2,506 results match your criteria Forehead Reconstruction

3D photography and computer modelling in nasal reconstruction.

J Oral Biol Craniofac Res 2022 Sep-Oct;12(5):512-515. Epub 2022 Jun 23.

Department of Plastic and Reconstructive Surgery, Royal Free NHS Foundation Trust Hospital, London, United Kingdom.

Advances in high resolution 3D photography and computer modelling are revolutionising patient workup, surgical planning, patient satisfaction, clinical outcomes, and surgical training. We present a case in which this technology is utilised for a patient undergoing a forehead flap for reconstruction of a nasal defect, allowing us to develop a novel reconstructive algorithm. 3D photographs were taken pre-operatively, a computer model rendered and follow up photographs taken at each stage of the reconstruction using a Vectra XT camera. Read More

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VITOM-3D assisted paramedian forehead flap for nasal reconstruction.

Am J Otolaryngol 2022 May 10:103493. Epub 2022 May 10.

U.O.C di Otorinolaringoiatria ASST Grande Ospedale Metropolitano Niguarda, Milano, Italy.

Background: The study was designed with the purpose of showing the potential advantages of the VITOM-3D assisted paramedian forehead flap for nasal reconstruction.

Methods: A 72 years-old female patient presented to our department with a wide left nasal defect. On her clinical history she referred a basal cell carcinoma of the left nasal skin treated with multiple excision in another center without reconstruction. Read More

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More Than a Brow Lift: The Importance of Brow Shape.

James E Zins

Clin Plast Surg 2022 Jul 13;49(3):ix-x. Epub 2022 May 13.

Section of Cosmetic Surgery, Department of Plastic Surgery, Cleveland Clinic, Desk A 60, 9500 Euclid Avenue, Cleveland, OH 44195, USA. Electronic address:

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An Algorithm for Correction of the Aging Upper Face.

Clin Plast Surg 2022 Jul;49(3):415-420

Case Western Reserve School of Medicine.

As the approach to the upper face has evolved in recent years, so has the focus of aesthetic brow procedures. Brow position was the primary focus early in the late twentieth century, with the coronal brow lift the primary means of surgical correction. In more recent years, improving or maintaining brow shape has taken on greater importance and has increasingly been addressed by contemporary techniques. Read More

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Direct Browlift.

Clin Plast Surg 2022 Jul;49(3):409-414

Cleveland Clinic Foundation, Cole Eye Institute, 9500 Euclid Avenue, Cleveland, OH 44195, USA.

Direct browlifting comprises various techniques to lift the brows using incisions on or around the brows. The classic direct browlift involves removing an ellipse of skin and subcutaneous tissue within or just above the brow cilia. However, the technique can be modified to address only lateral brow ptosis, to place the incision in the midforehead or the eyelid crease, and to place the incisions in different areas during bilateral surgery to attempt to improve symmetry. Read More

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The Gliding Brow Lift.

Clin Plast Surg 2022 Jul;49(3):377-387

Division of Plastic Surgery, University of Alabama at Birmingham, Grotting Plastic Surgery, One Inverness Center Parkway, Suite 100, Birmingham, AL 35242, USA. Electronic address:

Subcutaneous undermining for brow lifting is not a new technique, but the gliding brow lift is evolutionary in the sense that it can be done through 1 or 2 tiny incisions and the brow shape maintained with transcutaneous running sutures (the hemostatic net). Undermining over the frontalis muscle and galea is performed using blunt dissectors and the lifting is done with superior traction, holding the brow in the desired shape with the hemostatic net. Read More

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Subcutaneous Lateral Temporal Lift.

Clin Plast Surg 2022 Jul 13;49(3):365-375. Epub 2022 May 13.

Northwell Health System/Hofstra University, Zucker School of Medicine, Manhattan Eye, Ear and Throat Hospital, 1009 Park Avenue, New York, NY 10028, USA. Electronic address:

Over the past decades, the understanding of the nuances of forehead anatomy and facial aging has grown immensely. Safe and reliable options for forehead rejuvenation followed. Although noninvasive techniques are an important adjunct in forehead rejuvenation, the mainstay of treatment of the eyebrow is operative intervention. Read More

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Endoscopic Brow Lift.

Clin Plast Surg 2022 Jul;49(3):357-363

Cleveland Clinic Department of Plastic Surgery, Desk A 60, 9500 Euclid Avenue, Cleveland, OH 44195, USA.

This article discusses the physiology of brow ptosis and compares how depressor muscle alteration combined with wide subperiosteal undermining leads to its correction. A detailed description and a series of videos illustrate the endoscopic technique. Long-term before and after photographs demonstrate the efficacy of the procedure. Read More

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The Hairline Brow Lift.

