Scientific Forum. Minimal Incision Rhytidectomy (Short Scar Face Lift) with Lateral SMASectomy: Evolution and Application
|
|
- Jacob Shaw
- 6 years ago
- Views:
Transcription
1 (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: The purpose of this article is to outline the indications, advantages, and disadvantages of this technique. Methods: A total of 749 cases covering more than 10 years of clinical experience are reviewed. A classification of patient types is proposed that includes indications and surgical programs appropriate for each patient category. Results: In properly selected patients, the technique is safe, reliable, and reproducible. Complication rates are similar to those of other standard techniques. Conclusions: Minimal incision rhytidectomy with lateral SMASectomy is a useful technique that the plastic surgeon can add to his or her armamentarium. My first experience with rhytidectomy was during my plastic surgery residency in the late 1970s. At that time, a combination of extensive defatting of the neck with complete platysma muscle transection, plicating medial borders, and pulling laterally was presented as the only way to get the best result. 1,2 Many years of patient complaints, complications, and overoperated necks occurred before I abandoned most of these techniques. Evolution of the Technique When superficial musculoaponeurotic system (SMAS) dissection became popular after the work of Mitz and Peyronie 3 in 1976, it was fashionable to include a dissection of the lateral SMAS directly overlying the parotid gland. I initially performed this type of SMAS dissection in the late 1970s and continued to do so into the mid 1980s, but overall I was disappointed with the effects of a simple elevation and tightening of the lateral superficial fascia. Specifically, I saw little difference in overall facial contour regardless of whether I had performed a lateral SMAS dissection. As I gained greater experience with SMAS dissection, it became obvious that for the superficial fascia to produce any effective change in facial contour, it was necessary to elevate the mobile SMAS anterior to the parotid gland. The problem with this more exten- From the Department of Plastic Surgery, New York University Medical School, the Manhattan Eye, Ear, and Throat Hospital, and the Institute for Reconstructive Plastic Surgery, New York, NY. Accepted for publication December 8, Reprint requests: Daniel C. Baker, MD, 65 East 66th Street, New York, NY Copyright 2001 by The American Society for Aesthetic Plastic Surgery, Inc /2001/$ /1/ doi: /maj A ESTHETIC S URGERY J OURNAL ~ JANUARY/FEBRUARY 2001
2 sive SMAS dissection is that facial nerve branches are placed in greater jeopardy. I also noted that the superficial fascia tends to thin out as it is dissected more anteriorly, making it easier for the SMAS to tear. All too often, I would note thinning and tears after elevating a SMAS flap. Any significant tension placed on the SMAS flap in suturing would result in further tears. For these reasons, I believed that an extensive SMAS dissection was not warranted in most patients and offered little long-term benefit in comparison with SMAS plication. The 1980s With the advent of lipoplasty in the 1980s, I found that I could obtain excellent neck contouring in many patients by performing lipoplasty combined with strong lateral platysmal suturing. Lipoplasty eliminated the need for a submental incision and extensive undermining in all but the most difficult necks. I also began to abandon medial platysma work (except when the bands were prominent on active animation), because the strong lateral pull obtained by suturing the platysma to the mastoid periosteum enabled me to obtain excellent neck contouring without medial plication. The 1990s In 1992, I realized that an alternative to formally elevating the superficial fascia was performing a lateral SMASectomy, removing a portion of the SMAS in the region directly overlying the anterior edge of the parotid gland. 