Surgical Anatomy of the Upper Face and Forehead

2018 ◽  
Vol 34 (02) ◽  
pp. 109-113 ◽  
Author(s):  
Frank Garritano ◽  
Vito Quatela
Keyword(s):  
Focal Point ◽  
Surgical Anatomy ◽  
Successful Execution ◽  
The Face ◽  
Upper Face ◽  
The Aesthetic ◽  
Upper Third

AbstractAesthetic ideals regarding proportion and balance of the face have existed for centuries. The upper third of the face, including the brow, forehead, and temple, provides an important contribution to the overall facial aesthetic. This is especially true given how the brow frames the eyes, and the eyes serve as the key focal point in our interactions with others. There exists a variety of surgical and nonsurgical procedures aimed at improving the aesthetic of the upper portion of the face, and a thorough knowledge of the surgical anatomy of the upper face and forehead is critical to their successful execution.

scholarly journals A Randomized, Single-Blind, Crossover Study Evaluating the Impact of OnabotulinumtoxinA Treatment on Mood and Appearance During the COVID-19 Pandemic

2021 ◽  
Author(s):  
Robert T Cristel ◽  
Nimit D Gandhi ◽  
Tariq Z Issa ◽  
Eljona Kola ◽  
Daniel Demesh ◽  
...  
Keyword(s):  
Placebo Group ◽  
Treatment Satisfaction ◽  
Severe Disease ◽  
Disease Outbreaks ◽  
Time Period ◽  
The Face ◽  
Upper Face ◽  
The Impact ◽  
Upper Third ◽  
Single Blind

Abstract Background The emergence of Coronavirus disease of 2019 (COVID-19), quickly became one of the most severe disease outbreaks in modern history. This caused many aesthetic practices around the country to close temporarily and led to a unique time period to evaluate the impact neurotoxin has in the setting of an ongoing pandemic. Objectives To examine whether the administration of onabotulinumtoxinA (BOTOX Cosmetic, Allergan plc, Coolock, Ireland), in regular users, synergistically amplifies the elevation in mood/happiness, self-satisfaction with appearance and overall satisfaction, in the context of the ongoing pandemic. Methods A randomized single-blind cross-over study was designed to evaluate the impact of neurotoxin treatment in the upper third of the face on mood, self-satisfaction with appearance, and overall satisfaction. The placebo group crossed over to treatment after 1 month. Surveys evaluating patient happiness, self-satisfaction with appearance and overall efficacy were completed among both groups, and again to the placebo group again following crossover to treatment. Results Forty-five subjects were enrolled with 30 in the treatment and 15 in the control/cross-over group. The placebo group demonstrated no change in happiness or self-satisfaction in appearance until cross-over to the treatment group. Both groups, once receiving, onabotulinumtoxinA reported increased happiness, self-satisfaction with appearance and overall treatment satisfaction. Conclusions OnabotulinumtoxinA treatment to the upper face in the midst of the COVID-19 pandemic was found to increase patient happiness, self-satisfaction with appearance, and overall treatment satisfaction.

Maxillofacial Bony Considerations in Facial Transplantation

2021 ◽  
Author(s):  
Aurora G. Vincent ◽  
Anne E. Gunter ◽  
Yadranko Ducic ◽  
Likith Reddy
Keyword(s):  
Soft Tissue ◽  
Current Literature ◽  
Preoperative Planning ◽  
Surgical Anatomy ◽  
The Past ◽  
Facial Transplantation ◽  
Tissue Transfer ◽  
Reconstructive Ladder ◽  
The Face ◽  
Facial Wounds

AbstractAlloplastic facial transplantation has become a new rung on the proverbial reconstructive ladder for severe facial wounds in the past couple of decades. Since the first transfer including bony components in 2006, numerous facial allotransplantations across many countries have been successfully performed, many incorporating multiple bony elements of the face. There are many unique considerations to facial transplantation of bone, however, beyond the considerations of simple soft tissue transfer. Herein, we review the current literature and considerations specific to bony facial transplantation focusing on the pertinent surgical anatomy, preoperative planning needs, intraoperative harvest and inset considerations, and postoperative protocols.

