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Balanced Restoration: Optimizing Midface Rejuvenation Using Hyaluronic Acid Fillers.
Currently available hyaluronic acid filler technologies concentrate on reflation of the aging midface primarily with the use of fillers to reinflate the deep fat compartments. However, filler technology has evolved, which allows us to recon…
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The Invisible Scar: Energy-based Facial Tightening Through the Lens of the Deep-layer Facelift Surgeon.
Energy-based devices are widely used for facial rejuvenation; as a result, an increasing proportion of patients presenting for facelift or necklift surgery have a history of prior treatment with ultrasound- or radiofrequency-based technolog…
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Aging Face Rejuvenation: Guiding Anatomic and Scientific Concepts.
Facial rejuvenation is one of the most sought-out procedures in the field of aesthetic medicine and surgery. The advent of various lasers, energy-based devices, skincare products, fillers, and neuromodulators has spurred interest in rejuven…
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Demystifying Deep Layer Face-Lift Techniques: A Systematic Review of Superficial Musculoaponeurotic System Techniques.
[BACKGROUND] Facial aging is a multifactorial process that results from deflation and descent of facial soft tissue. Modern deep layer face-lift techniques aim to restore a youthful facial shape by using the superficial musculoaponeurotic s…
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Open Structural Versus Dorsal Preservation Rhinoplasty: A Comparative Survey Study of Aesthetic Outcomes.
[INTRODUCTION] Dorsal preservation rhinoplasty (DPR) is increasingly popular, with some suggesting superior outcomes over open structural rhinoplasty (OSR). To date, there has been little investigation into comparative outcomes between the …
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Determining patients' price sensitivity and willingness to pay for aesthetic surgery: A contingent valuation study.
[PURPOSE] Pricing transparency and patient willingness to pay (WTP) are critical yet underexplored in aesthetic surgery. Cosmetic procedures have been described as exhibiting characteristics consistent with luxury or Veblen goods in certain…
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Features of Importance in the Nasal Exam in Rhinoplasty.
[BACKGROUND] The most critical exam components in patients seeking rhinoplasty have not been established. [OBJECTIVE] To identify concordance among experienced rhinoplasty surgeons regarding the most important exam features for various def…
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Role of Selective Neck Sutures in Face Lifts.
Several strategies have been proposed to prevent hematomas and improve cervical contour in face lifts. One such strategy is the use of selective neck sutures. This article presents 3 surgical techniques to place selective sutures in face li…
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Three Decades of Outpatient Plastic Surgery Safety: A Review of 42,720 Consecutive Cases.
[BACKGROUND] Outpatient plastic surgery offers cost-effective solutions and enhanced privacy, but demands careful patient assessment for suitability and vigilant anticipation of adverse events. To provide recommendations to enhance patient …
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Safety and Complications in Lower Eyelid Blepharoplasty: A Systematic Review.
[BACKGROUND] Lower blepharoplasty is one of the most commonly performed aesthetic procedures in the United States. Although lower blepharoplasty techniques have evolved significantly, it remains a considerable surgical challenge, associated…
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Rhinoplasty Septal Cartilage Harvest and Reconstruction: The 4 Clicks.
Successful rhinoplasty relies on a deep understanding of nasal anatomy and precise nasal tip control for lasting functional and aesthetic outcomes. Structural grafts, like septal extension grafts, are instrumental in maintaining tip positio…
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Preventing Hump Recurrence in Dorsal Preservation Rhinoplasty: The 5 Key Tenets.
Preservation rhinoplasty has re-emerged over the past decade and continues to gain traction in the rhinoplasty community. Dorsal preservation rhinoplasty (DPR), one of the tenets of preservation rhinoplasty, centers on preservation of the n…
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Pitanguy Ligament Preservation in Structural Precision Rhinoplasty.
The Pitanguy ligament is a crucial structure in nasal tip support and in maintaining the integrity of the soft-tissue envelope of the nose. In this cadaveric study, the authors dissected out the Pitanguy ligament on a series of fresh human …
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Dispelling the Myths of Isotretinoin and Implications for Rhinoplasty.
Despite concerns from 1980s case reports, oral isotretinoin, a derivative of vitamin A, has largely proven to be safe in surgical procedures, with the exception of deep skin resurfacing. Isotretinoin modulates thinning skin and internal sca…
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Dead Space, the Final Frontier in Rhinoplasty: Review and 10 Key Recommendations.
