Submental Recontouring: An Adjunctive Maxillofacial Aesthetic Procedure

1998 ◽  
Vol 15 (2) ◽  
pp. 121-124 ◽  
Author(s):  
Vincent B. Ziccardi ◽  
Ronald E. Schneider
Keyword(s):  
Cosmetic Surgery ◽  
Thyroid Cartilage ◽  
Skin Flaps ◽  
Skin Laxity ◽  
Mandibular Setback ◽  
Profuse Hemorrhage ◽  
Aesthetic Results ◽  
Aesthetic Procedure ◽  
The Aesthetic ◽  
Submental Fat

Introduction: The chin and submental region contribute to facial balance. Inadequate jaw projection and neck definition may compromise the aesthetic results of cosmetic surgical procedures. It was hypothesized that adjunctive mandibular setback procedures and reduction genioplasty would improve the aesthetic results of cosmetic surgery. Materials and Methods: A triangular excision for a V–Y advancement is outlined in the submental region using methylene blue. The triangle is oriented with the apex facing the chin and the base toward the thyroid cartilage in a natural neck crease. The triangle, oriented so that the base is toward the chin at the submental crease, left a small bulge at the apex of the vertical limb of the Y in the neck midline, which required a secondary excision to correct. Incisions in the shape of a pentagon or an ellipse can also be used. Local anesthetic with vascoconstrictor is deposited along the lines of the planned excision. The geometric skin is excised. If the platysma muscle is dehiscent, it can be sutured and platysmaplasty performed. The subplatysmal fat may be removed if visible only in the midline region with caution taken at this juncture not to be too aggressive to avoid potential profuse hemorrhage. The skin flaps are widely undermined. The fat excision is feathered. A two-layer closure is then performed. Discussion: In patients with adequate skin elasticity and thickness, liposuction may be indicated. Submental excision and direct lipectomy is another technique that can address the ptotic chin, lax skin, and submental lipomatosis. This technique is indicated for those patients in whom there is excess submental fat or skin laxity and in whom there is a contraindication or a lack of patient desire to undergo formal neck-lifting procedures. Conclusion: Submental recontouring is a useful adjunctive aesthetic procedure that can be readily performed in the office setting with instrumentation and technique currently available.

scholarly journals Interest of Thin Skin Flaps in the Treatment of Postburn Cervical Contractures: About Five Cases

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
I. Ghorbel ◽  
F. Bouaziz ◽  
H. Bellaaj ◽  
S. Moaalla ◽  
Kh. Ennouri
Keyword(s):  
Young Adults ◽  
Observational Study ◽  
Plastic Surgery ◽  
Functional Results ◽  
Skin Flaps ◽  
Aesthetic Results ◽  
Thin Skin ◽  
The Aesthetic ◽  
Surgery Department

Objectives. The use of thin skin flaps in the reconstruction of postburn cervical contractures associated with functional impacts. Material and Methods. We conducted a descriptive observational study on about five patients who had reconstruction of postburn cervical contractures using various thin skin flaps in a plastic surgery department. The follow-up period was ranged from 12 to 18 months. We determined the characteristics of the retraction according to the Vandenbussche classification, the indications of the flaps, and the functional and aesthetic results. Results. Most of our patients were young adults presenting segmental retraction of the neck associated with moderate functional impact. The occipito-cervico-dorsal flap was used in three cases. The occipito-cervico-shoulder flap was used in two cases. The aesthetic and functional results were satisfactory for all patients, but a “neck-collar” aspect of the cervical-chin angle was noticed. Conclusion. Postburn cervical contractures remain frequent. Their reconstruction is a difficult process as it is ideally done with a skin similar to the original one. The use of thin skin flaps seems to be an excellent option.