4 Excision of the superficial fascia in this region secures mobile anterior SMAS to the fixed portion of the superficial fascia overlying the parotid. The direction in which the SMASectomy is performed is parallel to the nasolabial fold, so that the vectors of elevation after SMAS closure lie perpendicular to the nasolabial fold, thereby producing improvement not only of the nasolabial fold but also of the jowl and jawline. For the neck, a flap of the lateral platysma is developed in the region inferior to the mandibular border. After this lateral platysma flap is raised, the platysma is secured to the mastoid periosteum with figure-of-eight 2-0 Maxon sutures (United States Surgical Corp., Norwalk, CT) to help define the jawline and improve contouring in the submandibular region. This is the basic rhytidectomy operation that I have performed in more than 2000 patients since July 1992 (Figure 1). SMAS resection parallel to nasolabial fold Platysma flap sutured to periosteum of mastoid defining jaw line Width of SMAS resection depends on degree of laxity. In thin faces, plication only Vector of elevation perpendicular to nasolabial fold Figure 1. Classic retroauricular incisions in rhytidectomy with lateral SMASectomy. SMAS resection begins over the parotid gland and usually extends over the malar eminence. It runs parallel to the nasolabial fold. It is not unusual to see orbicularis oculi muscle fibers exposed at the superior limit of excision. It is essential to perform the SMAS resection in the same place where a SMAS flap superficial to the deep facial fascia was elevated. Blunt dissection in the plane between the SMAS and deep facial fascia to create a tunnel can be helpful. The width of SMAS resection depends on the laxity of tissues and the desired elevation. A platysma flap is elevated (usually 4 to 8 cm) until it is adequately mobilized to suture to the mastoid periosteum. This provides a fixed suspension of the platysma to contour the jaw line. It is reinforced with several sutures through platysma and fascia of the sternocleidomastoid muscle. Recent presentations on deep dissection rhytidectomies, subperiosteal lifts, and endoscopic approaches attest to the splendor of creative surgery. The contribution of these approaches is already evident: an increased and clearer knowledge of facial anatomy, muscle function, and human expression. I am certain that some aspect of these techniques will be incorporated by many plastic surgeons. What remains to be answered is: (1) What are the indications for these new techniques? (2) How great are the risks and complications? (3) Most important, do the benefits of these techniques outweigh their risks significantly enough to justify using them routinely? 5 The ultimate success of any rhytidectomy operation is a happy patient. That is where the best new referrals originate. Therefore each surgeon must adapt a technique that works best for his or her patients. A ESTHETIC S URGERY J OURNAL ~ JANUARY/FEBRUARY (Short Scar Face Lift): Evolution
3 Table 1. Evolution of minimal incision rhytidectomy No. of Year patients Procedure/type of patients Skin lift only SAL (neck) Type I patients Plication or lateral SMASectomy SAL (neck) All type I and type II patients No platysma work SMASectomy with platysma resection SAL (neck) or open submental Patients of types I, II, III, and IV Total 749 SAL, Suction-assisted lipoplasty. Mini lifts have been around for almost a century; the first description of such a procedure was by Passot 6 in These operations were usually preauricular skin excisions with minimal undermining, resulting in minimal, short-lived improvement. More recently, the concept of the S-lift 7 with suspension sutures and SMAS plication has gained popularity. I am always hesitant to present a new surgical technique until I feel confident that it is safe, reliable, and reproducible by most trained plastic surgeons. The minimal incision rhytidectomy with lateral SMASectomy was developed out of a demand from younger female patients (aged mostly in their 40s) who sought facial rejuvenation but were adamantly opposed to any scarring behind the ears. They objected to the posterior hairline distortion, hypertrophic scars, and hypopigmentation that they often observed in their friends or mothers who had undergone face lifts. I performed my first limited incision rhytidectomy in The patient was 41 years old and had submental and submandibular fat and early jowls but good cervical skin elasticity. I performed lipoplasty of the neck and jowls with wide subcutaneous skin undermining in the face, detaching the malar and masseterocutaneous ligaments. A pure skin lift was done with no retroauricular scars. The result was superb, and I incorporated this procedure for all my younger patients with similar anatomies. In 1992, I began to add the lateral SMASectomy technique to the face lift operation for young women in their 40s. However, I noticed that vertical elevation of the face also affects the cervical skin to some degree; lax cervical skin was also tightened because the soft tissues of the face and neck are linked anatomically. Between 1990 and 1998, 204 young female patients underwent this operation