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Permanent Plastic Surgery Job in Las Cruces New Mexico with Community Health Systems
Take over the patients from an existing practice Use all of your expertise and training in all aspects of reconstructive plastic surgery in Sunny Southwest New Mexico Certification and training in reconstructive
Permanent Plastic Surgery Job in Las Cruces New Mexico with Community Health Systems
Take over the patients from an existing practice Use all of your expertise and training in all aspects of reconstructive plastic surgery in Sunny Southwest New Mexico Certification and training in reconstructive
Permanent Plastic Surgery Job in Dothan Alabama with Community Health Systems
Dothan, AL - How good can it get! Dothan continues to grow and we're looking for another Plastic Surgeon. This opportunity is to join a busy practice. 08 Resident would be great. Email us or call

Archives of Facial Plastic Surgery current issue

ABOUT THIS JOURNAL: About This Journal
Mon, 17 Nov 2008 00:00:00 -0000

HIGHLIGHTS OF ARCHIVES OF FACIAL PLASTIC SURGERY: Highlights of Archives of Facial Plastic Surgery
Mon, 17 Nov 2008 00:00:00 -0000

EDITORIAL: The Archives of Facial Plastic Surgery: The First Decade
Larrabee, W. F. Mon, 17 Nov 2008 00:00:00 -0000

SPECIAL TOPICS: The Infracartilaginous Approach Revisited
Tasman, A.-J., Palma, P. Mon, 17 Nov 2008 00:00:00 -0000
The last decade has seen a marked increase in the use of the external approach for primary and secondary rhinoplasties. As a consequence, endonasal techniques are taught less and the external approach is increasingly being used for minor corrections. We review the infracartilaginous approach as an elegant variant of the endonasal approach and, for many procedures, a suitable alternative to the external approach and describe the technique of the infracartilaginous approach and illustrate its options with cases that, for the majority of rhinoplasty surgeons, would call for an external approach. We adopted the infracartilaginous approach as the preferred technique for most tip sculpting and repositioning procedures. The infracartilaginous approach is technically more challenging compared with the open approach in teaching situations. This, however, does not imply that the technique should therefore be abandoned. On the contrary, we are convinced that the technique can and should be taught and learned.
SPECIAL TOPICS: Advances in Craniofacial Surgery
Tatum, S. A., Losquadro, W. D. Mon, 17 Nov 2008 00:00:00 -0000
The past 10 years have witnessed many advances in craniofacial surgery. Advances in surgical techniques, such as distraction osteogenesis and endoscopic procedures, combined with refinements in surgical equipment, such as resorbable plating and distractors, have improved surgical outcomes, while minimizing morbidity. Technological advances in 3-dimensional imaging, computer simulation, and intraoperative navigation facilitate diagnosis, preoperative planning, and surgical execution. Rising cases of deformational plagiocephaly owing to increased supine infant sleep positioning necessitated the development of appropriate diagnosis and treatment and the avoidance of unnecessary surgery. A greater understanding of the genetic basis of craniofacial disorders has allowed better preoperative assessment and counseling. Finally, efforts to develop better bone graft substitutes with gene therapy and nanotechnology are ongoing.
SPECIAL TOPICS: Lasers and Optical Technologies in Facial Plastic Surgery
Wu, E. C., Wong, B. J. F. Mon, 17 Nov 2008 00:00:00 -0000
Lasers and optical technologies play a significant role in aesthetic and reconstructive surgery. The unique ability of optical technologies to target specific structures and layers in tissues to effect chemical, mechanical, or thermal changes makes them a powerful tool in cutaneous rejuvenation, hair removal, fat removal, and treatment of vascular lesions such as port-wine stains, among many other procedures. With the development of adjunct techniques such as epidermal cooling, lasers and optical technologies have become more versatile and safe. The constant improvement of existing applications and the emergence of novel applications such as photodynamic therapy, nanoparticles, spectroscopy, and noninvasive imaging continue to revolutionize aesthetic medicine by offering a minimally invasive alternative to traditional surgery. In the future, therapies will be based on individualized, maximum, safe radiant exposure to deliver optimal dosimetry. Lasers and optical technologies are headed toward safer, easier, more quantifiable, and more individualized therapy.

