Vecchione TR

ArteFill, the successor product to Artecoll, is an injectable wrinkle filler composed of polymethylmethacrylate microspheres and bovine collagen, which offers long-lasting and probably permanent augmentation of wrinkles and skin contour def…

It has been proposed that scleroderma in particular or connective-tissue diseases in general may be caused by exposure to silicone-containing materials used for breast augmentation. We performed a historical cohort study to estimate the poi…

A simple method of creating nipple projection in flattened nipple-areola complexes is presented. The results required, on average, 14 months of follow-up, with very good projection and general appearance in all patients. This technique elim…

Five patients who developed calcification of the capsule following augmentation mammaplasty are described. This long-term complication may be encountered with increasing frequency and should be considered in evaluating women with solid, fir…

A method of approaching the separated, granular temporal scalp wound in a rhytidectomy patient is presented. The time-honored principles of wound healing are discussed with reference to the first skin graft described.…

A case of flap necrosis after rhytidectomy in two patients with Raynaud's symptomatology are presented. The pathology and complications are explained and reasons postulated for the necrosis and wound-healing problems. Clinical descriptions …

Careful interdisciplinary planning and staging are required for suitable patients who desire breast reconstruction after cancer surgery. An early and positive approach helps to ease the emotional burden of mastectomy. In most cases, breasts…

Palatal mucosal grafts are used to provide bulk and improve the contour of lip defects. Since the palatal grafts are markedly different in color, they must be placed behind the wet-dry mucosal line so that they cannot be easily seen at conv…

Lesions and defects of the nasal tip and alar rim can be reconstructed using composite or full thickness grafts from the proximal alar crease region. The texture, surface effect, and color match much better than the conventional skin grafts…

Split grafts from the "dry" vermilion have been used as overgrafts in reconstructive lip surgery. These can replace abnormal scar or "wet" mucosa with a "dry" vermilion that blends in well, especially at the mucocutaneous junction. The graf…

The creation of the cupid's bow, philtral dimple, and tubercle can greatly improve the central upper lip. The white roll is dissected free as a bucket handle. A crescent of central vermilion is excised and planted as a composite graft to si…

An inset free skin graft from the postauricular area was used to create a natural appearing "white roll" mucocutaneous junction in a lip repair.…

Staged revision of a forehead defect consisting of a wide fibrotic skin grafted mass in a young man is reported. Serial temporal flap advancement resulted in considerable cosmetic improvement. Closing of such wounds with some tension on the…

A multi-flap design for closure of defects in the inelastic scalp is presented. Two cases are reported, and the advantages of the technique are described. The engineering principle is elaborated and discussed.…

The alternative approach to the cosmetic problem of mild or partially corrected pectus excavatum is presented. A case report with a discussion of the use of silicone in this problem is undertaken. An extremely simple method of implant casti…

A method of recontouring the lax submental tissues of the sagging neck is discussed.…

A viable local flap is not plagued by the problems of resorption and dissolution. If it is to be denuded and buried, however, great care must be taken to select a donor area that is as hairless as possible. Otherwise, there may be cyst form…