Open Eyebrow Correction

2020 ◽  
Author(s):  
Jason Gardenier ◽  
Daniel Driscoll
Keyword(s):  
Cosmetic Surgery ◽  
Upper Eyelid ◽  
Endoscopic Techniques ◽  
Less Invasive ◽  
Non Invasive ◽  
Brow Lift ◽  
Brow Ptosis ◽  
Facial Plastic ◽  
The Face ◽  
Chemical Denervation

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

Upper Blepharoplasty: Management of the Upper Eyelid and Brow Complex via Transblepharoplasty Approach

2018 ◽  
Vol 34 (02) ◽  
pp. 183-193 ◽  
Author(s):  
Tuan Pham
Keyword(s):  
Patient Expectations ◽  
Upper Eyelid ◽  
Orbicularis Oculi ◽  
Brow Lift ◽  
Facial Plastic ◽  
Assessment Techniques ◽  
Upper Lid ◽  
Upper Blepharoplasty ◽  
Levator Aponeurosis

AbstractUpper blepharoplasty is one of the more common facial plastic procedures. The upper lid and brow complex are managed together. Whether upper blepharoplasty is performed for medical or cosmetic reasons, the aim is to improve appearance while retaining natural shape and maintaining (or improving) function. For optimal results, it is important to understand relevant eyelid anatomy and the concept of maintaining youthful volume and position of the eyelid brow orbit complex. Management of patient expectations, meticulous planning, and a degree of surgical finesse all contribute to the desired outcome. The article will focus on the assessment, techniques, and complications of upper blepharoplasty, which involve management of the skin, orbicularis oculi, preaponeurotic fat, levator aponeurosis and muscle as related to concomitant ptosis, and lateral brow complex via transblepharoplasty (internal) brow lift and fixation.

A Tumescent Technique for Subperiosteal Endoscopic Forehead/Brow Lifts

1998 ◽  
Vol 15 (2) ◽  
pp. 117-120 ◽  
Author(s):  
John E. Fidler ◽  
Thomas J. Laney
Keyword(s):  
Open Technique ◽  
Forehead Lift ◽  
Tumescent Anesthesia ◽  
Tumescent Technique ◽  
Endoscopic Techniques ◽  
The Past ◽  
Brow Lift ◽  
The Face ◽  
Liposuction Surgery

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.

Reconstructive Surgery in Children with Down's Syndrome: Bioethical Implications

2020 ◽  
Author(s):  
Cristina Tornali ◽  
Marcello Migliore ◽  
Agata Polizzi ◽  
Nicola L. Bragazzi ◽  
Mariano Martini ◽  
...  
Keyword(s):  
Cosmetic Surgery ◽  
Social Inclusion ◽  
Genetic Disorder ◽  
The United States ◽  
Chromosome 21 ◽  
Facial Dysmorphism ◽  
Surgical Interventions ◽  
Facial Plastic ◽  
The Face ◽  
Hypertension In Children

AbstractDown Syndrome is a genetic disorder caused by a third copy of chromosome 21. One of the main feature of the syndrome is the facial dysmorphism, characterized by broad, flat face, oblique eyelid rhymes, skin folds at the inner corner of the eyes (epicanthus), receding chin, protrusion of the tongue. These features are often social and functional obstacles, reducible with surgical interventions. The first facial plastic/cosmetic surgery approaches on Down children were performed in 1960 in Germany, Great Britain and the United States, where plastic surgeons began to reshape the Down patients physiognomy through the surgical correction of the face, tongue, eyes, nose, of the nostrils, of the neck. Recent studies have shown that in spite of the tendency to infections and early pulmonary hypertension in children with DS, surgery is not contraindicated, as previously suggested, but can be performed with very good results. This treatment has aesthetic, functional, rehabilitative, social effects, as well as favorable outcome on the familiar behavior. However different issues emerge in cases of patients presenting intellectual disability and unable to understand the consequences or the side effects related to plastic surgery. In this aspect, different Countries have enacted distinct laws directly regulating the consensuses for such intervention, with the goal to reduce the risks for the affected patients and the respect of their willing and social inclusion.