Aesthetic Plastic Surgery

Zafirlukast Pocket Delivery Impairs the Capsule Healing Around Textured Implants in Rats
Sun, 16 Nov 2008 11:23:21 -0000
Abstract Background  The aim of this study was to investigate the effects of zafirlukast on capsule thickness, collagen fiber density, and myofibroblast cell count of the healing tissue around silicone textured implants in rats. Methods  Thirty-six male Wistar rats were divided (n = 18) into two groups. In one group, two parallel incisions (1.5 cm long) were made into the right and left sides of the spine. Two pockets were then created in which shell-shaped textured implants were inserted. The left-side pocket was injected with 0.2 ml of saline solution (SSG) and the right-side pocket with a dose of 1.25 mg/kg of zafirlukast (ZLG). The other 18 rats (sham, SG) had only one pocket created, followed by the placement of an implant and injection of 0.2 ml of saline solution. The rats were euthanized on the 7th, 35th, or 90th days followed by careful dissection of the implant. The capsules and peri-implant tissues were prepared for histologic analysis. An ANOVA test and Tukey test were applied (p < 0.05). Results  ZL was effective in impairing the capsule thickness on the 35th and 90th days compared to the other two groups (sham and saline). Not only was it effective in impairing the collagen density on the 35th and 90th days, but it also showed the same effect in the SSG (systemic); fewer myofibroblasts were counted on the 90th day in the ZLG compared to the SG group; the number of myofibroblasts was significantly lower in the ZLG than in the SSG. Conclusions  Pocket delivery of one dose of Zafirlukast was effective in impairing capsule formation around the textured implant. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-008-9245-4Authors Marcio Moreira, Plastic Surgery Brazilian Society (SBCP) Maringa PR BrazilDjalma José Fagundes, Federal University of São Paulo—Escola Paulista de Medicina (UNIFESP—EPM) Surgical Techniques and Experimental Surgery Division, Surgery Department Sao Paulo SP BrazilManuel de Jesus Simões, Federal University of São Paulo—Escola Paulista de Medicina (UNIFESP—EPM) Histology Division and Structural Biology, Morphology Department Sao Paulo SP BrazilMônica Cristina Baiardi Mizoguti de Oliveira, State University of Maringá (UEM) Pathology Department Maringa PR BrazilIsolde Terezinha dos Santos Previdelli, State University of Maringá (UEM) Statistics Department Maringa PR BrazilAmanda Castilho Moreira, Universidade Oeste-Paulista de Presidente Prudente—Unoeste Undergraduate Medical School Presidente Prudente SP Brazil Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X
A Comparison of Lipoatrophy and Aging: Volume Deficits in the Face
Thu, 06 Nov 2008 07:23:56 -0000
Abstract Background  Insight into the physical processes of aging can be gained by comparing the loss of facial volume that occurs during aging with the dramatic fat loss resulting from acquired lipoatrophy, including human immunodeficiency virus (HIV) treatment-associated lipoatrophy. The superficial effects of aging, such as rhytid formation, often are the focus of investigations into this phenomenon. However, age-related volume loss often is ignored. Methods  A review of the relevant literature was conducted to provide an overview of age-related lipoatrophy and its etiology and to compare it by facial region with HIV-associated facial lipoatrophy. Results  As a side effect of highly active antiretroviral therapy, HIV-associated lipoatrophy results in fat lipodystrophy (including both lipoatrophy and lipohypertrophy) and progresses toward nearly complete subdermal facial fat loss. Aging is accompanied by changes in the soft tissues of the face, leaving atrophic regions of generalized tissue ptosis. Some facial regions are affected differently by fat loss, depending on its cause. In the aging patient, certain parts of the face display only minimal fat loss. Conclusions  The role of fat loss in facial aging is slight compared with its considerable role in HIV-associated lipoatrophy. The losses of various facial tissues and the ptosis of some soft tissues are strong contributors to the appearance of the aged face. This regional anatomic assessment of the face engenders a more thorough understanding of the progression that characterizes volume changes associated with aging. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-008-9258-zAuthors S. Coleman, Center for Aesthetics, Rejuvenation, and Enhancement 44 Hudson Street New York NY 10013 USAA. Saboeiro, TriBeCa Plastic Surgery New York NY USAR. Sengelmann, Mohs and Cosmetic Dermatologic Surgery Santa Barbara CA USA Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X
