909 results match your criteria Facial Plastic Surgery Clinics of North America [Journal]


Exploring Facial Gender Affirmation Surgery.

Facial Plast Surg Clin North Am 2019 May;27(2):xi

SomenekMD- Advanced Facial Plastic Surgery, 2440 M Street NW, Suite 507, Washington, DC 20037, USA. Electronic address:

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http://dx.doi.org/10.1016/j.fsc.2019.02.001DOI Listing
May 2019
2 Reads

Facial Gender Affirmation Surgery.

Authors:
J Regan Thomas

Facial Plast Surg Clin North Am 2019 May;27(2):ix

Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Head and Neck Surgery, Northwestern University School of Medicine, 675 North Saint Clair Street, Suite 15-200, Chicago, IL 60611, USA. Electronic address:

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http://dx.doi.org/10.1016/j.fsc.2019.02.002DOI Listing

Chondrolaryngoplasty-Thyroid Cartilage Reduction.

Facial Plast Surg Clin North Am 2019 May;27(2):267-272

Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue, CSC K4/7, Madison, WI 53792, USA. Electronic address:

Chondrolaryngoplasty, also known as tracheal shave, is a surgical procedure performed for a prominent Adam's apple, usually in transfeminine patients with gender dysphoria to this marker of male sex. Although laryngeal anatomy is complex, knowledge of landmarks and techniques discussed in this article results in a safe procedure with rare complications and improvement in quality of life. Read More

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http://dx.doi.org/10.1016/j.fsc.2019.01.005DOI Listing
May 2019
1 Read

Lip Lift.

Facial Plast Surg Clin North Am 2019 May 2;27(2):261-266. Epub 2019 Mar 2.

Hansjörg Wyss Department of Plastic Surgery, New York University Langone Health, 305 East 33rd Street, New York, NY 10016, USA. Electronic address:

The male upper lip has a distinctly longer cutaneous height from the nasal base to the upper vermilion border than its female counterpart. The subnasal indirect lip lift using the bullhorn technique or its modifications allows for shortening of this height to feminize the lower face, creating a more aesthetically pleasing upper lip secondary to increased vermilion height and lip pout. Patient selection is critical, taking into account lip height, vermilion height, alar base width, skin type, upper incisal show, and maxillary height. Read More

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http://dx.doi.org/10.1016/j.fsc.2019.01.004DOI Listing
May 2019
1 Read

Gender-confirming Rhinoplasty.

Facial Plast Surg Clin North Am 2019 May;27(2):251-260

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Oregon Health & Science University, Center for Health and Healing, CH5E, 3303 Southwest Bond Avenue, Portland, OR 97201, USA.

Most surgeons who are not routinely treating gender dysphoric patients are more likely to see an isolated rhinoplasty consultation rather than a request for full facial gender confirmation surgery (FGCS). Different from other aspects of FGCS, the surgical basis of rhinoplasty is almost the same as for the cisgender population. Despite technical overlap, the care for patients seeking rhinoplasty for the indication of gender dysphoria vastly differs from that for the cisgender population. Read More

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http://dx.doi.org/10.1016/j.fsc.2019.01.003DOI Listing

Feminization of the Chin: Genioplasty Using Osteotomies.

Facial Plast Surg Clin North Am 2019 May;27(2):243-250

Deschamps-Braly Clinic of Plastic & Craniofacial Surgery, 360 Post Street, Suite 901, San Francisco, CA 94108, USA. Electronic address:

Chin reshaping can provide a more identifiable female appearance for transitioning male to female patients undergoing facial feminization. The "sliding" genioplasty has the most potential for dramatically reshaping the chin, while also avoiding many of the issues that may occur with implants. A chin should be evaluated radiologically and by physical examination to determine what changes should be made to any particular chin. Read More

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http://dx.doi.org/10.1016/j.fsc.2019.01.002DOI Listing

Lower Jaw Recontouring in Facial Gender-Affirming Surgery.

Facial Plast Surg Clin North Am 2019 May 2;27(2):233-242. Epub 2019 Mar 2.

Brownstein and Crane Surgical Services, San Francisco, CA, USA.

