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Critical appraisal of economic evaluations
Published in O. Ajetunmobi, Making Sense of Critical Appraisal, 2021
On which of these two alternatives should our friend Sharon spend her £1000 savings? A £900 facelift that will last for eight years and improve her quality of life from 0.5 to 0.9 (self-esteem confidence, etc.), orA £700 car that will last for 10 years and improve her quality of life from 0.5 to 0.8 (improvement of social isolation, convenience, etc.).
Aesthetic
Published in Tor Wo Chiu, Stone’s Plastic Surgery Facts, 2018
This was a review of 538 endoscopic brow lifts using a technique based upon that of Oscar Ramirez (Plast Reconstr Surg, 1995). Eighty percent of patients had a simultaneous facelift: Lift vector is marked preoperatively; two parasagittal and two temporal incisions are made.Hydrodissection of the plane beneath the TPF with tumescent solution, followed by surgical dissection with endoscopic elevators to within 2 cm of the supraorbital rim.Sub-galeal fascial flap is raised from the temporal incisions.The fascia at the temporal crease is divided and dissection extended subperiosteally along the zygomatic process of the frontal bone.At the supraorbital rim, the supraorbital and supra-trochlear nerves are identified and the corrugator supercilii and procerus muscles debulked.The brow is then elevated and secured. Initially, fibrin glue was used before they changed to sutures passed through drill-hole bone tunnels with longer-lasting results.
Surgical Rejuvenation of the Ageing Face
Published in John C Watkinson, Raymond W Clarke, Terry M Jones, Vinidh Paleri, Nicholas White, Tim Woolford, Head & Neck Surgery Plastic Surgery, 2018
Gregory S. Dibelius, John M. Hilinski, Dean M. Toriumi
As populations expand and life expectancy increases, growing numbers of people are seeking methods to reverse the outward effects of ageing. Over the past decades, refinements in surgical techniques have enhanced our ability to achieve natural-looking results with an emphasis on facial harmony and avoidance of the stigmatized ‘operated’ look. This has allowed aesthetic facial surgeons to meet the high expectations of an increasingly astute patient population and permitted the practice to flourish. Central to the discussion on ageing face surgery is the evolution of facelift surgery, or rhytidectomy. This chapter will provide an overview of the history of facelift surgery and its techniques, and review the senior author’s approach to ageing face surgery. The recent resurgence in interest in autologous fat grafting will also be reviewed.
Remodelling of the superficial vascular network of skin flaps in rats, following a vasodilatory cream application, before elevation
Published in Journal of Plastic Surgery and Hand Surgery, 2023
Glykeria Pantazi, Iraklis Evangelopoulos, Christos Evangelopoulos, Sofia Tilaveridou, Ioannis Iakovou, Athanassios Kyrgidis, Ioannis Tilaveridis
Two goals of reconstructive surgery are in continuous conflict: one is ensuring tissue survival, and the other is the requirement for thin, flexible tissue capable of allowing an aesthetic contour. Surgery for aesthetic and functional reasons requires the use of thin flaps especially on the face (in example, forehead flaps for nasal reconstruction). Flap thinning might also be necessary in situations where the distal region of the flap needs to be manipulated to replace nasal mucosa or stretch beyond the midline of the forehead without jeopardising flap viability. Moreover, this application could be applied in face-lift procedures. Davies et al. [14] have described the usefulness of pharmacological manipulation and application of vasodilatory factors in patients with history of smoking to improve the survival of random-pattern skin flaps.
Validation of the Finnish FACE-Q for use in patients undergoing surgery for functional problems or malignancy
Published in Journal of Plastic Surgery and Hand Surgery, 2022
S. Pauliina Homsy, Jussi P. Repo, Andrew J. Lindford, Mikko M. Uimonen, Patrik Lassus
Finnish-speaking patients aged 18–85 years old, who had undergone facial surgery in Helsinki University Hospital Department of Plastic Surgery between 2009 and 2018, were identified using the operating theatre records. A total of 248 patients formed a target group that included patients who had undergone a frontal lift, a direct brow lift or a facelift. These patients formed the group for the validation of the FACE-Q scales Satisfaction with Forehead and Eyebrows, and the Adverse effects: Forehead, Eyebrows and Scalp. An additional 57 patients with an excision or a repair of a cheek tumor or defect were identified and, together with 46 facelift patients that did not reply to the initial approach, formed the group for the validation of the FACE-Q scale Adverse effects: Cheeks, Lower face and Neck.
A dose-response study of nanosecond electric energy pulses on facial skin
Published in Journal of Cosmetic and Laser Therapy, 2020
James Newman, Lauren Jauregui, William A. Knape, Edward Ebbers, Darrin Uecker, Darius Mehregan, Richard Nuccitelli
The clinical subject’s skin was marked with gentian violet marker confirming previously treated NPS sites with the aid of the plastic templates immediately prior to beginning their planned surgery. The patients were then prepared for surgery with intravenous sedation in an accredited outpatient surgical facility. After sterile prepping and draping the patients’ face and neck, local anesthetic of 2% lidocaine with epinephrine (1:100,000) was injected along marked incision lines along with field infiltration of dilute anesthetic subcutaneously for facelift surgery. A punch biopsy ranging from 4 to 6 mm was then used to completely excise the treatment areas through the subcutaneous fat with an orientation suture when possible noting the anterior superomedial edge of each treatment zone. There was minimal bleeding encountered during the biopsy process and no electrocautery was used during the harvesting of the specimens. Once all specimens were harvested, the patients underwent their planned surgical facelift procedure under intravenous sedation. The individual samples collected were placed in collection jars with 10% neutral formalin for preservation and shipped to a histopathology lab, Pinkus Dermatopathology Laboratory, for staining and evaluation by a dermatopathologist.