Three-Dimensional Laser Imaging as a Valuable Tool for Specifying Changes in Breast Shape After Augmentation Mammaplasty
Tue, 04 Nov 2008 07:12:14 -0000
Abstract Background  Three-dimensional (3D) terrestrial laser scanning (TLS) is a valuable method for measuring shapes of objects and for obtaining quantitative measurements. These qualities of the 3D laser scanner have proved to be useful in reconstructive breast surgery. This study investigated various 3D parameters to obtain an optimal objective visualization of the breast after cosmetic augmentation mammaplasty. Methods  The objects are represented in a point cloud, which comprises millions of x, y, and z coordinates representing a virtual image. The quantification of 3D points shows changes in height (z coordinate) at any chosen point on the augmented breast (x and y coordinates). To give visual feedback on the change in dimensions, a color elevation scheme was applied on the reconstructed surface of the breast. As a quantifying description, a sagittal B-spline was chosen in a plane through the nipple to obtain the breast shape via the lateral profile. Results  Pre- and postoperative clear images were obtained. The color elevation model showed an increased projection and upper pole fullness after augmentation. The B-spline showed the gain in projection in a sagittal plane through the nipple. Conclusions  Three-dimensional TLS is capable of objectifying changes in shape after augmentation mammaplasty. This imaging technique represents superior visualization of the breast shape and can serve as a valuable tool to determine the changing dimensions of the breasts after augmentation mammaplasty. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-008-9259-yAuthors Danielle L. Esme, Tergooiziekenhuizen Hilversum Department of Plastic and Reconstructive Surgery Van Riebeeckweg 212 1213 XZ Hilversum The NetherlandsAlexander Bucksch, Delft University of Technology Faculty of Aerospace Engineering, Delft Institute of Earth Observation and Space Systems (DEOS) Delft The NetherlandsWerner H. Beekman, Tergooiziekenhuizen Hilversum Department of Plastic and Reconstructive Surgery Van Riebeeckweg 212 1213 XZ Hilversum The Netherlands Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X
Effects of Copaifera langsdorffii Desf. on Ischemia-Reperfusion of Randomized Skin Flaps in Rats
Tue, 04 Nov 2008 07:12:14 -0000
Abstract Background  Copaíba oil is an oleoresin obtained from the Copaiffera langsdorffii genus (Leguminoseae). It is widely used in folk medicine as an antiinflammatory, healing, and antiseptic agent. Comparative pharmacologic studies between different species of copaíba oils are scarce. Methods  The protective effect of Copaiffera langsdorffii was evaluated on an experimental model of random skin flaps on rat dorsums. Results  Seventy-two Wistar rats (average weight = 216.8 g) were divided randomly into four equal groups (saline control, vehicle control, GT200—Test 1, and GT400—Test 2). A caudally based rectangular flap, 2.5–8.0 cm in size, was elevated on the back of the rat using McFarlane’s method. The flap was sutured back into its original place. Copaifera and control drugs (saline and Tween 80) were administered by gavage 24, 12, and 2 h prior to the beginning of the experiment followed by daily doses for the next 7 days. To observe the effects of Copaifera, laboratory analyses included plasma and tissue levels of tiobarbituric acid-reactive substances (TBARS) and reduced glutathione (GSH) and tissue levels of myeloperoxidase (MPO). Conclusion  The oil-resin of copaíba presents discrete antilipoperoxidation action, intense antioxidant action, and antiinflammatory activity during the ischemia and reperfusion of randomized cutaneous flaps. The effects of ischemia-reperfusion are complex and substances capable of increasing the tolerance of tissue to those effects by reducing the production or neutralizing the action of free radicals are needed. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-008-9263-2Authors Joaquim José de Lima Silva, Universidade Federal do Ceará Department of Surgery Alexandre Baraúna Street 949 Rodolfo Teófilo Fortaleza BrazilSérgio Botelho Guimarães, Universidade Federal do Ceará Department of Surgery Alexandre Baraúna Street 949 Rodolfo Teófilo Fortaleza BrazilEdilberto Rocha da Silveira, Universidade Federal do Ceará Department of Surgery Alexandre Baraúna Street 949 Rodolfo Teófilo Fortaleza BrazilPaulo Roberto Leitao de Vasconcelos, Universidade Federal do Ceará Department of Surgery Alexandre Baraúna Street 949 Rodolfo Teófilo Fortaleza BrazilGabrielle Gurgel Lima, Universidade Federal do Ceará Department of Surgery Alexandre Baraúna Street 949 Rodolfo Teófilo Fortaleza BrazilSílvio Melo Torres, Universidade Federal do Ceará Department of Surgery Alexandre Baraúna Street 949 Rodolfo Teófilo Fortaleza BrazilRaquel Cavalcante de Vasconcelos, Universidade Federal do Ceará Department of Surgery Alexandre Baraúna Street 949 Rodolfo Teófilo Fortaleza Brazil Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X
