AbstractText: Blepharoplasty consistently ranks among the most common facialplasticsurgery procedure sought by both men and women ... there has been little research focused on quantifying how eyelid surgery changes facial perceptions AbstractText: To quantify the effect of blepharoplasty on facial perceptions and measure patient-reported ratings of fatigue before and ... first study, to date, aimed at quantifying the perceptions of facialaesthetic changes following blepharoplasty.
... emphasis on performing this procedure in male patients AbstractText: Review of the English PubMed/MEDLINE literature and specialty texts in cosmetic dermatology, oculoplastic, and facialaestheticsurgery regarding sex-specific use of chemical peels in men AbstractText: Conditions treated successfully with chemical peels in men include acne vulgaris, acne scarring, rosacea ...
... establish an optimal postrhinoplasty pain management regimen AbstractText: In this case series, opioid use was evaluated in 62 patients who underwent rhinoplasty performed by 3 fellowship-trained facialplastic surgeons, 2 in private practice in Texas and 1 in an academic setting in Michigan, from February 2016 to September 2016 ...
... Incision placement and design in rhytidectomy is critical for patient satisfaction AbstractText: To evaluate the aesthetic outcome of W-plasty vs traditional straight-line (SL) trichophytic closure techniques on posterior occipital hairline scars in rhytidectomy AbstractText: A retrospective cohort study was conducted at the Buckingham Center for FacialPlasticSurgery.
Abstract: In aesthetic sites, the integrity of the facial bone wall dimension in the anterior maxilla is jeopardized by physiologic and structural changes postextraction... Implant crowns (ICs) revealed significant median facial recession between IC10y and IC1y (0.17 mm. The facial bone wall dimensions were assessed by preoperative cone beam computed tomography and 2 subsequent scans taken at 6 and 10 ...
... facial scarring, for which they may seek consultation with a facialplastic surgeon... no management guidelines for patients with EDSs exist in the facialplasticsurgery literature... a review of the literature and management recommendations for the facialplastic surgeon AbstractText: We performed a PubMed/MEDLINE search for all ... EDS (the 2 most common subtypes) can typically undergo elective facialplasticsurgery without major complications.
Facialplastic surgeons and patients benefit from knowledge about how psychological aspects can influence the outcome of cosmetic surgery. The influence of preoperative self-consciousness of appearance and its effect on benefit after surgery in rhinoplasty patients has not been explored before in other studies.A prospective study was conducted on patients undergoing (septo)rhinoplasty for a combination of cosmetic ...
All patients underwent aestheticfacial lipofilling with either saline or PRP added. Outcome was determined by changes in skin elasticity, volumetric changes of the nasolabial fold, recovery time and patient satisfaction during follow-up (1 year).PRP did not improve the outcome of facial lipofilling when looking at skin elasticity improvement, graft volume maintenance in the nasolabial fold or patient ...
BACKGROUND: Soft tissue augmentation is increasingly being performed to treat male facial aging.
OBJECTIVE: To review anatomical consideration specific for the male face and define an approach to male soft tissue augmentation that creates harmonious and natural results.
CONCLUSION: Addressing aesthetic concerns in the upper face, midface, and lower face should be performed in concert with a combinatorial and pan facial approach. Correct filler placement at different areas of concern is important to achieve desired and natural results. Dermal and subcutaneous fillers can be used successfully in the male patient to enhance facial features, correct volume loss, and improve features of aging.
As head surgeon of the fifth division "blessés de la face" at the hospital of Val-de-Grace, Hippolyte Morestin was responsible for one of the largest surgical departments specializing in facialsurgery and reconstruction during the war. During his time of service, he developed various surgical techniques such as autoplasties using cartilaginous and adipose grafts to reconstruct tissue defects.
Members of the American Academy of FacialPlastic and Reconstructive Surgery (AAFPRS) were also surveyed regarding their clinical use of deoxycholic acid, fees, and adverse events AbstractText: The pooled analysis included 1738 unique patients (348 men [20.0%] and 1390 women [80.0%]; mean [SD] age, 47.7 [1.6] years) and revealed that ...
... and cosmetic components of rhinoplasty AbstractText: To develop, validate, and field test the Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS) to evaluate both functional and cosmetic outcomes of rhinoplasty AbstractText: Survey development study between October 2016 and April 2017 in a tertiary referral facialplastic and reconstructive surgery clinic.
In the right patient, alar flare reduction can improve nasal harmony and facialaesthetic balance; however, it is also difficult to correct if conducted inappropriately or overzealously. The unique anatomy and diverse morphologies of the alar lobule, and the dynamic relationship between flare and changes in tip projection, must be considered.
AbstractText: Corrective septorhinoplasty is one of the most common facialplastic surgeries. However, surgeons and patients sometimes disagree about postoperative-outcome satisfaction after corrective septorhinoplasty AbstractText: We investigated the factors that influenced the disagreement in satisfaction between surgeons and patients after corrective septorhinoplasty AbstractText: Surgeon satisfaction was assessed by other plastic surgeons by comparing patient photographs taken at the preoperative ...
