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Clin Plast Surg 2018 Oct;45(4):585-600

Marten Clinic of Plastic Surgery, 450 Sutter Street Suite 2222, San Francisco, CA 94108, USA.

For a subset of patients poor neck contour exists as a largely isolated problem and can be treated with a short scar neck lift procedure whereby no skin is removed. The procedure is performed through a submental incision without any removal of skin and relies on modification of deep-layer structures to improve neck contour. "Excess" skin is allowed to redistribute itself over the increased neck surface area created when deep-layer maneuvers are performed, neck contour is improved, and the cervicomental angle deepened. Read More

J Drugs Dermatol 2018 06;17(6):647-655

A complete approach to facial rejuvenation includes restoration of the skin's surface, relaxation of muscles that contribute to hyperkinetic movement, revolumization, and repositioning/recontouring of descended tissues and fat pads. After receiving 510(k) clearance from the US Food and Drug Administration (FDA) in 2015, the Silhouette InstaLift™ absorbable suspension suture became the only available non-surgical technique for repositioning of facial tissue. In January 2017, a consensus paper presented a review of the literature on the efficacy and safety of absorbable suspension sutures and provided information on treatment procedures. Read More

J Craniofac Surg 2018 May;29(3):800-803

Choi's Aesthetic Plastic Surgical Clinic, Seoul, Korea.

The aim of this study is to search for the origin of the term "ligament' in the face, present its status, and suggest a principle to rectify the use of unclear terminology.The structure that connects the zygoma to the skin was first presented by McGregor (1959). Kaye (1981), in describing his "extended facelift," wrote that the adherent area of the cheek over the malar eminence (McGregor's patch) usually requires sharp dissection. Read More

Facial Plast Surg 2018 Feb 6;34(1):75-81. Epub 2018 Feb 6.

Skin and Face Clinic, Baden-Baden, Germany.

Isotretinoin is a first generation retinoid with pleiotropic effects on keratinocyte differentiation, proliferation, and activity of sebaceous glands. For years, there has been intense debate on whether the use of isotretinoin combined with cosmetic or surgical procedures is safe and potentially more efficient than either therapy alone. Due to delays in wound healing and keloid formation, conservative recommendations were not to combine isotretinoin with any plastic surgery or local treatment at 6 to 12 months after discontinuation of the drug. Read More

J Plast Reconstr Aesthet Surg 2018 02 2;71(2):171-177. Epub 2017 Nov 2.

Center for Plastic and Aesthetic Surgery, Ocean Clinic Marbella, Av. Ramon y Cajal 7, ES-29601 Marbella, Spain; Department for Otolaryngology, Head and Neck Surgery, Eberhard Karls University Tübingen, Elfriede Aulhorn Str 5, DE-72076 Tübingen, Germany. Electronic address:

Objective: Recently, water jet-assisted liposuction (WAL) was successfully applied by several other authors to remove fat and induce skin contraction in nonfacial body areas. Extending the range of indications for this new method, the authors of this article report on their first experience with its use in facial contouring, fat harvesting, and hydrodissection of the facial skin flap in rhytidectomy in a case series of 25 patients.

Methods: Twenty-five patients (median age: 56 years) had facelift surgery under sedation, and the WAL technique was used for facial contouring, fat harvesting for facial lipotransfer, and hydrodissection of the facial skin flap. Read More

Aesthet Surg J 2018 Feb;38(3):321-328

Regenerative Surgery Unit, San Francesco Clinic, Verona, Italy.

Background: In previous papers, we demonstrated that the treatment of human photoaged skin with stromal-vascular fraction-enriched fat or expanded adipose-derived stem cells showed a decrease of elastosis and the appearance of new oxytalan elastic fibers in dermis and an increase in the vascular network. The utilization of fat plus platelet-rich plasma (PRP) led to an increase in the vascular permeability and reactivity of the nervous component.

Objectives: The purpose of this study was to analyze the histologic and ultrastructural changes of human skin after the injection of only PRP in the retroauricular area that was not exposed to sun and did not present the photoaging process, in comparison with our previous results. Read More

Ann Chir Plast Esthet 2017 Oct 27;62(5):375-386. Epub 2017 Sep 27.

