Nuances of the Composite Face-lift Technique.

The composite face-lift is a well-described, comprehensive facial rejuvenation technique that results in harmonious repositioning of all components of the aging face. It is distinguished by the superior-medial movement of the cheek and the septal reset maneuver. The composite rhytidectomy reverses the unbalanced vectors of the traditional face-lift in patients with the lateral sweep and may reestablish the youthful convexity in patients with hollow eyes.

Extended superficial musculaponeurotic system dissection and composite rhytidectomy.

The composite facelift represents a comprehensive technique for facial rejuvenation with tissue repositioning of essentially every deep structure of the aging face, addressing the neck, lower face, mid face/lower eyelid junction, and forehead. The superior lateral vector of the lower face is "balanced" with a superior medial vector of the cheek and lower eyelid region. Patients who have stigmata of a previous facelift, such as the lateral sweep and hollow eyes, may be corrected with the composite facelift.

Acellular allodermis in burns surgery: 1-year results of a pilot trial.

We grafted 10 sites on 6 children with limited (< 25%) areas of body surface available for donor harvest with an acellular allogenic dermis and a thin autograft. Matched control sites were grafted with autograft alone. Study site autografts (0.

Management of massive calvarial exposure in young children.

Although small areas of exposed calvaria commonly occur in seriously burned children, these wounds are generally straightforward management problems. In contrast, management of the nearly completely exposed calvaria is an extraordinarily difficult problem--but is fortunately rare. Over the past 15 years, we have treated 119 children with full-thickness calvarial wounds requiring grafting.

Acellular allogenic dermis does not hinder initial engraftment in burn wound resurfacing and reconstruction.

Donor site morbidity, including pain and potential hypertrophic scarring, increases directly as donor site thickness increases. Autograft hypertrophy increases inversely to the thickness of autograft harvest. Both of these liabilities might be lessened by the ready availability of a functioning, "off-the-shelf" dermal substitute.