ULTRASONICALLY ASSISTED FACE LIFT
|
|
- Milo Robinson
- 5 years ago
- Views:
Transcription
1 HARMONIC LIFTING (ULTRASONICALLY ASSISTED FACE LIFT) By GLAUCO MENNA, M.D. * ALBERTO DI GIUSEPPE, M.D. ** - GLAUCO MENNA, M.D. * Aesthetic Plastic Surgicenter ORLANDO FLORIDA ALBERTO DI GIUSEPPE, M.D. ** Assistant Clinical Professor Plastic and Reconstructive Surgery University of ANCONA ITALY KEY WORDS: HARMONIC LIFT ULTRASONICALLY ASSISTED FACE LIFT 1
2 ABSTRACT The utilization of ultrasonically assisted liposculpturing (U.A.L.) has now been extended to face rejuvenation, in combination with rhytidectomy of the entire face and neck. The Authors present a superficial plane rhytidectomy performed with the auxilium of titanium solid probe, following tumescent preparation of the entire area, to provide anesthesia and planes distensions, together with emosthasis and the right medium of working of the ultrasound energy. The utilization of wath we called the harmonic probe limits the need for resection of skin excess, at the deep dermal contracture achieved after dermal stimulation with ultrasound allows redrapings of the skin by directional cantraction of the collagen fibers. The harmonic lifting can be effectively used in young persons with fatty necks and cheeks and older patients with loose skin and wrinkles. The autcome of patients who underwent the procedure during a one year period are reviewed. The results obtained were comparable with those with longer, technically more difficult procedures; the technique is safe, quick, and can be performed on an ambulatory basis. Complications encontoured included minimal skin necrosis, hematoma. No hair loos or facial nerve paresis was seen in a 50 patient sery. THE HARMONIG FACE LIFT: PATIENT EVALUATION AND SELECTION Every patient requesting consultation for facelift should be examined and evaluated and surgical recommendation customized to that individual s needs. To arrive at the rational operation, it is necessary to define the aims of the surgery. These are to improve crow 1 s feet, nasolabial and commissural folds, jowl of the slack jouwline, and the waddle neck. To avoid complications in healthy persons who seek improvement in appearance and to minimize the stigmate of the surgery, keeping the time of work and costs to a minimum. 2
3 In order to accomplish many of these requirements we present a technique which could be applied, easily, in the following conditions: 1) Face and neck lift in Fitzpatrick type 4 6 to avoid cheloid furmation and post inflammatory hyperpigmentation. 2) Young individuals that do not require a face lift but would benefit from treatment of chubby cheeks and double chin. 3) To enhance the definition of the neck during chin augmentation. 4) To substitute far endoscopic forehead plasty in balding scalps. 5) To achieve dermal stimulation and retraction in the neck beyond areas amenable to caser resurfacing. 6) To release acne scarring of the cheeks. 7) In secondary and tertiary face lifts when partial removal of skin is questionable but the central face need further tightening. ULTRASONICALLY ASSISTED FACE LIFT After the initial work developed by Dr. Michele Zocchi (1) on ultrasonically assisted lipoplasty, many Authors have published an this new subject. Scheflan, M. and Tazi, H., in 1996, in Aesthetic Surgery (2) published a very interesting paper on which they stated that an exceptional degree of skin retraction occurs after U.A.L. They concluded it was mainly due by a combination of factors, including the large amount of fat removed, the specific removal of subcutaneous fat, the skeletomization on the superficial fascial system, and the thermal effects on the subdermal surface and collagenous structures of the superficial fascial system. We varried an a similar study on patients who underwent U.A.L., with an endoscopic study of the tissues alternations which followed subdermal passage of an ultrasound solide titanium probe, close to the skin. 3
4 We observed: 1) Thickened dermal undersurface. 2) Markedly thickened vertical, collagenous fibers. 3) Intact lymphatic vessels. 4) Intact blood vessels. Probably, this remarkable skin tightening is due to the horizontal and vertical thickening and shortening of the collagen in the dermis and ligamentous fibers. Similarly to what stated by Scheflan and Tazi, we observed clinically and endoscopically that the closer we stay to the skin, the more accurate is fat removal from the subdermal layer, the greater the skin tightening effect results. In order to get the best skin retraction, we should be able to work close to the skin undersurface, by utilizing a safe and simple, repeateble technique. That is why we utilized a solid titanium probe, after proper tumescence of the target areas, which develops a strong cavitation, in order to emulsify just the fat cells and preserve all the surrounding structures of the subcutaneous layer (vessels, nerves, collagen, elastic fibers). As previously described by Zocchi, the cavitation is the phenomenon which is connected with the utilization of U.A.L. The highest cavitation, which means the highest specificity of the system with the target cells, is obtained with a solid titanium probe, without simultaneous aspiration of the emulsified fat. We concluded that, after 4 years of experience with U.A.L. for treatment of primary and secondary lypodistrophies, for breast reduction and pexy, we could utilize U.A.L. subdermal stimulation in order to obtain skin tightening in face lift surgery. PATIENT SELECTION Horizontal frontal creasing and glabellar creasing. Ptosis of lateral eyebrows with or without concomitant laxity of the upper eyelids. Lateral canthal creases (crow s feet), trasverse crease at the roof of the nose, malar crescent, descent 4