Carré esthétique Lafayette, 5, place Aristide-Briand, 44000 Nantes, France. Electronic address:

The first step to determine a medical or surgical intervention is the clinical exam. The clinical exam is the paramount step to provide a treatment plan that can be modified and individualized accounting the patient preferences. During the consultation for facial rejuvenation, attention should be paid to understand the patient's motivation and expectations. Read More

Dermatol Surg 2017 Nov;43(11):1332-1338

*Taipei Arts Plastic Clinic, Taipei, Taiwan; †Department of Dermatology, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Taipei, Taiwan.

Background: Previous studies of microfocused ultrasound with visualization (MFU-V) on facial and neck laxity were largely based on masked physician assessments, histological analysis, and safety profile. More quantitative studies are needed.

Objective: To evaluate the 800 treatment lines of MFU-V on skin tightening effect of face and neck in Asians using 2 quantitative analysis systems at 0, 90, and 180 days after treatment. Read More

Ann Chir Plast Esthet 2017 Oct 15;62(5):592-597. Epub 2017 Sep 15.

59, rue Spontini, 75116 Paris, France. Electronic address:

Prevention of aging is mainly obtained through appropriate health practices, modulated by the genetic causes of aging. Causes of facial structural aging include gravity, volume loss, contraction of the mimic muscles and obviously biological aging of tissues. Among the very numerous new surgical technique of facial rejuvenation, we could point out: for the frontal region, obviously we are focus on the endoscopic and non-endoscopic frontal lifts. Read More

Ann Chir Plast Esthet 2017 Oct 5;62(5):532-549. Epub 2017 Sep 5.

Hôpital américain de Paris, 63, boulevard Victor-Hugo, 92200 Neuilly-sur-Seine, France; 90, boulevard Flandrin, 75116 Paris, France.

For a number of years, a volumetric approach using autologous fat injection has been implemented to improve cosmetic outcome in face-lift procedures and to achieve lasting rejuvenation. Autologous fat as filling tissue has been used in plastic surgery since the late 19th century, but has only recently been associated to face lift procedures. The interest of the association lies on the one hand in the pathophysiology of facial aging, involving skin sag and loss of volume, and on the other hand in the tissue induction properties of grafted fat, "rejuvenating" the injected area. Read More

J Cosmet Laser Ther 2018 Feb 6;20(1):28-33. Epub 2017 Sep 6.

b Department of Dermatology , Chung-Ang University College of Medicine , Seoul , Republic of Korea.

Background: Hydrolifting is a newly developed modality of skin rejuvenation, which enhances overall facial volume augmentation and recovers skin thickness through multi-pass HA injection. Although it is commonly performed, only a few articles have reported on the rejuvenating effects of hydrolifting. Moreover, clear protocols and possible mechanisms of the procedure have not been elucidated. Read More

J Drugs Dermatol 2017 Jul;16(7):661-666

BACKGROUND: Signs of facial aging include wrinkles, loss of subcutaneous volume, decreased tone, texture, and sagging of the skin. The objective of this review is to determine whether facial suspension absorbable sutures are a safe and effective modality for facial rejuvenation.

METHOD: A group of US plastic surgeons and dermatologists who practice medical aesthetics convened to review evidence obtained from literature searches and to reach a consensus on clinical practice guidelines for the use of facial absorbable suspension sutures. Read More

Facial Plast Surg 2017 Jun 1;33(3):279-284. Epub 2017 Jun 1.

Facial Plastic Surgery Associates, 6655 Travis Street, Suite 900, Houston, Texas.

The traditional rhytidectomy addresses facial and neck aging as it relates to soft tissue laxity. The modern volumetric facelift provides optimal results by addressing not only skin laxity but also the loss of volume secondary to tissue atrophy and bony resorption. While multiple techniques including fat grafting, dermal fillers, and tissue resuspension are used to correct the tissue loss, alloplastic midface augmentation remains the most permanent method. Read More

Vet Ophthalmol 2018 Mar 25;21(2):112-118. Epub 2017 Apr 25.

Fundació Hospital Clínic Veterinari, Universitat Autònoma de Barcelona, Bellaterra, Spain.

Purpose: To describe the outcome of modified brow suspension technique for the treatment of upper eyelid pseudoptosis in canine patients with redundant frontal skin folds.

