Periorbital, lower face, and neck

2021 ◽  
pp. 1379-1398
Author(s):  
Norman Waterhouse ◽  
Naresh Noshi ◽  
Niall Kirkpatrick ◽  
Lisa Brendling
Keyword(s):  
Soft Tissue ◽  
Surgical Management ◽  
Soft Tissues ◽  
Lower Eyelid ◽  
Surgical Correction ◽  
Volume Loss ◽  
Lower Face ◽  
The Face ◽  
Upper Face ◽  
Fat Pads

Facial ageing occurs as a consequence of multifactorial changes in both the external skin and underlying tissues. The ageing process may vary dramatically between individual patients and is thus influenced by genetic factors. When assessing the ageing face it is important to consider the skeletal architecture, the soft tissue layers including the anterior fat pads, the osseocutaneous ligament anchors, and finally the overlying skin. Assessment of the external skin incorporates factors such as dermal thinning, solar damage, lifestyle effects such as smoking, and Fitzpatrick skin type. Surgical correction of facial ageing attempts to reverse both gravitational change of soft tissues and also to restore volume loss. There are a variety of methods used to divide the face into regions, but for the purpose of this chapter, the surgical management of facial ageing will be separated into three anatomical areas: (1) upper face, including the upper eyelids, eyebrows, and forehead; (2) midface, including the lower eyelid/anterior cheek continuum; and (3) lower and lateral cheek, neck, and perioral region

Three-Dimensional Analysis Techniques—Part 3: Color-Coded System for Three-Dimensional Measurement of Bone and Ratio of Soft Tissue to Bone: The Analysis

1997 ◽  
Vol 34 (1) ◽  
pp. 52-57 ◽  
Author(s):  
Andrew M. Mccance ◽  
James P. Moss ◽  
W. Rick Fright ◽  
Alf D. Linney
Keyword(s):  
Soft Tissue ◽  
Soft Tissues ◽  
Three Dimensional ◽  
Ct Scans ◽  
Dimensional Changes ◽  
Analysis Techniques ◽  
Dimensional Measurement ◽  
Three Dimensional Measurement ◽  
The Face ◽  
Bimaxillary Surgery

A new color-coded method of illustrating three-dimensional changes in the bone and the ratio of soft tissue to bone movement is described. The technique is illustrated by superimposing preoperative and 1-year postoperative CT scans of three patients following bimaxillary surgery. The method has proved to be a very simple, effective, and readily interpreted method of quantifying both bone and the ratio of movement of the overlying soft tissues across the face following surgery.

Halos and Asymmetric Triangles: Designing the Eyelids with Volume Using Fillers and/or Fat

2018 ◽  
Vol 34 (02) ◽  
pp. 173-177
Author(s):  
Samuel Lam
Keyword(s):  
Fat Grafting ◽  
Volume Loss ◽  
Lower Face ◽  
New Models ◽  
The Face ◽  
Principal Method

AbstractPeriorbital aging is mainly a product of volume loss, which can be addressed with fillers and/or fat grafting. This stands in contrast to the lower face where a lifting procedure can be the principal method to improve moderate-to-significant aging. New models to explain these concepts of periorbital rejuvenation to both the surgeon and the prospective patient are outlined herein, namely, three facial halos (around the eyes, around the perimeter of the face, and around the mouth) and asymmetric triangles around the eyes. Specific techniques for fillers and fat grafting are also covered separately in detail in this article.

scholarly journals NEW METHOD FOR RESTORATION OF LOWER FACE

2017 ◽  
Vol 21 (4) ◽  
pp. 207-210
Author(s):  
Mikhail Borisovich Shvyrkov
Keyword(s):  
Soft Tissue ◽  
Trauma Surgery ◽  
Functional Results ◽  
New Method ◽  
Minor Trauma ◽  
Soft Tissue Defects ◽  
Lower Face ◽  
Distraction Device ◽  
The Face ◽  
Tissue Defects

