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Management of Thick Skin in Rhinoplasty.
Rhinoplasty in thick skin patients is challenging because the skin soft tissue envelope (S-STE) is more inelastic, and has a tendency for prolonged postsurgical edema, increased dead space formation, and underlying scar tissue formation. Ch…
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The Incidence of Nasal Tip and Upper Lip Malposition in Primary Rhinoplasty.
[BACKGROUND] For an optimal aesthetic plan for correction of nasal tip disharmony, it is crucial to note lip and tip disproportions. [OBJECTIVES] In this study we sought to investigate the incidence of preoperative upper lip malposition in…
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Incisor Show-based Selection of Tip Augmentation Rhinoplasty Technique.
Our recent studies show that the majority of patients seeking rhinoplasty have inadequate incisor show. Furthermore, some rhinoplasty maneuvers, such as a columella strut, can alter the lip position and consequently the incisor show. We rep…
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Techniques and Applications of Lower Extremity Feminization and Masculinization.
[BACKGROUND] Significant differences exist between feminine and masculine lower extremities, and this region contributes to gender dysphoria in transgender and nonbinary individuals. [METHODS] A systematic review was conducted for primary …
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Exploring the Resurgence of the Preservation Rhinoplasty: A Systematic Literature Review.
[INTRODUCTION] The underlying principles of preservation rhinoplasty (PR) center around maintaining the soft tissue envelope, dorsum, and alar cartilage through surgical manipulations and tip suture techniques. In particular, the let-down (…
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Two Cases of Impaired Wound Healing Among Patients With Major Head and Neck Free-Flap Reconstruction in the Setting of COVID-19 Infection.
Due to the microvascular effects of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), head and neck reconstructive surgeries utilizing free tissue transfers may be profoundly affected by SARS-CoV-2 infection in the immediate pos…
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External Approach to Buccal Fat Excision in Facelift: Anatomy and Technique.
[BACKGROUND] Masculinization of the face is a common finding in facelift patients. It is attributed to deflation and decent of the midface-jowls coupled with skin laxity. Fullness is evident lateral to the jowl in a small percentage due to …
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Facelift Part II: Surgical Techniques and Complications.
Although previous publications have reviewed face and necklift anatomy and technique from different perspectives, seldom were the most relevant anatomical details and widely practiced techniques comprehensively summarized in a single work. …
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Enhanced Recovery After Surgery-Based Perioperative Protocol for Head and Neck Free Flap Reconstruction.
[OBJECTIVES] Evaluate an enhanced recovery after surgery (ERAS)-based free flap management protocol implemented at our center. [STUDY DESIGN] Prospective cohort study of patients after implementation of an ERAS-based perioperative care pro…
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Facelift Part I: History, Anatomy, and Clinical Assessment.
In this article, the authors aim to thoroughly describe the critical surgical anatomy of the facial layers, the retaining ligamentous attachments of the face, and the complex three-dimensional course of the pertinent nerves. This is supplem…
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Anatomical Look Into OnabotulinumtoxinA Injection for Chronic Migraine Headache.
[BACKGROUND AND OBJECTIVES] While existing studies about onabotulinumtoxinA for chronic migraines have focused on injection location and appropriate dosing, little consideration has been given to patient body habitus and its potential impac…