Archives of Facial Plastic Surgery最新文献

{"title":"Perceived age change after aesthetic facial surgical procedures quantifying outcomes of aging face surgery.","authors":"Nitin Chauhan,&nbsp;Jeremy P Warner,&nbsp;Peter A Adamson","doi":"10.1001/archfacial.2011.1561","DOIUrl":"https://doi.org/10.1001/archfacial.2011.1561","url":null,"abstract":"<p><strong>Objective: </strong>To quantify the degree of perceived age change after aesthetic facial surgical procedures to provide an objective measure of surgical success.</p><p><strong>Methods: </strong>Sixty patients undergoing various aging face surgical procedures were randomly chosen for analysis. Preoperative and postoperative photographs were evaluated. Raters were presented with photographs in a random assortment and were asked to estimate the age of the patient. Perceived age difference was defined as the difference between the chronological age and the estimated age, and the change in this value after surgery was the chief outcome of interest. Statistical models were designed to account for any effects of interrater differences, preoperative chronological age, rater group, photograph order, or surgical procedure performed.</p><p><strong>Results: </strong>Our patient population was divided into the following 3 groups based on the surgical procedure performed: group 1 (face- and neck-lift [22 patients]), group 2 (face- and neck-lift and upper and lower blepharoplasty [17 patients]), and group 3 (face- and neck-lift, upper and lower blepharoplasty, and forehead-lift [21 patients]). Adjusted means demonstrated that patient ages were estimated to be 1.7 years younger than their chronological age before surgery and 8.9 years younger than their chronological age after surgery. The effect was less substantial for group 1 patients and was most dramatic for group 3 patients, who had undergone all 3 aging face surgical procedures.</p><p><strong>Conclusions: </strong>Our study is novel in that it quantifies the degree of perceived age change after aging face surgical procedures and demonstrates a significant and consistent reduction in perceived age after aesthetic facial surgery. This effect is more substantial when the number of surgical procedures is increased, an effect unrelated to the preoperative age of a patient and unaffected by other variables that we investigated. The ability to perceive age correctly is accurate and consistent.</p>","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":"14 4","pages":"258-62"},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archfacial.2011.1561","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30474845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Jacques Louis David's Madame de Pastoret and her son.","authors":"Emily B Collins","doi":"10.1001/archfacial.2012.766","DOIUrl":"https://doi.org/10.1001/archfacial.2012.766","url":null,"abstract":"J ACQUES LOUIS DAVID, DURing his lifetime, was the most important painter in Europe. He lived through tumultuous upheaval and managed, though not through charm, to continually ride the waves of political change. David was born in Paris, France, in August 1748. His father was killed in a duel when David was a young boy, and his mother, wanting to provide David with an excellent education, sent him to live with his uncles, whowereprosperousarchitects.Even as a boy David knew he wanted to be an artist, which was somewhat of a disappointment to his wealthy, socially elite family. Perhaps because of this, David would make it a life-long priority to uplift the arts from mere craftsmanship to Art. He always thought an artist should be well read and in essence be a philosopher, in order to make the truest art possible. When David began his arts education, the first place his family looked for instructorswaswithin.David’s mother was a distant cousin of Francois Boucher. By the time Boucher was asked to tutor David, he had already been appointed First Painter to the king, Louis XVI. Boucher declined and sent Louis to another artist/instructor. David continuedhis educationandwassoonreceiving formal training at the Royal Academy, which was located in the formerpalaceof theLouvre.Thecompetition at the Royal Academy was great, and the highest prize for every student was the Prix de Rome. David entered the competition 4 times before finallywinning theprizeonhis fifth attempt. While 4 consecutive rejections were not unheard of, these were extremely frustrating for David and may have sown the first seeds of antiestablishment feelings within the artist. On David’s trip to Rome he was heavily influenced by the art of the Greeks and Romans. Before the trip David was painting in the rococo style, as were most of his contemporaries. This frothy, lighthearted period of David’s work is rarely highlighted, and all of the decorative work he did for homes has been destroyed. His style began to change while traveling in Italy and especially after a visit to Naples. Soon his work reflected this influence, and he developed a Neoclassicist style that became the foundation on which his fame as an artist is based. When David returned from Rome he began his