without retroauricular scars (Table 1). As I became more confident about the results and the operation, I began to perform it in older patients with more progressive jowling and cervical laxity. In these patients, it was necessary to undermine further in the neck and over the sternomastoid and submandibular regions. This exposed the platysma muscle in the neck, which enabled resection of the posterior muscle continuous with the SMASectomy. By resecting platysma over the tail of the parotid gland and anterior border of the sternocleidomastoid, the facial nerves were protected and the platysma could be tightened with a lateral vector. Between 1998 and 2000, I performed 545 minimal incision rhytidectomies with lateral SMASectomy and platysma resection. Patients ranged in age from 40 to 74 years, all with a variety of facial aging signs and neck deformities. I now believe that the technique has progressed to the point where I can say that it is reliable, that it is as safe as other procedures, and that it should be reproducible for most plastic surgeons; in general, it produces consistent results in properly selected patients. Patient Categories On the basis of my surgical experience in more than 700 cases I have categorized candidates for this procedure into 4 types. Type I: The ideal candidate This patient is usually in her early to late 40s with aging primarily in the face (Figure 2 and Table 2). She may have slight cervical laxity, but elasticity is still good. There are early jowls and often submental and submandibular fat. Microgenia may be present. These patients do well with closed lipoplasty of the neck and jowls, wide subcutaneous skin undermining, and lateral SMASectomy with or without platysma resection. No retroauricular incision is necessary to improve the neck along with the face. If indicated, a chin implant enhances the result (Figure 3). 16 A ESTHETIC S URGERY J OURNAL ~ JANUARY/FEBRUARY 2001 Volume 21, Number 1
4 Figure 2. Presentation of a type I patient, an ideal candidate for minimal incision rhytidectomy. Table 2. Type I: Ideal candidate Presentation Aged early to late 40s Aging primarily facial Early jowls Slight cervical skin laxity May have submental fat May have microgenia Good cervical skin elasticity Surgical program SAL (neck) SMASectomy/platysma resection Plication only in thin face Chin implant if indicated A ESTHETIC S URGERY J OURNAL ~ JANUARY/FEBRUARY (Short Scar Face Lift): Evolution
5 A B Sept 1996 Aug 1997 C D Sept 1996 Aug 1997 E F Dec 1999 Dec 1999 Figure 3. A, C, Preoperative views of a 47-year-old type I patient. B, D, Postoperative views 11 months after minimal incision rhytidectomy. E, F, Postoperative views 39 months after minimal incision rhytidectomy. The patient had a septal cartilaginous graft placed at the nasal dorsum before these photographs were taken. 18 A ESTHETIC S URGERY J OURNAL ~ JANUARY/FEBRUARY 2001 Volume 21, Number 1
6 Figure 4. Presentation of a type II patient, a good candidate for minimal incision rhytidectomy. Table 3. Type II: Good candidate Presentation Aged late 40s to late 50s Moderate jowls Moderate cervical skin laxity Submental/submandibular fat May have microgenia No active platysma bands Surgical program SAL (neck) SMASectomy/platysma resection Plication only in thin face Chin implant if indicated Type II: The good candidate These patients are usually in their late 40s to late 50s with moderate jowls and moderate cervical skin laxity (Figure 4 and Table 3). Submandibular and submental fat are usually present, and they may have microgenia. Medial platysma bands are not present on normal animation (I do not evaluate the platysma on forced animation or on the basis of static photographs; often, what may appear to be significant platysma bands represents laxity only, which can be corrected with a lateral pull). Closed lipoplasty of the neck and jowls along with lateral SMASectomy and platysma resection produces a good result in these patients. Again, if indicated, a chin implant will enhance the result. Usually, no retroauricular incision is required, but if a dog-ear is present at the lobe, it can be corrected with a short retroauricular incision (Figure 5). A ESTHETIC S URGERY J OURNAL ~ JANUARY/FEBRUARY (Short Scar Face Lift): Evolution