5 of the cheek fat, deep nasolabial grooves, diffuse acne scarring of the cheeks and neck, jowl with a hoten jawline, and neck relaxation and creasing, and secondary and tertiary lifting. Such widespread dissection does much to efface abuse acne scarring, platysmal bands, and nasolabial folds. Redundant skin removal is achieved by the minilift and upper blepharoplasty. The limited draping of the flaps required, allays most patients greatest fear, to look unatural after surgery they elected to have in order to look better. The titanium solide probe utilized ** are straight; this limits the possibility of operating in roundly shaped areas as forehead, mainly, that is why, so often, more incisions are required to reach and undermine and stimulate all the target surface. OPERATIVE TECHNIQUE Consists of the following steps. 1) Patient evaluation Pre.op planning drawnings. 2) Tumescent infiltration. 3) U.A.L. dissection. 4) SMAS suspension (if required). 4) Minimal skin excision (if required). ** 15 cm. long, titanium solid probe, by SMEI, ITAIY. 5
6 INCISIONS Skin incisions are placed on different sites, depending on the target areas of the ultrasonically assisted harmonic face lift. Forehead: skin incisions at the forehead may be placed at the hairline, midline, or frontal recess. The incisions are made vertically, in order to minimize nerve damage. Temporal region: temporal incisions have to be parallel to the hairline. Submental: submental incisions are made at the submental crease. Pre.auricolar: pre.auricolar incisions is rnade at the earlobe. Upper lowerlids: incisions are made at the blepharoplasty sites. The choice of incision is dictated by the ease of access for infiltration and dissection and the planned skin resections (when indicated). In the frontal recess, the resection is planned as a triangle pointing to the lateral brow and removing part of the glabrous skin as described by Spadafora. In the temporal and preauricolar skin, the resection of a minilift effords access for plication of the SMAS if required and release of the zygomatico dermal retaining ligaments of Furnas. The forehead lift, when indicated, is performed in a subcutaneous plane, through a pretrichial incision, as popularized by Dr. Guyuron. It gives a superior elevation of the lateral eyebrow and the temporal regions have been to correct crow s feet and frontal recess. Alopecia is avoided by pretrichial location of the incisions. The undermining is extensive to the lateral orbital rim, side wall of the nose, nasolabial fold, and completely across the neck from surfaces to suprasternal notch within the two anterior triangles of the neck. 6
7 PLANNING DRAWNINGS We already gave the indications for the ultrasonically assisted harmonic face lift. Drawnings are made indicating the full extension of the areas of undermining, the lines indicating the vector forces of muscolar tension, the relaxation creases and folds. Besides, criss cross lines of tuneling for undrmining and dermal stimulation are drawn. TUMESCENT INFILTRATION The superwet or tumescent technique has been reported procedure with negligible bleeding, diminution of edema, and bruising, and decreased surgical time (Brody, Shoen, Smith). The solution utilized has the following composition: 1000 cc. Ringer lactated. 10 mg. Kenalog. 1 ml. Epinephrine. 500 mg. Lidocaine (0,05 solution). 12,5 Meq. Sodium bicarbonate. This local infiltration is generally accomplished with I.V. sedation. When performed under general anestesia, lidocaine is diminuished to 200 rng., and sodium bicarbonate is eliminated. Regular blunt tipped 14 pouge gardenhose cannulas are utilized for infiltrate the subcutaneous tissue of the neck, jowls, cheeks, temple and brow. On each side, approximately 500 ml. of solution is infiltrated achieving vasocostriction and hydrotomy, which helps to magnify the target area and better define the tissue planes. The time spent to infiltrate the controlateral side with the rest of the solution allows the vasocostriction to occur. The central forehead requires a separate incisions at the hairline or through the upper eyelid to reach over the convexity of the frontal bone. Digital pressure helps to direct and expand the fluid evenly. The skin is adherent to creased lines and laterally at the temporal crest. When the skin resection is planned, the incision lines are injected with 1% lidocaine with epinefrine 1: (2 ml. are normally sufficient for each incision). 7
8 U.A.L. DISSECTION Extent of the dissection: the dissection with the probe includes the frontal area from the hairline to brow, glabella, dorsum of the nose, temple, crow s feet, cheeks to nasolabial grooves, chin, jowls, and anterior neck from chin to sternal notch, and between the anterior triangles of the neck. Level of dissection: the probe is advanced subdermally with the tip of the probe tenting while it is with drawn. Sequence of dissection: from the submental crease incision, the submental area is first released and according to the cervical mobility, the inferior neck may be reached. From the earlobe crease incision the neck is released to join the precious dissection of the submental area. The areas treated will be recognized by complete blanching, more noticeable in the skin with ruddy complexion and smoothness and softness that goes