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J Plast Reconstr Aesthet Surg 2018 Dec 25. Epub 2018 Dec 25.

Department of Plastic Surgery, Wake Forest Baptist Medical Center, 1 Medical Center Boulevard, Winston-Salem, NC 27157, United States.

Background: Forehead flap reconstruction of large nasal defects can be challenging. The senior author has used a paramedian forehead flap modification using the supratrochlear artery on the contralateral side of the defect.

Methods: A 9-year retrospective review (2008-2016) was performed for patients undergoing nasal reconstruction with the cross-paramedian forehead flap. Read More

JAMA Facial Plast Surg 2019 Feb 7. Epub 2019 Feb 7.

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head & Neck Surgery, Stanford University School of Medicine, Stanford, California.

Importance: Assessment of melolabial flap perfusion using indocyanine green (ICG) angiography for nasal reconstruction has not been previously described.

Objective: To assess melolabial flap relative perfusion using ICG angiography in nasal reconstruction and highlight its clinical relevance.

Design, Setting, And Participants: In this retrospective case series at a tertiary referral center, 10 patients undergoing melolabial flap reconstruction of nasal defects between January 2015 to April 2018 with flap perfusion were assessed by ICG angiography. Read More

JAMA Facial Plast Surg 2019 Jan 31. Epub 2019 Jan 31.

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, Stanford, California.

Importance: Identifying factors affecting forehead flap neovascularization during nasal reconstruction surgical procedures using quantitative dynamics of fluorescence from indocyanine green angiography may be associated with reduced vascular complications.

Objectives: To identify quantifiable forehead flap perfusion measures using indocyanine green angiography during nasal reconstruction procedures and to evaluate clinical factors associated with neovascularization.

Design, Setting, And Participants: Retrospective cohort study of 71 patients at a tertiary referral center of Stanford University, Stanford, California, between January 1, 2010, and March 31, 2018, undergoing forehead flap nasal reconstruction surgery with flap perfusion assessed by indocyanine green angiography. Read More

Microsurgery 2019 Jan 24. Epub 2019 Jan 24.

Department of Plastic Surgery, MetroHealth & Veterans Affairs, Cleveland, Ohio.

Background: Satisfaction with appearance, functional outcomes (speech, swallowing), work status after microsurgical reconstruction for maxillofacial gunshot wounds (GSW) remain largely unknown. The purpose of this study is to report these parameters. By investigating these outcomes, we also aimed to provide microsurgical algorithms for complex maxillofacial GSW. Read More

Laryngoscope 2018 Dec 26. Epub 2018 Dec 26.

Department of Otolaryngology-Head and Neck Surgery, New York, New York, U.S.A.

Objectives: The medial sural artery perforator (MSAP) free flap is an uncommonly utilized soft tissue flap in head and neck reconstruction. It is a thin, pliable, fasciocutaneous flap that provides significant pedicle length. The donor site can be closed primarily, and its location is more aesthetically pleasing to patients. Read More

J Craniofac Surg 2018 Dec 14. Epub 2018 Dec 14.

Division of Plastic and Reconstructive Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.

Facial defects following Mohs surgery can cause significant functional, cosmetic, and psychologic sequelae. Various techniques for nasal reconstruction after Mohs surgery have been analyzed in the medical literature, yet there has been less attention given to procedures for other crucial facial aesthetic regions. A literature search using PubMed, EMBASE, and ISI Web of Science for studies assessing reconstructive techniques of the forehead, cheek, and perioral regions after Mohs surgery was performed. Read More

J Craniomaxillofac Surg 2018 Dec 6;46(12):2127-2137. Epub 2018 Oct 6.

Clinic of Otorhinolaryngology-Head and Neck Surgery, Department of Surgery and Translational Medicine, University of Florence, AOU-Careggi, Via Largo Palagi 1, 50134, Florence, Italy.

Purpose: Local flaps are currently considered the main reconstructive option for medium-size oral and peri-oral defects; however, their indications are sometimes challenging to select. The aim of this study was to critically analyse their selection and to propose a therapeutic algorithm.

