Clinical Translation of Scarless 0.33-mm Core Microbiopsy for Molecular Evaluation of Human Skin.

Background: Skin scarring can occur after punch biopsies, prohibiting their routine utilization, especially in the central face.

Objectives: This paper describes a scarless, 0.33-mm-diameter skin microbiopsy for molecular analysis of skin.

Identifying Regional Viscoelastic Properties of the Superficial Muscular Aponeurotic System.

Background: Suspension of the superficial muscular aponeurotic system (SMAS) is generally believed to be necessary in facelift surgery. Although many techniques have been suggested, all rely on the viscoelastic properties of the SMAS.

Objectives: The aim of this study was to determine the viscoelastic properties of bursting strength, stress relaxation, and creep in the lateral, mid-cheek, and medial regions of the SMAS.

How Should Results of Nonsurgical Subcutaneous Fat Removal Be Assessed? Accuracy of B-Mode Ultrasound.

Background: Nonsurgical fat reduction has become extremely popular among patients; however, a reliable method of measuring its efficacy has not been established.

Methods: Ultrasound measurement of human female abdominal subcutaneous fat thickness was carried out on five volunteers. Forty-seven measurements were performed using a GE Venue 40 diagnostic ultrasound device with a 12-MHz transducer.

Face Lift.

Learning Objectives: After studying this article, the participant should be able to: 1. Identify the essential anatomy of the aging face and its relationship to face-lift surgery. 2.

Comparison of Limited-Undermining Lipoabdominoplasty and Traditional Abdominoplasty Using Laser Fluorescence Imaging.

Background: Body contouring that involves abdominoplasty and/or liposuction is a common cosmetic surgery procedure. Although single-staged lipoabdominoplasty has gained popularity, safety concerns remain.

Objectives: The authors compared abdominal flap perfusion and overall complication rates for traditional abdominoplasty and limited-undermining lipoabdominoplasty.

Facelift and patterns of lymphatic drainage.

Background: It has commonly been assumed that deeper facelift dissection causes greater and more prolonged swelling.

Objectives: In this preliminary report, the authors compare the lymphatic reconstitution after multiple techniques of rhytidectomy by means of dynamic lymphoscintigraphy.

Methods: Three patients were enrolled in this study.

The use of non-invasive instruments in characterizing human facial and abdominal skin.

Background And Objective: The skin is highly variable. This variation, although helpful for function, causes inconsistencies when assessed using subjective scales. The purpose of this study is to measure differences in skin on the face and abdomen using non-invasive, objective devices as a method to eliminate subjective error and help reduce intra- and inter-observer variability in clinical analysis.

The viscoelastic properties of the SMAS and its clinical translation: firm support for the high-SMAS rhytidectomy.

Background: The superficial musculoaponeurotic system (SMAS) has inherent viscoelastic properties, although the optimal tension levels to minimize tissue relaxation have not been defined. This study evaluated the viscoelastic properties of the SMAS within the biomechanical parameters of the high-SMAS rhytidectomy.

Methods: Patients (n = 30) underwent a high-SMAS face lift performed by the senior author (F.

An intra-individual quantitative assessment of acute laser injury patterns in facial versus abdominal skin.

Introduction: Clinical laser settings have traditionally been calibrated on abdominal skin to predict and anticipate patterns of injuries in facial skin. This experimental approach has limitations as facial skin and abdominal skin have differences that may influence the depth of laser injury.

Objective: The primary objective of this study is to analyze the acute pattern of laser injury in abdominal skin and facial skin samples from the same subject and detail the anatomical and biophysical properties that can influence the laser tissue interaction.

Effect of 4% topical lidocaine applied to the face on the serum levels of lidocaine and its metabolite, monoethylglycinexylidide.

Background: Topical lidocaine is a common form of anesthesia for a wealth of procedures across a large number of disciplines, including laser treatments. Preparations can be purchased over the counter with no prescription necessary. It is considered a safer and more acceptable form of anesthetic than hypodermic injections; however, there have been reports of fatalities following its application.

TUNEL assay to characterize acute histopathological injury following treatment with the active and deep FX fractional short-pulse CO2 devices.

Background: This is a report of the histopathological evaluation of the acute damage profile in human skin following treatment with two novel short-pulsed fractional carbon dioxide resurfacing devices used independently and in combination in vivo.

Methods: The panni of eight abdominoplasty patients were treated with either the Active FX, the Deep FX (Lumenis Ltd., Yokneum, Israel), or a combination of the two (Total FX) prior to the start of the excisional surgical procedure.

The frontal branch of the facial nerve across the zygomatic arch: anatomical relevance of the high-SMAS technique.

Background: The frontal branch has a defined course along the Pitanguy line from tragus to lateral brow, although its depth along this line is controversial. The high-superficial musculoaponeurotic system (SMAS) face-lift technique divides the SMAS above the arch, which conflicts with previous descriptions of the frontal nerve depth. This anatomical study defines the depth and fascial boundaries of the frontal branch of the facial nerve over the zygomatic arch.

Aesthetic surgery of the face and neck.

The reader is presumed to have a basic understanding of facial anatomy and facial rejuvenation procedures. After reading this article, the reader should also be able to: 1. Identify the essential anatomy of the face as it relates to facelift surgery.

Fat extrusion and septal reset in patients with the tear trough triad: a critical appraisal.

Arcus marginalis release, fat extrusion, and septal reset were applied to 71 selected patients with a constellation of orbital deformities the authors term a "tear trough triad." Of the initial 71 patients, 59 had complete follow-up records. Evaluated by means of a proportional topographic scale, 95 percent of patients achieved significant improvement.

The high-superficial musculoaponeurotic system technique in facial rejuvenation: an update.

The medical charts of 267 patients who had primary high-superficial musculoaponeurotic system (SMAS) rhytidectomies were reviewed. The depth of the nasolabial fold was used as an indicator of the degree of descent of the subcutaneous cheek mass, as a guide in procedure selection, and as a method of judging the operative results. Fold depth was assigned a score of 0 to 3, with 3 being most severe.

Safety and efficacy in an accredited outpatient plastic surgery facility: a review of 5316 consecutive cases.

Advances in medicine have improved the delivery of health care, making it more technologically superior than ever and, at the same time, more complex. Nowhere is this more evident than in the surgical arena. Plastic surgeons are able to perform procedures safely in office-based facilities that were once reserved only for hospital operating rooms or ambulatory surgery centers.

The "high SMAS" face lift technique.

The "high SMAS" face lift technique suspends the cheek mass securely, leaving the skin and subcutaneous mass attached to the SMAS without placing the skin under greater than normal tension. The author provides the surgical steps. (Aesthetic Surg J 2002;22:481-486.