Cohesive Round Implants and the Risk of Implant Flipping.

Unlabelled: Fifth-generation, round, form-stable implants have a higher cohesive gel, a higher fill volume, and distinct anterior and posterior profiles. Due to these implant features, anterior-posterior (AP) flipping of round, form-stable implants is discernible, but little is known of this complication of implant reconstruction.

Methods: Patients who underwent skin- or nipple-sparing mastectomy followed by direct-to-implant reconstruction with round, cohesive, smooth implants were included in this retrospective study.

Contemporary thoughts on lower eyelid/midface aging.

Midfacial aging is a multifactorial, 3-D process that involves volume loss, volume descent, and skin alterations. Every anatomic component of the midface is affected. This article discusses the morphologic consequences of midfacial aging and reviews the salient literature relating to the numerous factors that contribute to an aged appearance of the lower eyelid and midface.