Materials And Methods: We performed a search on PubMed regarding the medium-size oral and peri-oral defects reconstruction, and we collected data on the aetiology, the location of the defect, the type of flap used and postoperative complications. Read More

Fa Yi Xue Za Zhi 2018 Aug 25;34(4):363-369. Epub 2018 Aug 25.

National Engineering Laboratory for Crime Scene Evidence Investigation and Examination, Beijing Engineering Research Center of Crime Scene Evidence Examination, Institute of Forensic Science, Ministry of Public Security, Beijing 100038, China.

Objectives: To search age-correlated facial features and construct an age estimation model based on the three-dimensional （3D） facial images of Xinjiang Uygur males, and to structure individual face images of old age and young age.

Methods: Pretreatment was performed to collect 105 3D facial images of Xingjiang Uygur males aged between 17-57 years by Artec Studio software. The facial images were transferred to high-density 3D dot matrix data by FaceAnalysis software, and each image could be represented with 32 251 vertexes. Read More

Ann Plast Surg 2019 Jan;82(1S Suppl 1):S53-S58

Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital at Keelung, College of Medicine, Chang Gung University, Craniofacial Research Center, Taoyuan.

Objective: To compare the surgical results of early treatment of zygomatic fractures with and without the use of the computer-assisted navigation system.

Methods: All patients with unilateral traumatic zygomatic fractures treated within 30 days after the injury at a single center between June 2012 and May 2017 were studied retrospectively. Primary outcome was defined by the displacement at 5 junctional sutures of zygomatic bone, the change at each point before and after the reconstruction, and the patient's subjective scoring of their appearance. Read More

Head Neck 2018 Dec 17;40(12):2574-2582. Epub 2018 Nov 17.

Department of Head and Neck Surgery, Centre Antoine Lacassagne, Nice, France.

Background: Preservation of facial harmony is a major challenge in reconstruction after resection of head and neck skin tumors. For large medial cheek-skin defects, we used a derived posterior-based cervicofacial flap, or cervical-medial cheek flap (CMCF).

Methods: We present a retrospective review of cases treated at a university-based cancer center. Read More

J Mamm Evol 2018 28;25(4):551-564. Epub 2017 Jul 28.

2Department of Geology, Kent State University at Tuscarawas, 330 University Drive NE, New Philadelphia, OH 44663 USA.

Recently, dental microwear analysis has been successfully employed to xenarthran teeth. Here, we present new data on use wear features on 16 molariforms of and . These taxa count among the earliest sloths and are known from the Deseadan SALMA (late Oligocene). Read More

Facial Plast Surg Clin North Am 2019 Feb;27(1):55-66

Department of Otolaryngology, University of Colorado School of Medicine, 12631 East 17th Avenue, B205, Aurora, CO 80045-2527, USA. Electronic address:

The goal of cheek reconstruction is to restore an illusion of "normal." Attention must be directed toward the contralateral cheek skin color, texture, thickness, and contour, because this serves a template for reconstruction. The cheek is a peripheral facial subunit and largely frames the more central subunits (eyelids, nose, lips). Read More

Anat Rec (Hoboken) 2018 Oct 17. Epub 2018 Oct 17.

Department of Biomedical Sciences, Cooper Medical School of Rowan University, Camden, New Jersey.

The charismatic and diverse ornithischian dinosaurs exhibited some of the most extreme examples of cranial anatomy, inspiring decades of investigation into their muscular anatomy. Current ornithischian jaw muscle reconstructions, although parsimonious, pose concerns of small adductor muscles and caudally displaced insertions relative to mandibular proportions. Here, craniomandibular material of ornithischian genera spanning all subclades is reexamined for osteological correlates indicative of intracranial and oral soft tissues. Read More

J Oral Maxillofac Surg 2019 Feb 20;77(2):433-439. Epub 2018 Sep 20.