Mitigating dead space has been recognized as an essential step toward ensuring a more predictable and aesthetically pleasing outcome in rhinoplasty. The current body of literature leaves a discernible gap in offering a unified, systematic a…
- Push and Letdown: The Elephant in the Room of Preservation Rhinoplasty.
- Discussion: The Influence of the Pitanguy Ligament on the Supratip Break Point in Open Rhinoplasty.
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A Systematic Review of Randomized Control Trials on Patient-Reported Outcome Measures in Rhinoplasty.
[BACKGROUND] Patient-reported outcome measures (PROMs) are crucial for evaluating rhinoplasty outcomes, yet no standardized, validated PROM tailored to rhinoplasty exists. This systematic review examines existing PROMs, identifying gaps in …
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Refining Patient Selection in Hybrid Dorsal Preservation Rhinoplasty: A Review of 50 Patients.
[SUMMARY] Dorsal preservation rhinoplasty (DPR) refers to the preservation of the nasal mid-vault during rhinoplasty. It can be performed in conjunction with open structural tip rhinoplasty as a hybrid approach to rhinoplasty. Implementing …
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Postoperative care in primary and revision rhinoplasty-A survey-based study.
[INTRODUCTION] Optimizing results in rhinoplasty depends on meticulous intraoperative techniques and diligent postoperative care. Although several postoperative interventions are performed to ensure successful rhinoplasty outcomes, practice…
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Role of tranexamic acid (TXA) in plastic and reconstructive surgery: A national perspective.
[PURPOSE] Despite the widespread use of tranexamic acid (TXA) in plastic surgery, guidelines for the safe and effective administration have yet to be established. The present study reports the current practices of TXA usage in plastic and r…
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Hyperbaric Oxygen Therapy in Aesthetic Medicine and Anti-Aging: A Systematic Review.
[INTRODUCTION] Continued interest in the optimization of recovery in aesthetics has led to the exploration of adjunctive therapies. Hyperbaric oxygen therapy (HBOT) serves as one such therapy that may have an impact in this field. HBOT is h…
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Differential Fat Grafting to Address Facial Asymmetry in Face Lifting.
The modern face lift is a complex operation involving the repositioning of tissues and the refilling of volume atrophy. Preoperative analysis is key to the successful diagnosis of aging changes. Facial asymmetry is universal, and must be re…
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Systematic Review of Capsular Contracture Management following Breast Augmentation: An Update.
[BACKGROUND] Capsular contracture is one of the most frequent indications for revision following breast augmentation. Management goals focus on restoring breast aesthetics and minimizing subsequent recurrence of capsular contracture. As new…
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Revision Rhinoplasty Finesse with Digital Osteotomies.
Revision rhinoplasty is a finesse procedure requiring careful consideration of all of its requisite steps. Lateral osteotomies are required in many cases and, in the setting of prior lateral osteotomies, can often be recreated with digital …
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Soft-Tissue Filler for Secondary Nasal Deformities.
One common indication for soft-tissue filler in the nose, or liquid rhinoplasty, is the temporary treatment of secondary nasal deformities after rhinoplasty. Multiple aspects of the patient evaluation, timing with respect to the previous rh…
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The Blocking Points: The Keys to Consistent Success in Preservation Rhinoplasty.
Preservation rhinoplasty is a growing area of interest among rhinoplasty surgeons. Dorsal preservation-a tenet of preservation rhinoplasty-is predicated on maintaining the integrity of the nasal midvault and effecting aesthetic change throu…
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Refinements in Extended Alar Contour Grafts: Retrograde Approach in Conjunction with Alar Base Surgery.
Alar contour grafts are an excellent adjunct in both primary and revision rhinoplasty for correction and prevention of alar rim irregularities. They are traditionally placed at the conclusion of a rhinoplasty through a vestibular incision a…
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Role of Rib Graft for Tip Shaping in Primary Rhinoplasty: A Retrospective Case Series of 30 Patients.
[BACKGROUND] In primary rhinoplasty, use of harvested septal cartilage often precludes the need for rib graft. Nonetheless, there are a number of indications for the use of rib graft in primary rhinoplasty. The purpose of this study was to …
- Discussion: The Rhinoplasty Rosetta Stone: Using Rasch Analysis to Create and Validate Crosswalks between the NOSE and the SCHNOS Functional Subscale.