Abstract:
BACKGROUND:Deep lines, facial folds, retracted scars, and contour depressions on all areas of the body have typically been resistant to efforts at release. OBJECTIVE:A method using a wire dissector to achieve complete release or subcision of these subdermal attachments with access only through the needle insertion sites is described. METHODS:The wire dissector was inserted into the subcutaneous tissue just below the dermal-subcutaneous tissue junction and brought out of the skin on one side of the defect. The needle was then passed back and forth through the same puncture holes until the depression was circled entirely in the subcutaneous plane by the wire. Traction was applied by the assistant, and the wire was sawed gently back and forth until the depression was completely released. RESULTS:The areas most commonly treated with the wire were the deep nasolabial folds; among the other areas treated were marionette lines, cheek and chin lines, and retracted scars of the face and body. Of 38 patients treated, 27 underwent simultaneous fat injection, 1 received an AlloDerm (LifeCell Corp., Branchburg, NJ) graft, 1 received a Radiesse (Bioform Medical, Inc., San Mateo, CA) injection; and 1 received injection with Sculptra (Dermik Laboratories, Berwyn, PA). Eight patients had nothing placed under the subcision area. Follow-up of 1 to 19 months showed persistent correction in all patients. Postoperative complications included one hematoma, one localized abscess, and overcorrection in three cases where fat was used. CONCLUSIONS:The wire dissector holds promise as a tool for complete subcision of deep lines, folds, depressions, and scars of the face and body without incisions and with few complications.
journal_name
Aesthet Surg Jjournal_title
Aesthetic surgery journalauthors
Graivier Mdoi
10.1016/j.asj.2006.05.004subject
Has Abstractpub_date
2006-07-01 00:00:00pages
387-94issue
4eissn
1090-820Xissn
1527-330Xpii
S1090-820X(06)00222-6journal_volume
26pub_type
杂志文章abstract:BACKGROUND:Although adipose-derived stem cells (ADSCs) and nanofat exert antiaging effects on skin, they contain cellular components that have certain limitations in clinical practice. Cell-free fat extract (Ceffe) is a fraction purified from nanofat through removal of cellular components and lipid remnants that contai...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjz306
更新日期:2020-07-13 00:00:00
abstract:BACKGROUND:It is well established that abdominoplasty confers a uniquely high risk of venous thromboembolism (VTE) complications. However, chemoprophylaxis is not routinely utilized due to the risk of bleeding complications. Fondaparinux, a factor Xa inhibitor FDA approved in 2001 for postoperative VTE prophylaxis, has...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjz184
更新日期:2019-10-15 00:00:00
abstract:BACKGROUND:Although there is an abundance of data in the literature regarding the safety of breast reduction and augmentation, nearly all of the literature concerning mastopexy describes techniques. There are few studies regarding revision and complication rates for mastopexy procedures. METHODS:A retrospective review...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2006.12.014
更新日期:2007-03-01 00:00:00
abstract:BACKGROUND:A preliminary report on a new technique for dermal overlap subareolar mastopexy appeared in 2001. OBJECTIVE:This paper reports on a series of 117 patients who underwent subareolar mastopexy and describes several modifications of the original technique. METHODS:Preoperative markings defined the upper edge o...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/S1090-820X(03)00205-X
更新日期:2003-09-01 00:00:00
abstract:BACKGROUND:The clinical results of many studies on platelet-rich plasma (PRP) differ because there is a lack of standardization in PRP preparation and administration, as well as many variables such as PRP preparation methods, platelet concentration, and platelet activation. OBJECTIVES:The aim of this study was to inve...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjab043
更新日期:2021-01-25 00:00:00
abstract::Posterior neck lift, which combines anterior platysmaplasty and anterior and lateral neck lift, is a good alternative to a full or lower face lift for patients with minimal or no jowl sagging. It may be combined with neck lipoplasty, serial platysma notching, expanded polytetrafluoroethylene neck sling, and chemical p...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2004.01.005
更新日期:2004-03-01 00:00:00
abstract:BACKGROUND:Vaginal agenesis, a rare condition, is treated by various surgical techniques to achieve neovaginal reconstruction. The main difference between the approaches lies in the graft material used to cover the newly formed cavity. OBJECTIVES:The purpose of this retrospective study was to describe the surgical pro...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,评审