Plastic Surgeon Practitioner, Plastic and Reconstructive Surgery, François Mitterand Hospital, Dijon; Plastic and Esthetic Surgery Department, Hôpital Tenon, Paris, France. Electronic address:

Purpose: Lower lid defects involving more than 75% of the lid's length or affecting the cheek are usually reconstructed with a Mustardé rotational cheek flap. This solution often induces postoperative ectropion. The Texier procedure (an upper lid myocutaneous flap and a chondromucosal alar graft) is usually indicated for 1-step reconstruction of full-thickness defects involving less than 50% of the lower lid. Read More

World J Urol 2018 Oct 10. Epub 2018 Oct 10.

Department of Urology, University Children's Hospital, Tirsova 10, Belgrade, 11000, Serbia.

Purpose: Severe hypospadias repair still presents a great challenge. We evaluated a novel approach of using a specially shaped buccal mucosa graft for simultaneous ventral tunica grafting and new urethral plate creation, in combination with longitudinal dorsal island skin flap, as a one-stage repair of severe hypospadias.

Methods: Between July 2014 and September 2017, 26 patients (aged from 12 to 22 months) underwent scrotal hypospadias repair. Read More

Facial Plast Surg 2018 Oct 8;34(5):505-523. Epub 2018 Oct 8.

Center for Facial Plastic and Laser Surgery, Charlotte, North Carolina.

In this article, the interested reader will learn when and how to apply different techniques on their patients, with the goal of safe, effective, natural looking, and long-lasting midface rejuvenation. Read More

J Plast Reconstr Aesthet Surg 2019 Jan 20;72(1):119-124. Epub 2018 Sep 20.

Department of Plastic and Reconstructive Surgery(,) Antalya Training and Research Hospital(,) Varlık, Kazım Karabekir Cd.(,) 07100 Antalya(,) Turkey. Electronic address:

Full-thickness skin grafts (FTSGs) and flaps from the upper eyelid or cheek can be used for reconstruction of lower eyelid defects, including the anterior lamella. However, the upper eyelid has a limited and insufficient amount of skin, whereas cheek flaps have a restricted arch of rotation. Here we report the procedure and outcomes of a perforator/subcutaneous pedicled propeller flap for reconstruction of lower eyelid defects including the anterior lamella. Read More

Arch Craniofac Surg 2018 Sep 20;19(3):231-234. Epub 2018 Sep 20.

Department of Pathology, Pusan National University Hospital, Busan, Korea.

A schwannoma is a benign tumor that develops from Schwann cells. It is known to occur more frequently in women than men, and about one third of schwannoma cases occur in the head and neck area. It is also known to originate mainly in the auditory nerve. Read More

Plast Reconstr Surg Glob Open 2018 Jun 11;6(6):e1821. Epub 2018 Jun 11.

Plastic and Reconstructive Surgical Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, N.Y.

The appropriate reconstruction of an infrastructure maxillectomy defect requires vascularized bone for maxillary arch restoration, soft tissue bulk for filling the residual defect extending up to the orbital floor, and a thin tissue layer for resurfacing the palate and adjacent cheek mucosa. Although several free tissue flaps have been previously described as reconstructive options, each possesses limitations. We describe the fibula osteofascial flap with flexor hallucis longus muscle, no skin paddle, and a "gullwing" fascial component, as an ideal reconstructive option for these specific maxillary defects. Read More

Am J Case Rep 2018 Oct 2;19:1168-1174. Epub 2018 Oct 2.

Department of Orthodontics and Radiology, School of Dentistry, University City of São Paulo (UNICID), São Paulo, SP, Brazil.

BACKGROUND The clivus is a depression in the anterior occipital bone of the skull base, posterior to the dorsum sellae, at the junction with the sphenoid bone. Chordoma is a rare tumor arising from embryonic remnants of the notochord and can be locally aggressive with a tendency to recur. The optimal management of this rare tumor remains controversial. Read More

World J Surg Oncol 2018 Sep 28;16(1):194. Epub 2018 Sep 28.

Department of Oromaxillofacial-Head and Neck Surgery, No. 117, Nanjing North Street, Heping District, Shenyang, Liaoning, 110002, People's Republic of China.

