Factors contributing to the facial aging of identical twins.

Abstract:

BACKGROUND:The purpose of this study was to identify the environmental factors that contribute to facial aging in identical twins. METHODS:During the Twins Day Festival in Twinsburg, Ohio, 186 pairs of identical twins completed a comprehensive questionnaire, and digital images were obtained. A panel reviewed the images independently and recorded the differences in the perceived twins' ages and their facial features. The perceived age differences were then correlated with multiple factors. RESULTS:Four-point higher body mass index was associated with an older appearance in twins younger than age 40 but resulted in a younger appearance after age 40 (p = 0.0001). Eight-point higher body mass index was associated with an older appearance in twins younger than age 55 but was associated with a younger appearance after age 55 (p = 0.0001). The longer the twins smoked, the older they appeared (p < 0.0001). Increased sun exposure was associated with an older appearance and accelerated with age (p = 0.015), as was a history of outdoor activities and lack of sunscreen use. Twins who used hormone replacement had a younger appearance (p = 0.002). Facial rhytids were more evident in twins with a history of skin cancer (p = 0.05) and in those who smoked (p = 0.005). Dark and patchy skin discoloration was less prevalent in twins with a higher body mass index (p = 0.01) and more common in twins with a history of smoking (p = 0.005) and those with sun exposure (p = 0.005). Hair quantity was better with a higher body mass index (p = 0.01) although worse with a history of skin cancer (p = 0.005) and better with the use of hormones (p = 0.05). CONCLUSION:This study offers strong statistical evidence to support the role of some of the known factors that govern facial aging.

journal_name

Plast Reconstr Surg

authors

Guyuron B,Rowe DJ,Weinfeld AB,Eshraghi Y,Fathi A,Iamphongsai S

doi

10.1097/PRS.0b013e31819c4d42

subject

Has Abstract

pub_date

2009-04-01 00:00:00

pages

1321-1331

issue

4

eissn

0032-1052

issn

1529-4242

pii

00006534-200904000-00019

journal_volume

123

pub_type

杂志文章
  • Total reconstruction of aplasia cutis congenita involving scalp, skull, and dura.

    abstract::A case of total reconstruction of skull and scalp in a patient with a large defect from aplasia cutis congenita is reported. Tissue expansion was successfully employed on two occasions: first to construct a well-vascularized space to sustain multiple rib grafts for cranial reconstruction and then to develop adequate q...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198604000-00026

    authors: Argenta LC,Dingman RO

    更新日期:1986-04-01 00:00:00

  • Arteriovenous vascular loops in free flap reconstruction of the extremities.

    abstract:BACKGROUND:High-energy trauma or peripheral arteriopathy may render recipient vessels unsuitable for free tissue transfer. Vein grafts can be used to lengthen the vascular pedicles to reach healthy distant vessels but with an increased complication rate. METHODS:From 1995 to 2006, 56 arteriovenous loops were construct...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000297634.53915.e5

    authors: Cavadas PC

    更新日期:2008-02-01 00:00:00

  • Monitoring free flaps using the laser Doppler flowmeter: five-year experience.

    abstract::Over a 5-year period, 232 microvascular composite-tissue transfers to the head and neck, trunk, and extremities were monitored using the laser Doppler flowmeter. Thirteen free flaps (5.6 percent) developed vascular complications, all within 4 days after surgery. The laser Doppler flowmeter detected vascular compromise...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200001000-00009

    authors: Yuen JC,Feng Z

    更新日期:2000-01-01 00:00:00

  • Effect of allopurinol on the survival of experimental pig flaps.

    abstract::Allopurinol has been reported to improve cell survival in a variety of conditions, including the ischemia-reperfusion injury occurring in skin flaps. It has been suggested that the beneficial effect of allopurinol on rat skin flaps is through blockage of xanthine oxidase-generated oxygen-derived free radicals. We have...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199206000-00016

    authors: Picard-Ami LA Jr,MacKay A,Kerrigan CL

    更新日期:1992-06-01 00:00:00

  • Nonbiological Microsurgery Simulators in Plastic Surgery Training: A Systematic Review.

    abstract:BACKGROUND:Simulation has gained notable recognition for its role as an effective training and assessment modality in the present era of competency-based medical education. Despite the well-documented efficacy of both live and cadaveric animal models, several ethical, financial, and accessibility issues persist with th...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000005990

    authors: Abi-Rafeh J,Zammit D,Mojtahed Jaberi M,Al-Halabi B,Thibaudeau S

    更新日期:2019-09-01 00:00:00

  • Photoaged Skin Therapy with Adipose-Derived Stem Cells.

