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Transconjunctival Lower Blepharoplasty.
Lower blepharoplasty is among the most performed facial procedures. It is performed by either a transcutaneous or a transconjunctival approach. The transconjunctival approach offers several advantages compared to the transcutaneous approach…
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Nasal Surgery in the Younger Patient.
Nasal surgery can be carried out safely in the younger patient. In cases of trauma, it is recommended that corrective surgery be carried out in a short time frame before scar contracture, aberrant remodeling, and malunion of structures occu…
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Managing the Midvault - Autospreaders, Spreader Grafts or What?
The stabilization of the midvault of the nose is an important facet of rhinoplasty. There are several techniques available to accomplish this. The use of autospreader flaps, and spreader grafts are among the most common techniques used. The…
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The Use of Costal Cartilage in Rhinoplasty.
Autologous cartilage can be easily and safely harvested as a reliable source of cartilage in rhinoplasty through a small, well-hidden incision. Rib cartilage can be utilized during a primary rhinoplasty when there is insufficient cartilage …
- Riding the Wave in Rhinoplasty: Changing Paradigms or Embracing Traditional Concepts.
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Extending the "Reach" of the Short-Scar Facelift with Energy Devices-An Early Report.
Facial rejuvenation has become more popular. A wider breadth of the patient population is seeking procedures to preserve their youthful facial attributes and to remedy age-related deleterious changes. Along with this increasing interest in …
- Erratum: Extending the "Reach" of the Short-Scar Facelift with Energy Devices-An Early Report.
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Different Faces: Different Facelift Techniques.
The introduction and evolution of different rhytidectomy techniques has spawned an exciting era of facial rejuvenation in modern times. To provide patients with the best customized approach to surgery the facial aesthetic surgeon must have …
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Life in an Academic Practice Versus a Solo Private Practice: How Different Are They?
Facial plastic surgery has thrived in both academic and private settings. In this article, 3 surgeons comment on a variety of selected topics that are pertinent to their lives as academic and private practice surgeons.…
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The Avoidance and Management of Complications, and Revision Surgery of the Lower Face and Neck.
Complications are an inherent occurrence in surgery. In rhytidectomy, many complications are avoidable with thorough preoperative assessment and optimal intraoperative and postoperative care. Nevertheless, complications do occur. In certain…
- Controversies in Facial Plastic Surgery.
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Augmenting the Prejowl: Deciding between Fat, Fillers, and Implants.
The prejowl sulcus is a complex anatomic structure that results from several age-related changes in the lower face. These changes include the localized atrophy of a segment of the mandible inferior to the mental foreman, fat atrophy, and de…
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Costal Cartilage Grafts in Rhinoplasty.
Cartilage grafts are regularly used in rhinoplasty. Septal and auricular donor sites are commonly used. Many situations compel the surgeon to use other alternative donor sites, including revision rhinoplasty and trauma. Many patients have a…
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Update in the management of the middle vault in rhinoplasty.
[PURPOSE OF REVIEW] The middle vault of the nose continues to be a topic of interest among surgeons interested in aesthetic and functional rhinoplasty. The purpose of this review is to present currently accepted concepts regarding the signi…
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Primary Rhinoplasty.
Rhinoplasty is inherently a difficult procedure given the complexity of its structure and the functional and aesthetic impact of this anatomy. This report explores some of the remaining questions regarding the use of spreader grafts and aut…
- Worldwide Perspectives in Facial Plastic Surgery.
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Essential Grafting in the Traumatized Nose.
Corrective rhinoplasty after significant nasal trauma is a much different entity than elective rhinoplasty or rhinoplasty after minor trauma. The more significant the degree of trauma the patient is subjected to, the greater the deleterious…
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A Multidisciplinary Evaluation of Prescribing Practices for Prophylactic Antibiotics in Operative and Nonoperative Facial Fractures.
[BACKGROUND] Evidence supports short-term perioperative prophylaxis for facial fractures. It is unknown, however, whether there is any professional consensus on how to manage these injuries. No multidisciplinary evaluation of the prophylact…
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The difficult neck in facelifting.
The management of the neck often presents the most challenging aspect of the facelift procedure. The aesthetic neck has a well-defined jaw line, a pleasing and adequate cervicomental angle, and visible definitions of the deeper lateral and …
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Management of the middle vault in endonasal rhinoplasty.
The management of the middle vault has become a crucial consideration in esthetic and functional rhinoplasty. Central to this management is an acknowledgment of the importance of the anatomic features and functional integrity of this nasal …
- Discussion and debate among facial plastic surgeons: everyone wins.
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Managing the neck in the era of the short scar face-lift.
A recent trend in rhytidectomy has included the introduction of various short incision techniques, particularly the S-lift, the minimal access cranial suspension lift, and other short scar methods. However, this trend has not been without a…
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Transconjunctival blepharoplasty.
Cosmetic blepharoplasty is directed at the surgical correction of undesirable changes of the eyelids that are usually of an acquired nature and caused by aging. The goals are to improve the appearance and, many times, the function of the ey…
- The management of the lower eyelid in facial paralysis.