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Patient 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 […]
MoreProminent Eyes, Negative Vector, Round Eyes and Infraorbital Rim Implants
The upper midface skeleton has direct and indirect influences on the appearance of the face and particularly, the eyes. The relationship between the eyeball and the orbital rims will determine if the eyes appear prominent or deep set. Because the infraorbital rim ( the bone directly beneath the eye) and upper midface skeleton support the […]
MoreThe Role of Anthropometry in Planning Aesthetic Surgery
Medical anthropometry is the collection of  precise, reproducible surface measurement of the human body. The late Leslie Farkas was a medical anthropologist who accumulated large numbers of surface measurements of various population groups of both sexes. These data defined normal values, as well as gender and ethnic differences in facial measurements and proportions. In my […]
MoreThe limited role of mathematical ideals in planning facial surgery.
When reconstructing a severely injured face after a motor vehicle accident, the plastic surgeon attempts to return the involved area to its original appearance, or, if that is not possible, to one that is symmetric and accepted as normal. When a patient desires their uninjured face to be made more attractive, the aesthetic goal is […]
MoreDo fat grafts, fillers and facial implants have the same effect on facial appearance?
Fat grafts, fillers (usually hyaluronic acid) and facial implants all add volume to the face. But they do so in different ways and therefore, have different roles in improving facial appearance. Fat grafts and fillers are placed in the soft tissues of the face and are meant to add volume to the skin envelope. Facial […]
MoreAll Faces are Asymmetric – Recognizing and Treating Facial Asymmetry
All faces are asymmetric. Many are so insignificant to be never noticed, while those at the other end of the spectrum are deforming. Fortunately, asymmetries are usually subtle but, with sufficient scrutiny, detectable. Their recognition preoperatively is important to both the surgeon and the patient. The patient’s asymmetry should be pointed out during the preoperative […]
MoreWhy isn’t bone used to augment the facial skeleton?
In concept, autogenous bone (that is, bone borrowed from another part of one’s body) would be the best material to restore or improve the craniofacial skeleton, because it has the potential to be revascularized and, then, incorporated into the facial skeleton. In time, it could be biologically indistinguishable from the adjacent native skeleton. Practically, the […]
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