Application of the method developed by the author of the restoration of the lower of the face with his proposed technique free osteoplasty of the mandible in conjunction with komressionno-distraction device (KDD) own design allowed simultaneously to replace extensive bone and soft tissue defects immediately after they are lost or in distant time. Minor trauma surgery postoperative high aesthetic and functional results, allows widely recommend this type of plastic in the practice of maxillofacial surgeons.

scholarly journals Differences in Facial Expressions between Spontaneous and Posed Smiles: Automated Method by Action Units and Three-Dimensional Facial Landmarks

Sensors ◽  
2020 ◽  
Vol 20 (4) ◽  
pp. 1199
Author(s):  
Seho Park ◽  
Kunyoung Lee ◽  
Jae-A Lim ◽  
Hyunwoong Ko ◽  
Taehoon Kim ◽  
...  
Keyword(s):  
Emotion Recognition ◽  
Facial Expressions ◽  
Three Dimensional ◽  
Lower Face ◽  
Facial Landmarks ◽  
Automated Method ◽  
Discrete Movement ◽  
The Face ◽  
Upper Face ◽  
The Right

Research on emotion recognition from facial expressions has found evidence of different muscle movements between genuine and posed smiles. To further confirm discrete movement intensities of each facial segment, we explored differences in facial expressions between spontaneous and posed smiles with three-dimensional facial landmarks. Advanced machine analysis was adopted to measure changes in the dynamics of 68 segmented facial regions. A total of 57 normal adults (19 men, 38 women) who displayed adequate posed and spontaneous facial expressions for happiness were included in the analyses. The results indicate that spontaneous smiles have higher intensities for upper face than lower face. On the other hand, posed smiles showed higher intensities in the lower part of the face. Furthermore, the 3D facial landmark technique revealed that the left eyebrow displayed stronger intensity during spontaneous smiles than the right eyebrow. These findings suggest a potential application of landmark based emotion recognition that spontaneous smiles can be distinguished from posed smiles via measuring relative intensities between the upper and lower face with a focus on left-sided asymmetry in the upper region.

scholarly journals Planning of methods of surgical correction of soft tissues of the face and neck

2021 ◽  
Vol 25 (4) ◽  
pp. 47-52
Author(s):  
S. M. Alimova ◽  
V. I. Sharobaro ◽  
A. V. Telnova ◽  
E. E. Stepanyan
Keyword(s):  
Soft Tissues ◽  
Ultrasound Examination ◽  
Diagnostic Value ◽  
Surgical Correction ◽  
Age Related ◽  
The Face ◽  
Male Patients ◽  
The Mean ◽  
Degree Of Participation

Objective. Role of ultrasound examination in planning surgical correction of age-related changes of the face and neck soft tissues.Methods. A prospective analysis of the study and treatment of 80 patients with involutive changes in the soft tissues of the face and neck who were carried out from 2018 to 2020 in the Mositalmed Clinic. The age of the patients ranged from 24 to 60 years. The mean age was 42 ± 6.89 years (± SE standard deviation mean). There were 67 female patients (83.7%), male patients – 13 (16.3%).Results. The diagnostic value of ultrasound examination in involutional changes in the soft tissues of the face and neck for determining the causes of contour deformities is noted.Conclusion. Ultrasound imaging in an upright position of the patient makes it possible to determine the degree of participation of each tissue in the formation of deformity, which is extremely important for planning various techniques for rejuvenating the face and neck.

