A Tumescent Technique for Subperiosteal Endoscopic Forehead/Brow Lifts

1998 ◽  
Vol 15 (2) ◽  
pp. 117-120 ◽  
Author(s):  
John E. Fidler ◽  
Thomas J. Laney

Rejuvenation of the upper one-third of the face has undergone many changes in the past few years. The use of the coronal brow-lift has decreased, and the use of limited incision procedures has come to the forefront. Endoscopic techniques have improved and the results are now comparable to those of the open technique. Tumescent anesthesia has been used in both liposuction surgery and cervicofacial rhytidectomy. The use of tumescent anesthesia can be problematic when the plane of dissection is subperiosteal. This paper describes a technique for subperiosteal tumescent anesthesia and initial dissection in the endoscopic forehead-lift procedure.

2020 ◽  
Author(s):  
Jason Gardenier ◽  
Daniel Driscoll

The open brow lift is a powerful tool for facial rejuvenation of the upper third of the face which can address rhytids, upper eyelid hooding, and brow ptosis. With a history dating back over a hundred years, a variety of techniques have been described including coronal, pretrichial, mid-forehead, direct supraciliary, and transpalpebral brow lifts. These vary in terms of invasiveness and the ideal approach is determined by patient age, sex, symmetry, and anterior hairline characteristics. While endoscopic techniques became popular in the 1990s based on novelty, smaller incisions, less post-scar numbness, and a perception of less invasive nature, this technique’s popularity has diminished recently and less invasive open approaches have become more popular. Recent years have seen the numbers of all forms of brow lift become less common as neuromodulators, such as botulinum toxin, allow for chemical denervation of brow depressor muscles. This has become a truly non-invasive way to address minor forms of aging of the forehead and brow. However, for advanced cases, open brow lift remains a powerful technique which should remain in the arsenal of the plastic surgeon. This review contains 3 figures, 2 tables, and 39 references. Keywords: cosmetic surgery, facial plastic surgery, facial aging, brow ptosis, rhytids, facial nerve, supraorbital nerve, supratrochlear nerve


1997 ◽  
Vol 14 (4) ◽  
pp. 459-462 ◽  
Author(s):  
Dominic A. Brandy

Liposuction surgery has advanced dramatically over the past 10 years with the advent of tumescent anesthesia, the use of microcannulas, smaller incisions, incisions not closed with sutures, and specially designed garments. However, there has not been much improvement in the science of incision placement. This article discusses a technique that makes liposuction incisions less conspicuous to the human eye by placing the incisions in asymmetric patterns.


Author(s):  
Allan Megill

This epilogue argues that historians ought to be able to produce a universal history, one that would ‘cover’ the past of humankind ‘as a whole’. However, aside from the always increasing difficulty of mastering the factual material that such an undertaking requires, there exists another difficulty: the coherence of universal history always presupposes an initial decision not to write about the human past in all its multiplicity, but to focus on one aspect of that past. Nevertheless, the lure of universal history will persist, even in the face of its practical and conceptual difficulty. Certainly, it is possible to imagine a future ideological convergence among humans that would enable them to accept, as authoritative, one history of humankind.


Author(s):  
Aurora G. Vincent ◽  
Anne E. Gunter ◽  
Yadranko Ducic ◽  
Likith Reddy

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.


Sensors ◽  
2021 ◽  
Vol 21 (9) ◽  
pp. 3046
Author(s):  
Shervin Minaee ◽  
Mehdi Minaei ◽  
Amirali Abdolrashidi

Facial expression recognition has been an active area of research over the past few decades, and it is still challenging due to the high intra-class variation. Traditional approaches for this problem rely on hand-crafted features such as SIFT, HOG, and LBP, followed by a classifier trained on a database of images or videos. Most of these works perform reasonably well on datasets of images captured in a controlled condition but fail to perform as well on more challenging datasets with more image variation and partial faces. In recent years, several works proposed an end-to-end framework for facial expression recognition using deep learning models. Despite the better performance of these works, there are still much room for improvement. In this work, we propose a deep learning approach based on attentional convolutional network that is able to focus on important parts of the face and achieves significant improvement over previous models on multiple datasets, including FER-2013, CK+, FERG, and JAFFE. We also use a visualization technique that is able to find important facial regions to detect different emotions based on the classifier’s output. Through experimental results, we show that different emotions are sensitive to different parts of the face.


