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Aesthetic guidelines in genioplasty: the role of facial disproportion.
It has been demonstrated previously that many individuals requesting chin enlargement have small or retruded mandibles. A weak chin may be only one aspect of this particular class II skeletal deformity, the other components being a procumbe…
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Occlusal plane rotation: aesthetic enhancement in mandibular micrognathia.
Patients afflicted with extreme degrees of mandibular micrognathia typically have vertically deficient rami as well as sagittally deficient mandibular bodies. This results in deficient posterior facial height, an obtuse gonial angle, excess…
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When osteotomies should be considered.
Osteotomy at various levels of the facial skeleton is entirely justified in selected aesthetic surgical patients. By the very nature of aesthetic surgery, the morbidity potential associated with such osteotomies must be extremely low. Accor…
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Maxillary advancement for mandibular prognathism: indications and rationale.
The surgical correction of mandibular prognathism has traditionally involved posterior repositioning of the mandibular body. This treatment approach corrects the skeletal disproportion at the expense of reducing facial skeletal volume and c…
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Aesthetic refinements in genioplasty: the role of the labiomental fold.
The vast majority of patients requesting aesthetic enlargement of their chins have a class II skeletal deformity secondary to a small mandible. Class II skeletal patterns are frequently associated with abnormalities of lower face height, wh…
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Definitive surgical correction of vertical maxillary deficiency.
Inferior repositioning of the maxilla to correct vertical maxillary deficiency has been associated with variable degrees of instability and subsequent relapse. Resorption of bone-graft material has been incriminated as the primary cause of …
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Lactation as a complication of aesthetic breast surgery successfully treated with bromocriptine.
A case is presented of lactation occurring ten days after mastopexy with augmentation mammaplasty. Milk-draining sinuses involving the operative incisions necessitated prompt diagnosis and treatment to avoid breast implant loss. Bromocripti…
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Lip-nasal aesthetics following Le Fort I osteotomy.
Forty-one patients undergoing Le Fort I osteotomy for superior and/or anterior repositioning of the maxilla were prospectively studied for changes in soft-tissue morphology of the nasomaxillary region. Nasal parameters studied were changes …
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Surgical correction of the vertically deficient chin.
Surgical correction of the vertically deficient chin has received relatively little attention. This paucity of information is most likely related to the failure to diagnose vertical microgenia and the questionable stability of its surgical …
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Periorbital basal cell carcinoma requiring ablative craniofacial surgery.
Four patients with recurrent, periorbital basal cell carcinoma and who ultimately required craniofacial composite orbitectomies are presented. Common clinical features included medial canthal and eyelid location of tumors, multiple previous…
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Single stage composite resection and reconstruction of malignant anterior skull base tumors.
Operative morbidity, including osteomyelitis and meningeal and cerebral sepsis, remains high among patients undergoing the composite (bony and overlying soft tissue) resection of malignant skull base tumors. This is in part because of the p…
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The extended trapezius musculocutaneous flap for cranio-orbital facial reconstruction.
The use of the extended posterior trapezius muscle skin flap for cranio-orbital facial reconstruction is presented. Its enormous arc of rotation allows it to reliably reconstruct massive defects of the upper face with the orbit at the cente…