Facial Plastic Surgery Clinics of North America RSS feed: Current Issue. Facial Plastic Surgery Clinics of North America updates you on the latest trends in patient management; keeps you up to date on the newest advances; and provides a sound basis for choosing treatment options. Each issue focuses on a single topic in facial plastic surgery and is presented under the direction of a guest editor with a highly regarded facial plastic surgery practice experienced in clinical and scientific aspects of the latest cosmetic and reconstruction techniques and materials.http://www.facialplastic.theclinics.com/?rss=yesElsevier Inc.en © 2009 Published by Elsevier Inc. All rights reserved. Facial Plastic Surgery Clinics of North America1064-7406174November 2009 © 2009 Published by Elsevier Inc. All rights reserved. healthpermissions@elsevier.comhttp://www.facialplastic.theclinics.com/article/PIIS1064740609001151/abstract?rss=yesContents10.1016/S1064-7406(09)00115-1Facial Plastic Surgery Clinics of North America 17, 4 (2009)2009-11-01Facial Plastic Surgery Clinics of North America2009-11-01174S1064-7406(09)X0003-9vviihttp://www.facialplastic.theclinics.com/article/PIIS1064740609001163/abstract?rss=yesForthcoming Issues10.1016/S1064-7406(09)00116-3Facial Plastic Surgery Clinics of North America 17, 4 (2009)2009-11-01Facial Plastic Surgery Clinics of North America2009-11-01174S1064-7406(09)X0003-9viiiviiihttp://www.facialplastic.theclinics.com/article/PIIS1064740609000789/abstract?rss=yesIt is an honor and a privilege to serve as a Guest Editor for this edition of Facial Plastic Surgery Clinics of North America. The opportunity to share ideas with mentors and colleagues is thought provoking and exhilarating. Likewise, it represents an opportunity to stimulate intellectual and practical developments in surgical technique, patient management, and philosophy of practice.PrefaceStephen Prendiville10.1016/j.fsc.2009.06.009Facial Plastic Surgery Clinics of North America 17, 4 (2009)2009-11-01Facial Plastic Surgery Clinics of North America2009-11-01174S1064-7406(09)X0003-9ixixhttp://www.facialplastic.theclinics.com/article/PIIS1064740609000753/abstract?rss=yesOptimizing outcomes for rhytidectomy patients involves careful evaluation for conditions likely to benefit from adjunctive facial contouring and/or skin resurfacing procedures. On an individual basis, concurrent procedures should be performed only if benefits far outweigh any added risk and patient safety is not compromised. In this manner, physicians may improve practice productivity and overall patient satisfaction.Facelift Adjunctive Techniques: Skin Resurfacing and Volumetric ContouringJ. David Holcomb10.1016/j.fsc.2009.06.012Facial Plastic Surgery Clinics of North America 17, 4 (2009)2009-11-01Facial Plastic Surgery Clinics of North America2009-11-01174S1064-7406(09)X0003-9505514http://www.facialplastic.theclinics.com/article/PIIS106474060900073X/abstract?rss=yesFacelift is the cornerstone procedure for the rejuvenation of the aging face. This procedure aims to improve the appearance of the lower two thirds of the face and neck. As with all surgical procedures, facelift is associated with certain risks and benefits. This article describes the sources of patient dissatisfaction and the avoidance and management of complications related to facelift surgery. A clinically oriented comprehensive review of the assessment and management of complications encountered during facelift surgery of the lower two thirds of the face and neck is presented.Avoiding Patient Dissatisfaction and Complications in Facelift SurgeryRoss A. Clevens10.1016/j.fsc.2009.06.005Facial Plastic Surgery Clinics of North America 17, 4 (2009)2009-11-01Facial Plastic Surgery Clinics of North America2009-11-01174S1064-7406(09)X0003-9515530http://www.facialplastic.theclinics.com/article/PIIS1064740609000790/abstract?rss=yesAnesthesia for the patient undergoing facial plastic surgery can be approached in a variety of ways. This article describes a technique with which the authors have had great success. The principles of patient safety and comfort are essential elements in providing anesthesia for a facial plastic surgical case. A well-performed anesthetic makes a smooth postoperative course more likely, but a poorly handled anesthetic can increase the likelihood of postoperative complications and can strain the relationship between surgeon and patient. There cannot be enough emphasis on making and keeping the patient happy. A happy patient will do better in the long run, will be more willing to undergo future procedures, and often provides the best form of advertisement: word of mouth.Management of Anesthesia and Facility in Facelift SurgeryStephen Prendiville, Seth Weiser10.1016/j.fsc.2009.06.010Facial Plastic Surgery Clinics of North America 17, 4 (2009)2009-11-01Facial Plastic Surgery Clinics of North America2009-11-01174S1064-7406(09)X0003-9531538http://www.facialplastic.theclinics.com/article/PIIS1064740609000728/abstract?rss=yesCosmetic rejuvenation of the lower face can be accomplished effectively with facelift surgery; however, aesthetic outcomes are significantly improved when surgical traction combined with midface volume restoration is achieved and perpetuated. Incorporating the current understanding of the evolving process of facial maturation, this article puts forth an approach to full-face rejuvenation involving the continued treatment of the facelift patients with injectable filler materials for years after the surgical procedures. Beyond a three-dimensional approach, this “four-dimensional” method can achieve persistent, effective, natural-appearing outcomes that can be maintained successfully and dynamically over time.Volumetric Facelift with Intra- and Post-Operative Midface Volume Replacement“The Four-Dimensional Facelift”Benjamin A. Bassichis10.1016/j.fsc.2009.06.004Facial Plastic Surgery Clinics of North America 17, 4 (2009)2009-11-01Facial Plastic Surgery Clinics of North America2009-11-01174S1064-7406(09)X0003-9539547http://www.facialplastic.theclinics.com/article/PIIS1064740609000765/abstract?rss=yesDespite the