Puzzle Facelift: A non-surgical, whole treatment for facial modelling and rejuvenation

2022 ◽  
Author(s):  
Dario Bertossi ◽  
Salvatore Chirumbolo ◽  
Riccardo Nocini ◽  
Krishan Mohan Kapoor

The assessment of correct anatomy of face and the evaluation of the dynamic interplay between anatomy and function, in order to get an overall improvement, is a leading topic in aesthetic surgery and has increased its impact in the recent years. A non-surgical impact technique reduces both post-treatment discomfort and the overall cost. Obtaining the simultaneous correction in forehead, nose, lips and chin means obtaining an overall improvement in face view. Likewise, the high predictability of the procedure and the absence of alloplastic implant, bone re-absorption and scars have to be considered in non-surgical aesthetic medicine. In conclusion, a single-session of profile correction using HA filler should be proposed to patient, every time the aesthetic practitioner sees a coexistence of forehead, nose lips and chin defects.

Author(s):  
Aida Cadellans-Arróniz ◽  
Carlos López-de-Celis ◽  
Albert Pérez-Bellmunt ◽  
Jacobo Rodríguez-Sanz ◽  
Luis Llurda-Almuzara ◽  
...  

Introduction. Diacutaneous Fibrolysis is defined as specific instrumental intervention to normalize function in the musculoskeletal system. It is considered a treatment method for the mechanical alterations of the locomotor system, and it is widely used in sports for therapeutic and preventive purposes. Despite the clinical benefits observed in different musculoskeletal conditions, the action mechanism of diacutaneous fibrolysis remains uncertain. There are no studies evaluating the neuromuscular response on the posterior muscular chain of the lower extremity in athletes, where overload, stiffness, and injury incidence are high. Objective. To evaluate the immediate, and 30 min post treatment effects of a single diacutaneous fibrolysis session on passive neuromuscular response and mechanosensitibity on hamstring and gluteus in athletes with shortening. Design. A randomized within participant clinical trial. Methods. Sixty-six athletes with hamstring shortening were included (PKE < 160). The lower limbs were randomized between the experimental limb and control limb, regardless of dominance. A single session of diacutaneous fibrolysis was applied to the posterior gluteus maximus, biceps femoris, and semitendinosus of the experimental lower limb whereas the control limb was not treated. Viscoelastic muscle properties (myotonometry), contractile muscle properties (tensomiography), and mechanosensitivity (algometry) were tested before treatment (T0), after treatment (T1), and 30 min post treatment (T2). Results. Regarding viscoelastic properties, in the intra-group analysis we found statistically significant differences in the experimental limb at T1, decreasing muscle stiffness in gluteus maximus (p < 0.042), in biceps femoris (p < 0.001) and in semitendinosus (p < 0.032). We also observed statistically significant differences in Tone decrease (p < 0.011) and relaxation increase (p < 0.001) in biceps femoris. At T2, the decrease in stiffness in all tested muscles was maintained (p < 0.05). There were statistically significant inter-groups differences in stiffness on gluteus (p < 0.048) and biceps femoris (p < 0.019) and in tone on biceps femoris (p < 0.009) compared to the control limb. For contractile properties, we only found statistically significant differences on maximal radial displacement (Dm) in gluteus, both control and experimental at T2 (p < 0.05) and in biceps femoris control (p < 0.030). No changes were found in the mechanosensitivity. Conclusions. A single session of diacutaneous fibrolysis produces changes in some parameters related to viscoelasticity properties of the biceps femoris and gluteus. There were no changes on contractile properties on semitendinosus. Only small changes on the contractile properties on the gluteus maximus and biceps femoris were found. No effect was found on the mechanosensitivity of the posterior chain muscles in athletes with hamstring shortening.