Background: For reconstructive surgeons, massive midface defects, including large, full-thickness wounds on the upper lip, can be very challenging. Although there are many methods for reconstruction of upper lip defects, it is difficult to obtain satisfactory restoration of oral functions and good cosmetic results.

Case Presentation: This case report presents a man with massive midface defects, including upper lip, left nose, and cheek defects. Read More

Ann Plast Surg 2019 Mar;82(3):330-336

The superficial temporal artery (STA) flap is a versatile flap for head and neck defect reconstruction. It can be based on the frontal branch of the STA and an islanded 360-degree rotation arc for various defects on the scalp, cheek, and auricular region. It provides a nonmicrosurgical option for reconstructing such defects, which is itself relatively easy to perform. Read More

J Craniofac Surg 2018 Oct;29(7):1900-1902

Department of Plastic & Reconstructive Surgery.

A patient presented with a complex penetrating facial wound by high temperature steel. The hot steel penetrated right temple, ethmoid bone, and maxillary sinus, and then exited from his left cheek. He kept his right eye but lost his sight. Read More

Dermatology 2018 31;234(3-4):99-104. Epub 2018 Jul 31.

Department of Dermatology, Venereology and Allergology, University Hospital Würzburg, Würzburg, Germany.

Background: Skin cancer removal surgery involving the tip or dorsum of the nose often results in large-sized defects with exposure of cartilage. In such cases, the paramedian forehead flap is a frequently used reconstruction technique; however, this method is complex and can result in a cosmetically unsatisfying outcome.

Objective: To describe the folded transposition flap as an aesthetically pleasing alternative to the paramedian forehead flap for large nasal defects with exposed cartilage. Read More

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Jul;32(13):1002-1005

Department of Oral and Maxillofacial Surgery, the Affiliated Stomatology Hospital of Southwest Medical University, Luzhou, 646000, China.

To investigate the therapeutic effect of folded free radial forearm flaps (RFF) for reconstruction of full-tickness cheek defects after the resection of buccal carcinoma.Seventeen cases of buccal carcinoma received radical neck dissection with cheekectomy and mandibulectomy, and the folded RFF to reconstruct full-tickness cheek defects simultaneously. Preoperative Allen test, ultrasonic doppler blood flow meter examination or computed tomography angiography confirmed good vascular condition of the forearm. Read More

Plast Reconstr Surg 2018 10;142(4):451e-461e

Groningen, Zwolle, and Heerenveen, The Netherlands; and San Francisco, Calif. From the Department of Plastic Surgery, University and University Medical Centre of Groningen; the Department of Clinical Psychology, University of Groningen; Bergman Clinics; and Marten Clinic & Plastic Surgery, San Francisco, Calif.

Background: The aim of this study was to test the validity of the "orbital oval balance principle," a system of analysis and guideline that is used among aestheticians, artists, and makeup artists to create and design aesthetically pleasing eyebrows for optimal upper facial appearance. According to this principle, a face is optimally attractive when the eye is centered in an "oval" defined by the lid-cheek junction and the eyebrow.

Methods: One hundred participants were asked to rank digital morphed images of four female models with four different periorbital proportions: higher or lower lid-cheek junction versus higher or lower eyebrow position. Read More

Arch Craniofac Surg 2018 Sep 27;19(3):227-230. Epub 2018 Jun 27.

Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.

"Paraffinoma" is a well-recognized complication of paraffin oil injection into various body parts for an aesthetic purpose. After a variable latency phase, paraffinoma can present as a wide range of clinical symptoms. This paper is a case report of surgical excision of the paraffinoma and subsequent reconstruction of the associated skin defect on bilateral preauricular cheeks, manifesting 50 years after a primary injection. Read More

Ophthalmic Plast Reconstr Surg 2018 Sep/Oct;34(5):491-496

Department of Ophthalmology, Assaf Harofeh Medical Center, Tel Aviv University-Sackler School of Medicine, Tel Aviv, Israel.

