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Permanent Plastic Surgery Job in West of Boston Massachusetts with Medical Search International
BC/BE Plastic Surgeon-West of Boston A prestigious hospital just West of Boston is seeking a BC/BE Plastic Surgeon for their hospital sponsored group. Recent grad are welcomed!! Partnership opportunities!!
Permanent Plastic Surgery Job in Not Available Tennessee with Medical Search International
A prestigious Regional Medical Center located in greater Nashville is seeking a BC/BE Plastic Surgeon to join their multi-specialty group. State license is preferred but eligibility is acceptable. Residents
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A prestigious Regional Medical Center located in greater Montgomery is seeking a BC/BE Plastic Surgeon to join their multi-specialty group. State license is preferred but eligibility is acceptable. Residents

Archives of Facial Plastic Surgery current issue

ABOUT THIS JOURNAL: About This Journal
Mon, 21 Jul 2008 00:00:00 -0000

HIGHLIGHTS OF ARCHIVES OF FACIAL PLASTIC SURGERY: Highlights of Archives of Facial Plastic Surgery
Mon, 21 Jul 2008 00:00:00 -0000

ORIGINAL ARTICLE: Applications of GORE-TEX Implants in Rhinoplasty Reexamined After 17 Years
Conrad, K., Torgerson, C. S., Gillman, G. S. Mon, 21 Jul 2008 00:00:00 -0000
Objective  To determine the efficacy of GORE-TEX (W. L. Gore & Associates Inc, Flagstaff, Arizona) alloplast in rhinoplasty. Design  A 17-year retrospective medical chart review at a teaching hospital, community hospital, and private facial cosmetic surgery center. A total of 521 patients (122 male and 399 female; age range, 13-70 years) were followed for 12 months to 17 years. All patients had undergone GORE-TEX implantation rhinoplasty (685 implants in 158 primary procedures and 508 secondary procedures) performed by 1 surgeon. Patient satisfaction, expressed with respect to desired cosmetic benefit and functional outcome, and physician assessment, based on aesthetic improvement, technical considerations, and complications, were evaluated. Results were assessed according to the follow-up notes in the medical chart reflecting patients' and surgeon's comments and full preoperative and postoperative photographic documentation. Results  GORE-TEX alloplasts, 1 to 10 mm thick, implanted in the nasal dorsum (n = 264), lateral nasal wall (n = 252), supratip dorsum (n = 85), and premaxilla (n = 84) showed excellent stability and tissue tolerance. Biological complications that required implant removal occurred in 1.9% of patients and included infection, soft tissue swelling, migration, and extrusion. Conclusions  With the exception of the nasal tip, columella, or problems in which corrections would require rigidity of the grafted or implanted material, the GORE-TEX alloplast is a safe, inexpensive, and predictable alternative to autografts. In the present series, more than 95% of implants used were 1 to 4 mm thick. In the remaining 5%, 6 implants ranged from 8 to 10 mm thick, and we found them acceptable. It is our opinion that for both primary and secondary rhinoplasty with adequate endonasal and external soft tissue coverage, GORE-TEX should be strongly considered for major and minor corrections of the nasal wall and bridge in properly selected patients.
ANNOUNCEMENT: Search
Mon, 21 Jul 2008 00:00:00 -0000