2018 ◽  
Vol 36 (3) ◽  
pp. 104-107
Author(s):  
Matthew Cutulle ◽  
Jeffrey Derr ◽  
David McCall ◽  
Adam Nichols ◽  
Brandon Horvath

Abstract Tall fescue (Festuca arundinacea Shreb.) has exceptional utility as a low maintenance lawn in the transition zone. However, during the summer smooth crabgrass [Digitaria ischaemum (Schreb.) Schreb. ex Muhl.] infestations can reduce the aesthetic value and function of the turf and lead to a thinning of the tall fescue stand, noticeable after the crabgrass plants have senesced. Research was conducted to evaluate the impact of mowing height and nitrogen fertility on smooth crabgrass plant counts and tall fescue cover in Virginia Beach, VA. Plots were mowed at either 6 cm (2.5 in) or 10 cm (4 in) and received 49, 171, or 220 kg of nitrogen annually per hectare (44, 152, and 196 lb.A−1). Mowing at 10 cm with the highest level of fertility resulted in the most turfgrass cover among all the treatment combinations. Mowing at 10 cm as opposed to 6 cm resulted in less smooth crabgrass plants, regardless of nitrogen fertilization rate. Index words: fertilization, turfgrass, weed control. Species used in this study: Smooth crabgrass [Digitaria ischaemum (Schreb.) Schreb. ex Muhl.]; tall fescue [Festuca arundinacea Shreb. synonym Schedonorus phoenix (Scop.) Holub].


2021 ◽  
Vol 6 (11) ◽  
pp. 29-38
Author(s):  
Aytül HADIMLI ◽  
Ebru SERT ◽  
Birsen KARACA SAYDAM

Recent years with the widespread use of social media, the aesthetic perception of societies has started to change. People, with the desire to be liked, turn to plastic surgery with the importance they attach to physical appearance. Women's aesthetic genital surgery operations also show a parallel trend with this trend. Aesthetic surgery operations performed in the genital area are mostly designed and focused on sexual satisfaction and attractiveness. Among these procedures that do not have a medical indication, the most common ones are; labiaplasty, perineoplasty, vaginoplasty, hymenectomy and G-point amplification. Although the operations are performed by gynecology and plastic and reconstructive surgery specialists, pre-and postoperative care is provided to the patient by midwives and nurses. In this context, in this review, it is aimed to evaluate the counseling and care role of midwives and nurses with the Ex-PLISSIT Model, as well as the recommendations of international obstetrics and gynecology associations for genital aesthetic surgery operations and these operations.


2020 ◽  
Vol 40 (12) ◽  
pp. 1351-1369 ◽  
Author(s):  
Victoria L Aimé ◽  
Matthew R Neville ◽  
Danielle A Thornburg ◽  
Shelley S Noland ◽  
Raman C Mahabir ◽  
...  

Abstract Background Deep venous thrombosis and pulmonary embolism, collectively known as venous thromboembolism (VTE), are among the most feared yet preventable surgical complications. Although many recommendations exist to reduce the risk of VTE, the actual VTE prophylaxis practices of aesthetic plastic surgeons remain unknown. Objectives The primary aim of this study was to elucidate plastic surgeons’ experiences with VTE, preferred VTE prophylaxis practices, and areas in which VTE prevention may be improved. Methods Members of The Aesthetic Society were queried via a 55-question electronic survey regarding their experience with VTE as well as their VTE prophylaxis practices. Anonymous responses were collected and analyzed by the Mayo Clinic Survey Research Center. Results The survey was sent to 1729 of The Aesthetic Society members, of whom 286 responded. Fifty percent, 38%, and 6% of respondents reported having had a patient develop a deep venous thrombosis, pulmonary embolism, or death secondary to VTE, respectively. Procedures performed on the back or trunk were associated with the highest rate of VTE. Lower extremity procedures were associated with a significantly higher rate of VTE than expected. Over 90% of respondents reported utilizing a patient risk stratification assessment tool. Although at least one-half of respondents reported that the surgical facility in which they operate maintains some form of VTE prophylaxis protocol, 39% self-reported nonadherence with these protocols. Conclusions Considerable variability exists in VTE prophylaxis practices among The Aesthetic Society responders. Future efforts should simplify guidelines and tailor prophylaxis recommendations to the aesthetic surgery population. Furthermore, education of plastic surgeons performing aesthetic surgery and more diligent surgical venue supervision is needed to narrow the gap between current recommendations and actual practices.


