Plastic Surgery in the News

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Complications and Risks of Breast Augmentation
There were 364,610 breast augmentation procedures performed in 2005. The top concerns of breast augmentation include the surgery itself, the implants, breast cancer and the risk of anesthesia.Contributor: Cristina Olvera Published: May 24, 2006
Wed, 24 May 2006 07:47:00 -0700

What Is Liposuction? What Are The Risks And Benefits Of Liposuction?
Liposuction, also called lipoplasty, liposculpture suction lipectomy, or lipo is a type of cosmetic surgery which breaks up and "sucks" fat from various possible parts of the body, most commonly the abdomen, thighs, buttocks, neck, chin, upper and backs of the arms, calves, and back. The fat is removed through a hollow instrument - a cannula - which is inserted under the skin... (Source: Cosmetic Medicine / Plastic Surgery News From Medical News Today)
Wed, 24 Feb 2010 23:00:00 -0800

Study Showed Sculptra(R) Aesthetic Effectively Corrects Nasolabial Folds And Other Facial Wrinkles
Results published in today's online issue of the Journal of American Academy of Dermatology showed that treatment with Sculptra®Aesthetic (injectable poly-L-lactic acid) was significantly more effective than a human-derived collagen treatment CosmoPlast® in correcting shallow to deep nasolabial fold (NLF) wrinkles (smile lines)...
Wed, 24 Feb 2010 03:00:00 -0800

Breast Augmentation: Taking the Next Step

Wed, 19 Aug 2009 07:00:02 -0700

Asian Men Lead in Cosmetic Surgery Increase

Wed, 12 Aug 2009 07:00:02 -0700

Clinical Study: Biologic Grafts Reduce Postoperative Pain While Creating A Repair As Durable As Synthetic Mesh In Treating Inguinal Hernias
Results from a clinical study led by Luca Ansaloni, M.D., showed that Cook Medical's Biodesign Inguinal Hernia Graft causes less postoperative pain and discomfort while creating a repair as durable as synthetic mesh when used in Lichtenstein's hernioplasty procedures...
Wed, 10 Feb 2010 20:00:00 -0800

Dead Sea Resorts Offer New Treatments For People With Dermatological Diseases
The Dead Sea is the only place in the world that combines year-round hot weather, an oxygen-enriched atmosphere, therapeutic UVB solar radiation, a mineral-rich salt sea, world famous mineral-rich mud, thermo-mineral hot springs and luxurious spas...
Wed, 03 Mar 2010 01:00:00 -0800

Fluorescence Monitoring And Effect Of Photodynamic Therapy For Port Wine Stains
It is known that fluctuations in the treatment outcome of photodynamic therapy (PDT) between patients are related to the concentration of photosensitizer in target tissue...
Wed, 03 Mar 2010 00:00:00 -0800

Low dose of Hyaluronidase to treat over correction by HA filler–A Case Report.
Hyaluronic acid (HA) is probably the most popular filler for correction of deep facial lines as well as facial soft tissue augmentation. The peri orbital region is among the more delicate and difficult areas to treat with filler injections on account of the thin skin in the region. One of the possible complications with HA gel injection is over correction which is particularly troublesome in the tear trough area. (Source: Journal of Plastic, Reconstructive & Aesthetic Surgery)
Wed, 03 Feb 2010 15:00:00 -0800

Allergan, Inc. Announces FDA Approval Of JUVEDERM(R) XC Dermal Filler Formulated With Lidocaine
Allergan, Inc. (NYSE:AGN) announced the U.S. Food and Drug Administration's (FDA) approval of JUVEDERM(R) XC, a new formulation of the currently FDA-approved JUVEDERM(R) dermal filler and the latest advancement1 in hyaluronic acid (HA) dermal fillers...
Wed, 03 Feb 2010 03:00:00 -0800

Two Studies Find Artefill(R) To Be A Long-Term Treatment Option For Facial Lipoatrophy
Suneva Medical, a privately-held aesthetic medical device company, announced that two clinical studies suggest Artefill may be a safe, effective, long-term treatment option for age-related and HIV lipoatrophy patients...
Wed, 03 Feb 2010 02:00:00 -0800

Growth Factor Gene Shown To Be A Key To Cleft Palate
Cleft palate has been linked to dozens of genes. During their investigation of one of these genes, researchers at Washington University School of Medicine in St. Louis were surprised to find that cleft palate occurs both when the gene is more active and when it is less active than normal... (Source: Cleft Palate News From Medical News Today)<div id="medworm">MedWorm Message: Get the very latest Swine Flu news via the MedWorm <a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a> - updated hourly from thousands of authoritative health and news sources.</div>
Wed, 03 Feb 2010 01:00:00 -0800

New Study Reveals VASER(R) Lipo to be the New Standard of Care for ...

Tue, 25 Aug 2009 07:00:02 -0700

Botox Beauty 101

Tue, 25 Aug 2009 07:00:02 -0700

Breast Implants: Saline vs. Silicone and More on Augmentation Surgery
Now ten years after silicone implants were yanked off the market, breast enlargment sugery is on the rise. This article introduces two mothers who had implants and discusses silicone v. saline, sizes, shapes, side effects and pros/cons or the surgery.Contributor: Donna Talarico Published: Feb 21, 2006
Tue, 21 Feb 2006 05:33:00 -0800

Botox Tax opposed by industry professionals

Tue, 18 Aug 2009 07:00:02 -0700

Answers to Questions on Silicone and Saline Breast Implants
A board-certified plastic surgeon answers your questions.Contributor: Donna Talarico Published: May 16, 2006
Tue, 16 May 2006 06:15:00 -0700

Caudal Antia–Buch reconstruction for helical defect reconstruction: Burow’s triangle always in the lobule
Abstract  Different reconstructive techniques regarding helical ear defect reconstruction exist. The best cosmetic results are achieved using the modified Antia–Buch chondrocutaneous advancement flaps. In addition to this flap when it is caudally based, we always place Burow’s triangle in the earlobe. This technique provides the most normal cosmetic appearance of the ear without the need for a cranial-based flap in most cases. Content Type Journal ArticleCategory Ideas and InnovationsDOI 10.1007/s00238-010-0397-5Authors B. B. G. M. Franssen, Maxima Medical Center Veldhoven The NetherlandsM. R. Frechner, Maxima Medical Center Veldhoven The Netherlands Journal European Journal of Plastic SurgeryOnline ISSN 1435-0130Print ISSN 0930-343X (Source: European Journal...
Tue, 16 Feb 2010 09:05:08 -0800

Response to Letter to the Editor: Mast cells in wound-healing cholestatic liver response
We are very pleased that our review about potential cellular and molecular causes of hypertrophic scar formation in the skin induces discussion and will bring up new hypotheses regarding excess scar formation. (Source: Burns : Journal of the International Society for Burn Injuries)<div id="medworm">MedWorm Message: Get the very latest Swine Flu news via the MedWorm <a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a> - updated hourly from thousands of authoritative health and news sources.</div>
Tue, 16 Feb 2010 05:02:16 -0800

Mast cells in wound-healing cholestatic liver response
We read the very interesting Review by Van der Veer et al, published in one of the recent issues of the journal . Among the potential cellular and molecular causes of hypertrophic scar formation, the authors mention mast cells and some of their mediators, in particular TNF-a and IL-4 . (Source: Burns : Journal of the International Society for Burn Injuries)
Tue, 16 Feb 2010 05:02:16 -0800

Re: Burn injuries due to Christian religious customs
Reply, We would like to thank the authors for their useful contribution. We missed their article because we only reviewed the English literature. Once again, their comments confirm the importance of burns related to traditions, social habits, and religious activities . (Source: Burns : Journal of the International Society for Burn Injuries)
Tue, 16 Feb 2010 05:02:16 -0800

Burn injuries due to Christian religious customs
Sir, With great interest we read the paper by Al-Qattan and Al-Zahrani K, “A review of burns related to traditions, social habits, religious activities, festivals and traditional medical practices”, which summarizes thermal injuries related to specific social and cultural customs and practices from Jewish, Muslim, Indian and Buddhist religions , but none related to Christian customs. We would like to take the opportunity to draw attention to typical burn injury patterns due to Christian religious practice. (Source: Burns : Journal of the International Society for Burn Injuries)
Tue, 16 Feb 2010 05:02:15 -0800

The involvement of alpha-melanocyte-stimulating hormone in the hyperpigmentation of human skin autografts
Conclusions: These results indicate that the function of melanogenesis, transfer of melanin in melanocytes, was dramatically enhanced in skin autografts by a-MSH. The over-expression of a-MSH may play an important role in the hyperpigmentation process of skin autografts and provide a novel mechanism of this process. (Source: Burns : Journal of the International Society for Burn Injuries)
Tue, 16 Feb 2010 05:02:15 -0800

Thiamine supplementation increases serum thiamine and reduces pyruvate and lactate levels in burn patients
Abstract: The importance of vitamins for optimal metabolism is well established. However, currently little is known about the optimal vitamin levels required for burn patients. As a consequence, current practice both for macronutrient supplementation and vitamin supplementation varies widely between burn units. A better understanding of the effects of vitamins on metabolism may lead to better nutrition and subsequently improved outcomes for burn patients.Thiamine is an important co-factor required for multiple enzymes involved in carbohydrate metabolism. We have examined the levels of thiamine (B1) in burn patients as well as the effects of thiamine supplementation on the levels of serum thiamine, pyruvate and lactate.Twenty patients had blood samples taken on the day of admission, then on...
Tue, 16 Feb 2010 05:02:15 -0800

Reconstruction of large hypertrophic scar on trunk and thigh by means of liposuction technique
Conclusion: Large hypertrophic scar at sites rich in subcutaneous fat such as trunk and thigh can be reconstructed in one stage by liposuction technique, which is easy, safe, effective and economic. Although indications of liposuction scar reconstruction are strict, it is indeed a better option for appropriate cases. (Source: Burns : Journal of the International Society for Burn Injuries)
Tue, 16 Feb 2010 05:02:14 -0800

The use of “composite dressing” for covering split-thickness skin graft donor sites
Abstract: To evaluate the effect of a new dressing method for clean wound coverage, two kinds of dressing materials are combined together to cover nine wounds in nine patients. All the wounds are split-thickness skin graft donor sites located in the anterior thighs. The size of the wounds ranges from 6cm×4cm to 10cm×8cm (42cm2 on average). A central fenestration is created in the polyurethane film layer for draining the wound discharge, and a piece of 2.5cm×2.5cm carboxymethyl cellulose dressing is fixed on top of the fenestration for protecting the underlying wound. Dry gauze is used to cover the composite dressing, which is replaced daily. The wound condition is checked and recorded everyday until the patient is discharged. Further management and follow-up for the wound is performed a...
Tue, 16 Feb 2010 05:02:14 -0800

Accelerated healing of skin burns by anti-Gal/a-gal liposomes interaction
Abstract: Topical application of a-gal liposomes on burns results in rapid local recruitment of neutrophils and macrophages. Recruited macrophages are pivotal for healing of burns because they secrete cytokines/growth factors that induce epidermis regeneration and tissue repair. a-Gal liposomes have glycolipids with a-gal epitopes (Gala1-3Galß1-4GlcNAc-R) which bind anti-Gal, the most abundant natural antibody in humans constituting ~1% of immunoglobulins. Interaction of a-gal liposomes with anti-Gal within the fluid film formed on burns, activates complement and generates chemotactic complement cleavage peptides which effectively recruit neutrophils and macrophages. Anti-Gal IgG coating a-gal liposomes further binds to Fc? receptors on macrophages and activates them to secrete c...<div id="medworm">MedWorm Message: Get the very latest Swine Flu news via the MedWorm <a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a> - updated hourly from thousands of authoritative health and news sources.</div>
Tue, 16 Feb 2010 05:02:14 -0800

Age-dependent differences of interleukin-6 activity in cardiac function after burn complicated by sepsis
Abstract: Interleukin (IL)-6 is a pleiotropic cytokine that is activated after acute injuries, and plays an important role during aging. We aim to define the role of IL-6 on myocardial dysfunction following a 40% total body surface area burn followed by late (7 days) Streptococcus pneumoniae sepsis (burn plus sepsis) in 2- and 14-month-old wild type and IL-6-/- mice. We measured global hemodynamic and cardiac contractile function with left ventricular pressure–volume analysis 24h after sepsis induction, and measured phosphorylated signal transducer and activator of transcription 3 (p-STAT-3), tumor necrosis factor (TNF)-a, and IL-1ß in the heart with Western blot analysis. We also measured mRNA expression of IL-6, TNF-a, and IL-1ß. Sham injured mice did not manifest any appreciab...
Tue, 16 Feb 2010 05:02:14 -0800

Assessing the severity of inhalation injuries in adults
This study supports the predictive nature of the P/F ratio in relation to survival in adults. Larger prospective studies using bronchoscopic findings and P/F ratio would give us a better indication as to the value of a scoring system in adults that are admitted with inhalation injuries. (Source: Burns : Journal of the International Society for Burn Injuries)
Tue, 16 Feb 2010 05:02:13 -0800

Acute kidney injury in critically ill burn patients. Risk factors, progression and impact on mortality
Conclusion: This study demonstrated (a) the high incidence of AKI in patients with severe burns; (b) the number of predisposing to progression of AKI factors (severity of organ failure, presence of sepsis, use of nephrotoxic drugs, number of previous surgical operations, cumulative fluid balance); (c) the association of Failure class of acute kidney injury with high mortality. (Source: Burns : Journal of the International Society for Burn Injuries)
Tue, 16 Feb 2010 05:02:13 -0800

A microarray analysis of temporal gene expression profiles in thermally injured human skin
Abstract: Partial-thickness burns incite a multitude of responses which eventually culminate in cutaneous wound repair. We hypothesized that these events would evoke extensive alterations in gene expression thereby orchestrating the complexity of spatial and temporal events that characterize “normal” human wound healing. In the present study, gene expression from partial-thickness areas at defined temporal periods (1–3 days, 4–6 days, and 7–18 days) after injury were compared to normal non-wounded skin. Gene alterations proved extensive (2286 genes). Statistically significant alterations were noted among increased and decreased genes expressed in the three different temporal groupings. Our foundational data (based on samples from 45 individuals) provide a comprehensive molecular ...<div id="medworm">MedWorm Message: Get the very latest Swine Flu news via the MedWorm <a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a> - updated hourly from thousands of authoritative health and news sources.</div>
Tue, 16 Feb 2010 05:02:13 -0800

Pre-existing psychiatric disorders, psychological reactions to stress and the recovery of burn survivors
This study aimed to investigate whether previous findings from a small retrospective study could be replicated prospectively. The previous study showed that patients with an existing diagnosis of psychosis or depression, admitted to a burns service, had longer hospital stays and longer wound healing times when compared with controls matched for burn injury but without a pre-existing psychiatric condition . In this study it was hypothesised that those patients without pre-existing psychiatric diagnosis, but with high levels of psychological distress after burn would also show a similar pattern of delayed recovery to those with a pre-existing psychiatric illness. In addition, we examined potential mechanisms for slowed recovery, including; adherence with treatment; delayed discharge on socia...
Tue, 16 Feb 2010 05:02:13 -0800

Burn resuscitation: The results of the ISBI/ABA survey
Abstract: Introduction: There are valid concerns that burn shock resuscitation is inadequate; a tendency to over-resuscitate the patient seems to exist which may increase complications such as compartment syndrome. The purpose of this study was to survey members of the ISBI and ABA to determine current practices of burn resuscitation.Methods: A survey asking for practices of burn shock resuscitation was provided to all participants of a recent ABA meeting. Around the same time, the survey was sent to all members of the ISBI through the internet. The results of the 101 respondents (ABA – 59, ISBI – 42, approximately a 15% response rate) are described.Results: Surveys were returned from all the continents except Africa. Respondents included directors (48%), staff physicians (19%), nurses...
Tue, 16 Feb 2010 05:02:12 -0800

Toxic epidermal necrolysis (Lyell's disease)
Abstract: Stevens–Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are severe adverse drug reactions, characterized by a low incidence but high mortality, initially described as separate entities, but today considered variants of the same pathologic process and differing only for severity.The majority of cases appear to be related to idiosyncratic drug reactions. The drugs most commonly involved are: antibiotics such as sulfonamides, ß-lactam, tetracyclines and quinolones; anticonvulsants such as phenytoin, phenobarbital and carbamazapine; antiretroviral drugs; nonsteroidal anti-inflammatory drugs, allopurinol.There is common agreement to consider TEN as the manifestation of a disregulated immune reaction against epithelial cells. During the first stages of TEN, apoptosis med...
Tue, 16 Feb 2010 05:02:11 -0800

Award of the g. whitaker international burns prize for 2009 palermo, italy
(Source: Burns : Journal of the International Society for Burn Injuries)<div id="medworm">MedWorm Message: Get the very latest Swine Flu news via the MedWorm <a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a> - updated hourly from thousands of authoritative health and news sources.</div>
Tue, 16 Feb 2010 05:02:11 -0800

2009 Proposed Revisions. THE INTERNATIONAL SOCIETY FOR BURN INJURIES CONSTITUTION AND BYLAWS
(Source: Burns : Journal of the International Society for Burn Injuries)
Tue, 16 Feb 2010 05:02:11 -0800

Proposed Changes to the Bylaws
(Source: Burns : Journal of the International Society for Burn Injuries)
Tue, 16 Feb 2010 05:02:11 -0800

Study Identifies Racial And Ethnic Disparities In Surgical Care
Minority patients in New York City appear less likely than white patients to have surgeries performed by surgeons or at facilities that have handled large numbers of similar procedures in the past, according to a report in the February issue of Archives of Surgery, one of the JAMA/Archives journals...
Tue, 16 Feb 2010 00:00:00 -0800

Botulinum Toxin Injection May Help Prevent Some Types Of Migraine Pain
A preliminary study suggests the same type of botulinum injection used for cosmetic purposes may be associated with reduced frequency of migraine headaches that are described as crushing, vicelike or eye-popping (ocular), but not pain that is experienced as a buildup of pressure inside the head, according to a report in the February issue of Archives of Dermatology, one of the ...
Tue, 16 Feb 2010 00:00:00 -0800

