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The Missing Link: The Business of Plastic Surgery.
The practice of plastic surgery has become more complex. As plastic surgeons face the postgraduate realities of contracts, negotiations, and health system employment, they are frequently unprepared to effectively manage these challenges. Fu…
- The Plastic Surgery Residency Interview Revisited: Virtual Interviews and Beyond.
- Crisis Leadership.
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Role of Ancillary Procedures in Facial Rejuvenation.
Face-lift techniques have evolved beyond the concept of lifting and now include incorporating superficial and deep filling of facial fat compartments to address volume deflation and aging. In addition to traditional face-lift methods involv…
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Getting Better Results in Facelifting.
The facelift has significantly evolved over the past several decades. What was once considered a skin only operation is now a sophisticated, elegant procedure that requires meticulous preoperative analysis, understanding of underlying anato…
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Safety and Adjuncts in Face Lifting.
[LEARNING OBJECTIVES] After studying this article, the participant should be able to: 1. Classify the commonly performed types of face-lift procedures based on the extent of skin incision and face and neck dissection, and superficial muscul…
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The Lift-and-Fill Facelift: Superficial Musculoaponeurotic System Manipulation with Fat Compartment Augmentation.
The focus of modern face-lifting has shifted from isolated superficial musculoaponeurotic system (SMAS) manipulation to providing necessary volume restoration and overall facial shaping. Volume deflation is a major component of facial aging…
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Silicone Implant Illness: Science versus Myth?
The purpose of this Special Topic article is to present the current state of scientific evidence related to the safety of silicone breast implants. There is presently overwhelming evidence to support the safety of silicone breast implants. …
- Reply: Refinements in Upper Blepharoplasty: The Five-Step Technique.
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Cephalic Rotation of the Nasal Tip.
The position of the nasal tip holds important aesthetic significance. Cephalic rotation of the nasal tip is a frequent motivating factor for patients seeking rhinoplasty. The position of the nasal tip is a complex interplay of the size, mor…
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Nasal Analysis: Considerations for Ethnic Variation.
As the United States continues to be more ethnically and racially diverse, it is important for the rhinoplasty surgeon to have an appreciation and understanding of nasal variations that exist to plan for and execute ethnically congruent res…
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Primary Open Rhinoplasty.
[LEARNING OBJECTIVES] After studying this article and viewing the videos, the participant should be able to: 1. Describe the operative technique necessary to perform open rhinoplasty. 2. Summarize the steps necessary in performing a compone…
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Role of Fresh Frozen Cartilage in Revision Rhinoplasty.
[BACKGROUND] Correction of secondary nasal deformities frequently requires cartilage to build the framework of the nose. Traditionally, autologous costal cartilage has been used because of the paucity of the septal cartilage. Because of ass…
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Recognizing Racial Heterogeneity in the Latino Nose: Aesthetic Concepts for an Individualized Approach.
[BACKGROUND] Latinos are one of the fastest growing ethnic groups in the United States, and there is a growing demand for aesthetic rhinoplasty in these patients. The authors provide an individualized, systematic approach for evaluation and…
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An Analysis of Differences in the Number of Children for Female and Male Plastic Surgeons.
[BACKGROUND] Historically, the structure of surgical programs discourages women interested in both surgery and motherhood from pursuing a surgical career, and women plastic surgeons have been more likely than men to have no children or to h…
- Mentorship: A Pathway to Succeed in Plastic Surgery.
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Making Sense of Stem Cells and Fat Grafting in Plastic Surgery: The Hype, Evidence, and Evolving U.S. Food and Drug Administration Regulations.
Autologous fat grafting and adipose-derived stem cells are two distinct entities with two different risk profiles, and should be regulated as such. Autologous fat grafting prepared with the additional step of stromal vascular fraction isola…
- "A Review of Breast Implant-Associated Anaplastic Large Cell Lymphoma": The Supplement.
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A Primer on Social Media Use by Young Plastic Surgeons.
Similar to the outcry over the ethics of website marketing by physicians in the 1990s, the resistance to plastic surgeons' use of social media has been loud and vehement. Many physicians, although receptive to website marketing, view social…
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Bioengineered Approach to the Design of a Fat Graft Based on Mathematical Modeling that Predicts Oxygen Delivery.
[BACKGROUND] Fat grafting is a common procedure in plastic surgery. A major limitation is unpredictable graft retention, in part caused by inadequate oxygen delivery during the early posttransfer period. [METHODS] The authors present a bio…
- Improving Communication with Millennial Patients.
- Social Media in Plastic Surgery: The Future Is Now?
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Complications in Brow Lifts: A Systemic Review of Surgical and Nonsurgical Brow Rejuvenations.
[BACKGROUND] Brow lift has been a part of plastic surgeons' armamentarium for over a century. Although there are multiple different techniques available, there has been a dearth of literature comparing which technique is better and has less…
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Autologous Fat Grafting to the Chin: A Useful Adjunct in Complete Aesthetic Facial Rejuvenation.
The chin makes up the central unit of the face and neck, and is a significant factor in facial harmony and aesthetics. Historically, correction of microgenia required surgical intervention with a sliding genioplasty, or placement of a perma…
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Modern Primary Breast Augmentation: Best Recommendations for Best Results.
[LEARNING OBJECTIVES] After reading this article, the participant should be able to: 1. Develop a practical method for preoperative implant size selection. 2. List characteristics and examples of fourth- and fifth-generation silicone implan…
- Reply: The Six-Step Lower Blepharoplasty: Using Fractionated Fat to Enhance Blending of the Lid-Cheek Junction.
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Refinements in Upper Blepharoplasty: The Five-Step Technique.
Periorbital tissues are a keystone in facial beauty and a representation of youth. The aesthetically pleasing and youthful upper eyelids are full, with a defined tarsal upper lid crease and with smooth, taut pretarsal and preseptal skin. Th…
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Role of Fractionated Fat in Blending the Lid-Cheek Junction.
[BACKGROUND] Fat grafting has been used extensively in plastic surgery in the past two decades. Here, the authors report the retrospective comparison of patients who underwent fractionated fat injection to blend the lid-cheek junction with …
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The Evolving Role of Blending of the Lid-Cheek Junction in Lower Blepharoplasty.
[BACKGROUND] Lower blepharoplasty has evolved from traditional lower blepharoplasty involving skin-muscle flaps and fat resection to newer concepts that emphasize blending the lid-cheek junction. It is the objective of this review to evalua…
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Evidence-Based Medicine: Current Practices in Rhinoplasty.
[LEARNING OBJECTIVES] After studying this article, the participant should be able to: 1. Perform aesthetic and functional nasal analysis to guide septorhinoplasty. 2. Recognize common complications associated with rhinoplasty. 3. Select app…