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Trials, Tribulations, and Techniques for Transitioning to an Extended Deep Plane Facelift for All Patients: Insight from a Very Experienced Surgeon's Perspective. 所有患者过渡到扩展深平面面部提升术的考验、磨难和技巧：一位经验丰富的外科医生的独到见解。
IF 1.1 4区 医学
Facial Plastic Surgery Pub Date : 2025-02-01 Epub Date: 2024-02-15 DOI: 10.1055/s-0044-1779626
Edwin F Williams, Matthew J Urban
{"title":"Trials, Tribulations, and Techniques for Transitioning to an Extended Deep Plane Facelift for All Patients: Insight from a Very Experienced Surgeon's Perspective.","authors":"Edwin F Williams, Matthew J Urban","doi":"10.1055/s-0044-1779626","DOIUrl":"10.1055/s-0044-1779626","url":null,"abstract":"<p><p>The extended deep plane facelift is a powerful technique to correct aging of the midface and neck. After many years of superficial muscular aponeurotic system lift techniques, the senior author transitioned to an extended deep plane facelift for all patients. The primary catalyst for this shift in practice was the pursuit of superior rejuvenation of the midface. Consistent uniform elevation of the deep plane with complete ligament release and management of the soft tissue flap were the most significant challenges in the early adoption period. Navigating the transition was facilitated by consultation with experienced colleagues and frequent cadaver dissections. This manuscript details the authors' current technique. Complications and recovery from this technique are similar to those reported with historical techniques and are minimized with proper preparation, precision, and perioperative management. In our experience the results from this procedure are extremely reproducible, durable, and natural, and patients are overwhelmingly extremely satisfied.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"12-20"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139740769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
From Nasolabial Folds to Pan-facial Rejuvenation-The Evolution of Fillers in my Career. 从鼻唇褶皱到泛面部年轻化——填充物在我职业生涯中的演变。
IF 1.1 4区 医学
Facial Plastic Surgery Pub Date : 2025-02-01 Epub Date: 2023-12-04 DOI: 10.1055/s-0043-1776995
Lisa D Grunebaum, Dana N Eitan, Taylor B Cave
{"title":"From Nasolabial Folds to Pan-facial Rejuvenation-The Evolution of Fillers in my Career.","authors":"Lisa D Grunebaum, Dana N Eitan, Taylor B Cave","doi":"10.1055/s-0043-1776995","DOIUrl":"10.1055/s-0043-1776995","url":null,"abstract":"<p><p>This is a comprehensive review of facial fillers including landmark studies and expert commentary spanning the years from 2003 (when the first hyaluronic acid [HA] dermal filler underwent Food and Drug Administration approval in United States) to present.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"91-97"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138482261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Revision Rhytidectomy: Pearls and Pitfalls. Rhytidectomy翻修术：珍珠和凹坑。
IF 1.1 4区 医学
Facial Plastic Surgery Pub Date : 2025-02-01 Epub Date: 2023-10-12 DOI: 10.1055/a-2190-8558
Kasra Ziai, Babak Azizzadeh
{"title":"Revision Rhytidectomy: Pearls and Pitfalls.","authors":"Kasra Ziai, Babak Azizzadeh","doi":"10.1055/a-2190-8558","DOIUrl":"10.1055/a-2190-8558","url":null,"abstract":"<p><p>While rhytidectomy can yield remarkable results, some patients may subsequently require revision rhytidectomy due to either unsatisfactory outcomes from primary surgery or the natural aging process many years later. Like most other secondary plastic surgical procedures, revision rhytidectomy is a complex undertaking and fraught with potential pitfalls. This can be attributable to natural or postsurgical alterations that can occur with the facial skin, superficial musculoaponeurotic system/platysma muscle, and/or facial nerve landmarks. Additionally, complications such as cobra neck deformity, pixie ear deformity, and synkinesis can add an extra level of complexity to revisional surgery. Furthermore, as more surgeons are performing deep-plane facelifts and more aggressive neck procedures, the risks are further amplified in revisional surgery. In this article, we review the challenges that a facelift surgeon may face when performing revision rhytidectomy and the technical considerations to overcome these obstacles.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"82-90"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41195976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What We Know About Facial Volume Restoration with Autogenous Fat. 我们对自体脂肪恢复面部体积的了解。
IF 1.1 4区 医学
Facial Plastic Surgery Pub Date : 2025-02-01 Epub Date: 2023-11-20 DOI: 10.1055/s-0043-1776874
Fred G Fedok
