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Computerized morphometric quantitation of elastin and collagen in SMAS and facial skin and the possible role of fat cells in SMAS viscoelastic properties.
Recently, the superficial musculoaponeurotic system (SMAS) was found to be a composite tissue comprising collagen, elastic fibers, and fat cells in an extracellular viscous matrix. Both SMAS and facial skin tissues exhibit viscoelastic prop…
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Mechanical properties and microstructure of the superficial musculoaponeurotic system.
Because of the widespread reliance on SMAS tightening procedures in present-day face lift surgery, a study was undertaken to examine the physical properties and microscopic structure of both virginal (40 specimens) and reoperated (8 specime…
- Alopecia and sure-closure.
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Large liponecrotic pseudocyst formation following cheek augmentation by fat injection.
A case in which a growing cystic mass developed in the submandibular area, 6 months following fat injection to the cheek and mandibular area, is described. Histological examination revealed a liponecrotic pseudocyst. It is suggested that su…
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Closure of an open high below-knee guillotine amputation wound using a skin-stretching device.
A skin-stretching device (SSD) which is designed to harness the viscoelastic properties of the skin using incremental traction is described. It has proved to be of value in securing closure, within 72 h, of an open high below-knee guillotin…
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A skin-stretching device for the harnessing of the viscoelastic properties of skin.
A skin-stretching device that is designed to harness the viscoelastic properties of the skin using incremental traction is presented as an addition to the surgeon's armamentarium. It has proved to be of value in helping to close problematic…
- Corset platysmaplasty.
- An attempt to harness the viscoelastic properties of skin in face lift operations--a preliminary report.
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An attempt to harness the viscoelastic properties of skin in face lift operations--a preliminary report.
In 16 women who underwent face lift operations, we performed intraoperative stretching of the undermined facial and neck skin using either a silicone bag for expansion or skin traction sutures. The object of this endeavor was to attempt to …
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Collagen fiber alignment in the human preauricular dermis before and after rhytidectomy--a scanning electron microscopy study.
The microarchitecture of collagen fibers in preauricular dermis specimens that were obtained during two-phase rhytidectomy were visualized and recorded using the scanning electron microscope. Examination of photomicrographs revealed that bo…
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Technical variations of the McKissock operation for reduction mammoplasty.
Presented are various modifications of the McKissock vertical bipedicle dermal flap technique for reduction mammoplasty, to enhance the cosmetic and functional results. Virtual elimination of vascular embarrassment of the nipple-areolar com…
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The management of orbitofacial neurofibromatosis.
Neurofibromatosis is a rare inherited disease that may present as facial hamartoma or as a more generalized disease with subcutaneous tumors, skin pigmentation in the form of café-au-lait patches, and multiple pedunculated neurofibromas on …
- Leo A. Bornstein.
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Modification of the bipedicled vertical dermal flap technique in reduction mammaplasty.
Various modifications have been made in the original McKissock design for breast reduction. These include limited areola elevation, a short inframammary incision, a narrow-based inferior vertical dermal flap, and deep coring out of all the …
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Pathology and treatment of nasoschizis.
A craniofacial malformation is caused by a developmental arrest that results in focal fetal dysplasia. The severity, location, and number of these dysplasias make a wide spectrum of abnormalities possible. In this spectrum nasal dysplasia a…
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Posterior neck lift for correction of sagging of the lower anterior neck.
The posterior neck lift is described as part of an overall rhytidectomy for tightening the skin of the lower anterior neck. A wide horizontal strip of skin is excised along the entire nape of the neck. Closure of the resultant defect is obt…
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One-stage reconstruction of the scrotum following Fournier's syndrome using a probable arterial flap.
A one-stage procedure is described for restoring the scrotum in a patient who suffered from Fournier's gangrene. The proximal superiomedial-based thigh flaps employed are most likely arterial flaps. These flaps are also well innervated, whi…
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Biwinged excision for closure of rounded defect.
A new technique for closure of rounded defects is described. The biwinged procedure consists of excising two equal triangles on either side of the defect, one above and one below the dissecting line. Closure is in the form of a step. It can…
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The two-stage face lift.
Skin under tension with "creep", i.e. stretch. This probably accounts for the fact that by far the commonest postoperative complaint of face-lift patients is of inadequate lift. Creep occurs within a few hours of the operation but is at fir…
- A 5-flap procedure for axillary webs leaving the apex intact.
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A modification in the face-lift incision to facilitate suturing around the earlobe.
We present a modification of the face-lift incision which avoids some of the problems we had in suturing around and behind the earlobe.…
- Tangential excision and grafting for burns of the hand.
- Plastic surgery for pigmented hairy naevus of the eyelids. By excision and masquerade skin graft.
- T-plasty technique for excisions in the face.
- THE TREATMENT OF PILONIDAL SINUS: PLASTIC SURGERY APPROACH.