Bo-tax: Lawmakers weigh taxing cosmetic procedures

Tue, 11 Aug 2009 07:00:02 -0700

Hopkins reunion
Every two years the Johns Hopkins Medical and Surgical Association holds a reunion in Baltimore. This year was different because it was not only a reunion but also a celebration of Paul Manson's tenure as chief of plastic surgery and his impending retirement after a third of a century at Hopkins, a period that began in 1976, his first year of residency. (Source: Journal of Plastic, Reconstructive & Aesthetic Surgery)<div id="medworm">MedWorm Message: Get the very latest Swine Flu news via the MedWorm <a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a> - updated hourly from thousands of authoritative health and news sources.</div>
Tue, 09 Mar 2010 05:02:53 -0800

Through the mists of time:
Puthumana Philip PhilipIndian Journal of Plastic Surgery 2009 42(2):219-223Sushrutha had been viewed in textbooks of plastic surgery as belonging to the caste of potters who performed surgery in India. We have examined the available source documents and other references to the technology of the period to examine this assertion and are convinced that there is no evidence to support this. The period, technology and geographic references in Sushrutha Samhitha are correlated with settled positions on these to arrive at an understanding of the time and knowledge which is described. Source of erroneous interpretation of Sushrutha as a potter is also examined and clarified. (Source: Indian Journal of Plastic Surgery)
Tue, 09 Mar 2010 05:02:25 -0800

Index
(Source: Clinics in Plastic Surgery)
Tue, 09 Mar 2010 05:02:05 -0800

Problems in Rhinoplasty
In this review, the complications of rhinoplasty are examined in terms of their timing of presentation. An algorithmic approach to postoperative problems is discussed. Complications can frequently be avoided by meticulous technique, recognition of pitfalls, and early attention to perioperative morbidity. Reoperative rates can be minimized with good patient education and proper command of the postoperative situation, so that unnecessary procedures are not undertaken. (Source: Clinics in Plastic Surgery)
Tue, 09 Mar 2010 05:02:05 -0800

Secondary Rhinoplasty in Unilateral Cleft Nasal Deformity
The cleft-lip nasal deformity presents a formidable challenge in rhinoplasty surgery. A wide variety of techniques have been proposed for the correction of this problem, which is proof of the difficulty of this reconstructive problem. The approach outlined in this article amalgamates many cleft-lip rhinoplasty concepts into a single unified technique. This technique is designed to address the deficiencies present on the cleft side of the nose. (Source: Clinics in Plastic Surgery)
Tue, 09 Mar 2010 05:02:05 -0800

Secondary Rhinoplasty and the Use of Autogenous Rib Cartilage Grafts
This article discusses the steps involved in the external approach to secondary rhinoplasty. (Source: Clinics in Plastic Surgery)<div id="medworm">MedWorm Message: Get the very latest Swine Flu news via the MedWorm <a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a> - updated hourly from thousands of authoritative health and news sources.</div>
Tue, 09 Mar 2010 05:02:05 -0800

Ethnic Rhinoplasty
As the United States becomes more racially and ethnically diverse, the number of non-Caucasian patients seeking rhinoplasty is increasing. The non-Caucasian, or ethnic, rhinoplasty patient can be a surgical challenge due to the significant anatomic variability from the standard European nose as well as variability within each ethnicity. Becoming familiar with the common anatomic differences as well as the aesthetic goals in the ethnic rhinoplasty patient will assist the surgeon in attaining consistent, ethnically congruent, and aesthetically pleasing results. (Source: Clinics in Plastic Surgery)
Tue, 09 Mar 2010 05:02:05 -0800

Asian Rhinoplasty
Asian rhinoplasty differs from traditional rhinoplasty approaches in preoperative analysis, patient expectations, nasal anatomy, and surgical techniques used. Platyrrhine nasal characteristics are common, with low dorsum, weak lower lateral cartilages, columellar retraction, and thick sebaceous skin often noted. Typically, patients seek augmentation of these existing structures rather than reductive procedures. Autologous cartilage, in particular use of costal cartilage, has been shown to be a reliable technique, which, when executed properly, produces excellent long-term results. An understanding of cultural perspectives, knowledge of the nasal anatomy unique to Asian patients, and proficiency with augmentation techniques are prerequisites in attaining the desired results for patient and ...
Tue, 09 Mar 2010 05:02:05 -0800

Lengthening the Short Nose
Lengthening the short nose is a challenging area of rhinoplasty. The short nose can be a naturally occurring aesthetic disproportion, or the result of a congenital abnormality or traumatic deformity. The surgical approach depends mostly on the quality of the lining, skeleton, overlying skin, and the amount of correction desired. (Source: Clinics in Plastic Surgery)
Tue, 09 Mar 2010 05:02:05 -0800

Surgical Treatment of the Crooked Nose
This article discusses the general principles and the surgical details of septorhinoplasty. (Source: Clinics in Plastic Surgery)
Tue, 09 Mar 2010 05:02:04 -0800

Osteotomies
The most challenging and instrumental step in achieving harmonious form and function during rhinoplasty is the successful completion of osteotomies. Osteotomies are performed to correct deformities of the bony nasal vault. Successful treatment of deformity of the bony vault is achieved through organized thinking, comprehensive knowledge of nasal anatomy, and thorough preoperative and intraoperative planning. In this review the authors discuss the pertinent anatomy, technical considerations, and complications that rhinoplasty surgeons should be aware of to optimize the correction of deformities of the nasal bony vault. (Source: Clinics in Plastic Surgery)<div id="medworm">MedWorm Message: Get the very latest Swine Flu news via the MedWorm <a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a> - updated hourly from thousands of authoritative health and news sources.</div>
Tue, 09 Mar 2010 05:02:04 -0800

Rhinoplasty: Dorsal Grafts and the Designer Dorsum
This article reviews the author's different approaches to dorsal grafts using fascia and diced cartilage, either separately or in combination. (Source: Clinics in Plastic Surgery)
Tue, 09 Mar 2010 05:02:04 -0800

Humpectomy and Spreader Flaps
In a primary rhinoplasty that requires a humpectomy, the dorsal aspect of the upper lateral cartilages is commonly discarded. Many of these patients need spreader grafts to reconstruct the middle third of the nose. However, it is possible to reconstruct the upper lateral cartilages into “spreader flaps” that act much like spreader grafts. In the process of making spreader flaps, an incremental humpectomy is performed on the dorsal septum and bony hump. This humpectomy procedure is more accurate than the conventional humpectomy that involves resection of the bone, and septum as a single unit. The open and closed approaches of this technique are discussed in this article. (Source: Clinics in Plastic Surgery)
Tue, 09 Mar 2010 05:02:04 -0800

Rhinoplasty5 Pearls: Value of the Endonasal Approach and Vertical Dome Division
Successful outcomes in rhinoplasty depend more on diagnosis than on approach or technique. When the needs of each patient are assessed on multiple occasions, operative performance improves and revision rates decline. The evolutionary track from an endonasal and excisional operation to the more commonly preferred external and restructuring technique is outlined in this article. The senior author's rationale and preference for the endonasal approach and the repositioning of cartilage in the tip using vertical dome division techniques is emphasized. (Source: Clinics in Plastic Surgery)
Tue, 09 Mar 2010 05:02:04 -0800

Alar Cartilage Grafts
The alar cartilages provide the contour and structural support of the nasal tip. Current rhinoplasty concepts support preservation of alar structure with suture techniques or judicious cephalic trim indicated for tip deformities. In many primary cases and some revisions, adequate alar structure exists to achieve the desired aesthetic and functional results with conservative surgical methods. In some primary and most revision cases, however, the existing tip structure is inadequate to create a structurally sound and aesthetically pleasing nasal tip without adding structure. In these cases, alar cartilage grafting techniques are indicated to recapitulate nasal tip contour and structure. (Source: Clinics in Plastic Surgery)
Tue, 09 Mar 2010 05:02:04 -0800

Alar Base Disharmonies
This article simplifies the recognition of common alar base disharmonies. The classification system is intended to facilitate choosing the best surgical technique to correct the alar base flaws. (Source: Clinics in Plastic Surgery)<div id="medworm">MedWorm Message: Get the very latest Swine Flu news via the MedWorm <a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a> - updated hourly from thousands of authoritative health and news sources.</div>
Tue, 09 Mar 2010 05:02:04 -0800

Suture Techniques in Rhinoplasty
Suture techniques are an indispensable means to biologically sculpt the cartilage of the nose. Here the authors review their use in tip-plasty and present a 4-suture algorithm that allows for simple, complete control in sculpting the shape of all nasal tips in primary rhinoplasty. After a standard cephalic trim of the lateral crus leaving it 6 mm wide, one or more of the four suture techniques are applied. One of the newest techniques that has yielded excellent results is the hemi-transdomal suture, a variation of the conventional transdomal suture. This technique narrows the dome but also everts the lateral crus slightly to avoid concavities of the nostril rim. The 4-suture algorithm is useful in both the open and closed approaches. A more general use of sutures is described and referred ...
Tue, 09 Mar 2010 05:02:04 -0800

Diagnosis and Correction of Alar Rim Deformities in Rhinoplasty
Recognition of alar rim deformities is an important component of the preoperative analysis of the nose. Correction of these deformities improves the esthetic balance of the nose and has an added benefit of improving the function of the external nasal valve. Classification systems have been proposed to enable surgeons to more accurately diagnose alar deformities. These classification systems help guide surgeons as to the appropriate surgical procedure to correct a problem. The purpose of this article is to review the proposed classification systems for alar rim deformities and review the specific surgical techniques that have been proposed for each of the deformities. (Source: Clinics in Plastic Surgery)
Tue, 09 Mar 2010 05:02:04 -0800

Principles of Photography in Rhinoplasty for the Digital Photographer
This article reviews the basic principles of photography and discusses their application to facial plastic surgery practice, and rhinoplasty in particular. (Source: Clinics in Plastic Surgery)
Tue, 09 Mar 2010 05:02:03 -0800

Surgical Anatomy of the Nose
This article describes the nasal anatomy, careful study of which makes for a more confident, prepared practitioner. (Source: Clinics in Plastic Surgery)
Tue, 09 Mar 2010 05:02:03 -0800

Nasal and Facial Analysis
Rhinoplasty remains one of the most challenging aesthetic procedures to master. Astute surgeons must consider a continually evolving societal perception of beauty with their own sense of aesthetic proportion when planning surgical intervention. Optimal results are achieved when the outcome is anticipated and satisfying to patient and surgeon. This requires a careful, thoughtful, systematic approach to preoperative analysis. Patients should leave with a clear understanding of the surgeon's perspective of their nose, aesthetically and anatomically. Understanding the interplay of surface deformities and their underlying anatomic counterpart is critical, involving a systematic analysis to create a surgical plan that avoids landmines leading to a suboptimal result. (Source: Clinics in Plastic S...<div id="medworm">MedWorm Message: Get the very latest Swine Flu news via the MedWorm <a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a> - updated hourly from thousands of authoritative health and news sources.</div>
Tue, 09 Mar 2010 05:02:03 -0800

Preface
For a number of reasons, rhinoplasty is arguably the most intricate and challenging operation in all of aesthetic plastic surgery. Because the nose is a relatively small structure, a millimeter change makes a discernible difference in its aesthetics. It is located in the middle of the face, constantly available for inspection by the patient and others. The magnitude of the effects of the healing process often equals and occasionally exceeds the magnitude of the changes that the surgeon is seeking to make. Indeed, the healing process can completely distort the sculptured result the surgeon has achieved. Furthermore, almost every surgeon knows what an aesthetically pleasing nose looks like when he or she sees it. However, not every surgeon intuitively understands what components of the nose ...
Tue, 09 Mar 2010 05:02:03 -0800

Forthcoming Issues
(Source: Clinics in Plastic Surgery)
Tue, 09 Mar 2010 05:02:03 -0800

Contents
(Source: Clinics in Plastic Surgery)
Tue, 09 Mar 2010 05:02:03 -0800

Contributors List
(Source: Clinics in Plastic Surgery)
Tue, 09 Mar 2010 05:02:03 -0800

New Survey Finds Out What Americans Are Really Paying Attention To When Choosing Foods
Americans recognize things need to change in the grocery aisle, and they support Uncle Sam's efforts to overhaul what is included in their food and on the packages. The majority also believe they are individually responsible for making the right food choices to avoid obesity, but will readily accept the government's help to be successful, according to a new survey by FoodMinds...
Tue, 09 Mar 2010 05:00:00 -0800

Novel Program Translates Behavioral And Social Science Research Into Treatments To Reduce Obesity
Under a $7.1 million grant from the National Institutes of Health, Rush University Medical Center is developing a novel program, called WISHFIT, to help pre-menopausal women reduce visceral fat through a sustained increase in physical activity and reduction in stress...
Tue, 09 Mar 2010 05:00:00 -0800

Obesity As Protection Against Metabolic Syndrome, Not Its Cause
The collection of symptoms that is the metabolic syndrome - insulin resistance, high cholesterol, fatty liver, and a greater risk for diabetes, heart disease, and stroke - are all related to obesity, but, according to a review in the March 9th issue of the Cell Press publication Trends in Endocrinology and Metabolism, not in the way you probably think they are...
Tue, 09 Mar 2010 02:00:00 -0800

Light To Moderate Drinking Linked To Less Weight Gain In Middle Aged Women
A new study from the US found that normal weight women in their 40s and older who drank a light to moderate amount of alcohol gained less weight and had a lower risk of becoming obese and overweight compared to their non-drinking counterparts...
Tue, 09 Mar 2010 02:00:00 -0800

Higher Fast Food Prices Lead To Lower Weight, Diabetes Risk
A new study that followed participants for 20 years shows both weight and risk for diabetes decreased for people in communities where fast food prices increased. The University of North Carolina at Chapel Hill study, published in the March 8, 2010, issue of Archives of Internal Medicine, also showed the reverse when fast food prices fell, then consumption, weight and diabetes risks rose...
Tue, 09 Mar 2010 01:00:00 -0800

Nerve Graft Transplant Can Prove Successful In Eliminating Many Life-Threatening Pressure Ulcers
The Plastic Surgery Center today announced that an innovative nerve graft transplant performed by Dr. Andrew Elkwood has proven to be successful in treating and preventing posterior pressure ulcers - one of the leading causes of mortality among paraplegics...
Tue, 09 Feb 2010 14:00:00 -0800

Does a trauma clinic help improve the diagnosis of soft tissue hand injuries?
Abstract  Soft tissue hand injuries represent a major part of the trauma workload in most plastic surgery units in the UK. It is therefore crucial that such injuries be appropriately assessed and managed, so as to reduce the risk of any potential complications. Also, inappropriate assessments may lead to unnecessary operations and their potential complications. In an attempt to improve its trauma service, the Plastic Surgery Unit at Frenchay Hospital has made several innovations to its service, one of which being the creation of a trauma clinic manned by a senior plastic registrar. The aim of our study was to assess the rate of negative exploration in soft tissue hand injuries and also to assess the impact that the trauma clinic will have on the diagnosis of soft tissue inj...
Tue, 09 Feb 2010 08:34:59 -0800

Tax On Sugared Drinks Loses Appeal, Tanning Salons Still Fighting
Los Angeles Times: "Only months ago, supporters of the soda tax saw it as an idea whose hour was near. The sheer magnitude of the medical cost of obesity added urgency to the issue ... But opponents questioned any link between sugary drinks and obesity, and expressed concern about a slippery slope of taxes on other products...
Tue, 09 Feb 2010 04:00:00 -0800

Questions Remain On Bariatric Surgery For Adolescents
Laparoscopic adjustable gastric banding surgery can effectively treat obesity in adolescents and seems to offer a better alternative than gastric bypass surgery, but further study is needed to determine whether it's better than nonsurgical options, a UT Southwestern Medical Center surgeon writes in an editorial in the Feb. 10 issue of the Journal of the American Medical Association...
Tue, 09 Feb 2010 02:00:00 -0800

Neoumbilicus in abdominoplasty: points of finesse
Abstract  Most of the scar and resulting ‘dog ears’, as a result of abdominoplasty, are inconspicuous and can be well hidden in the clothing. Neoumbilicus is often at display and an aesthetically pleasing umbilicus heightens the patient satisfaction from such a procedure. This paper discusses our technique of restoration of the umbilicus. The neoumbilical site is marked 1 cm inferior to the projected stalk. A small ellipse is excised and a core of adipose tissue is excised in a conical fashion underneath it. The umbilicus is anchored to the rectus sheath at 3, 9 and 6 o’clock points in the described manner. We then discuss the importance of the vector of pull on the umbilical stalk and relate this to production of an aesthetically pleasing superior hood. The tech...<div id="medworm">MedWorm Message: Get the very latest Swine Flu news via the MedWorm <a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a> - updated hourly from thousands of authoritative health and news sources.</div>
Tue, 02 Mar 2010 23:49:42 -0800

Making Light Work Of Home Grooming
The National Physical Laboratory (NPL) and the University of Dundee recently assessed the light emitted by a home-use intense-pulsed light (IPL) hair reduction system and confirmed that it is safe. This confirmation is important, as IPL devices must meet the necessary safety guidelines, to ensure users are protected in the case of accidental exposure to the human eye...
Tue, 02 Mar 2010 05:00:00 -0800

Rhinoplasty Using Nácul’s Suspensor System: A Preliminary Report
Abstract  A minimally invasive procedure based on a “suspensory system” is presented for the aesthetic correction of the flat nose. A Goretex monofilament is inserted between the connective tissue and the perichondrium from the septal, upper lateral, and alar cartilages in a quadrangular fashion. When tightened, it shortens the nose and elevates the tip. The procedure is performed on an outpatient basis with the patient under local anesthesia. It offers the patient immediate evaluation of the result. No edema or bruises have been observed. At this writing, 8 months after an application of this procedure, no extrusions or collateral reactions have been found. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-010-9476-zAuthors Almir Moojen...
Tue, 02 Mar 2010 01:00:13 -0800

Nerve regeneration after local administration of the inhibitor peptide of the TGF-ß1 (P144®)
Abstract  To determine whether local administration of the inhibitor peptide of the transforming growth factor-ß1 (TGF-ß1; p144®) at the site of the anastomosis of a peripheral nerve can improve the peripheral nerve regeneration. Sciatic nerves were transected and immediately repaired. Wistar rats (n?=?45) were divided into three groups: a control group (group I, n?=?15), a vehicle solution group (group II, n?=?15), and a p144®-treated group (group III, n?=?15); 0.25 ml of a solution containing 2.5 mg of p144® per milliliter of tissucol® was administered at the site of the nerve repair in group III. The animals were sacrificed at 12 weeks. Spinal motor neurons and distal axons were quantified. Electrophysiological studies and walking track...
Tue, 02 Mar 2010 00:59:53 -0800

Back to the big tent
I am constantly reminded about how different things are these days. Different especially in how plastic surgeons view themselves. When I began my training there was a segmentation between ‘real’ plastic surgeons (meaning those that did traditional reconstructive plastic surgery) and the cosmeticians (those surgeons who did cosmetic surgery). Even as a trainee I found this disingenuous. My experience was that as a plastic surgeon got more senior in his or her practice they tended to do more cosmetic surgery. The peculiar tension between experienced, respected plastic surgeons and what they were actually doing, versus the ridicule and shame heaped upon them for doing cosmetic surgery, always made me uneasy and was difficult to understand. This tension apparently all got too much when a g...
Tue, 02 Feb 2010 05:06:26 -0800

Male Breast Reduction Fastest Growing Area Of Cosmetic Surgery In Britain Last Year
The economic situation does not appear to have affected the cosmetic surgery business in Britain: new figures from a not-for-profit organisation show that the number of surgical procedures were 6.7 per cent higher in 2009 than 2008, among which the number of male breast reductions went up by 80 per cent...
Tue, 02 Feb 2010 02:00:00 -0800

Did Paula Abdul Get More Plastic Surgery?

