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 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.

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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