Facial gender-affirming surgery can have significant impact on patient quality of life for some gender-dysphoric patients. Lower jaw contouring can be used to harmonize the face during facial gender-affirming surgery through masculinization or feminization. During feminization, the mandibular angle and body and chin are reduced in width and size. Read More

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http://dx.doi.org/10.1016/j.fsc.2019.01.001DOI Listing
May 2019
1 Read

Hair Transplantation Techniques for the Transgender Patient.

Facial Plast Surg Clin North Am 2019 May;27(2):227-232

Private Practice, Foundation for Hair Restoration, 6280 Sunset Drive, Suite 504, Miami, FL, USA.

Hair transplantation can play a complementary role in the spectrum of gender transformation procedures sought by transgender patients undergoing gender transformation surgery. The authors' clinic has seen an increase in the demand for hair restoration in transgender patients. Hairline lowering, eyebrow transplantation, and pubic hair transplantation can play roles for male-to-female transgender patients whereas beard hair transplantation and body hair transplantation can play integral roles for female-to-male patients seeking gender transformation surgery. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.12.005DOI Listing
May 2019
1 Read

Midfacial Bony Remodeling.

Facial Plast Surg Clin North Am 2019 May 2;27(2):221-226. Epub 2019 Mar 2.

Department of Craniofacial Diseases, Karolinska University Hospital, Stockholm 171 77, Sweden.

Craniofacial procedures to the midface in conjunction with work to the upper face and skull, and if needed the lower jaw, are a permanent and effective way to achieve feminization of the face in transgender patients. Although the surgery is more complex than other procedures, it should be considered for select patients. Further improvement of cosmesis may be considered a separate surgical entity and is not limited in scope or time by having undergone midface osteotomies. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.12.004DOI Listing
May 2019
1 Read

Forehead and Orbital Rim Remodeling.

Facial Plast Surg Clin North Am 2019 May 2;27(2):207-220. Epub 2019 Mar 2.

MDM Surgery Center, Sanatorio Finochietto Medical Center, Buenos Aires, Avenida Cordoba 2678, C1187AAN, Argentina. Electronic address:

Facial features remodeling surgery is performed to obtain feminization of the face that corresponds to the gender perceived by patients. This includes techniques and findings to remodel the forehead and orbital rim to change the expression of the eyes, correction of the frontonasal angle in relation to rhinoplasty, hairline feminization, and eyebrow lift to correct the position and aesthetic dissatisfaction or the effects of aging. Read More

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http://dx.doi.org/10.1016/j.fsc.2019.01.007DOI Listing
May 2019
3 Reads

Cheek Augmentation Techniques.

Facial Plast Surg Clin North Am 2019 May 2;27(2):199-206. Epub 2019 Mar 2.

Private Practice, 9000 Waukegan Road, Suite 210, Morton Grove, IL 60053, USA. Electronic address:

The restoration of a youthful appearance to the midface can enhance its femininity. In this article, we discuss several strategies and techniques, both surgical and nonsurgical, for augmentation of the lateral and centro-lateral midface. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.12.003DOI Listing
May 2019
1 Read

Preparing for Facial Feminization Surgery: Timing.

Facial Plast Surg Clin North Am 2019 May 2;27(2):191-197. Epub 2019 Mar 2.

Department of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital, Pasquerilla Health Center, 1st Floor, 3800 Reservoir Road Northwest, Washington, DC 20037, USA.

Facial feminization surgery may be a part of a treatment plan for gender dysphoria. Initial mental health assessment must occur. Referrals for hormonal therapy may then be made if appropriate. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.12.002DOI Listing
May 2019
3 Reads

Hormonal, Medical, and Nonsurgical Aspects of Gender Affirmation.

Facial Plast Surg Clin North Am 2019 May;27(2):179-190

Department of Medicine, Division of Endocrinology, Diabetes & Metabolism, University of Wisconsin, Medical Foundation Centennial Building, Room 4170, 1685 Highland Avenue, Madison, WI 53705, USA.

Although the acronym LGBTQ is often used as a catchall label for sexual and gender minorities, transgender people have unique and individual health needs and unfortunately experience significant health disparities. This article reviews essential terminology and concepts relevant to discussions of gender and gender identity, practical tips for changes that can be made on the clinical and institutional levels in order to create a welcoming and safe environment for transgender patients, as well as current recommendations for the provision of gender-affirming medical therapy. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.12.001DOI Listing

Gender-related Facial Analysis.

