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Characterization of Injury Induced by Routine Surgical Manipulations of Nasal Septal Cartilage.
[IMPORTANCE] This study characterizes and compares common surgical manipulations' effects on septal cartilage to understand their implications for rhinoplasty outcomes based on cell viability and cartilage health. [OBJECTIVE] To illustrate…
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Grafting Techniques in Primary and Revision Rhinoplasty.
With the adoption of open structure techniques, rhinoplasty has become more reliant on the use of structural grafts to resist change that occurs over time owing to both gravity and the aging process. As surgical procedures have become more …
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Functional Compromise in the Middle Vault in the Management of Revision Rhinoplasty.
As rhinoplasty procedures become more common, the need for revision surgeries increases as well. Unlike primary rhinoplasties, revision rhinoplasties can be more challenging because of anatomic differences from initial surgery, a lack of av…
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Validation of the Modified Surgeon Periorbital Rating of Edema and Ecchymosis (SPREE) Questionnaire: A Prospective Analysis of Facial Plastic and Reconstructive Surgery Procedures.
Although periorbital edema and ecchymosis are commonly encountered after facial plastic and reconstructive surgery procedures, there is currently no validated grading scale to qualify these findings. In this study, the modified "Surgeon Per…
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An Oncoplastic Breast Augmentation Technique for Immediate Partial Breast Reconstruction following Breast Conservation.
[BACKGROUND] Patients with a small breast volume and a relative large lumpectomy volume are at risk of developing severe breast deformity and asymmetry following breast conservation, presenting a unique surgical challenge. [METHODS] A seri…
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Functional Rhinoplasty.
Understanding nasal anatomy and physiology are the most important points for successful functional rhinoplasty. Anatomic structures playing major roles in nasal breathing functions include the septum, and internal and external nasal valves,…
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Update on injectables in the nose.
[PURPOSE OF REVIEW] The use of injectable fillers for nonsurgical rhinoplasty has increased tremendously over the past decade. This review describes the most commonly used fillers and their indications in the context of recent reports of bo…
- Management of the Cephalically Malpositioned Lower Lateral Crus in Aesthetic Rhinoplasty.
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Surgical Treatment of Nasal Obstruction in Rhinoplasty.
The key to a successful septorhinoplasty includes an understanding of nasal anatomy and physiology. This allows the surgeon the ability to properly address both form and function during the operation. History and physical examination are pa…
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The Conchal Cartilage Butterfly Graft.
Nasal obstruction due to weakening of the nasal sidewall is a very common patient complaint. The conchal cartilage butterfly graft is a proven technique for the correction of nasal valve collapse. It allows for excellent functional results,…
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Injectables in the Nose: Facts and Controversies.
Nasal injectables and surface treatments alter the appearance of the nose both primarily and following nasal surgery. Fillers such as hyaluronic acids, calcium hydroxyapatite, and fat have a variety of advantages and disadvantages in elimin…
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Anatomic evaluation of the vertical face-lift in cadavers.
[IMPORTANCE] This study investigates how different orientations of tension vectors affect the amount of soft-tissue lift in specific cervicofacial regions. [OBJECTIVES] To compare differences in cosmetic neck and face changes generated by …
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Pitfalls of nonstandardized photography.
Accurate, consistent, high-quality photographs of patients before, during, and after surgery are critical for planning and performing surgical procedures, analyzing and documenting surgical outcomes, and educating patients and surgeons. Att…
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Direct submentoplasty for neck rejuvenation.
Facial plastic surgeons commonly see patients with submental laxity and an excess of skin and fat in the upper neck. This has colloquially been called the "turkey gobbler" deformity. In some cases, this deformity is the patient's only aesth…
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Facelift surgery.
The demand for aging face surgery has increased dramatically over the past few decades, and it is likely that it will continue to flourish as the segment of our population over 65 years of age continues to grow. Facelift surgery is the corn…