Injectable Fillers for Lower Face Rejuvenation.

The lower face is an integral component of a beautiful face. Age-related changes in this region are so significant that they are often easily appreciated by patients. The aging process not only includes volume loss or downward fat repositioning, but also soft tissue laxity, skin changes, and even bony resorption.

Facial Cosmetic Surgery in Male Patients: Trends and Experience From an Academic Esthetic Oral-Maxillofacial Surgery Practice.

Cosmetic procedure, both invasive and noninvasive have been increasing dramatically in our country. Top surgical and nonsurgical procedures have not changed over the past several years. Although women make up the great majority of patients seeking these types of procedures, men are increasingly interested and seeking similar cosmetic procedures.

New Concepts in Dorsal Hump Reduction.

Dorsal hump modification is a commonly performed procedure in most rhinoplasties. Specifically, hump reductions play a significant role in aesthetic rhinoplasty when the surgeon and patient wish to have a "smaller" and less projected nasal complex. There are several techniques available in order to perform a hump reduction.

Impact of 2 Lateral Nasal Osteotomy Techniques on the Periorbital Subunits.

Purpose: The periorbital area undergoes a series of postoperative sequelae after rhinoplasty.

Patients And Methods: Between January 2015 and January 2016, 50 patients aged between 19 and 46 years who underwent rhinoplasty qualified for the study. Of these patients, 25 were chosen for each group: One group underwent a low-to-low lateral nasal osteotomy, and the other group underwent a low-to-high lateral nasal osteotomy.

Transcutaneous Alar Rim Graft: An Effective Technique to Manage Alar Deformity.

Rhinoplasty is one of the most challenging cosmetic surgical procedures. Although different techniques have been introduced for grafting the osteocartilaginous part of the nose, the alar rim remains vastly unexamined. The form and strength of the alar rim are crucial in nasal tip esthetics and function.

Obese Tracheostomy: A Challenging Path From Surgery to Decannulation.

Purpose: Well-defined or standardized tracheostomy decannulation guidelines are not available, and the long-term data on the outcomes in the obese are limited. The purpose of the present study was to determine the outcomes associated with tracheostomy for obese patients from surgery to decannulation. The specific aims were to measure 1) the rate of successful tracheostomy downsize; 2) the rate of successful tracheostomy decannulation; and 3) the associated pre-, intra-, and postoperative subject variables with tracheostomy downsizing and decannulation success.

Balcony genioplasty: a novel technique for better esthetic results in patients with deep mentolabial fold.

Background: To introduce a novel technique for advancement genioplasty helping surgeons to avoid soft tissue difficulties especially in short-faced patients with deep mentolabial fold and everted lower lip.

Case Presentation: In a trapezius-shaped, osteotomy was performed in the chin region. The mobilized segment was advanced, and the existing gap was grafted using interpositional allograft materials.

Comparison of Piezosurgery and Conventional Osteotomy Post Rhinoplasty Morbidities: A Double-Blind Randomized Controlled Trial.

Purpose: Several approaches have been introduced to decrease soft tissue injury during rhinoplasty. The piezoelectric ultrasonic device can be used to perform more precise bone surgeries and avoid soft tissue perforation. This study compared postoperative pain, edema, and ecchymosis in internal lateral osteotomies performed by the piezosurgery device with the conventional method.

Free Bone Grafts for Mandibular Reconstruction in Patients Who Have Not Received Radiotherapy: The 6-cm Rule-Myth or Reality?

Bony reconstruction of the mandible after surgical resection results in improved rehabilitation and aesthetics. Composite tissue transfer has transformed reconstruction, particularly in patients who have received radiotherapy. However, there is morbidity related to free tissue transfer.

Tracheostomy in the Morbidly Obese: Difficulties and Challenges.

Purpose: This study evaluated the difficulties and challenges associated with open tracheostomy in the morbidly obese patient (body mass index [BMI] ≥30 kg/m).

Patients And Methods: Forty patients met all the inclusion criteria. A retrospective chart review was performed to evaluate indications for tracheostomy, duration of intubation before tracheostomy, history of tracheostomy, duration of operative procedure, duration in the operating room, and all perioperative complications.

Incidence of retrobulbar hemorrhage in the emergency department.

Retrobulbar hemorrhage is a rare but potentially devastating complication of midface trauma. Management of this entity requires prompt diagnosis and medical and surgical interventions. The incidence of retrobulbar hemorrhage has been cited to be lower than 1%; however, despite a low rate of occurrence, lack of immediate care can lead to major morbidity for the patient.

Value of microvascular surgery in academic oral and maxillofacial surgery.

Purpose: The specialty of oral and maxillofacial surgery has witnessed a large trend of inclusion of maxillofacial oncology and microvascular reconstructive surgery within its scope of practice in recent years. The purpose of this report is to describe the authors' experience with a very active oncologic and microvascular reconstructive surgical service within an academic oral and maxillofacial surgical program at a large university teaching hospital.

Materials And Methods: The operative log from July 1, 2010, to June 30, 2011, of 325 operations devoted to head and neck oncology and reconstruction was examined.

Submental liposuction versus formal cervicoplasty: which one to choose?

Purpose: Esthetic rejuvenation of the submental area is a fairly common concern of patients seeking cosmetic surgery. There are several techniques used to obtain esthetic results. A common dilemma is the proper determination as to which procedure, liposuction versus formal cervicoplasty, is more appropriate.

Septoplasty: thoughts and considerations.

Purpose: Septoplasty has been around for thousands of years. It is considered an extremely valuable procedure to address multiple issues and patient complaints. The purpose of this manuscript is to detail exact surgical procedure, as well as different variations available to the practitioner.

Our experience with 171 open tracheostomies.

Purpose: Tracheotomy is one of the oldest surgical procedures known. There are multiple indications for tracheostomies. Operative complications have ranged between 5-40%.

Considerations in revision rhinoplasty: lessons learned.

This article is intended to deal with the difficult subject matter of revision rhinoplasty. Since there is consensus that rhinoplasty is one of the most difficult aesthetic surgery procedures, one would make the inference that a revision rhinoplasty should also be one of the more difficult revision surgeries. The intent of this article is to share with the readers a few pearls and lessons learned dealing with revision rhinoplasty.

Reoperative soft tissue trauma.

Trauma remains the leading cause of death in the first 4 decades of life and is surpassed only by cancer and atherosclerotic disease as the overall leading causes of death in the United States. Many of the injuries involve the facial region, including soft tissue trauma. This article highlights the current available modalities used in the management of unsightly scars or those scars whose location and appearance compromise function.

Fellowship training and academic careers.

Postresidency fellowship training is available in many subspecialty areas. This article discusses some of the rationales, advantages, and disadvantages in choosing a postresidency fellowship and/or entering a career in academic oral and maxillofacial surgery. It also discusses factors to bear in mind when evaluating fellowships.