7 A May 1995 B March 2000 C Oct 2000 D May 1995 E March 2000 F Oct 2000 G May 1995 H March 2000 I Oct 2000 J Oct 2000 K L Oct 2000 M Oct 2000 Oct 2000 Figure 5. A, D, G, Preoperative views of a 41-year-old type II patient. B, E, H, Postoperative views 5 years after SMASectomy only, with no lateral platysma tightening and no submental incision. The temporal incision was inside the hairline. C, F, I, Postoperative views 7 months after secondary minimal incision rhytidectomy with platysma resection and tightening with no submental incision. At the secondary operation, a temporal hairline incision was used to improve the temporal hairline. A modified brow lift was also performed. J, K, Appearance of right and left temporal hairline scars 7 months after secondary surgery. L, M, Right and left retroauricular areas show no scarring 7 months after secondary surgery. 20 A ESTHETIC S URGERY J OURNAL ~ JANUARY/FEBRUARY 2001 Volume 21, Number 1
8 Figure 6. Presentation of a type III patient, a fair candidate for minimal incision rhytidectomy. Table 4. Type III: Fair candidate Presentation Aged late 50s, 60s, early 70s Significant jowls Moderate cervical skin laxity Submental/submandibular fat Platysma bands on animation May have microgenia Some secondary rhytidectomy Surgical program Open submental SAL Platysma approximation at hyoid with wedge SMASectomy/platysma resection Removal of dog-ear in retroauricular sulcus Chin implant if indicated Type III: The fair candidate These patients are usually in their late 50s, 60s, or early 70s (Figure 6 and Table 4). They have significant jowls, moderate cervical laxity, and submental and submandibular fat. They may have significant medial platysma bands active on natural animation. The approach to type III patients is via an open submental incision connecting subcutaneous undermining with the face and lateral neck. Open lipoplasty of submental and submandibular fat is performed to expose the platysma muscle. A 4- to 5-cm wedge of platysma is removed at the level of the hyoid. The medial borders of the platysma muscle are approximated to define the cervicomental angle. Lateral suturing of platysma enhances the jawline. If redundant skin is present at the earlobe after redraping, it can be removed with a short retroauricular incision (Figure 7). A ESTHETIC S URGERY J OURNAL ~ JANUARY/FEBRUARY (Short Scar Face Lift): Evolution
9 A B 1 year postop C D 1 year postop E F 1 year postop Figure 7 A, C, E, Preoperative views of a 62-year-old type III patient. B, D, F, Postoperative views 1 year after surgery. 22 A ESTHETIC S URGERY J OURNAL ~ JANUARY/FEBRUARY 2001 Volume 21, Number 1
10 Figure 8. Presentation of a type IV patient, a poor candidate for minimal incision rhytidectomy. Table 5. Type IV: Poor candidate Presentation Aged late 60s and 70s Significant jowls Poor cervical skin elasticity Skin folds below cricoid Submental/submandibular fat Platysma bands on animation Deep cervical creases Surgical program A significant compromise Open submental SAL Platysma approximation at hyoid with wedge SMASectomy/platysma resection Chin implant if indicated Requires more extensive undermining for skin redraping Removal of dog-ear in retroauricular sulcus Retroauricular incision can always be extended Type IV: The poor candidate These patients are usually in their 60s and 70s with significant jowls and active lax platysma bands (Figure 8 and Table 5). Cervical skin elasticity is poor, and skin folds and deep creases below the cricoid are often present. These patients are not good candidates for minimal incision rhytidectomy. It can be presented to the patient as a compromise solution that keeps open the option of extending the retroauricular incision if necessary. Laterally and posteriorly, it is usually necessary to undermine over the mastoid and sternocleidomastoid to obtain proper skin redraping. Excess cervical skin must be tailored into the retroauricular sulcus (Figure 9). A ESTHETIC S URGERY J OURNAL ~ JANUARY/FEBRUARY (Short Scar Face Lift): Evolution
11 A B Oct 1999 Nov 2000 C D Oct 1999 Nov 2000 E F Oct 1999 Nov 2000 G H Nov 2000 Nov 2000 Figure 9. A, C, E, Preoperative views of a 60-year-old type IV patient. B, D, F, Postoperative views 1 year after minimal incision rhytidectomy with a temporal hairline incision. G, H, Retroauricular area shows no scarring 1 year after surgery. 24 A ESTHETIC S URGERY J OURNAL ~ JANUARY/FEBRUARY 2001 Volume 21, Number 1