doi:10.1093/asj/sjaa147
更新日期:2020-11-19 00:00:00
abstract:BACKGROUND:Breast capsular contracture is a major problem following implant-based breast reconstruction, particularly in the setting of radiation therapy. Recent work has identified a fibrogenic fibroblast subpopulation characterized by CD26 surface marker expression. OBJECTIVES:This work aimed to investigate the role...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjz109
更新日期:2020-03-23 00:00:00
abstract:Background:Seroma is the most common complication of abdominoplasty. Certain modifications to abdominoplasty may reduce the risk of seroma. Objectives:The authors evaluated the incidence of seroma for 3 abdominoplasty techniques: preservation of Scarpa's fascia, placement of progressive tension (or quilting) sutures, ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,meta分析
doi:10.1093/asj/sjx051
更新日期:2017-10-16 00:00:00
abstract::Wrinkles are just one indicator of facial aging, but an indicator that is of prime importance in our world of facial aesthetics. Wrinkles occur where fault lines develop in aging skin. Those fault lines may be due to skin distortion resulting from facial expression or may be due to skin distortion from mechanical comp...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,评审
doi:10.1093/asj/sjw074
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND:A number of randomized controlled trials (RCTs) have investigated the role of perioperative corticosteroids in rhinoplasty. Each of these trials however has an insufficient sample sizes to reach definitive conclusions and detect harms. Three recent reviews have analyzed edema and ecchymosis outcomes followin...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,meta分析,评审
doi:10.1093/asj/sjv138
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:Safety and efficacy of botulinum toxin A for glabellar line (GL) treatment are well established. Currently approved formulations require reconstitution before injection. OBJECTIVES:The authors sought to assess 6-month efficacy, safety, and patient satisfaction of new ready-to-use abobotulinumtoxinA solution...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,随机对照试验
doi:10.1093/asj/sjz003
更新日期:2020-01-01 00:00:00
abstract::The author provides his perspective on resurfacing procedures in dark-skinned patients, advising a cautious approach to laser resurfacing. Laser complications in Fitzpatrick skin types III to VI, including hyperpigmentation, hypopigmentation, and scarring, are well documented. Unlike chemical peeling and dermabrasion,...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2005.09.019
更新日期:2005-11-01 00:00:00
abstract::The amount and complexity of scientific and clinical evidence for aesthetic use of botulinum neurotoxin type A (BoNT-A) has expanded rapidly in recent years, especially for abobotulinumtoxinA, necessitating reassessment of current knowledge about aesthetic use of abobotulinumtoxinA and other BoNT-A preparations. A com...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,评审
doi:10.1177/1090820X12455192
更新日期:2012-09-01 00:00:00
abstract::The author dissected fresh cadaver heads to precisely define the surgical anatomy of the masseteric fascia, the aponeurosis of the masseter muscle, and the periosteum of the malar bone and zygomatic arch. He discovered a dense, unyielding band that is distinct from and covers the aponeurosis of the masseter muscle, wh...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1067/maj.2001.119709
更新日期:2001-09-01 00:00:00
abstract:BACKGROUND:The development of effective antiretroviral therapy for the treatment of human immunodeficiency virus (HIV) has allowed for prolonged and healthier lives for affected patients. However, significant side effects from the drugs have been well documented, including syndromes of abnormal fat distribution. Cervic...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2007.12.003
更新日期:2008-03-01 00:00:00
abstract:BACKGROUND:Upper eyelid ectropion occurs as a post-blepharoplasty complication or involution change, and it causes dry eye symptoms that cannot be resolved with conservative management. OBJECTIVES:The aim of this study is to describe the authors' surgical technique of anatomical correction of upper eyelid ectropion, i...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjaa143
更新日期:2021-01-01 00:00:00
abstract:BACKGROUND:Fat necrosis is a frequent complication (up to 62.5%) of microsurgical breast reconstruction using the deep inferior epigastric perforator (DIEP) flap. This could have important clinical and psychological repercussions, deteriorating the results and increasing reconstruction costs. OBJECTIVES:The aim of thi...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjy256
更新日期:2019-03-14 00:00:00
