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Rhinoplasty osteotomes can be sharpened in various ways: professional sharpening or hand sharpening using whetstones or rotary powered devices. To compare the effectiveness of sharpening osteotomes using various sharpening methods with tha…

The nasal valve is an important consideration in patients presenting with nasal obstruction. Controversy exists regarding the anatomy, terminology, evaluation, and management of the nasal valve. Innumerable techniques with variable effects …

Facial plastic surgeons commonly see patients with submental laxity and an excess of skin and fat in the upper neck. This has colloquially been called the "turkey gobbler" deformity. In some cases, this deformity is the patient's only aesth…

[OBJECTIVE] The purpose of this study was to examine the perceptions of medical students regarding facial aesthetic surgery and those specialists most likely to perform aesthetic or reconstructive facial surgery. [METHODS] A survey was des…

[OBJECTIVE] To report a 3-year multi-institutional clinical experience with the liposhaver in facial plastic surgery. [DESIGN] Nonrandomized, nonblinded, multi-institutional evaluation of the liposhaver in a clinical setting. [INTERVENTIO…

[OBJECTIVE] To report a multi-institutional clinical experience with the liposhaver in facial plastic surgery. [DESIGN] Nonrandomized, nonblinded, multi-institutional evaluation of the liposhaver in a clinical setting in patients presentin…

[OBJECTIVE] To examine the use of autologous free dermal fat grafts (FDFGs) in the reconstruction of soft-tissue facial contour defects, an 8-year, retrospective, computerized medical chart review was conducted for 21 patients who underwent…

1. Treat the underlying etiology: In cases of cancer, assure complete excision by using Mohs surgery. In cases of trauma, assure complete debridement of necrotic tissue and bring in healthy viable, well-vascularized tissue. 2. Assess the de…

Substantial premaxillary augmentation is necessary as an adjunctive treatment in most cleft rhinoplasties and in those patients exhibiting an acute nasolabial angle due to retrusion of the premaxila. We describe our technique of evaluation …

Ptosis of the brow is a significant and often unrecognized portion of aging of the upper face. It contributes to both cosmetic and functional aging. Correction is often mandatory prior to blepharoplasty in that functional problems may be wo…

Careful preoperative and postoperative photographs are an essential part of facial plastic surgery for medical and legal documentation, publication, patient education, and lectures. Computers play an increasing role in many aspects of the m…

Gillies' corner stitch (GCS) has been generally accepted for closure of skin flap tips because it is commonly believed that this stitch provides the best chance for survival of a flap tip that may have a compromised blood supply. There are …

Treatment of the protruding fat pads in the lower blepharoplasty is a problem for most surgeons performing this procedure. The problems usually encountered are reviewed, the lid anatomy discussed, and a method of correcting the defect witho…

Many surgical procedures in otolaryngology, particularly those in the areas of facial plastic surgery, are best performed under a local anesthetic. The majority of these procedures may be done on an outpatient basis and require an intraveno…

The face lift alone is seldom adequate treatment for the aging face. Rhinoplasty, brow lift, and blepharoplasty frequently are done to enhance the effect of the face lift itself. Other procedures must be considered for treatment of specific…

Conventional closure of surgical defects in skin may cause unsightly protrusions (dog ears). Fusiform excisions with angles of 30 degrees or less reduce protrusion but may require excision of larger volumes and lengths of healthy skin and s…