Methods: Medical records from 1999 to 2015 were retrospectively reviewed. Only dogs that underwent modified brow suspension for treating bilateral pseudoptosis were included in the study. Read More

Plast Reconstr Surg 2017 Jul;140(1):33-45

Rome and Salò, Italy From the Department of Plastic and Reconstructive Surgery, University of "Tor Vergata"; and Villa Bella Clinic.

Background: Lower eyelid retraction can be the unfortunate result of aesthetic surgery, trauma, disease, or the aging processes. The purpose of this article is to assess whether midface lifting based on purely vertical repositioning constitutes an effective procedure for its correction.

Methods: A retrospective study was carried out on 199 patients (311 eyelids) operated on between January of 2004 and January of 2014. Read More

Plast Reconstr Surg 2017 Feb;139(2):308-321

Rome, Italy From the University of Padua; and private practice.

Background: A high rate of recurrence of anterior platysma bands and anterior skin laxity was reported at the 1-year follow-up of 150 patients who underwent complete neck undermining and full-width platysma transection for neck rejuvenation. The authors propose a new technique-lateral skin-platysma displacement-to treat these two aesthetic problems using only a lateral approach to avoid "opening" the anterior neck. The authors' objective was to compare outcomes following full-width platysma transection technique and lateral skin-platysma displacement technique in terms of patient satisfaction, complications, and long-term effectiveness in the treatment of bands and anterior skin laxity. Read More

JAMA Facial Plast Surg 2017 Jul;19(4):269-274

Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.

Importance: Body dysmorphic disorder (BDD) is a relative contraindication for facial plastic surgery, but formal screening is not common in practice. The prevalence of BDD in patients seeking facial plastic surgery is not well documented.

Objective: To establish the prevalence of BDD across facial plastic and oculoplastic surgery practice settings, and estimate the ability of surgeons to screen for BDD. Read More

Br J Oral Maxillofac Surg 2016 Nov 17;54(9):1006-1011. Epub 2016 Aug 17.

Oral and Maxillofacial Surgery, Academic Hospital of the University of Hanover, Klinikum Lippe, Röntgenstr. 18, 32756 Detmold Germany; Medical Faculty University RWTH, Aachen, Pauwelsstraße 30, 52074 Aachen Germany.

We compared the result of replacement using a modified facelift technique with those of other commonly used surgical techniques for the treatment of defects of the soft tissue of the infraorbital and cheek region. We made a retrospective observational study of 86 patients who had defects of the facial soft tissue after excision of malignant tumours. Procedures used for reconstructions included non-vascularised skin grafts, local flaps, facelift technique, and microvascular free flaps, and we evaluated morbidity; duration of hospital stay; the need for, and duration of stay in the intensive care unit (ICU); and functional and aesthetic outcomes. Read More

Plast Reconstr Surg 2016 Oct;138(4):781-91

Rome, Italy From the University of Padua; and private practice.

Background: The most common features of aging in the anterior neck are skin laxity and anterior platysma bands. Most neck correction techniques fail to obtain lasting correction of these despite promising early improvement. The authors use a major procedure to obtain the best results, combining full neck undermining with complete platysma transection and midline platysma approximation. Read More

Aesthetic Plast Surg 2016 Aug 13;40(4):556-65. Epub 2016 May 13.

Department of Maxillofacial and Plastic & Reconstructive Surgery, Henri Mondor Hospital, 51 avenue du Maréchal de Lattre de Tassigny, Créteil, 94010, France.

Background: In the field of cosmetic medicine, patient satisfaction is an important and common indicator used to measure the efficacy of the treatment. However, it is insufficient to prove objectively that the benefit of the specific factors involved in the cosmetic outcomes. The practitioner should be aware of these assessment tools, in particular in case of demanding or litigious patients. Read More

Aesthet Surg J 2016 May 1;36(5):533-45. Epub 2016 Mar 1.

Dr Mani is a plastic surgeon in private practice in Beverly Hills, CA.

Background: Recent anatomic studies suggest the superficial musculoaponeurotic system (SMAS) layer attenuates in the midface. This led the author to switch from a bilamellar high SMAS dissection to a "total composite flap" technique, preserving skin and SMAS/platysma as one layer in a critical "deep-plane transition zone" (DTZ) lateral to the zygomaticus major muscle. This allows traction on the SMAS to translate to the malar fat pad via a "cantilever bridge" effect, which is lost when skin is undermined in the DTZ. Read More

Ann Chir Plast Esthet 2015 Oct 16;60(5):454-61. Epub 2015 Sep 16.

