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Deformity, etiology, solution, sequence (DESS): Facial analysis in rhinoplasty.
[PURPOSE] Rhinoplasty is amongst the most challenging surgeries to perfect and can take decades. This process begins during residency; however, residents often have limited exposure to rhinoplasty during their training and lack a standardiz…
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Correction of the Nasal Ala.
The alar-columellar relationship is an important concept for the rhinoplasty surgeon to master. The alar rim in particular is a critical component of the nasal tip, contributing to both overall symmetry and proportion of the nasal base. The…
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Biomechanical analysis of anchoring points in rhytidectomy.
[OBJECTIVE] To quantify tissue tearing force at various anchoring points on the face. [METHODS] This is a prospective anatomic study using 4 fresh cadavers of persons aged 60 to 70 years at the time of death, for a total of 8 sides. Standa…
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The evolving surgeon: how, when, and why change is for the better.
Change is an inevitable part of a surgeon's practice. There are several positive and negative forces encouraging a surgeon to change. Whether a surgeon should modify and how to do it are the focus of this article.…
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Computerized plastic surgery office.
[PURPOSE OF REVIEW] Technology in general and computer capabilities in particular are growing at an exponential rate. Keeping current with the latest technological capacities and means of incorporating this technology into the facial plasti…
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Midfacial effects of the deep-plane facelift.
Rejuvenation of the midface is a challenge in facial plastic surgery. To this end, several techniques have been developed to address the changes seen in the midface with aging. Specifically, ptosis of the malar fat pad and deepening of the …
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Malar, submalar, and midfacial implants.
A resurgence of malar augmentation using alloplastic implants can be attributed to the safety, simplicity of technique, and reliable good results of these implants. As the more sculpted face becomes a common aesthetic goal, malar augmentati…
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A comparison of digital cameras.
Digital photography is becoming an increasingly popular alternative to traditional 35-mm photography. Clearly, the efficiency and versatility of digital cameras will have a major impact on the future of clinical photodocumentation in facial…
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The liposhaver in facial plastic surgery. A multi-institutional experience.
[OBJECTIVE] To report a multi-institutional clinical experience with the liposhaver in facial plastic surgery. [DESIGN] Nonrandomized, nonblinded, multi-institutional evaluation of the liposhaver in a clinical setting in patients presentin…
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Auricular reconstruction.
1. Treat the underlying etiology: In cases of cancer, assure complete excision by using Mohs surgery. In cases of trauma, assure complete debridement of necrotic tissue and bring in healthy viable, well-vascularized tissue. 2. Assess the de…