BACKGROUND: Infraorbital skin depressions are one of the most troublesome facial areas for aesthetically aware patients.
OBJECTIVE: Evaluate effectiveness and safety of Juvéderm Volbella with Lidocaine (VYC-15L; Allergan plc, Dublin, Ireland) for correction of bilateral infraorbital depressions.
METHODS: In this 12-month, prospective, uncontrolled, open-label study, subjects aged ≥18 years with infraorbital depressions rated ≥1 on the Allergan Infra-oRbital Scale (AIRS) received injections of VYC-15L with optional touch-up treatment on Day 14. The primary efficacy measure was ≥1 AIRS grade improvement from baseline at month 1.
RESULTS: Of 80 subjects initially treated with VYC-15L, 75 (94%) completed the study. All injections were intentionally deep, most using multiple microbolus technique. At 1 month, 99.3% of eyes achieved ≥1 AIRS grade improvement. The responder rate (subjects with ≥1 AIRS grade improvement in both eyes) was 99% at month 1, 92% at month 6, and 54% at month 12. Most injection site reactions (e.g., bruising, redness, irregularities/bumps) were mild and resolved by day 14. Late-onset mild to moderate edema was observed in 11% of eyes at month 6% and 4% of eyes at month 12.
CONCLUSION: VYC-15L is effective and safe for the treatment of infraorbital depressions, with effectiveness lasting up to 12 months.
Objectives: SSc is a devastating disease that results in fibrosis of the skin and other organs. Fibroblasts are a key driver of the fibrotic process through deposition of extracellular matrix. The mechanisms by which fibroblasts are induced to become pro-fibrotic remain unclear. Thus, we examined the ability of SSc keratinocytes to promote fibroblast activation and the source of this effect.
Methods: Keratinocytes were isolated from skin biopsies of 9 lcSSc, 10 dcSSc and 13 control patients. Conditioned media was saved from the cultures. Normal fresh primary fibroblasts were exposed to healthy control and SSc keratinocyte conditioned media in the presence or absence of neutralizing antibodies for TGF-β. Gene expression was assessed by microarrays and real-time PCR. Immunocytochemistry was performed for α-smooth muscle actin (α-SMA), collagen type 1 (COL1A1) and CCL5 expression.
Results: SSc keratinocyte conditioned media promoted fibroblast activation, characterized by increased α-SMA and COL1A1 mRNA and protein expression. This effect was independent of TGF-β. Microarray analysis identified upregulation of nuclear factor κB (NF-κB) and downregulation of peroxisome proliferator-activated receptor γ (PPAR-γ) pathways in both SSc subtypes. Scleroderma keratinocytes exhibited increased expression of NF-κB-regulated cytokines and chemokines and lesional skin staining confirmed upregulation of CCL5 in basal keratinocytes.
Conclusion: Scleroderma keratinocytes promote the activation of fibroblasts in a TGF-β-independent manner and demonstrate an imbalance in NF-κB1 and PPAR-γ expression leading to increased cytokine and CCL5 production. Further study of keratinocyte mediators of fibrosis, including CCL5, may provide novel targets for skin fibrosis therapy.
... combined with fat grafting can be effective in treating atrophic facial scars from both an aesthetic and a functional perspective.In this prospective case series of ... Scar Assessment Scale (POSAS) to evaluate both the functional and aesthetic aspects of the atrophic facial scars... fat grafts may be an effective approach to treating atrophic facial scars from both an aesthetic and a functional perspective.4.
Many rhinoplasty patients present with a chief complaint of nasal deviation and are unaware of any inherent facial asymmetries; however, recognizing and discussing the interrelation between the deviated nose and facial asymmetry is an important consideration in surgical planning. The objective of this study was to evaluate whether a surgeon's subjective assessment of facial analysis in the setting of nasal deviation correlates with objective anthropometric measurements. In addition, this study sought to further quantify the frequency of facial asymmetry associated with nasal deviation to highlight important anatomical trends for the rhinoplasty surgeon. Finally, this study presents the senior author's (R.J.R.) method of addressing a deviated nose on an asymmetric face. In this study, the authors demonstrated that nasal deviation is closely related to facial asymmetry. Furthermore, the authors demonstrated that objective facial analysis closely correlates to anthropometric facial measurements. In addition, the wide side of the face correlates to the short side of the face and the nose tends to deviate away from the wide side of the face. During surgical correction of the deviated nose in the setting of facial asymmetry, the surgeon's goal should be to obtain nasal symmetry and center the nose on a line between the mid glabella and the mid Cupid's bow. This may reduce the perception of a facial asymmetry, leading to increased patient satisfaction.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Diagnostic, IV.
AbstractText: The relative value of facialplastic surgeon personal and practice attributes is relevant to the broader ... to patients AbstractText: To determine the relative value of specific facialplastic surgeon personal and practice attributes available online from the perspective ... to be sent email surveys and promotions at 3 private facialplastic and reconstructive surgery practices.