Facial Plast Surg Clin North Am 2019 May 2;27(2):171-177. Epub 2019 Mar 2.

Advanced Facial Plastic Surgery, 2440 M Street Northwest #507, Washington, DC 20037, USA. Electronic address:

There exist several known anthropometric differences between the male and female facial skeleton and soft tissues. In general, the female face is less robust, rounder or heart shaped, with a shorter forehead, no supraorbital bossing, a smaller nose, more pronounced zygomatic prominences, fuller lips, a smaller mandibular width, and a more tapered chin. A method for analyzing these differences is critical for offering facial gender confirming surgery to the gender dysphoric patients, both for preoperative planning, as well as for setting postoperative expectations. Read More

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http://dx.doi.org/10.1016/j.fsc.2019.01.006DOI Listing

State-of-the-Art in Skin Cancer Surgery.

Authors:
Jeffrey S Moyer

Facial Plast Surg Clin North Am 2019 Feb;27(1):xiii

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of Michigan, 1500 East Medical Center Drive, TC 1904, Ann Arbor, MI 48109, USA. Electronic address:

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http://dx.doi.org/10.1016/j.fsc.2018.08.015DOI Listing
February 2019
14 Reads

Reconstruction of the Ear.

Facial Plast Surg Clin North Am 2019 Feb;27(1):95-104

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins School of Medicine, 601 North Caroline Street, 6th Floor, Baltimore, MD 21287, USA.

Skin cancer is a common indication for reconstructive surgery of the ear. The unique anatomy of the external ear makes the restoration of form and function challenging for the reconstructive surgeon. This article reviews the relevant anatomy of the ear, defines the goals of reconstruction, outlines the assessment of defects based on location, and describes specific surgical techniques useful in auricular reconstruction. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.08.010DOI Listing
February 2019
20 Reads

Reconstruction of the Forehead and Scalp.

Facial Plast Surg Clin North Am 2019 Feb;27(1):85-94

Department of Otolaryngology-Head and Neck Surgery, New York University School of Medicine, 240 East 38th Street, 14th Floor, New York, NY 10016, USA. Electronic address:

Tissue inelasticity and the hair-bearing nature of the scalp and forehead pose unique challenges during reconstruction. A thorough understanding of the surgical anatomy of the scalp and forehead is paramount for optimal reconstructive outcomes. Primary wound closure is usually preferred over secondary intention healing and skin grafting. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.08.009DOI Listing
February 2019
21 Reads

Reconstruction of Defects Involving the Lip and Chin.

Facial Plast Surg Clin North Am 2019 Feb;27(1):67-83

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of North Carolina at Chapel Hill, 170 Manning Drive, Campus Box 7070, Chapel Hill, NC 27599, USA.

Successful perioral reconstruction is the result of consideration of both functional and esthetic goals. The lips are complex esthetic units with multiple tissue layers and distinct anatomic landmarks. Reconstruction can be difficult due to variables affecting the defect, such as size, depth, location, and involvement of adjacent subunits. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.08.008DOI Listing
February 2019
22 Reads

Reconstruction of the Cheek.

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

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http://dx.doi.org/10.1016/j.fsc.2018.08.007DOI Listing
February 2019
15 Reads

Reconstruction of the Nose.

Facial Plast Surg Clin North Am 2019 Feb;27(1):43-54

Department of Otolaryngology-Head and Neck Surgery, University of Michigan Medical School, 1904 Taubman Center, Ann Arbor, MI 48109-5312, USA.

Nasal reconstructive techniques have advanced significantly over the past 50 years. Modern techniques in nasal reconstruction are based on the nasal aesthetic subunits. In order to achieve ideal outcomes, reconstructive surgeons must consider differences in tissue qualities across the nasal aesthetic subunits and formulate reconstructive plans based on these differences. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.08.006DOI Listing
February 2019
15 Reads

Management of Early-Stage Melanoma.

