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Evaluating the Time of Maximal Vasoconstrictive Effect of Epinephrine in Facelift Surgery.
[BACKGROUND] It remains unclear how long a plastic surgeon should wait for the optimal vasoconstrictive effect of epinephrine as local anesthetic before incision for aesthetic facial surgery. [OBJECTIVES] In this study we investigate the o…
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Adjunct Perioral Phenol-Croton Oil Peel Shortens Philtrum Length in Patients Undergoing Primary Facelift.
[BACKGROUND] Plastic surgeons have a variety of treatment options for perioral rejuvenation, including chemical peels, energy-based skin-tightening devices, microneedling, microcoring, fat grafting, fillers, neuromodulators, and surgical li…
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Abdominoplasty Practice Patterns: An American Society of Plastic Surgeons Member Survey-How Much Has Changed Over 20 Years?
[BACKGROUND] In 2006, Matarasso et al. published an American Society of Plastic Surgeons member survey detailing abdominoplasty practice patterns. The purpose of the current study is to explore how surgical techniques, ancillary procedures,…
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Focused Subspecialty Training in Plastic Surgery Residency: An Objective Assessment of the Cleveland Clinic Pilot Program.
[BACKGROUND] Many senior-level plastic surgery residents have a firm idea regarding the complexion of their future practice. [OBJECTIVES] Rather than continuing with traditional rotations in the sixth year, it is suggested that chief resid…
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Local Tranexamic Acid in Facelift Surgery Is Not Associated With Wound Healing Complications: A Matched, Single-Surgeon Cohort Study.
[BACKGROUND] Recent anecdotal reports from respected surgeons suggest a potential link between tranexamic acid (TXA) in local anesthetic solutions and wound healing complications during facelift procedures. [OBJECTIVES] The authors of this…
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Applied Anatomy of the Lower Eyelid.
Lower eyelid function and appearance depend on the complex anatomic relationship between the soft tissue lamellae, supportive tarsoligamentous sling, and bone. Aging in the lower lid area may be caused by changes in the anterior lamella (sk…
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Blepharoplasty: Difficult Cases.
Lower lid blepharoplasty surgery can be a challenging procedure for both the neophyte and the accomplished surgeon. It requires mastering complex periorbital anatomy and choosing the correct approach from a wide variety of patient presentat…
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Lower Lid Blepharoplasty, Selecting Your Approach.
Successful lower blepharoplasties address patient-specific lower eyelid, canthal, and lid-cheek junction pathology. Various technical procedures have been described to address the lower eyelid lamellae and tarsoligamentous sling. The most a…
- Blepharoplasty.
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Practice Patterns in Blepharoplasty: A 15-Year Review of Continuous Certification Tracer Data from the American Board of Plastic Surgery.
[BACKGROUND] The American Board of Plastic Surgery (ABPS) continuous certification tracer data on blepharoplasty offer valuable information on national trends in clinical practice. The current study was performed to analyze evolving trends …
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Clinical Practice Patterns in Facelift Surgery: A 15-Year Review of Continuous Certification Tracer Data from the American Board of Plastic Surgery.
[BACKGROUND] This study evaluates change in practice patterns in facelift surgery based on a 15-year review of tracer data collected by the American Board of Plastic Surgery as part of the Continuous Certification process. [METHODS] Tracer…
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Supply and Demand: Resident Applications to Program Positions in Plastic Surgery and Our Sister Specialties.
[BACKGROUND] Previous studies have compared various attributes of independent and integrated resident applicants and identified criteria for a successful match outcome. Few studies have directly examined the relative desirability of various…
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Trends in Aesthetic Surgery Fellowship Training: An Analysis of Supply and Demand.
[BACKGROUND] Aesthetic surgery fellowship applications were consolidated under the San Francisco Match in 2018. The impact of these changes on aesthetic program and applicant numbers had not yet been investigated. [OBJECTIVES] In this stud…
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Local Infiltration of Tranexamic Acid During Facelift Improves Operating Room Efficiency: A Matched Patient Study.
