Showing papers in "Facial Plastic Surgery Clinics of North America in 2021"

TL;DR: The technical considerations of a modified subdorsal strip method using a structural preservation technique are described and patient-reported measures demonstrate significantly improved functional and aesthetic outcomes postoperatively with this procedure.

TL;DR: Careful preoperative evaluation of the soft tissue and bony anatomy of the patient is very important and congenital or post-traumatic asymmetry may involve more than the nasal pyramid.

TL;DR: This article presents the philosophy when approaching the nasal dorsum regarding its segments and their specific anatomic aspects and surgical demands and describes the intermediate septal strip approach, the intermediate split and the Tetris concept.

TL;DR: Methods and adjustments in technique to help minimize potential problems when performing dorsal preservation of rhinoplasty are discussed.

TL;DR: Preservation rhinoplasty may refer to preserving several anatomic components including: the nasal bones, upper lateral cartilages, the keystone area and/or ligaments of the nose.

TL;DR: Ultrasonic piezo instruments offer several advantages compared with traditional tools such as hand saws, rasps, and osteotomes, and proper technique and are reviewed herein.

TL;DR: Dorsal preservation rhinoplasty has aesthetic advantages over conventional hump takedown rhinplasty as discussed by the authors, and the internal nasal valve angle is not disrupted and there is no need for mid-vault reconstruction.

TL;DR: There are 2 approaches for lowering the osseocartilaginous nasal dorsum; the most frequently used method includes resection of the osSEocartillaginous nose, and the second method is based on preservation of the Osseo-Cadmium basis.

TL;DR: The authors have used the endonasal push-down and let-down techniques that are attributed to Dr Maurice Cottle throughout their careers on select patients with excellent success, and this technique allows the authors to manage the nasal dorsum in a conservative fashion, reducing the need for routine restructuring of the middle third and nose.

TL;DR: In this article, the social impact of facial reanimation was investigated and it was shown that patients with facial paralysis may suffer from impaired social interactions, disruption of self-concept, psychological distress, and decreased overall quality of life.

TL;DR: The results following free gracilis muscle transfer have steadily improved during the past decade and areas for continued improvement include re-creating natural smile vectors, improving midface symmetry, minimizing scarring, improving spontaneity, and increasing reliability using various neural sources as discussed by the authors.

TL;DR: The benefits of a quality eyelid crease enable the surgical focus to be on lid contouring with a reduced requirement for lid skin and fat excision as discussed by the authors, and a durable crease maintains fixation of both the tarsal and infrabrow segments.

TL;DR: The anatomy of the keystone area and the dynamics of the dorsum explained through the biotensegrity concept are explained and differences between push-down and let-down techniques are addressed.

TL;DR: The hyaluronidase injection generally is effective in reducing overcorrection or migration of hyaluronic acid gel (HAG) fillers in this area.

TL;DR: In this article, the authors discuss various clinically applicable strategies to increase the chances for good functional outcomes by maintaining the viability of the neural pathway and target muscle, increasing the number of reinnervating nerve fibers and selecting functionally compatible donor nerve branches.

TL;DR: In this article, a modified selective neurectomy of the facial nerve is proposed as a treatment option that potentially can improve the smile mechanism by reducing the activity of counterproductive facial muscles while preserving the natural neural pathway.

TL;DR: In this article, the authors present the indications, advantages, and technique for volumizing transcutaneous lower blepharoplasty with fat transposition, as well as surgical details of transconjunctival blepharsplast with fat repositioning and autologous fat grafting as alternative approaches.

TL;DR: Dual innervation in free muscle flap facial reanimation has been used to create a functional synergy between the powerful commissure excursion that can be achieved with the masseter nerve and the spontaneity derived from a cross-face nerve graft as discussed by the authors.

TL;DR: The number of the surgeons making use of the SSDT will increase with the understanding of the key points in dissection, their ordering, and use of correct instrumentation.

TL;DR: In this paper, a dual nerve transfer for facial reanimation is described, which combines the strengths of the hypoglossal and masseteric nerve transfers and builds on existing nerve transfer techniques.

TL;DR: Multi-innervation as discussed by the authors uses the use of multiple donor nerves in order to leverage the benefits while balancing the pitfalls of each nerve, depending on the type of nerve injury, time since injury, and patient factors.

TL;DR: To understand DP requires a new appreciation of the cartilaginous septum, the perpendicular plate of ethmoid, nasal osteotomies, and anatomy of the nose where surgeons do not operate with traditional component reduction.

TL;DR: In this article, the authors considered the anatomic and clinical characteristics to be considered before doing endoscopic brow lift in young Asian patients, for better outcomes of blepharoplasty or augmentation rhinoplasty.

TL;DR: In this article, the authors summarized contemporary medical and emerging surgical approaches for the therapeutic management of trigeminal trophic syndrome, which may yield blindness and facial disfigurement, secondary to neurotrophic keratopathy.

TL;DR: In this article, a comprehensive strategy, including the use of the anterolateral thigh free flap, the temporalis regional muscle transfer, motor nerve to vastus lateralis grafts, nerve to masseter transfer, and fascia lata grafts for static suspension, was described.

TL;DR: This issue of Clinics explores the concept of "preservation" rhinoplasty, which should be viewed generally as a mindset to limit deconstructive steps in rh inoplasty when possible, understanding that these steps and those to later reconstruct provide the potential to create new problems that did not previously exist.

TL;DR: In this article, the characteristics and theories of aging and 5 types of lower eyelid/middle face aging based on four key factors, namely, protruding fat in the orbital, excess skin on the lower eye, sagging midface and soft tissue deflation, are discussed.

TL;DR: The principles of facial reconstruction are well established and some unique modifications apply to the non-White population as mentioned in this paper, and these modifications should be considered for this population to maximize aesthetic outcomes and patient satisfaction.

TL;DR: The modified tarsoconjunctival flap can obscure the lateral visual field by coupling the eyelids, but without distortion of the canthal angle and eyelid margin this paper.

TL;DR: In Asian rhinoplasty, the key concept is augmentation in all different forms of nasal deformities, such as concave nasal dorsum, low-nose, wide and deviated nose, saddle nose, etc. as mentioned in this paper.