Abstract：
:Although blepharoplasty has long been the traditional method of improving the aesthetic appearance of the eyelid area, it yields little improvement in several of the major signs of periorbital aging including (1) wrinkling of the infrabrow and lower lid skin, (2) crow's foot wrinkles, (3) malar bags and wrinkles, (4) crepey changes in the periorbital skin texture, (5) pigment spots and other actinic damage, (6) elongation of the apparent vertical height of the lower lid, and (7) loss of the gentle, indistinct transition between the lower lid and cheek skin. All of these indications can be improved by the combination of laser blepharoplasty and laser resurfacing of the periorbital region. In addition to resurfacing, the author prefers to use the laser for the incisional aspects of the blepharoplasty, as it is quick, causes less sensory nerve stimulation, is less likely to damage the inferior oblique muscle, and has essentially no bleeding--and therefore, less ecchymosis--postoperatively. This technique is described and illustrated photographically. Its outcomes include a high-quality result that maintains itself well over time, improvement in the signs of periorbital aging not treated by traditional blepharoplasty, a low rate of complication, and high patient satisfaction.
journal_name
Clin Plast Surgjournal_title
Clinics in plastic surgeryauthors
Roberts TL 3rdsubject
Has Abstractpub_date
1998-01-01 00:00:00pages
95-108issue
1eissn
0094-1298issn
1558-0504journal_volume
25pub_type
杂志文章,评审abstract：:The fibula free flap is rapidly becoming the donor site of choice for mandibular reconstruction. Its versatility makes it suitable for the majority of composite mandibular defects. The indications, operative techniques, and postoperative considerations are detailed in this article. Important principles of preoperative...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：
更新日期：1994-01-01 00:00:00
abstract：:The task of managing an open wound complicated by exposed bony structures underneath is difficult, if not challenging. We have instituted a method of managing the problems in stages using an artificial dermis and skin grafting technique in 17 wounds in 15 individuals from Sept. 2006 to Feb. 2009. While all wounds were...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：10.1016/j.cps.2011.09.011
更新日期：2012-01-01 00:00:00
abstract：:We are in a state of evolution in long-term hair removal. Safe and effective technology is now available. Lasers will always become smaller, faster, and perhaps more effective. For those interested in offering this procedure, evidence indicates that we are beyond the experimental phase. The treating physician should c...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：
更新日期：2000-04-01 00:00:00
abstract：:Gradual maxillary distraction by modified osteotomies and external force systems is a procedure with minimal morbidity and few complications. The interaction between surgeons and orthodontists is critical, however. The wide range of possibilities for remodeling a hypoplastic maxilla by distraction allows the potential...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：10.1016/S0094-1298(03)00126-3
更新日期：2004-04-01 00:00:00
abstract：:The next millennium will witness the most exciting advances in the field of plastic surgery. Some of these advances are already here today whereas others are just starting to surface. These include soft-tissue and bone reconstruction, tissue engineering, gene therapy, microsurgery, and fetal surgery to name just a few...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：
更新日期：1996-01-01 00:00:00
abstract：:Recognition of alar rim deformities is an important component of the preoperative analysis of the nose. Correction of these deformities improves the esthetic balance of the nose and has an added benefit of improving the function of the external nasal valve. Classification systems have been proposed to enable surgeons ...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：10.1016/j.cps.2009.12.007
更新日期：2010-04-01 00:00:00
abstract：:Because the chin, like the nose, occupies a prominent position in the face, it must also be assessed in planning any changes in the facial profile. For example, a large nose associated with a microgenia does not appear as large when the chin is augmented. A chin increased in the vertical dimension confers an excessive...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：
更新日期：1991-01-01 00:00:00
abstract：:Treacher Collins syndrome is a complex congenital malformation. The most important manifestations of this syndrome are hypoplastic or absent malar bone, centrofacial over-projection, eyelid coloboma, and micrognathia. This article presents an approach to re-establish the right centrofacial proportions through "flatten...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：
更新日期：1994-10-01 00:00:00
abstract：:Although not surgery in the traditional sense, skin care offers the ability to treat patients with a wide range of skin pathology. Skin care is another facet in facial rejuvenation, whose magnitude will increase as the pathophysiology and treatment of photoaging and other skin conditions becomes better understood. Pat...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：
更新日期：1996-01-01 00:00:00
abstract：:I believe that if one follows the precautions outlined, including a time-tested surgical technique and thorough clinical history and physical examination, the operation of blepharoplasty should prove to be one of the most gratifying aesthetic operations. ...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：
更新日期：1978-01-01 00:00:00
abstract：:The endoscope already has revolutionized aesthetic forehead surgery by reducing the morbidity rate associated with the forehead lift operation. The ability to do the operation through a minimally invasive approach is predicated on the illumination and magnification that the endoscope provides. It is this same illumina...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：
更新日期：1995-10-01 00:00:00
abstract：:The principle objective of presurgical nasoalveolar molding (NAM) is to reduce the severity of the initial cleft deformity. This enables the surgeon and the patient to enjoy the benefits associated with a repair of a cleft deformity that is of minimal severity. Retraction of the premaxilla, presurgical elongation of t...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/S0094-1298(03)00140-8
更新日期：2004-04-01 00:00:00
abstract：:In our litigious medical environment, and particularly after the breast implant debacle, plastic surgeons must understand the regulatory implications of devices they implant in their patients. This article reviews the regulatory aspects of ultrasound-assisted lipoplasty and the regulatory fundamentals that apply to al...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：
更新日期：1999-04-01 00:00:00
abstract：:Burn care and burned people are probably the least likely candidates as subjects of fine art. To disprove this notion, three paintings are offered as examples of artistic treatment of an unlikely issue. ...