12 Results Table 1 summarizes the minimal incision rhytidectomies that I performed from 1990 to During the past 2 years, I have used this technique in 75% of my rhytidectomies with gratifying results. All but 10 of the patients were women. Because the male neck has thicker skin and muscle, 8 few men are candidates for this procedure. Complications Table 6 summarizes the complications of this technique, which are consistent with other standard face lift operations. 9,10 Despite special attention to blood pressure control in the postoperative period, the hematoma rate is still 1.5%. The most common problems are minor revisions of earlobe and temporal hairline scars, but these are far less significant than when I was revising retroauricular scars or trying to repair posterior hairlines. Longevity The results and duration seem similar to those for my earlier rhytidectomies. A number of type I patients who returned at 5 to 8 years for secondary lifts were very pleased with the first operation. The secondary lifts were all done with the minimal incision technique. The longest follow-up on a type III patient is 3 years. Certainly, on type IV patients the result in the neck will not be as good as if retroauricular incisions were made. So far, I have 4 type III and type IV patients who would like some neck readjustment; this is the same number that I would expect to return after the classic operation. Discussion The primary advantage of minimal incision rhytidectomy accrues to the patient who prefers or often wears her hair pulled up or back (Table 7). Any retroauricular scarring or disruption of the posterior hairline makes such a patient very unhappy. In addition, the operation involves less dissection and is less invasive; presumably this results Table 6. Complications associated with minimal incision rhytidectomy Complication Incidence (%) Hematoma 1.5 Facial nerve weakness 0.1 Earlobe scar revision 2.0 Temporal hairline scar revision 3.0 Mini lift after 1 y 2.0 Pending neck revisions in 4.0 type II and type IV patients in less pain and a shorter healing time. In patients who develop a hematoma, the evacuation is easier with less morbidity. There are disadvantages as well. This is not a technique that is applicable to all patients, especially those with severe cervical skin laxity. Because the technique requires a significant vertical lift, strict attention must be given to minimizing temporal hairline shifts. In certain patients, an anterior hairline incision must be used. Fitting in dogears in the temporal and earlobe areas can be a challenge, and these areas take more time to soften and flatten. In general, I can say that in properly selected patients, minimal incision rhytidectomy with lateral SMASectomy is safe, consistent, and reliable. For the surgeon who desires to use this technique, I advise beginning with type I and type II patients to gain experience and confidence. Type III and type IV patients are more challenging, but in treating these cases it is always possible to extend the retroauricular incision if necessary. References 1. Connell B. Cervical lift: surgical correction of fat contour problems combined with full width platysma muscle flap. Aesthetic Plast Surg 1978;1: Table 7. Advantages and disadvantages of minimal incision rhytidectomy Advantages Requires less dissection Requires a less invasive procedure Is associated with less scarring Avoids posterior hairline distortion Makes for easier hematoma evacuation Limits neck exposure Disadvantages Requires more vertical skin lift Can make it difficult to fit in dog-ears in temporal and earlobe areas Requires time for temporal hairline scar to smooth Requires time for retro/earlobe scar to smooth Occasionally causes skin fold at base of earlobe Is not applicable to patients with severe cervical laxity A ESTHETIC S URGERY J OURNAL ~ JANUARY/FEBRUARY (Short Scar Face Lift): Evolution
13 2. Connell BF. Contouring the neck in rhytidectomy by lipectomy and a muscle sling. Plast Reconstr Surg 1978;61: Mitz V, Peyronie M. The superficial musculoaponeurotic system (SMAS) in the parotid and cheek area. Plast Reconstr Surg 1976;58: Baker DC. Lateral SMASectomy. Plast Reconstr Surg 1997;100: Baker DC. Deep dissection rhytidectomy, a plea for caution. Plast Reconstr Surg 1994;93: Passot R. La chirurgie esthetique des rides du visage. Presse Med 1919;27: Saylan Z. The S-lift: less is more. Aesth Surg J 1999;19: Baker DC, Aston SJ, Guy CJ, Rees TD. The male rhytidectomy. Plast Reconstr Surg 1977;4: Baker DC. Complications of cervicofacial rhytidectomy. Clin Plast Surg 1983;10: Baker DC, Conley J. Avoiding facial nerve injuries in rhytidectomy. Plast Reconstr Surg 1979;64: ON THE MOVE? Send us your new address at least six weeks ahead Don t miss a single issue of the journal! To ensure prompt service when you change your address, please photocopy and complete the form below. Please send your change of address notification at least six weeks before your move to ensure continued service. We regret we cannot guarantee replacement of issues missed due to late notification. JOURNAL TITLE: Fill in the title of the journal here. OLD ADDRESS: Affix the address label from a recent issue of the journal here. NEW ADDRESS: Clearly print your new address here. Name Address City/State/ZIP COPY AND MAIL THIS FORM TO: OR FAX TO: OR PHONE: Mosby Subscription Customer Service Outside the USA, call 6277 Sea Harbor Dr Orlando, FL A ESTHETIC S URGERY J OURNAL ~ JANUARY/FEBRUARY 2001 Volume 21, Number 1