59, rue Spontini, 75116 Paris, France. Electronic address:

The asymmetry created by the facial palsy is of course a cause of demand for facelift surgery. As this lifting action is specific and different from the standard procedures, 3 zones of analysis are proposed: first the frontal and temporal areas with the direct eyebrow lift, second the neck and jawline with action on the depressor anguli oris for the non-paralyzed side and the anterior sub SMAS dissection and third the midface. A new and more simple technique of concentric malar lift is proposed. Read More

Asia Pac J Ophthalmol (Phila) 2015 Sep-Oct;4(5):293-9

From the Department of Ophthalmology, National University Health System, Singapore.

Purpose: An anonymous Web-based survey was performed to assess the current practices, preferences, and complications of aesthetic procedures encountered by oculofacial surgeons in the Asia-Pacific. Results were compared with a similar study carried out in 2007 among members of the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS).

Design: This was a cross-sectional survey study. Read More

Dermatol Surg 2015 Jun;41(6):720-5

*Department of Dermatology, Arumdaun Nara Dermatologic Clinic, Seoul, Republic of Korea; †Department of Dermatology, Korea University College of Medicine, Seoul, Republic of Korea; ‡Department of Plastic Surgery, Gold Plastic Surgical Clinic, Seoul, Republic of Korea.

Background: Thread lifting is a minimally invasive technique for facial rejuvenation. Various devices for thread lifting using polydioxanone (PDO) are popular in aesthetic clinics in Korea, but there have been a few studies regarding its use.

Objective: To describe PDO thread and techniques adopted to counteract the descent and laxity of the face. Read More

Plast Reconstr Surg 2015 Jul;136(1):27-38

Dallas, Texas From the Department of Plastic Surgery, University of Texas Southwestern Medical Center.

Background: Laser resurfacing with simultaneous rhytidectomy has been used to augment aesthetic results and decrease overall patient recuperative time, yet presents a potential dual insult to the microvasculature supply of facial skin flaps. This study describes the authors' experience with rhytidectomy and simultaneous laser resurfacing.

Methods: Between May of 1999 and January of 2013, 85 face lifts with concomitant erbium laser resurfacing were reviewed retrospectively. Read More

Clin Plast Surg 2015 Jan;42(1):129-42

Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, Miami Valley Hospital, Kettering Medical Center, Good Samaritan North, Dayton Children's Hospital, Dayton, USA; Southwest Ohio ENT Specialists, 1222 S Patterson Boulevard, Dayton, Ohio. Electronic address:

The deep-plane midface lift offers many advantages in midface rejuvenation. Anatomic analysis of aging and embryologic evidence both support surgical facial “degloving” in the sub-SMAS plane and resuspension of the platysma/SMAS unit. This approach offers more complete repositioning of facial soft tissue compared with nonsurgical techniques, delivering accurate, direct treatment of deeper anatomic aspects of facial aging. Read More

Clin Plast Surg 2015 Jan 11;42(1):115-21. Epub 2014 Oct 11.

Willow Bend Wellness Center, 6101 Chapel Hill Boulevard, Ste.101, Plano, TX 75093, USA.

The authors have been performing autologous fat grafting for facial rejuvenation for 15 years and the procedure has evolved significantly during this time. In the beginning, the authors were primarily transferring to nasolabial folds, lips, and cheeks and found that the only patients who were satisfied with the procedure were cheek patients. To this day, the authors maintain that for isolated filling of lips and nasolabial folds, off the- shelf fillers are a better alternative. Read More

Am J Dermatopathol 2015 Oct;37(10):773-7

*Cabinet de Dermatopathologie, Paris, France; †Cabinet de Chirurgie Plastique, Paris, France; and ‡Sorbonne Universités, UPMC Paris 06, CNRS, UMR 7190, Institut Jean le Rond d'Alembert, 75005, Paris.

The authors report the histopathologic and ultrastructural features of gold threads, which were implanted in the cheek subcutis of a 77-year-old woman 10 years ago. These particles did not give rise to any adverse reactions and were fortuitously discovered by the surgeon during a facelift. Histopathology showed a nonpolarizing exogenous material consisting of black oval structures surrounded by a capsule of fibrosis and by a discrete inflammatory reaction with a few giant cells. Read More

Facial Plast Surg 2014 Aug 30;30(4):394-404. Epub 2014 Jul 30.