Purpose: The Golden ratio, or Phi, has been used to explain the substrates of two-dimensional beauty utilizing the faces of models. A "Phi point" has been identified at the apex of the cheek mound that can be targeted in filler injections. The authors report herein how they have applied this algorithm for surgical shaping of the "beautiful" cheek as a routine part of their lower blepharoplasty procedure. Read More

Cureus 2018 Apr 25;10(4):e2536. Epub 2018 Apr 25.

Department of Plastic & Reconstructive Surgery, Oppenheimer Plastic Surgery, Orlando, USA.

Rhinophyma is the final stage in the evolution of acne rosacea, a common vasoactive dermatosis. Individuals with rhinophyma present with a typical, disfiguring nasal appearance consisting of bulbous enlargement, erythema, and telangiectasia with a sebaceous, oily skin surface. This classic appearance permits a facile diagnosis but may also lead the physician to overlook a coexistent malignancy. Read More

J Craniofac Surg 2018 Nov;29(8):2153-2155

Department of Otolaryngology, Faculty of Medicine, Taibah University, Al-Madinah Al-Munawwarah, Saudi Arabia.

Oroantral fistula (OAF) is a pathologic communication between the oral cavity and the maxillary sinus. It is usually associated with maxillary sinusitis, where drainage of sinus infection is a mandatory step during closure of the fistula. The flap used for closure of OAF should be tension free, broadly based and well vascularized. Read More

Photomed Laser Surg 2018 Jul 19;36(7):391-394. Epub 2018 Jun 19.

1 Special Laboratory of Lasers in Dentistry (LELO), Department of Restorative Dentistry, School of Dentistry, University of São Paulo , São Paulo, Brazil .

Background: Several photobiomodulation (PBM) protocols with low-power lasers have been reported for pain control and tissue repair in the postoperative period of oral surgeries. However, there are still no reports of a protocol for bichectomy surgeries' postoperative period.

Objective: This article presents six reports of clinical cases in which bichectomy surgery was performed. Read More

Georgian Med News 2018 May(278):68-71

1Department of Dermatology and Allergology; 2Institue of Pathology "Georg Schmorl", Städtisches Klinikum Dresden, Academic Teaching Hospital of the Technical University, Dresden, Germany.

Cutaneous polypoid melanoma is an uncommon subtype of malignant melanoma. The clinical behavior of this subtype has been described as aggressive. Tumors can be sessile or pedunculated. Read More

Minerva Stomatol 2018 06;67(3):139-140

Department of Medicine and Surgery, University of Salerno, Salerno, Italy.

Plast Reconstr Surg 2018 07;142(1):56-65

Dallas, Texas From the Dallas Plastic Surgery Institute and the Department of Plastic Surgery and the Touchstone Diabetes Center, Department of Internal Medicine, University of Texas Southwestern Medical Center.

Background: Fat grafting has been used extensively in plastic surgery in the past two decades. Here, the authors report the retrospective comparison of patients who underwent fractionated fat injection to blend the lid-cheek junction with those who had regular fat injection.

Methods: After obtaining institutional review board approval, a retrospective review of patients who underwent lower blepharoplasty with fractionated fat injection for blending the lid-cheek junction from January of 2014 through October of 2015 was performed. Read More

J Craniofac Surg 2018 Oct;29(7):1834-1841

Department of Otolaryngology Head and Neck Surgery, Arkansas Children's Hospital, University of Arkansas for Medical Sciences, Little Rock, AR.

Tessier No 3 facial cleft (oro-nasal-ocular clefts) is the rarest and most challenging of all the Tessier clefts. Reports on Tessier No 3 clinical findings, surgical techniques, and outcomes are varied due to the scarcity of patients and the wide range of phenotypic findings. The authors present our experience of 2 children born with Tessier No 3 clefts who were both managed at the Arkansas Children's Hospital. Read More

Int J Legal Med 2018 Jun 6. Epub 2018 Jun 6.

Institute of Legal Medicine, University of Freiburg, Faculty of Medicine, Albertstrasse 9, 79104, Freiburg im Breisgau, Germany.