Selecting the Best Eyelid Techniques

2018 ◽  
Vol 34 (05) ◽  
pp. 497-504
Author(s):  
Sinehan Bayrak ◽  
John Kriet ◽  
Clint Humphrey
Keyword(s):  
Patient Outcomes ◽  
Focal Point ◽  
Fat Pad ◽  
Good Patient ◽  
Age Related ◽  
Comprehensive Knowledge ◽  
Brow Ptosis ◽  
Facial Plastic ◽  
The Face ◽  
Fat Herniation

AbstractThe periorbital region is a focal point on the face. Dermatochalasis, fat herniation, blepharoptosis, brow ptosis, deep tear troughs, and malar fat pad descent are all age-related changes that occur around the eyes, and successful rejuvenation involves addressing all of these changes. Restoring a youthful, vibrant appearance to the eyes and periorbital areas can often only be accomplished with a combination of surgical and nonsurgical interventions. Facial plastic surgeons should have a comprehensive knowledge of all of these options and their applications to ensure good patient outcomes and satisfaction.

A Single-Center Trial to Evaluate the Efficacy and Tolerability of Four Microneedling Treatments on Fine Lines and Wrinkles of Facial and Neck Skin in Subjects With Fitzpatrick Skin Types I-IV: An Objective Assessment Using Non-Invasive Devices and 0.33mm Microbiopsies

2021 ◽  
Author(s):  
Christine E Wamsley ◽  
Mikaela Kislevitz ◽  
Jennifer Barillas ◽  
Deniz Basci ◽  
Vishal Kandagatla ◽  
...  
Keyword(s):  
Gene Expression ◽  
Objective Assessment ◽  
Standard Of Care ◽  
Transepidermal Water Loss ◽  
Post Treatment ◽  
Non Invasive ◽  
Muscle Formation ◽  
The Face ◽  
High Resolution Ultrasonography ◽  
Elastin Gene

Abstract Background While ablative techniques have been standard of care for the treatment of fine lines and wrinkles, microneedling is a minimally invasive alternative. Objectives The purpose of this study was to assess the efficacy of microneedling on facial and neck fine lines and wrinkles. Methods 35 subjects between 44 and 65 years old with Fitzpatrick skin types I-IV received four monthly microneedling treatments over the face and neck. Subjects returned one and three months post-treatment. At every visit, high-resolution ultrasonography, optical coherence tomography, transepidermal water loss and BTC-2000 were performed. 0.33mm microbiopsies were collected pre-treatment, before the fourth treatment and three months post-treatment. Results 32 subjects (93.75% female, 6.25% male) completed all seven visits. Facial dermal and epidermal density increased 101.86% and 19.28%, respectively from baseline at three months post-treatment. Facial elasticity increased 28.2% from baseline three months post-treatment. Facial attenuation coefficient increased 15.65% and 17.33% one and three months post-treatment. At study completion, blood flow 300µm deep decreased 25.8% in the face and 42.3% in the neck. Relative collagen type III and elastin gene expression was statistically higher three months post-treatment. However, total elastin protein levels unchanged compared to baseline. 58% of biopsies extracted three months post-treatment showed dermal muscle formation, compared to baseline 15.3%. Conclusions The results illustrate the effects of microneedling treatments. Non-invasive measurements and biopsy data showed changes in skin architecture and collagen/elastin gene expression suggesting skin rejuvenation, with new extracellular matrix production and muscle formation.

Reflecting on Your Reflection: Examining the Effect of a Non-Reversing Mirror on Self Perception

2021 ◽  
Author(s):  
Russell S Frautschi ◽  
Lynn M Orfahli ◽  
James E Zins
Keyword(s):  
Cosmetic Surgery ◽  
Qualitative Difference ◽  
Mirror Image ◽  
Communication Tool ◽  
Self Perception ◽  
Photographic Images ◽  
Signed Rank ◽  
Chi Squared ◽  
The Face ◽  
Physician Patient

Abstract Background Photographic images can clash markedly with patients’ self-perception. Individuals are more familiar with their mirror image, where their facial asymmetries are reversed. A non-reversing mirror (NRM) allows patients to see their dynamic non-reversed image and familiarize themselves with how they appear in photographs and to others. Objectives We aim to explore the effect that a non-reversing mirror has on facial self-perception and if it changes an individuals goals when considering cosmetic surgery. Methods Individuals (n=30) filled out portions of the FACE-Q™ after inspecting their reflections in a non-reversing mirror and in a standard mirror for 30 seconds each. Following both, investigators asked qualitative questions comparing the two mirrors. Wilcoxon signed-rank, Mann Whitney U, and Pearson’s Chi-squared tests were performed for analysis. Results Participants scored significantly better on the FACE-Q™ Age Appraisal and Appearance-Related Psychosocial Distress when using a standard mirror vs. NRM (p=0.007 and 0.001, respectively). Qualitatively, most reported that their faces seemed less symmetric and less balanced (73% and 53%, respectively) in the NRM. Overall, 83.3% reported seeing a qualitative difference in their appearance, with 30% endorsing that looking in the NRM had changed their facial aesthetic goals. Conclusions A NRM can bridge between the familiarity of the patient’s reversed reflection and their less-familiar, non-reversed true image. It may serve as a useful physician-patient communication tool when discussing goals and expectations for facial aesthetic procedures.