abstract:BACKGROUND:Abdominoplasty, a commonly performed aesthetic procedure, is considered to have an increased risk of venous thromboembolism (VTE) events. At present, routine VTE chemoprophylaxis following abdominoplasty remains controversial. OBJECTIVES:This study evaluates the authors' experience with rivaroxaban, an oral...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,多中心研究
doi:10.1093/asj/sjv117
更新日期:2016-01-01 00:00:00
abstract:Background:While recent studies have reported modest to no difference in breast aesthetics for shaped and round implant types in breast augmentations, the anatomy and biomechanics in the setting of breast reconstruction is different. Objectives:Accordingly, we endeavored to evaluate whether two implant types impacted ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjx210
更新日期:2018-05-15 00:00:00
abstract:BACKGROUND:Modern facelift techniques have benefited from a "repopularization" of shorter incisions, limited skin elevation, and more limited dissection of the superficial musculoaponeurotic system (SMAS) and platysma in order to shorten postoperative recovery times and reduce surgical risks for patients. OBJECTIVES:T...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1177/1090820X11424146
更新日期:2011-11-01 00:00:00
abstract:BACKGROUND:Preservation of the periareolar dermis, after de-epithelization in reduction mammaplasty, may result in reduced nipple-areola complex (NAC) mobility. Consequently, distortion in shape and difficulty correcting the areola position can occur. OBJECTIVES:The aim of this study was to evaluate NAC viability and ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,随机对照试验
doi:10.1093/asj/sjaa011
更新日期:2020-08-14 00:00:00
abstract::Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL)-a new category of anaplastic large cell lymphoma associated with textured breast implants-has a distinct variation in incidence and is especially rare in Asia. We report the first case of BIA-ALCL in Korea and present its histological and genetic char...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjaa398
更新日期:2020-12-26 00:00:00
abstract:BACKGROUND:Masculinization of the face is a common finding in facelift patients. It is attributed to deflation and decent of the midface-jowls coupled with skin laxity. Fullness is evident lateral to the jowl in small percentage due to prominent buccal fat pad. OBJECTIVES:To examine the anatomy of the buccal fat pad, ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjaa015
更新日期:2020-01-22 00:00:00
abstract:BACKGROUND:Recommendations for venous thromboembolism (VTE) prophylaxis have been published in the plastic surgery literature. However, no comprehensive survey of the overall incidence of VTE among plastic surgery patients has been undertaken. OBJECTIVE:This study was performed to determine the incidence of VTE in pla...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2006.07.003
更新日期:2006-09-01 00:00:00
abstract:BACKGROUND:New microfat preparations provide material suitable for use as a regenerative filler for different facial areas. To support the development of new robust techniques for regenerative purposes, the cellular content of the sample should be considered. OBJECTIVES:To evaluate the stromal vascular fraction (SVF) ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjy142
更新日期:2020-05-16 00:00:00
abstract:BACKGROUND:The Regnault classification of breast ptosis is insufficient for determining surgical strategies for different stages of ptosis. OBJECTIVE:A new clinical classification of breast ptosis is proposed that allows greater precision in the development of an appropriate surgical plan. METHODS:Breast ptosis is cl...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1067/maj.2002.126746
更新日期:2002-07-01 00:00:00
abstract:BACKGROUND:Many techniques have been presented over recent decades to address the neck contour in facial rejuvenation surgery. Despite advances, limitations remain when dealing with the obtuse cervical angle. OBJECTIVE:The authors describe a technique for improving the obtuse cervicomental angle. METHODS:The authors ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1177/1090820X13502220
更新日期:2013-09-01 00:00:00
abstract::After 4 years of experience with this technique, the author recommends using minimal incision brachioplasty (MIB) to treat mild to moderately severe upper arm soft tissue excess and laxity. However, when treating arms with gravity-induced skin furrows, he finds MIB problematic. ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2005.02.002
更新日期:2005-03-01 00:00:00
abstract:BACKGROUND:The transaxillary approach for breast augmentation has gained popularity because of the absence of scarring on the breast. However, the effects of this procedure on breast cancer detection and treatment (which rely heavily on the results of axillary status studies) remain under debate. Specifically, sentinel...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1177/1090820X11404399
更新日期:2011-05-01 00:00:00