In urban traffic accidents, mainly pedestrians and cyclists are at risk of being injured and killed. Lethal injuries are usually caused by the immediate impact of a car or a tram. This paper presents a fatal accident without any direct contact with a motor vehicle. Read More

Plast Reconstr Surg Glob Open 2018 Apr 13;6(4):e1725. Epub 2018 Apr 13.

Department of Plastic and Reconstructive Surgery, Osaka Medical College, Takatsuki, Japan.

A 66-year-old man had developed a tumor on his right cheek. A biopsy revealed basal cell carcinoma. The ulcerative cancer and zygomatic bone were resected. Read More

Maxillofac Plast Reconstr Surg 2018 Dec 25;40(1):11. Epub 2018 May 25.

2Institute of Translational Dental Sciences, Pusan National University, Yangsan, South Korea.

Background: Squamous cell carcinoma (SCC) is the most commonly occurring malignant tumor in the oral cavity. In South Korea, it occurs most frequently in the mandible, tongue, maxilla, buccal mucosa, other areas of the oral cavity, and lips. Radial forearm free flap (RFFF) is the most widely used reconstruction method for the buccal mucosal defect. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Jan;32(1):51-54

The Second Department of Plastic Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Science, Beijing, 100041,

Objective: To present method and experiences in using the buccal mucosa with the Snodgrass procedure for repair of hypospadias.

Methods: Between August 2012 and April 2015, 55 boys with hypospadias were treated with Snodgrass procedure combined with buccal mucosa. The age ranged from 1 to 7 years (mean, 4 years). Read More

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2017 Jul;31(14):1100-1102

Department of Otorhinolaryngology Head and Neck Surgery, Enshi Central Hospital, Enshi, 445000, China.

The aim of this study is to sum up the different surgical repair methods and techniques for the skin defect of head and face.A retrospective study on 97 cases of the face and head skin defect caused by trauma and tumor resection in nearly five years, including 37 cases on nasal, 21 cases on cheek, 9 cases on frontal, 13 cases on temporal, and 17 cases on ear. After resecting skin lesion in security boundary, skin defect were repaired by transposition adjacent flap, zone vascular pedicle flap, myocutaneous flap and the mucosal flap. Read More

Plast Reconstr Surg 2018 08;142(2):377-382

Dallas, Texas; and New York, N.Y. From the Department of Plastic Surgery, University of Texas Southwestern Medical Center; and Weill-Cornell Medical College, New York-Presbyterian Hospital.

Background: Lower blepharoplasty has evolved from traditional lower blepharoplasty involving skin-muscle flaps and fat resection to newer concepts that emphasize blending the lid-cheek junction. It is the objective of this review to evaluate these new concepts for their efficacy in blending the lid-cheek junction.

Methods: A comprehensive review of literature was performed using PubMed/MEDLINE to identify studies evaluating fat conservation, fat augmentation, fat repositioning, orbicularis retaining ligament (ORL) release, septal reset, and use of fillers in deep cheek fat compartments to obtain aesthetically pleasing lid-cheek junction. Read More

Ann Plast Surg 2018 Oct;81(4):427-432

From the Department of Plastic Surgery, University Hospitals of Leicester, Leicester, United Kingdom.

Background: Nasal reconstruction is a common plastic surgery procedure following cancer resection. Whereas most small and medium defects are managed using standard local flaps, reconstructive options available for large defects of the nose such as a heminasal defect are very few. Most of the large defects are usually managed using a forehead flap, which involves at least 2 stages or using free tissue transfer. Read More

Semin Plast Surg 2018 May 14;32(2):84-89. Epub 2018 May 14.

Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.

