SPIRA M

The author presents his otoplasty technique, a variation on Mustardé's original procedure, which he has used for more than 30 years in more than 200 otoplasties. Timing, indications, and photographic documentation are discussed, and the ope…

This study presents 50 consecutive cases of abdominoplasty utilizing the authors' French-line method. This technique incorporates the basic principles of more traditional abdominoplasty procedures with significant modifications that allow f…

Abdominal myofascial plication has become an integral part of aesthetic abdominoplasty in an effort to narrow the waistline. Out of concern for the durability of this procedure, we performed a study using standard radiographs and clinical p…

Historical and modern advances in the development of an injectable soft tissue substitute are reviewed. Nonbiologic alloplastic and biologic injectables are described. The authors' experiences, as well as those of others, employing presentl…

Aesthetic surgery is the natural evolution of reconstructive surgery done to improve a patient's form in addition to function. This becomes especially critical in the pediatric age group in which patients are constantly evolving and their c…

Dermatologists and their plastic surgical colleagues treating acne vulgaris and its sequelae have an effective arsenal of anti-acne preparations to inhibit and avoid many of the long-term, cosmetically deforming effects of severe inflammato…

Neurofibromatosis (NF) is an inherited disorder characterized by the development of a wide variety of clinical manifestations, including characteristic "freckle-like" pigmentations (cafe au lait spots) that develop in infancy, followed by s…

It is extremely important that a donor graft site be selected with attention to the type of graft needed as well as the specific patient's needs and lifestyle. While it is inevitable that any donor site heals with altered pigmentation and t…

When the protruding ear is caused in whole or in part by an enlarged or abnormally angulated concha, the conchal set-back is a recognized technique in corrective surgery. The authors describe a modification of this procedure in which a post…

The recognition and treatment of recurrent basal cell cancer presents a diagnostic as well as a therapeutic problem. While recurrences are often masked by previous surgical efforts, there are definite clinical features that warrant suspicio…

A single case is reported of a large posterior calf defect, involving skin, subcutaneous tissue, and underlying muscle, in which contour is restored employing an inferior half of the gluteus maximus musculature and overlying skin as a free …

The Davol dermatome, which was introduced in 1965, had several shortcomings in clinical application. In order to increase the efficiency of this machine, changes in the motor and drive linkages of the power handle have been made. In the cli…

New methods for the reconstruction of the ear, nose, and breast using omentum to vascularize appropriate tissue composites of skin, bone, and cartilage are described. The initial investigation demonstrated that it is possible to obtain an i…

In 39 pigs, four varieties of secondary island flaps were created using omentum as a carrier. This study demonstrates that: 1. Skin grafts (split- or full-thickness), when grafted to omentum, can be transformed into an "island flap," and th…

A surgical technique for mastopexy, done through a circumareolar incision and leaving no noticeable scar, is described. The skin brassiere is undermined and a rotation-invagination and suture maneuver are performed which simultaneously augm…

In summary, the author has presented a brief historical review of the various operations under the general heading of blepharoplasty for the removal of redundant and "baggy" eyelid skin. The various conditions encountered which contribute t…

In 20 to 26 patients who had blepharoplasties in which the lower eyelid skin was undermined at two different levels on the two sides, little (if any) difference could be demonstrated in the postoperative appearance.…