Facial Plast Surg Clin North Am 2019 Feb;27(1):35-42

Department of Dermatology, University of Michigan Medical School, University of Michigan, 1500 East Medical Center Drive, UH South Room F7680, Ann Arbor, MI 48109-5218, USA. Electronic address:

Melanoma is a potentially aggressive skin cancer with a steadily rising incidence. Most melanomas are diagnosed at an early stage and associated with an excellent prognosis when treated appropriately. Primary treatment for melanoma is surgical. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.08.003DOI Listing
February 2019
41 Reads

Health Outcome Studies in Skin Cancer Surgery.

Facial Plast Surg Clin North Am 2019 Feb;27(1):163-170

Department of Otolaryngology-Head and Neck Surgery, Stanford University, Palo Alto, CA, USA.

As cutaneous cancers are the most common malignancies affecting US citizens, they represent a significant public health problem and health care cost burden. There are a variety of treatment options available to manage cutaneous malignancies, but limited data are available regarding outcomes, including quality of life, recurrence, and mortality. Here, we examine outcomes of skin cancer surgery as they relate to sociodemographic data and treatment factors. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.08.013DOI Listing
February 2019
11 Reads

Tissue Engineering and 3-Dimensional Modeling for Facial Reconstruction.

Facial Plast Surg Clin North Am 2019 Feb;27(1):151-161

Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology, 313 Ferst Drive Northwest, Atlanta, GA 30332, USA.

Three-dimensional (3D) printing has transformed craniofacial reconstruction over the last 2 decades. For cutaneous oncologic surgeons, several 3D printed technologies are available to assist with craniofacial bony reconstruction and preliminary soft tissue reconstructive efforts. With improved accessibility and simplified design software, 3D printing has opened the door for new techniques in anaplastology. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.08.012DOI Listing
February 2019
18 Reads

Mohs Micrographic Surgery.

Facial Plast Surg Clin North Am 2019 Feb;27(1):15-34

Department of Dermatology, University of Colorado Hospital and School of Medicine, Mail Stop F703, 1665 North Aurora Court, Aurora, CO 80045, USA. Electronic address:

Mohs micrographic surgery (MMS) is the gold standard for treating various cutaneous tumors. MMS has evolved into a single-day, outpatient procedure. The tumor is excised, mapped, and processed with frozen, horizontal sections for immediate histologic evaluation. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.08.002DOI Listing
February 2019
4 Reads
1.180 Impact Factor

Adjuvant and Neoadjuvant Treatment of Skin Cancer.

Facial Plast Surg Clin North Am 2019 Feb;27(1):139-150

Division of Hematology-Oncology, University of California San Diego, Moores Cancer Center, 3855 Health Sciences Drive, La Jolla, CA 92093-0658, USA.

Skin cancer represents a broad classification of malignancies, which can be further refined by histology, including basal cell carcinoma, squamous cell carcinoma and melanoma. As these three cancers are distinct entities, we review each one separately, with a focus on their epidemiology, etiology including relevant genomic data, and the current evidence-based recommendations for adjuvant and neoadjuvant therapy. We also discuss future directions and opportunities for continued therapeutic advances. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.08.014DOI Listing
February 2019
13 Reads

Radiotherapy for Skin Cancers of the Face, Head, and Neck.

Facial Plast Surg Clin North Am 2019 Feb;27(1):131-138

Department of Radiation Oncology, University of Michigan, 1500 East Medical Center Boulevard, Ann Arbor, MI 48109, USA. Electronic address:

Radiotherapy plays a role in the definitive or adjuvant management of early and late stage skin cancers including nonmelanoma basal cell carcinoma and cutaneous squamous cell carcinoma, melanoma, and Merkel cell carcinoma. The role of radiotherapy in skin cancers of the head and neck is reviewed including early and advanced-stage nonmelanoma skin cancers, melanoma, and Merkel cell carcinoma. In particular, the indications, oncologic outcomes, and technical aspects of radiotherapy for these diseases are discussed. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.08.005DOI Listing
February 2019
16 Reads

The Role of Sentinel Lymph Node Biopsy in the Management of Cutaneous Malignancies.