COSMETIC SURGERY OF THE FACE AND NECK

1961 ◽  
Vol 27 (1) ◽  
pp. 544-550 ◽  
Author(s):  
W. JOHN PANGMAN ◽  
ROBERT M. WALLACE
Keyword(s):  
Cosmetic Surgery ◽  
The Face

scholarly journals In Vitro Evaluation of Facial Pressure and Air Leak with a Newly Designed Cushion for Non-Invasive Ventilation Masks

Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 523
Author(s):  
Hui-Ling Lin ◽  
Yu-Chi Lee ◽  
Ssu-Hui Wang ◽  
Li-Ying Chiang ◽  
Jui-Fang Liu
Keyword(s):  
Contact Pressure ◽  
Positive Airway Pressure ◽  
Pressure Sensors ◽  
Air Leakage ◽  
Air Leak ◽  
Non Invasive ◽  
Bilevel Positive Airway Pressure ◽  
Non Invasive Ventilation ◽  
The Face

Background: The aim of this study was to evaluate the effect of a newly designed foam cushion on the air leakage and pressure when applied to the face. Methods: A teaching manikin connected to a bilevel positive airway pressure ventilator attached to four different brands of oronasal masks (Amara, Mirage, Forma, and Wizard) was used. The foam cushions of 5-mm and 10-mm-thickness were attached to the masks, and each mask was tested without a cushion. Six pressure sensors were placed on the manikin’s face, and data were recorded. Inspiratory volume and air leak flow from the ventilator were observed. Results: Air leakage was influenced by both the mask brand and the presence of a cushion. The presence of a cushion did not affect the Wizard mask in terms of leakage (p = 0.317) or inspiratory volume (p = 0.726). The Wizard and Amara masks generated the lowest contact pressure on the frontal forehead (p < 0.001) compared to the other five points. Conclusions: Utilisation of a cushion reduces air leakage and maintains greater inspiratory volume regardless of its thickness. The contact pressure varies depending on the brand of the mask, which would require a difference in the thickness of the cushion for pressure reduction.

scholarly journals Invasive, minimally invasive and non-invasive hemodynamic monitoring in perioperative medicine

2020 ◽  
Vol 12 (1) ◽  
pp. 7-19
Author(s):  
Guerrero Gutiérrez Manuel Alberto ◽  
Pérez Nieto Orlando Rubén ◽  
Eder Iván Zamarrón López ◽  
Jesús Salvador Sánchez Díaz ◽  
Escarramán Martínez Diego ◽  
...  
Keyword(s):  
Intensive Care ◽  
Pulmonary Artery ◽  
Minimally Invasive ◽  
Hemodynamic Monitoring ◽  
Perioperative Period ◽  
Invasive Monitoring ◽  
Less Invasive ◽  
Non Invasive ◽  
Fundamental Part ◽  
Invasive Hemodynamic Monitoring

The hemodynamic monitoring is a fundamental part of the patient in the perioperative period, during the last decade the monitoring at the patient's bedside has grown at giant steps, from the emergency area, operating room, to the Intensive Care area. One of its most important advances is the decrease in the use of pulmonary artery catheter, which is being replaced by ultrasound and less invasive monitoring techniques, in this article we will review from the beginning of the monitoring to the most used less invasive monitors currently.

scholarly journals Aesthetic Medicine

2019 ◽  
Vol 4 (5) ◽  
Keyword(s):  
Muscle Tone ◽  
Upper Eyelid ◽  
Aesthetic Medicine ◽  
Age Related ◽  
The Face ◽  
Injection Techniques ◽  
Physiological Type ◽  
Age Related Changes ◽  
Morph Type

GalynaViktorovnaKhrushch plastic surgeon, maxillofacial surgeon, international candidat ASPS, Periorbital area is worthily considered as one of the most complicated regions in terms of correction of the age-related changes using injection techniques of medical aesthetics. According to the classification of I.I. Kolgunenko Russian (1974), tired morph type of age-related changes which is the most physiological type of aging, incorporates changes mainly focused in the middle third of the face, including in the periorbital area. These changes include the formation of grooves (tear trough, palpebromalar groove, nasojugal groove) (Figure 1), dark under-eye circles, mimic wrinkles formation, fat compartment displacement, change in mimic muscle tone, stretching of ligamentous structures, overhang of the upper eyelid.

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