidectomy can yield remarkable results, some patients may subsequently require revision rhytidectomy due to either unsatisfactory outcomes from primary surgery or the natural aging process many years later. Like most other secondary plastic surgical procedures, revision rhytidectomy is a complex undertaking and fraught with potential pitfalls. This can be attributable to natural or postsurgical
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Patient Selection for Follicular Unit Extraction versus Linear Strip Donor Harvesting Facial Plast. Surg. (IF 1.0) Pub Date : 2023-11-28
Follicular 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
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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. (IF 1.0) Pub Date : 2023-11-28 Sharon A. Keene, Alejandra Susacasa, Paulo Miranda, Henrique Radwanski
Follicular 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
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Deep Neck Contouring: Indications and Techniques Facial Plast. Surg. (IF 1.0) Pub Date : 2023-11-28 Ahmad Bogari, Ozcan Cakmak
A deep comprehension of key anatomical issues, along with the targeted application of suitable therapies, is vital for attaining exceptional neck contours. Traditional surgical approaches often focus solely on modifying subcutaneous fat and, occasionally, the platysma muscle, neglecting subplatysmal structures. This narrow focus may yield less-than-ideal results and potentially exacerbate existing
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Immediate hypersensitivity caused by the mesotherapy. Facial Plast. Surg. (IF 1.0) Pub Date : 2023-11-28 Hayson Chenyu Wang,Hua Xu
NA.
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Follicular Unit Excision in Hair Restoration Surgery. Facial Plast. Surg. (IF 1.0) Pub Date : 2023-11-28 Steven Gabel
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Considerations in Forehead Reduction for Men Facial Plast. Surg. (IF 1.0) Pub Date : 2023-11-22 José Miguel Núñez-Castañeda, Silvana Lucia Chang-Grozo
Although 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
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PHAT Lips and PHAT Face: Platelet Hybridized Adipose Therapy for Superficial Musculoaponeurotic System and Dermal Rejuvenation Facial Plast. Surg. (IF 1.0) Pub Date : 2023-11-20 Benjamin Talei, Hedyeh Ziai
Platelet-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