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Month: March 2016
Complications and Toxicities of Implantable Biomaterials Used in Facial Reconstructive and Aesthetic Surgery: A Comprehensive Review of the Literature
The use of implantable biomaterials has become an integral part of aesthetic and reconstructive surgery of the face. Metals are used for fracture fixation devices, whereas polymers are used primarily for bone or soft-tissue substitution. This review of the scientific literature examines the risks and complications of these materials. First, we present an overview of […]
MoreFacial Skeletal Reconstruction Using Porous Polyethylene Implants
A retrospective review of clinical outcomes was performed to determine the clinical utility and morbidity associated with the use of porous polyethylene facial implants. Three hundred seventy implants were placed in 162 consecutive patients, in 178 operations performed in 11 years. The number of patients, the number of implants used, and the average follow-up period […]
MoreCurve Analysis of the Aging Orbital Aperture
One can objectively describe a youthful orbit. Figure 1 presents measurements of orbital structures found in young women.1-3 These measurements include the dimensions and cant of the palpebral fissure, the distance of the eyebrow from the midpupil, the height of the lower lid, and the projection of the cheek beyond the cornea. These dimensions and […]
MoreSubperiosteal and Full-Thickness Skin Rhytidectomy
Face lift surgery is rejuvenative cosmetic surgery and, therefore, by definition [L. juvenis, young person)],1 its goal is to restore a youthful appearance. Successful face lift surgery re- quires that the plastic surgeon recognize the attributes of the youthful face and that he develop effective techniques to restore them. Iatrogenic sequelae should not detract from […]
MoreSurgical Techniques
The order of procedures is (1) upper lid blepharoplasty, (2) subperiosteal brow and midface lift, (3) lower face lift, and (4) lower lid blepharoplasty. Upper Lid Blepharoplasty Because the lateral brow lift removes considerable lateral upper lid skin redundancy, lid skin excision is conservative. Less upper lid skin is removed than when an upper lid […]
MorePatient Review – Second video
Patient CW’s life took a turn when she was struck by a motor vehicle while taking a walk in August of 2014. She suffered multiple traumatic injuries that she survived from. After a long period of recovery in the Intensive Care Unit she required reconstructive surgery to correct her missing skull. She underwent a Cranioplasty […]
MoreClinical Experience and Example
DISCUSSION The attributes of the youthful face can be summarized as brows with an apex lateral slant, lower lids that are short, eyes that are narrow, cheeks that are full, and necks that are well defined. The combination of two major procedures, i.e., the subperiosteal brow and midface lift and a full-thickness skin and subcutaneous […]
MorePatient Review with Video
Patient CW’s life took a turn when she was struck by a motor vehicle while taking a walk in August of 2014. She suffered multiple traumatic injuries that she survived from. After a long period of recovery in the Intensive Care Unit she required reconstructive surgery to correct her missing skull. She underwent a Cranioplasty […]
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