ACCEPTABLE 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 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 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 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 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 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 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 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 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 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 informationSUBCUTANEOUS DISSECTION AND
eep-plane Face-lift vs Superficial Musculoaponeurotic System Plication Face-lift A omparative Study Ferdinand F. ecker, M; enjamin A. assichis, M ORIGINAL ARTILE Objective: To evaluate deep-plane face-lift
More informationCORRECTING THE PROMInent
ORIGINAL ARTICLE Subcutaneous Superficial Musculoaponeurotic System Grafting of the Aging Melolabial Furrow Thomas A. Lamperti, MD; Jeffrey S. Carithers, MD Objective: To describe a technique of subcutaneous
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 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 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 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 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 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 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 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 informationIndividualized Considerations Regarding Sub- Superficial Musculoaponeurotic System Facelift Techniques
REVIEW ARTICLE https://doi.org/10.14730/aaps.2016.22.3.111 Arch Aesthetic Plast Surg 2016;22(3):111-116 pissn: 2234-0831 eissn: 2288-9337 aaps Aesthetic Plastic Surgery Individualized Considerations Regarding
More informationComposite Facelift Introduction Differences in Technique. Sam T. Hamra, Ramsey J. Choucair
42 CHAPTER 42 Composite Facelift Sam T. Hamra, Ramsey J. Choucair 42.1 Introduction Facelift surgery has always been a significant part of the practice of plastic surgery from the early part of the twentieth
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 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 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 informationULTRASONICALLY ASSISTED FACE LIFT
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.
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 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 informationCorrection of the Lower Face and Neck
480 Correction of the Lower Face and Neck Julia L. Frisenda, MD 1,2 Paul S. Nassif, MD, FACS 1,2 1 Otolaryngology Head and Neck Surgery, Keck School of Medicine, University of Southern California, Los
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 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 informationORIGINAL ARTICLE. Simultaneous Rhytidectomy and Full-Face Carbon Dioxide Laser Resurfacing. with simultaneous fullface
Simultaneous Rhytidectomy and Full-Face Carbon Dioxide Laser Resurfacing A Case Series and Meta-analysis Brenton B. Koch, MD; Stephen W. Perkins, MD ORIGINAL ARTICLE Background: The combination of facial
More informationBrowpexy Through the Upper Lid (BUL): A New Technique of Lifting the Brow With a Standard Blepharoplasty Incision
Facial Surgery Browpexy Through the Upper Lid (BUL): A New Technique of Lifting the Brow With a Standard Blepharoplasty Incision Aesthetic Surgery Journal 31(2) 163 169 2011 The American Society for Aesthetic
More informationDevelopment of Facial Rejuvenation Procedures: Thirty Years of Clinical Experience with Face Lifts
Development of Facial Rejuvenation Procedures: Thirty Years of Clinical Experience with Face Lifts Byung Jun Kim, Jun Ho Choi, Yoonho Lee Department of Plastic and Reconstructive Surgery, Seoul National
More informationLower Blepharoplasty With Direct Excision of Skin Excess: A Five-Year Experience. Pietro Bellinvia, MD, Francesco Klinger, MD, Giacomo Bellinvia, MD
Lower Blepharoplasty With Direct Excision of Skin Excess: A Five-Year Experience Pietro Bellinvia, MD, Francesco Klinger, MD, Giacomo Bellinvia, MD INTERNATIONAL CONTRIBUTION Oculoplastic Surgery Lower