Dual-Energy X-Ray Absorptiometry (DEXA): A Novel Approach for the Evaluation of Abdominal Liposuction Results
Tue, 04 Nov 2008 07:12:14 -0000
Abstract Background  It is difficult to measure exactly the amount of adipose tissue by which the body is reduced after liposuction. Dual-energy X-ray absorptiometry (DEXA) has been widely used in not only the diagnosis of osteoporosis but also the analysis of body composition such as the amount of bone mineral, adipose tissue, and other soft tissue. With this technique we can determine the exact amount of adipose tissue removed by liposuction. Methods  Twenty-eight subjects who underwent abdominal liposuction were enrolled in the study. DEXA scans were performed before and 2–3 months after liposuction. Data were collected and statistical analysis was performed. Conclusion  DEXA is a feasible alternative for the evaluation of liposuction results. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-008-9256-1Authors Hangyan Shi, Zhejiang Provincial People’s Hospital Department of Plastic and Reconstructive Surgery 158 Shangtang Road Hangzhou 310014 People’s Republic of ChinaQifeng Ying, Zhejiang Provincial People’s Hospital Department of DEXA 158 Shangtang Road Hangzhou 310014 People’s Republic of ChinaSheng Yan, Zhejiang Provincial People’s Hospital Department of Plastic and Reconstructive Surgery 158 Shangtang Road Hangzhou 310014 People’s Republic of ChinaDa Chen, Zhejiang Provincial People’s Hospital Department of Plastic and Reconstructive Surgery 158 Shangtang Road Hangzhou 310014 People’s Republic of ChinaJincai Guo, Zhejiang Provincial People’s Hospital Department of Plastic and Reconstructive Surgery 158 Shangtang Road Hangzhou 310014 People’s Republic of ChinaYi Sun, Zhejiang Provincial People’s Hospital Department of Plastic and Reconstructive Surgery 158 Shangtang Road Hangzhou 310014 People’s Republic of ChinaYong Chen, Zhejiang Provincial People’s Hospital Department of Plastic and Reconstructive Surgery 158 Shangtang Road Hangzhou 310014 People’s Republic of ChinaSufan Wu, Zhejiang Provincial People’s Hospital Department of Plastic and Reconstructive Surgery 158 Shangtang Road Hangzhou 310014 People’s Republic of China Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X
Characteristics of Refractory Sweating Areas Following Minimally Invasive Surgery for Axillary Hyperhidrosis
Sat, 01 Nov 2008 07:00:54 -0000
Abstract Background  Several surgical strategies have evolved for the treatment of focal axillary hyperhidrosis (FAH). However, nonresponders are found in every procedure. Until now no characterization of the recurrent sweating areas has been reported. The aim of this study was to characterize the axillary sweat area by using the iodine starch test in nonresponders prior to surgery. Methods  Prior to minimally invasive surgery, 24 (15 females, 9 males) nonresponders underwent a repetitive iodine starch test to define the area of recurrent sweating. Size and distribution of the hyperhidrotic area were documented. Results  Eighteen patients had undergone previous liposuction and six liposuction curettage. The size of recurrent sweating area was 10.2 cm2 (range = 5.5–24.5 cm2). We were able to identify three different patterns of recurrent sweating: crescent (33%), circular (41%), and insertion-spot type (26%). Conclusion  Patterns of recurrent sweating areas may partially indicate insufficient planning and implementation of surgery, resulting in nonresponders. We suggest that exact preoperative identification of the hyperhidrotic area be mandatory. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-008-9261-4Authors Falk Georges Bechara, Ruhr-University Bochum, St. Josef Hospital Department of Dermatology and Allergology Gudrunstr. 56 44791 Bochum GermanyMichael Sand, Ruhr-University Bochum, St. Josef Hospital Department of Dermatology and Allergology Gudrunstr. 56 44791 Bochum GermanyPeter Altmeyer, Ruhr-University Bochum, St. Josef Hospital Department of Dermatology and Allergology Gudrunstr. 56 44791 Bochum Germany Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X