career as a painter in earnest. He worked on portraits of the nobility and the upper class. Several examples of his work were shown in the Royal Academy–approved Salons. The influences of Rome on David were greater than those on his art alone. He was apparently affected by therepublicanismchampionedbythe Romans and began to express that in his larger, more public projects. The tide was beginning to turn in France as the Bastille prison in Paris was stormed (July 14, 1789) and the Revolution began. Although David had always painted those individuals whom the Revolution had now turned against, it seems that his liberal politics were well known enough to keep him away from the guillotine. Of course, David not only stayed away fro","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":"14 4","pages":"304-5"},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archfacial.2012.766","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30766140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Alar-columellar disharmony using the tongue-in-groove maneuver in primary endonasal rhinoplasty.","authors":"Edwin F Williams","doi":"10.1001/archfacial.2012.332","DOIUrl":"https://doi.org/10.1001/archfacial.2012.332","url":null,"abstract":"<p><p>The correction of alar columellar disharmony can be very challenging and is often neglected during rhinoplasty. Failure to address alar columellar disharmony may adversely affect an otherwise satisfactory outcome. The tongue-in-groove suture technique has been described in the literature using an open approach as an effective surgical maneuver to assist in correcting this deformity. The endonasal approach in rhinoplasty has the advantage over the external approach of preserving greater nasal tip support. Herein, I highlight the tongue-in-groove suture technique using the endonasal approach in primary rhinoplasty as an effective long-term tool for correcting alar-columellar disharmony caused by the hanging columella in conjunction with other variant anatomy.</p>","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":"14 4","pages":"283-8"},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archfacial.2012.332","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30766816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Everything is new again: the JAMA Network.","authors":"Wayne F Larrabee","doi":"10.1001/archfacial.2012.779","DOIUrl":"https://doi.org/10.1001/archfacial.2012.779","url":null,"abstract":"W E ARE LIVING THROUGH AN EXCITing era in facial plastic surgery. Innovations and scientific advancements abound in all directions of the globe. We can celebrate the advent of science without borders. Facial plastic surgery is simultaneously a very focused specialty, centered on reconstructive and aesthetic surgery of the face, and one of the more expansive and connected. Our specialty interfaces with dermatology, ophthalmology, oral maxillofacial surgery, surgery, and more; in addition, it is integral to both otolaryngology–head and neck surgery and plastic surgery. The primary basic science of facial plastic surgery is wound healing encompassing areas from flap physiology to peripheral nerve regeneration; our research, however, embraces technologies from disciplines as diverse as lasers, biomaterials, computer simulation, biomechanics, outcomes research, and many more. Facial plastic surgery will benefit in numerous ways from The JAMA Network. It will allow us to access and share information with the many medical and surgical specialties with which we interface. In addition to the website’s ease of navigation and enhanced content, it will allow us to search for important information with semantic tagging on The JAMA Network, whether the subject is the neurosciences or epidemiology. The website platform brings creative new possibilities to our visual and technical specialty. The Archives of Facial Plastic Surgery—soon to be JAMA Facial Plastic Surgery—was founded as a global journal. From the beginning years we have been the official journal of both the American Academy of Facial Plastic and Reconstructive Surgery and the International Federation of Facial Plastic Surgery Societies (the Federation). The Federation’s recent scientific meeting in Rome, Italy, was the largest such international meeting ever held, thanks to the expertise and hard work of its leaders Pietro Palma, MD, Paolo Castelnuovo, MD, and Abel-Jan Tasman, MD. As president of the Federation, it was my pleasure to welcome 2 JAMA Network staff, Elizabeth Solaro and Sara Nagy, to Rome to help present the many opportunities our new family of journals will provide. Interest in both manuscript submission and subscriptions was intense, and there is little doubt we will see impressive growth outside North America in coming years. The smartphone/tablet app provides a unique opportunity to introduce our global colleagues to the best resource possible to stay abreast of the latest information and to improve care for their patients. Medical publishing is transforming rapidly and its future is unclear. We do know, however, that facial plastic surgery will be well positioned