Surgical Anatomy for Extended Facelift Techniques

2020 ◽  
Vol 36 (03) ◽  
pp. 309-316
Author(s):  
Ozcan Cakmak ◽  
Ismet Emrah Emre
Keyword(s):  
Facial Nerve ◽  
Soft Tissues ◽  
Extended Techniques ◽  
Surgical Anatomy ◽  
Superficial Musculoaponeurotic System ◽  
Increased Risk ◽  
The Face ◽  
Facial Soft Tissues ◽  
Relationship Of ◽  
The Relationship

AbstractPreservation of the facial nerve is crucial in any type of facial procedure. This is even more important when performing plastic surgery on the face. An intricate knowledge of the course of the facial nerve is a requisite prior to performing facelifts, regardless of the technique used. The complex relationship of the ligaments and the facial nerve may put the nerve at an increased risk of damage, especially if its anatomy is not fully understood. There are several danger zones during dissection where the nerve is more likely to be injured. These include the areas where the nerve branches become more superficial in the dissection plane, and where they traverse between the retaining ligaments of the face. Addressing these ligaments is crucial, as they prevent the transmission of traction during facelifts. Without sufficient release, a satisfying pull on the soft tissues may be limited. Traditional superficial musculoaponeurotic system techniques such as plication or imbrication do not include surgical release of these attachments. Extended facelift techniques include additional dissection to release the retaining ligaments to obtain a more balanced and healthier look. However, these techniques are often the subject of much debate due to the extended dissection that carries a higher risk of nerve complications. In this article we aim to present the relationship of both the nerve and ligaments with an emphasis on the exact location of these structures, both in regard to one another and to their locations within the facial soft tissues, to perform extended techniques safely.

Surgical anatomy of the face

1994 ◽  
Vol 15 (1) ◽  
pp. 81
Author(s):  
Brian P. Maloney
Keyword(s):  
Surgical Anatomy ◽  
The Face

Trauma of the upper third of the face

1986 ◽  
Vol 77 (4) ◽  
pp. 686
Author(s):  
C Ioannides ◽  
HPM Freihofer ◽  
I Bruaset
Keyword(s):  
The Face ◽  
Upper Third

scholarly journals “To be honest, I’m pretty fat. Actually, I’m very fat”. Adjective fat as a Representation of the Concept of Obesity (Based on Corpus Data) – Preliminary Remarks

2021 ◽  
pp. 148-161
Author(s):  
Dorota Pazio-Wlazłowska
Keyword(s):  
Lexical Representation ◽  
Contemporary Fiction ◽  
Hair Color ◽  
Social Aspect ◽  
Physical Aspect ◽  
Obese People ◽  
Overweight People ◽  
The Face ◽  
Opposite Sex ◽  
The Aesthetic

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.

scholarly journals Capturing the many faces of an exploded star: communicating complex and evolving astronomical data

2017 ◽  
Vol 16 (05) ◽  
pp. A02
Author(s):  
Lisa Smith ◽  
Kimberly Arcand ◽  
Randall Smith ◽  
Jay Bookbinder ◽  
Jeffrey Smith
Keyword(s):  
Science Communication ◽  
Online Survey ◽  
Object A ◽  
Cassiopeia A ◽  
The Public ◽  
Use Of Technology ◽  
The Face ◽  
Final Item ◽  
The Aesthetic ◽  
The Many

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.

Lower Eyelid and Midfacial Rejuvenation

2011 ◽  
Author(s):  
Chun Cheng Lin Yang ◽  
Richard L. Anderson
Keyword(s):  
Lower Eyelid ◽  
Fat Pad ◽  
Tear Trough ◽  
Aesthetic Unit ◽  
Lateral Canthus ◽  
Age Related ◽  
Crow’S Feet ◽  
The Face ◽  
The Aesthetic ◽  
The Individual

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.

scholarly journals Surgical anatomy in the age of EWTD and ISCP

2008 ◽  
Vol 90 (7) ◽  
pp. 245-245
Author(s):  
Vishy Mahadevan
Keyword(s):  
Surgical Training ◽  
Surgical Anatomy ◽  
Working Time ◽  
European Working Time Directive ◽  
Medical Careers ◽  
European Working ◽  
The Face ◽  
Considerable Impact ◽  
The Uk ◽  
Working Time Directive

Four major new initiatives being implemented nationally are set to have a considerable impact on the nature of surgical training in the UK. When fully operational, these developments will alter the face of surgical training: the European Working Time Directive (EWTD), Modernising Medical Careers (MMC), the Intercollegiate Surgical Curriculum Programme (ISCP) and the new MRCS examination.

Sign in / Sign up

Export Citation Format

Share Document