Clin Plast Surg 2022 Jul 13;49(3):349-356. Epub 2022 May 13.

Cleveland Clinic Department of Plastic Surgery, 9500 Euclid Avenue, Cleveland, OH 44195-0001, USA; Section of Cosmetic Surgery, Cleveland Clinic Plastic Surgery, 9500 Euclid Avenue, Cleveland, OH 44195-0001, USA. Electronic address:

Effective rejuvenation of the upper face results when effective brow repositioning is combined with maintenance or improvement of brow shape. Endoscopic brow lift techniques have increased in popularity as surgeons have investigated less invasive surgical procedures. This article provides a comparison of hairline brow lift with other open and endoscopic techniques used for improving brow position. Read More

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Brow Anatomy and Aesthetics of the Upper Face.

Clin Plast Surg 2022 Jul;49(3):339-348

Cleveland Clinic Department of Plastic Surgery, 9500 Eucllid Avenue, Cleveland Ohio 44195, USA.

The surgical approach to the brow has changed perhaps more than any other facial esthetic procedure in the past 20 years. Understanding the functional anatomy of the upper face is the best means of maximizing results and minimizing untoward events in this region. The surgical and clinical correlation is addressed in detail in this article. Read More

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Polysulfone tailor-made implant for the surgical correction of a frontoparietal meningoencephalocoele in a cat.

JFMS Open Rep 2022 Jan-Jun;8(1):20551169221098940. Epub 2022 Jun 7.

Combined Veterinary Specialities, Valencia, Spain.

Case Summary: A 6-week-old entire female domestic shorthair cat was presented for evaluation of a soft bulge and a palpable skull defect on the forehead, present since adoption a few days earlier. The neurological examination revealed an absent menace response bilaterally and apparent blindness, localising the lesion to the occipital cortex. The main differential diagnoses were meningocoele (MC) and meningoencephalocoele (MEC). Read More

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Reconstruction of Facial Multiunit Defects Using Expanded Scalp Flap with Laser Depilation in a Group of Predominantly Pediatric Patients.

Facial Plast Surg Aesthet Med 2022 Jun 10. Epub 2022 Jun 10.

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.

The cervical or thoracic region is currently the main donor site for repair of facial multiunit defects (FMUDs); however, its extensive clinical utilization encompasses the need for flap prefabrication and microsurgical techniques. To illuminate the feasibility of treating FMUD with expanded scalp flaps and laser depilation. From 2016 to 2020, 17 patients with facial giant congenital melanocytic nevi (GCMN) underwent scalp expansion for FMUD reconstruction. Read More

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Optimizing two-stage surgery by expanding single-stage nasal reconstruction in the COVID-19 era.

Australas J Dermatol 2022 May 27. Epub 2022 May 27.

Dermatology Department, Ramón y Cajal University Hospital, Madrid, Spain.

The COVID-19 pandemic led to a decrease in the number of operating rooms available. Single-stage islanded forehead flaps have emerged as a good alternative to the classic frontal flap helping to diminish the surgical waiting list. We present our case series of 6 patients reconstructed with islanded forehead flaps between February and July 2020. Read More

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A Large Squamous Cell Carcinoma on the Face Treated with Wide Excision and Defect Closure Using Forehead Flap Reconstruction.

Clin Cosmet Investig Dermatol 2022 16;15:895-901. Epub 2022 May 16.

Department of Dermatology and Venereology, Faculty of Medicine, University of Padjadjaran/Hasan Sadikin General Hospital Bandung, Bandung, West Java, Indonesia.

Introduction: Squamous cell carcinoma (SCC) is a non-melanoma skin cancer, with a rising worldwide incidence. Wide excision with an intraoperative frozen section decreases its recurrence rate and metastases.

Case: We reported an SCC case in a 50-year-old woman with clinical manifestations of a 4 × 6 × 0. Read More

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Chondrocutaneous conchal graft for optimal reconstruction of full-thickness lower eyelid defect: a reconstructive challenge.

BMJ Case Rep 2022 May 17;15(5). Epub 2022 May 17.

Otorhinolaryngology & Head-Neck Surgery & Oncology, All India Institute of Medical Sciences Rishikesh, Rishikesh, Uttarakhand, India.

Non-melanoma skin cancers of the head and neck region require optimal management encompassing oncological safety, minimal functional and cosmetic morbidity. The eyelid reconstruction poses a reconstructive challenge as it should include both anatomical and functional integrity. Full-thickness eyelid defects post resection can be managed with chondrocutaneous grafts. Read More

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Sensory and autonomic innervation of the local tissues at traditional acupuncture point locations GB14, ST2 and ST6.

Acupunct Med 2022 May 17:9645284221085579. Epub 2022 May 17.

Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing, China.