{"title":"What We Know About Facial Volume Restoration with Autogenous Fat.","authors":"Fred G Fedok","doi":"10.1055/s-0043-1776874","DOIUrl":"10.1055/s-0043-1776874","url":null,"abstract":"<p><p>Facial rejuvenation involves a careful analysis of a patient's anatomic changes that are secondary to aging and then the application of several methods, tools, and technologies to reverse those changes. A central component of facial aging is the changes seen in facial soft tissue volume that occurs with atrophy and malpositioning of normal facial volume through several underlying aging processes. Although many surgical and nonsurgical interventions are available to remedy many of the sequela of aging, the restoration of volume is one of the most important goals that has to be engaged. Over the years, autogenous fat has emerged as one of the safer and reliable methods to restore the diminished volume of the aging face. The purpose of this manuscript is to relate some of the history, clinical practices, research, and current literature supporting the use of autologous fat in facial rejuvenation.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"98-105"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138176006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Perioral Rejuvenation: Lip Lifts, Corner of Mouth Lifts, and Vermillion Advancements. 我在嘴唇上提术、朱砂推进术和嘴角上提术方面的长期经验。
IF 1.1 4区 医学
Facial Plastic Surgery Pub Date : 2025-02-01 Epub Date: 2024-10-23 DOI: 10.1055/a-2446-0311
Stephen W Perkins, R Luke Sturgill
{"title":"Perioral Rejuvenation: Lip Lifts, Corner of Mouth Lifts, and Vermillion Advancements.","authors":"Stephen W Perkins, R Luke Sturgill","doi":"10.1055/a-2446-0311","DOIUrl":"10.1055/a-2446-0311","url":null,"abstract":"<p><p>Perioral rejuvenation is a critical component in the comprehensive approach to the aging face. The perioral region-comprising the lips, philtrum, and areas surrounding the oral commissures-plays a significant role in an individual's perceived age, attractiveness, and emotional expressions. However, the perioral region is often the \"forgotten area\" and has the potential to undermine the success of otherwise outstanding rejuvenation surgeries. This article will shed light on 40 years of experience in perioral rejuvenation surgery, demonstrating techniques and methodologies that have consistently yielded long-term, reliable results in my practice.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"134-140"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142497728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Endoscopic, "Scarless" Composite Flap Face and Neck Lift. 内窥镜，“无疤痕”复合瓣面部和颈部提拉术。
IF 1.1 4区 医学
Facial Plastic Surgery Pub Date : 2025-02-01 Epub Date: 2023-11-06 DOI: 10.1055/a-2204-8798
Marc Mani
{"title":"Endoscopic, \"Scarless\" Composite Flap Face and Neck Lift.","authors":"Marc Mani","doi":"10.1055/a-2204-8798","DOIUrl":"10.1055/a-2204-8798","url":null,"abstract":"<p><p>Deep-plane or composite flap facelift techniques allow deep structural rejuvenation of the face by release of retaining ligaments in the subsuperficial musculoaponeurotic system (sub-SMAS) plane with elevation and fixation of the SMAS/platysma/skin flap as a single, \"en bloc\" unit. This means that in the cases with mild to moderate skin laxity, the preauricular incision serves the purpose of access only. The author therefore developed an endoscopic-assisted, en bloc composite flap face and neck lift without a preauricular incision. The technique uses the prezygomatic and premasseteric (facial) and subplatysmal (neck) spaces as ideal optical cavities for endoscopic dissection and ligament release. Verticalization of fixation vectors and modified concho-mastoid traction sutures are used to minimize preauricular skin redundancy. The surgical procedure is described in detail. Clinical experience in 41 consecutive cases and comparison to other techniques with respect to relevant anatomy are also presented. This endoscopic en bloc composite flap facelift technique consistently and safely produced results comparable to conventional, \"open\" composite flap facelifts done by the same surgeon on similar candidates during a prior period.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"43-53"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11745772/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71479861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Facial Rejuvenation: Comprehensive 2025 Experts' Update. 面部年轻化：2025 年专家全面更新。
IF 1.1 4区 医学
Facial Plastic Surgery Pub Date : 2025-02-01 Epub Date: 2024-11-12 DOI: 10.1055/a-2445-9889
Fred G Fedok
{"title":"Facial Rejuvenation: Comprehensive 2025 Experts' Update.","authors":"Fred G Fedok","doi":"10.1055/a-2445-9889","DOIUrl":"10.1055/a-2445-9889","url":null,"abstract":"","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"1"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142616830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evolution of the Surgical Net. 手术网的演变：止血到滑动手术。
IF 1.1 4区 医学
Facial Plastic Surgery Pub Date : 2025-02-01 Epub Date: 2024-05-28 DOI: 10.1055/a-2334-4448
Thomas G O'Daniel, Milind D Kachare