Facial Plast Surg Clin North Am 2019 Feb;27(1):119-129

Department of Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 1445, Houston, TX 77030-4009, USA. Electronic address:

Sentinel lymph node biopsy uses the concept of selective lymphatic drainage and the lymphatic microvasculature to identify first-echelon nodes draining a given malignancy. Although initially considered difficult and unreliable in the head and neck, experience with the technique has improved and evolved significantly over the last 3 decades. It is now recognized to be accurate and reliable for regional nodal staging and detection of occult nodal metastasis in the head and neck. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.08.004DOI Listing
February 2019
8 Reads

Periocular Reconstruction.

Facial Plast Surg Clin North Am 2019 Feb;27(1):105-118

Kellogg Eye Center, Michigan Medicine, 1000 Wall Street, Ann Arbor, MI 48105, USA.

Options for periorbital reconstruction include primary wound closure, local flaps, regional/distant flaps, or full-thickness skin grafts. Optimal aesthetic and functional outcomes are achieved by assessing regional contours, skin type, and facial aesthetic units. Like tissue should replace like tissue; for example, skin with skin, tarsus with tarsus (or equivalent material, eg, hard palate, ear cartilage, or autologous substitute), and conjunctiva with mucous membrane or like substitute (buccal mucous membrane, amniotic membrane). Read More

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http://dx.doi.org/10.1016/j.fsc.2018.08.011DOI Listing
February 2019
17 Reads

Nonmelanoma Skin Cancer.

Facial Plast Surg Clin North Am 2019 Feb;27(1):1-13

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine, Western University, St Joseph's Hospital, 268 Grosvenor Street 2nd Floor, London, Ontario N6A 4V2, Canada.

This article reviews the most common nonmelanoma skin cancers affecting the head and neck region. Although the most common of these malignancies rarely result in mortality, local morbidity caused by the tumors and their extirpation cannot be underestimated. Complete tumor extirpation with pathologically confirmed negative margins is the gold standard. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.08.001DOI Listing
February 2019
16 Reads

Biologic Treatments Are Our Future, but a More Regulated One.

Authors:
Gregory S Keller

Facial Plast Surg Clin North Am 2018 11 16;26(4):ix-xi. Epub 2018 Aug 16.

Keller Facial Plastic Surgery, 221 West Pueblo Street, Santa Barbara, CA 93105, USA. Electronic address:

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http://dx.doi.org/10.1016/j.fsc.2018.06.012DOI Listing
November 2018
2 Reads

Mesothelial Stem Cells and Stromal Vascular Fraction for Skin Rejuvenation.

Facial Plast Surg Clin North Am 2018 Nov 16;26(4):513-532. Epub 2018 Aug 16.

Medical Risk Management, Medical Risk Institute, 676 Ohio Street, Terre Haute, IN 47807, USA.

The use of stem cells in regenerative medicine and specifically facial rejuvenation is thought provoking and controversial. Today there is increased emphasis on tissue engineering and regenerative medicine, which translates into a need for a reliable source of stem cells in addition to biomaterial scaffolds and cytokine growth factors. Adipose tissue is currently recognized as an accessible and abundant source for adult stem cells. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.06.011DOI Listing
November 2018
14 Reads

Mesenchymal Stem Cells and Stromal Vascular Fraction for Hair Loss: Current Status.

Facial Plast Surg Clin North Am 2018 Nov 16;26(4):503-511. Epub 2018 Aug 16.

Foundation for Hair Restoration, 6280 Sunset Drive, Miami, FL 33143, USA; Foundation for Hair Restoration, 6280 Sunset Drive, Suite 504, Miami, FL 33143, USA; Foundation for Hair Restoration, 60e 56th Street, New York, NY 10021, USA.

The current state of the applicability of cell therapy for the treatment of various conditions of hair loss reveals a promising and potentially effective role. Further research, based on published work to date, is indicated to further explore the potential roles of autologous fat grafting, mesenchymal stem cells, and stromal vascular fraction therapy. The authors' evolving experience matches these promising scientific findings. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.06.010DOI Listing
November 2018
4 Reads

Mesothelial Stem Cells and Stromal Vascular Fraction: Use in Functional Disorders, Wound Healing, Fat Transfer, and Other Conditions.

Facial Plast Surg Clin North Am 2018 Nov 16;26(4):487-501. Epub 2018 Aug 16.