beyond what is achieved by tumescent infiltration of the area. From the earlobe crease, the probe will raise to the level of the mandible and the skin is ballooned up by the infiltration and the probe can slide over the cheek and temple, reaching the nasolabial groove, the side of the fase, and the crow s feet in a radiated fashion. Using the upper eyelid incision, the probe will slide in the glabellar area and central part of the forehead, releasing the cutaneous insertion of the corrugator and procerus without altering the sensibility of the skin. Through a reparate hairline incision, the rest of the forehead is dissected in order to circumvent the convexity of the frontal bone. The evacuation of the emulsion and the tumescent fluid is achieved by gently massaging the area and the fluid will drain from behind the ear due to the dependent position. One suture is utilized to close the incision and a restom foam is applied directly to the skin and a chin strap applied. Ice packs are used in the face and orbital region to avoid bruising and swelling in those areas that are not covred by the restom and the compression bandage. The pain and discomfort is minimal and most of the patients obviate the need for narcotic medication after the surgery. Time of application of U.A.L. is variable; with the power of the machine set up at 35 40% of the total. 8
9 5 minutes of dermis stimulation are necessary for forehead, and up to 20 minutes more to undermine full face and neck. SKIN EXCISION SMAS SUSPENSION If required, smas can be duplicated or dissected as the usual anatomical plane. Skin excess, if required, can be performed at the same stage. As most of the cases operated in our sery were secondary face lift, skin excision was a rare occurrence. RESULTS We operated a sery of 50 patients with the ultrasonically assisted harmonic face lift, with a follow.up of one year. Beeing a still recent technique, results of a limited sery of patients are still under investigations. More research is needed to evaluate limitation of the technique and permanence of its results. We have widened the indications for lifting procedure to younger persons with acne problems to older persons with lax skin and the results have been comparable to the results obtained through a more extensive, difficult surgery, that recently involved hospitalization and higher risks and costs, and amount of time out of work. What we called the harmonic probe (the solid titanium probe 15 cm. long) an excellent tool for office surgery, simplifying the surgical procedure and maximiting results with a minimum of time off work, making this procedure ideal for a weekend rejuvenation. What is really amazing, is the amount of skin retraction we observed clinically after U.A.L. subdermal stimulation, clse to the skin surface. What already observed and described by Scheflan and Tazi was enhanced by these clinical results; the skin retraction observed by these Authors mostly in lax abdominal skin, and that we already experienced in breast reduction and pexy with U.A.L., was more and more evident in loose neck and face and forehead skin. 9
10 Results obtained were costant after 1 year follow.up; we had to reoperate only one case, a patient who lost 20 kg. in six months time, and came to the office with loose neck skin. A new U.A.L. stimulation was performed, as easy as the previous stimulation, in a one hour office surgery. Acne scarring was improved in 2 cases. Complications included one hematoma, which required evacuation, and minimal skin necrosis, in 2 cases, which healed spontaneously, not compromizing the cosmetic final appearance. 10
11 11
FACETITE: SUBDERMAL RADIOFREQUENCY SKIN TIGHTENING AND FACE CONTOURING
FACETITE: SUBDERMAL RADIOFREQUENCY SKIN TIGHTENING AND FACE CONTOURING R. Stephen Mulholland, MD, FRCS(C)* and Michael Kreindel, PhD** *Private Plastic Surgery Practice, Toronto, Canada ** Chief Technology
More informationACCEPTABLE OPERATIVE REPORT # 2
ACCEPTABLE OPERATIVE REPORT # 2 This operative report follows the standards set by the JCAHO and AAAHC for sufficient information to: identify the patient support the diagnosis justify the treatment document
More informationFacelift (Rhytidectomy)
Houston (Rhytidectomy) in (Rhytidectomy) (Rhytidectomy) Houston A (Rhytidectomy) is a common surgery that provides an excellent way to improve facial contours that no longer reflect a patient s youthful
More informationCombined Techniques of Cosmetology in Face Rejuvenation
Combined Techniques of Cosmetology in Face Rejuvenation By Constantin STAN, M.D. The MEDICAL SERVICE Clinic - Romania Giovanni BOTTI, M.D. VILLA BELLA Clinic - Italy WHAT IS A BEAUTIFUL FACE? WHAT WE CAN
More informationFACE. Facelift Information
FACE BREAST BODY SKIN Acne Scar Abdominoplasty Breast Reduction Lift Removal Collagen Injections Breast Augmentation Ear Face Pinning/Reduction Lift Laser Skin Treatments Eyelid Lift Dermabrasion Rhinoplasty
More informationScientific Forum. Minimal Incision Rhytidectomy (Short Scar Face Lift) with Lateral SMASectomy: Evolution and Application
(Short Scar Face Lift) with Lateral SMASectomy: Evolution and Application Daniel C. Baker, MD Background: The evolution of the author s technique for minimal incision rhytidectomy is reviewed. Objective:
More informationdirect brow lift Lift your spirits procedure using the fixation device
direct brow lift procedure using the fixation device Lift your spirits What is upper eyelid rejuvenation? In general, aging around the eyes is exhibited in two areas: The eye lids and the eyebrows. The