to communicate our scientific advances in both print and web on the new, forward-looking JAMA Network. As a specialty we are a global family and will benefit immensely by joining The JAMA Network family.","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":"14 4","pages":"237"},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archfacial.2012.779","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30731086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Antidepressants and bleeding risk after face-lift surgery.","authors":"Sanaz Harirchian,&nbsp;Richard A Zoumalan,&nbsp;David B Rosenberg","doi":"10.1001/archfacial.2012.2","DOIUrl":"https://doi.org/10.1001/archfacial.2012.2","url":null,"abstract":"<p><strong>Objective: </strong>To determine the rate of post-face-lift hematoma among users of serotonin reuptake inhibitors (SSRIs) vs non-SSRI users. Selective serotonin reuptake inhibitors have come under recent scrutiny because of possible bleeding risks. However, cessation of SSRIs carries inherent risks.</p><p><strong>Methods: </strong>The medical charts for 250 consecutive patients who underwent a modified deep-plane face-lift and 13 patients who underwent neck-lift from January 2010 to May 2011 were reviewed for the incidence of postoperative hematoma. Patients' medical records were examined for medical comorbidities, coagulopathy, and medication list, with particular attention to any usage of SSRIs or serotonin norepinephrine reuptake inhibitors (SNRIs).</p><p><strong>Results: </strong>Twenty-two percent of patients were taking SSRIs or SNRIs. We observed a total hematoma (major + minor) rate of 1.95% for non-SSRI/SNRI users vs 1.72% for SSRI/SNRI users. The minor hematoma rate was 1.95% among nonusers vs 0% for users. The major hematoma rate was 0% among nonusers vs 1.72% for users.</p><p><strong>Conclusions: </strong>Usage of SSRIs was more common in this large series of face-lift patients than in the general population. In these patients, SSRIs in the perioperative period are found to be safe and did not seem to adversely affect outcome. We found no evidence to support discontinuing SSRIs perioperatively.</p>","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":"14 4","pages":"248-52"},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archfacial.2012.2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30766815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Histopathologic findings of the orbicularis oculi in upper eyelid aging: total or minimal excision of orbicularis oculi in upper blepharoplasty.","authors":"Hwa Lee,&nbsp;Minsoo Park,&nbsp;Jongmi Lee,&nbsp;Eung Seok Lee,&nbsp;Sehyun Baek","doi":"10.1001/archfacial.2011.1293","DOIUrl":"https://doi.org/10.1001/archfacial.2011.1293","url":null,"abstract":"OBJECTIVE\u0000It is well known that gradual loss of elastic fibers and skin relaxation cause the aging process, but whether changes in the orbicularis oculi muscle may contribute to the aging of the upper eyelid is not known. The aim of the present study was to use histopathologic examination to investigate whether the orbicularis oculi contributes to upper eyelid aging.\u0000\u0000\u0000METHODS\u0000Full-thickness upper eyelids, which were removed during blepharoplasty using en bloc resection, were stained with hematoxylin-eosin and examined. Eleven patients with oriental eyelid, 14 patients with bilateral dermatochalasia, and 2 patients with facial nerve palsy and contralateral dermatochalasia were included in this study.\u0000\u0000\u0000RESULTS\u0000Patients ranged in age from 21 to 73 years (median age, 55.8 years). Histologic results revealed that changes in the aging upper eyelid were mainly in the skin and subcutaneous layers with large masses of deranged elastic fibers in the papillary dermis, which was characterized as solar elastosis.\u0000\u0000\u0000CONCLUSIONS\u0000Our study revealed that the entire orbicularis oculi muscle layer remained morphologically intact with aging. Moreover, our findings suggests that a minimally invasive surgical approach with muscle sparing in upper blepharoplasty in selected patients could yield good results in terms of cosmetic outcomes and upper eyelid function while minimizing postoperative complications.","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":"14 4","pages":"253-7"},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archfacial.2011.1293","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30336840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ethical conduct of humanitarian medical missions: II. use of photographic images.","authors":"G Richard Holt","doi":"10.1001/archfacial.2011.1646","DOIUrl":"https://doi.org/10.1001/archfacial.2011.1646","url":null,"abstract":"T he overarching imperative for patient care when a physician volunteers to treat patients in another country is to respect the dignity of the individuals. Because of cultural differences and language barriers, the typical patient-physician relationship will likely not be possible in its fullest extent. Therefore, the physician must make an effort to gain the trust of the patient through nonverbal