scholarly journals Ideal Facial Relationships and Goals

2018 ◽  
Vol 34 (05) ◽  
pp. 458-465 ◽  
Author(s):  
Hope Bueller
Keyword(s):  
Roman Art ◽  
Facial Plastic Surgery ◽  
Cultural Considerations ◽  
Wide Range ◽  
Facial Plastic ◽  
The Face ◽  
Classical Models ◽  
Facial Proportions ◽  
The Individual ◽  
Art And Architecture

AbstractAnalysis of the face is an essential component of facial plastic surgery. In training, we are taught standards and ideals based on neoclassical models of beauty from Greek and Roman art and architecture. In practice, we encounter a wide range of variation in patient desires and perceptions of beauty. Our goals seem to be ever shifting, yet our education has provided us with a foundation from which to draw ideals of beauty. Plastic surgeons must synthesize classical ideas of beauty with patient desires, cultural nuances, and ethnic considerations all the while maintaining a natural appearance and result. This article gives an overview of classical models of facial proportions and relationships, while also discussing unique ethnic and cultural considerations which may influence the goal for the individual patient.

Facial Danger Zones: Avoiding Nerve Injury in Facial Plastic Surgery

1994 ◽  
Vol 2 (2) ◽  
pp. 59-66 ◽  
Author(s):  
Brooke R Seckel
Keyword(s):  
Peripheral Nerve ◽  
Plastic Surgery ◽  
Nerve Injury ◽  
Peripheral Nerves ◽  
Cranial Nerves ◽  
Danger Zone ◽  
Facial Plastic Surgery ◽  
Facial Plastic ◽  
The Face ◽  
Anatomic Locations

BR Seckel. Facial danger zones: Avoiding nerve injury in facial plastic surgery. Can J Plast Surg 1994;2(2):59-66. with today's new emphasis on more aggressive and deeper facial dissection during rhytidectomy, the peripheral nerve branches of cranial nerves V and VII in the face are more often exposed closer to the plane of dissection and more likely to be injured in the course of composite, extended sub-submuscular aponeurotic system (sub-SMAS), and subperiosteal rhytidectomy. It is important to have a keen and thorough understanding of the location of these nerves to avoid injury. I divide the face into seven facial danger zones based on known anatomic locations of the branches of the peripheral nerves of the face and the location in which they are most easily injured in the course of facial dissection. A description of the nerve and consequence of injury, the anatomic location of the zone, and the technique for safe surgical dissection for each facial danger zone is presented.

scholarly journals New approaches for full-thickness grafting of the face

2017 ◽  
Vol 5 (4) ◽  
pp. 68-73 ◽  
Author(s):  
Vladimir A. Porhanov ◽  
Sergey B. Bogdanov ◽  
Irina V. Gilevich ◽  
Tatyana V. Fedorenko ◽  
Elena A. Kolomiyceva ◽  
...  
Keyword(s):  
Standard Procedure ◽  
Fibrous Tissue ◽  
Psychological Injury ◽  
Full Thickness ◽  
Skin Sample ◽  
Facial Plastic Surgery ◽  
Autologous Fibroblasts ◽  
Facial Plastic ◽  
The Face

In addition to the physical injury, deep burns of the face also can cause psychological injury. The purpose of this study was to develop new technical methods for improving engraftment of full-thickness autografts. Since 2017, autologous fibroblasts have been used for skin facioplasty of one full thickness autograft in Scientific Research Institue, Reginal Clinical Hospital No 1. Isolation of fibroblasts was performed by using an enzymatic method and a skin sample with an area of 10 cm2. Cultivation of autologous fibroblasts was performed for 22 days according to a standard procedure. The prepared culture of autologous fibroblasts was used together with a full-layer autologous transplant to close the wound on the face. We found that autologous fibroblasts provided faster adaptation of the autograft. There were no signs of fibrous tissue over the long term. We concluded that fibroblasts promoted rapid engraftment and adaptation of the full-thickness autograft. Improvement of facial plastic surgery methods can help achieve maximum cosmetic treatment results.

scholarly journals Application of Visagism Concept to Assess the Co-Relation between the Temperament and Smile Esthetics: A Clinical Study

2021 ◽  
pp. 1-5
Author(s):  
Poorvi Jain ◽  
Surekha Godbole ◽  
Seema Sathe Kambala ◽  
Chetan Mahatme
Keyword(s):  
Digital Camera ◽  
Computer Assisted ◽  
Maximum Score ◽  
Validated Questionnaire ◽  
Wide Range ◽  
The Face ◽  
The Subject ◽  
Novel Concept ◽  
The Individual ◽  
Smile Esthetics