[BACKGROUND] Tranexamic acid (TXA) has rapidly gained popularity in aesthetic surgery. Previous reports have suggested that TXA provides a dry surgical field and significantly reduces operating time during facelift surgery. [OBJECTIVES] Th…
- Invited Discussion on: Re-evaluating the Effect of Preoperative Tranexamic Acid on Blood Loss and Field Quality During Rhinoplasty: A Randomized double-blinded controlled Trial.
- Commentary on: A Systematic Review and Meta-Analysis Evaluating the Impact of Tranexamic Acid Administration in Aesthetic Plastic Surgery.
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Face Lift Practice Patterns: An American Society of Plastic Surgeons Member Survey, 2000 and 2020. How Much Have We Changed?
[BACKGROUND] In 2000, Matarasso et al. performed a survey of American Society of Plastic Surgeons members' face lift practice patterns. Since that publication, the aesthetic marketplace has changed dramatically, as have ancillary face lift …
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How to Prevent and Treat Complications in Facelift Surgery, Part 1: Short-Term Complications.
This article provides a review of available evidence with regard to short-term complications in facelift surgery. The article reviews both the most common complications and less common, but well-described ones. The goal is to offer objectiv…
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Prospective Study Assessing the Effect of Local Infiltration of Tranexamic Acid on Facelift Bleeding.
[BACKGROUND] Rebound bleeding during facelift surgery is a major cause of facelift hematomas. Subcutaneous infiltration of tranexamic acid (TXA) combined with lidocaine and epinephrine was recently retrospectively shown to decrease rebound …
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External Approach to Buccal Fat Excision in Facelift: Anatomy and Technique.
[BACKGROUND] Masculinization of the face is a common finding in facelift patients. It is attributed to deflation and decent of the midface-jowls coupled with skin laxity. Fullness is evident lateral to the jowl in a small percentage due to …
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Anterior Approach to the Neck: Long-Term Follow-Up.
[BACKGROUND] The anterior or submental necklift has been well described. Long-term results have been demonstrated in patients with minimal, mild, and moderate skin excess. It relies on the skin's unique ability to contract once separated fr…
- Invited Discussion on: Efficacy of Topical Tranexamic Acid (Cyclokapron) in "Wet" Field Infiltration with Dilute Local Anesthetic Solutions in Plastic Surgery.
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Identification of Body Dysmorphic Disorder in Patients Seeking Corrective Procedures From Oral and Maxillofacial Surgeons.
[INTRODUCTION] Body dysmorphic disorder (BDD) is an obsessive-compulsive related disorder characterized by an individual's preoccupation with the appearance of at least 1 perceived physical flaw. The bodily concerns held by individuals with…
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Facelift Part II: Surgical Techniques and Complications.
Although previous publications have reviewed face and necklift anatomy and technique from different perspectives, seldom were the most relevant anatomical details and widely practiced techniques comprehensively summarized in a single work. …
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Facelift Part I: History, Anatomy, and Clinical Assessment.
In this article, the authors aim to thoroughly describe the critical surgical anatomy of the facial layers, the retaining ligamentous attachments of the face, and the complex three-dimensional course of the pertinent nerves. This is supplem…
- Commentary on: Optimal Facelift Vector and its Relation to Zygomaticus Major Orientation.
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Facelift Surgery Following Superficial Parotidectomy: Is it Safe?
[INTRODUCTION] Patients who have previously undergone superficial parotidectomy may also seek facelift surgery for facial aging and rejuvenation. These patients present unique challenges compared to a standard facelift patient. Most concern…
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Local Infiltration of Tranexamic Acid With Local Anesthetic Reduces Intraoperative Facelift Bleeding: A Preliminary Report.
[BACKGROUND] Rebound bleeding as a result of loss of epinephrine effect is a common problem encountered during facelift surgery. Tranexamic acid (TXA) is an anti-fibrinolytic agent whose safety and efficacy in reducing bleeding are well doc…
- Abdominoplasty: State-of-the-Art.
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The Use of Eye Tracking Technology in Aesthetic Surgery: Analyzing Changes in Facial Attention Following Surgery.
[BACKGROUND] The ability to quantitatively analyze how we look at a face and determine if this changes following facial surgery should be of interest to the plastic surgeon. Eye tracking technology (ETT) provides the ability to record where…