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Evaluating the Time of Maximal Vasoconstrictive Effect of Epinephrine in Facelift Surgery.
[BACKGROUND] It remains unclear how long a plastic surgeon should wait for the optimal vasoconstrictive effect of epinephrine as local anesthetic before incision for aesthetic facial surgery. [OBJECTIVES] In this study we investigate the o…
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Adjunct Perioral Phenol-Croton Oil Peel Shortens Philtrum Length in Patients Undergoing Primary Facelift.
[BACKGROUND] Plastic surgeons have a variety of treatment options for perioral rejuvenation, including chemical peels, energy-based skin-tightening devices, microneedling, microcoring, fat grafting, fillers, neuromodulators, and surgical li…
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Abdominoplasty Practice Patterns: An American Society of Plastic Surgeons Member Survey-How Much Has Changed Over 20 Years?
[BACKGROUND] In 2006, Matarasso et al. published an American Society of Plastic Surgeons member survey detailing abdominoplasty practice patterns. The purpose of the current study is to explore how surgical techniques, ancillary procedures,…
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Local Tranexamic Acid in Facelift Surgery Is Not Associated With Wound Healing Complications: A Matched, Single-Surgeon Cohort Study.
[BACKGROUND] Recent anecdotal reports from respected surgeons suggest a potential link between tranexamic acid (TXA) in local anesthetic solutions and wound healing complications during facelift procedures. [OBJECTIVES] The authors of this…
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Applied Anatomy of the Lower Eyelid.
Lower eyelid function and appearance depend on the complex anatomic relationship between the soft tissue lamellae, supportive tarsoligamentous sling, and bone. Aging in the lower lid area may be caused by changes in the anterior lamella (sk…
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Blepharoplasty: Difficult Cases.
Lower lid blepharoplasty surgery can be a challenging procedure for both the neophyte and the accomplished surgeon. It requires mastering complex periorbital anatomy and choosing the correct approach from a wide variety of patient presentat…
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Lower Lid Blepharoplasty, Selecting Your Approach.
Successful lower blepharoplasties address patient-specific lower eyelid, canthal, and lid-cheek junction pathology. Various technical procedures have been described to address the lower eyelid lamellae and tarsoligamentous sling. The most a…
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Evaluation of the Blepharoplasty Patient.
The preoperative evaluation plays an important role in optimizing outcomes and minimizing morbidity for patients undergoing blepharoplasty. This article provides a detailed, systematic approach for the preoperative evaluation of patients un…