Thu, 27 Aug 2009 07:00:02 -0700

Heidi Montag Plans More Plastic Surgery in the Future

Thu, 27 Aug 2009 07:00:02 -0700

Montag plans another boob job

Thu, 27 Aug 2009 07:00:02 -0700

Patients choosing less-expensive options in plastic surgery

Thu, 27 Aug 2009 07:00:02 -0700

Reply to Discussion by Dr. M. Kane
Discussion by Dr. M. Kane Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s00266-009-9400-6Authors Kiyonori Harii, Kyorin University Tokyo Mitaka-shi JapanMakoto Kawashima, Tokyo Women’s Medical University School of Medicine Tokyo Japan Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery)<div id="medworm">MedWorm Message: Get the very latest Swine Flu news via the MedWorm <a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a> - updated hourly from thousands of authoritative health and news sources.</div>
Thu, 25 Feb 2010 21:51:42 -0800

The Fate of Porous Hydroxyapatite Granules Used in Facial Skeletal Augmentation
This study evaluated the long-term maintenance of augmented bony projection when porous hydroxyapatite granules are used on the facial skeleton. Ten female patients aged 28–58 years were studied following aesthetic augmentation of the facial skeleton at 24 sites using porous hydroxyapatite granules. Postoperative CT scans at 3 months served as the baseline measurement and compared with scans taken at 1 and 2 years, with the thickness of the hydroxyapatite measured in axial and coronal planes. Thickness of original bone plus overlay of hydroxyapatite, thickness of the overlying soft tissue, and the overall projection (bone plus soft tissue) were recorded. It was found that 99.7% of the hydroxyapatite was maintained at 2 years, with no statistical difference (t te...
Thu, 25 Feb 2010 21:51:42 -0800

Dermatology Study Identifies Genetic Key In Treatment Of Female Hair Loss
Molecular dermatology research and development innovator HairDX announced the results of a six month pilot study that presents, for the first time, evidence that genetic mechanisms may predict treatment response to Finasteride for postmenopausal female Androgenetic Alopecia (female hair loss)...
Thu, 25 Feb 2010 01:00:00 -0800

New FDA Approved Treatment For Head Lice Is Safe And Effective In Children As Young As 6 Months Old
A new non-neurotoxic treatment for head lice has been found to have an average of 91.2% treatment success rate after one week, and to be safe in humans from six months of age and up. This is the finding of a study published in Pediatric Dermatology...
Thu, 25 Feb 2010 00:00:00 -0800

Breast Implants are Legal for Teens

Thu, 20 Aug 2009 07:00:02 -0700

An uncommon presentation of hydatid cyst in submandibular salivary gland—a case report
Abstract  Hydatid disease is a parasitosis known as hydatidosis or echinococcosis. It affects both animals and humans. Hydatid cyst of the head and neck region is uncommon and the involvement of salivary glands, especially the submandibular gland is very rare. A case of submandibular gland hydatid cyst is reported in this article. A patient presented with a swelling of submandibular region since 8 months. On examination, swelling revealed a soft, non-tender, mobile mass with fluctuation positive when done bimanually measuring 8?×?6 cm. Chest X-ray and abdominal ultrasonography were normal. Excision of the submandibular gland with the mass was performed and pathological examination confirmed the swelling to be a hydatid cyst of the right submandibular gland. ...
Thu, 18 Feb 2010 08:53:21 -0800

A long-term review of Z-plasty technique for repair of split earlobes
The objective of this study is to present the technique, results, and outcomes of our split earlobe patients. A 10-year retrospective review of one surgeon’s (I.T.J) split earlobe cases was performed. Repairs involved resection of the edges of the split area followed by a Z-plasty at the edge of the lobe. We perform a complete closure without preservation of the original piercing hole. Re-piercing is performed after at least a month. Forty-three patients were included, and eight had bilateral involvement. Average follow-up of the patients was around 4 months. A variety of etiologies were responsible for the split. One patient developed hematoma and infection which was resolved with antibiotics. Another patient developed notching and required revision surgery. The other 41 pat...
Thu, 18 Feb 2010 08:53:20 -0800

Plastic Surgery More Often Part of Wedding Plans

Thu, 13 Aug 2009 07:00:02 -0700

Surgical Safety Research Recieves 2010 HSR Impact Award
AcademyHealth recognized research that improves patient safety and surgical outcomes with the 2010 Health Services Research (HSR) Impact Award. The WHO Surgical Safety Checklist was created as a tool to ensure adherence to basic safety standards of care...
Thu, 11 Feb 2010 04:00:00 -0800

Breast-removal surgery that preserves a lot

Thu, 06 Aug 2009 07:00:02 -0700

Interleukin Genetics, Inc. And Stanford University Report Genetic Test Improves Weight Loss Success With Diets
Interleukin Genetics, Inc. (NYSE Amex: ILI) announced presentation of findings from a retrospective clinical study on weight management conducted in collaboration with Stanford University...
Thu, 04 Mar 2010 04:00:00 -0800

Kids Lose Pounds, Gain Fitness In Houston Study
Innovative, kid-friendly strategies for losing weight and gaining nutrition savvy-plus physical fitness skills-are emerging from scientific studies funded by the Agricultural Research Service (ARS). For example, investigators Craig A. Johnston, John P...
Thu, 04 Mar 2010 03:00:00 -0800

Community Involvement Important In Fight Against Childhood Obesity
Community support of school obesity prevention programs is critical to achieving a significant decrease in obesity among children, according to researchers at the Michael & Susan Dell Center for Advancement of Healthy Living, which is part of The University of Texas Health Science Center at Houston (UTHealth). Deanna Hoelscher, Ph.D...
Thu, 04 Mar 2010 03:00:00 -0800

Researchers Discover A Direct Link Between The Hormone FGF21 And Brown Adipose Tissue
The blood glucose-lowering hormone FGF21 is also an activator of brown adipose tissue metabolism, according to the study featured on the cover of Cell Metabolism and directed by the lecturer Francesc Villarroya of the UB's Department of Biochemistry and Molecular Biology (Faculty of Biology), the Institute of Biomedicine, and the Biomedical Research Networking Centre in Physio...
Thu, 04 Mar 2010 03:00:00 -0800

Exercise Counters Negative Effects Of Weight Regain, MU Researchers Find
With the obesity rate rising for American adults and children, health concerns such as diabetes and cardiovascular disease are a frequent reality. Although obesity itself is a major risk factor for disease, most of the threat may be associated with a cluster of risk factors called the metabolic syndrome (MetS)...
Thu, 04 Mar 2010 02:00:00 -0800

New Analysis Calls For State And Federal Action To Track Childhood Obesity
A report published in the journal Health Affairs calls for increased body mass index surveillance as a tool to combat the childhood obesity epidemic and urges state and federal action to implement effective BMI surveillance systems nationwide...
Thu, 04 Mar 2010 02:00:00 -0800

In The Future Our Own Skin Cells Could Be Used To Repair Our Hearts
A heart patient's own skin cells soon could be used to repair damaged cardiac tissue thanks to pioneering stem cell research of the University of Houston's newest biomedical scientist, Robert Schwartz...
Thu, 04 Mar 2010 02:00:00 -0800

Nad's Launches New Hypoallergenic Facial Hair Removal Strips
Nad's, the Hair Removal Experts, have announced the full national launch of new Hypoallergenic Facial Hair Removal Strips. The product comes packaged with 24 strips for the face and is available now at a special launch discount of 40% off at the Nad's online store. Also, to celebrate the launch, all other Nad's products are 30% off during the month of March. Customers can visit http://www.nads...
Thu, 04 Mar 2010 02:00:00 -0800

Students' Physical Fitness Associated With Academic Achievement; Organized Physical Activity Linked To Lower Body Fat In Girls
Physical fitness is associated with academic performance in young people, according to a report presented at the American Heart Association's 2010 Conference on Nutrition, Physical Activity and Metabolism...
Thu, 04 Mar 2010 01:00:00 -0800

Study Shows Soluble Fiber Boosts Immune System
A new University of Illinois study touts the benefits of soluble fiber - found in oats, apples, and nuts, for starters - saying that it reduces the inflammation associated with obesity-related diseases and strengthens the immune system...
Thu, 04 Mar 2010 01:00:00 -0800

Index
(Source: Facial Plastic Surgery Clinics of North America)
Sun, 31 Jan 2010 15:00:00 -0800

Middle Eastern Rhinoplasty
This article highlights the inherent nasal features of the Middle Eastern nose and reviews pertinent concepts of rhinoplasty on Middle Eastern patients. Essential considerations in the process spanning the consultation and surgery are reviewed. Reliable operative techniques that achieve a successful aesthetic outcome are discussed in detail. (Source: Facial Plastic Surgery Clinics of North America)
Sun, 31 Jan 2010 15:00:00 -0800

Rhinoplasty in the Patient of African Descent
This article highlights the significance of exploring ancestry in the rhinoplasty consultation; identifies key anatomic variables in the nasal tip, dorsum, and alar base; and reviews surgical logic that has facilitated the achievement of consistent, balanced aesthetic outcomes. (Source: Facial Plastic Surgery Clinics of North America)<div id="medworm">MedWorm Message: Get the very latest Swine Flu news via the MedWorm <a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a> - updated hourly from thousands of authoritative health and news sources.</div>
Sun, 31 Jan 2010 15:00:00 -0800

Hispanic/Mestizo Rhinoplasty
This article highlights the different types of problems encountered in mestizo patients. It describes a graduated approach to the nose whereby support structures of the nose are strengthened by careful placement of sutures and grafts, trying to achieve greater definition and support without necessarily making the nose look bigger. (Source: Facial Plastic Surgery Clinics of North America)
Sun, 31 Jan 2010 15:00:00 -0800

Asian Rhinoplasty
Asian rhinoplasty is one of the most challenging ethnic rhinoplasties that plastic surgeons perform because of the thick skin and soft-tissue envelope. There are three goals: pleasing the patient, achieving an aesthetically appealing result, and preserving a natural look. Of these goals, the most arduous is to satisfy the patient, as many patients have unrealistic goals and may desire an extremely narrow Western nose. Furthermore, patients may bring in celebrity or model photographs and expect that outcome, even though it may not be suitable for their face or appear over-resected and pinched. The surgeon's most important task is to attempt to persuade the patient that this result is nonfunctional, esthetically unfit, and difficult to achieve with their skin. For ethnic surgery, a clear and...
Sun, 31 Jan 2010 15:00:00 -0800

Traumatic Rhinoplasty in the Non-Caucasian Nose
This article discusses ethnic anatomic differences in the non-Caucasian nose in the context of posttraumatic nasal deformity. The various rhinoplasty techniques and strategies to address these issues are reviewed. (Source: Facial Plastic Surgery Clinics of North America)
Sun, 31 Jan 2010 15:00:00 -0800

Botox Facial Slimming/Facial Sculpting: The Role of Botulinum Toxin-A in the Treatment of Hypertrophic Masseteric Muscle and Parotid Enlargement to Narrow the Lower Facial Width
Botulinum toxin A is a highly efficacious and cost-effective, nonsurgical option for reducing the width and shape of the lower face and jawline. The results can vary from the subtlest thinning of the face to an extremely thin, cachectic appearance. Many nuances can be achieved. The administration is simple, and the process takes barely 5 minutes in an office setting. Botulinum toxin A can also be effectively used to reduce the bulk of an enlarged parotid gland without affecting saliva production. (Source: Facial Plastic Surgery Clinics of North America)
Sun, 31 Jan 2010 15:00:00 -0800

Chemical Peels for Darker Skin Types
This article focuses on chemical peels for darker skin types. All races comprise a range of Fitzpatrick skin color types: light skin types in African Americans, Asians, Middle Easterners, and Latinos and dark skin types in whites. With the focus on Fitzgerald skin types IV to VI, this article discusses chemical peels, providing current information on types of peels, detailed techniques, preoperative and postoperative care, complications, hazards, and nuances of management. (Source: Facial Plastic Surgery Clinics of North America)<div id="medworm">MedWorm Message: Get the very latest Swine Flu news via the MedWorm <a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a> - updated hourly from thousands of authoritative health and news sources.</div>
Sun, 31 Jan 2010 15:00:00 -0800

Laser Treatment for Ethnic Skin
With the growth of new technology and products over the last 10 years, there has been an increased ability to improve a patient's appearance with procedures that can be performed in an office setting, including laser procedures. Demand for these procedures has grown among all ethnic groups. Patients with ethnic skin can have varying response to lasers. This factor should be considered when planning their treatment. After laser treatment, Patients with ethnic skin are at greater risk for laser energy absorption by melanin, postinflammatory hyperpigmentation, and loss of pigment due to laser effects on melanin production leading to hypopigmentation. Therefore, any laser therapy should be planned carefully, especially in the treatment of patients with darker skin types. (Source: Facial Plasti...
Sun, 31 Jan 2010 15:00:00 -0800

The New “Genetico-Racial” Skin Classification: Maximizing the Safety of Skin Treatments for Asians
Racial genetics play a significant role in determining a patient's response to any skin treatment. Contrary to traditional skin classifications, the new genetico-racial classification takes into consideration the racial origins of patients, as manifested in both their skin color and their feature contour characteristics, rather than their skin color alone. According to this new classification, patients may belong to 1 of 6 categories, originating from the 3 ancient continents: Africa, Europe, and Asia. In this article the Asian category, as well as its subcategories, are approached in a radically different way. This new geneticoracial classification ushers in a “paradigm shift” in the way Asian patients are perceived before, during, and after skin treatments. The new geneticoracial cla...
Sun, 31 Jan 2010 15:00:00 -0800

Lip Reduction Surgery (Reduction Cheiloplasty)
This article discusses and presents options related to the cosmetic reduction of enlarged lips, primarily in ethnic populations. No formal study is performed. The author presents a literature review and discusses his personal 26-year experiences in lip surgery. When basic tenets are followed, cosmetic lip reduction is a predictable procedure with very little morbidity. Although lip augmentation is a popular cosmetic procedure, a certain percentage of the population desires smaller lips. Reduction cheiloplasty is a safe and predictable procedure that has been performed over a half century. This procedure is relatively simple and has a moderate learning curve. Cosmetic lip reduction is safe and effective, and has a high level of patient acceptance when certain diagnostic and treatment criter...
Sun, 31 Jan 2010 15:00:00 -0800

Forehead Augmentation with Alloplastic Implants
Methods of alloplastic forehead augmentation using soft expanded polytetrafluoroethylene (ePTFE) and silicone implants are described. Soft ePTFE forehead implantation has the advantage of being technically simpler, with better fixation. The disadvantages are a limited degree of forehead augmentation and higher chance of infection. Properly fabricated soft silicone implants provide potential for larger degree of forehead silhouette augmentation with less risk of infection. The corrugated edge and central perforations of the implant minimize mobility and capsule contraction. (Source: Facial Plastic Surgery Clinics of North America)
Sun, 31 Jan 2010 15:00:00 -0800

Midface Alloplastic Augmentation in the Asian and Latino Patient
This article describes the anatomy of the Asian and Latino face and describes the techniques of midface alloplastic augmentation. (Source: Facial Plastic Surgery Clinics of North America)<div id="medworm">MedWorm Message: Get the very latest Swine Flu news via the MedWorm <a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a> - updated hourly from thousands of authoritative health and news sources.</div>
Sun, 31 Jan 2010 15:00:00 -0800

Supratarsal Crease Creation in the Asian Upper Eyelid
Supratarsal crease fixation in the Asian patient can provide a more open-eyed, awake look without compromising their ethnic appearance. A conservative supratarsal crease height and conservative to no removal of postseptal fat help to ensure this natural-appearing result. With the full-incision method, consistently excellent results have been achieved with durable crease fixation despite a prolonged recovery time. The supratarsal crease fixation provides an excellent method for the younger patient seeking cosmetic eyelid enhancement. However, for the aging Asian patient, the complexity of the strategy is greater. (Source: Facial Plastic Surgery Clinics of North America)
Sun, 31 Jan 2010 15:00:00 -0800

Hair Restoration in the Ethnic Patient and Review of Hair Transplant Fundamentals
This article serves as a primer on basic tenets of hair restoration, with additional attention given to the uniqueness and differences in technique and design that are warranted for a wide range of races and ethnicities. This article also gives prospective surgeons an insight on how to undertake further study and shore up their deficiencies so as to refine knowledge gaps and ensure patient safety and excellent surgical outcomes. (Source: Facial Plastic Surgery Clinics of North America)
Sun, 31 Jan 2010 15:00:00 -0800