    abstract:BACKGROUND:The major intrinsic cause of facial skin degeneration is age, associated with extrinsic factors such as exposure to sun. Its major pathologic causes are degeneration of the elastin matrix, with loss of oxytalan and elaunin fibers in the subepidermal region, and actinic degeneration of elastin fibers that los...

    journal_title:Plastic and reconstructive surgery

    pub_type: 临床试验,杂志文章

    doi:10.1097/PRS.0000000000006867

    authors: Charles-de-Sá L,Gontijo-de-Amorim NF,Rigotti G,Sbarbati A,Bernardi P,Benati D,Bizon Vieira Carias R,Maeda Takiya C,Borojevic R

    更新日期:2020-06-01 00:00:00

  • Aesthetic reconstruction of the tuberous breast deformity.

    abstract::The tuberous breast deformity is a rare entity affecting young women bilaterally or unilaterally. The deformity is characterized by a constricting ring at the base of the breast, which leads to deficient horizontal and vertical development of the breast with or without herniation of the breast parenchyma toward the ni...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.PRS.0000076502.37081.28

    authors: Mandrekas AD,Zambacos GJ,Anastasopoulos A,Hapsas D,Lambrinaki N,Ioannidou-Mouzaka L

    更新日期:2003-09-15 00:00:00

  • Rigid internal fixation of fractures in the angular region of the mandible: an analysis of factors contributing to different complications.

    abstract::Data relating to 113 patients with 121 mandibular angle fractures treated according to the principles of rigid internal fixation were analyzed to determine which clinical factors are associated with different complications. Certain clinical characteristics were found to be associated with major complications. The use ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Iizuka T,Lindqvist C

    更新日期:1993-02-01 00:00:00

  • Ocular advancement in monobloc distraction.

    abstract:BACKGROUND:Monobloc distraction has been demonstrated to be an efficacious, safe, and stable method of providing functional and aesthetic improvement in children with syndromic craniosynostosis. Although the movement of bony structures following monobloc distraction has been quantitatively assessed before, objective an...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3181a07625

    authors: O'Connor EJF,Marucci DD,Jeelani NO,Witherow H,Richards R,Dunaway DJ,Hayward RD

    更新日期:2009-05-01 00:00:00

  • Force-induced craniosynostosis in the murine sagittal suture.

    abstract:BACKGROUND:The cause of nonsyndromic craniosynostosis remains elusive. Although compressive forces have been implicated in premature suture fusion, conclusive evidence of force-induced craniosynostosis is lacking. The purpose of this study was to determine whether cyclical loading of the murine calvaria could induce su...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3181bf806c

    authors: Oppenheimer AJ,Rhee ST,Goldstein SA,Buchman SR

    更新日期:2009-12-01 00:00:00

  • Monitoring buried free flaps: limitations of the implantable Doppler and use of color duplex sonography as a confirmatory test.

    abstract:BACKGROUND:Postoperative monitoring of free flaps is important to minimize the risk of flap failure, but monitoring buried free flaps is difficult because the standard methods of clinical examination and surface Doppler monitoring are not possible. Buried free flaps are often monitored using an implantable 20-MHz ultra...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000221113.78244.8c

    authors: Rosenberg JJ,Fornage BD,Chevray PM

    更新日期:2006-07-01 00:00:00

  • A 15-year experience with primary breast augmentation.

    abstract:BACKGROUND:This study evaluated patients who underwent primary breast surgery within a single group practice from 1994 to 2009. Reoperations were divided by reoperation reason into total reoperations and implant-specific reoperations. The authors hypothesized that the implant-specific reoperation rate will provide the ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e318205f41b

    authors: Codner MA,Mejia JD,Locke MB,Mahoney A,Thiels C,Nahai FR,Hester TR,Nahai F

    更新日期:2011-03-01 00:00:00

  • The cocaine user: the potential problem patient for rhinoplasty.

    abstract::The current popularity of cocaine use poses special hazards for the patient and the plastic surgeon during rhinoplasty. It is incumbent upon the surgeon to inquire preoperatively about possible recreational use of cocaine. As the preferred site of cocaine administration, the nasal septal mucosa is exposed to both the ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Slavin SA,Goldwyn RM