{"title":"Evolution of the Surgical Net.","authors":"Thomas G O'Daniel, Milind D Kachare","doi":"10.1055/a-2334-4448","DOIUrl":"10.1055/a-2334-4448","url":null,"abstract":"<p><p>The surgical net technique, originally conceptualized to mitigate postoperative hematomas, has evolved into a versatile tool, transcending its initial purpose, and signaling a new era of surgical innovation. This article provides a comprehensive overview of the surgical net's journey from a targeted solution to a multifaceted surgical asset and explores its burgeoning applications, challenges, and future trajectories. Despite early reluctance due to anatomical concerns and unfamiliarity with the novel technique, the surgical net's consistent success in various surgical contexts from facial surgeries to gynecological applications has catalyzed its widespread global adoption. The technique's integration of the progressive tension method and enhanced skin redraping capabilities underscores its contribution to optimal aesthetic outcomes and improved surgical control. Noteworthy is its role in the innovative concept of gliding surgery, marked by procedures like the gliding brow lift and Glidelift, demonstrating the surgical net's adaptability and effectiveness in diverse surgical environments.Contributions from international surgeons have expanded its applications to areas like axillary space obliteration after breast implant, postmastectomy closure, and the management of postpartum hemorrhage, showcasing the surgical net's global impact and universal commitment to optimizing surgical outcomes. The article delves into the anatomical considerations essential for adapting the surgical net technique to various surgical contexts, emphasizing the need for continuous research, clinical trials, and multidisciplinary collaboration to navigate emerging challenges and ensure its sustained efficacy and safety.In conclusion, the article highlights the surgical net technique's unwavering potential for further advancements, greater procedural efficiency, and the continued elevation of patient care standards. The consistent evolution of its applications, paired with a dedicated approach to addressing emergent challenges, reinforces the surgical net's enduring contribution to surgical innovation and global patient welfare.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"70-81"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141161722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Deep-Plane Rhytidectomy: Pearls in Maximizing Outcomes while Minimizing Recovery. 深平面除皱:珍珠在最大限度地减少恢复的同时最大限度地提高效果。
IF 1.1 4区 医学
Facial Plastic Surgery Pub Date : 2025-02-01 Epub Date: 2023-12-04 DOI: 10.1055/s-0043-1777312
Neil A Gordon, Tareq G Sawan
{"title":"Deep-Plane Rhytidectomy: Pearls in Maximizing Outcomes while Minimizing Recovery.","authors":"Neil A Gordon, Tareq G Sawan","doi":"10.1055/s-0043-1777312","DOIUrl":"10.1055/s-0043-1777312","url":null,"abstract":"<p><p>The deep-plane rhytidectomy was first described in 1990 and has gained traction in the past decade as supported by anatomy, embryology, and clinical evidence. Consumer dissatisfaction in facial rejuvenation procedures often occurs because procedures are too conservative and are undone. From the consumer's perspective, an outcome is a combination of the esthetic result, predictability, and the length of the recovery process. The length of the recovery process is often the limiting issue affecting the consumer's willingness to proceed with the procedure. As one of the early pioneers in deep-plane rhytidectomy, the lead author will define contemporary advances in deep-plane techniques such as dissection entry point, flap design, and flap fixation concepts that allow an aggressive approach to treating both the superficial soft tissue envelope and deeper facial aging structures. These technique modifications and insights will provide the surgeon with an understanding of how to achieve significant, natural, long-lasting results with predictable short recovery periods-maximizing outcomes and minimizing postoperative processes.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"2-11"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138482259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Secondary Forehead Lift in Transgender Women. 变性女性的二次额头提升术
IF 1.1 4区 医学
Facial Plastic Surgery Pub Date : 2025-02-01 Epub Date: 2023-12-27 DOI: 10.1055/a-2235-7217
Lucas G Patrocinio, Jose A Patrocinio
{"title":"Secondary Forehead Lift in Transgender Women.","authors":"Lucas G Patrocinio, Jose A Patrocinio","doi":"10.1055/a-2235-7217","DOIUrl":"10.1055/a-2235-7217","url":null,"abstract":"<p><p>Facial feminization surgery includes a series of procedures that aim to attenuate the masculine features of the face and make the face more feminine and harmonic. During the past few years, several feminization techniques have been developed or adapted to this discipline. The current intervention of the forehead for feminization is based on the setback of the anterior wall of the frontal sinus and the remodeling of the supraorbital and glabellar region, associated to brow lift and hairline advancement. Primary forehead feminization yields high patient satisfaction, quality of life, and aesthetic outcomes, with few complications. Despite this, secondary forehead lift in feminization surgery has grown rapidly in recent years due to two main reasons: (1) patients that had their primary forehead surgery 5 or more years ago kept aging; and (2) there was also a great increase in the primary surgeries, which also comes with increased unsatisfied patients that want a revision. In the present study, we will present our current approach for secondary forehead lift in transgender women and tips to avoid a revision when performing the primary forehead reconstruction.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"123-133"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139048598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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