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Extended Deep Plane Facelift and Structural Neck Contouring: Technical Considerations for Comprehensive Surgical Facial Rejuvenation.
Rhytidectomy is one of the most effective procedures for facial rejuvenation. The extended deep plane facelift technique and structural neck contouring are powerful surgical tools that require advanced anatomic knowledge and technical skill…
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Revision Rhytidectomy: Pearls and Pitfalls.
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 secondar…
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Dual Innervation of the Depressor Labii Inferioris and Implications for Deep Plane Facelift and Structural Neck Contouring: Insights from In Vivo Stimulation of the Facial Nerve Branches.
Injury to the depressor labii inferioris (DLI) is a frequent cause of lower lip asymmetry following deep plane facelift and structural neck contouring. This study characterizes the in vivo innervation of the DLI through intraoperative facia…
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Evaluating Facelift Outcomes and Technique Trends in the United States.
[OBJECTIVES] Highlight current trends in facelifting as facelift techniques continue to evolve as surgeons seek to improve outcomes and longevity. [METHODS] A REDCap survey was distributed to AAFPRS members. [RESULTS] A total of 150 surge…
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Buccal Fat Pad Modification in Deep Plane Facelift: Technical and Facial Nerve Considerations.
Buccal fat pad (BFP) modification can help aesthetic facial balancing. It can be approached through an intraoral incision, which is more standard, or through a deep-plane facelift approach. Here, we describe the unique technique of removal …
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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.
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 de…
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Facial Nerve Considerations for the Deep Plane Facelift and Neck Lift.
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,…
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Characterizing the Rhinoplasty Outcomes Most Important to Patients, Surgeons, and the General Population.
Understanding rhinoplasty characteristics important to patients, physicians, and society is essential for evaluating outcomes and designing optimal treatment plans. The authors aimed to elucidate specific rhinoplasty-related outcomes that a…
- Consideration of Aesthetic Rhinoplasty in Children and Adolescents.
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Rhinoplasty for Thick-Skinned Noses: A Systematic Review.
[OBJECTIVE] The purpose of this systematic review is to critically examine the literature published on rhinoplasties in thick-skinned patients to determine how to maximize outcomes in these patients. [METHODS] The PubMEd and Google Scholar…
- Correction: Rhinoplasty for Thick-Skinned Noses: A Systematic Review.
- Letter to the Editor: Boyd. Implementation of a Secondary Application to Increase Efficiency in the Plastic Surgery Match (Ann Plast Surg. 2020;84:475).
- Long-Term Changes in the Treatment Pattern of Botulinum Toxin A Injections for Postfacial Paralysis Synkinesis Following Modified Selective Neurectomy.
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Correction of the Overly Shortened Nose.
The overly shortened nose can often be the result of previous rhinoplasty. The causes can include weakening or missing cartilage for nasal tip support as well as contraction and scarring of the skin. The purpose of this article was to provi…
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Outcomes of a Treatment Protocol for Compromised Nasal Skin in Primary and Revision Open Rhinoplasty.
This is the first study to review the incidence of nasal skin compromise after open rhinoplasty surgery and outcomes of treatment. To determine whether risk of skin compromise after open rhinoplasty surgery can be predicted and whether our…
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Modern Management of Facial Nerve Disorders.
Facial paralysis is a devastating condition, encompassing a spectrum of disorders, with resultant psychosocial, functional, and aesthetic sequelae. With this in mind, an individualized treatment approach based on the cause, pattern, and dur…
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Subunit Approach to Facelifting and Facial Rejuvenation.
Facial analysis techniques traditionally separate the upper, middle, and lower facial thirds as distinct entities without guidance in achieving aesthetic youthfulness. There is now an opportunity to develop better analytical tools and speci…
- The Roles and Challenges of Facial Plastic Surgeons in Pandemics.
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Telemedicine Practices of Facial Plastic and Reconstructive Surgeons in the United States: The Effect of Novel Coronavirus-19.
The objectives of this study among facial plastic and reconstructive surgeons (FPRS), include (1) quantifying the use of telemedicine, (2) examining the impact of novel coronavirus-19 (COVID-19) on telemedicine practices, (3) highlighting t…
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Modified Selective Neurectomy for the Treatment of Post-Facial Paralysis Synkinesis.
[BACKGROUND] To address functional and smile dysfunction associated with post-facial paralysis synkinesis, the senior author (B.A.) has offered "modified selective neurectomy" of the lower division of the facial nerve as a long-term solutio…
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Surgical Management of Postparalysis Facial Palsy and Synkinesis.
Modified selective neurectomy of the distal branches of the buccal, zygomatic, and cervical branches of the facial nerve in addition to platysmal myotomy is an effective surgical procedure for the treatment of postfacial paralysis synkinesi…
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Current Trends in Upper and Lower Eyelid Blepharoplasty Among American Society of Ophthalmic Plastic and Reconstructive Surgery Members.
[PURPOSE] To assess current practice patterns for management of upper and lower eyelid blepharoplasty by active American Society of Ophthalmic Plastic and Reconstructive Surgery members. [METHODS] An invitation to participate in a web-base…
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Botulinum Toxin and Muscle Atrophy: A Wanted or Unwanted Effect.
While the facial rejuvenating effect of botulinum toxin type A is well known and widespread, its use in body and facial contouring is less common. We first describe its use for deliberate muscle volume reduction, and then document instances…
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Dorsal Hump Reduction and Osteotomies.
This article discusses the technique for planning, executing, and troubleshooting dorsal hump reduction for the cosmetic rhinoplasty patient. Details of the discussion include the necessary elements of the preoperative consultation with the…
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Microbiology and antibiotic prophylaxis in rhinoplasty: a review of 363 consecutive cases.
[IMPORTANCE] A practical technique for reducing infectious complications from rhinoplasty would represent an important surgical advance. [OBJECTIVES] To describe the microbial flora of patients undergoing septorhinoplasty and to evaluate t…
- Preface. Lower eyelid and midface aesthetics and rejuvenation: views from four disciplines.
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The minimally invasive, orbicularis-sparing, lower eyelid recession for mild to moderate lower eyelid retraction with reduced orbicularis strength.
IMPORTANCE Identifying a procedure to address lower eyelid retraction (LER) in the presence of an orbicularis deficit is a useful tool for aesthetic and reconstructive eyelid surgery. OBJECTIVE To describe and evaluate a surgical technique …
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New insights into physical findings associated with postblepharoplasty lower eyelid retraction.
[BACKGROUND] Postblepharoplasty lower eyelid retraction (PBLER) has been linked to anterior lamellar shortage, unaddressed eyelid laxity, and middle lamellar scarring. The authors believe there are other, less-appreciated physical findings …
- Brow and upper lid aesthetics and rejuvenation: views from four disciplines.
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Nerve injuries and treatment in facial cosmetic surgery.
Surgical intervention remains a popular choice in patients seeking facial rejuvenation. Although uncommon, temporary or permanent peripheral nerve injury may complicate almost any type of invasive aesthetic procedure of the face, resulting …