Background: Ability of a person to express a wide range of emotions with the movement of teeth and lips is called as a smile. Dentogenic concept considers gender, personality, age in harmonizing shapes of teeth with the face. Personality is unique for an individual. Unveiling personality traits, desires of the individual, translating them into natural tooth shapes to maintain the psychodentofacial harmony poses a major challenge to the clinician in designing a smile. Visagism is a novel concept that helps the dentists in providing restorations that involve esthetics psychological and social features of the created image, which influences the individual’s emotions. It involves the customization of an image. Aim and Objectives: To assess the co-relation between the smile esthetics and mental temperaments or personalities through the application of the concept of visagism. Methodology: A Digital camera (DSLR) for capturing the photographs and smile designing software will be used. Each subject will be instructed to occlude the teeth while capturing photographs. A validated questionnaire study will be conducted that will help to discover temperament of the subject. The answers will be evaluated and maximum score of the responses out of the list will be dominant temperament in that individual. Expected Outcome: Co-relation between this study might help clinicians to accurately assess the correlation between the temperament and the smile esthetics and eventually develop proper customisation of a smile with respect to the personality of the patient. Conclusion: If computer-assisted smile design and application of visagism concept would be accurate and reproducible, this might help and improve the planning of smile designing, the oral rehabilitations.

Role of Photo-Biomodulation Therapy in Facial Rejuvenation and Facial Plastic Surgery

2021 ◽  
Author(s):  
Jose A. De Cordova
Keyword(s):  
Low Level Laser Therapy ◽  
Adjunctive Treatment ◽  
Skin Rejuvenation ◽  
Facial Plastic Surgery ◽  
Level Laser ◽  
Before And After ◽  
Facial Plastic ◽  
The Face ◽  
Skin Conditions

AbstractPhoto-biomodulation (PBM) also known as low-level laser therapy is a rising technology with multiple potential uses in medicine and recently in the cosmetic field for the treatment of skin conditions and skin rejuvenation. Due to its wound healing and anti-inflammatory properties, there is an increase in popularity in its use as adjunctive treatment before and after surgical procedures in the face and neck.

The Superficial Musculoaponeurotic System Facelift: A Prudent Balance of Risks and Benefits

2017 ◽  
Vol 33 (03) ◽  
pp. 260-265 ◽  
Author(s):  
E. McCollough
Keyword(s):  
Common Sense ◽  
Aging Process ◽  
Facial Plastic Surgery ◽  
Risks And Benefits ◽  
Superficial Musculoaponeurotic System ◽  
Facial Plastic ◽  
The Face ◽  
History Of ◽  
Invasive Techniques ◽  
Excessive Skin

AbstractOver the decades, facelifting has not escaped the natural history of trends and fads. And, as a profession, facial plastic surgery has not avoided falling into the trap of following corporate initiated technology, rather than leading common-sense methodologies to rejuvenating the aging face. The author is often reminded of a truism to which he was introduced in the 1980s. “When there are many ways of doing things, all of them work; or none of them work.” Undeniably, any procedure that lifts and removes excessive skin of the face and neck “works.” However, the questions that must be answered by leading teachers of facelifting surgery are: How well does a given technique work? How long-lasting are the results? Where does the risk–benefit curve cross over from optimal benefits to unacceptable risks? At what stage in a given patient's aging process are more aggressive techniques called for? At what stage in a surgeon's career should more invasive techniques be attempted, if ever? This article addresses the preceding questions as they relate to the contribution made by the superficial musculoaponeurotic fascia in repositioning sagging tissues of the face and neck.

Alloplastic Facial Implants

2021 ◽  
Author(s):  
Tsung-yen Hsieh ◽  
Karan Dhir ◽  
William J. Binder ◽  
Peter Andrew Hilger
Keyword(s):  
Computer Aided Design ◽  
Aging Process ◽  
Soft Tissues ◽  
Patient Specific ◽  
Advantages And Disadvantages ◽  
Alloplastic Implants ◽  
Wide Range ◽  
Facial Plastic ◽  
The Face ◽  
Facial Augmentation

AbstractAs the face ages, there is thinning of the epidermis, volume loss and rearrangement of the soft tissues, and malabsorption of the skeletal framework. It is essential to have a thorough understanding of the aging process for successful facial augmentation and rejuvenation. Alloplastic implants can be used to provide a long-lasting solution for augmentation of skeletal deficiencies, restoration of facial irregularities, and rejuvenation of the face. In this study, we describe the ideal implant characteristics along with the advantages and disadvantages of various implant materials. We also present techniques in nasal and premaxillary augmentation, midface augmentation, mandibular augmentation, and lip augmentation. Additionally, computer-aided design and manufacturing as well as bioprinting are emerging technologies with growing applications in facial plastic and reconstructive surgery. We discuss their role in the creation of patient-specific custom implants. The overall goal of facial rejuvenation is to address multiple aspects of the facial aging process including deficiencies in the skin, soft tissues, and skeletal framework. The use of alloplastic implants alone or synergistically with additional surgical procedures can restore a wide range of anatomical deficits that occur with age.

scholarly journals Overview of Facial Plastic Surgery and Current Developments

2016 ◽  
Vol 02 (01) ◽  
pp. e17-e28 ◽  
Author(s):  
Jessica Chuang ◽  
Christian Barnes ◽  
Brian Wong
Keyword(s):  
Plastic Surgery ◽  
Surgical Techniques ◽  
The United States ◽  
Microvascular Reconstruction ◽  
Facial Plastic Surgery ◽  
Facial Plastic ◽  
The Face ◽  
Craniomaxillofacial Trauma ◽  
Maxillary Surgery ◽  
Injectable Fillers