Objective: To visualize and compare the sensory and autonomic innervation of the local tissues at the sites of different traditional acupuncture points in the rat forehead and face by histochemical examination.

Methods: GB14 (), ST2 () and ST6 () were selected as the representative traditional acupuncture points in this study, and the local tissues at these sites were dissected in rats after perfusion followed by double or triple fluorescent histochemical staining. Here, calcitonin gene-related peptide (CGRP), tyrosine hydroxylase (TH) and vesicular acetylcholine transporter (VAChT) were used to label the sensory, sympathetic and parasympathetic nerve fibers, respectively. Read More

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Viability and Cosmesis of Right Angle and Vertical Paramedian Forehead Flaps Are Equivalent: A Retrospective Quantitative Study.

Dermatol Surg 2022 Jul 16;48(7):716-719. Epub 2022 May 16.

All authors are affiliated with the Department of Dermatology and Skin Science, University of British Columbia, Vancouver, BC, Canada.

Background: Paramedian forehead flaps (PMFFs) are commonly used for reconstruction of nasal defects. The classic PMFF is vertically oriented while the modified PMFF is designed with a 90-degree angle. No study has compared outcomes between these PMFF designs. Read More

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Traumatic hemifacial avulsion and degloving injury: a case report.

Pan Afr Med J 2022 23;41:158. Epub 2022 Feb 23.

Department of Oral and Maxillofacial Surgery, Muhimbili National Hospital, Dar es Salaam, Tanzania.

Gross maxillofacial injuries are challenging to manage because they can be complicated by airway obstruction, injuries to the cervical spine, and cranial structures. Deformities from such injuries have lasting psychological effects which if not addressed can be devastating. We present a 21-year-old male motorcyclist who was involved in a motor traffic collision and sustained avulsion and degloving of the forehead skin, left eyebrow, left upper and lower eyelids, the nose, the left cheek and part of the right cheek, upper and lower lips, and the skin overlying the chin. Read More

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Rintala Flap and Posterior Perichondrial Cutaneous Graft: A Combined Approach for Nasal Tip Reconstruction.

Plast Reconstr Surg Glob Open 2022 May 6;10(5):e4316. Epub 2022 May 6.

Department of Plastic, Reconstructive and Aesthetic Surgery, Geneva University Hospitals, University of Geneva, Geneva, Switzerland.

Nasal tip reconstruction requires a meticulous approach due to the complexity of the nasal anatomy and its aesthetic importance. Many procedures have been described to restore this aesthetic unit, including the paramedian forehead flap, which is one of the workhorse flaps. However, despite excellent final outcomes, this procedure may be refused by patients, due to its temporary conspicuous appearance possibly associated with serious psychological implications, and the need of multiple interventions. Read More

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Reconstruction of a Large Upper Paramedian Forehead Defect.

Dermatol Surg 2022 May 6. Epub 2022 May 6.

University of Kansas Medical Center, Kansas City, Kansas.

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Facial Cutaneous Metastases of Gastric Signet-ring Cell Carcinoma: Resection and Reconstruction as a Palliative Surgical Treatment Option.

In Vivo 2022 May-Jun;36(3):1508-1512

Institute of Pathology, Bremerhaven, Germany.

Background: Cutaneous metastases of gastric signet-ring cell gastric carcinoma are very rare. Our following case report highlights the need for careful clinical examination and skin biopsy of newly developing scar-like or erythematous skin lesions in patients with a known history of malignant disease in order to prevent diagnostic and therapeutic delay.

Case Report: A 68-year-old male patient presented with two slightly painful, erythematous, facial skin lesions (chin and forehead) 2 years after gastrectomy for a signet-ring cell gastric carcinoma. Read More

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Single-staged Tunneled Forehead Flap for Medial Canthal and Eyelid Reconstruction.

Plast Reconstr Surg Glob Open 2022 Apr 22;10(4):e4223. Epub 2022 Apr 22.

Eyeplastx, Oculofacial Plastic and Reconstructive Surgery, San Antonio, Tex.

Purpose: The paramedian forehead flap, while initially used for reconstruction of nasal defects, has been adapted for repair of anatomical subunits in the medial canthal and eyelid area. A significant obstacle for utilizing the flap has been the bulky, unsightly vascular pedicle that is maintained between surgical stages. We describe our surgical experience using the tunneled variation in a single stage procedure. Read More

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Reconstructing the Holey Temple: A Composite Approach.

Cureus 2022 Feb 26;14(2):e22621. Epub 2022 Feb 26.

Department of Dermatology, Tel Aviv Sourasky Medical Center, Tel Aviv, ISR.

Surgical defects involving multiple facial cosmetic subunits can be challenging to reconstruct. We report on a patient with a complex temporal defect following Mohs micrographic surgery (MMS) for a basal cell carcinoma (BCC). The extension of the defect across the left temple, cheek, and forehead hindered the utilization of linear closures or flaps. Read More

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February 2022

Challenges in the Management of Upper Lid Keloid.

