Development and Validation of a Photonumeric Scale to Assess Marionette Lines.

Background: A validated scale is needed for objective and reproducible comparisons of marionette lines before and after treatment in clinical studies.

Objective: To describe the development and validation of a 5-point photonumeric marionette lines scale.

Methods: The scale was developed to include an assessment guide, verbal descriptors, and real and morphed subject images for each scale grade.

Three-Year Intermediate Results of a Prospective Multicenter Study Investigating the use of Smooth, Semi-Smooth, Microtextured and Macrotextured Implants from a Single Manufacturer in Breast Augmentation and Reconstruction Procedures.

Silicone gel-filled implants exist in a wide range of shapes and textures, and yet there are relatively few long-term large-scale studies, particularly on recently developed "semi-smooth" implants. The present study fills this gap by presenting the 3-year findings from an ongoing 10-year multicenter prospective study on breast implants with four different surface types: smooth, semi-smooth, microtextured, and macrotextured. A total of 908 patients were recruited in 15 investigational sites across Europe and divided into three groups: 653 primary augmentations in Group 1, 144 revision augmentations in Group 2, and 111 reconstructions in Group 3.

Multi-Dimensional Aesthetic Scan Assessment (MD ASA™): Initial experience with a novel consultation, facial assessment, and treatment planning tool.

Background: Comprehensive patient assessment and planning are central to esthetic treatment with injectables. MD ASA™ (Multi-Dimensional Aesthetic Scan Assessment) is a novel tool developed for this purpose.

Aims: To describe the MD ASA technique and present its preliminary application.

Secondary Composite Breast Augmentation: Concept and Outcomes, Introduction to a Layered Approach.

Background: Secondary procedures following breast augmentation are often more difficult than primary cases because the soft-tissue envelope changes over time.

Objectives: This study was conducted to confirm the utility of a composite technique in breast revisional surgery.

Methods: This was a 9-year retrospective chart and photographic data study of one surgeon's experience with the combined use of fat and implants in revisional cases.

[Secondary surgery of the external ear].

Secondary surgeries of the external ear can be divided into two categories: secondary otoplasties and secondary ear reconstructions. The most frequent causes of secondary otoplasties are a recurrence, an over-corrected ear, an off-center ear, a prominent lobule, and finally chronic ear pain. Recurrence of the prominence can be treated by a new posterior stitch otoplasty, an Earfold clip, or a frame stitch.