Upper and Midfacial Rejuvenation in the Non-Caucasian Face
The non-Caucasian face has many unique attributes, including skin tone, texture, elasticity, skin thickness, and subcutaneous fat content. These differences may place the patient at increased risk for scarring and pigmentation issues. In this paper, the authors discuss treatment options, surgical and nonsurgical, for rejuvenation of the upper face and midface, including the periorbital region. The selection of the proper treatment must be coupled with a thorough understanding of the age-related changes that occur in the non-Caucasian face to meet and hopefully exceed the patient's expectations. (Source: Facial Plastic Surgery Clinics of North America)
Sun, 31 Jan 2010 15:00:00 -0800

Lower Facial Rejuvenation in the Non-Caucasian Face
The goal would be similar to Caucasian patients in that all patients would like to have maximum improvement with minimal detectability of the surgical procedure. With regard to scars, the incisions must be no longer than necessary to accomplish the desired goal, and should be carefully placed so that color matches are ideal and there is no objectionable hair shift. In addition, the technique of making an incision for male patients should be made so that hairs will grow through the scars whenever possible. For non-Caucasian patients it is essential that attention be made to all of the known details and techniques, to avoid detection that surgery has been performed. (Source: Facial Plastic Surgery Clinics of North America)
Sun, 31 Jan 2010 15:00:00 -0800

A New Paradigm for the Aging Face
Fat transfer has become the primary method for facial rejuvenation in my clinical practice for all ethnicities. This technique can be effectively used to address panfacial volume loss so long as artistry, technical skill, and an in-depth understanding of fat grafting changes over the years are well applied and understood. Fat grafting can replace many traditional facial rejuvenation techniques or serve as an important adjunct to excisional and lifting procedures to temper the degree of excision and lifting that are required. (Source: Facial Plastic Surgery Clinics of North America)<div id="medworm">MedWorm Message: Get the very latest Swine Flu news via the MedWorm <a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a> - updated hourly from thousands of authoritative health and news sources.</div>
Sun, 31 Jan 2010 15:00:00 -0800

Preface
The makeup of today's facial plastic surgery patient is as diverse as ever with a larger percentage of patients from various ethnicities seeking cosmetic enhancement. This edition of Facial Plastic Surgery Clinics focuses on a broad range of non-White groups, including African, Hispanic, Asian, and Middle Eastern individuals, with coverage of important topics ranging from cultural considerations, rejuvenation of the aging face, ethnic lip reduction, hair restoration, to rhinoplasty techniques. In-depth discussion of the management of difficult-to-treat ethnic skin is covered with an introduction to a new paradigm for ethnic skin and safe and effective treatment strategies using advanced lasers and traditional peels. (Source: Facial Plastic Surgery Clinics of North America)
Sun, 31 Jan 2010 15:00:00 -0800

Forthcoming Issues
(Source: Facial Plastic Surgery Clinics of North America)
Sun, 31 Jan 2010 15:00:00 -0800

Contents
(Source: Facial Plastic Surgery Clinics of North America)
Sun, 31 Jan 2010 15:00:00 -0800

Erratum
In the November 2009 issue of Facial Plastic Surgery Clinics of North America on facelift, Dr David A. Caplin's affiliations were incorrectly published. Dr Caplin is Clinical Instructor at Washington University, St Louis, and in private practice at Parkcrest Plastic Surgery, 845 North New Ballas Court, Suite 300, St Louis, MO 63141, USA. His e-mail address is: Gfts27@aol.com. (Source: Facial Plastic Surgery Clinics of North America)
Sun, 31 Jan 2010 15:00:00 -0800

Contributors
(Source: Facial Plastic Surgery Clinics of North America)<div id="medworm">MedWorm Message: Get the very latest Swine Flu news via the MedWorm <a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a> - updated hourly from thousands of authoritative health and news sources.</div>
Sun, 31 Jan 2010 15:00:00 -0800

[Residency in plastic surgery: comparison between the French and the Canadian Royal College programs]
CONCLUSION: Actually, few French plastic surgery programs could satisfy the requirements of the Royal College on several points, however without failing the training of French plastic surgeons. Nevertheless, we could be inspired by several elements (rotation in private practice,grouping together several academic hospitals. . .) to improve our system of training. PMID: 20180285 [PubMed - in process] (Source: Annales de Chirurgie Plastique et Esthetique)
Sun, 31 Jan 2010 15:00:00 -0800

University Of Florida Surgeons, Research Biologists Create Scale To Grade Shark Bite Severity
Shark attack! These words can send waves of fear through the public and often guarantee prominent coverage in the news media - even if the bite is little more than a scratch. To better communicate the actual severity of the bite, University of Florida researchers have created a grading scale, similar to how burn severity is ranked by degrees...
Sun, 31 Jan 2010 01:00:00 -0800

Johnson & Johnson Consumer Companies, Inc., Unveils CYTOMIMIC™ Technology At 68th Annual Meeting Of The American Academy Of Dermatology
Building on decades of research into how the body's electrical field affects skin regeneration, scientists at Johnson & Johnson Consumer Companies, Inc., have discovered how to harness the power of bioelectricity to help improve skin rejuvenation...
Sun, 07 Mar 2010 01:00:00 -0800

What Is Heat Rash? What Is Prickly Heat? What Causes Heat Rash?
Heat rash, also known as prickly heat, sweat rash and miliaria, is an itchy, red skin rash that often causes a stinging or prickling sensation. It is common in infants but can affect adults too, especially during hot, humid weather. Heat rash develops when sweat ducts become blocked and perspiration is trapped under the skin. This causes irritation and results in the rash...
Sun, 07 Mar 2010 00:00:00 -0800

Women and Breast Implants
Women sometimes need the breast implant to fullfill their lives. They need them to enhance their body figures.Contributor: C Published: Oct 02, 2005
Sun, 02 Oct 2005 08:51:00 -0700

An Analysis of the Economic Recession's Impact on the Practice of Facial Plastic and Reconstructive Surgery
Facial plast Surg 2010; 26: 054-057DOI: 10.1055/s-0029-1245067© Thieme Medical PublishersGet connected:Table of contents | Full text (Source: Facial Plastic Surgery)
Sat, 30 Jan 2010 04:55:03 -0800

Multiple Revenue Streams from Your Existing and New Practice Opportunities: Focusing on Core Values Versus Distractions
This article relates some of the strategies taken from the popular business development literature to the setting of plastic surgery practice development.[...]© Thieme Medical PublishersGet connected:Table of contents | Abstract | Full text (Source: Facial Plastic Surgery)
Sat, 30 Jan 2010 04:55:03 -0800

The Medical Spa: An Opportunity or Nightmare?
This article describes the positives and negatives of opening a spa from construction through personnel.[...]© Thieme Medical PublishersGet connected:Table of contents | Abstract | Full text (Source: Facial Plastic Surgery)<div id="medworm">MedWorm Message: Get the very latest Swine Flu news via the MedWorm <a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a> - updated hourly from thousands of authoritative health and news sources.</div>
Sat, 30 Jan 2010 04:55:03 -0800

Exponential Growth Using the Internet and Your Web Site
Facial plast Surg 2010; 26: 039-044DOI: 10.1055/s-0029-1245063ABSTRACTDeveloping a successful Internet strategy can help attract new patients and take your practice to the next level. Today, as the Internet has evolved, it is more important than ever, especially as your competitors are likely pursuing more aggressive strategies themselves. There are several important components involved, and maximizing your efforts with each can help create a comprehensive and sound strategy that achieves significant results. Behind such a strategy you will find a strong focus in many areas, including Web site development, search engine optimization, link building, content creation, blogs, video, choosing a vendor, patient conversion, Web 2.0, social networking, reputation management, and more. Understandi...
Sat, 30 Jan 2010 04:55:03 -0800

Franchise Medicine: How I Avoid Being a Commodity in a Global Market
Facial plast Surg 2010; 26: 034-038DOI: 10.1055/s-0029-1245062ABSTRACTAs facial plastic surgery becomes more global, pressures for practices to become commoditized will increase. Commoditized practices are those in which price drives the quality of the product. Franchised surgical practices have also recently increased within the United States and abroad. These are always commoditized by their corporate philosophies. There are better ways to create value than to lower price to compete with a neighboring practice. By establishing a Transcendent Relationship™ of growth, both the surgeon and the patient are more satisfied with their facial plastic surgical experiences. Key tools helpful in predicting future directions for a practice, the Four Compass Points™ and the Average Best P...
Sat, 30 Jan 2010 04:55:03 -0800

Strategies to Grow Your Practice in a Struggling Economy
This article introduces the concept of Retailicine, combining inherent edicts of medicine with the best practices in business, so today's aesthetic physician can develop strategies for success in any economy. Through the efficient use of marketing strategies catered to aesthetic medicine, aesthetic practices can thrive. Emphasizing the patient's experience, effectively using the Internet, and an ego-devoid introspective analysis of the flaws of one's practice are essential for any successful aesthetic physician to grow and be prosperous despite any shortfalls in the economy.[...]© Thieme Medical PublishersGet connected:Table of contents | Abstract | Full text (Source: Facial Plastic Surgery)
Sat, 30 Jan 2010 04:55:03 -0800

Bariatric Surgery Can Be Safer Than Living With Obesity
Bariatric weight-loss surgery may sound dangerous and complicated, but a Geisinger physician warns that the real danger may be a life of obesity. "There are risks associated with bariatric surgery, as there are with any surgical procedure, but the risks associated with the procedure may pale in comparison to the health complications that can be caused by obesity," said Christopher Still, D.O...
Sat, 30 Jan 2010 01:00:00 -0800

COPPERTONE(R) Solar Research Center Unveils Studies On Efficacy Of Topical Antioxidants In Sunscreens At 2010 Annual Meeting
Schering-Plough HealthCare Products, Inc., the consumer healthcare division of Merck & Co., Inc., the makers of COPPERTONE®, announced at the 2010 Annual Meeting of the American Academy of Dermatology the results of studies demonstrating the efficacy of topical antioxidants in broad spectrum sunscreens...
Sat, 06 Mar 2010 01:00:00 -0800

Phase III REGION-I Study Shows PEP005 (ingenol Mebutate) Gel 0.05% May Reduce Pre-Cancerous Skin Lesions In Patients With Actinic Keratosis
Specialty pharmaceutical company LEO Pharma announced that findings from a Phase III study evaluating PEP005 (ingenol mebutate) Gel 0.05% to treat actinic keratosis (AK), a common pre-cursor to skin cancer, were presented at the 68th Annual Meeting of the American Academy of Dermatology (AAD) (Scientific Session Poster Discussion: P105)...
Sat, 06 Mar 2010 01:00:00 -0800

A Layperson's Psychological Take on Fake Breasts
Food for thought on the real reasons why women get breast augmentation.Contributor: M G Published: Apr 25, 2005
Mon, 25 Apr 2005 20:44:00 -0700

The Benefits of Saline Implants

Mon, 24 Aug 2009 07:00:02 -0700

Droopy eyelids, bags and crow`s feet

Mon, 24 Aug 2009 07:00:02 -0700

Aesthetic Plastic Surgery Welcomes New Editor-in-Chief
Content Type Journal ArticleCategory EditorialDOI 10.1007/s00266-010-9477-yAuthors Catherine Foss, ISAPS Hanover NH USA Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery)
Mon, 22 Feb 2010 22:18:43 -0800

Bilateral carpal tunnel syndrome in a 7-year-old girl with Hurler’s syndrome
Abstract  This is a case report of bilateral carpal tunnel syndrome in a 7-year-old girl with Hurler’s syndrome successfully managed with standard carpal tunnel releases. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00238-010-0403-yAuthors Amy J. Greenwood, Frenchay Hospital Department of Plastic and Reconstructive Surgery Bristol UKJacqueline E. Rees-Lee, Frenchay Hospital Department of Plastic and Reconstructive Surgery Bristol UKSimon Lee, Frenchay Hospital Department of Plastic and Reconstructive Surgery Bristol UK Journal European Journal of Plastic SurgeryOnline ISSN 1435-0130Print ISSN 0930-343X (Source: European Journal of Plastic Surgery)<div id="medworm">MedWorm Message: Get the very latest Swine Flu news via the MedWorm <a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a> - updated hourly from thousands of authoritative health and news sources.</div>
Mon, 22 Feb 2010 22:17:37 -0800

Analysis of Patient-Determined Preoperative Computer Imaging [Original Article]
Objective  To compare patients' goals in aesthetic rhinoplasty with aesthetic ideals by analyzing changes requested through computer imaging during the initial consultation. Methods  The frontal and lateral views of 20 consecutive female rhinoplasty patients were analyzed retrospectively before and after using image manipulation software. Indexes from the frontal view included the ratio of alar base width to dorsal length and the ratio of alar base width to interpupillary distance. On the lateral view, parameters included the nasolabial angle, nasofacial angle, and tip projection (Goode ratio). Ideal parameters were based on descriptions by Powell and Humphreys. Results  The ideal and patient-determined proportions were compared using a paired 2-tailed t test. The mean nasolabial angle falls within the ideal range before and after image manipulation. However, the Goode ratio and the ratio of alar base width to interpupillary distance were statistically similar to ideal values only after image manipulation. The nasofacial angle and the ratio of alar base width to dorsal length showed a trend toward the ideal ratio. Conclusions  Patients' preferences were similar to the ideal in 3 of 5 parameters, and the remaining parameters approached the ideal. These parameters are useful in creating satisfying proportions in aesthetic rhinoplasty and reconstructive surgery within our population. Rather than population-based normative data or ideals based on fashion models or Greek statuary, these are proportions requested by patients. Computer imaging software, used by a growing number of aesthetic surgeons, holds a wealth of data regarding common patient preferences.
Mon, 21 Sep 2009 12:51:22 -0700

The Treatment of Nasal Fractures: A Changing Paradigm [Original Article]
Objectives  To compare the efficacy of closed vs open treatment of nasal fractures, and to suggest an algorithm for nasal fracture management that includes closed and open techniques. Methods  Retrospective study of 86 patients with nasal fractures who received either closed treatment (41 patients) or open treatment (45 patients) between January 1, 1997, and December 30, 2007. Fractures were classified as 1 of 5 types. Revision rates were calculated for each group. Preoperative and postoperative photographs were rated, if available, and patients were interviewed about aesthetic, functional, and quality of life issues related to surgical treatment. Results  The revision rate for all fractures was 6%. The revision rate for closed vs open treatment was 2% vs 9%, respectively. Many closed treatment cases were classified as type II fractures, whereas most open treatment cases were classified as type IV fractures. There was no statistical difference in revision rate, patient satisfaction, or surgeon photographic evaluation scores between the closed and open treatment groups when fractures were treated in the recommended fashion. Conclusions  Patients who undergo open or closed treatment have similar outcomes if the surgical approach is well matched to the individual fracture. Our treatment algorithm provided consistent aesthetic and functional results while minimizing the need for revision procedures.
Mon, 21 Sep 2009 12:51:22 -0700

Margin Reflex Distance in Different Ethnic Groups [Original Article]
Objective  To determine the normal range for eyelid margin reflex distance (MRD) in adults according to their ethnicity, age, and sex. Methods  A prospective study of eyelid measurements in 112 consecutive adult African American, Asian, white, and Latino patients was compared using t test analysis. Measurements of MRD were collected by a single examiner across 5 months. Patients with conditions disposing to eyelid height changes were excluded. Results  The MRD showed statistically significant variance among select ethnic groups. There was no statistical significance between sexes within each ethnic group. Conclusions  Variance in MRD exists among ethnic groups. This information and further data on ethnicity and sex variance of eyelid measurements can be used for both diagnostic purposes and surgical treatment of patients for optimal results.
Mon, 21 Sep 2009 12:51:22 -0700

Correction of Pollybeak and Dimpling Deformities of the Nasal Tip in the Contracted, Short Nose by the Use of a Supratip Transposition Flap [Original Article]
Objective  To discuss our experiences with the use of a supratip transposition flap to simultaneously correct pollybeak deformity and nasal tip dimpling. Design  From April 1, 2007, through August 31, 2008, 10 Asian women with a contracted, short nose that exhibited nasal tip dimpling were retrospectively included in this study. By use of an open approach, the osteocartilaginous framework was elongated first. If the pollybeak and dimpling deformities of the nasal tip were found after the closure of the transcolumellar incision, a supratip transposition flap was designed to correct the combined deformities over the supratip and nasal tip areas. Finally, bilateral marginal incisions were closed. Results  The follow-up period ranged from 2 to 16 months, with an average of 5 months. No immediate complications were noted in this small series. Four of 10 patients required minor flap revisions, with satisfactory results attained thereafter. All patients were satisfied with the aesthetic result after scar maturation. Conclusions  The use of the supratip transposition flap not only corrects pollybeak deformity but also resolves dimpled nasal tip depression. The techniques presented herein add to the armamentarium of revision rhinoplasty surgeons, especially those dedicated to the treatment of the Asian patient who undergoes rhinoplasty.
Mon, 21 Sep 2009 12:51:22 -0700

Comparison of Incision Closures With Subcuticular and Percutaneous Staples [Original Article]
Objective  Incision closures should yield safe, effective healing with excellent cosmesis. Subcuticular absorbable staples may combine the advantages of subcuticular suturing with the efficiency of percutaneous stapling. This study compares absorbable subcuticular staples with percutaneous metal staples as a means of incision closure in facial rejuvenation surgery. Methods  Sixteen patients undergoing endoscopic eyebrow-lift and/or rhytidectomy were studied. Each patient had 50% of their temporal and postauricular skin incisions closed with subcuticular staples oversewn with 5-0 plain gut and the remaining 50% closed with percutaneous metal staples. Incisions were evaluated intraoperatively and at regular intervals for 1 year postoperatively. Intraoperative assessments included device handling, bleeding, tension, and cosmesis. Postoperative assessments included incision integrity, inflammation, and cosmesis. Patients were also interviewed regarding incision appearance and comfort. Results  During the early postoperative period, metal staples produced greater incisional erythema and crusting. Subcuticular staples produced better tissue eversion, less erythema, equivalent if not superior comfort, and shorter office visits. These differences faded over time. The need to properly engage the subcuticular stapler in the dermis was the principal impediment to optimal stapler use. Conclusions  Subcuticular staples represent a safe, comfortable, and potentially more rapid alternative to percutaneous staples. Modifications of the subcuticular stapler device are required before its full potential can be realized.
Mon, 21 Sep 2009 12:51:22 -0700

