Botulinum toxin type A (BOTOX) for treatment of migraine headaches: an open-label study.

Objective: The object of this clinical experience was to evaluate the correlation between pericranial botulinum toxin type A (BOTOX, Allergan Corp, Irvine, CA) administration and alleviation of migraine headache symptoms.

Study Design And Setting: A nonrandomized, open-label study was performed at 4 different test sites. The subjects consisted of 106 patients, predominantly female, who either (1) initially sought BOTOX treatment for hyperfunctional facial lines or other dystonias with concomitant headache disorders, or (2) were candidates for BOTOX treatment specifically for headaches.

Histological and clinical evaluation of facial resurfacing using a carbon dioxide laser with the computer pattern generator.

Objectives: To delineate the extreme precision and uniformity of tissue ablation with a carbon dioxide laser using the computer pattern generator (CPG) (Coherent Laser Corp, Palo Alto, Calif) and to determine the ideal treatment parameters for uniform tissue ablation with minimal tissue thermal injury. Also, to evaluate postoperative healing of patients undergoing laser resurfacing compared with the traditional modalities of chemical peels and dermabrasion.

Design: A 3-part study was designed to demonstrate the effectiveness of this new modality.

Subcutaneous implantation of Gore-Tex for facial reconstruction.

Subcutaneous implantation of Gore-Tex for facial reconstruction allows physicians to recontour the soft tissues of the face and to augment areas that are deficient of subcutaneous tissue for genetic, aging, and traumatic reasons. This article discusses the use of Gore-Tex in multiple implant sites and presents novel ideas for both facial and cervical augmentation.

Primary surgical management for rehabilitation of the paralyzed eye.

Protection of the eye is the primary concern in managing the patient with facial paralysis; however, the aesthetic consequences cannot be overlooked. Lagophthalmos has traditionally been treated with frequent ocular lubrication, medical eye care, and tarsorrhaphy. This approach is fraught with the difficulties of poor patient compliance and unacceptable cosmesis.