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Identifying Regional Viscoelastic Properties of the Superficial Muscular Aponeurotic System.
[BACKGROUND] Suspension of the superficial muscular aponeurotic system (SMAS) is generally believed to be necessary in facelift surgery. Although many techniques have been suggested, all rely on the viscoelastic properties of the SMAS. [OB…
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Face Lift.
[LEARNING OBJECTIVES] After studying this article, the participant should be able to: 1. Identify the essential anatomy of the aging face and its relationship to face-lift surgery. 2. Understand the common operative approaches to the aging …
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Comparison of Limited-Undermining Lipoabdominoplasty and Traditional Abdominoplasty Using Laser Fluorescence Imaging.
[BACKGROUND] Body contouring that involves abdominoplasty and/or liposuction is a common cosmetic surgery procedure. Although single-staged lipoabdominoplasty has gained popularity, safety concerns remain. [OBJECTIVES] The authors compared…
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Facelift and patterns of lymphatic drainage.
[BACKGROUND] It has commonly been assumed that deeper facelift dissection causes greater and more prolonged swelling. [OBJECTIVES] In this preliminary report, the authors compare the lymphatic reconstitution after multiple techniques of rh…
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The viscoelastic properties of the SMAS and its clinical translation: firm support for the high-SMAS rhytidectomy.
[BACKGROUND] The superficial musculoaponeurotic system (SMAS) has inherent viscoelastic properties, although the optimal tension levels to minimize tissue relaxation have not been defined. This study evaluated the viscoelastic properties of…
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The frontal branch of the facial nerve across the zygomatic arch: anatomical relevance of the high-SMAS technique.
[BACKGROUND] The frontal branch has a defined course along the Pitanguy line from tragus to lateral brow, although its depth along this line is controversial. The high-superficial musculoaponeurotic system (SMAS) face-lift technique divides…
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TUNEL assay to characterize acute histopathological injury following treatment with the active and deep FX fractional short-pulse CO2 devices.
[BACKGROUND] This is a report of the histopathological evaluation of the acute damage profile in human skin following treatment with two novel short-pulsed fractional carbon dioxide resurfacing devices used independently and in combination …
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Aesthetic surgery of the face and neck.
The reader is presumed to have a basic understanding of facial anatomy and facial rejuvenation procedures. After reading this article, the reader should also be able to: 1. Identify the essential anatomy of the face as it relates to facelif…
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Safety and efficacy in an accredited outpatient plastic surgery facility: a review of 5316 consecutive cases.
Advances in medicine have improved the delivery of health care, making it more technologically superior than ever and, at the same time, more complex. Nowhere is this more evident than in the surgical arena. Plastic surgeons are able to per…
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The "high SMAS" face lift technique.
The "high SMAS" face lift technique suspends the cheek mass securely, leaving the skin and subcutaneous mass attached to the SMAS without placing the skin under greater than normal tension. The author provides the surgical steps. (Aesthetic…
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Optimizing breast pocket irrigation: an in vitro study and clinical implications.
Subclinical infections have been implicated in the etiology of capsular contracture. Intraoperatively, breast pocket irrigation with povidone-iodine or other antibiotic solutions has been popularized; however, detrimental effects on wound h…
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Anatomy of the nasolabial fold.
An anatomical evaluation involving the nasolabial fold was performed on three fresh cadavers. Both gross and histologic analyses were made. The mimetic muscles were noted to have dermal extensions to the skin overlying the nasolabial fold. …
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The periorbital dissection in rhytidectomy. How deep?
In the classic rhytidectomy procedure, upward and lateral progress of the skin is hindered by strong fascial attachments of the SMAS to the zygoma. To counteract these tethers, surgeons can go below them in a subperiosteal dissection or abo…
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The SMAS and the nasolabial fold.
In a series of histologic sections and clinical and cadaver dissections, the superficial musculoaponeurotic system (SMAS) is seen to become the investing fascia of the zygomaticus major and minor muscles in the medial cheek. The pull on the…
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Rhytidectomy and the nasolabial fold.
I describe a technical modification in the Skoog face lift procedure that releases the deep attachments of the SMAS to the muscles of facial expression for maximal mobility of the medial cheek yet elevates the cheek flap as a composite of s…
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Principles of nasal reconstruction.
The human nose poses a difficult problem to the management of cutaneous malignancies, especially basal-cell carcinoma. Located in the center of the face, it is frequently involved with skin tumor, yet its prominent location and graceful con…
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Latissimus dermal-epidermal nipple reconstruction.
Nipple reconstruction by dermal-epidermal advancement flaps from the latissimus dorsi skin island was performed in 10 consecutive patients. There was no tissue loss and the nipples are still prominent 16 months after operation. The techniqu…
- The principle of chemosurgery and delayed primary reconstruction in the management of difficult basal cell carcinomas.
- What's new in plastic surgery.
- A combined biceps and semitendinosus muscle flap in the repair of ischial sores.
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Making slides for lecture or teaching.
Technical details are provided for making slides of several types for lecture or teaching. Advantages are simplicity, versatility, speed, high quality, and low cost.…