Exerting control: the grammatical meaning of facial displays in signed languages

2021 ◽  
Vol 32 (4) ◽  
pp. 609-639
Author(s):  
Sara Siyavoshi ◽  
Sherman Wilcox
Keyword(s):  
Information Structure ◽  
Effective Control ◽  
Cognitive Grammar ◽  
Lower Face ◽  
Signed Languages ◽  
Wide Range ◽  
Facial Displays ◽  
The Face ◽  
Upper Face ◽  
Forceful Exertion

Abstract Signed languages employ finely articulated facial and head displays to express grammatical meanings such as mood and modality, complex propositions (conditionals, causal relations, complementation), information structure (topic, focus), assertions, content and yes/no questions, imperatives, and miratives. In this paper we examine two facial displays: an upper face display in which the eyebrows are pulled together called brow furrow, and a lower face display in which the corners of the mouth are turned down into a distinctive configuration that resembles a frown or upside-down U-shape. Our analysis employs Cognitive Grammar, specifically the control cycle and its manifestation in effective control and epistemic control. Our claim is that effective and epistemic control are associated with embodied actions. Prototypical physical effective control requires effortful activity and the forceful exertion of energy and is commonly correlated with upper face activity, often called the “face of effort.” The lower face display has been shown to be associated with epistemic indetermination, uncertainty, doubt, obviousness, and skepticism. We demonstrate that the control cycle unifies the diverse grammatical functions expressed by each facial display within a language, and that they express similar functions across a wide range of signed languages.

Facial Profile Of Bataknese Based On Nose, Lips And Chin Proportions

2017 ◽  
Vol 16 (2) ◽  
Author(s):  
Siti Bahirrah
Keyword(s):  
Soft Tissue ◽  
Soft Tissues ◽  
Upper Lip ◽  
Cross Sectional ◽  
Lower Lip ◽  
Facial Profile ◽  
Male And Female ◽  
The Face ◽  
Cross Sectional Design ◽  
Lateral Cephalometry

Introduction: The success of orthodontic treatment is often associated with the improvement of facial appearance. Soft tissues of the nose, lips and chin are important factors in determining the beauty of the face. The aim of this study was to determine the facial profile of the Bataknese based on the proportion of soft tissue facial components such as nose, lips and chin. Materials and Methods: This research was an observational study with a cross-sectional design. The samples of this research consists of 48 Batak tribe students in FKG USU Medan. This research was carried out by using 48 lateral cephalometry obtained from Batak tribe students who fit the inclusion criteria.Determination of soft tissue facial profile was carried out with Skinazi method. Results: The mean proportion results obtained from the soft tissue facial components of the nose was 64.41%, upper lip 13.79%, lower lip 14.80% and chin 6.86%. The results showed soft tissue facial profile obtained descriptively from the Bataknese were highest in nose proportion followed by lower lip, upper lip and the smallest were chin proportion. Large proportion of the nose and small proportion of chin showed that facial profile of the Bataknese were convex. The results of t- test and Mann Whitney analysis of nose, upper lip, lower lip and chin proportion showed there were no difference between male and female (p>0.05). Conclusion(s): The findings of this research showed that the soft tissue facial profile based on nose, lips and chin propotions in male and female from Batak tribe were convex.

Imaging in trauma of the facial skeleton and soft tissues of the neck

2020 ◽  
Vol 81 (6) ◽  
pp. 1-15
Author(s):  
George Bitar ◽  
Philip Touska
Keyword(s):  
Soft Tissue ◽  
Soft Tissues ◽  
Penetrating Trauma ◽  
Soft Tissue Injuries ◽  
Imaging Features ◽  
Facial Skeleton ◽  
Pictorial Review ◽  
The Face ◽  
Craniofacial Trauma ◽  
Tissue Injuries

Trauma to the face and neck is a frequent reason for emergency department attendance. Imaging is invaluable in the characterisation of such injuries, enabling delineation of fracture patterns as well as identification of vascular and other soft tissue injuries. It may also be used to prevent long-term mortality and morbidity and provide a roadmap for surgical intervention so that form and function may be restored. This article gives a pictorial review of the imaging of craniofacial trauma, stratified according to the thirds of the face, followed by a review of blunt and penetrating trauma of the neck. It discusses appropriate imaging modalities for each trauma category, describes major patterns of craniofacial trauma on cross-sectional imaging and identifies clinically relevant imaging features that should trigger subspecialist review or be of relevance to pre-surgical planning. It starts with the upper third comprising frontal sinus fractures before describing the component fractures of the middle third (including nasal, zygomaticomaxillary and orbital fractures) and then focusing on the lower third (specifically mandibular and dentoalveolar fractures). The article concludes with a review of soft tissue injuries of the neck, particularly penetrating, blunt and laryngeal trauma.