Section of Otolaryngology, Head and Neck Surgery, Department of Surgery, Yale University School of Medicine, New Haven, Connecticut.

The purpose of this article is to provide the facial plastic surgeon with anatomical and embryologic evidence to support the use of the deep plane technique for optimal treatment of facial aging. A detailed description of the procedure is provided to allow safe and consistent performance. Insights into anatomical landmarks, technical nuances, and alternative approaches for facial variations are presented. Read More

Aesthetic Plast Surg 2014 Oct 16;38(5):839-48. Epub 2014 Jul 16.

Institute of Medicine and Dermatology (ISMD), São Paulo, SP, Brazil.

Background: Facial aging is a natural biological process with symptoms such as sagging tissue, accentuated lines, furrows, wrinkles, dyschromias, and loss of facial volume. Rhytidectomy alone often fails to achieve a patient's expected goals, which is why there is a high demand for adjunct laser skin treatment.

Methods: From January 2007 to February 2013, a total of 80 patients with skin types Fitzpatrick I-IV underwent large undermined cutaneous flap rhytidectomy and superficial muscular aponeurotic system (SMAS) plicature plus hyaluronic acid injection on the nasolabial folds and lips and concomitant Lumenis UltraPulse CO2 Active FX total ablation mode resurfacing of nonundermined skin. Read More

Ann Plast Surg 2014 ;72(6):S139-43

From the Division of Plastic and Reconstructive Surgery, University of Florida College of Medicine, Gainesville, FL.

Introduction: Minimal access cranial suspension (MACS) facelifts provide the potential advantage of less invasiveness with quicker recovery. However, there is deficient literature documenting its usefulness and limitations.

Purpose: This study aimed to evaluate the MACS lift for effectiveness in facial rejuvenation. Read More

Br J Dermatol 2014 Apr;170(4):858-65

Department of Dermatology, University Hospital Regensburg, Franz-Josef-Strauss-Allee 11, 93053, Regensburg, Germany.

Background: Results of profilometric skin analyses after fractional ablative skin resurfacing are not only important for evaluating the efficacy of this therapy but are also relevant for physicians practising laser and aesthetic skin therapy. Currently, objective measurements of wrinkle reduction after fractional CO2 laser resurfacing are scarce, and it remains unclear whether the various facial areas respond differently to this therapy.

Objectives: To measure wrinkle parameters, the homogeneity of melanin distribution and skin roughness in four facial areas (periorbital, perioral, forehead, cheeks) before and after three fractional CO2 laser treatments. Read More

J Cosmet Dermatol 2013 Dec;12(4):275-80

La Jolla Cosmetic Laser Clinic, La Jolla, CA, USA; California Retina Associates, Chula Vista, CA, USA.

Aim: To demonstrate safely with the use of polymethyl methacrylate (PMMA) microspheres in the infraorbital eyelid area using a deliberate conservative injection in the treatment of rhytids.

Methods: A retrospective case series of 289 patients in an outpatient cosmetic dermatology clinic evaluated and treated by one senior provider (NM) of infraorbital rhytids with PMMA from December 2010 to March 2011. Statistical analysis was performed for race, skin type, history of hypertrophic scar, autoimmunity, history of "sensitive skin" and history of prior procedures such as prior facelift, rhinoplasty, and blepharoplasty. Read More

J Am Acad Dermatol 2013 Dec 17;69(6):965-71. Epub 2013 Sep 17.

Goldman, Butterwick, Fitzpatrick, Groff, and Fabi, Cosmetic Laser Dermatology, San Diego, California; University of California, San Diego, California. Electronic address:

Background: Laxity and rhytides are manifestations of photodamage on the chest.

Objective: We sought to evaluate efficacy and safety of microfocused ultrasound with visualization treatment of décolletage laxity and rhytides.

Methods: In all, 24 subjects with moderate to severe rhytides, as measured by a validated 5-point photonumeric scale (Fabi/Bolton Chest Wrinkle Scale), received microfocused ultrasound with visualization treatment. Read More

Ann Plast Surg 2014 Dec;73(6):627-30

From the Department of Plastic and Reconstructive Surgery, Hanyang University College of Medicine, Seoul, Korea.