Composite Breast Remodeling After Implant Removal by Tissue Recruitment and Loops Fixation With Power-Assisted Liposuction and Lipofilling (PALLL)

2021 ◽  
Author(s):  
Marwan H Abboud ◽  
Ayush K Kapila ◽  
Svetlana Bogaert ◽  
Nicolas M Abboud
Keyword(s):  
Breast Implant ◽  
Capsular Contracture ◽  
Patient Characteristics ◽  
Fat Grafting ◽  
Implant Removal ◽  
Level Of Evidence ◽  
Patient Reported ◽  
Aesthetic Results ◽  
And Migration ◽  
The Aesthetic

Abstract Background An increasing number of women wish breast implant removal whilst maintaining an acceptable projection and form were possible. Objectives The authors propose a technique to remodel the breast after implant removal utilizing internal suture loops to project the breast, recruit abdominal and axillary tissue cranially and medially, and provide a matrix for lipofilling. Methods A prospective analysis was performed of consecutive patients undergoing implant extraction followed by power-assisted liposuction loops and lipofilling. Patient characteristics were measured. The aesthetic results were evaluated by 2 independent raters. Patient-reported satisfaction was measured by standardized questionnaires. Results Implants in 52 patients with an average age of 55 and body mass index of 23.7 were extracted followed by breast remodeling. A total of 73% of patients had implants for aesthetic reasons, 41% were smokers, and 43% of the reconstruction cases received radiotherapy. A total of 28% had implant extraction for rupture, 58% for capsular contracture, and 14% due to pain and migration. The average volume of the implants removed was 292 cc, followed by an average lipofilling of 223 cc, yielding a ratio of 0.76 to 1. The average tissue recruited by loops was 82.5 cc. Independent raters measured 79% of results as good, 13% as acceptable, and 8% as requiring improvement; 80% of patients were satisfied to very satisfied. Conclusions The authors propose implant extraction followed by power-assisted liposuction loops and lipofilling can provide footprint definition, sustained projection, and high patient satisfaction. Moreover, the recruitment of a vascularized adipo-cutaneous flap by loops allows a reduced ratio of fat grafting to implant volume. Level of Evidence: 4

Dermatography: 10 Years of Applications as an Adjuvant Treatment after Nipple and Areola Reconstruction

2000 ◽  
Vol 17 (1) ◽  
pp. 23-26 ◽  
Author(s):  
Eddy M. Van Der Velden ◽  
Brigitte H. I. M. Drost ◽  
Otto E. Ijsselmuiden ◽  
Abraham M. Baruchin
Keyword(s):  
Breast Cancer ◽  
Radiation Therapy ◽  
Breast Surgery ◽  
Total Resection ◽  
Refined Method ◽  
Aesthetic Results ◽  
The Aesthetic ◽  
Small Parts ◽  
Bilateral Reconstruction ◽  
Over Time

Introduction: Nipple and areola reconstruction have recently become in demand because more women are having breast surgery because of breast cancer diagnoses. Many methods for reconstructing the nipple and areola of the breast have been described and several treatment methods have been developed to improve the aesthetic results. The purpose of this paper is to describe one method, dermatography, a refined method of medical tattooing and the results obtained from this method. Materials and Methods: Over 10 years, 112 patients were treated with dermatography for nipple and areola reconstructions. Of these, 89 patients had received a unilateral reconstruction and 23 received a bilateral reconstruction. The first dermatographic treatment was given 8–12 months after the last intervention by the plastic surgeon. The average session lasted 45 minutes. Results were assessed by means of a short questionnaire. Results over time were evaluated by comparing pictures from previous sessions. Dermatography uses a modified tattooing called a dermainjector machine. Keloidectomy is the technique used to reduce keloid in postoperative scars. The needles of the dermainjector are positioned at an angle of 70–90 degrees to the scar surface. Small parts of the keloid are removed. At the same time pigmentation is performed. Results: Patients evaluated their results as satisfactory. Pigmentation over 5 years was judged to be stable with minor loss of pigment in only 6% of the patients, all of whom received radiation therapy for their cancer. Dermatography was well tolerated by the patients. None of the patients required local anesthesia. Discussion: Patients receiving total resection of their breasts are getting younger and perceiving the results as a severe deformation of their bodies. Results of reconstruction are judged very critically. We found that our patients considered the general visual aspect of the nipple and areola shape more important, and most of the patients did not consider reconstruction of the actual nipple mound to be necessary.

