Dealing with the overprojecting pinched tip.

Objective: When reshaping the pinched and/or pointed nasal tip, the use of cartilage grafting and internal sutures has been proven to be an excellent tool when the skin is not too thin. A new technique in tip aesthetics is presented. Its surgical applications are discussed.

Synmastia: prevention and correction.

Synmastia is a condition of aberrant communication of the breasts. Apart from the rare congenital cases, this is usually a result of technical complications during breast augmentation surgery caused by an overdissection at the medial side of the pocket, over the sternum, in the subglandular plane; or overdivision of the major pectoralis muscle insertion along the sternum, in the submuscular plane. A multidatabase search about synmastia has been performed.

Time and motion in cosmetic surgery.

Time and motion studies have been used to analyze performance and improve outcomes. This prospective study evaluated a typical operating day at a surgical facility in the United Kingdom by recording admitting time into the hospital, entrance and exit times from theatre, and length of surgical time. The same surgical team performed 10 breast augmentations in less than 10 hr, with a mean preparation time of 9 min 20 s and a mean surgical time (from incision to closure) of 32 min.