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An Evidence-Based and Case-Based Comparison of Modern Face Lift Techniques.
[BACKGROUND] Facial aging is a multifactorial process that affects each component of facial anatomy. The two general groups of face lift techniques are superficial musculoaponeurotic system (SMAS) elevation and SMAS manipulation. The purpos…
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Gender Considerations in Rhinoplasty.
Precise nasofacial analysis ahead of rhinoplasty is imperative. Features common to the White masculine nose are reviewed in a stepwise fashion and contrasted with those of the White feminine nose. A solid understanding of the cisgender male…
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An Update on the Surgical Management of the Bulbous and Boxy Tip.
The bulbous and box tips are two common morphologies encountered in rhinoplasty. Nasal tip reshaping is a challenging aspect of rhinoplasty. Understanding the classifications of nasal tip morphologies aids when performing a nasal-facial ana…
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The Five-Step Rhinoplasty Dead Space Closure Technique.
The creation of dead space in rhinoplasty creates a welcoming environment for erratic soft -tissue contraction. If rhinoplasty surgeons can control and reliably predict skin contraction and wound healing, rhinoplasty results will undoubtedl…
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Functional Nasal Surgery.
[LEARNING OBJECTIVES] After studying this article, the participant should be able to: (1) understand the functional significance of nasal anatomy as it relates to rhinoplasty and perform a comprehensive functional nasal assessment. (2) Iden…
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The Alar Equalization Suture for Nasal Tip Refinement.
Anatomic subtleties of the nasal tip have a dramatic impact on the overall appearance of the nose. Creation of the ideal nasal tip in rhinoplasty requires straight lower lateral cartilages, everted lateral crura, a higher caudal edge of the…
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Revisiting Primary Otoplasty: Surgical Approach to the Prominent Ear.
Prominent ears and other ear deformities are some of the most common congenital deformities of the head, affecting over 10 percent of the general population. In 2018, more than 10,000 otoplasties were performed in the United States, with ov…
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Perioperative Approach to Reducing Hematoma during Rhytidectomy: What Does the Evidence Show?
[BACKGROUND] Postoperative hematoma remains the most common complication in rhytidectomy, prompting surgeons to use a multitude of adjunctive measures to prevent its occurrence. The goal of this systematic review was to determine which of t…
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Secondary Rhinoplasty for Unilateral Cleft Nasal Deformity.
[BACKGROUND] Secondary cleft rhinoplasty presents some of the most challenging cases of both cosmetic and functional nasal deformities. Understanding the anatomy and growth abnormality seen with the cleft nasal deformity helps to tailor sur…
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Why Primary Rhinoplasty Fails.
Rhinoplasty remains one of the most challenging operations performed by plastic surgeons. The complexity lies in the ability to have a consistent and predictable aesthetic result. The unpredictability is mainly attributable to the interplay…
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Nasal Tip Shaping Finesse in Rhinoplasty.
Anatomic subtleties of the nasal tip have a dramatic impact on the overall appearance of the nose. Mastery of normal nasal aesthetics and anatomy is a critical prerequisite to adeptly performing nasal tip refinement during open rhinoplasty.…
- Evidence-Based Innovations Driving the Future of Plastic Surgery.
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Social Media Guidelines for Young Plastic Surgeons and Plastic Surgery Training Programs.
Social media are a powerful tool that creates a unique opportunity for the young plastic surgeon and trainee to share content, brand oneself, educate the public, and develop one's own professional voice early. The majority of all plastic su…
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Evidence-Based Medicine in Plastic Surgery: From Then to Now.
Evidence-based medicine, as described by Dr. Sackett, is defined as the "conscientious, explicit, and judicious use of current best evidence, combined with individual clinical expertise and patient preferences and values, in making decision…
- The Five-step Lower Blepharoplasty Technique Refined.
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The Left-handed Plastic Surgery Trainee: Perspectives and Recommendations.
[UNLABELLED] Left-handed surgeons experience difficulty with tools designed for use in the right hand. The purpose of this study was to examine instrument laterality and to survey the experiences of left-handed plastic surgery trainees. [M…
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Decision-Making in Middle Vault Reconstruction following Dorsal Hump Reduction in Primary Rhinoplasty.
[BACKGROUND] Dorsal hump reduction during open rhinoplasty disrupts the continuity between the upper lateral cartilages and the dorsal septum. Options to reconstitute the midvault include primary closure of the upper lateral cartilages to t…
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Cosmetic Surgery Safety: Putting the Scientific Data into Perspective.
Optimizing patient safety and outcomes remains at the forefront of cosmetic surgery today. The five most commonly performed procedures are breast augmentation, liposuction, rhinoplasty, blepharoplasty, and abdominoplasty. Safety of all cosm…
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Systematic Surgical Approach to Alar Base Surgery in Rhinoplasty.
In an era with smartphone photography and social media (specifically, "selfies"), basal view aesthetics is becoming increasingly important. Achieving balance between the nasal base and the remainder of the nose and face while preserving or …
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The efficacy of online communication platforms for plastic surgeons providing extended disaster relief.
[BACKGROUND] Immediately after the January 2010 earthquake in Haiti, plastic surgeons provided disaster relief services through the University of Miami Miller School of Medicine for 5 months. To improve surgical care and promote awareness o…
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Inferior pedicle breast reduction: a retrospective review of technical modifications influencing patient safety, operative efficiency, and postoperative outcomes.
[BACKGROUND] The inferior pedicle technique remains the most popular approach to breast reduction in the United States. Modifications to this procedure have enhanced versatility, patient safety, and outcome satisfaction in patients with all…
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Accelerating surgical training and reducing the burden of surgical disease in Haiti before and after the earthquake.
In general, university-based global health initiatives have tended to focus on expanding access to primary care. In the past, surgical programs may have been characterized by sporadic participation with little educational focus. However, th…
- Postearthquake plastic surgery mission trip to Port-au-Prince, Haiti: a medical student's perspective.
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Principles of plastic surgery portrayed by the professional life of Dr John Peter Mettauer.
Regarded as "America's first plastic surgeon," Dr John Peter Mettauer's professional life displays 3 fundamental keystones of plastic surgery: education, innovation, and practice. To fully appreciate the history of our plastic surgery, one …