    更新日期:1990-09-01 00:00:00

  • Treatment of sternal nonunion with the Dall-Miles cable system.

    abstract::We have used this technique in two patients. One had early sternal dehiscence with presternal infection, and the other had late sternal nonunion. Uncomplicated sternal union was achieved in both patients. The cables were nonpalpable in both patients, but they were removed in one patient at that patient's request. This...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200010000-00019

    authors: Eich BS,Heinz TR

    更新日期:2000-10-01 00:00:00

  • Age-dependent closure of bony defects after frontal orbital advancement.

    abstract:BACKGROUND:The ability of the immature skull to spontaneously heal large bony defects created after craniofacial procedures was examined over a 25-year period of craniofacial surgery at the Children's Hospital of Philadelphia. METHODS:Only patients who underwent frontal orbital advancement and reconstruction, had at l...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000232353.44086.af

    authors: Paige KT,Vega SJ,Kelly CP,Bartlett SP,Zakai E,Jawad AF,Stouffer N,Whitaker LA

    更新日期:2006-09-15 00:00:00

  • The brachioradialis forearm flap: anatomy and clinical application.

    abstract::The blood supply to the brachioradialis muscle and the skin of the forearm was studied in latex-injected arms. The dominant perforator to the muscle arose from the brachial artery (27.3 percent), radial recurrent artery (33.3 percent), or radial artery (39.4 percent). In all cases, adequate perforators exist from the ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199410000-00015

    authors: Sanger JR,Ye Z,Yousif NJ,Matloub HS

    更新日期:1994-10-01 00:00:00

  • Pharmacokinetics of topical and intravenous cefazolin in patients with clean surgical wounds.

    abstract:BACKGROUND:Surgical-site infection is a common postoperative nosocomial infection. Surgeons frequently treat operative patients with protective antibiotics and often choose cefazolin as the drug. Treatment schemes include both preoperative intravenous dosing and intraoperative dosing by irrigation. This study was desig...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/PRS.0b013e31818d5899

    authors: White RR 4th,Pitzer KD,Fader RC,Rajab MH,Song J

    更新日期:2008-12-01 00:00:00

  • A Shift on the Horizon: A Systematic Review of Assessment Tools for Plastic Surgery Trainees.

    abstract:BACKGROUND:As plastic surgery programs transition toward competency-based medical education curricula, it is important to critically assess current methods of evaluating trainee competence. The purpose of this systematic review was to identify and evaluate assessment tools for technical and nontechnical competencies in...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000004586

    authors: McKinnon VE,Kalun P,McRae MH,Sonnadara RR,Fahim C

    更新日期:2018-08-01 00:00:00

  • Craniectomy gap patency and neosuture formation following endoscopic suturectomy for unilateral coronal craniosynostosis.

    abstract:BACKGROUND:The combination of endoscope-assisted suturectomy and postoperative helmet therapy has been advocated to treat unilateral coronal synostosis. However, surgical outcomes can vary. One possible explanation for this inconsistency is early closure of the craniectomy gap. The authors examined short-term postopera...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000000285

    authors: Sauerhammer TM,Seruya M,Ropper AE,Oh AK,Proctor MR,Rogers GF

    更新日期:2014-07-01 00:00:00

  • Comparison of rapid versus slow tissue expansion on skin-flap viability.

    abstract::The effect of rapid versus slow tissue expansion on random-pattern skin-flap survival lengths was evaluated in two groups of pigs. Each group (group 1--slow; group 2--rapid) was further evaluated for the effect that delay (A), delay plus expansion (B), expansion only (C), and acute flap elevation (D) had on flap lengt...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199311000-00020

    authors: Schneider MS,Wyatt DB,Konvolinka CW,Hassanein KM,Hiebert JM

    更新日期:1993-11-01 00:00:00

  • Correction of asymmetries of the breasts.

    abstract::The problem of asymmetries of the breasts is discussed. The technical details of one operation for unilateral reduction are described. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-197606000-00003

    authors: Elsahy NI

    更新日期:1976-06-01 00:00:00

  • Vascularization of the facial bones by the facial artery: implications for full face allotransplantation.