Case Rep Ophthalmol Med 2022 25;2022:3032246. Epub 2022 Mar 25.

Pathology, Govind Ballabh Pant Hospital, New Delhi, India.

A middle-aged lady presented with a firm, nontender mass on the left upper lid and area behind the left ear following lid reconstruction with postauricular graft for cicatricial ectropion 11 months prior. She had a similar mass on the right shin. She was diagnosed as a case of multiple keloids. Read More

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Upper Blepharoplasty and Brow Rejuvenation in Men.

Richard J Warren

Clin Plast Surg 2022 Apr;49(2):197-212

University of British Columbia and Vancouver Plastic Surgery Center, 777 West Broadway, Suite 1000, Vancouver, British Columbia V5Z4J7, Canada. Electronic address:

The upper lid-brow junction is a complex anatomic zone that undergoes many interconnected age-related changes. Although considerable effort has gone into defining the ideal female eye and brow, no such work has been done for the male. Typically, men develop forehead and glabellar lines in conjunction with either upper lid hooding, brow ptosis, or blepharoptosis, whereas some men develop hollowing of the upper lid sulcus. Read More

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Head and neck pedicled flap autonomization using a new high-resolution indocyanine green fluorescence video-angiography device.

Head Neck 2022 06 2;44(6):1496-1499. Epub 2022 Apr 2.

Department of Otolaryngology - Head and Neck Surgery, Scientific Institutes of Hospitalization and Care San Raffaele Hospital, Vita-Salute University, Milan, Italy.

In head and neck oncologic surgery a reconstructive phase is often required and pedicled flaps are still a viable option, though they may need a pedicle division performed at a later stage. Several techniques are commonly used for perfusion assessment of the flaps, with indocyanine green (ICG) fluorescence video-angiography representing a promising tool. We used ICG video-angiography to evaluate the perfusion of two of the most commonly adopted pedicled flaps in the head and neck field (the supraclavicular and the paramedian forehead flap) before and after second-stage pedicle division, allowing a safer in-setting. Read More

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Nasal Reconstruction by Expanded Forehead Scalping Flap: Case Report with Literature Review.

Plast Reconstr Surg Glob Open 2022 Mar 17;10(3):e4199. Epub 2022 Mar 17.

Faculty of Medical Sciences, Islamic Azad University of Sari, Iran.

Nasal reconstruction is a difficult and complex surgery due to highlights and shadows of three-dimensional central structure of the face. Similarity of tissues, units-subunits, and invisibility of the scar are very important principles for reconstruction. In this case report, we present reconstruction of subunits of the nose by an expanded forehead scalping flap in a 12-year-old boy, whose tip and columellar subunits had been avulsed by a dog bite, in a hidden scar manner. Read More

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Facial Feminization Surgery: A Systematic Review of Perioperative Surgical Planning and Outcomes.

Plast Reconstr Surg Glob Open 2022 Mar 17;10(3):e4210. Epub 2022 Mar 17.

Department of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital, Washington, D.C.

Background: Facial feminization is a critical step in a transfeminine patient's surgical transition. However, the existing literature on the various types of feminization surgeries suffers from inadequate reporting on perioperative aspects of care, such as preoperative evaluation and postoperative outcomes. The aim of this study is to evaluate facial feminization surgery (FFS), preoperative planning, and patient reported outcomes after various types of procedures. Read More

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A computer based facial flaps simulator using projective dynamics.

Comput Methods Programs Biomed 2022 May 3;218:106730. Epub 2022 Mar 3.

Computer Graphics Laboratory, Dept. of Computer Science, University of Wisconsin (Madison), USA.

Background And Objectives: Interactive surgical simulation using the finite element method to model human skin mechanics has been an elusive goal. Mass-spring networks, while fast, do not provide the required accuracy.

Methods: This paper presents an interactive, cognitive, facial flaps simulator based on a projective dynamics computational framework. Read More

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The use of the paramedian forehead flap alone or in combination with other techniques in the reconstruction of periocular defects and orbital exenterations.

Eye (Lond) 2022 Mar 3. Epub 2022 Mar 3.

South Australian Institute of Ophthalmology, Royal Adelaide Hospital, Adelaide, SA, Australia.

Purpose: The paramedian forehead flap (PMFF) is a reconstructive option for large eyelid defects and orbital exenterations. We report a series of cases where PMFF reconstruction was carried out at various institutions in Australia.

Methods: This study was a multi-centre, retrospective, non-comparative case series investigating the clinical outcomes of the PMFF for reconstructing periocular defects and orbital exenterations. Read More

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