More informationEnhancing your appearance with a facelift
PROCEDURE FACT SHEET PLASTIC SURGERY FACELIFT This is a guide for people who are considering a facelift surgery. We advise that you talk to a plastic surgeon and only use this information as a guide to
More informationRefresh, Renew Rejuvenate Look years younger, with minimum downtime. The Quick-Recovery Facelift
Refresh, Renew Rejuvenate Look years younger, with minimum downtime. The Quick-Recovery Facelift Discover How Easy Looking Younger Can Be. We have pioneered an exciting new facelift procedure that offers
More informationThe Face Lift Operation: Foreheads, Cheeks and Necks
The Face Lift Operation: Foreheads, Cheeks and Necks Note: Prior to reading this section, you should have read Parts I and II and afterwards, read the other Sections in Chapter 4. The Greek word for wrinkle
More informationEncouraged by the results of other less invasive face
Operative Strategies Patrick Tonnard, MD; and Alexis Verpaele, MD The authors are Assistant Clinical Professors, Department of Plastic Surgery, Gent University, Gent, Belgium. The minimal access cranial
More informationSilhouette Sutures for Treatment of Facial Aging: Facial Rejuvenation, Remodeling, and Facial Tissue Support
Silhouette Sutures for Treatment of Facial Aging: Facial Rejuvenation, Remodeling, and Facial Tissue Support Nicanor Isse, MD KEYWORDS Suspension lift Silhouette lift Thread lift Face During facial aging,
More informationForeheadplasty. Multimedia Health Education. Disclaimer
Disclaimer This movie is an educational resource only and should not be used to make a decision on or any facial surgery. All decisions about or any facial surgery must be made in conjunction with your
More informationEndoscopic Foreheadplasty
Disclaimer This movie is an educational resource only and should not be used to make a decision on Endoscopic Foreheadplasty or any facial surgery. All decisions about Endoscopic Foreheadplasty or any
More informationAdvanced Skin Rejuvenation Wrinkle Enhancement and Skin Resurfacing Procedures
Advanced Skin Rejuvenation Wrinkle Enhancement and Skin Resurfacing Procedures Note: Prior to reading this section, you should have read Parts I and II of this book, in particular, the section beginning
More informationE. Edward Breazeale, Jr., MD Board Certified Plastic Surgeon
The Breazeale Clinic fo f or p pla pl as st ti ic su s ur su ge urg ry er E. Edward Breazeale, Jr., MD Board Certified Plastic Surgeon Welcome to the Breazeale Clinic for Plastic Surgery Welcome to the
More informationREJUVENATE YOUR LOOK
EXPERT BEAUTY GUIDE FROM LEADING BOARD-CERTIFIED FACIAL PLASTIC SURGEON DR. EDWARD J. GROSS REJUVENATE YOUR LOOK WITH A FACELIFT PG 6 ELEVATE SAGGY SKIN PG 7 TIGHTEN THE STRUCTURE PG 10 DEFINE THE NECK
More informationThe effects of the aging process on the soft COSMETIC
COSMETIC Suture Suspension Malarplasty with SMAS Plication and Modified SMASectomy: A Simplified Approach to Midface Lifting R. Barrett Noone, M.D. Philadelphia and Bryn Mawr, Pa. Background: The elements
More informationOREON Lifescience Co.,Ltd. Safe Long lasting Effective
OREON Lifescience Co.,Ltd. Safe Long lasting Effective Skin Aging INSTRINSIC Intrinsic aging obviously occurs to anyone with the passing of time. It occurs as damage in components in our body is accumulated
More informationDiscussion. Surgical Anatomy of the Ligamentous Attachments of the Lower Lid and Lateral Canthus. Surgical Anatomy of the Midcheek and Malar Mounds
Discussion Surgical Anatomy of the Ligamentous Attachments of the Lower Lid and Lateral Canthus by Arshad R. Muzaffar, M.D., Bryan C. Mendelson, F.R.C.S.Ed., F.R.A.C.S., F.A.C.S., and William P. Adams,
More informationInjectable Soft Tissue Fillers: Practical Applications. Karol A Gutowski, MD, FACS
Injectable Soft Tissue Fillers: Practical Applications Karol A Gutowski, MD, FACS Disclosures Instructor for Suneva (Bellafill) Will describe off-label uses Will use brand names Injectable Tissue Filler
More informationEndoscopic Brow Lift Post Op
Endoscopic Brow Lift Post Op RECOVERY TIMETABLE: Approximate recovery after endoscopic brow lift is as follows: DAY 1: Return home, leave any surgical dressing undisturbed until it is removed in the office.
More informationRejuvenation of Myself
Rejuvenation of Myself Katsuya Takasu, M.D. Nagoya, Japan Face Lift My forehead has deep wrinkles. The jaw is sagging. I have a double chin. The cheeks are also sagging. What can I do to improve my facial
More informationPDO&PLLA threads for skin revitalisation and lifting
PDO&PLLA s for skin revitalisation and lifting NewU s were created as a non- -surgical way to restore youth They produce spectacular effects without requiring any surgery. PDO&PLLA s provide a possibility
More informationFace and Neck Lift MedBelle Information Brochure
Face and Neck Lift MedBelle Information Brochure Why we prepared this brochure for you Hi, my name is Sarah. I m a cosmetic treatment adviser with MedBelle. Every day, I speak with patients in the UK looking
More informationFaceTite : A Revolution in Targeting and. Reducing Facial Fat and Sagging without Undergoing a Facelift.
FaceTite : A Revolution in Targeting and Reducing Facial Fat and Sagging without Undergoing a Facelift. written by R. Stephen Mulholland, MD, FRCS(C) Aging Baby Boomers the facelift generation There is
More informationMeso Lifting Thread by Mesotrax is a minimally invasive technique that provides fast and natural improving the appearance of the face and body.