Otoplasty for Prominent Ears: A Versatile Combined Technique to Master the Shape of the Ear

2007 ◽  
Vol 137 (2) ◽  
pp. 224-227 ◽  
Author(s):  
Marzia Salgarello ◽  
Carlo Gasperoni ◽  
Antonella Montagnese ◽  
Eugenio Farallo
Keyword(s):  
Retrospective Study ◽  
Study Design ◽  
Complication Rate ◽  
Prominent Ears ◽  
Major Complications ◽  
Aesthetic Results ◽  
Skin Excision ◽  
The Aesthetic ◽  
Combined Technique

OBJECTIVE: We present our experience with an otoplasty technique that combines “closed” anterior scoring using the Stenström otoabrader with mattress sutures to the posterior cartilage. STUDY DESIGN AND SETTING: In a retrospective study, we report our experience with 135 patients operated on in the last 12 years. Some surgical principles make our procedure different from previous combination techniques: the posterior access incision is linear without skin excision; anterior scoring is performed along the entire antihelix and scapha, with care to score toward the concha at the tail of the antihelix to bring the ear lobe nearer to the mastoid; Mustarde's mattress sutures are used to stabilize the result. RESULTS: There were no major complications and few minor complications. The aesthetic results were graded as very good or good in 95% of the cases; the rest were graded as satisfactory. CONCLUSIONS: Our technique is versatile, gives pleasant, natural-looking results, and has a low complication rate. It is a simple, reliable, reproducible, and easily mastered method.

A Single Center's Clinical Experience With Ergonomix Breast Implants

2021 ◽  
Author(s):  
Giovanni Botti ◽  
Chiara Botti ◽  
Francesco Ciancio
Keyword(s):  
Capsular Contracture ◽  
Breast Implants ◽  
Early Experience ◽  
High Patient Satisfaction ◽  
Time Points ◽  
Important Improvement ◽  
Aesthetic Results ◽  
Capsular Contractures ◽  
The Aesthetic ◽  
Augmentation Mastopexy

Abstract Background This retrospective study reports on the early experience of a private surgical center with Motiva Ergonomix SilkSurface SikSurface breast implants. Objectives to examine the incidence of complications and satisfaction levels in women who received primary and revision breast augmentation or augmentation-mastopexy with this device. Methods 356 consecutive patients received Motiva Ergonomix breast implants from April 2014 to October 2018 by 3 different surgeons and were followed-up for a minimum of 12 months. Complications were assessed by measuring the rate of rupture, capsular contracture, malposition, late seroma, double capsule, reoperation, symmastia, ptosis, extrusion, and infection. Satisfaction with aesthetic results was assessed by both surgeon and patient, using the Likert scale. Results Only six major complications were observed in these 356 patients (712 implants). One unilateral implant ptosis (“bottoming out”) at 12 months (0.14 %) and 2 capsular contractures (0.28 %), one at 14 months and the other at 2 years. At all time-points, 98% of the patients were “extremely satisfied or very satisfied” with the aesthetic results and surgeons categorized the outcomes as “very important or important improvement” in 96% of the cases. Conclusions Motiva Ergonomix SilkSurface devices provided high patient satisfaction up to more than 5 years postoperatively with very few complications. These data are consistent with other reports in the literature. The observed favorable outcomes might be attributed, at least in part, to Motiva Ergonomix’s bio-engineered “cell-friendly” surface.

scholarly journals Description of Nasoalveolar Molding Process in Neonatal Period of Unilateral Cleft Lip and Palate: A Step by Step

2021 ◽  
Vol 8 ◽  
Author(s):  
Mohamed Azhari ◽  
Wijdane El Hawari ◽  
Hasnae Rokhssi ◽  
Nadia Merzouk ◽  
Oussama Bentahar
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Dental Treatment ◽  
Treatment Center ◽  
Congenital Defects ◽  
Molding Process ◽  
Aesthetic Results ◽  
The Aesthetic ◽  
Removable Appliances ◽  
Nasoalveolar Molding