PubMed: 1529-4242

Correction.
Related Articles Correction. Plast Reconstr Surg. 2008 Nov;122(5):1601 Authors: PMID: 18971765 [PubMed - in process]
Reply.
Kannan RY, Salacinski HJ, Ghanavi JE, Narula A, Odlyha M, Peirovi H, Butler PE, Seifalian AM Related Articles Reply. Plast Reconstr Surg. 2008 Nov;122(5):1600-1601 Authors: Kannan RY, Salacinski HJ, Ghanavi JE, Narula A, Odlyha M, Peirovi H, Butler PE, Seifalian AM PMID: 18971764 [PubMed - as supplied by publisher]
Silsesquioxane nanocomposites as tissue implants.
Curtis JM, Lipp ED Related Articles Silsesquioxane nanocomposites as tissue implants. Plast Reconstr Surg. 2008 Nov;122(5):1599-600; author reply 1600-1 Authors: Curtis JM, Lipp ED PMID: 18971763 [PubMed - in process]
Reply.
Halvorson EG, Taylor HO, Orgill DP Related Articles Reply. Plast Reconstr Surg. 2008 Nov;122(5):1598-9 Authors: Halvorson EG, Taylor HO, Orgill DP PMID: 18971762 [PubMed - in process]
Reply.
Hudson DA Related Articles Reply. Plast Reconstr Surg. 2008 Nov;122(5):1597 Authors: Hudson DA PMID: 18971761 [PubMed - in process]
Lateral circumflex femoral artery: not always atherosclerosis-resistant.
Kamdar MR, Rohde C, Spector JA Related Articles Lateral circumflex femoral artery: not always atherosclerosis-resistant. Plast Reconstr Surg. 2008 Nov;122(5):1597-8; author reply 1598-9 Authors: Kamdar MR, Rohde C, Spector JA PMID: 18971760 [PubMed - in process]

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