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"TOTAL SMAS: A SYSTEMATIC APPROACH TO COMPREHENSIVE FACIAL REJUVENATION".
[INTRODUCTION] Face and neck lifting is the cornerstone in the treatment of the lower third of the face and the neck but, as classically described, it has not a significant impact on the middle third, and fails to rejuvenate the upper third…
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Combining Deep Plane Face and Neck Lift with Periorbital Rejuvenation and Ancillary Surgical Procedures of the Face: A Critical Evaluation of Over 434 Consecutive Cases.
[BACKGROUND] Over time, all the face structures inevitably undergo the effects of chrono-aging with changes in their intrinsic characteristics, position and volume. Keeping in mind that all the possible aging defects may be concomitant, in …
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Temporal MORE (Modified Orbicularis REpositioning) for correction of lower eyelid displacement following cosmetic blepharoplasty: a prospective study on 117 patients.
[BACKGROUND] Lower eyelid displacement is probably the most feared complication following lower blepharoplasty.In order to properly plan revision surgery, it is crucial to understand which lamella is involved in the retraction, since differ…
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Fresh Frozen, In-Alcohol, or Autologous Costal Cartilage? Analysis of Complications in Over 650 Revision Rhinoplasties.
[BACKGROUND] When there is insufficient autologous septal cartilage for graft sculpting in revision rhinoplasty, valid alternatives need to be found. Both autologous and homologous costal cartilage usage has been described in the literature…
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Liporeduction: A Faster and Safer Breast Remodeling Technique.
[BACKGROUND] Breast reduction is a time-consuming procedure with a relatively high complication rate. Furthermore, recurrent breast enlargement can occur in case of postoperative weight gain. The authors describe a breast reduction techniqu…
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An Italian Online Survey Regarding the Use of Hyaluronidase in Previously Hyaluronic Acid-Injected Noses Looking for Surgical Rhinoplasty.
[BACKGROUND] Nonsurgical nasal reshaping (nSNR) with hyaluronic acid (HA) filler is a well-established procedure performed to ameliorate nasal appearance and is considered a valid alternative to surgical rhinoplasty in selected patients. […
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Facial Aging Surgery: Healing Time, Duration Over the Years, and the Right Time to Perform a Facelift.
[BACKGROUND] The "time variable" assumes paramount importance, especially regarding facial rejuvenation procedures. Questions regarding the length of recovery time before returning to work, how long the results will last, and the ideal time…
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The Rhino-Lip-Lifting: A Novel Proposal for Midface Profileplasty Performed as a Single Surgical Procedure.
As facial aging occurs, aesthetic changes of the nasal tip and the senile upper lip include tip ptosis, increase in skin length, loss of vermillion height and Cupid's bow, and vertical wrinkles.Regardless of the rejuvenation procedure, the …
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Face Lifting in Bald Male Patients: New Trends and Specific Needs.
[BACKGROUND] Aesthetic surgery has recently become popular also among men. The ever-increasing number of bald men wishing to undergo facial surgery represents a challenge for the surgeon, as the scars cannot be hidden in the hair and must t…
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Fluid Cartilage as New Autologous Biomaterial in the Treatment of Minor Nose Defects: Clinical and Microscopic Difference Amongst Diced, Crushed, and Fluid Cartilage.
Developing cartilage constructs with injectability, appropriate matrix composition, and persistent cartilaginous phenotype remains an enduring challenge in cartilage repair. Fourteen patients with minor contour deformity were treated with f…
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Crushed Cartilage: A Rescue Procedure in Rhinoplasty.
While the use of crushed cartilage is now universally recognized as a valid procedure in rhinoplasty to mask irregularities and eliminate slight deficits, there is still no consensus as to the optimal degree of crushing and the rate of graf…
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Vertical Midface Lifting with Periorbital Anchoring in the Management of Lower Eyelid Retraction: A 10-Year Clinical Retrospective Study.
[BACKGROUND] Lower eyelid retraction can be the unfortunate result of aesthetic surgery, trauma, disease, or the aging processes. The purpose of this article is to assess whether midface lifting based on purely vertical repositioning consti…
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Approach to the correction of drooping tip: common problems and solutions.