ORIGINAL ARTICLE: Rhinoplasty for African American Patients: A Retrospective Review of 75 Cases
Slupchynskyj, O., Gieniusz, M. Mon, 21 Jul 2008 00:00:00 -0000
Objective  To determine satisfaction, change in self-esteem, and maintenance of ethnic characteristics in African American patients after rhinoplasty. Patients  African American male (n = 21) and female (n = 54) patients aged 14 through 58 years (mean, 33.8 years) who underwent rhinoplasty. Methods  Open structure rhinoplasty, using the 3-tiered approach, was performed on all 75 patients. An anonymous questionnaire addressed postoperative patient satisfaction, maintenance of ethnic characteristics, self-esteem, and nasofacial harmony. The rate of complications was determined by medical record review. Results  On a scale of 1 to 5 (1, no change; 5, complete change), patients reported a significant degree of preservation of ethnic characteristics (mean, 2.3), high self-esteem (mean, 4.3), and very high satisfaction (mean, 4.6) and facial harmony (mean, 4.3) postoperatively (P < .001 for all). The overall complication rate was 2.7%. Conclusion  In African American patients, 3-tiered open structure rhinoplasty yields high patient satisfaction with a minimal rate of major complications.
ORIGINAL ARTICLE: Long-term Results of Carbon Dioxide Laser Resurfacing of the Face
Ward, P. D., Baker, S. R. Mon, 21 Jul 2008 00:00:00 -0000
Objective  To evaluate the long-term effectiveness of, and the complications associated with, carbon dioxide laser treatment of rhytidosis and solar aging. Methods  This retrospective report describes our experience with 47 patients who underwent entire facial carbon dioxide laser resurfacing. Results  The mean improvement in facial rhytid score at long-term follow-up was 45%. This improvement was consistent in all facial subsites. With the exception of 1 case of hyperpigmentation, which resolved within 2 years of treatment, hypopigmentation was the only long-term adverse effect. This complication was present in 6 patients (13%). The patients who developed hypopigmentation were more likely to have a greater response to treatment. Conclusion  Our findings show that carbon dioxide laser resurfacing is a safe and effective treatment for facial rhytids.

