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Correction of Nasal Pinching.
The pinched nasal tip deformity often results as sequelae of prior nasal surgery. Conventional tip surgery techniques that overemphasize tip narrowing often deform the lateral crura and weaken support for the alar margin. The pinched nasal …
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Long-term Outcomes of Subtotal Septal Reconstruction in Rhinoplasty.
[IMPORTANCE] Significant nasal septal deviation may require complex reconstruction to achieve complete correction. Subtotal septal reconstruction is a method for addressing deviations in the L-strut. [OBJECTIVES] To review the long-term ou…
- Commentary on: Reassessing Surgical Management of the Bony Vault in Rhinoplasty.
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Use of Costal Perichondrium as an Interpositional Graft for Septal Perforation Closure.
[IMPORTANCE] Closure of septal perforations remains a technically difficult procedure to perform. [OBJECTIVE] To assess the use of costal perichondrium as an interpositional graft to enhance closure of septal perforations using bilateral m…
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Dorsal Augmentation Using Autologous Costal Cartilage or Microfat-Infused Soft Tissue Augmentation.
Costal cartilage grafting is increasing in popularity with increased demand for augmentation rhinoplasty and increased need for grafting material for structure rhinoplasty techniques. Use of costal cartilage for dorsal grafting is both art …
- Choosing Autologous vs Irradiated Homograft Rib Costal Cartilage for Grafting in Rhinoplasty.
- Auricular Composite Grafting in Functional Rhinoplasty.
- Discussion: Transparency in Functional Rhinoplasty: Benefits of Routine Prospective Outcome Measurements in a Tertiary Referral Center.
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Clinical Use of GalaFLEX in Facial and Breast Cosmetic Plastic Surgery.
[UNLABELLED] Resolution of ptosis is a key step to the success of many plastic surgery procedures. Ptosis is a manifestation of tissue stretch. Tissue stretch can occur as a result of the natural aging process or health of the patient, or t…
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Rhinoplasty of the Aging Nose.
The process of aging leads to countless bodily changes on both a macro- and microscopic scale. No organ system is unaffected; however, the nose is especially susceptible. Sun damage, hormone levels, regenerative capability, tissue elasticit…
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Analysis of Facial Implants for Bacterial Biofilm Formation Using Scanning Electron Microscopy.
[IMPORTANCE] Alloplastic implants are widely used in facial plastic surgery, both in rhinoplasty and nonrhinoplasty procedures. Implant infection and extrusion are significant concerns of such implants after placement. Bacterial biofilms ha…
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Controversies in Revision Rhinoplasty.
Revision rhinoplasty is a complex operation with many variables that may influence the final esthetic and functional outcome of the procedure. Cartilage forms the structural framework of the lower two-thirds of nose and is essential for lon…
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Surgical Adhesives in Facial Plastic Surgery.
In facial plastic surgery, attaining hemostasis may require adjuncts to traditional surgical techniques. Fibrin tissue adhesives have broad applications in surgery and are particularly useful when addressing the soft tissue encountered in f…
- Discussion: Combined use of crushed cartilage and fibrin sealant for radix augmentation in Asian rhinoplasty.
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Biomechanical properties of superficial musculoaponeurotic system tissue with vs without reinforcement with poly-4-hydroxybutyric acid absorbable mesh.
IMPORTANCE It is unknown whether poly-4-hydroxybutyric acid (P4HB)-reinforced superficial musculoaponeurotic system tissue (SMAS) plication techniques will support SMAS imbrication and plication and potentially improve outcomes in rhytidect…
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Revision rhinoplasty: panel discussion, controversies, and techniques.
[UNLABELLED] What is the single most difficult challenge in revision rhinoplasty and how do you address it? During revision rhinoplasty, when dorsal augmentation is necessary and septal and ear cartilage is not available, what is the best s…
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Lower lateral cartilage repositioning: objective analysis using 3-dimensional imaging.
[IMPORTANCE] In recent years, with the advent of 3-dimensional (3D) imaging techniques, it has become possible to objectively measure rhinoplasty results. However, few studies have used 3D imaging software to assess postoperative rhinoplast…
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Powered instrumentation for rhinoplasty and septoplasty.
Advances in surgical instrumentation are generally intended to allow the performance of a surgical maneuver more efficiently and accurately. Powered instrumentation may allow improved precision and ease in certain aspects of rhinoplasty and…
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Use of octyl-2-cyanoacrylate for skin closure in facial plastic surgery.
Octyl-2-cyanoacrylate is a long carbon chain cyanoacrylate derivative that is stronger and more pliable than its shorter chain derivatives. One hundred and eleven patients underwent elective surgical procedures by the same surgeon using eit…
- Bone inductive biomaterials in facial plastic and reconstructive surgery.
- Surgical tissue adhesives in facial plastic and reconstructive surgery.
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Considerations in the use of biologic grafts and alloplastic implants in facial plastic and reconstructive surgery.
Surgical changes in the contour of soft tissue and bone of the craniomaxillofacial structures may require use of a biologic graft or alloplastic implant. Autologous materials are preferred; however, the harvesting procedure, donor site, and…
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Osteoinductive biomaterials for medical implantation.
The search for the ideal implant material continues since presently available implants all have significant drawbacks. This paper reviews three studies that we recently completed with bone-inducing implants. Long-term clinical follow-up of …