Immediate result No incisions Less pain Minimal recovery time No side effect Meso Lifting Thread by Mesotrax is a minimally invasive technique that provides fast and natural improving the appearance of
More informationFAQs DERMAL FILLERS. 1 P age
Dermal fillers (also called soft tissue fillers) are a non-surgical injectable treatment used to restore facial volume, create youthful facial contours, add volume to lips, and smooth out and reduce the
More informationUpper lid blepharoplasty
Upper lid blepharoplasty Remove nasal fat only if removal needed When upper eyelid cosmetic surgery is undertaken, a curved incision is made through the upper eyelid crease above the eyelashes and a crescent-shaped
More informationShort-scar rhytidectomy has become a popular
Review of 1,000 Consecutive Short-Scar Rhytidectomies NEIL TANNA, MD, MBA, AND WILLIAM H. LINDSEY, MD, FACS y BACKGROUND Short-scar rhytidectomies offer patients with mild to moderate facial aging an alternative
More informationHistory Clinical Evaluation Preoperative workup Analysis of face Anatomy SMAS Facelift Deep Plane/Composite Facelift S-Lift Complications
History Clinical Evaluation Preoperative workup Analysis of face Anatomy SMAS Facelift Deep Plane/Composite Facelift S-Lift Complications Few early historical details Early 20 th century: Germans/French
More informationCorset. Body Lift. The. Operative Step-by-Step Procedure by Alexander P. Moya, M.D. Lewisburg, PA
The Corset Body Lift Operative Step-by-Step Procedure by Alexander P. Moya, M.D. Lewisburg, PA For more information visit: www.thecorsetbodylift.com About the Author Over the past several years, I have
More informationPresentation by Dr Venkataram. facelift
Presentation by Dr Venkataram facelift What is facelift? Face lift is a procedure to lift sagging skin Why does skin sag? Skin sags due to several reasons which may intrinsic or extrinsic. Intrinsic factors
More informationFacial Rejuvenation Enhancing Cheek Lift
Facial Rejuvenation Enhancing Cheek Lift Philippe Bellity, Jonathan Bellity Reconstructive and Plastic Surgery, Clinique Hartmann, Neuilly-sur-Seine, France Supported by recent literature on the signs
More informationInstitute of Cosmetic & Reconstructive Surgery
The demand for facelifts has increased greatly over the last few years. As a result of this, various types of new facelift have been introduced which can often lead to confusion. The original facelift
More information3d-lift. Radically New Approach for Anti-Aging Treatment.
What is 3d-lift? Embedding therapy needle with absorbable suture (PDO) Injecting several dozen of needles on cheeks one by one. After pulling needles out, the inserted suture stay into the skin. Stimulate
More informationPortland Aging Face Course, August 2-4, Course Program
Portland Aging Face Course, August 2-4, 2013 Course Program Time Topic Speaker Friday, August 2, 2013 morning session 0750-0800 Introduction and welcome Wang 0800-0815 Analysis of the aging face Bhrany
More informationCosmetic Surgery: Eyelid Surgery (Blepharoplasty)
Cosmetic Surgery: Eyelid Surgery (Blepharoplasty) This is a guide for people who are considering an eyelid surgery. We advise that you talk to a plastic surgeon and only use this information as a guide
More informationI know what you think. You're terrified of aging, but you don't have to be. Your Guide to Aging Gracefully from FACES+
I know what you think. You're terrified of aging, but you don't have to be. Your Guide to Aging Gracefully from FACES+. Contents What Causes Facial Aging... Prevention... Environmental Skin Damage... Skin
More informationASAPS Traveling Professors
ASAPS Traveling Professors Alfonzo Barrera, MD Houston, TX Term: July 2013 June 2015 Advances in Hair Transplantation for the Treatment of Male Pattern Baldness Hair Transplantation Enhancing Aesthetics
More informationMr Peter Arnstein FRCS (Plast) Consultant Reconstructive, Cosmetic & Plastic Surgeon
Facelift There is a multitude of approaches for rejuvenation of the ageing face. The surgical facelift however remains the mainstay and is increasingly popular. In carefully selected candidates it can
More informationPortland Aging Face Course, July 28 30, Course Program
Portland Aging Face Course, July 28 30, 2017 Course Program Time Topic Speaker Friday, July 28, 2017 morning session 0750-0800 Introduction and welcome Wang/Flint 0800-0815 Definition and analysis of the
More informationONE PATIENT AT A TIME
$3.95 US $4.95 INTERNATIONAL VOLUME 6 ISSUE 3 CHANGING THE WORLDS OF ANTI-AGING & NATURAL BEAUTY ONE PATIENT AT A TIME Dr. Anna Petropoulos This issue compliments of Dr. Anna Petropoulos The New England
More informationREVERSAL OF midfacial aging
ORIGINAL ARTICLE Elevation of the Malar Fat Pad With a Percutaneous Technique Gregory S. Keller, MD; Ali Namazie, MD; Keith Blackwell, MD; Jeffrey Rawnsley, MD; Sajjad Khan, MD Objective: To describe a
More informationSkin Laxity of the Face and Neck: Treatment Approach with the Titan Device. LISA S. BUNIN, M.D. Allentown, Pennsylvania
Skin Laxity of the Face and Neck: Treatment Approach with the Titan Device LISA S. BUNIN, M.D. Allentown, Pennsylvania LISA S. BUNIN, M.D., Allentown, Pennsylvania Patients today are becoming accuomed
More informationRebuild the structure of your skin from within
Rebuild the structure of your skin from within New Generation Promoitalia Dissolvable Threads Revitalize your skin s natural contours Rebuild your skin s support scaffolding Create new firmness Improve
More informationHOW IS DONE (Techniques, Surgical anatomy, Indications) Chemical denervation, Dermal fillers
HOW IS DONE (Techniques, Surgical anatomy, Indications) Chemical denervation, Dermal fillers Constantinos Laskarides DMD, DDS, PharmD, FICD ORAL & MAXILLOFACIAL SU RGERY A s s o c i ate P r o fessor, T
More informationGregory S. Keller, MD, FACS, is and internationally known Facial Plastic Surgeon and a Clinical Professor, Division of Facial Plastic Surgery at
Gregory S. Keller, MD, FACS, is and internationally known Facial Plastic Surgeon and a Clinical Professor, Division of Facial Plastic Surgery at UCLA. Internationally-known, board certified facial plastic
More informationZeolight RF manual. Introduction. 2 Getting Started 3 Operation. 4 Operation Steps 5 Skin care after treatment 9 Maintenance of machine 9
Zeolight RF manual Introduction. 2 Getting Started 3 Operation. 4 Operation Steps 5 Skin care after treatment 9 Maintenance of machine 9 Introduction Radio Frequency is one of the most exciting treatments
More informationPRE- READING COURSE MATERIAL ADVANCED BOTOX AND DERMAL FILLERS Module 1
PRE- READING COURSE MATERIAL ADVANCED BOTOX AND DERMAL FILLERS Module 1 OVERVIEW Principles of dermatology and the ageing face Principles of advanced facial anatomy OVERVIEW Principles of dermatology and
More informationRevisional Neck Surgery
Panel Discussion Revisional Neck Surgery Gerald Pitman, MD; Sherell J. Aston, MD; Joel J. Feldman, MD; Keith LaFerriere, MD Dr. Pitman is Clinical Professor of Plastic Surgery, New York University School
More informationThrough non-surgical procedures we can target facial concerns such as fine lines and wrinkles, lost volume, skin laxity, sun damage and scarring.