journal_title：Clinics in plastic surgery
pub_type： 历史文章,杂志文章
doi：
更新日期：1986-01-01 00:00:00
abstract：:The goal of this article is to introduce clinical investigators to the basic concepts of cost-effectiveness analysis. This line of research is not commonly pursued in clinical studies probably because of unfamiliarity of plastic surgeons with the field of health economics and health research methodology in general. Th...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cps.2007.10.012
更新日期：2008-04-01 00:00:00
abstract：:An angiosome is a composite block of tissue that is supplied anatomically by source (segmental or distributing) vessels that span between the skin and bone. In addition to supplying the deep tissues, the source vessels of these angiosomes supply branches to the overlying skin, which pass either between the deep tissue...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/s0094-1298(03)00034-8
更新日期：2003-07-01 00:00:00
abstract：:Face transplantation can provide improved quality of life to patients with extensive burn injuries. Facial vascularized composite allotransplantation (VCA) offers a new paradigm of treatment options, serving as a powerful reconstructive tool to restore facial form and function. Although currently facial VCA patients m...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cps.2017.05.017
更新日期：2017-10-01 00:00:00
abstract：:Low-level laser-assisted liposuction (LLLL), known as the Neira 4 L technique, is an excellent adjuvant tool for the surgeon practicing liposculpture. A low-level laser is used to create a transitory pore in the cell membrane of the adipocyte to move fat from inside the cell to the interstitial space outside without k...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：10.1016/j.cps.2005.09.005
更新日期：2006-01-01 00:00:00
abstract：:This article presents a contemporary overview of tip suturing and tip structural grafting techniques used to refine the wide nasal tip. Previous reductive techniques have proved to produce unnatural results over time. It is imperative to correctly evaluate the nose and assess all possible pitfalls during the preoperat...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cps.2015.09.013
更新日期：2016-01-01 00:00:00
abstract：:Laser technology has evolved rapidly in the last 2 decades. The theory of selective photothermolysis guides the proper selection and use of lasers to safely and effectively treat patients. This review summarizes the basic concepts and adjustable parameters for laser devices, emphasizing the importance of selective pho...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：10.1016/j.cps.2011.02.007
更新日期：2011-07-01 00:00:00
abstract：:Assessing risk and avoiding complications in breast reduction requires a meticulous history, systematic physical examination, management of expectations, and careful consideration and execution of operative technique. Attention should be paid to comorbidities. Shape, symmetry, contours, scar location, skin quality, ni...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cps.2015.12.007
更新日期：2016-04-01 00:00:00
abstract：:Since the first implant-based breast surgeries were performed nearly 70 years ago, breast augmentation it has changed drastically. As understanding of breast augmentation has advanced, so too have the technologies and techniques used to improve results and minimize the risk of complications in breast implant surgery. ...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cps.2020.09.004
更新日期：2021-01-01 00:00:00
abstract：:The result of secondary rhinoplasties in men must be absolutely natural. The dorsum, the tip's elevation, and the diverse angles that the nose forms with the rest of the face--that is, shape, dimension, and proportion--must be correct. Illustrative cases of the most frequent defects are presented along with ways to pr...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：
更新日期：1991-10-01 00:00:00
abstract：:Although interest in buttocks implant procedures is growing around the world, it remains a technically demanding procedure. The intramuscular plane is thought to be superior to other planes of dissection. Asymmetry and visibility of the implants remain frequent complications when the surgeon works without any referenc...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cps.2017.12.006
更新日期：2018-04-01 00:00:00
abstract：:The most common complication of blepharoplasty is an unnatural distortion of the lower eyelid. Identification of the underlying anatomic deformities dictates the reconstructive procedures. Emphasis is placed on utilization of the dermal-orbicular pennant lateral canthoplasty. ...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：
更新日期：1993-04-01 00:00:00
abstract：:Autologous breast reconstruction has become increasingly popular in the past several years as more experience has been gained in the various techniques. Advantages to autologous reconstruction include improved shaping and symmetry, which also allow for a more natural reconstruction. The transverse rectus abdominis myo...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：
更新日期：1998-04-01 00:00:00
abstract：:Advances in the management of the pediatric hypospadias patient have greatly improved his outcome. This article discusses the many facets of nursing care of the pediatric hypospadias patient. Preoperative teaching and postoperative care are defined and explored. ...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：
更新日期：1988-07-01 00:00:00
abstract：:Dermatologists and their plastic surgical colleagues treating acne vulgaris and its sequelae have an effective arsenal of anti-acne preparations to inhibit and avoid many of the long-term, cosmetically deforming effects of severe inflammatory acne. It is incumbent upon the physician participating in the care of the ea...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：
更新日期：1987-04-01 00:00:00
abstract：:The distinction between primary and secondary syndactyly is made on the basis of their relation to the morphogenesis. The latter is associated with antecedent malformation which results in subsequent refusion of parts. Based on these considerations, a practical classification is suggested. The management of the variou...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：
更新日期：1976-01-01 00:00:00
abstract：:The color of an individual's skin is an inherited trait, poorly understood in any real genetic sense and likely to remain so in the outbred populace. Pigmentary anomalies are assignable either to hyperpigmentation (melanoderma, ceruloderma) or hypopigmentation (leukoderma). This article briefly reviews such anomalies....
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：
更新日期：1987-04-01 00:00:00