UCLA Department of Otolaryngology Head and Neck Surgery, Facial Plastic Surgery, 200 UCLA Medical Plaza, Suite 500, Los Angeles, CA 90095, USA.

Autologous human fat-derived mesenchymal stem cells are present in stromal vascular fraction. Stromal vascular fraction can be easily and safely extracted from lipoaspirate. The regenerative, antiinflammatory and immunomodulatory effects of stromal vascular fraction are being documented in ongoing therapeutic response studies. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.06.009DOI Listing
November 2018
3 Reads

Platelet-Rich Plasma for Hair Loss: Review of Methods and Results.

Facial Plast Surg Clin North Am 2018 Nov 16;26(4):469-485. Epub 2018 Aug 16.

Spokane Center for Facial Plastic Surgery, 217 West Cataldo Avenue, Spokane, WA 99201, USA; Department of Otolaryngology-Head and Neck Surgery, University of Washington School of Medicine, 1959 NE Pacific Street, Seattle, WA 98195, USA. Electronic address:

Given substantial advances in hair regrowth research and platelet-rich plasma (PRP) science, a review of currently used systems and results is informative for physicians using a biologics approach to hair restoration. Overall positive clinical response to the use of PRP in androgenetic and alopecia areata patients is observed. The effects on hair density, count, and thickness were demonstrated through multiple clinical trials. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.06.008DOI Listing
November 2018
23 Reads

Lasers, Microneedling, and Platelet-Rich Plasma for Skin Rejuvenation and Repair.

Facial Plast Surg Clin North Am 2018 Nov 16;26(4):455-468. Epub 2018 Aug 16.

Division of Facial Plastic and Reconstructive Surgery, Department of Head and Neck Surgery, David Geffen School of Medicine, University of California, Los Angeles, 10833 Le Conte Avenue, CHS 62-237, Los Angeles, CA 90095, USA.

Skin resurfacing for the purpose of rejuvenation and repair continues to evolve with the development of noninvasive or minimally invasive surgical substitutes. Advances in laser therapy, microneedling, and platelet-rich plasma have reinvigorated research in wound repair and regenerative science. An overall positive clinical response toward the use of platelet-rich plasma as an adjuvant to fractional photothermolysis and percutaneous collagen induction is observed. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.06.007DOI Listing
November 2018
10 Reads

Microneedling with Biologicals: Advantages and Limitations.

Facial Plast Surg Clin North Am 2018 Nov 16;26(4):447-454. Epub 2018 Aug 16.

Private Practice, 1701 East Prospect Road, Fort Collins, CO 80525, USA. Electronic address:

Microneedling is a popular and cost-effective treatment with little down time. The application of topical agents to enhance outcomes is common practice. Microchannels created with nonthermal needling close at 4 hours to 6 hours due to fibrin plugs. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.06.006DOI Listing
November 2018
2 Reads

Platelet-Rich Plasma for Skin Rejuvenation and Tissue Fill.

Facial Plast Surg Clin North Am 2018 Nov 16;26(4):439-446. Epub 2018 Aug 16.

Department of Otolaryngology-Head and Neck Surgery, Weill Cornell Medicine, 1305 York Avenue, Fifth Floor, New York, NY 10021, USA. Electronic address:

Platelet preparations, including platelet-rich plasma and platelet-rich fibrin matrix, have been used to improve wound healing, recovery time, and cosmetic outcomes for facial rejuvenation. Bioactive growth factors released from platelets are the putative agents in producing a reparative tissue reaction in the treated area. Different methods of processing the patients' blood will yield different types of platelet preparations with different components and properties, and it is important to understand these differences and their potential implications. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.06.005DOI Listing
November 2018
14 Reads

Stem Cells in Dermatology and Anti-aging Care of the Skin.

Facial Plast Surg Clin North Am 2018 Nov 16;26(4):425-437. Epub 2018 Aug 16.

University of Wisconsin, School of Medicine and Public Health, Madison, WI, USA.