Guide Through non-surgical procedures we can target facial concerns such as fine lines and wrinkles, lost volume, skin laxity, sun damage and scarring. From the foundations of underlying skin structure
More informationThe first step: Choose a surgeon you can trust COPYRIGHT ASPS
/ INJECTABLE FILLERS The Symbol of Excellence in Plastic Surgery A public education service of the American Society of Plastic Surgeons. The first step: Choose a surgeon you can trust Plastic surgery involves
More informationLASER FACIALS $79 $250 $650. Ultimate Laser Facial. 10 Min Rejuvenating Laser Facial. IPL Photo Facial
LASER FACIALS Laser Treatments allow for controlled accuracy and strength in targeting the deep layers below the skin's surface improving and eliminating flaws creating a renewed skin appearance. 10 Min
More informationFat Management in Lower Lid Blepharoplasty
Fat Management in Lower Lid Blepharoplasty Cory C. Yeh, M.D., 1,2 and Edwin F. Williams III, M.D. 1,2 ABSTRACT Aging of the lower eyelid involves a complex series of anatomic and physiologic changes that
More informationTHE ROLE OF QUADRIPOLAR RADIOFREQUENCY IN AESTHETIC SURGERY AND MEDICINE
DYNAMIC QUADRIPOLAR THE ROLE OF QUADRIPOLAR IN AESTHETIC SURGERY AND MEDICINE INTRODUCTION Cosmetic surgery and medicine have undergone immense evolution over the last few years. Aesthetic medicine has
More informationPeriorbital Rejuvenation
Outline Periorbital Rejuvenation Daniel Straka, MD Oculofacial Plastic Surgery Plastic Surgery Ohio/Ophthalmic Surgeons and Consultants What happens as we age? What is considered beautiful or youthful?
More informationNote : Revision case: Plus 5,000 Bahts / procedure. PPSI : NEW AESTHETIC CENTER PACKAGE PRICE LIST Price Operation Hospital Total stay in
PPSI : NEW AESTHETIC CENTER PACKAGE PRICE LIST Price Operation Hospital Total stay in Anesthesia Procedure Baht Time(Hrs) Night(s) Phuket (Days) Face / Neck Lift (Rhytidectomy) Endoscopic Forehead Lift
More informationGuide to Dermal FillerS for Facial Rejuvenation
Guide to Dermal FillerS for Facial Rejuvenation Although no one likes the thought of aging, we can be thankful that we are living in this modern age when there are more facial cosmetic procedures than
More informationScar Revision and Skin Surgery
Scar Revision and Skin Surgery Note: Prior to reading this section you should have read Parts I and II of this book! Some scars can be improved with carefully planned multi staged surgery over a period
More informationAesthetics & Skin Clinic
Aesthetics & Skin Clinic These ground breaking non surgical procedures can enhance & rejuvenate your natural facial appearance. Book your free no obligation consultation today at www.crowdedhousebury.co.uk
More informationCOSMETIC EYELID PROCEDURES
COSMETIC EYELID PROCEDURES www.aucklandeye.co.nz BLEPHAROPLASTY Blepharoplasty surgery involves the removal or redistribution of eyelid tissue. These tissues include skin, muscle and fat, all of which
More informationTreatment of the Full Obtuse Neck
Editor s Note: My thanks to the moderator, Timothy J. Marten, MD (board-certified plastic surgeon and ASAPS member, San Francisco, CA); and to panelists Bruce F. Connell, MD (board-certified plastic surgeon
More informationDermal Fillers Information Guide
Professionally trained in aesthetic procedures Dermal Fillers Information Guide What are Dermal Fillers? As the skin ages, it gradually loses some of its collagen and fat. These are the things that prevent
More informationWHAT IS SILHOUETTE SOFT?
WHAT IS SILHOUETTE SOFT? A technological innovation serving rejuvenation When women are asked what they consider their two main signs of facial ageing, the answer is invariably loss of skin tone causing
More informationA4M FELOWSHIP IN AESTHETIC ANTI-AGING MEDICINE
A4M FELOWSHIP IN AESTHETIC ANTI-AGING MEDICINE COURSE AGENDA HANDS-ON MODULE 4 (Botox, Fillers, PRP) October 17-18 2014 IMA & Aesthetica Clinic, Dubai, UAE (Dubai Healthcare City) PRACTICE Under Expert
More informationThe works of Skoog1 and Mitz and Peyronie2
VIDEO Baker Gordon Cosmetic Surgery Video Series Restoring Facial Shape in Face Lifting: The Role of Skeletal Support in Facial Analysis and Midface Soft-Tissue Repositioning (Baker Gordon Symposium Cosmetic
More informationHOW WOULD YOU DEFINE BEAUTY?