Author(s):  
Richard Wennberg ◽  
Sukriti Nag ◽  
Mary-Pat McAndrews ◽  
Andres M. Lozano ◽  
Richard Farb ◽  
...  

A 24-year-old woman was referred because of incompletely-controlled complex partial seizures. Her seizures had started at age 21, after a mild head injury with brief loss of consciousness incurred in a biking accident, and were characterized by a sensation of bright flashing lights in the right visual field, followed by numbness and tingling in the right foot, spreading up the leg and to the arm, ultimately involving the entire right side, including the face. Occasionally they spread further to involve right facial twitching with jerking of the right arm and leg, loss of awareness and, at the onset of her epilepsy, rare secondarily generalized convulsions. Seizure frequency averaged three to four per month. She was initially treated with phenytoin and clobazam and subsequently changed to carbamazepine 800 milligrams per day. She also complained that her right side was no longer as strong as her left and that it was also numb, especially the leg, but felt that this weakness had stabilized or improved slightly over the past two years.


PMLA ◽  
1957 ◽  
Vol 72 (5) ◽  
pp. 977-996 ◽  
Author(s):  
Fraser Neiman

At least since Matthew Arnold exploited the term Zeitgeist in Literature and Dogma, the expression has been variously a source of irritation and confusion to a number of his critics. Identifying it with a tendency to disparage the past, an exasperated contemporary reviewer of that work in Blackwood's Edinburgh Magazine cried, “Can anything be more unscientific than such a spirit? It is the very apotheosis of self-opinion intoxicated by its own pride, and flaunting its own dogmatisms with a crude audacity in the face of preceding dogmas.” Among other critics of Arnold, R. H. Hutton protested that the Zeitgeist was a will-o'-the-wisp “who misleads us at least as much as he enlightens”; W. H. Dawson concluded that for Arnold it was “a fetish, a talisman, a thaumaturgy”; for W. H. Paul it became a bore; Hugh Kingsmill began his caricature of Don Matthew, “So forth he sallied, mounted on Zeit-Geist, a hobby horse.” Still others, less annoyed than these by the reiteration, have themselves borrowed it as they write of him—sometimes effectively, because with consistency of meaning, as H. F. Lowry in his edition of Arnold's letters to Clough; sometimes bewilderingly, as when one reads such a statement as this: “Expediency, which had become in Burke's hands an anti-revolutionary doctrine, was equated by Arnold with the Zeitgeist, a force which, in his conception of it, was quite as revolutionary as that of natural right.”


1979 ◽  
Vol 87 (4) ◽  
pp. 522-532 ◽  
Author(s):  
Jack R. Anderson ◽  
Calvin M. Johnson

The face-lift operation is not difficult for the well-trained otolaryngologist. However, as in every surgical procedure, there are certain techniques that facilitate its performance and improve results. This paper discusses some of these techniques that have been developed during the past 20 years.


Author(s):  
Graham Mooney

Demography and epidemiology tend to analyse human processes in the aggregate. This article illustrates that definitions of demography and epidemiology provide some understanding of how they are typically used in medical history. The influence of demographic and epidemiological transition theories is discussed. The article mentions that extensive research into fertility behaviour in the past has dismantled many aspects of demographic transition and reveals that epidemiological transition has proved more durable in the face of empirical testing, but it is nonetheless problematically hidebound to a narrative of progress and modernization. This article also focuses on the complicated relationship between migration and health and is considered crucial for understanding patterns of population growth, health, and illness. Finally, it outlines some of the ways that innovative research on life-course experiences and famine demography has shaken the trees of long-held medical historical assumptions.


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