Multipotent stem cells have paved the way for new applications and deeper understanding in regenerative medicine and the pathophysiology of aging. During skin aging, cumulative photodamage, exhaustion of endogenous stem cell populations, mechanical stress, and increased fibrosis lead to skin with decreased epidermal thickness and compromised dermal integrity. Specific stem cells in the hair follicle create new keratinocytes after activation by defensin peptides, released by neutrophils during wounding. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.06.004DOI Listing
November 2018
9 Reads

Hair Biology: Growth and Pigmentation.

Facial Plast Surg Clin North Am 2018 Nov 16;26(4):415-424. Epub 2018 Aug 16.

Department of Otolaryngology Head and Neck Surgery, Division of Facial Plastic and Reconstructive Surgery, UCLA, 200 UCLA Medical Plaza, Suite 550, Los Angeles, CA 90095, USA.

Healthy hair is vital to identity. Understanding the intricate anatomy and physiology of hair provides insight into the aging process and the eventual loss of either hair pigmentation or hair shafts. Several biologics are available that have enabled altering or slowing the aging process of hair, but, unfortunately, no agent exists that can reverse the natural course. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.06.003DOI Listing
November 2018
35 Reads

How to Use Oral and Topical Cosmeceuticals to Prevent and Treat Skin Aging.

Authors:
Leslie Baumann

Facial Plast Surg Clin North Am 2018 Nov 16;26(4):407-413. Epub 2018 Aug 16.

Division of Cosmetic Dermatology, University of Miami, 4500 Biscayne Boulevard Suite 101, Miami, FL 33137, USA. Electronic address:

Skin aging is caused by DNA damage in nuclei and mitochondria, inflammation, glycation, decreased function of keratinocytes and fibroblasts and breakdown of heparan sulfate, hyaluronic acid, collagen, and elastin. Identifying patients at an increased risk of skin aging using a standardized methodology to diagnose the Baumann Skin Type will allow doctors to prescribe an efficacious antiaging skin care regimen. Cosmeceuticals can activate LGR6+ stem cells, improve cell response to signals such as growth factors, stimulate collagen genes, neutralize free radicals, and decrease breakdown of collagen and elastin. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.06.002DOI Listing
November 2018
5 Reads

Introduction: An Overview.

Facial Plast Surg Clin North Am 2018 Nov 16;26(4):403-405. Epub 2018 Aug 16.

Division of Facial Plastic Surgery, Department of Head and Neck Surgery, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA.

The use of biologicals for clinical use is rapidly increasing. One of the logical questions is what constitutes a biological? The official definition of biological products by the Food and Drug Administration is "Biological products can be composed of sugars, proteins, or nucleic acids, or a combination of these substances. They may also be living entities, such as cells and tissues. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.06.001DOI Listing
November 2018
20 Reads

Truly Asian Rhinoplasty.

Authors:
Yong Ju Jang

Facial Plast Surg Clin North Am 2018 08 10;26(3):ix-x. Epub 2018 Jul 10.

Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, Republic of Korea. Electronic address:

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http://dx.doi.org/10.1016/j.fsc.2018.03.013DOI Listing
August 2018
3 Reads

Rhinoplasty for South East Asian Nose.

Authors:
Eduardo C Yap

Facial Plast Surg Clin North Am 2018 Aug 8;26(3):389-402. Epub 2018 Jun 8.

Section of Facial Plastic Surgery, Belo Medical Group, Manila 1229, Philippines. Electronic address:

The South East Asian nose is usually small with voluminous thick skin, low dorsum, wide and hanging ala, bulbous tip, and retracted premaxilla. The surgical approach of rhinoplasty for these types of noses includes the following: dorsal augmentation, counterrotation and projection of the tip, and correction of hanging ala and alar flare/base. A usual ideal rhinoplasty outcome of a South East Asian nose should be a nose that fits the face with good function and has all the aesthetic landmarks achieved: natural looking dorsum, supratip break, tip, subtip break, columellar show, good alar-columellar relationship, improved premaxilla, improved nostril, and improved alar flare. Read More

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August 2018
27 Reads

Correction of Short Nose.

Facial Plast Surg Clin North Am 2018 Aug 7;26(3):377-388. Epub 2018 Jun 7.

Shimmian Rhinoplasty Clinic, 375, Gangnam-daero, Seocho-gu, Seoul 06620, Republic of Korea.

