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Finesse in Primary Open Rhinoplasty.
Rhinoplasty remains one of the most technically demanding operations in plastic surgery, and it continues to be one of the top 5 aesthetic surgical procedures performed. The focus of this article is open rhinoplasty, the central focus of th…
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Management of the Posthemangioma Nose: 5 Key Rhinoplasty Components.
Hemangiomas of the nasal tip are a relatively uncommon presentation of a common tumor. While optimal medical and surgical management of nasal tip infantile hemangiomas has been described and debated extensively in the literature, to our kno…
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Clinical Applications of Tranexamic Acid in Plastic and Reconstructive Surgery.
[BACKGROUND] Tranexamic acid (TXA) has gained increasing recognition as a valuable pharmacologic agent within plastic surgery. This study reviews the scientific evidence regarding the use of TXA in the full range of plastic and reconstructi…
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Identifying Levels of Competency in Aesthetic Medicine: A Questionnaire-based Study.
[BACKGROUND] In 2022, the US experienced a significant increase in demand for minimally invasive aesthetic procedures, underscoring its rising acceptance amid an unregulated educational environment for practitioners. The absence of standard…
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The Seven-Step, 7-Minute Chin Augmentation.
Microgenia, or a recessed/weak chin, plays a significant role in facial disharmony. Although patients with severe microgenia, malocclusion, long-face syndrome, or other significant orthognathic problems are not suitable for chin augmentatio…
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Male Face-Lift Finesse.
Male face lifts account for approximately 10% of the total number of face-lift procedures performed annually in the United States. Although many face-lift principles apply universally, there are certain characteristics of the male face that…
- Facelift Skin Flap Redraping: The Seven Key Steps.
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An Evidence-Based and Case-Based Comparison of Modern Face Lift Techniques.
[BACKGROUND] Facial aging is a multifactorial process that affects each component of facial anatomy. The two general groups of face lift techniques are superficial musculoaponeurotic system (SMAS) elevation and SMAS manipulation. The purpos…
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Techniques in Facial Fat Grafting: Optimal Results Based on the Science of Facial Aging.
A thorough understanding of the science of facial aging is imperative to the precise and natural restoration of a youthful appearance. A hallmark of the aging process is fat atrophy. For this reason, fat grafting has become a keystone of th…
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Cosmetic Rhinoplasty.
[LEARNING OBJECTIVES] After studying this article, the participant should be able to: 1. Perform a systematic nasofacial analysis. 2. Identify the underlying anatomical cause of specific external nasal findings. 3. Recognize the interrelate…
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The Key to a Straight Nose Is a Straight Septum: 10 Essential Steps.
The deviated nose derives from underlying skeletal and soft-tissue deformities in the upper, middle, and/or lower third of the nose. Although deviation may stem from several intrinsic and extrinsic elements, the septum is most often the pri…
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Superiority of the Septal Extension Graft over the Columellar Strut Graft in Primary Rhinoplasty: Improved Long-Term Tip Stability.
[BACKGROUND] Columellar strut grafts and septal extension grafts are commonly used support structures; however, their relative effectiveness remains debated. The purpose of this study was to compare the long-term stability of septal extensi…
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Gender Considerations in Rhinoplasty.
Precise nasofacial analysis ahead of rhinoplasty is imperative. Features common to the White masculine nose are reviewed in a stepwise fashion and contrasted with those of the White feminine nose. A solid understanding of the cisgender male…
- Discussion: A New Understanding and a Minimalist Approach for Rhinoplasty.
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Five-Principle and Five-Step Liquid Rhinoplasty.
Liquid rhinoplasty, otherwise known as nonsurgical or filler rhinoplasty, has earned increased attention for its ability to provide surgical rhinoplasty results at a fraction of the cost and without incising the skin. However, significant c…
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Refinements in Component Dorsal Reshaping in Primary Rhinoplasty.
Dorsal reduction and reshaping is an essential part of many rhinoplasty procedures. The steps of component dorsal reduction have been well established. The authors describe refinement of the dorsal reshaping process to improve the quality a…
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Impact of the COVID-19 Pandemic on Manuscript Submission by Women to Plastic and Reconstructive Surgery.