communication as well as verbal (likely through a translator). A pleasant, attentive approach to patients, with appropriate friendliness, interest, and respect, will be helpful in putting them at ease. One must be cautious, however, not to cross a boundary that lies within the cultural and/or religious fabric of the population. It is very important for the volunteer physician to be adequately prepared for interacting with patients by first studying the cultural and religious customs of the country and its people. Good intentions can be marginalized and future missions jeopardized through unwittingly inappropriate interactions with patients and their families. Often the host organization or host physicians can be helpful in providing advice and understanding on what can or cannot be done in this regard.","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":"14 4","pages":"295-6"},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archfacial.2011.1646","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30766136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vascularized scapular tip flap in the reconstruction of the mandibular joint following ablative surgery.","authors":"Kofi D Boahene,&nbsp;James A Owusu,&nbsp;Ryan Collar,&nbsp;Patrick Byrne,&nbsp;Lisa Ishii","doi":"10.1001/archfacial.2012.100","DOIUrl":"https://doi.org/10.1001/archfacial.2012.100","url":null,"abstract":"<p><p>We describe a novel design and application of the vascularized scapular tip flap in the reconstruction of a temporomandibular joint and mandibular defect.</p>","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":"14 3","pages":"211-4"},"PeriodicalIF":0.0,"publicationDate":"2012-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archfacial.2012.100","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30765879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"US military medical support after the earthquake in Managua, Nicaragua.","authors":"Wayne F Larrabee","doi":"10.1001/archfacial.2012.400","DOIUrl":"https://doi.org/10.1001/archfacial.2012.400","url":null,"abstract":"","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":"14 3","pages":"218"},"PeriodicalIF":0.0,"publicationDate":"2012-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30625475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Update on the effect of botulinum toxin pretreatment on laser resurfacing results.","authors":"Marc Zimbler,&nbsp;Satyen Undavia","doi":"10.1001/archfacial.2011.1650","DOIUrl":"https://doi.org/10.1001/archfacial.2011.1650","url":null,"abstract":"Background: Facial laser resurfacing and chemodenervation with botulinum toxin type A are used independently as means of nonsurgical facial rejuvenation. Recent reports in the literature have described combining these 2 therapies, claiming improved and longer-lasting laser resurfacing results. To date, no scientific investigation has been undertaken to prove or disprove this theory. Design: Institutional review board–approved, prospective, randomized, blinded study at university-affiliated outpatient cosmetic surgery offices. Intervention: Patients had one side of their face injected, at specific anatomic subsites (crow’s feet, horizontal forehead furrows, and glabellar frown lines), with botulinum toxin 1 week before laser resurfacing. After receiving an injection, patients underwent cutaneous laser exfoliation on both sides of the face with either a carbon dioxide or an erbium dual-mode laser. Main Outcome Measures: Patients’ injected (experimental) and noninjected (control) sides were compared after laser resurfacing. Follow-up was documented at 6 weeks, 3 months, and 6 months after laser resurfacing. Subjective evaluation, based on a visual analog scale, was performed in person by a blinded observer. Furthermore, a blinded panel of 3 expert judges (1 facial plastic surgeon, 1 oculoplastic surgeon, and 1 cosmetic dermatologist) graded 35-mm photographs taken during postoperative follow-up visits. Results: Ten female patients were enrolled in the study. A 2-tailed t test showed that all sites that were pretreated with botulinum toxin showed statistically significant improvement (P .05) over the nontreated side, with the crow’s feet region showing the greatest improvement. Comparing results between the carbon dioxide and erbium lasers did not result in any statistically significant differences. Conclusions: Hyperdynamic facial lines, pretreated with botulinum toxin before laser resurfacing, heal in a smoother rhytid-diminished fashion. These results were clinically most significant in the crow’s feet region. We recommend pretreatment of movement-associated rhytids with botulinum toxin before laser resurfacing. For optimum results, we further recommend continued maintenance therapy with botulinum toxin postoperatively.","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":"14 3","pages":"156-8"},"PeriodicalIF":0.0,"publicationDate":"2012-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archfacial.2011.1650","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30765951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}