    abstract:BACKGROUND:The maxillary artery is recognized as the main vascular supply of the facial bones; nonetheless, clinical evidence supports a codominant role for the facial artery. This study explores the extent of the facial skeleton within a facial allograft that can be harvested based on the facial artery. METHODS:Twent...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000000111

    authors: Gharb BB,Rampazzo A,Kutz JE,Bright L,Doumit G,Harter TB

    更新日期:2014-05-01 00:00:00

  • Daily topical tacrolimus therapy prevents skin rejection in a rodent hind limb allograft model.

    abstract:BACKGROUND:Skin is the most immunogenic component of a composite tissue allograft. Topical immunotherapy is an attractive therapeutic modality with which to provide local immunosuppression, with minimal systemic toxicity. The present study was performed to investigate the potential of topical tacrolimus to prolong surv...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e318191bcbd

    authors: Solari MG,Washington KM,Sacks JM,Hautz T,Unadkat JV,Horibe EK,Venkataramanan R,Larregina AT,Thomson AW,Lee WPA

    更新日期:2009-02-01 00:00:00

  • Treatment of axillary burn scar contracture using an arterialized scapular island flap.

    abstract::A case of an axillary burn scar contracture treated with a scapular island flap is presented. We believe that this will be a useful addition to the treatment of burn scar contractures of the axilla. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198309000-00024

    authors: Dimond M,Barwick W

    更新日期:1983-09-01 00:00:00

  • Benign and premalignant skin lesions.

    abstract:LEARNING OBJECTIVES:After reading this article, the participant should be able to: 1. Clinically describe various cutaneous neoplasms. 2. Identify the corresponding histopathologic findings. 3. Discuss the optimal treatment approach for each entity. SUMMARY:Cutaneous neoplasms are broadly viewed as benign, premalignan...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0b013e3181d6e89a

    authors: Lee EH,Nehal KS,Disa JJ

    更新日期:2010-05-01 00:00:00

  • Autologous fat graft in nipple reconstruction.

    abstract::Reconstruction of the nipple is the penultimate step in breast reconstruction after mastectomy. A number of reconstructive techniques have been described for nipple reconstruction including skin grafts, composite grafts, and various local flaps. The authors' preferred reconstructive technique is the local C-V or modif...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.PRS.0000076245.12249.BE

    authors: Bernard RW,Beran SJ

    更新日期:2003-09-15 00:00:00

  • Umbilical transposition in TRAM flap: a simple horizontal translocation.

    abstract::A simple method of umbilical repositioning by incising the anterior rectus sheath and rectus abdominis muscle is reported for cases of unilateral abdominal wall plication during the TRAM flap operation. This method keeps the umbilicus stable and nonstenotic, and it avoids hypertrophic scars, which result from other te...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199912000-00029

    authors: Raveh T,Gordon CB,del Campo AF

    更新日期:1999-12-01 00:00:00

  • Not All Gustilo Type IIIB Fractures Are Created Equal: Arterial Injury Impacts Limb Salvage Outcomes.

    abstract:BACKGROUND:Open tibia fractures are commonly stratified by the Gustilo classification, an orthopedic grading system that does not incorporate the presence of arterial injury when limb perfusion is intact. In the authors' experience, however, the presence of arterial injury appears to negatively impact microsurgical out...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000003766

    authors: Stranix JT,Lee ZH,Jacoby A,Anzai L,Avraham T,Thanik VD,Saadeh PB,Levine JP

    更新日期:2017-11-01 00:00:00

  • Quantitative assessment of osseous, ocular, and periocular changes after hypertelorism surgery.

    abstract::The purpose of this study was to develop a methodology to quantify osseous, ocular, and periocular fat changes caused by correction of orbital hypertelorism to test the hypothesis that there is a quantitatively predictable relationship between the movement of the osseous orbit and that of the ocular globe. A retrospec...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Panchal J,Kim YO,Stelnicki E,Pilgram T,Marsh JL

    更新日期:1999-07-01 00:00:00

  • Cost-Effectiveness of Treatments after Closed Extraarticular Distal Radius Fractures in Older Adults from the WRIST Clinical Trial.

    abstract:BACKGROUND:This study performs an economic analysis of volar locking plate, external fixation, percutaneous pinning, or casting in elderly patients with closed distal radius fractures. METHODS:This is a secondary analysis of the Wrist and Radius Injury Surgical Trial, a randomized, multicenter, international clinical ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000007528

    authors: Yoon AP,Shauver MJ,Hutton DW,Chung KC,WRIST Group.

    更新日期:2021-02-01 00:00:00