Meta-analysis of Surgical Techniques for Preventing Parotidectomy Sequelae [Original Article]
Objective  To conduct a meta-analysis of the literature on surgical methods for the prevention of Frey syndrome and concave facial deformity after parotidectomy. Methods  A PubMed search through February 2008 identified more than 60 English-language studies involving surgical techniques for prevention of these parameters. Analyzed works included 15 retrospective or prospective controlled studies reporting quantitative data for all included participants for 1 or more of the measured parameters in patients who had undergone parotidectomy. Report quality was assessed by the strength of taxonomy recommendation (SORT) score. Data were directly extracted from reports and dichotomized into positive and negative outcomes. The statistical significance was then calculated. Results  The mean SORT score for all studies was 2.34, and the mean SORT score for all the analyzed studies was 1.88. Meta-analysis for multiple techniques to prevent symptomatic Frey syndrome, positive starch-iodine test results, and contour deformity favored intervention with a cumulative odds ratio (OR) of 3.88 (95% confidence interval [CI], 2.81-5.34); OR, 3.66 (95% CI; 2.32-5.77); and OR, 5.25 (95% CI, 3.57-7.72), respectively. Conclusion  Meta-analysis of operative techniques to prevent symptomatic Frey syndrome, positive starch-iodine test results, and facial asymmetry suggests that such methods are likely to reduce the incidence of these complications after parotidectomy.
Mon, 21 Sep 2009 12:51:22 -0700

Profilometric and Morphometric Response of Murine Skin to Cosmeceutical Agents [Original Article]
Objective  To investigate whether topical antiaging compounds can reduce wrinkle depth as noted at replica profilometry with comparable changes in histologic findings in hairless mice. Methods  Commercial retinoic acid cream, a peptide lotion, and a soy cream were applied to the dorsal skin for 4 weeks. Silicone-negative replicas of treated and untreated skin surface were photographed and evaluated for traditional features of surface roughness. Skin samples were processed using histomorphometry and immunohistochemistry of proliferating cell nuclear antigen. Quantitative light microscopic data were acquired for estimating replication of epidermal keratinocytes, epidermal thickness, and depth of dermal collagen bundles. Results  Data were analyzed by comparing means with 1-way analysis of variance, and significant changes in all measurements were noted. Augmented keratinocyte proliferation and thickening of viable epidermis were observed with all 3 compounds, although a greater effect was found in the retinoic acid and peptide treatment groups. A similar trend was noted with respect to widening of the collagen layer. Epidermal surface roughness manifested maximum smoothing after treatment with the peptide compound. Conclusion  The pronounced effects noted with all 3 compounds indicate that topical agents other than retinoic acid may have comparative stimulating effects on the skin in nonirradiated mice.
Mon, 21 Sep 2009 12:51:22 -0700

Use of the Remnant Ear for Reconstruction in Lobule-Type Microtia [Original Article]
Objective  To present in detail a reconstruction technique using the remnant ear in lobule-type microtia. Methods  By comparing the location of residual ear and the contralateral normal ear, we classified 3 different types of the remnant ear. Three techniques of transposition were applied to adjust the location of the reconstructed ear. Results  The reconstructed earlobes not only looked real but also were symmetrical with the contralateral normal ears. Conclusion  The remnant ear is a key factor—in addition to the framework and covering skin—in ear reconstruction in microtia.
Mon, 21 Sep 2009 12:51:22 -0700

The Use of Ultrasonic Shears for the Harvest of Perforator Free Flaps [Surgical Technique]
A retrospective chart review was performed at a university medical center to evaluate the use of ultrasonic shears for the harvest of perforator free flaps over an 18-month period. The anterolateral thigh (ALT) was the perforator free flap site selected for the study. The site of origin and the number of musculocutaneous perforator vessels that were dissected using ultrasonic shears were recorded, and ALT flap viability and wound-healing complications were evaluated to assess safety. Seventeen patients underwent harvest of ALT perforator free flaps. Successful dissection of musculocutaneous perforators was achieved in 96% (27 of 28) of the descending branch perforators and in 100% (9 of 9) of the transverse branch perforators. Flap viability was 100% (17 of 17). We found that ultrasonic shears were effective and safe to use for harvesting perforator free flaps. According to these preliminary findings, the use of ultrasonic shears appears promising, yet further prospective analysis is needed.
Mon, 21 Sep 2009 12:51:22 -0700

Facial Anthropometric Analysis of the Javanese Female [Research Letters]

Mon, 21 Sep 2009 12:51:22 -0700

Absorbable Suture Compared With Nonabsorbable Suture in Upper Eyelid Blepharoplasty Closure [Research Letters]

Mon, 21 Sep 2009 12:51:22 -0700

Edgar Degas's La Savoisienne [Beauty]

Mon, 21 Sep 2009 12:51:22 -0700

Highlights of Archives of Facial Plastic Surgery [Highlights of Archives of Facial Plastic Surgery]

Mon, 21 Sep 2009 12:51:21 -0700

Alar Rim Grafting in Rhinoplasty: Indications, Technique, and Outcomes [Original Article]
Objective  To determine the potential indications for placement of cartilaginous alar rim grafts in primary and revision septorhinoplasty. Methods  Retrospective medical chart analysis of all patients undergoing septorhinoplasty from March 2003 through June 2004 in a private facial plastic and reconstructive surgery center and a tertiary teaching hospital. Patients who received alar rim grafts were identified. The indications for placement of the alar rim grafts were deduced from their preoperative evaluation and intraoperative assessment as noted in their comprehensive operative notes. Preoperative and postoperative digital photographs as well as postoperative medical records were analyzed for alar contour, pertinent patient complaints, and complications. Results  During the 15-month study period, 150 patients underwent septorhinoplasty performed by the senior author. Of these patients, 31 received alar rim grafts. The most frequent indications for placement of alar rim grafts were cephalic malposition of the lower lateral cartilage with inadequate alar support (9 patients [29%]), correction of alar flare (9 patients [29%]), and correction of dynamic alar margin collapse (8 patients [26%]). At a mean 6-month follow-up, there were no graft displacements or extrusion. Conclusion  Alar rim grafting is a simple and versatile approach to providing additional support to the external nasal valve and for improving nasal base contour.
Mon, 21 Sep 2009 12:51:21 -0700

Highlights of Archives of Facial Plastic Surgery [Highlights of Archives of Facial Plastic Surgery]

Mon, 20 Jul 2009 12:54:43 -0700

Graduated Approach to Refinement of the Nasal Lobule [Original Article]
Objective  To present a graduated approach to refining the nasal lobule (a frequent complaint during consultations for rhinoplasty) based on anatomic features and to discuss the casuistics of this procedure since we began performing it. Methods  A retrospective evaluation of the medical charts of 1152 patients who underwent rhinoplasty from 2003 to 2006; 641 patients fulfilled the criteria for our study (55.6%). Outcomes were assessed by comparing preoperative and last follow-up photographs and considering the width, symmetry, and contour of the nasal lobule. Cases were allocated into 7 groups: (1) no surgery on nasal tip; (2) interdomal breakup; (3) cephalic trim; (4) domal suture; (5) shield-shaped graft; (6) vertical dome division; and (7) replacement of lower lateral cartilages. Results  Of the 641 patients enrolled in the study, 435 were women and 206 were men. Mean follow-up period was 1.5 years. An asymmetric tip was present in 28 patients (4.4%), and a persistent width of interdomal space in 34 (5.3%). None presented overnarrowing of interdomal space. Surgical revision rate to enhance refinement of the lobule was 5.6%. Conclusion  Our graduated approach has shown excellent outcomes, a high rate of patient satisfaction, and a low rate of revision.
Mon, 20 Jul 2009 12:54:43 -0700

Hand-washing Practices of Facial Plastic Surgeons [Original Article]
Objectives  (1) To define and characterize knowledge of effective hand hygiene and its scientific basis among practicing facial plastic surgeons; (2) to review the existing literature of, basis for, and guidelines on hand washing in clinical practice; and (3) to motivate and facilitate optimum hand hygiene among facial plastic surgeons. Methods  National Web-based physician survey and literature review. Results  We conducted a national Web-based survey of members of the American Academy of Facial Plastic and Reconstructive Surgery regarding general patient safety practices. A subset of the survey assessed physicians' knowledge of hand hygiene, including supporting rationale and actual practices. One hundred and twenty-two facial plastic surgeons of various demographics replied to the online survey. Of these, 65 (53%) correctly knew which hand washing agents are most effective at killing microorganisms, 88 (74%) knew the preferred hand-washing method for visibly soiled hands, and 51 (42%) correctly identified the indications for hand washing. Conclusions  Adherence to hand hygiene practices is suboptimal among facial plastic surgeons. There seems to be a lack of knowledge regarding indications, methods, and appropriate agents for hand hygiene. Promotion of Centers for Disease Control and Prevention guidelines is an important step in increasing hand hygiene compliance among facial plastic surgeons.
Mon, 20 Jul 2009 12:54:43 -0700

Prospective Analysis of Outcomes and Complications of 300 Consecutive Microvascular Reconstructions [Original Article]
Objective  To prospectively follow up patients requiring microvascular reconstruction of head and neck defects to determine preoperative factors predictive of surgical complications. Methods  A prospectively collected database comprising 300 consecutive microvascular head and neck reconstructions performed by a single surgeon (D.S.A.) in a tertiary care hospital over a 6-year period was reviewed in a retrospective manner. Data collected included preoperative medical and surgical history (presence of documented cardiac disease, diabetes mellitus, and hypertension) and previous cancer treatment (surgery or radiation therapy). Postoperative data, including early or late complications, hematocrit during hospitalization, and functional status, were also collected. A multiple linear regression was used to identify predictors of surgical complications and secondarily crossed to determine the strength of the prediction. Statistical significance was set at P = .05. Results  Patients were stratified into 4 groups based on (1) previous radiation therapy, (2) previous surgery, (3) no previous radiation therapy or surgery, and (4) both previous radiation therapy and previous surgery, with an increased predictability of complications with both. Diabetes also added to the predictability of complications, with a smaller effect. Cardiac disease and hypertension were not predictive. Conclusions  Previous radiation therapy and surgery are positive predictors for wound complications after microvascular reconstruction. Diabetes may add further risk in this setting.
Mon, 20 Jul 2009 12:54:43 -0700

The Utility of Ultrasound in the Evaluation of Submental Fullness in Aging Necks [Original Article]
Objectives  To evaluate the submental region of the aging neck with high-frequency ultrasound and to assess the relative contribution of its various components to the appearance of age-related soft-tissue ptosis. Methods  Ten patients with submental soft-tissue excess were recruited from the senior author's (G.S.K.) private practice. The subcutaneous fat compartment, the subplatysmal fat compartment, and the anterior bellies of the digastric muscles were imaged with high-frequency ultrasound and measured in the cephalocaudal dimension. Pseudoherniation of subplatysmal fat, judged in relation to the inferior surface of the digastric muscles, was also assessed from acquired images. Results  A clear delineation of submental anatomy was obtained with ultrasound in all patients (N = 10, 100%). Hypertrophied digastric muscles (n = 1, 10%) and excessive subplatysmal fat (n = 5, 50%) adversely contributed to the appearance of submental fullness in 6 patients (60%). These findings would not have been predicted with the same degree of accuracy from the physical examination alone. Conclusions  High-frequency ultrasound provides useful imaging of the submental region and its components. Deeply situated subplatysmal fat and anterior bellies of the digastric muscles, both of which may be difficult to assess on physical examination, can be readily evaluated with ultrasound. When sufficiently enlarged and ptotic, deep tissues of the submental space necessitate an open submentoplasty to restore a youthful neck contour. Preoperative ultrasonography can assist with anatomical imaging of the submental space and help in planning a targeted operative intervention in patients with submental soft-tissue excess.
Mon, 20 Jul 2009 12:54:43 -0700

An Evaluation of the Effectiveness of Different Techniques for Intraoperative Infiltration of Antibiotics Into Alloplastic Implants for Use in Facial Reconstruction [Original Article]
Background  Reconstruction in the head and neck can be difficult owing to the size of the defect or characteristics of the tissue that needs to be replaced. Facial wounds or reconstruction sites can be subject to contamination, thereby risking infection of any implanted material even under ideal circumstances. Particular areas of concern are sites where minimizing the bacterial contamination prior to placing an implant is difficult (eg, the oral cavity and internal nose). Reconstruction involves the facial subcutaneous soft tissue and/or bone, and the ideal implant provides support and natural feel, as well as a low risk of infection. The biocompatibility of alloplastic implants depends on the tissue inertness of the implant and the porosity, allowing connective tissue ingrowth, which in turn decreases the susceptibility to infection. Scalafani et al demonstrated that alloplastic implants contaminated prior to fibrovascular ingrowth had a much higher incidence of infection and rejection. Objective  To examine the effectiveness of several techniques for infiltrating antibiotics into alloplastic implants of different porosity using 2 commonly used alloplastic implants, expanded polytetrafluoroethylene (e-PTFE, or GORE-TEX) and porous high-density polyethylene (Medpor). Results  Using an in vitro bacterial growth inhibition model, we found that suction infiltration of the implant with antibiotics was the most effective technique, with a statistically significant advantage over other techniques used. The advantages of the suction impregnation were seen to be most effective using alloplasts with a smaller pore size (20-30 µm) (P < .001), but there was a statistically significant difference even with implants with a larger pore size (150-200 µm) (P < .001). Conclusions  Suction infiltration of antibiotics into porous implants seems to be the most effective method identified using an in vitro testing protocol. Further experiments will be needed to confirm the effectiveness in reducing the perioperative risk of infection in vivo.
Mon, 20 Jul 2009 12:54:43 -0700

A Prospective Evaluation of the Efficacy of Topical Adhesive Pads for the Reduction of Facial Rhytids [Original Article]
Objective  To determine the efficacy of an over-the-counter topical skin adhesive pad for reducing central forehead and glabellar rhytids over a 4-week period. Design  Prospective series involving 30 healthy volunteers with central forehead and glabellar rhytids at a tertiary care academic medical center. The participants used topical skin adhesive pads over the central forehead area and the glabella for 4 weeks in an effort to reduce rhytids. Before and after treatment, the participants had facial photographs taken and completed a questionnaire assessing the severity of their rhytids. Blinded to the timing of the photographs, 2 independent facial plastic surgeons scored the pretreatment and posttreatment rhytid severity using the Glogau scale (1-4) and a wrinkle severity scale (1-10) to evaluate treatment effect. Results  Twenty-six participants (87%) completed follow-up with an average of 7.4 hours of use of the topical adhesive pads per night. The independent evaluators found minimal improvements in the Glogau scores (mean [SD], 0.12 [0.33] [P = .08] and 0.06 [0.22] [P = .18] for the central forehead area and the glabella, respectively). The same evaluators also found minimal change in the wrinkle severity scores (mean [SD], 0.21 [1.28] [P = .41] and 0.25 [0.75] [P = .10] out of 10 for central forehead rhytids and glabellar rhytids, respectively). None of these measures were statistically significant. The study participants' self-evaluations demonstrated changes in the wrinkle severity scores of 0.35 (2.10) (P = .41) in the central forehead area and 0.73 (1.7) (P = .04) in the glabella. Conclusions  Subjective self-evaluation of topical adhesive pads demonstrates improvement in glabellar rhytids but may be affected by bias. Independent, blinded evaluation by facial plastic surgeons showed no statistical benefit in the reduction of rhytids in the central forehead area or the glabella.
Mon, 20 Jul 2009 12:54:43 -0700

The "Midface-Lift" as a Misnomer for Correctly Identifying Procedures Designed to Lift and Rejuvenate the Cheeks and Malar Regions of the Face [Original Article]
Objective  To demonstrate that a classic temporal cheek rhytidectomy results in substantial and acceptable rejuvenation of the so-called midface and that additional surgery is not necessary to improve a sagging cheek, the melolabial fold, and the position of the corner of the mouth and the lateral corner of the eye. Design  A retrospective observational study of 53 patients seen at the McCollough Plastic Surgery Clinic between 2005 and 2007. Each patient underwent temporal and cheek face-lifting surgery for various indications. All procedures were performed by the same surgeon, and the surgical technique was identical in all cases. Patient photographs were evaluated by 3 unbiased plastic surgeons who were asked to compare preoperative and postoperative elevation of the cheek mound, melolabial fold, oral commissure, and lateral canthus. Each anatomic area was appraised for improvement by each reviewer using a 4-point scale. Results  The average patient age was 57 years, and the average patient follow-up was 11 months. Patients achieved excellent or significant improvement in a sagging cheek, melolabial fold, oral commissure, and lateral canthus in 79% (n = 42), 70% (n = 37), 72% (n = 38), and 65% (n = 34) of cases, respectively. Conclusions  It has been written often that standard face-lifting techniques fail to address many of the aging changes seen in the cheeks. Many authors argue that a separate, unique procedure is required to effectively rejuvenate the cheek, nasolabial fold, and corner of the mouth. Our experience is contrary to this notion. The middle third facial rejuvenation can be achieved by our standard temporal cheek face-lift, and the term midface-lift may be a misnomer.
Mon, 20 Jul 2009 12:54:43 -0700

Sculpting Resection of Rhinophyma Using the Shaw Scalpel [Surgical Technique]
Background  Rhinophyma is a disfiguring disorder of the nasal skin characterized by hypervascularity, sebaceous gland hyperplasia, occluded sebaceous ducts, and dermal fibrosis. It has no known effective medical treatment; however, a myriad of surgical treatments have been reported. We report an effective, efficient, and safe approach to treat this disorder using the Shaw scalpel to surgically sculpt the nose. Objective  To evaluate the efficacy and safety of using the Shaw scalpel to treat rhinophyma. Methods  We performed a retrospective review of 7 male patients (age range, 58-81 years) who underwent primary surgical treatment of rhinophyma with the Shaw scalpel. Results  A good to excellent outcome was noted in all 7 patients. No perioperative complications occurred. Essentially no blood loss was noted during or after the procedures. Conclusion  Use of the Shaw scalpel as the sole surgical instrument and method is a safe, efficient, and effective means to treat rhinophyma.
Mon, 20 Jul 2009 12:54:43 -0700

