Chin Augmentation Using Silastic Implants.

An aesthetically pleasing face is centered on strength, symmetry, and balance. A defined, well-projected chin and jawline are crucial to this harmony and recontouring the lower third of the face plays a significant role in plastic surgery. Chin augmentation can be performed with injectables, implantation, or osseous genioplasty.

Soft tissue trauma and scar revision.

Numerous techniques and treatments have been described for scar revision, with most studies focusing on the adult population. A comprehensive review of the literature reveals a paucity of references related specifically to scar revision in children. This review describes the available modalities in pediatric facial scar revision.

Elegant solutions for complex paramedian forehead flap reconstruction.

Nasal reconstruction is one of the most challenging aspects of facial plastic surgery. The authors present reconstructive techniques to maximize the final aesthetic result and minimize scarring. They discuss techniques used in nasal reconstruction with a paramedian forehead flap (PMFF) that help to achieve these goals and minimize the chance of complications, including performing a surgical delay, using generous, supportive cartilage grafts, adding extra length and bulk to the flap at the alar rim and using topical nitroglycerin and triamcinolone injections when indicated.

Treatment options in trigeminal trophic syndrome: a multi-institutional case series.

Trigeminal trophic syndrome (TTS) is an uncommon medical condition that may be encountered by otolaryngologists and facial plastic surgeons. TTS begins with damage to the trigeminal nerve or its central sensory connections, causing anesthesia in a dermatomal distribution. With repeated scratching and manipulation, an ulceration occurs, often in the alar region.

Extracorporeal septoplasty: complications and new techniques.

Objectives: To report our complication rates during extracorporeal septoplasty (ECS) and to describe a new fixation and splinting technique we developed to simplify stable midline fixation of the neocaudal septum. Correction of the caudally deviated septum remains one of the more difficult surgical goals in functional nasal surgery.

Methods: A retrospective medical record review of patients undergoing ECS at our institution.

A graded approach to repairing the stenotic nasal vestibule.

Objective: To describe a graded approach to repairing vestibular stenosis that involves restoring structural support to the ala.

Methods: Retrospective review of 5 nostrils in 4 patients who presented to the senior author with vestibular stenosis. The cause was burn injury in 3 patients and congenital in 1 patient.

Considerations in male aging face consultation: psychologic aspects.

Historically, the male cosmetic surgery patient has been viewed as being highly psychopathologic. Recent studies have refuted this longheld belief. However, when conducting a male aging face consultation, it is important for cosmetic surgeons to perform a focused psychiatric assessment to screen for mentally-ill patients, who may not be good surgical candidates.

Nasal valve suspension revisited.

Objectives: Nasal valve suspension (NVS) is a simple technique to correct nasal valve obstruction or collapse by providing a lateral vector of pull on the nasal sidewall. The purpose of this research was to review our experience with NVS in a cohort of patients with nasal valve collapse, including a subset of patients with facial paralysis. The objectives were to determine patient satisfaction and complication rates after NVS.

Prone positioning for head and neck reconstructive surgery.

Certain head and neck surgical cases require the patient to be positioned prone. Such positioning carries with it an attendant subset of risks and complications not otherwise encountered in more traditional supine positioning. Gaining awareness of these risks and complications, and developing proactive positioning strategies, will enable the surgical team to position the patient optimally for the procedure and provide for every consideration of patient safety.

External auricular and facial prosthetics: a collaborative effort of the reconstructive surgeon and anaplastologist.

Surgeons who communicate on a regular basis with an anaplastologist will benefit from having a more comprehensive practice and will be able to provide a broader depth of information to their patients contemplating facial reconstruction. When a prosthesis is chosen as the best option, it is important for the surgeon to understand that early communication with the anaplastologist can lead to improved appearance and function of the prosthesis. When the surgeon and anaplastologist work closely, their efforts complement one another in creating a final reconstructive plan that will ultimately improve the patient's quality of life.

Nuances of otoplasty: a comprehensive review of the past 20 years.

Otoplasty for the correction of the prominent ear is a heavily debated topic in Facial Plastic Surgery. This article presents the past 20 years of literature on the topic in a concise and organized manner. The greatest area of focus is on the finer nuances between cartilage-sparing and cartilage-incising techniques.

Anatomy of the eyelids.

The variety and complexity of periorbital surgical procedures continue to increase. Successful completion of reconstructive and esthetic ocular procedures requires an exacting knowledge of the relevant anatomy. Interestingly, the definition of ocular and periorbital anatomy continues to evolve, including more recent descriptions of the orbitomalar ligament and a new understanding of eyelid lymphatics.

Histological evaluations following 1,064-nm Nd:YAG laser resurfacing.

Background And Objectives: The long pulse 1,064-nm Nd:YAG laser is used clinically to decrease rhytid formation. The dermal level at which this change occurs has not been established. This study attempts to answer these questions using a porcine skin model.

Nonablative laser resurfacing using the long-pulse (1064-nm) Nd:YAG laser.

Background: Lasers with infrared wavelength ranges have been used in nonablative rejuvenation of skin. In this process, cooling of the epidermis allows for laser energy heat-induced injury to the dermis without ablation of the epidermal layer. This dermal injury is theorized to produce improvements in skin quality.