Contouring the Mandible for Aesthetic Enhancement in Asian Patients

2020 ◽  
Vol 36 (05) ◽  
pp. 602-612
Author(s):  
Tae Sung Lee ◽  
Sanghoon Park
Keyword(s):  
Soft Tissues ◽  
Surgical Techniques ◽  
Lateral View ◽  
Frontal View ◽  
Lower Face ◽  
Asian Patients ◽  
Facial Shape ◽  
Minimal Improvement ◽  
The Face ◽  
Aesthetic Sensibility

AbstractA prominent mandible that gives a squared face in Asians is considered unattractive as it imparts a coarse and masculine image. Mandibular contouring surgery allows slender oval faces. The purpose of conventional mandible reduction is to make the lower face appear slim in frontal view and to have a smooth contour in lateral view. As shaping the lateral contour of the mandible alone may result in minimal improvement in the frontal view, surgical techniques to reduce the width of the lower face through narrowing genioplasty (i.e., the “V-line” surgery) and sagittal resection of the lateral cortex should be combined. Examination of the shape and symmetry, the relationship between the maxilla and the mandible, understanding overlying soft tissue contribution, and understanding the overall balance of the face are mandatory. An important factor influencing ideal facial shape is patient's personal preference, which is often influenced by his/her ethnic and cultural background. Especially when consulting patients of different nationalities or ethnic backgrounds, careful attention should be paid to the patient's aesthetic sensibility regarding the ideal or desirable facial shape. Narrowing the chin and modification of chin shape can be accomplished by narrowing genioplasty with central strip resection. This midsymphyseal sectioning procedure yields safe and very satisfactory results. This procedure not only augments the narrowing effect by leaving soft tissues attached to the bone but also enables modification of chin shape by altering the shape of resection. The surgeon should customize the surgery based on a comprehensive assessment of the patient's preoperative chin and mandible morphology complemented by an assessment of their aesthetic goals.

scholarly journals Phototherapy and Tailored Brushing Method. Personalized Oral Care in Patients with Facial and Dental Trauma. A Report of a Case

Healthcare ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 561
Author(s):  
Gianna Maria Nardi ◽  
Fabrizio Guerra ◽  
Artnora Ndokaj ◽  
Denise Corridore ◽  
Marsha Alicia Straker ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Soft Tissues ◽  
Dental Anxiety ◽  
Combined Treatment ◽  
Oral Care ◽  
Young Patients ◽  
Dental Trauma ◽  
Facial Trauma ◽  
The Face ◽  
Personalized Approach

(1) Background: Traumatic dental injuries are frequent in children and young adults. The facial structures involved in dental trauma may include soft tissues of the face and mouth, bone and dental structures. Dental trauma often results in augmented dental anxiety. Phototherapy can improve stress and pain control thereby improving compliance in young patients with the necessary dental treatments, after dental trauma has occurred. (2) Methods: Phototherapy was performed to enable soft tissue healing. The Tailored Brushing Method (TBM), a personalized approach for at-home oral hygiene procedures, was also utilized, with the aim of improving biofilm control in traumatized patients. (3) Results: The approach hereafter presented made it possible to obtain subjective control of anxiety and pain documented on a visual analog scale (VAS) due to the innovative use of photo-biomodulation. In addition, for the first time, the TBM was adapted to the needs of a patient with facial trauma and illustrated. (4) Conclusions: Phototherapy and TBM were found to be effective in the combined treatment of soft tissue wounds and in the oral care of the traumatized patient.

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