The drooping tip deformity is both a bothersome aesthetic feature and functional impairment of the nose. Both static and dynamic factors may affect tip appearance and it seems logical to take into account these factors when planning correct…
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Malar region rejuvenation through non-invasive techniques: hyaluronic acid fillers and lipofilling.
Contour enhancements of the midface make up a dominant aspect of aesthetic surgery. The goal of midface rejuvenation is to decrease the prominence of grooves and creases as well as to provide volume to atrophied tissue. There are various op…
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Midface-lift patient satisfaction: A 5-year follow-up study.
[CONTEXT] Several studies showed, from the clinical point of view, the advantages of the various techniques and surgical approaches to obtain facial rejuvenation. A few studies have highlighted the satisfaction or not of patients who underw…
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Direct brow lifting: Specific indications for a simplified approach to eyebrow ptosis.
[CONTEXT] Brow lifting is an essential element in the rejuvenation of the ageing face. Various surgical techniques have been described. Among these, the direct brow lifting is an easy and effective technique that is often neglected because …
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Brows Asymmetry Correction With the Direct Approach: Myth or Reality?
[OBJECTIVES] The current article is aimed to test the effectiveness of direct and indirect brow lifting to correct brows asymmetry. [METHODS] Fifty patients treated with direct brow lift between January of 2011 and January of 2013 were inv…
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The Auricular Cartilage in 197 Secondary and Tertiary Rhinoplasties.
[BACKGROUND] The purpose of this study was to describe and evaluate the efficacy of the use of auricular cartilage to treat aesthetic and functional deformities of patients who underwent secondary rhinoplasty o tertiary. [METHODS] From Jul…
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Reshaping of the Anterior Nasal Spine: An Important Step in Rhinoplasty.
[UNLABELLED] The importance of analysis of the nasal spine should not be underestimated in the correct planning of rhinoplasty. Deformations in position with respect to the midline and/or in size are often present, and their correction to e…
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Dome Division: A Viable Technique Today?
Dome division can still be regarded as a valid surgical procedure today in some particular cases of revision rhinoplasty where the scarring is so extensive as to make precise isolation of the alar cartilages impossible. The presence of asym…
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Tarsal sling: an essential stitch to prevent scleral show in lower blepharoplasty.
[BACKGROUND] Despite its popularity for facial rejuvenation, blepharoplasty has been associated with several adverse effects. One of the most common is eyelid displacement after lower transcutaneous blepharoplasty. The tarsal sling procedur…
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2014 SICPRE Proceedings: Meeting Proceedings.
[BACKGROUND:] Brow elevation is one of the goals of surgical rejuvenation procedures. In this article, the authors reviewed their experience with brow lift, and they compared 4 different techniques: direct brow lift, brow lift with endotine…
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Lateral Canthal Support in Prevention of Lower Eyelid Malpositioning in Blepharoplasty: The Tarsal Sling.
Lower blepharoplasty is a cornerstone in facial rejuvenation and improvement. Despite its popularity, several adverse effects have been described; of these, postsurgical eyelid displacement, with its aesthetic and functional consequences, i…
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Adipose-derived stromal vascular fraction cells and platelet-rich plasma: basic and clinical evaluation for cell-based therapies in patients with scars on the face.
[BACKGROUND] Actually, autologous fat grafts have many clinical applications in breast surgery, facial rejuvenation, buttock augmentation, and Romberg syndrome as well as a treatment of liposuction sequelae. [OBJECTIVE] The aim of this art…
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Comparison of commercial fibrin sealants in facelift surgery: a prospective study.
[BACKGROUND] The aim of this study was to compare the effects of two types of fibrin glue in patients undergoing facelift surgery. [METHODS] A prospective, controlled "right-left side" study was carried out in 20 patients. The two fibrin s…
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Autologous platelet-rich plasma mixed with purified fat graft in aesthetic plastic surgery.
Platelet-rich plasma (PRP) is a platelet concentrate that has widely been used to accelerate the healing of soft and hard tissues. The preparation of PRP has been described by several authors. Preparation protocols vary from system to syste…