Special Theme Issue: Cancer and the Face [Call for Papers]

Mon, 20 Jul 2009 12:54:43 -0700

20-Year Experience With the Conrad Modification of the Freer Elevator as a Pull-in Suture Introducer [Surgical Technique]
A modified Freer elevator was created to aid the safe placement of alloplasts in a subcutaneous dissection pocket. We believe that this innovation represents a better way to insert nonrigid facial alloplasts and grafts and that it contributes to the reduced technique-related complications of migration, kinking, and asymmetry; it also minimizes tissue trauma and unnecessary surgical explorations.
Mon, 20 Jul 2009 12:54:43 -0700

Microbiologic Assessment of Multidose Restylane for Facial Augmentation [Research Letters]

Mon, 20 Jul 2009 12:54:43 -0700

Error in Legend in: A Novel Bioabsorbable Device for Facial Suspension and Rejuvenation [Correction]

Mon, 20 Jul 2009 12:54:43 -0700

Childe Hassam's Portrait of Adelaide Christina Meyer, 1913 [Beauty]

Mon, 20 Jul 2009 12:54:43 -0700

Highlights of Archives of Facial Plastic Surgery [Highlights of Archives of Facial Plastic Surgery]

Mon, 18 Jan 2010 12:52:15 -0800

Reconstruction of the Nasal Septum Using Polydioxanone Plate [Original Article]
Objectives  To evaluate the usefulness of resorbable polydioxanone plate attached to nasal septal cartilage in external septoplasty, to assess its mechanical stability until healing of cartilage fragments, and to describe the surgical technique and clinical experience. Design  External septoplasty with polydioxanone plate has been performed in 396 patients since 1996. Indications were severe septal deformities (usually posttraumatic). Surgery included removal of the quadrilateral cartilage and division into straight fragments, which were sutured to resorbable polydioxanone plate and replaced as a free graft. If the nasal septal cartilage was partly or completely missing because of prior surgery or trauma, the missing cartilage was supplanted with auricular conchal cartilage. The study settings were Medicent Linz, Linz, Austria, and the Ear, Nose, and Throat Department, General District Hospital Steyr, Steyr, Austria. Results  Functional and cosmetic outcomes were satisfactory. All patients experienced varying degrees of improvement in nasal blockage. There were no immediate (bleeding, septal hematomas, inflammatory reactions, or necrosis) or long-term (septal perforation, thickening of the nasal septum, or rejection of the implant) complications. Conclusion  Use of polydioxanone plate attached to nasal septal cartilage facilitates surgical correction of severe septal deformities and supports the nasal dorsum until healing.
Mon, 18 Jan 2010 12:52:15 -0800

Mandibular Distraction Osteogenesis Used to Treat Upper Airway Obstruction [Original Article]
Objective  To evaluate whether mandibular distraction osteogenesis relieves tongue-based airway obstruction in patients with severe micrognathia. Design  Retrospective medical review spanning a 7-year period in a tertiary care hospital. The inclusion criterion was defined as micrognathia associated with a severe tongue-based obstruction. The patients included 11 neonates and infants (mean age, 4.3 months) and 2 pediatric patients (mean age, 5.4 years). Two patients had already received tracheotomies, 11 had not. The intervention was bilateral mandibular osteotomies with distraction osteogenesis. The outcome measures were avoidance of tracheotomy and decannulation. Results  Ten of 11 patients avoided tracheotomy. Two of 2 patients who had already undergone tracheotomies were successfully decannulated. Conclusion  Mandibular distraction osteogenesis is an acceptable treatment alternative to tracheotomy in select pediatric patients with micrognathia and severe tongue-based obstruction.
Mon, 18 Jan 2010 12:52:15 -0800

Temporal Branch of the Facial Nerve and Its Relationship to Fascial Layers [Original Article]
Objectives  To eliminate the inconsistency in the nomenclature, to anatomically and definitively describe the topographic relationship of the temporal branch of the facial nerve to the fascial layers and the fat pads, and to create an effective algorithm to define the safest approaches and planes for surgical procedures in this area. Methods  The study was performed using 18 hemifacial cadaveric specimens. In 12 hemifacial specimens, the facial halves were coronally sectioned and dissected. In 6 hemifacial specimens, planar dissection was performed layer by layer. Results  The temporal branch of the facial nerve that traversed inside the deep layers of the temporoparietal fascia and the superficial musculoaponeurotic system coursed along the zygomatic arch as 1 (14.3%), 2 (57.1%), 3 (14.3%), and 4 (14.3%) twigs in the specimens. The temporoparietal fascia had no attachment to the zygomatic arch and continued caudally as the superficial musculoaponeurotic system. Adhesions were between the temporoparietal fascia and the superficial layer of the deep temporal fascia around the zygomatic arch. In most specimens, the superficial layer of the deep temporal fascia continued as the parotideomasseterica fascia, and a deep layer abutted the posterosuperior edge of the zygomatic arch. Conclusion  An easy and safe surgical approach in this area is to elevate the superficial layer deep to the intermediate fat pad directly on the deep layer of the deep temporal fascia descending to the periosteum along the zygomatic arch.
Mon, 18 Jan 2010 12:52:15 -0800

Orbicularis Suspension Flap and Its Effect on Lower Eyelid Position: A Digital Image Analysis [Original Article]
Objective  To evaluate changes in lower eyelid position using digital image analysis in patients who have undergone an orbicularis suspension flap combined with blepharoplasty. Methods  A total of 68 patients (136 eyes) underwent a lower eyelid orbicularis oculi suspension flap combined with blepharoplasty. Digital image analysis was used to standardize each patient's preoperative and postoperative photographs for accurate objective comparison. The photographs were analyzed for lower eyelid position. Results  The mean (SD) preoperative standardized distance from the center of the pupil to the lower eyelid margin (MRD2) in all procedures was 5.53 (0.74) mm. The mean (SD) postoperative standardized MRD2 was 5.22 (1.0) mm. There was a statistically significant difference in MRD2 position such that the postoperative MRD2 position decreased or the lower eyelid position was elevated by an average of 0.31 mm in comparison to the preoperative position (P < .001). Conclusions  A well-performed suspension flap can elevate the lower eyelid position to a more natural and anatomically appropriate position. By resuspending the ptotic orbicularis muscle, the suspension flap also reinforces the underlying attenuated orbital septum. Such cases may not achieve the optimum level of rejuvenation if isolated lower eyelid blepharoplasty is performed.
Mon, 18 Jan 2010 12:52:15 -0800

Force Requirements for Artificial Muscle to Create an Eyelid Blink With Eyelid Sling [Original Article]
Objective  To determine the force requirements, optimal vector, and appropriate materials of a novel eyelid sling device that will be used to rehabilitate eyelid closure (blink) in congenital or acquired permanent facial paralysis with an artificial muscle. Methods  The force required to close the eyelids in human cadavers (n = 6) were measured using a load cell system. The eyelid sling using either expanded polytetrafluoroethylene (ePTFE) or temporalis muscle fascia was implanted. The ideal vector of force and placement within the eyelid for a natural eyelid closure were compared. Results  The eyelid sling concept was successful at creating eyelid closure in a cadaver model using an upper eyelid sling attached to the distal tarsal plate. Less force was necessary to create eyelid closure using a temporalis muscle fascia sling (627 ± 128 mN) than for the ePTFE eyelid sling (1347 ± 318 mN). Conclusions  The force and stroke required to close an eyelid with the eyelid sling are well within the attainable range of the electroactive polymer artificial muscle (EPAM). This may allow the creation of a realistic and functional eyelid blink that is symmetric and synchronous with the contralateral, normally functioning blink. Future aims include consideration of different sling materials and development of both the EPAM device and an articulation between the EPAM and sling. The biocompatibility and durability studies of EPAM in a gerbil model are under way. The successful application of artificial muscle technology to create an eyelid blink would be the first of many potential applications.
Mon, 18 Jan 2010 12:52:15 -0800

Biomechanical Analysis of Anchoring Points in Rhytidectomy [Original Article]
Objective  To quantify tissue tearing force at various anchoring points on the face. Methods  This is a prospective anatomic study using 4 fresh cadavers of persons aged 60 to 70 years at the time of death, for a total of 8 sides. Standardized 1-cm distances were measured at the various anchor points, and a single 0 Prolene suture loop was tied at each standardized anchoring point. Steady force was applied perpendicular to the plane of the face with a digital hanging scale. The scale was pulled until the suture ruptured the tissue at the anchoring point. The values at which the tissue ruptured were recorded, averaged, and compared. Results  The average tissue force was 7.01 kg for the root of the zygoma vs 3.44 kg for the temporalis fascia (P < .05). The average tissue force was 5.50 kg for infralobular tissue vs 4.09 kg for tissue of the superficial musculoaponeurotic system located 1 cm anterior to the infralobular tissue (P < .05). The force for the fascia of the sternocleidomastoid was 3.89 kg vs 5.57 kg for the mastoid fascia (P < .05). There was a statistically significant difference between vertical bites of the temporalis fascia at 1.90 kg vs horizontal bites of the temporalis at 5.01 kg (P < .05). Conclusion  The tissue tearing force varies by location on the face as well as suture orientation.
Mon, 18 Jan 2010 12:52:15 -0800

Nimodipine and Acceleration of Functional Recovery of the Facial Nerve After Crush Injury [Original Article]
Objective  To establish whether nimodipine, a calcium channel blocker, accelerates or otherwise improves functional recovery of whisking after facial nerve crush injury in the rat. Methods  Thirty rats underwent exposure of the left main trunk of the facial nerve followed by a standard crush injury and subsequent quantitative facial movement testing. Animals were randomized into an experimental group (n = 15) and a control group (n = 15). Four days prior to facial nerve manipulation, experimental animals underwent subcutaneous implantation of a nimodipine-secreting pellet. All animals were tested preoperatively and on postoperative days 2, 8 to 17, 20, 22, 24, and 31 using a validated, quantitative whisking kinematics apparatus. Whisks were analyzed for amplitude, velocity, and acceleration. Results  Animals receiving nimodipine demonstrated significantly better whisking on 5 days (postoperative days 9, 11 to 13, and 20) compared with control animals (P < .001, P  = .003, P  = .009, P  = .009, and P  = .009, respectively; 1-tailed ttest). Overall, the nimodipine-treated animals showed earlier recovery compared with the untreated animals. Conclusions  We demonstrate that nimodipine improves recovery of whisking after facial nerve crush. This finding corroborates the semiquantitative findings of others, and provides complete whisking kinematic data on its effects. Given the low adverse effect profile of nimodipine, there may be clinical implications in its administration in patients experiencing facial nerve injury.
Mon, 18 Jan 2010 12:52:15 -0800

The Importance of Primary Rhinoplasty at the Time of Initial Unilateral Cleft Lip Repair [Commentary]

Mon, 18 Jan 2010 12:52:15 -0800

Endoscopic Brow-lift in the Male Patient [Surgical Technique]
Objective  To report our experience with the endoscopic brow-lift in male patients at a university-affiliated outpatient surgery center. Methods  Retrospective case series. Results  From 1995 to 2007, a total of 244 endoscopic brow-lift procedures were performed, 21 of which involved men. Thirteen of the male patients had receding hairlines or some degree of baldness. Two male patients had postoperative complications; 1 male patient had temporal branch neurapraxia that resolved; and 1 male patient had in-office scar revision. Conclusions  We have found that the endoscopic brow-lift procedure is well suited for male facial rejuvenation. Furthermore, our combined stair-step approach and suture suspension technique provides consistent results and high satisfaction regardless of the patient's hairline.
Mon, 18 Jan 2010 12:52:15 -0800

Arguing the Ethics of Facial Transplantation [Ethics and Public Policy]
While 7 face transplants have been performed around the world, to date, there remains debate regarding the validity of this procedure. We submit that performing a facial transplant—in the appropriately selected patient—is technically defensible and ethically sound. By outlining the technical and ethical boundaries of the debate, responding to the key arguments against the procedure, and describing its motivations and potential benefits, we state our justification of facial transplantation.
Mon, 18 Jan 2010 12:52:15 -0800

Current Trends in Facial Resurfacing: A Survey of American Academy of Facial Plastic and Reconstructive Surgery Members [Research Letters]

Mon, 18 Jan 2010 12:52:15 -0800

Revision Surgery in Otolaryngology [Book and Multimedia Review]

Mon, 18 Jan 2010 12:52:15 -0800

Atlas of Oculofacial Reconstruction: Principles and Techniques for the Repair of Periocular Defects [Book and Multimedia Review]

Mon, 18 Jan 2010 12:52:15 -0800

Eyelid and Periorbital Surgery [Book and Multimedia Review]

Mon, 18 Jan 2010 12:52:15 -0800

Sir Edward Coley Burne-Jones's Hope [Beauty]

Mon, 18 Jan 2010 12:52:15 -0800

Highlights of Archives of Facial Plastic Surgery [Highlights of Archives of Facial Plastic Surgery]

Mon, 16 Nov 2009 12:51:21 -0800

The Technical and Anatomical Aspects of the World's First Near-Total Human Face and Maxilla Transplant [Original Article]
Objective  To discuss the technical and anatomical analysis and design of an osteocutaneous allograft transplant incorporating the donor maxilla and the execution of the operative protocol during the transplant. Methods  The Cleveland Clinic reported the world's first successful combined face and maxilla transplant in December 2008. Unlike the 3 prior face transplants, this surgical procedure was done as a salvage operation in a patient who had undergone 23 major reconstructive procedures. The additional complexity due to significant postoperative scarring and recipient vessel depletion presented a unique challenge in this case. The extensive 3-dimensional losses of facial structures in multiple tissue planes required a Le Fort III osteomyocutaneous allotransplant incorporating the donor maxilla. Results  We report the first successful transfer of a complete bony framework and soft-tissue envelope. The allograft has shown excellent integration and no long-term rejection. The traditional conception based on anatomical studies suggested that this transfer would require independent dissection of the internal maxillary vascular system. This was not required in our patient whose allograft was based solely on the facial arterial system and its arcades. Conclusions  Successful near-total face and maxilla allograft transplant can be accomplished based on the facial arterial system and its arcades. This presents a novel method for reconstructing massive facial injuries with significant involvement of the facial skeleton.
Mon, 16 Nov 2009 12:51:21 -0800

Long-term Use and Follow-up of Irradiated Homologous Costal Cartilage Grafts in the Nose [Original Article]
Objective  In 1993, Kridel and Konior published a preliminary report (in the Archives of Otolaryngology–Head and Neck Surgery) on the use of irradiated homologous costal cartilage (IHCC) or homograft cartilage in the nose. This is a follow-up study to share our experience in answering fundamental questions: (1) What are the major long-term complications of IHCC, and are they any greater than with the use of the patient's own cartilage? (2) Is IHCC a reliable and safe implant? (3) Does IHCC resorb over time? (4) What measures are implemented in our practice to minimize the sequelae? Design  We performed a retrospective review of patient medical charts in a university-affiliated private practice setting. A total of 357 patients underwent primary or revision rhinoplasty using IHCC grafts with postoperative follow-up duration ranging from 4 days to 24 years (mean [SD], 13.45 [2.83] years). A total of 1025 IHCC grafts and 373 other grafts (including 218 autogenous cartilage [AC] grafts) were used. A total of 201 grafts were dorsal onlay grafts, and 74 of them have been further followed up since the previous report. The grafts were evaluated for warping, infection, infective resorption, noninfective resorption, mobility, and extrusion. Patient satisfaction evaluation was performed in 42 patients. Results  The total complication rate related to IHCC grafts was 3.25%, which included 10 warped grafts of 941 palpable or superficial IHCC grafts (1.06%), 9 infections of 1025 IHCC grafts (0.87%), 5 cases of infective resorption of 1025 IHCC grafts (0.48%), 5 noninfective resorptions of 943 palpable IHCC grafts (0.53%), and 3 cases of graft mobility of 941 palpable grafts (0.31%). Nine cases of local infection were treated and could have arisen from any of the 1025 IHCC grafts as well as from the 373 other grafts. Among the 9 cases of infection, in 2 patients IHCC grafts were used alone, and in 7 patients IHCC grafts were used in combination with other types of graft materials; therefore, the actual infection rate related to the pure use of IHCC was 2 of 1025 or 0.2%. Of the 218 AC grafts used at the same operative intervention along with IHCC grafts, 3 grafts (1.37%) underwent minimal resorption. The overall comparative resorption rates were 1.01% (IHCC) vs 1.37% (AC). The complication rate in conjunction with the use of 162 IHCC s in 53 cases of septal perforation repair was 2.46% (4 cases), including only 1 case of infection, 1 case of mobility of the graft, 1 case of warping, and 1 case of infective resorption (0.61% for all). Of the 25 AC grafts used in septal perforation cases, there were 2 cases of noninfective resorption (8%). The overall comparative complication rates in septal perforation cases were 2.46% for IHCC vs 8% for AC, which indicated a 3.25-times higher complication with the AC than with IHCC. No allergic reaction or systemic disease was reported by patients as a result of use of the IHCC. Irradiated homograft cartilage also proved to be a reliable graft in 2 patients with progressive autoimmune diseases over 2.08 years and 10 years of follow-up. The average rates of patient satisfaction increased during a mean follow-up of 7.87 years, from 91.31% to 94.18%, in 4 categories, including nasal appearance, nasal breathing, nasal symptoms, and quality of life. Conclusions  Based on careful and extensive review of the data, we have concluded that IHCC is well tolerated as a grafting material in rhinoplasty and yields superb functional, structural, and cosmetic results in the most complex and challenging operative cases necessitated by previous unsuccessful nasal surgery, septal perforations, and even in autoimmune diseases that led to nasal deformity. Not only did very few complications occur following the use of 1025 IHCC grafts in 357 patients after 386 rhinoplasties over 24 years (rate, 3.25%), but the rate of complications was no greater than rhinoplasty complication rates when AC grafts are used. The results indicate safety and reliability and justify the convenient use of IHCC grafts for primary and revision rhinoplasty without creating donor site morbidity. Irradiated homograft cartilage grafts are quite stable in the nose and maintain structural contour and support in most cases. Irradiated homograft cartilage grafts should be considered as an alternative or even a primary grafting material when the patient does not have adequate quantities of septal or auricular cartilage remaining to provide the correction or when the shape or quality of such an AC does not adequately provide the structure required. Autogenous rib cartilage is also an alternative material but also increases operative and anesthesia time and adds potential morbidity. The use of IHCC is both cost- and time-effective.
Mon, 16 Nov 2009 12:51:21 -0800

