Successful treatment of Parry-Romberg syndrome with autologous fat grafting: 14-year follow-up and review.

Parry first described the syndrome of progressive facial atrophy in 1825, followed by Romberg in 1846. The clinical hallmark of the syndrome is atrophy of the facial soft tissues, including fat and muscle as well as underlying bone. Clinicians have classically reserved treatment until the end of the disease process, after the "burn out" stage.

Subfascial breast augmentation: a comprehensive experience.

Background: Subfascial breast augmentation, first performed by Dr. Ruth Graf in 1998, places the implant above the pectoralis muscle but below the pectoralis fascia. Graf documented that this approach resulted in less capsular contracture than subglandular implant placement and a more natural shape while eliminating implant animation with arm movement.

A comparison of outcomes between immediate and delayed repair of mandibular fractures.

Medical records of patients treated with surgical repair of mandible fractures by the otolaryngology and plastic surgery departments at a level 1 trauma centre were obtained and reviewed. Two study groups were compared: patients treated within 72 h of the injury and those treated after this time period. Patient demographics, time to repair, fracture types, substance abuse history, etiology, surgical management, complications and length of hospital stay were assessed.

Office-based anesthesia.

Office-based anesthesia can be safely used to facilitate large, complex plastic surgical procedures. Office-based anesthesia allows for optimal use of the surgeon's time and is cost effective for the patient.

Liposuction and tumescent surgery.

When guidelines for tumescent surgery are followed, treatment of patients with a broad range of concerns can be extremely effective. Whether its use is as a primary technique as in liposuction, or as an adjunct to another procedure such as reduction mammoplasty, the effects of reduced blood loss, pain control, and fluid management make it a powerful tool for the surgeon. Constant awareness of volumes infiltrated and aspirated, as well as the patient's clinical status, are critical in the safe delivery of tumescent surgery.

Liposuction: techniques and guidelines.

The apparent simplicity of liposuction and the ease with which it is performed, may lull the novice plastic surgeon into overlooking the evolutionary developments that have brought it to today's level of popularity in body contouring surgery. Patients who may benefit from liposuction range widely from the thin patient desiring contouring of localized areas of stubborn adiposity to the obese patient in whom diet has failed to control weight. One of the major drawbacks of liposuction is its ability to thin, but not tighten.

Reduction mammaplasty: a safe and effective outpatient procedure.

Traditionally, reduction mammaplasty has been performed on an inpatient basis with a one to two day hospitalization. Many procedures once commonly performed on an inpatient basis have been shown to be safe and effective when performed in an outpatient setting. The purpose of this study was to determine if reduction mammaplasty could be performed safely on an outpatient basis and to compare findings between inpatient and outpatient groups.

The tumescent technique facilitates hair micrografting.

Micrografting for hair restoration has become increasingly popular because of the natural results it can achieve. The procedure is often performed under local anesthesia or local anesthesia with sedation. To achieve adequate anesthesia, supraorbital and supratrochlear nerve blocks are often performed as well as infiltration of the donor and recipient areas via multiple needle injections.

Tumescent and syringe liposculpture: a logical partnership.

Liposuction has been traditionally performed under general anesthesia. Standard instrumentation for the procedure has included blunt-tipped suction cannulae connected to an electric vacuum pump by noncollapsible tubing. A subcutaneous injection of Lidocaine with Epinephrine is routinely employed to minimize blood loss during the procedure.