The glabellar rhytid has not only dynamic but also static cause, which is usually achieved by injection of filler. Deep glabellar rhytides, however, are difficult to correct with filler. Therefore, the authors introduce a novel method of inserting a small strip of acellular dermal matrix (ADM) underneath the wrinkle line. Read More

Facial Plast Surg 2013 Jun 12;29(3):214-24. Epub 2013 Jun 12.

Department of Facial Plastic Surgery, Plastica Colombia, Bogota, Colombia.

The neck has always been one of the most difficult areas to manage in rejuvenation surgery. Even patients with adequate results after a facelift may be dissatisfied because of the appearance of the neck. Moreover, not all neck problems are the same in all patients. Read More

Aesthet Surg J 2013 May 5;33(4):487-96. Epub 2013 Apr 5.

Baxter Healthcare Corporation, One Baxter Way, Westlake Village, CA 91362-3811 USA.

Background: Suction drains are commonly placed after rhytidectomy to avoid seroma formation that may result from dead spaces between skin layers. Fibrin sealants promote tissue adherence by crosslinking with extracellular matrix proteins, which may reduce the dead space under skin flaps.

Objectives: The authors evaluate the safety and efficacy of the fibrin sealant (FS) VH S/D 4 s-apr (Artiss; Baxter Healthcare Corp, Deerfield, Illinois), added to standard-of-care (SoC) treatment, in improving flap adherence and reducing dead space in patients undergoing rhytidectomy. Read More

Aesthet Surg J 2013 Mar;33(3):323-33

Private practice in Atlanta, Georgia, USA.

Background: Suction drains are commonly placed after rhytidectomy surgery to avoid seroma formation that may result from dead spaces between skin layers. Fibrin sealants promote tissue adherence by cross-linking with extracellular matrix proteins, which may reduce the dead space under skin flaps.

Objectives: The authors evaluate the safety and preliminary efficacy of the fibrin sealant (FS) VH S/D 4 s-apr (ARTISS; Baxter Healthcare Corp, Deerfield, Illinois), added to standard-of-care (SoC) treatment, on tissue plane adherence and local hemostasis in rhytidectomy patients. Read More

Ophthalmic Plast Reconstr Surg 2013 May-Jun;29(3):220-4

Spalding Drive Cosmetic Surgery and Dermatology, Beverly Hills, California, USA.

Purpose: An age-related depression can develop over the superonasal orbital rim, which the authors have called the "orbitoglabellar groove (OGG)." It is, in part, related to volume loss over the rim as is seen at the lower eyelid/cheek interface (nasojugal groove). An upper eyelid fat pedicle can be transposed over the OGG during standard upper blepharoplasty surgery to reduce this depression. Read More

Eur J Plast Surg 2013 Feb 12;36(2):87-94. Epub 2012 Oct 12.

Department of Plastic Surgery, Interclinica-Centroplastica, Rua Jardim Botânico 164, Jardim Botânico, Rio de Janeiro Brazil.

BACKGROUND: Patients submitted to rhytidectomy usually relay their desire for briefer surgical procedures and a shorter post-operative period with faster recovery. In view of this, a technique in which the skin of the cervico-mandibular region is not undermined but only detached by blunt dissection was developed. METHODS: A retrospective study of the senior author's experience in eutrophic rhytidoplasty (EUR), the technique proposed herein, for facial rejuvenation was conducted. Read More

Ophthalmic Plast Reconstr Surg 2013 Jan-Feb;29(1):35-9

Oculoplastic, Facial Cosmetic, and Orbital Surgery, University of Wisconsin-Madison, Madison, WI 53226, USA.

Purpose: To examine with histology the anatomical location of hyaluronic acid gel injected to the infraorbital hollows of cadaver specimens.

Methods: The authors dissected 5 fresh hemifacial cadaver specimens following preperiosteal injection of hyaluronic acid gel to the infraorbital hollows. Following tissue fixation, full-thickness soft tissue sections were obtained along the medial, central, and lateral lower eyelid/midface of each specimen. Read More

Aesthet Surg J 2012 Nov;32(8):927-36

Background: Numerous techniques have been used to rejuvenate the aging midface. The Endotine midface technique involves an endoscopic temporal approach, including midface dissection and malar suspension with fixation. The Endotine device (Microaire, Charlottesville, Virginia) eliminates the intraoral incision and use of sutures, enabling multipoint fixation and fast, simple adjustability for optimal control of midface elevation and volume. Read More

Laser Ther 2012 Sep;21(3):215-22

Domina Sana Medical Center, Bucharest, Romania.

