Reflections on aesthetic facial surgery in men.

This article addresses some of the nonsurgical considerations in caring for male patients. We are witnessing an ever-increasing level of interest in aesthetic surgery among men, and the unique considerations related to addressing male patients compared to female patients merit our attention. The care of male patients is characterized by important differences along each step of the surgical process.

Management of anesthesia and facility in facelift surgery.

Anesthesia for the patient undergoing facial plastic surgery can be approached in a variety of ways. This article describes a technique with which the authors have had great success. The principles of patient safety and comfort are essential elements in providing anesthesia for a facial plastic surgical case.

Update in scar revision.

Scar revision is indicated in certain situations for cosmetic and functional reasons. Improvement is not feasible with all scars; expectations must be tempered and realistic goals set. There is no generic approach to timing or technique in scar revision.

Modifications in rejuvenation of the aging neck.

Surgical treatment of the aging neck should be approached according to the particular anatomic characteristics of the patient. One size does not fit all when speaking of cervicofacial rejuvenation. This article discusses some of the newer techniques used in rejuvenation of the aging neck.

Overly wide cartilaginous middle vault.

Any maneuver in rhinoplasty that alters the ULCs should be based on a preoperative analysis of the patient's functional complaints and aesthetic characteristics. All techniques should be harmonious with the desired postsurgical result. The majority of established procedures to alter the middle vault focus on dorsal hump reduction, correction of internal nasal valve collapse, or correction of a twisted nose with the use of spreader grafts [9 12].

A comparative study of surgical techniques on the cervicomental angle in human cadavers.

Background: The cervicomental (CM) angle is formed by the horizontal plane of the submental region and the vertical plane of the neck.

Objective: To compare the 2-dimensional effect of 4 surgical techniques on the CM angle in a human cadaver model.

Design: Anatomic presurgical and postsurgical comparative study performed on human cadavers preserved with ethylene glycol.

Middle-vault narrowing in the wide nasal dorsum: the "Reverse Spreader" technique.

The middle vault is a transition zone between the nasal tip and nasal bones and plays an important role in profile, tip projection, tip rotation, and tip support. This report presents an alternative to conventional techniques specific to the middle nasal vault for a patient population with particular nasal features. A narrow middle vault with internal nasal valve collapse is functionally and aesthetically addressed by the insertion of spreader grafts.