HOW WOULD YOU DEFINE BEAUTY? F HOW WOULD YOU DEFINE BEAUTY? We believe that every woman is beautiful. Beauty is not just about physical standards but also self-esteem, harmony, elegance, and inner well-being.
More informationBeauty is the signature of your life
Beauty is the signature of your life GOOD APPEARENCE LEAVES GOOD IMPRESSIONS. Medipol University Hospital Plastic Surgery Team is ready to help you to make your dreams come true with precise retouch to
More informationWHAT IS SILHOUETTE SOFT?
WHAT IS SILHOUETTE SOFT? A technological innovation serving rejuvenation When women are asked what they consider their two main signs of facial ageing, the answer is invariably loss of skin tone causing
More informationTECHNIQUE FOR PRESERVATION OF THE TEMPORAL BRANCHES OF THE FACIAL NERVE DURING FACE-LIFT OPERATIONS. By RAUL LOEB
TECHNIQUE FOR PRESERVATION OF THE TEMPORAL BRANCHES OF THE FACIAL NERVE DURING FACE-LIFT OPERATIONS By RAUL LOEB Plastic Surgery Department, Escola PauIista de Medicina, S~o Paulo, Brazil IN general, papers
More informationThe S-Plus lift: a short-scar, long-flap rhytidectomy
PLASTIC SURGERY doi 10.1308/003588410X12699663904439 The S-Plus lift: a short-scar, long-flap rhytidectomy Steven B Hopping 1,2, Sasa Janjanin 3,4, Neil Tanna 1, Arjun S Joshi 1 1 Division of Otolaryngology
More informationCosmetic Treatments at NSC NSCclinics
www.nscclinics.co.uk 0800 917 9334 Cosmetic Treatments at NSC Clinics nscclinicsuk @nsc_news @nscclinics NSCclinics Welcome to National Slimming and Cosmetic Clinics Michelle Nicholls, director of NSC
More informationFFAS 2018 Thursday March 1 st to Sunday March 4 th Hilton Riverside, NOLA Topics Subject to change Track 2 Non-Surgical Procedures THURSDAY MARCH 1,
FFAS 2018 Thursday March 1 st to Sunday March 4 th Hilton Riverside, NOLA Topics Subject to change Track 2 Non-Surgical Procedures THURSDAY MARCH 1, 2018 (A partial listing only) 6:30 8:00 CME VIDEOS INJECTABLES
More informationAtlas of Minimally Invasive Facelift
Atlas of Minimally Invasive Facelift Jose Maria Serra-Renom Jose Maria Serra-Mestre Atlas of Minimally Invasive Facelift Facial Rejuvenation with Volumetric Lipofilling Jose Maria Serra-Renom Universitat
More informationEYELID SURGERY. What is Eyelid Surgery? Consultation & Preparing for Surgery. The Procedure Risks & Safety Recovery After Surgery / Results
EYELID SURGERY What is Eyelid Surgery? Consultation & Preparing for Surgery The Procedure Risks & Safety Recovery After Surgery / Results WHAT IS EYELID SURGERY? Eyelid surgery, called blepharoplasty,
More informationPatients who seek surgical treatment for facial COSMETIC. Some Anatomical Observations on Midface Aging and Long-Term Results of Surgical Treatment
COSMETIC Some Anatomical Observations on Midface Aging and Long-Term Results of Surgical Treatment John Q. Owsley, M.D. Christa L. Roberts, M.D. San Francisco, Calif. Background: Controversy exists as
More informationWe are IntechOpen, the world s leading publisher of Open Access books Built by scientists, for scientists. International authors and editors
We are IntechOpen, the world s leading publisher of Open Access books Built by scientists, for scientists 3,500 108,000 1.7 M Open access books available International authors and editors Downloads Our
More informationThe Authoritative Source Current US Statistics on Cosmetic Surgery. Expanded data for 2007: Multi-year comparisons, 39 Cosmetic Procedures
2 0 0 7 The American Society for Aesthetic Plastic Surgery The Authoritative Source Current US Statistics on Cosmetic Surgery 1997-2007 Cosmetic Surgery National Data Bank Statistics Expanded data for
More informationCONSENT FOR BLEPHAROPLASTY SURGERY
CONSENT FOR BLEPHAROPLASTY SURGERY Blepharoplasty is the medical term for surgery of the eyelids to remove excess skin, possibly muscle, and/or fat from either the upper or lower eyelids. Usually this
More informationFrequently Asked Questions
Frequently Asked Questions Who is a good candidate for FTC PDO Threads? The best candidates for FTC are men and women who are beginning to experience the appearance of wrinkles on the forehead, drooping
More information26 Spring
26 Spring 2012 www.topchoicemagazine.com A special feature Non-Surgical Facial Enhancement of the New Millenium A collection of articles by Dr. Nino Kuzmar, Facial Cosmetic Physician is the medical director
More informationCervicofacial Rhytidectomy without Notorious Scars: Experience of 29 Years
Original Article 233 Cervicofacial Rhytidectomy without Notorious Scars: Experience of 29 Years Fernando Pedroza, MD 1 Luis Fernando Pedroza, MD 1 Ernesto Dario Desio, MD 1 Velia Elena Revelli, MD 1 1
More informationINJECTABLES. Botox Cosmetic Page 1 of 7. FAQ s
290 Country Club Drive, Stockbridge, Georgia 30281 770.506.9123 www.schillingmedicalspa.com FAQ s INJECTABLES Botox Cosmetic WHAT EXACTLY IS BOTOX COSMETIC? BOTOX Cosmetic is a purified protein produced
More informationFreshen Up This this Fall With the seasons changing... It s time to re-focus to get yourself ready for the holidays!
