scholarly journals Surgical management of the acromegalic face: Could the aesthetic improvement of the face influence the patient's QoL? Combined surgical approach

2020 ◽  
Vol 6 (2) ◽  
pp. 100150
Author(s):  
Andrea Cassoni ◽  
Resi Pucci ◽  
Paolo Priore ◽  
Maria Teresa Fadda ◽  
Valentino Valentini
2021 ◽  
Vol 14 (9) ◽  
pp. e243156
Author(s):  
Monika Gupta ◽  
Harshita Vig ◽  
Yajas Kumar ◽  
Aliza Rizvi

Double lip or macrocheilitis is a rare facial anomaly, mostly congenital in origin. It commonly involves the upper lip than the lower lip. It may occur in isolation or as part of the Ascher’s syndrome. It results due to deposition of excessive areolar tissue and non-inflammatory hyperplasia of labial mucosa gland of pars villosa. It may be acquired as a result of injury to the lips or lip-biting habit. The double lip becomes conspicuous when the lips are retracted during smiling resulting in the characteristic ‘cupid’s bow’ appearance. This disfigurement can pose aesthetic and functional problems and may result in psychological distress. A surgical intervention is must for restoration of functions and to address the aesthetic concerns. The present article reports a case of non-syndromic double upper lip with triple labial frena and its surgical management with laser on one side and with scalpel on the other side.


2021 ◽  
pp. 148-161
Author(s):  
Dorota Pazio-Wlazłowska

The article attempts to reconstruct the concept of obesity on the example of the adjective fat as one of its lexical representation. As a material for analysis, the texts of contemporary fiction (1990s–XXI century) obtained from the National Corpus of the Polish Language are used. An overweight people are characterized in the extracted material in physical, mental, aesthetic and social aspects. In the physical aspect, the face, teeth, hairstyle, hair color and appearance, height and size, as well as the physical activity are examined. Symptomatic for the physical aspect is the use of intensifiers: very obese, unbelievably obese, indecently obese. Within the mental aspect, character traits, intellectual potential, self-esteem and drug addiction are analysed. In the social aspect, attention is paid to the reluctant attitude of the environment towards obese people, the relationship of obese people with the opposite sex, as well as the main fields of activity, mainly excessive eating. As part of the aesthetic aspect, auditory, visual and olfactory impressions are analyzed. In the course of analysis lexical units used to characterize obese people are identified. The analysis shows that obese people are repulsive, unaesthetic, they smell badly and look unattractive, they eat all the time and move with difficulty. They are usually friendly and kind, but they have complexes about their looks.


Author(s):  
P. Dangi ◽  
S. Ruhil ◽  
H. Singh ◽  
A. Samdhyan ◽  
S. Potliya

A rare case of dystocia due to external congenital hydrocephalic foetus with ankylosis of forelimbs managed by ventral midline surgical approach in a crossbred cow is reported.


2017 ◽  
Vol 16 (05) ◽  
pp. A02
Author(s):  
Lisa Smith ◽  
Kimberly Arcand ◽  
Randall Smith ◽  
Jay Bookbinder ◽  
Jeffrey Smith

This study explored how different presentations of an object in deep space affect understanding, engagement, and aesthetic appreciation. A total of n = 2,502 respondents to an online survey were randomly assigned to one of 11 versions of Cassiopeia A, comprising 6 images and 5 videos ranging from 3s to approximately 1min. Participants responded to intial items regarding what the image looked like, the aesthetic appeal of the image, perceptions of understanding, and how much the participant wanted to learn more. After the image was identified, participants indicated the extent to which the label increased understanding and how well the image represented the object. A final item asked for questions about the image for an atronomer. Results suggest that alternative types of images can and should be used, provided they are accompanied by explanations. Qualitative data indicated that explanations should include information about colors used, size, scale, and location of the object. The results are discussed in terms of science communication to the public in the face of increasing use of technology.


Author(s):  
Chun Cheng Lin Yang ◽  
Richard L. Anderson

Over the past two and a half decades, techniques for midfacial rejuvenation have evolved. Midfacial rejuvenation has gained significant popularity among many aesthetic surgeons, including the ophthalmic plastic surgeon. Yet rejuvenation of the midface remains a challenge for the aesthetic surgeon who seeks facial harmony. A variety of techniques and approaches are available, yet no single approach is ideal for all patients. It is clear that the age-related anatomic alterations that cause patients to seek rejuvenation vary from patient to patient, and that many patients have more than one anatomic alteration that must be addressed to rejuvenate the lower lid. The surgeon must address the individual needs of each patient for optimal results. It has also become clear that the lower eyelid and midface form a continuum that needs to be addressed in its entirety for optimal rejuvenation. To achieve this, the surgeon must understand the basic concepts important to lower eyelid and midface rejuvenation, which include an understanding of eyelid and midfacial anatomy, an understanding of aging changes of the lower eyelid and midface, and surgical approaches and nonincisional options. A full understanding of aging changes in the lower eyelid and midface is essential to successfully address midfacial rejuvenation. A harmonious facial appearance consists of a balanced relationship among all tissues of the face. With age, disturbance of this harmony among midfacial tissues occurs. The aging process of the midface encompasses the lower eyelid, malar fat pad and associated structures, melolabial fold, and lateral perioral region. Hester describes four important features of midfacial aging: (1) baring of the inferior orbital rim with creation of a hollow valley at the junction of the lower eyelid and cheek; (2) descent of the malar fat pad, with loss of malar prominence; (3) deepening of the tear trough; and (4) exaggeration of the nasolabial fold. The midface represents a crucial aesthetic unit of the face. It is bordered by structures that play major roles in the overall appearances of the face. The lower eyelid and tear trough toward the nose and the lateral canthus and crow’s feet at the superior lateral aspect frame the midface superiorly.


Author(s):  
Patricia Sylla

• Introduction 412 • Initial management checklist 416 • Initial management 418 • Assessing the burn patient 422 • Stabilizing the burn patient 426 • Surgical management of burns 428 Burns are systemic injuries, which result in significant morbidity and mortality. They present a major challenge, not only during the resuscitation phase, but also with later reconstruction. With burns of the face, a ...


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