The cheek is the largest facial unit with a prominent position on the face. Trauma, burns, and the resection of skin cancers constitute common sources of injury, potentially resulting in defects that, through natural healing, produce noticeable scarring. Surgical repair focuses on the reformation of three-dimensional geometries, proper establishment of symmetry, and the minimization of color and texture discrepancies to the surrounding. Read More

Plast Reconstr Surg 2018 06;141(6):1351-1359

Munich, Germany; Salzburg, Austria; Sacramento, Calif.; Albany, N.Y.; and Zurich, Switzerland From the Department of Hand, Plastic and Aesthetic Surgery, Ludwig-Maximilians University; the Department of Radiology, Paracelsus Medical University Salzburg and Nuremberg; the Department of Cell Biology and Physiology, University of Salzburg, the Department of Facial Plastic Surgery, University of California-Davis Medical Center; the Department of Medical Education, Albany Medical College; and the Division of Thoracic Surgery, University Hospital Zurich.

Background: The superficial (subcutaneous) facial fat compartments contribute to the signs of facial aging, but a comprehensive anatomical description of their location and their functional behavior during the application of soft-tissue fillers remains elusive.

Methods: The authors investigated 30 fresh frozen cephalic specimens from 13 male and 17 female Caucasian body donors (age, 78.3 ± 14. Read More

Skin Res Technol 2018 Nov 7;24(4):650-655. Epub 2018 May 7.

Department of Cosmetology and Aesthetic Dermatology, Faculty of Pharmacy, Medical University of Lodz, Lodz, Poland.

Background: Microdermabrasion is a popular form of mechanical peel, used for many aesthetic purposes. Because it removes the superficial epidermal layer, it has an impact on hydrolipid skin coat.

Objective: The aim of the study was to examine the changes taking place in the hydrolipid coat of the skin after microdermabrasion measured by skin hydration and sebum level. Read More

Microsurgery 2018 Oct 2;38(7):795-798. Epub 2018 May 2.

Department of Plastic, Reconstructive and Maxillo-Facial Surgery, and Burn Unity, Centro Hospitalar de São João, Porto Medical School, Porto, Portugal.

Facial artery perforator flaps have been recently reported by different authors for perioral, nasal alar and cheek defects, but not for intraoral reconstruction. We have extended the use of the facial artery perforator flap in a 56-year-old man with a squamous cell carcinoma of left mouth floor, who was submitted to tumor resection with marginal mandibulectomy and left supraomohyoid neck dissection. The flap was designed according to the size of the defect (5 × 3 cm), centered on the perforator to create a symmetric flap and was tunnelled intraorally by means of a 90° rotation. Read More

Ophthalmic Plast Reconstr Surg 2018 Jul/Aug;34(4):393-395

Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, Missouri, U.S.A.

Purpose: The purpose of this study is to report the surgical technique and functional outcomes of the hatchet flap with transposed nasal inset for midfacial defect repairs.

Methods: An Institutional Review Board-approved, retrospective review was performed to identify patients treated using the hatchet flap with transposed nasal inset. Patient demographics, disease etiology, defect characteristics, and postoperative complications were collected from preoperative and follow-up visits. Read More

Plast Reconstr Surg 2018 04;141(4):914-915

Beverly Hills, Calif. From the David Geffen School of Medicine at UCLA.

Ann Anat 2018 May 26;217:111-117. Epub 2018 Mar 26.

Department of Biological and Material Sciences in Dentistry, Faculty of Health, Witten/Herdecke University, Witten, Germany. Electronic address:

Background: The superficial musculoaponeurotic system (SMAS), a structure that has been discussed with some controversy, has a complex morphological architecture.

Material And Methods: Histological analysis was performed on tissue blocks of the nasolabial fold (NLF) collected postmortem from formalin-fixed bodies of one male and one female donor. Serial histological sections were made, stained and digitized. Read More

Oman J Ophthalmol 2018 Jan-Apr;11(1):21-27

Department of Pathology, Jawaharlal Nehru Medical College, AMU, Aligarh, Uttar Pradesh, India.

Purpose: To analyze varying clinical presentations, histopathological features, and management outcome of sebaceous gland carcinoma (SGC) of the eyelid.

Materials And Methods: We retrospectively reviewed medical records of 30 patients with histologically proven cases of SGC of eyelid treated at tertiary care hospital.

Results: Patients were in the age group of 28-80 years, among which 18 (60%) were females and 12 (40%) were males. Read More