More informationSubbrow Blepharoplasty for Upper Eyelid Rejuvenation in Asians
Oculoplastic Surgery Subbrow lepharoplasty for Upper Eyelid Rejuvenation in Asians INTERNATIONAL CONTRIUTION Daniel Lee, FRCSEd; and Victor Law, FRCSEd ackground: Classical blepharoplasty removes supratarsal
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 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 informationFacelift Abstract. Why Deep Plane? Chiara Botti, MD 1 Giovanni Botti, MD 1
491 Chiara Botti, MD 1 Giovanni Botti, MD 1 1 Villa Bella Clinic, Salò, Italy Facial Plast Surg 2015;31:491 503. Address for correspondence Giovanni Botti, MD, Villa Bella Clinic, Viale Europa 55, Salò
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 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 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 informationS UPPLEMENT. The Anatomy of the Aging Face: Volume Loss and Changes in 3-Dimensional Topography
The Anatomy of the Aging Face: Volume Loss and Changes in 3-Dimensional Topography Sydney R. Coleman, MD; Rajiv Grover, BSc, MB BS, MD, FRCS (Plast) Dr. Coleman is Assistant Professor of Plastic Surgery
More informationFACETITE: 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 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 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 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 informationSuccessful treatment of the nasolabial fold (NLF)
Treatment of Nasolabial Folds With Fillers According to the author, injectable dermal fillers can be used effectively to treat nasolabial folds. He offers advice on evaluating the depth and classifying
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 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 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 informationSurgical creation of a Cupid s bow using W-plasty in patients after cleft lip surgery
The British Association of Plastic Surgeons (2003) 56, 375 379 Surgical creation of a Cupid s bow using W-plasty in patients after cleft lip surgery Ayako Takeshita*, Tatsuo Nakajima, Tsuyoshi Kaneko,
More informationReview Article Infraeyebrow Blepharoplasty for Blepharochalasis of the Upper Eyelid: Its Indication and Priority
Plastic Surgery International Volume 2012, Article ID 975097, 5 pages doi:10.1155/2012/975097 Review Article Infraeyebrow Blepharoplasty for Blepharochalasis of the Upper Eyelid: Its Indication and Priority
More informationINFRABROW EXCISION BLEPHAROplasty
ORIGINAL ARTILE Extended Infrabrow Excision lepharoplasty for Dermatochalasis in Asians Akihiro Ichinose, MD, PhD; Takao Sugimoto, MD, PhD; Isao Sugimoto, MD, PhD; Hiroyoshi Ishinagi, MD; Kenji Kuwazuru,
More informationInteresting Case Series. Hair Braiding-Induced Scalp Necrosis: A Case Report
Interesting Case Series Hair Braiding-Induced Scalp Necrosis: A Case Report Zachary Borab, MD, a Madeleine Gantz, MD, a Michael Mirmanesh, MD b and Hengli Lin, MD c a Drexel University College of Medicine,
More informationFacial Fat Compartments: A Guide to Filler Placement
Facial Fat Compartments: A Guide to Filler Placement Safa E. Sandoval, M.D., 1 Joshua A. Cox, B.A., 2 John C. Koshy, M.D., 1 Daniel A. Hatef, M.D., 1 and Larry H. Hollier, Jr., M.D., F.A.C.S. 1 ABSTRACT
More informationAesthetic Blepharoplasty
Aesthetic Blepharoplasty 1 / 6 2 / 6 3 / 6 Aesthetic Blepharoplasty Blepharoplasty (Greek: blepharon, "eyelid" + plassein "to form") is the plastic surgery operation for correcting defects, deformities,
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 informationRECONSTRUCTION OF THE NOSE AND FOREHEAD BY MEANS OF REGIONAL /ESTHETIC UNITS
RECONSTRUCTION OF THE NOSE AND FOREHEAD BY MEANS OF REGIONAL /ESTHETIC UNITS By MARIO GONZALEZ-ULLOA, M.D., F.A.C.S., and EDUARDO STEVENS, M.D. Sanatorio Dalinde, Mexico IN this paper we present a case
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 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 informationThe role of the columellar strut in aesthetic COSMETIC. The Effect of the Columellar Strut Graft on Nasal Tip Position in Primary Rhinoplasty
COSMETIC The Effect of the Columellar Strut Graft on Nasal Tip Position in Primary Rhinoplasty Rod J. Rohrich, M.D. T. Jonathan Kurkjian, M.D. Ronald E. Hoxworth, M.D. Phillip J. Stephan, M.D. Ali Mojallal,
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 informationThe popularity of face-lift surgery over the last
SPECIAL TOPIC The Cross-Cheek Depression: Surgical Cause and Effect in the Development of the Joker Line and Its Treatment Val Lambros, M.D. James M. Stuzin, M.D. Newport Beach, Calif.; and Miami, Fla.