[BACKGROUND] The coronavirus disease of 2019 (COVID-19) pandemic has had far-reaching consequences, occasionally amplifying preexisting disparities. This study examines the impact of COVID-19 on Plastic and Reconstructive Surgery (PRS) manu…
- Reply: Impact of the Virtual Format on Plastic Surgery Residency and Fellowship Interviews: A National Cross-Sectional Study.
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Assessing Long-Term Outcomes in Breast Implant Illness: The Missing Link? A Systematic Review.
The purpose of this special topic article is to explore the current state of outcomes-based literature related to breast implant illness and summarize the key understandings that emerge from the summation of existing studies. While implante…
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A Randomized Trial to Assess Effectiveness and Safety of a Hyaluronic Acid Filler for Chin Augmentation and Correction of Chin Retrusion.
[BACKGROUND] The chin is important for facial appearance, affecting overall balance and harmony of the face. The purpose of this study was to evaluate effectiveness of the hyaluronic acid filler Restylane Defyne for chin augmentation and co…
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Face Lift after Facial Feminization Surgery: Indications and Special Considerations.
Iatrogenic jowling can be an unintended consequence of facial feminization surgery. Reduction of the mandible and chin without overlying changes to the soft tissue can lead to a redundant and deflated soft-tissue envelope, requiring a face …
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Jawline Refinement in Face Lifting: The Five Zones and the Five-Step Technique.
Facial aging changes due to increased skin laxity as well as soft tissue atrophy and decent lead to blunting and distortion of previously well-defined zones of the face and neck. A critical component of re-establishing a youthful appearance…
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A Novel Algorithm for Defining the Mandibular Border.
Techniques for defining the mandibular angle are a particular focus for patients around the world. Developing the desirable sharp contours is a combination of reducing bulkiness around the mandible while augmenting the border. Invasive tech…
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Technique for Minimally Invasive Face and Neck Contouring with Bipolar Radiofrequency Devices.
Radiofrequency devices have grown in popularity as minimally invasive options for the treatment of skin laxity in the face and neck. These treatments are often combined with liposuction procedures to provide enhanced tissue contraction alon…
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Longevity of ptosis correction in mastopexy and reduction mammaplasty: A systematic review of techniques.
[BACKGROUND] Mastopexy and reduction mammaplasty are commonly performed procedures in plastic surgery with many variations in incision pattern, pedicle design, and additional support maneuvers. Aesthetically pleasing on table results are wi…
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An Update on the Surgical Management of the Bulbous and Boxy Tip.
The bulbous and box tips are two common morphologies encountered in rhinoplasty. Nasal tip reshaping is a challenging aspect of rhinoplasty. Understanding the classifications of nasal tip morphologies aids when performing a nasal-facial ana…
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The Five-Step Rhinoplasty Dead Space Closure Technique.
The creation of dead space in rhinoplasty creates a welcoming environment for erratic soft -tissue contraction. If rhinoplasty surgeons can control and reliably predict skin contraction and wound healing, rhinoplasty results will undoubtedl…
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Current Practices in Dorsal Augmentation Rhinoplasty.
[BACKGROUND] Dorsal augmentation rhinoplasty addresses the aesthetic and functional impairments caused by a deficient nasal dorsum. Augmentation rhinoplasty can be performed using a variety of different surgical techniques and grafting mate…
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Fresh Frozen Rib Cartilage Grafts in Revision Rhinoplasty: A 9-Year Experience.
[BACKGROUND] Revision rhinoplasty is undoubtedly one of the most challenging procedures in facial plastic surgery. The complexity is compounded when there is a paucity of native septal cartilage to perform the required framework reconstruct…
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The Alar Equalization Suture for Nasal Tip Refinement.
Anatomic subtleties of the nasal tip have a dramatic impact on the overall appearance of the nose. Creation of the ideal nasal tip in rhinoplasty requires straight lower lateral cartilages, everted lateral crura, a higher caudal edge of the…