To correct an Asian short nose with low dorsum, short columella, and poorly defined nose tip, augmentation rhinoplasty has been popularized. A simple augmentation no longer is considered an efficient rhinoplasty approach for Asians aesthetically; most surgeons simultaneously perform nasal elongation and augmentation during rhinoplasty. To extend the nose length successfully, important factors are cartilages, mucosal and skin conditions, and presence and degree of fibrotic changes. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.03.011DOI Listing
August 2018
33 Reads

Alar Base Reduction and Alar-Columellar Relationship.

Authors:
Ji Yun Choi

Facial Plast Surg Clin North Am 2018 Aug;26(3):367-375

Department of Otorhinolaryngology, Chosun University College of Medicine, 365 Pilmun-daero, Dong-gu, Gwangju 61452, Korea. Electronic address:

Nasal base modification can improve nostril shape and orientation, reduce alar flaring, improve nasal base width, correct nasal hooding, improve symmetry, and create overall facial harmony. For the correction of alar rim deformities, careful examination, consultation, and analysis and consideration of the condition of the skin are essential. Understanding the ala and surrounding tissue, supporting the lower lateral cartilage, and selecting the proper technique produce functionally and aesthetically good results. Read More

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August 2018
3 Reads

Hump Nose Correction in Asians.

Authors:
Tae-Bin Won

Facial Plast Surg Clin North Am 2018 Aug;26(3):357-366

Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Hospital, 101 Daehak-ro, Jonno-gu, Seoul 03080, Republic of Korea. Electronic address:

Nasal hump surgery is frequently regarded as a reduction surgery in most Western rhinoplasty textbooks and referred to as reduction rhinoplasty. Most Asian hump noses have a small hump frequently associated with a low nasal dorsum and underprojection of the nasal tip. Correcting a hump nose in Asians has distinct differences in concept and technique. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.03.009DOI Listing
August 2018
20 Reads

Tip Grafting for the Asian Nose.

Facial Plast Surg Clin North Am 2018 Aug;26(3):343-356

Department of Otolaryngology, National Medical Centre, Seoul, Republic of Korea.

Tip surgery during rhinoplasty is particularly difficult in Asians. Tip grafting is the best approach. Conchal cartilage with perichondrium and costal cartilage are powerful grafting materials. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.03.008DOI Listing
August 2018
29 Reads

Septal Extension Graft in Asian Rhinoplasty.

Facial Plast Surg Clin North Am 2018 Aug;26(3):331-341

Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Guro Hospital, Korea University Medical Center, 148, Gurodong-ro, Guro-Gu, Seoul 152-703, Republic of Korea. Electronic address:

A septal extension graft (SEG) can control nasal tip projection, shape, and rotation. SEG and dorsal alloplastic implants have predominated in Asian rhinoplasty, leading to iatrogenic complications such as a foreshortened nose and destruction of remaining septum. The lower nasal two-thirds can be enhanced anteriorly and caudally using the septal L-strut extension graft in Asians with relatively small noses. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.03.007DOI Listing
August 2018
31 Reads

Injection Rhinoplasty Using Filler.

Authors:
Hyoung Jin Moon

Facial Plast Surg Clin North Am 2018 Aug;26(3):323-330

Beup Aesthetic Plastic Surgery Clinic, Seoul, Republic of Korea. Electronic address:

Rhinoplasty is a commonly performed cosmetic surgery in Asia. Rhinoplasty using filler is preferred because has fewer side effects and shorter down time. The part of external nose between the skin and bone or cartilages consists of 4 layers. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.03.006DOI Listing
August 2018
22 Reads

Homologous Tissue for Dorsal Augmentation.

Facial Plast Surg Clin North Am 2018 Aug 7;26(3):311-321. Epub 2018 Jun 7.

Department of Otorhinolaryngology, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul 120-752, Korea.

Homologous graft materials for dorsal augmentation are safe and biocompatible with a low risk of complications. Acellular dermal matrix (ADM) provides natural appearance of the nose and long-term structural integrity without extrusion, showing favorable augmentation results. Tutoplast-processed fascia lata (TPFL) is soft and easy to manipulate, providing a smooth postoperative contour of the nasal dorsum with low risk of infection or extrusion. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.03.005DOI Listing
August 2018
12 Reads