Background: Double-contour deformity represents a common complication following inframammary fold lowering in augmentation mammaplasty that mostly occurs in patients with a short distance from the nipple to the inframammary fold or tight breasts. The authors describe a technique that consists of exploiting a cranially based abdominal fat flap that is hinged and rotated upward to correct or prevent this deformity.
Methods: A retrospective study of two groups of patients was conducted.
Aesthetic Plast Surg
February 2023
Plast Reconstr Surg
November 2022
Background: The use of zygomatic implants has been mostly replaced by fat grafting in rhytidectomy procedures. Furthermore, surgeons using implants prefer the intraoral approach. The authors aimed to describe and emphasize the usefulness of the preauricular approach as the best approach for this operation and underline the value of cheek implants as an alternative and/or as an adjunct to fat grafting during face-lift procedures for midfacial rejuvenation.
View Article and Find Full Text PDFLateral skin-platysma displacement is a new technique for neck rejuvenation based on composite platysma-cutaneous flaps repositioned laterally through cable sutures. This technique skews the anatomy of the muscle, displacing it in a more lateral position and decreases the risk of paramedian bands recurrence. Traction applied to the midbody of the myocutaneous flaps is more effective in treating anterior excess skin than traction applied to the lateral platysma borders.
View Article and Find Full Text PDFAesthet Surg J
January 2020
Background: The main challenge of periocular fat grafting is the risk of contour irregularities, especially in the lower eyelid. Injection of diluted fat can decrease the likelihood of poor contour.
Objectives: The authors developed a simple method of periocular fat grafting in which the fat was harvested through unconventional cannulas and diluted before the injection to avoid the risk of contour irregularities.
Background: The height of the eyebrow is less crucial aesthetically than is the relationship between the lateral and medial portions of the brow. Although various surgical procedures are effective in raising the brow, the authors maintain that transcutaneous brow shaping (TBS) is the only technique that enables precise shaping of the brow and correction of minor asymmetries.
Objectives: The authors described their experiences with direct TBS alone or in conjunction with blepharoplasty and facelift.
Background: A high rate of recurrence of anterior platysma bands and anterior skin laxity was reported at the 1-year follow-up of 150 patients who underwent complete neck undermining and full-width platysma transection for neck rejuvenation. The authors propose a new technique-lateral skin-platysma displacement-to treat these two aesthetic problems using only a lateral approach to avoid "opening" the anterior neck. The authors' objective was to compare outcomes following full-width platysma transection technique and lateral skin-platysma displacement technique in terms of patient satisfaction, complications, and long-term effectiveness in the treatment of bands and anterior skin laxity.
View Article and Find Full Text PDFPlast Reconstr Surg
October 2016
Background: The most common features of aging in the anterior neck are skin laxity and anterior platysma bands. Most neck correction techniques fail to obtain lasting correction of these despite promising early improvement. The authors use a major procedure to obtain the best results, combining full neck undermining with complete platysma transection and midline platysma approximation.
View Article and Find Full Text PDFThe main objective of this study was to decrease breast shape distortion during pectoralis muscle contraction following submuscular augmentation mammaplasty. We followed 348 patients who had retromuscular augmentation mammoplasty: 251 (72.1%) had polyurethane-covered gel-filled, 97 (27.
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