Facial plastic surgery is a multidisciplinary specialty largely driven by otolaryngology but includes oral maxillary surgery, dermatology, ophthalmology, and plastic surgery. It encompasses both reconstructive and cosmetic components. The scope of practice for facial plastic surgeons in the United States may include rhinoplasty, browlifts, blepharoplasty, facelifts, microvascular reconstruction of the head and neck, craniomaxillofacial trauma reconstruction, and correction of defects in the face after skin cancer resection. Facial plastic surgery also encompasses the use of injectable fillers, neural modulators (e.g., BOTOX Cosmetic, Allergan Pharmaceuticals, Westport, Ireland), lasers, and other devices aimed at rejuvenating skin. Facial plastic surgery is a constantly evolving field with continuing innovative advances in surgical techniques and cosmetic adjunctive technologies. This article aims to give an overview of the various procedures that encompass the field of facial plastic surgery and to highlight the recent advances and trends in procedures and surgical techniques.

scholarly journals Study of face pleasantness using facial analysis in standardized frontal photographs

2012 ◽  
Vol 17 (5) ◽  
pp. 24-34 ◽  
Author(s):  
Imara de Almeida Castro Morosini ◽  
Ana Paula Lazzari Marques Peron ◽  
Keila Rodrigues Correia ◽  
Ricardo Moresca
Keyword(s):  
Facial Attractiveness ◽  
Sample Mean ◽  
Facial Analysis ◽  
Facial Plastic Surgery ◽  
Subjective Analysis ◽  
Facial Plastic ◽  
Angular Measurements ◽  
The Face ◽  
Facial Pattern ◽  
Caucasian Women

OBJECTIVE: The purpose of this research was to check if the numeric facial analysis can determine facial attractiveness. METHOD: The sample consisted of frontal and lateral standard facial photographs, in natural head position, of 85 Brazilian Caucasian women, without facial plastic surgery report. The sample mean age was 23 years and 9 months. A group of 5 orthodontists, 5 layman and 5 plastic artists classified the photographs according to their own attractiveness graduation in: pleasant, acceptable and not pleasant. The numeric facial analysis was then performed using a computerized method. Linear, proportional and angular measurements were compared among groups. RESULTS: According subjective analysis the sample was consisted of 18.8% of pleasant, 70.6% of acceptable and 10.6% of not pleasant. In most measurements there were no differences among groups. Just in three of them significant statistical difference was observed and in two of them the comparison value was within decision limit. All the differences found were related to the lower third of the face and to facial pattern. CONCLUSION: On the present research, the numeric facial analysis, by itself, was not capable of detecting facial attractiveness, considering that beauty judgment seems to be very personal.

Multiple Applications of GoreTex Soft Tissue Patch in Facial Plastic Surgery

1994 ◽  
Vol 11 (2) ◽  
pp. 111-119 ◽  
Author(s):  
Kris Conrad
Keyword(s):  
Soft Tissue ◽  
Plastic Surgery ◽  
Functional Impairment ◽  
Neck Region ◽  
Facial Plastic Surgery ◽  
Good Tolerance ◽  
Lip Augmentation ◽  
Facial Plastic ◽  
The Face ◽  
Multiple Uses

This communication reveals multiple uses, versatility, predictability, and excellent tissue compatibility of GoreTex® membrane in facial plastic surgery. An outline of the technique relying on subcutaneous undermining as opposed to the threading method is provided. Five-year experience (in more than 127 patients) with the GoreTex soft tissue patch demonstrates good tolerance to implants up to 8 mm in thickness and 10 cm2 in area as a tissue filler in the face and neck region. No functional impairment has been documented with the use of large implants to correct nasal labial grooves or in lip augmentation.

Superficial Dermal Fillers with Hyaluronic Acid

2019 ◽  
Vol 35 (03) ◽  
pp. 219-223 ◽  
Author(s):  
Jonathan T. Bacos ◽  
Steven H. Dayan
Keyword(s):  
Hyaluronic Acid ◽  
Plastic Surgery ◽  
Dermal Filler ◽  
Intrinsic Properties ◽  
Dermal Fillers ◽  
Facial Plastic Surgery ◽  
Current State ◽  
Facial Plastic ◽  
The Face ◽  
Aesthetic Procedures

AbstractMinimally invasive aesthetic procedures with hyaluronic acid filler have increased drastically since their development in 1989. Patients' desires to avoid surgery and achieve rapid results with minimal recovery led to a transformation in facial plastic surgery, demanding that aesthetic surgeons become proficient in nonsurgical augmentation. Over the years, new hyaluronic acid filler products were developed with different intrinsic properties, allowing clinicians to better treat different deficiencies of the face, reduce postprocedural pain, and optimize outcomes. The purpose of this article is to review the current state of nonsurgical facial plastic surgery with the superficial dermal filler, hyaluronic acid.

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