FURNAS DW

A facelift strategy that has proved useful follows certain steps: (1) incision lines and excision lines are drawn preoperatively with the patient seated, providing a pattern for skin excision. (2) The skin/soft-tissue flap is elevated from …

This article categorizes and defines periorbital soft tissue protrusions associated with aging. (Protrusions of intraorbital fat are excluded. Recent anatomic observations are described as well as surgical procedures based on these findings…

The external ear has intrinsic anatomical vulnerabilities that invite surgical complications. Among these are the exposed position of the auricle, the thinness of the skin, and subcutaneous cover; the delicate convoluted shape; and the avas…

Anthropometric landmarks provide a reference system that lends increased precision, consistency, and refinement to face lifts and related procedures.…

After being leaders in the field of transplantation, plastic surgeons became inactive in this field. Interest is reviving with the advent of the new immunosuppressant drug cyclosporine, as well as new knowledge of the immune mechanism. New …

In each of 2 recent patients with distant pedicles (one a groin flap and the other a cross-leg flap), we were able to perform the final division and detachment of the flap on the fifth postoperative day. Cross-clamping was used to create in…

We have completed 25 SLC-RAC sequences for complete unilateral clefts of the lip, using the straight-line closure as a preliminary step to facilitate the definitive closure, which is done about 6 months later. Fourteen of the straight-line …

1. The majority of our residents who completed their training since 1974 use a microscope for nerve repairs. A majority of those doing microscopic nerve repairs also repair noncritical vessel injuries with the microscope. 2. Half of the res…

Massive juvenile hypertrophy of the breast in a 12-year-old girl was successfully treated with a primary subcutaneous mastectomy and secondary placement of gel-filled silastic implants. The patient weighed 114 pounds and her breasts weighed…

Our experience with 50 myocutaneous flaps shows that the remarkable flexibility in design and execution of these flaps has opened up a new frontier in plastic and reconstructive surgery. The complication rate was 20 percent. Only one compli…

The onset of canthal drift after hypertelorism repair can nullify the effectiveness of the repair, despite roentgenographic evidence of normal interorbital distance. The problem of hypertelorism is simply replaced by the problem of telecant…

Twenty-three free microvascular flaps were transferred during the period September 1975 to December 1978. These included skin flaps, osteocutaneous flaps, and flaps of omentum and jejunum. These flaps were used for a variety of conditions r…

Patients undergoing augmentation mammaplasty are draped so that they can sit up during the operative procedure. With the help of a mirror, both patient and surgeon can view the new contours with trial prostheses before final closure is made…

Occasionally, baggy eyelids are caused by a laxity of the orbicularis oculi muscle. The extent of these orbicularis festoons is evaluated by a careful examination--including the "squinch" and the "pinch" tests. We excise such festoons of ex…

Mattress sutures from conchal cartilage to mastoid fascia, from scaphoid fossa to temporal fascia, from scapha to concha, and from the earlobe to the sternocleidomastoid muscle insertion give a satisfactory correction of most prominent ears…

A large bony defect of the tibia, covered with thin unstable scar, was repaired successfully with a free osteocutaneous flap composed of 10 cm of the ninth rib with a 9 X 6 cm area of overlying muscle and skin. Microvascular anatomoses were…

An anteriorly-based lateral chest flap gives volar coverage to the opposite denuded hand, while a flap from the adjacent inner arm gives dorsal coverage. While transferring the flaps, the donor sites are joined together to form a temporary …