1997 ◽  
Vol 25 (2) ◽  
pp. 171-247
Author(s):  
Daniel I. A. Cohen

The Founders unknowingly but deliberately established in the Constitution a government inform and function analogous to the psychodynamic structures of the human mind as described by Freud. The executive, legislative and judicial branches correspond in poignantly meaningful ways, in definition and operation, to the ego, id and superego in the mind of a single individual. The nature of the system of checks and balances and the interactions and conflicts between the branches directly parallel the dynamic interplay of the agencies of the mind. This correspondence is an inescapable consequence of the Founders' desire to build a growing and self-correcting governing system that would be able to master challenges while developing and progressing in a manner necessarily consistent, in principle, with the essential political tenets of its establishment. This observation has direct legal and political implications relevant to some of the most important dilemmas in American Constitutional Law.


2014 ◽  
Vol 10 (2) ◽  
pp. 146-153 ◽  
Author(s):  
Terri Schneider ◽  
Stefanie De Jesus ◽  
Harry Prapavessis

Recent systematic reviews have concluded that a single session of exercise ameliorates cravings and tobacco withdrawal symptoms; however, smoking behaviour (topography) has not been adequately addressed in the literature. This study examined the effect of an acute bout of exercise on smoking topography following a temporary period of smoking abstinence. Forty-eight adult smokers (Nfemale = 34, Mage = 43.14), who had been smoking for an average of 23.90 years, were randomised to an acute (10 minutes) bout of exercise (N = 23) or passive sitting (control) group. Cigarette cravings were assessed at baseline and immediately pre and post treatment condition during a 15-hour smoking abstinence period. Smoking topography which included puff count, puff volume, puff duration, inter-puff interval, and total cigarette duration was assessed at baseline and post treatment. Although exercise reduced cravings, compared to the control group, smoking topography remained unchanged across time between groups. Furthermore, craving reduction was unrelated to any smoking topography variables. Although there is evidence that exercise can delay time to first cigarette, this study demonstrates that the change to smoking topography is negligible when participants are invited to smoke.


2007 ◽  
Vol 122 (1) ◽  
pp. 38-41
Author(s):  
S C L Leong ◽  
M Abdelkader ◽  
P S White

AbstractNasal bone fractures are the commonest type of bony facial injury causing aesthetic deformity. The aim of this study was to identify the effect of nasal trauma and fracture manipulation on the aesthetic proportions of the nose, by comparing pre- and post-treatment nasal aesthetics. Thirty-two patients (26 men and 6 women) underwent aesthetic assessment prior to treatment of the injury by closed nasal manipulation, 7 to 10 days after the initial injury. Standard facial aesthetic photographic assessments were performed prior to and following manipulation. Assessment involved measurement of standard nasal aesthetic parameters. In the nasal trauma cohort, the main anomalies in nasal aesthetics were nasal deviation and differences in the nasal aesthetic profile. Nasal fracture manipulation successfully reduced deviation from an average of 35° pre-manipulation to an average of 9° post-manipulation.


2017 ◽  
Vol 33 (04) ◽  
pp. 437-443 ◽  
Author(s):  
Vishad Nabili ◽  
Amit Kochhar ◽  
Jeffrey Rawnsley ◽  
Gregory Keller ◽  
Jordan Sand

AbstractPlatelet-rich plasma (PRP) is an autogenously harvested blood plasma containing concentrated levels of platelets and growth factors. PRP has been identified as a promising treatment for enhancing wound healing and has been used for decades in multiple medical specialties including cardiac surgery, oral surgery, ophthalmology, and orthopedic surgery. Growing evidence for multiple aesthetic surgery applications has recently been developed, particularly for hair restoration and skin rejuvenation. The goal of this article is to review the current medical literature on PRP and identify promising applications that may be integrated into a modern aesthetic surgery practice. The evidence for the use of PRP technology is rapidly expanding as a powerful therapy for select cosmetic surgery patients.


Sign in / Sign up

Export Citation Format

Share Document