DR.JHONNYSALOMON FALL2013 1 Freshen Up This this Fall With the seasons changing... It s time to re-focus to get yourself ready for the holidays! In this issue, you will find details on: Top surgery combinations
More informationRobert Flowers, who gave the tear trough its
COSMETIC Hyaluronic Acid Injections for Correction of the Tear Trough Deformity Val S. Lambros, M.D. Newport Beach, Calif. Background: The tear trough, though small in physical dimensions, sits at the
More informationBREAST RECONSTRUCTION
BREAST RECONSTRUCTION YOUR OPTIONS FOR BREAST RECONSTRUCTION SURGERY The decision to pursue breast reconstruction is personal and your options vary based on your personal and medical history. This resource
More informationAesthetics in Hair Restoration Surgery Feriduni Bijan, MD
Aesthetics in Hair Restoration Surgery Feriduni Bijan, MD Techniques in hair transplantation In Follicular Unit Transplantation, follicular units can be extracted through two different techniques: Through
More informationFILE PREPARED BY : Ahmed Abd El-Hakim THIS FILE IS DOWNLOADED FROM :
FILE PREPARED BY : Ahmed Abd El-Hakim THIS FILE IS DOWNLOADED FROM : WWW.DRHAKIM.FREEHOSTPRO.COM WWW.DRHAKIM.CO.NR 1 Introduction: The word plastic comes from the Greek word plastikos, meaning to mold
More informationThese days there are many safe, accessible ways to look younger with And with age come wrinkles, creases, age spots, fleshy chins and jowls and
How To Look Younger - Get Rid Of Eye Wrinkles, Drooping Cheeks And Sagging Jowls Naturally: Six Easy Steps (How To Look Younger - Anti Aging Techniques That Work Book 1) By Deborah Groom READ ONLINE These
More informationPERFECT FILLERS TECHNIQUES FOR PHYSICIANS SWISS QUALITY
PERFECT FILLERS TECHNIQUES FOR PHYSICIANS SWISS QUALITY OUR MISSION Suisselle is a privately owned company located in a biotech hub, Yverdon-les-Bains, Switzerland. Operating to the highest standard of
More informationThis new procedure using skin-suspending strings may soon be as popular as fillers for fixing sagging skin. Just don t call it a thread lift.
This new procedure using skin-suspending strings may soon be as popular as fillers for fixing sagging skin. Just don t call it a thread lift. In this day of technological innovations in cosmetic surgery,
More informationAdam M. Rotunda, MD, FACMS
Adam M. Rotunda, MD, FACMS Diplomate, American Board of Dermatology Fellow, American College of Mohs Surgery Assistant Clinical Professor of Dermatology, David Geffen School of Medicine (UCLA) Assistant
More informationOne of the greatest difficulties facing physicians
COSMETIC Identical Twin Face Lifts with Differing Techniques: A 10-Year Follow-Up Bernard S. Alpert, M.D. Daniel C. Baker, M.D. Sam T. Hamra, M.D. John Q. Owsley, M.D. Oscar Ramirez, M.D. San Francisco,
More informationA Boutique for a Radiant You
A Boutique for a Radiant You 220 Westchester Avenue, Suite 201, White Plains, NY 10604 203.970.4020 RADIANTYOUAESTHETICS.COM 203.970.4020 Radiant You Aesthetics is founded and run by Candy Escobar who
More informationStatistics. The American Society for Aesthetic Plastic Surgery. Cosmetic Surgery National Data Bank
The American Society for Aesthetic Plastic Surgery The Authoritative Source Current US Statistics on Cosmetic Surgery Expanded data for 2006: Ten year comparisons, 34 Cosmetic Procedures Multi-specialty
More informationPLASTIC SURGERY PROCEDURES AT A GLANCE COSMETIC. Daniel Calloway, MD. Eyelid Surgery. Brow Lift. Neck Lift. Facelift.
Eyelid Surgery Brow Lift COSMETIC PLASTIC SURGERY PROCEDURES AT A GLANCE Neck Lift Facelift Skin Resurfacing Microdermabrasion Injectable Fillers Chemical Peel Facial Implants Nose Surgery Buttock Augmentation
More informationFiller injections with the blunt-tip microcannula compared to the sharp hypodermic needle
Clinical Study: Filler injections with the blunt-tip microcannula compared to the sharp hypodermic needle Luc Dewandre MD 1 ; Caroline Caperton MD, MSPH 2 ; James Fulton MD, PhD 2 1 Paris France; 2 University
More informationCollagen
Collagen Injectable fillers are one of the most popular facial rejuvenation techniques. As we age, the underlying tissues that keep our skin looking youthful and firm begin to break down due to the effects
More informationA brighter smile. A younger looking you.
A brighter smile. A younger looking you. Facial cosmetic treatments, DENTO-FACIAL AESTHETICS delivered by your dentist. AVAILABLE EXCLUSIVELY TO KEYS DENTAL PATIENTS ONLY COSMETIC NON-SURGICAL REJUVENATION
More information