Aesthetic Plastic Surgery

Morphologic Study of Nipple-Areola Complex in 600 Breasts
Tue, 15 Jul 2008 07:05:09 -0000
Abstract  To investigate the morphologic characteristics of the nipple-areola complex, the diameter of the nipple-areola complex and the height of the nipple in 300 adult women (600 breasts) were measured using micrometer calipers. Furthermore, the morphologic characteristics were classified into four types by visual observation. Mean diameter of the areola was 4.0 cm, mean diameter of the nipple was 1.3 cm, and mean height of the nipple was 0.9 cm. From the morphologic point of view, the elevated plateau type without constriction (IIs) was most commonly found, being present in 60.2% of breasts. Inverted nipples (III) were found in 3.5% and unclassified type (IV) such as multiple or divided nipples was found in 0.3%. Because women have become sensitive about the appearance of their breasts and there is increasing cosmetic interest following surgery for breast carcinoma, operations on the nipple-areola complex are now common. When a surgeon counsels a patient and designs a reconstruction method prior to operation, these data may be helpful. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-008-9194-yAuthors Jun-ichi Sanuki, Shizuoka Cancer Center Hospital Department of Breast Surgery 1007 Shimonagakubo, Nagaizumi-cho Sunto-gun Shizuoka 411-8777 JapanEisuke Fukuma, Kameda Medical Center Hospital Breast Center 929 Higashi-cho Kamogawa City Chiba JapanYoshihiro Uchida, Shizuoka Cancer Center Hospital Department of Breast Surgery 1007 Shimonagakubo, Nagaizumi-cho Sunto-gun Shizuoka 411-8777 Japan Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X
Novel Topical BoNTA (CosmeTox, Toxin Type A) Cream Used to Treat Hyperfunctional Wrinkles of the Face, Mouth, and Neck
Fri, 11 Jul 2008 07:21:25 -0000
Novel Topical BoNTA (CosmeTox, Toxin Type A) Cream Used to Treat Hyperfunctional Wrinkles of the Face, Mouth, and Neck Content Type Journal ArticleCategory DiscussionDOI 10.1007/s00266-008-9153-7Authors C. Bergeret-Galley, 10, rue de Marignan 75008 Paris France Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X
Definitive Treatment for Crow’s Feet Wrinkles by Total Myectomy of the Lateral Orbicularis Oculi
Wed, 09 Jul 2008 05:57:41 -0000
Definitive Treatment for Crow’s Feet Wrinkles by Total Myectomy of the Lateral Orbicularis Oculi Content Type Journal ArticleCategory DiscussionDOI 10.1007/s00266-008-9205-zAuthors Jennifer L. Walden, Manhattan Eye, Ear and Throat Hospital Department of Plastic Surgery 210 East 64th Street New York NY 10065 USA Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X
Arcus Marginalis Release in Blepharoplasty I: Technical Facilitation
Wed, 09 Jul 2008 05:57:40 -0000
Abstract  Resection of intraorbital fat compartments in lower-lid blepharoplasty has been widely replaced by their realignment over the orbital rim. For older patients this usually includes an open subciliary approach with skin resection and orbicularis muscle modification. In younger patients this may be done transconjunctivally. Fixation of the adipose tissue is controversial. Whereas reliance of realignment on spontaneous prolapse may be unpredictable, suture fixations may be tedious and even cause scleral show or ectropion. A monofilament, double-armed, polypropylene suture on bent straight needles can be used safely to transfix the three compartments across maxilla and zygoma. These transcutaneous pullout sutures are simply fixed with steri-strips. After only 2 days the orbital fat will be sufficiently adherent to its new bed. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-008-9210-2Authors G. Björn Stark, University Medical Center Freiburg Department of Plastic Surgery Hugstetter Str. 55 79106 Freiburg GermanyNiklas Iblher, University Medical Center Freiburg Department of Plastic Surgery Hugstetter Str. 55 79106 Freiburg GermanyVincenzo Penna, University Medical Center Freiburg Department of Plastic Surgery Hugstetter Str. 55 79106 Freiburg Germany Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X
Histologic Study of the Structural Changes in Fine Palpebral Skin Following Selective Photothermolysis with CO2 Laser
Wed, 09 Jul 2008 05:57:39 -0000
Abstract Background  Resurfacing using a CO2 laser is a modern and efficient mean to treat facial wrinkles and aging. It is based on the precise vaporization of the most superficial skin layers. This study evaluated the histologic effects of the CO2 laser on palpebral skin. Methods  Twenty-six patients were selected (22 females, 4 males). Their age varied from 43 to 72 years and, of these, 19 were classified as Fitzpatrick type III and 7 as Fitzpatrick type II. The superior palpebral skin was examined before the operation and 3 months, 6 months, 1 year, and 2 years after selective photothermolysis. Results  All the postoperative evaluations showed consistent dermal and epidermal histologic modifications, with the epidermal regeneration showing a normalized anatomy, principally in the evaluations made after approximately 1 year. The dermis presents a dramatic neocollagenous transformation in the superficial and middle dermis, as well as intense modification (restructuring) of the elastic fiber system and reduction in the glycosaminoglycans. Both passes of the laser were analyzed and also the complete healing process. Conclusion  Resurfacing of the fine palpebral skin using two passes at 300 and 200 mJ produces an accentuated collagen neoformation and correction of the dermal elastosis, in association with a rapid healing process. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-008-9196-9Authors S. Lessa, 1st Infirmary of the Santa Casa da Misericórdia do Rio de Janeiro Oculo-Plastic Surgery Department Rio de Janeiro BrazilM. Nanci, 1st Infirmary of the Santa Casa da Misericórdia do Rio de Janeiro Oculo-Plastic Surgery Department Rio de Janeiro BrazilE. Flores, 1st Infirmary of the Santa Casa da Misericórdia do Rio de Janeiro Oculo-Plastic Surgery Department Rio de Janeiro Brazil Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X
The Bivectorial Full-Thickness Superiorly Based NAC Flap: A New Option to Increase Plasticity and Decrease Tension in the Superior Pedicle Vertical Mammaplasty Technique
Wed, 09 Jul 2008 05:57:39 -0000
The Bivectorial Full-Thickness Superiorly Based NAC Flap: A New Option to Increase Plasticity and Decrease Tension in the Superior Pedicle Vertical Mammaplasty Technique Content Type Journal ArticleCategory DiscussionDOI 10.1007/s00266-008-9204-0Authors Jennifer L. Walden, Manhattan Eye Ear and Throat Hospital Department of Plastic Surgery 210 East 64th Street New York New York 10065 USA Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X

PubMed: 1529-4242


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