Measurements of Orbital Volume Change Using Computed Tomography in Isolated Orbital Blowout Fractures [Original Article]
Objectives  To measure the orbital volume of unilateral pure blowout fractures with computed tomography before and after surgery and to compare 3-dimensional (3-D) imaging systems. Methods  Twenty-four patients were evaluated with facial computed tomographic scans before and after surgery. Both the orbital volume and the displaced soft tissue volume were measured by 2 operators using 2 different 3-D software programs (Vitrea; Vital Images Inc, Minnetonka, Minnesota; and Dextroscope; Bracco AMT Inc, Princeton, NJ). Results  The mean (SD) normal orbital volumes calculated by Vitrea and Dextroscope were 25.5 (2.4) mL and 24.8 (3.0) mL, respectively. The average preoperative orbital volumes were 28.3 (2.3) mL and 27.6 (3.1) mL, while the postoperative volumes were 25.8 (2.5) mL and 24.9 (3.0) mL. Vitrea showed that the average volume of displaced orbital soft tissue was 2.8 (1.9) mL before surgery and that it was reduced to 0.3 (1.3) mL after surgery, while Dextroscope showed that the average displaced orbital soft tissue was 2.9 (1.4) mL before surgery and that it was reduced to 0.1 (1.2) mL after surgery. There was no statistical difference between the 3-D analysis programs. Conclusions  Consistent volume measurements can be obtained using different 3-D image analysis programs. Measuring preoperative and postoperative volume changes and postoperative reduction can ensure a good surgical result and thereby decrease the incidence of enophthalmos. 
Mon, 16 Nov 2009 12:51:21 -0800

Minimally Invasive Ear Reshaping With a 1450-nm Diode Laser Using Cryogen Spray Cooling in New Zealand White Rabbits [Original Article]
Background  Otoplasty is the current standard of care for treating prominent ears, a psychologically and sometimes functionally disabling disorder. The technically demanding procedure carries many risks such as poor aesthetic outcome, need for revision surgery, and need for general anesthesia. This study investigates the use of laser irradiation combined with cryogen skin cooling and stenting to reshape cartilage in the ears of New Zealand white rabbits. Methods  In this prospective, randomized, internally controlled animal study, the right ears of 9 rabbits were mechanically deformed with a jig and then irradiated with a 1450-nm diode laser combined with cryogen skin cooling (14 J/pulse with cryogen spray for 33 milliseconds per cycle and a 6-mm spot size). The left ear served as the control. The ears were splinted for 1, 3, or 4 weeks. The rabbits were then given a lethal dose of intravenous pentobarbital, and the splints were removed and ears examined and photographed. Light and confocal microscopy were performed on the specimens. Results  Shape change was observed in all 9 treated rabbit ears, while none of the control ears (stenting alone) showed significant change. Qualitatively, reshaped ears were stiffer after 4 weeks of splinting than after 1 or 3 weeks. None of the rabbits showed evidence of skin injury nor did they show signs of postprocedural pain. Findings from histologic analysis in the treated areas showed evidence of an expanded chondrocyte population in the region of laser irradiation, along with some perichondrial thickening and some fibrosis of the deep dermis. Confocal microscopy revealed minimal cellular death at 1 week and none thereafter. Conclusions  Cartilage reshaping using laser energy can be performed safely transcutaneously using cryogen spray cooling in rabbits. This animal model has similarity to human ears with regard to skin and cartilage thickness and is a stepping stone toward developing minimally invasive laser auricle reshaping in humans.
Mon, 16 Nov 2009 12:51:21 -0800

Error in Text in: Margin Reflex Distance in Different Ethnic Groups [Correction]

Mon, 16 Nov 2009 12:51:21 -0800

Defining the Facial Extent of the Platysma Muscle: A Review of 71 Consecutive Face-lifts [Original Article]
Objective  To delineate the superior (facial) extent of the platysma muscle. Methods  A total of 142 facial halves were examined from 71 consecutive deep-plane rhytidectomies performed over a period of 3 months. The platysma muscle was identified and isolated during the procedure. The superior extent of the platysma was measured along the line created by the angle of the mandible to the malar eminence, also known as the malar mandibular line. Results  On average, the platysma extended 3.98 cm along the malar mandibular line, superiorly from the inferior border of the mandible. The platysma was located 3.09 cm inferiorly from the malar eminence along the malar mandibular line. On average, the platysma muscle occupied 56% of the malar mandibular line. Conclusion  The platysma muscle may have a more significant facial extension than previously described.
Mon, 16 Nov 2009 12:51:21 -0800

Perspectives on the Evolution of Rhinoplasty [Commentary]

Mon, 16 Nov 2009 12:51:21 -0800

The Legacy of Jack Anderson, MD [Commentary]

Mon, 16 Nov 2009 12:51:21 -0800

Has the Pendulum Swung Too Far?: Trends in the Teaching of Endonasal Rhinoplasty [Commentary]

Mon, 16 Nov 2009 12:51:21 -0800

Measuring Outcomes in Nasal Surgery: Realities and Possibilities [Commentary]

Mon, 16 Nov 2009 12:51:21 -0800

Cultivating a Global Aesthetic Consciousness [Commentary]

Mon, 16 Nov 2009 12:51:21 -0800

Rhinoplasty at the Global Crossroads [Commentary]

Mon, 16 Nov 2009 12:51:21 -0800

Rhinoplasty: A View From the United Kingdom [Commentary]

Mon, 16 Nov 2009 12:51:21 -0800

Cecilia Beaux's Brother and Sister: Charles Sumner Bird and His Sister Edith Bird (Mrs Robert Bass) [Beauty]

Mon, 16 Nov 2009 12:51:21 -0800

Study Examines Outcomes After Bariatric Surgery Revisions
Revisional bariatric surgery appears to be associated with a higher risk of complications than the initial procedure, according to a report in the February issue of Archives of Surgery, one of the JAMA/Archives journals. Surgical treatment is currently the only effective approach for long-term weight loss in the severely obese, according to background information in the article... (Source: Cosmetic Medicine / Plastic Surgery News From Medical News Today)<div id="medworm">MedWorm Message: Get the very latest Swine Flu news via the MedWorm <a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a> - updated hourly from thousands of authoritative health and news sources.</div>
Mon, 15 Feb 2010 23:00:00 -0800

Company Pleads Guilty To Felony Misbranding Of A Drug
Grant C...
Mon, 15 Feb 2010 03:00:00 -0800

Company Pleads Guilty To Felony Misbranding Of A Drug
Grant C... (Source: Cosmetic Medicine / Plastic Surgery News From Medical News Today)
Mon, 15 Feb 2010 02:00:00 -0800

ADPH Observes National Nutrition Month With Satellite Conference on Obesity And Overweight
The health risk factors of obesity and overweight in Alabamians will be the focus of a combined satellite conference and webcast March 17 from 2-3 p.m. central time. Excessive weight and obesity are major risk factors for cardiovascular diseases, the No. 1 cause of death worldwide...
Mon, 08 Mar 2010 04:00:00 -0800

Potential To Improve Children's Diets Without Burdening School Finances While Helping Local Farmers
During the school day, children eat roughly one-third of their nutritional needs while at school. Besides lunch, breakfast and snacks may be served, providing ample opportunities for obesity-prevention strategies by offering more nutritious food...
Mon, 08 Mar 2010 04:00:00 -0800

Research Roundup: Childhood Obesity, Insurance Coverage In Cancer Trials, Hospitals Stays And Need For Nursing Homes
Health Affairs this month is devoted to the topic of childhood obesity, with the first study of the group - National, State, And Local Disparities In Childhood Obesity - pointing out that "new data from the 2007 National Survey of Children's Health show that the percentage of children ages 10-17 who are overweight ...
Mon, 08 Mar 2010 02:00:00 -0800

Low Levels Of Vitamin D Linked To Muscle Fat, Decreased Strength In Young People
There's an epidemic in progress, and it has nothing to do with the flu. A ground-breaking study published in the March 2010 Journal of Clinical Endocrinology and Metabolism found an astonishing 59 per cent of study subjects had too little Vitamin D in their blood. Nearly a quarter of the group had serious deficiencies (less than 20 ng/ml) of this important vitamin...
Mon, 08 Mar 2010 02:00:00 -0800

Obesity Associated With Risk Of Colorectal Tumors Without Microsatellite Instability
The increased risk of colorectal cancer associated with obesity may be largely restricted to tumors that have no or low microsatellite instability (MSI), a common condition in most colorectal cancers, according to a new study published online March 8 in the Journal of the National Cancer Institute...
Mon, 08 Mar 2010 01:00:00 -0800

Drinking Sugar-Sweetened Beverages Daily Linked To Diabetes, Cardiovascular Disease, Increased Healthcare Costs
More Americans now drink sugar-sweetened sodas, sport drinks and fruit drinks daily, and this increase in consumption has led to more diabetes and heart disease over the past decade, researchers reported at the American Heart Association's 50th Annual Conference on Cardiovascular Disease Epidemiology and Prevention...
Mon, 08 Mar 2010 01:00:00 -0800

BioTime Reports Results From Independent Hextend(R) Study
BioTime, Inc. (NYSE Amex:BTIM) reported recently-released results from an independent study evaluating the use of Hextend® in hemodynamically unstable trauma patients. Hextend (6% Hetastarch in Lactated Electrolyte Injection) is BioTime's commercially-available blood plasma volume expander used to treat hypovolemia (low blood volume)... (Source: Cosmetic Medicine / Plastic Surgery News From Medical News Today)<div id="medworm">MedWorm Message: Get the very latest Swine Flu news via the MedWorm <a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a> - updated hourly from thousands of authoritative health and news sources.</div>
Mon, 08 Feb 2010 02:00:00 -0800

Infrared System Scans For Deadly Melanoma
Johns Hopkins researchers have developed a noninvasive infrared scanning system to help doctors determine whether pigmented skin growths are benign moles or melanoma, a lethal form of cancer. The prototype system works by looking for the tiny temperature difference between healthy tissue and a growing tumor...
Mon, 01 Mar 2010 00:00:00 -0800

Awards Season Yin and Yang
We Americans love awards. We have them in entertainment including the Academy Awards, Golden Globe Awards, Emmy Awards, Tony Awards, MTV Awards, Grammy Awards, Country Music Awards, in more cerebral spheres of the arts we have the Pulitzer Prizes that include journalism, fiction, poetry and plays and in medicine we have the Lasker Prizes for research. The only things that Americans love more than the awards are awards shows. Indeed, we have a new type of television shows called ‘reality TV’ in which people compete to win cash or prizes. (Source: Journal of Plastic, Reconstructive & Aesthetic Surgery)<div id="medworm">MedWorm Message: Get the very latest Swine Flu news via the MedWorm <a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a> - updated hourly from thousands of authoritative health and news sources.</div>
Fri, 29 Jan 2010 04:57:23 -0800

Principles and Practice of Burn Care
Bhattacharya SurajitIndian Journal of Plastic Surgery 2009 42(2):275-276 (Source: Indian Journal of Plastic Surgery)
Fri, 29 Jan 2010 04:56:47 -0800

Internal jugular vein duplication
Paolo Biondi, Giuseppe Colella, Giulio Gherardini, Gianpaolo Tartaro, Raffaele RausoIndian Journal of Plastic Surgery 2009 42(2):273-274 (Source: Indian Journal of Plastic Surgery)
Fri, 29 Jan 2010 04:56:47 -0800

Dand: Reply
Yadav Prabha S, Ahmad Quazi G, Shankhdhar Vinay K, Nambi G IIndian Journal of Plastic Surgery 2009 42(2):272-273 (Source: Indian Journal of Plastic Surgery)
Fri, 29 Jan 2010 04:56:47 -0800

Use of Thomas splint in salvaging free flaps of the lower limb in violent postoperative patients
Bhaskara K G, Kale Subhash MIndian Journal of Plastic Surgery 2009 42(2):271-272 (Source: Indian Journal of Plastic Surgery)
Fri, 29 Jan 2010 04:56:47 -0800

Comments on foucher's flap
Kamath B JagannathIndian Journal of Plastic Surgery 2009 42(2):270-271 (Source: Indian Journal of Plastic Surgery)<div id="medworm">MedWorm Message: Get the very latest Swine Flu news via the MedWorm <a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a> - updated hourly from thousands of authoritative health and news sources.</div>
Fri, 29 Jan 2010 04:56:47 -0800

Another use of Foucher's flap
Kulkarni Ananta A, Abhyankar Suhas V, Singh Rohit R, Chaudhari Ganesh SIndian Journal of Plastic Surgery 2009 42(2):269-269 (Source: Indian Journal of Plastic Surgery)
Fri, 29 Jan 2010 04:56:47 -0800

Congenital upper auricular detachment: Report of two unusual cases
Agarwal PawanIndian Journal of Plastic Surgery 2009 42(2):265-268Two unusual cases of congenital bilateral ear deformity have been presented. The deformity is characterized by upper auricular detachment on the right side with anotia on the left side in the first case and upper auricular detachment on the left side with normal ear on the right side in the second case. An attempt has been made to correlate the presented deformity with the embryological - foetal development of the auricle. Satisfactory correction can be obtained by repositioning the auricle back in to its normal position. (Source: Indian Journal of Plastic Surgery)
Fri, 29 Jan 2010 04:56:47 -0800

Aplasia cutis congenita: Two cases of non-scalp lesions
In this report, two cases of non-scalp ACC occurring in the lower limbs are presented and a brief review of the literature is conducted. (Source: Indian Journal of Plastic Surgery)
Fri, 29 Jan 2010 04:56:47 -0800

Use of a hypogastric flap and split-thickness skin grafting for a degloving injury of the penis and scrotum: A different approach
We report a case of a 27-year-old newly married thin-built patient with avulsion and traumatic degloving of the penile and scrotal skin, with exposure of the corpora cavernosa and copus spongiosum of penis and testes as his loose clothes got entangled in a paddy harvesting machine accidently. Reconstruction was performed using a hypogastric flap and split skin graft, achieving a satisfactory aesthetic result and sexual functions. (Source: Indian Journal of Plastic Surgery)
Fri, 29 Jan 2010 04:56:47 -0800

Vascularised fibula osteocutaneous flap for cervical spinal and posterior pharyngeal wall reconstruction
We report a case of vascularised fibula osteocutaneous flap used for composite cervical spinal and posterior pharyngeal wall reconstruction, in a patient with recurrent skull base chordoma, resected by an anterior approach via median labio-mandibular glossotomy approach. Bone stability and pharyngeal wall integrity were simultaneously restored (Source: Indian Journal of Plastic Surgery)
Fri, 29 Jan 2010 04:56:47 -0800

Lymphangiectasis of lower limb
Gogia S BIndian Journal of Plastic Surgery 2009 42(2):250-251 (Source: Indian Journal of Plastic Surgery)
Fri, 29 Jan 2010 04:56:47 -0800

Lymphangiectasis of lower limb: A rare challenging case
Bhattacharya Visweswar, Mishra Biswajit, Barooah Partha Sarathi, Chaudhuri Gaurab Ranjan, Bhattacharya SiddharthaIndian Journal of Plastic Surgery 2009 42(2):248-250Lymphangiectasis usually occurs in the viscera. Involvement of the lower limb is very rare. It is difficult to establish the diagnosis without detailed investigations. Clinical features are peculiar and may mimic lymphoedema of different origins which needs to be ruled out. Contrary to the expectation, the post-operative result is excellent in the long-term follow-up. (Source: Indian Journal of Plastic Surgery)
Fri, 29 Jan 2010 04:56:47 -0800

Splinting of penis following microvascular reconstruction- A simple inexpensive method
We present a simple method of splintage following microvascular reconstruction of penis. The splint is made by removing the bases of two thermocol glasses and joining them with paper adhesive tapes to form a hollow cylinder to protect and support the penis and keep it vertical. The splint is slid over the catheter and the reconstructed penis and fixed to the lower abdominal wall and the thighs with paper tapes for stability. A window at the base of the splint is made for the purpose of observation, while the tip is monitored from the open end at the top. (Source: Indian Journal of Plastic Surgery)
Fri, 29 Jan 2010 04:56:47 -0800

The steroid benefit in treating complicated haemangioma
Saleh Kamal HIndian Journal of Plastic Surgery 2009 42(2):242-244The clinical study included 30 patients with complicated cutaneous haemangioma (ulceration, bleeding, obstruction of anatomical orifices, and interference with function or movement). The patients were studied regarding the age group, sex, site of lesion, size of lesion, and the percentage of regression after treatment with steroid. The age ranged from three months to six years, there were 20 female patients and 10 male patients. We used local injection of diluted triamcinolone 4 mg with 5 ml. 0.9% NACI (normal saline), injected through 23-guage syringe under local or general anaesthesia every two weeks for six to eight sessions depending on the severity of the case, followed by a local pressure dressing. We measured ...<div id="medworm">MedWorm Message: Get the very latest Swine Flu news via the MedWorm <a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a> - updated hourly from thousands of authoritative health and news sources.</div>
Fri, 29 Jan 2010 04:56:47 -0800

Bilateral cleft lip nasal deformity
This article reviews the currently popular methods for correction of nasal deformity associated with bilateral cleft lip, it's management both at the time of cleft lip repair and also secondarily, at a later date. It also discusses the practices followed at our centre. (Source: Indian Journal of Plastic Surgery)
Fri, 29 Jan 2010 04:56:47 -0800

Trans-sexuality: Cultural issues involved in the management
Gupta Devendra KIndian Journal of Plastic Surgery 2009 42(2):233-234 (Source: Indian Journal of Plastic Surgery)
Fri, 29 Jan 2010 04:56:47 -0800

