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Who are candidates for facial implants?

05, February, 2016

Patients with normal, deficient, and surgically altered or traumatically deformed anatomy may all benefit from implant augmentation of their craniofacial skeleton. Most often, facial skeletal augmentation is done to enhance facial appearance in patients whose skeletal relationships are considered within the normal range. They want more definition and angularity to their appearance. Other patients desire […]

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Dr. Yaremchuk- Invited faculty at the South Eastern Society of Plastic and Reconstructive Surgeons, Atlanta Oculoplastic Symposium

05, February, 2016

Dr. Michael Yaremchuk was recently invited as faculty to the 9th Annual Atlanta Oculoplastic Symposium held at the Intercontinental Hotel, Atlanta, GA on January 21st, 2016. The Symposium was hosted by the South Eastern Society of Plastic and Reconstructive Surgery. Dr. Yaremchuk has been a frequent lecturer and panelist at this symposium since its inception. […]

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The Ageing Midfacial Skeleton: Implications for Rejuvenation and Reconstruction using Implants

08, January, 2016

Abstract Traditional theories on facial aging and methods for rejuvenation focus primarily on soft tissues with ptosis as the major mechanism responsible for senescent changes. Anatomical studies demonstrate that there are also many changes to the craniofacial skeleton as patients age. Midface skeletal augmentation, using implants made of porous polyethylene, is a simple and effective […]

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Principles of Scalp Surgery and Surgical Management of Major Defects of Scalp

26, December, 2015

Major defects of the scalp are most often the result of trauma, radiation necrosis, or extirpation for tumor. This chapter presents plastic surgical concepts and techniques used to reconstruct major defects of the scalp. Throughout history, advances in plastic surgery have been reflected in the management of scalp wounds. Hippocrates, Gallen, and Celsus described the […]

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Facts on Facial Implants

18, December, 2015

Virtually all aesthetic facial skeletal augmentation is done with alloplastic materials. The use of synthetic material avoids donor area morbidity while vastly simplifying the procedure in terms of time and complexity.  Implant materials used for facial skeletal augmentation are biocompatible – that is, they have an acceptable reaction between the material and the host. In […]

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Anatomical Landmarks to Avoid Injury to the Great Auricular Nerve During Rhytidectomy

11, December, 2015

Abstract Background: An estimated 116 086 facelifts were performed in 2011. Regardless of the technique employed, facial flap elevation carries with it anatomical pitfalls of which any surgeon performing these procedures should be aware. Injury to the great auricular nerve (GAN) is the most common of these injuries, occurring at a rate of 6% to […]

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Correction of Post-traumatic Enophthalmos

04, December, 2015

Enophthalmos is the recession of the ocular globe within the bony orbit. Two to three millimeters of enophthalmos is clinically detectable, and more than 5 mm is disfiguring. The principal mechanism in its development is the displacement of a relatively con­stant volume of orbital soft tissue into an enlarged bony orbit. Fat atrophy and scar […]

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Surgical Anatomy Relevant to the Transpalpebral Subperiosteal Elevation of the Midface

28, November, 2015

Abstract Background: The surgical anatomy of the midface relevant to its subperiosteal elevation and repositioning is assessed. Objectives: The aim of this study is to give more details on the anatomy relevant to the midface lift. Methods: Twenty hemifacial dissections were performed. The location of the zygomatic branches of the facial nerve (ZBFN) and the […]

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The Safe Midface Augmentation with Anatomic Landmarks for the Infraorbital Foramen

21, November, 2015

Abstract Introduction: Midface augmentation is routinely used for aesthetic improvement of concave faces while providing a balanced and harmonious contour to the face. It can also be used as an adjunct to orthognathic and reconstructive surgery. An injury to the infraorbital nerve as it exits the infraorbital foramen (IOF) can result in significant morbidity to patients. […]

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Augmentation of the Facial Skeleton

13, November, 2015

Why is most augmentation of the facial skeleton done with alloplastic implants instead of autogenous bone? Unlike alloplastic materials, autogenous bone has the potential to be revascularized and then assimilated into the facial skeleton. In time, it could be biologically indistinguishable from the adjacent native skeleton. These attributes make it ideal and the only material […]

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