Statement of problem. Cleft Lip and Palate (CLP) are common congenital defects of the present day. They result from a failure of facial bud sticking during embryological phenomena. Their therapeutics based on multi-disciplinary care to restore as much as possible the aesthetic and functional prejudices generated by these anomalies. Purpose. Through this work, we will illustrate, through a clinical case supported at the Consultation and Dental Treatment Center of Rabat, clinical and laboratory stages of realization of Nasoalveolar Molding (NAM). Material and methods. We describe original techniques used in our service for manufacturing of NAM fireworks and we define recommendations after insertion and follow-up procedures.Result. Place of NAM in management of these anomalies has increasingly recommended, given limitations of surgery alone to ensure satisfactory aesthetic results. Several fixed or removable appliances has used, in order to reposition gaps in cleft and / or to reshape affected bordering tissues. Conclusion. Despite the controversies surrounding this therapy, it remains highly recommended and scientifically based.

Article Commentary: Optimizing Aesthetic Results in Skin Grafting

2012 ◽  
Vol 78 (2) ◽  
pp. 151-154 ◽  
Author(s):  
Ron Hazani ◽  
Ryan Whitney ◽  
Bradon J. Wilhelmi
Keyword(s):  
Donor Site ◽  
Skin Grafting ◽  
Donor Site Morbidity ◽  
Secondary Intention ◽  
Donor Skin ◽  
Aesthetic Results ◽  
The Aesthetic ◽  
Sheet Graft ◽  
Surrounding Skin ◽  
Tissue Defects

The aesthetic goal in skin grafting is to provide a cosmetically pleasing coverage of soft tissue defects while minimizing donor site morbidity. A skin graft should blend well with the color and texture of the surrounding skin, reduce wound size, and not interfere with the function of the reconstructed part. This review examines the key components of choosing the appropriate donor skin for a variety of defects. The decision-making process is based on the anatomic location of the defect; donor site availability; and graft size, thickness, and pigmentation. The aesthetic implications of using a sheet graft versus a meshed graft versus an expanded graft are discussed. Aside from addressing the aesthetic needs of the defect, attention is paid to the functional goals of the reconstructed part and reduced donor site morbidity. Partial graft failure can have significant deleterious effects on the aesthetic outcome of skin grafts. The need for further grafting or healing by secondary intention may result in additional scarring and deformity. Recommendations for improvement in graft take and infection control are presented.

Platelet-Rich Plasma for the Aesthetic Surgeon

2017 ◽  
Vol 33 (04) ◽  
pp. 437-443 ◽  
Author(s):  
Vishad Nabili ◽  
Amit Kochhar ◽  
Jeffrey Rawnsley ◽  
Gregory Keller ◽  
Jordan Sand
Keyword(s):  
Cosmetic Surgery ◽  
Medical Literature ◽  
Oral Surgery ◽  
Platelet Rich Plasma ◽  
Aesthetic Surgery ◽  
Current Medical ◽  
Skin Rejuvenation ◽  
Medical Specialties ◽  
Promising Treatment ◽  
The Aesthetic

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.

scholarly journals Personalized Digital Smile Design for Predictable Aesthetic Results

2016 ◽  
Vol 20 (3) ◽  
pp. 172-177 ◽  
Author(s):  
Georgi Iliev
Keyword(s):  
Quality Of Life ◽  
Minimally Invasive ◽  
Treatment Planning ◽  
Emotional Expression ◽  
Psychological Characteristics ◽  
Aesthetic Results ◽  
The Aesthetic ◽  
The Individual ◽  
Aesthetic Dentistry

Summary Nowadays in the aesthetic dentistry concepts, techniques, and materials which aim is to establish new smiles with minimally invasive approaches and maximum natural effect on the restorations and in the same time to restore the mastication and phonetics for a better quality of life are used. However, the patient’s demands and the level of information has driven the profession to a certain questioning respecting the treatment customization especially those related to treatment planning according to the individual psychological characteristics of each patient, that if ignored, may lead to esthetically dissatisfaction, even though all the esthetic rules which tend to establish standards were incorporated.The purpose of this article is to show that besides the esthetic rules established throughout the time, the emotional expression of the treatment, represented by the shapes and lines constituent of a smile, should also be taken into consideration during the treatment planning. Softwares for personalized smile design could be powerful tool for planning such new smile designs.

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