Masseter Muscle Reattachment After Mandibular Angle Surgery

01, August, 2017

BACKGROUND: Altering the dimensions of the mandibular angle by alloplastic augmentation or skeletal reduction requires elevation of the insertion of the masseter muscle, including the pterygomasseteric sling. Disruption of the pterygomasseteric sling during exposure of the inferior border of the mandible can cause the masseter muscle to retract superiorly, resulting in a loss of soft […]

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Tissue Engineering Cartilage with Aged Articular Chondrocytes In Vivo

21, July, 2017

Background: Tissue engineering has the potential to repair cartilage structures in middle-aged and elderly patients using their own “aged” cartilage tissue as a source of reparative chondrocytes. However, most studies on tissue-engineered cartilage have used chondrocytes from postfetal or very young donors. The authors hypothesized that articular chondrocytes isolated from old animals could produce neocartilage […]

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Clinical Application of Cultured Autologous Human Auricular Chondrocytes with Autologous Serum for Craniofacial or Nasal Augmentation and Repair

18, July, 2017

The authors have corrected various craniofacial contour deformities using tissue culture- expanded autogenous tissue. Their method involves obtaining small cartilage biopsy specimens, expanding the number of cells from the biopsy specimens in tissue culture, and injecting the expanded cells into the defect. The authors’ initial clinical results using this procedure are impressive. In addition to […]

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Infracture Technique for Reduction Malarplasty with a Short Preauricular Incision

11, July, 2017

Certain horizontal facial measurements in Asians are significantly greater than those of Westerners. These measurements include the bizygomatic distance, the intercanthal distance, the interalar distance, and the bigonial distance1 (Fig. 1). Aesthetic operations designed to improve balance or proportion in Asian faces typically, directly or indirectly, reduce these horizontal measurements. Dorsal nasal augmentation makes the […]

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Changing Concepts in the Management of Secondary Orbital Deformities

16, June, 2017

The ideal time to reconstruct the post- traumatic orbital injury is in the acute phase. Extended open reduction of freely movable bone segments, their rigid internal fixation, and the replacement of severely comminuted bone with bone grafts—all done in one stage—provide the best opportunity to restore the preinjury status.7,14 This approach may be possible in […]

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Secondary Reconstruction of Posttraumatic Orbital Deformities

09, June, 2017

A retrospective analysis of our experience, techniques, and concepts for the secondary reconstruction of orbital injuries to 78 patients over a 15-year period is presented. Secondary orbital reconstruction has the following four basic steps: II) freeing of the overlying soft tissues by extensive subperiosteal dissection; (2) skeletal reconstruction, usually with onlay bone grafting and contour […]

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Infraorbital Rim Augmentation

26, May, 2017

In patients with recessive infraorbital rims, alloplastic augmentation of the infraorbital rims makes the eyes appear less prominent and improves appearance. Ten patients (seven women and three men) with an average age of 30 years (range, 23 to 45 years) underwent augmentation of the infraorbital rim with alloplastic implants over a 9-year period. With an […]

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Mandibular Augmentation

19, May, 2017

Porous polyethylene implants are available that are designed to augment the mandibular ramus and body. They can be used to increase the bigonial distance in patients with normal mandibular anatomy who desire an increase in lower facial width. When used in combination with extended chin implants, they can camouflage the skeletal contour inadequacies associated with […]

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Improving Periorbital Appearance in the “Morphologically Prone”

12, May, 2017

Patients with prominent eyes are predisposed to lower lid descent and rounding of the palpebral fissure. This deformity may be exaggerated and symptomatic after conventional lower blepharoplasty. Normalization of the periorbital appearance in “morphologically prone” patients involves three basic maneuvers. Augmenting the projection of the infraorbital rim with an alloplastic implant effectively changes the skeletal […]

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Making Concave Faces Convex

05, May, 2017

Abstract. Inadequate projection of the midface skeleton results in midface concavity. Patients with this skeletal morphology tend to have prominent eyes and noses. Lack of skeletal support for the midface soft tissue envelope predisposes to premature cheek descent, resulting in palpebral fissure distortion and lower lid “bags,” an appearance of early aging. Concave midfaces can […]

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