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Lifting the Anterior Midcheek and Nasolabial Fold: Introduction to the Melo Fat Pad Anatomy and Its Role in Longevity and Recurrence.
[BACKGROUND] A limitation of current facelift techniques is the early postoperative reappearance of anterior midcheek laxity associated with recurrence of the nasolabial fold (NLF). [OBJECTIVES] This study was undertaken to examine the reg…
- Response to "Comments on 'Simplified Muscle-Suspension Lower Blepharoplasty by Orbicularis Hitch'".
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Simplified Muscle-Suspension Lower Blepharoplasty by Orbicularis Hitch.
[BACKGROUND] The suspension of orbicularis oculi during lower blepharoplasty presents a logical surgical addition for further support of the lid, as well as further improvement to its contour profile. It has traditionally been performed as …
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The inverted-v chevron umbilicoplasty for breast reconstruction and abdominoplasty.
The umbilicoplasty is a key component of abdominoplasty and closure of autologous abdominal wall donor sites in breast reconstruction (TRAM/DIEP). The aesthetically-pleasing umbilicus tends to be small and vertically-oriented in nature, wit…
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Applications of the classic dermal fat graft in primary and secondary facial rejuvenation.
Volumetric facial aging occurs primarily as a descent of facial soft tissues, followed by their secondary atrophy. Proper volumetric facial rejuvenation, therefore, demands effective superior redistribution of fallen soft tissues, for which…
- Five-year history of the Northeastern Society of Plastic Surgeons.
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Hiding the posterior scar in rhytidectomy: the omega incision.
A periauricular pattern of incision is presented for rhytidectomy that resembles an inverted omega. Although the anterior component remains similar to existing recommended patterns, the posterior component allows confinement of the scar to …
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Methyl prednisolone in double-lumen gel-saline submuscular mammary prostheses: a double-blind, prospective, controlled clinical trial.
At the time of immediate breast reconstruction with submuscular implants, 76 consecutive patients (89 breasts) were randomized into two groups. One received a gel-saline, double-lumen implant with 40 cc of saline added to the outer lumen, w…
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Guidelines in concentric mastopexy.
The scope and technique of concentric mastopexy remain unclear and controversial. In our hands, the procedure has application for mild nipple ptosis, glandular ptosis, and areola asymmetry, as well as the tuberous breast. Early disappointme…
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Intradermal tattoo as an adjunct to nipple-areola reconstruction.
Improving results in breast reconstruction have encouraged more authentic restoration of the lost nipple-areola. While recreation of nipple shape can be reliably achieved, appropriate color has remained elusive, except when a composite nipp…
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The medial periareolar approach to submuscular augmentation mammaplasty under local anesthesia.
The medial approach to submuscular augmentation mammaplasty under local anesthesia begins with a medial periareolar incision around one-half or more of the areola. A subcutaneous tunnel is made toward the medial breast border, avoiding mamm…
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The temporal fossa in head and neck reconstruction: twenty-two flaps of scalp, fascia, and full-thickness cranial bone.
We reviewed 22 consecutive flaps based on the blood supply of the temporal fossa. Our purpose was to demonstrate reliability of the vascular supply and to illustrate the versatility of these tissues for reconstruction of specialized structu…
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Costal cartilage sculpturing as an adjunct to augmentation mammaplasty.
Costal cartilage irregularities are a major component of most congenital thoracic-wall deformities. A significant number of patients with these cartilage irregularities may either refuse major reconstruction or in fact have disorders of ins…
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The psychological contribution of nipple addition in breast reconstruction.
Two groups of consecutive patients from two different plastic surgical practice populations were evaluated to determine psychosocial differences between those who underwent nipple-areola reconstruction in addition to breast reconstruction (…
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Modified radical mastectomy with immediate breast reconstruction.
The authors reviewed 100 consecutive patients with breast cancer treated by modified radical mastectomy and immediate breast reconstruction in order to assess the safety and efficacy of this procedure in terms of cancer control. The study b…
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A 6-year experience with immediate reconstruction after mastectomy for cancer.
A 6-year retrospective review is presented of 185 patients who underwent immediate reconstruction of the breast at the same operation as mastectomy for carcinoma. The patients were treated at two institutions under similar protocols of pati…
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Psychosocial correlates of immediate versus delayed reconstruction of the breast.
Two groups of consecutive patients from two different plastic surgical practice populations were evaluated to determine psychosocial differences between those who underwent immediate (n = 25) versus delayed (n = 38) breast reconstruction. P…
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Nipple-areola reconstruction.
Nipple-areola reconstruction from nonspecialized tissues is presented as a worthwhile component of breast reconstruction. General principles are discussed, as are specific techniques for reconstruction of the areola and the nipple. The auth…
- The dry-erase board: a useful addition to the plastic surgical classroom.
- The gluteus medius-tensor fasciae latae flap.
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The lateral pectoral composite flap in one-stage reconstruction of the irradiated mandible.
We present a composite flap based on the musculature of the anterolateral thorax that allows immediate reconstruction of the mandible through the interposition of vascularized bony fifth rib. While the vascular pedicle remains the pectoral …
- Bite-block blepharoplasty.
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The upper-quadrant flap.
Either full-thickness abdominal upper quadrant with extensions across the midline or down the trunk can be raised and transferred undelayed on a single intercostal pedicle. The technique is outlined and clinical examples are given.…