Background And Aims: Patients now want a long-lasting youthful appearance but with a minimally-invasive approach. Our unique approach, "AdipoLASER reJuvenation (ALJ)", involves a variety of minimally-invasive laser- and lipolysis-based techniques, and the present study assessed the impact of this ALJ approach.

Subjects And Methods: From 2008 - 2011, we prospectively enrolled 221 patients into the study. Read More

Aesthetic Plast Surg 2012 Dec 31;36(6):1277-82. Epub 2012 Aug 31.

Division of Facial Plastic & Reconstructive Surgery, Department of Otolaryngology/Head and Neck Surgery, Albert Einstein College of Medicine, Bronx, NY, USA.

Background: This study aimed to assess quantitative changes in lower-eyelid aesthetics after a transtemporal midface lift concomitant with transconjunctival blepharoplasty and lower-eyelid skin pinch.

Methods: The study enrolled 55 consecutive patients who underwent a transtemporal midface lift and concurrent transconjunctival blepharoplasty with lower-eyelid skin pinch. All the surgeries were performed over a 2-year period by the senior author (A. Read More

Plast Reconstr Surg 2012 Jul;130(1):199-205

Plastic Surgery Service, University of the State of Rio de Janeiro, Rio de Janeiro, Brazil.

Background: When planning a face lift, the surgeon must keep in mind that signs of aging vary depending on the patient's age, skin quality, bony structure, and muscle tone. The deformities must be evaluated individually to determine the best treatment.

Methods: The purpose of this article is to discuss the surgical and philosophical aspects of the treatment of the lower third of the face and neck, based on the authors' experience of 40 years. Read More

J Oral Maxillofac Surg 2012 Dec 10;70(12):2854-8. Epub 2012 Apr 10.

Division of Oral & Maxillofacial Surgery, University of Florida Health Science Center, Jacksonville, FL 32209, USA.

Purpose: Esthetic rejuvenation of the submental area is a fairly common concern of patients seeking cosmetic surgery. There are several techniques used to obtain esthetic results. A common dilemma is the proper determination as to which procedure, liposuction versus formal cervicoplasty, is more appropriate. Read More

Facial Plast Surg 2012 Feb 14;28(1):102-15. Epub 2012 Mar 14.

The McCollough Plastic Surgery Clinic, McCollough Institute for Appearance & Health, Gulf Shores, Alabama 36547, USA.

The ideal facial rejuvenation algorithm is comprised of an appropriate combination of procedures, thoughtfully chosen from an assortment of reliable alternatives, that when skillfully performed provide both short- and long-term enhancement to the undesirable conditions of aging that exists at the time of treatment. In 2010, the senior author published the first scientific article in which a condition-specific classification system and a treatment plan algorithm were applied to the discipline of facial rejuvenation. In the landmark article, the senior author reviewed his surgical experience of more than 5000 face-lifts and grouped patients into five major categories (or stages), based upon the extent of aging identified in various regions of the face and neck and the procedures performed to correct them. Read More

Ophthalmic Plast Reconstr Surg 2011 Nov-Dec;27(6):442-6

Institute of Aesthetic and Plastic Surgery Dr. Serra-Renom, Hospital Quiron Barcelona, Universitat Internacional de Catalunya, Barcelona, Spain.

Purpose: Periorbital rejuvenation is not achieved by upper and lower blepharoplasty alone; the presence of malar atrophy and the excessive length of the lower eyelid may change the face's oval shape, with the progressive formation of the negative vector. We describe our technique combining blepharoplasty and malar fat grafting to reverse the negative vector.

Methods: After thorough anamnesis, we perform the blepharoplasty and canthopexy if necessary. Read More

J Drugs Dermatol 2011 Jul;10(7):762-5

Centro BandS Excelencia en Cirugía Plástica, Buenos Aires, Argentina.

Background: A novel percutaneous corrugator supercilii muscle terminal nerve CSMTN ablation technique is proposed for the treatment of hyperdynamic vertical glabellar furrows (HVGF).

Technique: Two surgical marks are placed on each eyebrow. One is placed at the level of the lateral canthus and the second at the outer border of the limbus. Read More