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 Showing 1-20 of 22 Articles
Paul J. Carniol, MD; Mark M. Hamilton, MD; Eric T. Carniol, MD

Fractional lasers were first developed based on observations of lasers designed for hair transplantation. In 2007, ablative fractional laser resurfacing was introduced. The fractionation allowed deeper tissue penetration, leading to greater tissue contraction, collagen production and tissue remodeling. Since then, fractional erbium:YAG resurfacing lasers have also been introduced. ...

Comment & Response 
Shunjie Chua, BEng; Mark Pitts, PhD; Peter Lemark, MBA

To the Editor As clinicians who have consulted and treated many patients with prominent ears, we read with great interest the article by Litschel et al1 because this is one of the few studies that have managed to quantify the attention-drawing potential of protruding ears and to ...

Comment & Response 
Ralph Litschel, MD; Abel-Jan Tasman, PhD

In Reply We are thankful to Chua and colleagues for commenting on the methodology of our study “Effect of Protruding Ears on Visual Fixation Time and Perception of Personality,” in which we investigated the attention-drawing effect of protruding ears using an eye-tracking device and the effect of protruding ...

Original Investigation 
Ming Ying Lan, MD, PhD; Yong Ju Jang, MD, PhD
Includes: Supplemental Content

Importance  Short nose, especially postoperative short nose in Asian patients, remains a challenging problem for plastic surgeons.

Objective  To determine the outcomes of revision rhinoplasty of postoperative short noses in Asian patients.

Design, Setting, and Participants  We performed a retrospective medical record review of 41 ...

Surgical Pearls 
Fazil Apaydin, MD

The author testifies that a general utility surgical “chef’s knife” should be part of the surgical set when the use of costal cartilage is an option for the patient.

Original Investigation  FREE
Heather Starmer, MA; Sofia Lyford-Pike, MD; Lisa Earnest Ishii, MD, MHS; Patrick A. Byrne, MD; Kofi D. Boahene, MD

Importance  Facial muscle weakness from paralysis or muscle dystrophy can significantly affect lip strength and function. Lip muscle weakness may result in articulation difficulties and spillage of food, both of which are socially and functionally disruptive for patients. There are few quantitative data on the effect of ...

Original Investigation 
A. Emre Ilhan, MD; Betül Saribas, MD; Basak Caypinar, MD
Includes: Supplemental Content

Importance  Thin or cephalically malpositioned lateral crura cause nasal obstruction by depressing nasal valves and decrease patient satisfaction with rhinoplasty as a result of nostril asymmetry and alar collapse.

Objective  To demonstrate the aesthetic and functional efficacy of lateral crural repositioning with lateral strut grafting in ...

Original Investigation 
Zhuming Yin, MD; Liqiang Liu, MD; Jincai Fan, MD; Jia Tian, MD; Cheng Gan, MD; Zengjie Yang, MD; Wenlin Chen, MD
Includes: Supplemental Content

Importance  Asian patients undergoing cosmetic rhinoplasty often want surgeons to concentrate on the broad nasal tip. Modifying the cartilage framework is considered to be the fundamental strategy; during the modification procedures, the cephalic portion of the lower lateral cartilage is often excised and discarded. However, given the ...

Special Communication 
Nate Jowett, MD; Tessa A. Hadlock, MD
Includes: Supplemental Content, Multimedia: (powerpoint)

The management of acute facial nerve insult may entail medical therapy, surgical exploration, decompression, or repair depending on the etiology. When recovery is not complete, facial mimetic function lies on a spectrum ranging from flaccid paralysis to hyperkinesis resulting in facial immobility. Through systematic assessment of the face ...

Research Letter 
Jeffrey S. Jumaily, MD; Jeffrey H. Spiegel, MD

The field of facial plastic and reconstructive surgery (FPRS) is an important part of otolaryngology–head and neck surgery and a certification board–mandated component of resident training. Creating a successful FPRS practice in an academic environment can be challenging, especially if the surgeon desires to provide cosmetic surgical services, ...

Original Investigation 
Andrew Sapthavee, MD; Nicholas Munaretto, BS; Dean M. Toriumi, MD

Importance  Nasal defects commonly are a result of removal of skin lesions, and reconstruction presents a cosmetic challenge to surgeons. Conventional thought and study results have held that cosmetic outcomes of local flap reconstructions may be superior to those of skin grafts. However, local flap reconstructions require ...

JAMA Facial Plastic Surgery Guide to Statistics and Methods 
Lisa E. Ishii, MD, MHS

In this issue of JAMA Facial Plastic Surgery, Sapthavee et al1 present a retrospective cohort study designed to compare the effectiveness of skin graft reconstruction and local flap reconstruction for nasal defects. This article is an excellent example of how level of evidence (LOE) can be ...

Original Investigation 
James P. Bonaparte, MD, MSc, FRCSC; David Ellis, MD, FRCSC

Importance  This prospective cohort study provides evidence and information on the mechanism of action of onabotulinum toxin A on the reduction of skin elasticity and pliability. Understanding the natural course that onabotulinum toxin A has on the elasticity of skin may help physicians understand why there appears ...

Invited Commentary 
Catherine P. Winslow, MD

The fountain of youth or potent neurotoxin? Botulinum toxin represents both. It has long been known that victims of facial paralysis present a more youthful visage on the paralyzed side, and minimizing muscular contractions can help prevent the formation of folds and rhytids in facial skin. The biochemical ...

Surgical Pearls  FREE
Abel-Jan Tasman, MD; Gustavo A. Suárez, MD

This surgical technique video illustrates nasal radix augmentation using a diced cartilage fibrin glue graft in patients undergoing rhinoplasty.

Surgical Pearls  FREE
Eugenia Chu, MD; Richard E. Davis, MD

This surgical technique video illustrates SMAS debulking. Combined with a strong and well-projected skeletal framework and meticulous aftercare, it will often result in substantial cosmetic improvement, and a satisfactory surgical outcome.

Importance  Patients who experience immediate postoperative nausea and vomiting (PONV) after their facial plastic surgery procedure have a higher incidence of complications and dissatisfaction.

Objectives  To determine whether a single dose of aprepitant administered preoperatively can decrease the incidence of immediate PONV in patients undergoing facial ...

Surgical Pearls  FREE
Yong Ju Jang, MD, PhD; Hye Ran Hong, MD

This surgical technique video illustrates the use of the vertically oriented shield graft for augmentation and refinement of the nasal tip in Asian patients.

Original Investigation 
Jong Sook Yi, MD; Yong Ju Jang, MD, PhD

Importance  Facial asymmetry is frequently detected in patients who are seeking rhinoplasty for a deviated nose, and its presence often leads to failure to create a straight-looking nose.

Objective  To analyze the frequency and characteristics of facial asymmetry in patients with a deviated nose and to ...

Original Investigation 
James Hakjune Kim, BS; Ashley Hamamoto, BS; Nicole Kiyohara, BA; Brian J. F. Wong, MD, PhD

Importance  In rhinoplasty, techniques used to alter the shape of the nasal tip often compromise the structural stability of the cartilage framework in the nose. Determining the minimum threshold level of cartilage stiffness required to maintain long-term structural stability is a critical aspect in performing these surgical ...

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