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 informationHasson & Wong Lateral Slit Technique in Hair Transplantation Natural hair transplant results, minimized scarring
Hasson & Wong Lateral Slit Technique in Hair Transplantation Natural hair transplant results, minimized scarring The evolution of follicular unit hair transplants, which involves transplanting hair in
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 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 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 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 informationEYEBROW MID FACE JAW LINE PATIENT SELECTION NECK
EYEBROW MID FACE JAW LINE PATIENT SELECTION NECK EYEBROW MID FACE JAW LINE PATIENT SELECTION NECK SILHOUETTE SOFT INDICATIONS Eyebrow ptosis Mid face skin ptosis Loss of malar volume Jaw line ptosis Neck
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 informationCorrection of Thin Lips: A 17-Year Follow-Up of the Original Technique
Cosmetic Follow-Up Correction of Thin Lips: A 17-Year Follow-Up of the Original Technique Adi Yoskovitch, M.D., and Nabil Fanous, M.D. Montreal, Canada The demand for lip augmentation in the older population
More informationCorrecting problems in hair restoration surgery: an update
Facial Plast Surg Clin N Am 12 (2004) 263 278 Correcting problems in hair restoration surgery: an update James E. Vogel, MD, FACS Division of Plastic Surgery, Johns Hopkins School of Medicine and Hospital,
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 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 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 informationResearch Article The Superficial Musculoaponeurotic System of the Face: A Model Explored
Anatomy Volume 2013, Article ID 794682, 5 pages http://dx.doi.org/10.1155/2013/794682 Research Article The Superficial Musculoaponeurotic System of the Face: A Model Explored M. Broughton and G. M. Fyfe
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 informationDANIEL LANZER COSMETIC SURGEON WITH 25+ YEARS EXPERIENCE
DR DANIEL LANZER COSMETIC SURGEON WITH 25+ YEARS EXPERIENCE ADVANCED EAR CORRECTIONS WITH DR. RYAN WELLS The latest advanced minimally invasive cosmetic ear correction technique has been introduced to
More informationReview of the Nomenclature of the Retaining Ligaments of the Cheek: Frequently Confused Terminology
Topic Review of the Nomenclature of the Retaining Ligaments of the Cheek: Frequently Confused Terminology Yeui Seok Seo 1, Jennifer Kim Song 2, Tae Suk Oh 3, Seong Ihl Kwon 4, Tanvaa Tansatit 5, Joo Heon
More information7:50-8:00 Welcome: Convenor & President AAFPS Tuan Pham
Program Day 1 WEDNESDAY 7 MARCH 2018 FACELIFT / FACIAL REJUVENATION SYMPOSIUM Chair Speakers 7:15-7:45 Registration 7:50-8:00 Welcome: Convenor & President AAFPS Tuan Pham Beauty and Face Gillian Dunlop
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 informationAgeing face, an overview Aetiology, assessment and management
Review Article Ageing face, an overview Aetiology, assessment and management Abstract Ageing in humans refers to a multidimensional process of physical, psychological, and social change. These changes
More informationTHE LIPS ARE AN ESSENTIAL
Quantitative Analysis of Lip Appearance After V-Y Lip Augmentation Andrew A. Jacono, MD; Vito C. Quatela, MD ORIGINAL ARTICLE Objective: To quantitatively analyze the changes in the 3-dimensional appearance
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 informationThe aging process, which begins to appear around the 30s, reverses the triangle of beauty whose base is at the top of the face during adolescence and
The aging process, which begins to appear around the 30s, reverses the triangle of beauty whose base is at the top of the face during adolescence and the 20s, but inevitably reverses overturns with time.
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 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 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 informationChapter 12: Facial Plastic Surgery
The American Academy of Otolaryngology Head and Neck Surgery Foundation (AAO-HNSF) Presents... Chapter 12: Facial Plastic Surgery Daiichi Pharmaceutical Corporation, marketers and distributors of FLOXIN
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 informationAESTHETIC SURGERY SYMPOSIUM
2016 Debating The Choices in Rhinoplasty 36 TH AESTHETIC SURGERY SYMPOSIUM THE WALDORF ASTORIA HOTEL NEW YORK, NEW YORK DECEMBER 1, 2, 3, 2016 COURSE CHAIRMEN SHERRELL J. ASTON, MD DANIEL C. BAKER, MD
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 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 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 informationMasking the Close Eye Appearance in the East Asian Female Population: Infratemporal Hairline Reduction with Hair Grafting
Aesth Plast Surg (2016) 40:921 925 DOI 10.1007/s00266-016-0695-9 CASE REPORT COSMETIC MEDICINE Masking the Close Eye Appearance in the East Asian Female Population: Infratemporal Hairline Reduction with
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 information