Treating transsexuals in India: History, prerequisites for surgery and legal issues
Gupta Richie, Murarka AnilIndian Journal of Plastic Surgery 2009 42(2):226-233Authors in their clinical practice came across transsexual patients, who were determined to get their gender affirmed by undergoing a change of sex. This motivated the authors to review the literature extensively regarding transsexualism and report their experience. Opinions were taken from legal luminaries practicing in related fields. They also took inputs from several patients who were at various stages of psychiatric analysis and hormone therapy and also those, who had completed their treatment procedures. A paucity of the Indian inputs in medical literature concerning transsexualism was noted by the authors They also found deficiencies in the Indian Law, as applied to the individuals undergoing gender affirm...
Fri, 29 Jan 2010 04:56:47 -0800

Sushrutha - our proud heritage
Bhattacharya SurajitIndian Journal of Plastic Surgery 2009 42(2):223-225 (Source: Indian Journal of Plastic Surgery)
Fri, 29 Jan 2010 04:56:47 -0800

Through the mists of time: Sushrutha, an enigma revisited
Puthumana Philip PhilipIndian Journal of Plastic Surgery 2009 42(2):219-223&lt;i&gt;Sushrutha&lt;/i&gt; had been viewed in textbooks of plastic surgery as belonging to the caste of potters who performed surgery in India. We have examined the available source documents and other references to the technology of the period to examine this assertion and are convinced that there is no evidence to support this. The period, technology and geographic references in &lt;i&gt;Sushrutha Samhitha&lt;/i&gt; are correlated with settled positions on these to arrive at an understanding of the time and knowledge which is described. Source of erroneous interpretation of &lt;i&gt;Sushrutha&lt;/i&gt; as a potter is also examine...<div id="medworm">MedWorm Message: Get the very latest Swine Flu news via the MedWorm <a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a> - updated hourly from thousands of authoritative health and news sources.</div>
Fri, 29 Jan 2010 04:56:47 -0800

Bacteriology of the burn wound at the Bai Jerbai Wadia Hospital for children, Mumbai, India-A 13-year study, Part I-Bacteriological profile
Conclusion:&lt;/b&gt; Every treatment facility has microorganisms unique to it and these change with time. It is therefore of paramount importance to have an in-depth knowledge of the resident organisms and their antibiotic sensitivity pattern so that infection-related morbidity and mortality are improved. (Source: Indian Journal of Plastic Surgery)
Fri, 29 Jan 2010 04:56:47 -0800

Evaluation of cosmetic appearance of herniotomy wound scars in African children: Comparison of tissue glue and subcuticular suturing
Conclusion:&lt;/b&gt; This study has shown that the cosmetic outcome of wound closure using the tissue glue technique and subcuticular suturing technique are similar. (Source: Indian Journal of Plastic Surgery)
Fri, 29 Jan 2010 04:56:47 -0800

Evaluation of skin graft take following post-burn raw area in normovolaemic anaemia
Conclusion:&lt;/b&gt; It is not mandatory to keep haemoglobin level at or &gt;10 g/dL or PCV value at or &gt;30% for skin graft take, as mild to moderate anaemia per se does not cause any deleterious effect on wound healing; provided perfusion is maintained by adequate circulatory volume. Prophylactic transfusion to increase the oxygen carrying capacity of the blood for the purpose of wound healing is not indicated in asymptomatic normovolemic anaemic patients (with haemoglobin levels greater than 6g/dL) without significant cardiovascular or pulmonary disease. (Source: Indian Journal of Plastic Surgery)
Fri, 29 Jan 2010 04:56:47 -0800

Saline Implants' Risks, Benefits Essential Info for Health Literate Women
Breast projection is a legitimate wish of some women. They may be aware of the risks and costs of a saline implant. It must be possible for every woman who takes a considered decision to opt for reconstruction surgery, to have her wish fulfilled.Contributor: Jenny Tansey Published: May 27, 2005
Fri, 27 May 2005 14:36:00 -0700

The treatment of soft-tissue defects of the lower leg after a traumatic open tibial fracture
Abstract  The treatment of large soft-tissue defects of the lower leg remains a challenge. The timing of the operation, the most suitable type of tissue, and the decision between local or free flap coverage still remains under discussion. Fifty-two patients were treated with local or free flap coverage after a traumatic soft-tissue defect of the lower leg. We compared the results after treatment with local versus free flaps and fasciocutaneous flaps versus musculocutaneous flaps. In the case of primary reconstruction, we also compared the results regarding the timing of the operation: patients treated within 72 h after the trauma versus patients treated after 72 h. Thirty-five patients (67%) have been treated because of posttraumatic soft-tissue defects and, theref...
Fri, 26 Feb 2010 07:43:09 -0800

Study Shows Twice Weekly Etanercept (Enbrel) Clears Psoriasis Lesions More Quickly Than Once Weekly Treatment
Initial treatment with twice weekly etanercept (Enbrel), a tumour necrosis factor antagonist, achieves more rapid clearance of skin lesions than once weekly treatment in patients with active psoriasis and psoriatic arthritis, according to results from the PRESTA study reported recently in the British Medical Journal...
Fri, 26 Feb 2010 05:00:00 -0800

New Study Finds Similar Advertising Strategies Used By Indoor Tanning And Tobacco Industries
While the proven negative health consequences of smoking and tanning are undeniable, tobacco and indoor tanning advertisers would like consumers to think otherwise. In fact, a new study comparing the tactics used in advertising tobacco and indoor tanning products found several similarities in how these two industries market unhealthy products...
Fri, 26 Feb 2010 02:00:00 -0800

10 Myths About Breast Cancer Busted
Ten of the most common myths about breast cancer exposed here. Some of them may surprise you, and others you just be aware of.Contributor: Megan Mathews Published: May 19, 2006
Fri, 19 May 2006 03:14:00 -0700

Improvements in Transaxillary Breast Augmentation
Conclusion  Transaxillary augmentation mammaplasty without routine endoscopic assistance is a safe method with predictable results and a high rate of patient satisfaction. The transaxillary technique offers the advantage of locating the surgical scar off the breast. It requires closer supervision during the first few postoperative months compared with the submammary or periareolar technique because it is more difficult to place and maintain implants at the proper level using the transaxillary approach. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-009-9437-6Authors Igor Niechajev, Lidingö-kliniken Torsvägen 30 181 32 Lidingö, Stockholm Sweden Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesth...
Fri, 19 Feb 2010 21:48:53 -0800

Inferior Pedicle Autoaugmentation Mastopexy After Breast Implant Removal
Conclusion  The advantages of the technique presented here are that it minimizes the skin scar in cases using vertical mammaplasty techniques and optimizes the breast shape after breast implant removal in patients who do not want a new implant. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-010-9471-4Authors Johannes Franz Hönig, Paracelsus Clinic Hannover Hannover GermanyHans Peter Frey, Clinic im Loewen-Center Luzern Luzern SwitzerlandFrank Michael Hasse, Paracelsus Clinic Hannover Hannover GermanyJens Hasselberg, Paracelsus Clinic Hannover Hannover Germany Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery)
Fri, 19 Feb 2010 21:48:53 -0800

Psychological Profile of Taiwanese Female Cosmetic Surgery Candidates: Understanding Their Motivation for Cosmetic Surgery
Conclusions  The results of this study indicate that the Taiwanese female CS candidates did not have higher body image dissatisfaction or greater body image investment than the control group. However, body area dissatisfaction was the only significant predictor for the likelihood of having CS, a feature not previously recognized in Asian CS candidates. The higher self-esteem of the CS candidates opposes the view that low self-esteem is a principal motivating factor for CS. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-009-9461-6Authors Hung-Chi Chen, E-Da Hospital/I-Shou University Department of Plastic and Reconstructive Surgery No. 1 Yi-Da Road, Jiau-Shu Tsuen, Yan-Chau Shiang Kaohsiung County Taiwan, ROCVasu Karri, E-Da Hospital/I-Shou U...
Fri, 19 Feb 2010 21:48:51 -0800

Commentary on “Skin malignancy of the head and neck in Calabar, Southern Nigeria” by Asuquo
Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s00238-010-0393-9Authors Ian Jackson, Institute for Craniofacial and Reconstructive Surgery Southfield MI USA Journal European Journal of Plastic SurgeryOnline ISSN 1435-0130Print ISSN 0930-343X (Source: European Journal of Plastic Surgery)<div id="medworm">MedWorm Message: Get the very latest Swine Flu news via the MedWorm <a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a> - updated hourly from thousands of authoritative health and news sources.</div>
Fri, 19 Feb 2010 21:48:03 -0800

The non surgical face lift: What is a microcurrent facial?

Fri, 14 Aug 2009 07:00:02 -0700

Erythromycin extravasation mimicking necrotising fasciitis in the infant
We present a case of erythromycin extravasation in a 1-year-old child with significant comorbidities. The presentation of blistering and deep dermal necrosis followed extravasation of an unknown volume of erythromycin and required urgent plastic surgery review and tissue reconstruction. This represents the first reported case of erythromycin extravasation and graphically illustrates the potentially devastating effects of this uncommon injury. Little is known about the mechanism of injury in erythromycin extravasation, though it is likely to be multifactorial. Immediate management is with local irrigation of the injury site, elevation and symptomatic relief. In large-volume extravasations and late diagnosis, the clinical signs are much more pronounced, with rapid necrosis and tissue l...
Fri, 12 Feb 2010 21:45:38 -0800

Skin malignancy of the head and neck in Calabar, Southern Nigeria
Abstract  Squamous cell carcinoma (SCC) is the most common malignant skin tumour in sub-Saharan Africa in contrast to Caucasians in whom basal cell carcinoma (BCC) is most frequent. We evaluated all patients with a histologic diagnosis of skin malignancy of the head and neck presenting to the University of Calabar Teaching Hospital, Calabar from January 2005 through December 2008. This was compared with total skin malignancy during the same period. Seventy patients presented with skin malignancy during the study period. The 15 patients with lesions located on the head and neck accounted for 21% of skin malignancy seen during the same period. SCC 7 (46%) ranked first while the second was Kaposi sarcoma (KS), 4 (27%), all human immunodeficiency virus seropositive. Others were...
Fri, 12 Feb 2010 21:45:37 -0800

Adolescent Bariatric Surgery Center Passes Surgical Milestone
Few treatments are available to help obese adolescents who are unable to lose weight and are already suffering from obesity-related health problems. Laparoscopic adjustable gastric banding (LAGB), an option for adults in the United States since 2001, is showing promise for teens... (Source: Cosmetic Medicine / Plastic Surgery News From Medical News Today)<div id="medworm">MedWorm Message: Get the very latest Swine Flu news via the MedWorm <a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a> - updated hourly from thousands of authoritative health and news sources.</div>
Fri, 12 Feb 2010 00:00:00 -0800

In Immune-Altered Mice Intestinal Bacteria Drive Obesity And Metabolic Disease
Increased appetite and insulin resistance can be transferred from one mouse to another via intestinal bacteria, according to research being published online this week by Science magazine...
Fri, 05 Mar 2010 06:00:00 -0800

Advancements In Skin Care At AAD Annual Meeting Presented By P&G Beauty & Grooming
Research presented by P&G Beauty & Grooming scientists at the 68th Annual Meeting of the American Academy of Dermatology (Miami Beach, FL, March 5-9) examines skin care science from multiple perspectives, offering insights into how ingredient formulations, care regimens and gene expressions impact skin condition... (Source: Cosmetic Medicine / Plastic Surgery News From Medical News Today)<div id="medworm">MedWorm Message: Get the very latest Swine Flu news via the MedWorm <a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a> - updated hourly from thousands of authoritative health and news sources.</div>
Fri, 05 Mar 2010 05:00:00 -0800

Research Reveals How Popular Skin Filler Works At The Molecular Level To Stimulate Collagen Production In Sun-Damaged Skin
In the U.S. and around the world, the popularity of minimally invasive cosmetic procedures continues to increase. Soft tissue injectables, also known as dermal fillers, are popular procedures that improve the appearance of aging and sun-damaged skin by restoring lost volume and filling lines...
Fri, 05 Mar 2010 04:00:00 -0800

Sizing Up Nanotechnology: How Nanosized Particles May Affect Skin Care Products
The rapidly growing field of nanotechnology and its future use in cosmetic products holds both enormous potential and potential concern for consumers. Currently, major cosmetic manufacturers have imposed a voluntary ban on the use of nanoparticles in products while they await a ruling from the Food and Drug Administration (FDA) regarding the safety of this technology...
Fri, 05 Mar 2010 04:00:00 -0800

ReShape Medical Announces Initiation Of U.S. Clinical Study For Weight Loss
ReShape Medical™, Inc. announced that it has initiated a U.S. Investigational Device Exemption (IDE) clinical study to assess the safety and effectiveness of its non-surgical, dual-balloon device for weight loss. The ReShape Balloons are designed to be a treatment for the millions who want support with weight loss, without the invasiveness of surgery...
Fri, 05 Mar 2010 04:00:00 -0800

Bedbugs, Scabies And Head Lice Oh My!
If simply the thought of bedbugs, scabies and head lice makes you feel a little itchy, imagine how those affected by these common infestations feel when they learn what has been creeping around them and causing symptoms such as intense itching, red bite marks or irritated scalps...
Fri, 05 Mar 2010 04:00:00 -0800

Psoriasis Is More Than Skin Deep
For the approximately 7.5 million Americans affected by psoriasis, the thick, red, scaly, itchy plaques it causes only scratch the surface when it comes to the overall implications of this disease...
Fri, 05 Mar 2010 04:00:00 -0800

Dermatologists Can Help Women Win The Fight Against Common Forms Of Hair Loss
For many women, unexplained hair loss can take a significant psychological toll on their overall quality of life. From altering their hairstyle to hide a thinning part to scaling back their hair care regimen in an effort to halt further hair loss, women try countless ways to cover up this problem and the results are often lukewarm at best...
Fri, 05 Mar 2010 04:00:00 -0800

Contact Dermatitis Can Be Irritating, Especially When The Cause Is A Mystery
Itchy irritated skin can leave some people scratching their heads trying to determine the cause of this bothersome condition...
Fri, 05 Mar 2010 04:00:00 -0800

HHS Teams Up With Olympic Athletes To Fight Childhood Obesity
U.S. Department of Health and Human Services (HHS) released the first in a series of web videos and public service announcements to promote First Lady Michelle Obama's national initiative, Let's Move, to solve childhood obesity within a generation. Childhood obesity and excess weight threatens the healthy future of one third of American children. As a member of the U.S...
Fri, 05 Mar 2010 02:00:00 -0800

More Than Skin Deep - Inside The Beauty Lab
Scientists at L'OrÃ©al, in hot pursuit of the hidden elements of beauty, seem well on their way to disputing the old adage, "beauty is only skin deep." In fact, their work indicates that what makes hair curly or straight and skin smooth or rough, is much deeper...
Fri, 05 Mar 2010 01:00:00 -0800

More Than Skin Deep
Scientists at L'OrÃ©al, in hot pursuit of the hidden elements of beauty, seem well on their way to disputing the old adage, "beauty is only skin deep." In fact, their work indicates that what makes hair curly or straight and skin smooth or rough, is much deeper... (Source: Cosmetic Medicine / Plastic Surgery News From Medical News Today)
Fri, 05 Mar 2010 00:00:00 -0800

Key Protein In Energy Regulation Identified By Gladstone Scientists
With obesity and obesity-related diseases epidemic in the developed world, a clear understanding of how metabolism is regulated is crucial. One of the key metabolic pathways involves the oxidation of fat...
Fri, 05 Mar 2010 00:00:00 -0800

Weight-Loss Surgery Can Lead To Psychological Distress
People who have gastric band surgery to lose weight are at risk of low self-esteem, relationship problems and being dissatisfied with their body image, according to new research being presented at the Diabetes UK Annual Professional Conference (APC)...
Fri, 05 Mar 2010 00:00:00 -0800

The Effectiveness Of Policies In The Battle Against Childhood Obesity Should Be Reviewed Before Implementation
Before developing specific anti-obesity strategies, lawmakers and advocates should review the evidence on program effectiveness and costs in order to avoid policies that either won't work or will waste money, says Cornell economist John Cawley, in "The Economics of Childhood Obesity," published in the peer-reviewed journal Health Affairs, March 2, 2010...
Fri, 05 Mar 2010 00:00:00 -0800

Abbott To Collaborate With GSK On Molecular Diagnostic Test To Select Candidate Patients For Future Skin Cancer Immunotherapy
Abbott (NYSE: ABT) announced that it has entered into an agreement with GlaxoSmithKline (GSK) to develop a molecular diagnostic test intended for use as an aid in selecting patients who may benefit from a skin cancer treatment in development by GSK...
Fri, 05 Mar 2010 00:00:00 -0800

Surgical versus pathological excision margins—an excision too far?
Abstract  A common observation by clinicians who surgically excise skin pathology is the discrepancy between the measured size of the surgical specimen and that of the measurements reported by the examining pathologist. This discrepancy can often be the difference between whether, in the case of skin malignancies, the patient requires further wider excision, follow-up and, in cases where relevant, discharge. Could it therefore mean that patients are needlessly undergoing further excisions that could be avoided with more careful attention to specimen measurements and specimen ‘shrinkage,’ both surgically and pathologically? We measured the length and width of skin lesions excised pre- and post-operatively and compared these measurements with the reported histopathological...
Fri, 05 Feb 2010 08:52:51 -0800

First Fractional Laser FDA Cleared For Striae
Palomar Medical Technologies, Inc. is pleased to announce that the Lux1540™ Fractional non-ablative laser handpiece has received the first clearance by the United States Food and Drug Administration (FDA) for the treatment of striae (stretch marks) using a fractional laser...
Fri, 05 Feb 2010 02:00:00 -0800

CNN.com - Health - Beauty Plastic Surgery
CNN.com - Health - Beauty Plastic Surgery. What really killed the beauty queen? Cosmetic surgery boom revamps doctors' offices. When doctors can't say 'no' ...

CNN.com - Health - Beauty Plastic Surgery
Cosmetic surgery boom revamps doctors' offices. When doctors can't say 'no' In life of mysteries, Jackson's changed color baffled public ...