variety of novel facial rejuvenation technologies available today, the reference standard for correction of the senescent jaw line and neck remains rhytidectomy. This article describes the purse-string facelift, a vertical facelift that moves away from traditional techniques that use a horizontal vector of subcutaneous muscle–aponeurotic system repositioning. The vertical facelift can counterbalance the effects of gravity and natural facial aging and can reposition the facial soft tissues into a more youthful position more directly and correctly. Rather than multiple, separate sutures to support the suspended tissues, the purse-string technique offers two distinct advantages: operative expediency and a tenacious suture anchor based on the periosteum of the posterolateral zygomatic arch.Short-Scar Purse-String FaceliftAmir M. Karam, L. Mike Nayak, Samuel M. Lam10.1016/j.fsc.2009.06.007Facial Plastic Surgery Clinics of North America 17, 4 (2009)2009-11-01Facial Plastic Surgery Clinics of North America2009-11-01174S1064-7406(09)X0003-9549556http://www.facialplastic.theclinics.com/article/PIIS1064740609000716/abstract?rss=yesThe extreme interest in developing new surgical approaches to rhytidectomy and to refining those techniques over the last two decades has resulted in considerable improvement in surgical results. This has taken the form of a more natural and youthful restoration of the face by together lifting forehead, midface, and lower face. This approach produces a more harmonious balance of the upper and lower portions of the face than was possible before the introduction of mid-facelifting techniques. Added to this has been the emphasis by some surgeons of restoring tissue volume to the face by using autogenous fat injections. One can conclude that the most favorable results in facelifting occur when the lower cheek is rejuvenated by dissecting beneath the superficial musculoaponeurotic system to create an advancement flap together with the lifting of the cheek fat of the midface posterosuperior.Deep Plane Rhytidectomy and VariationsShan R. Baker10.1016/j.fsc.2009.06.003Facial Plastic Surgery Clinics of North America 17, 4 (2009)2009-11-01Facial Plastic Surgery Clinics of North America2009-11-01174S1064-7406(09)X0003-9557573http://www.facialplastic.theclinics.com/article/PIIS1064740609000777/abstract?rss=yesSurgical approaches for rhytidectomy continue to evolve. For the past 26 years, the senior author has used a graded approach in combination with the modified deep-plane facelift, consistently achieving natural-appearing results and satisfied patients. This article outlines the analysis of the patient, preoperative preparation of the patient, an algorithm for adjunctive procedures to achieve a youthful yet balanced face, the associated surgical technique, and also possible complications.Extended Superficial Muscular Aponeurotic System Rhytidectomy: A Graded ApproachStephen W. Perkins, Amit B. Patel10.1016/j.fsc.2009.06.008Facial Plastic Surgery Clinics of North America 17, 4 (2009)2009-11-01Facial Plastic Surgery Clinics of North America2009-11-01174S1064-7406(09)X0003-9575587http://www.facialplastic.theclinics.com/article/PIIS1064740609000935/abstract?rss=yesAesthetic improvement of the neck and cervicomental angle remains one of the most challenging aspects of surgical facial rejuvenation. Individuals may become dissatisfied with the appearance of their neck because of changes in skin quality, submental fat, and muscle tone or anatomic position related to aging, weight gain, weight loss, sun damage, and other causes. To achieve the patient's desired result, surgeons use various techniques, either in isolation or in combination. Careful preoperative evaluation of the patient's anatomy dictates the most appropriate procedure, ranging from laser skin resurfacing to sub-superficial muscular aponeurotic system (sub-SMAS) rhytidectomy with an extended platysmaplasty. This article reviews the techniques that are available and the decision-making process in choosing the appropriate technique for the individual patient.Rejuvenation of the Aging Neck: Current Principles, Techniques, and Newer ModificationsDavid A. Caplin, Chad A. Perlyn10.1016/j.fsc.2009.07.001Facial Plastic Surgery Clinics of North America 17, 4 (2009)2009-11-01Facial Plastic Surgery Clinics of North America2009-11-01174S1064-7406(09)X0003-9589601http://www.facialplastic.theclinics.com/article/PIIS1064740609000947/abstract?rss=yesThe surgical management of the patient with the heavy face and neck requires an appreciation of the multiple anatomic and physiologic factors responsible for the associated displeasing appearance. Preoperative planning and patient selection are key components in achieving optimal outcomes. Furthermore, while approaches and techniques applied in traditional facelifts are beneficial, additional or modified maneuvers are often necessary to produce the desired outcomes in this challenging patient group.Surgical Treatment of the Heavy Face and NeckJeffrey H. Wachholz10.1016/j.fsc.2009.07.002Facial Plastic Surgery Clinics of North America 17, 4 (2009)2009-11-01Facial Plastic Surgery Clinics of North America2009-11-01174S1064-7406(09)X0003-9603611http://www.facialplastic.theclinics.com/article/PIIS1064740609000741/abstract?rss=yesThis article addresses some of the nonsurgical considerations in caring for male patients. We are witnessing an ever-increasing level of interest in aesthetic surgery among men, and the unique considerations related to addressing male patients compared to female patients merit our attention. The care of male patients is characterized by important differences along each step of the surgical process. Men display a different set of motivations, concerns, and aesthetic ideals compared with women. Men also demonstrate decision-making processes and problem-solving approaches that contrast with approaches observed among women. These unique differences compel facial plastic surgeons to manage male patients differently from female patients.Reflections on Aesthetic Facial Surgery in MenRoss A. Clevens, Stephen Prendiville10.1016/j.fsc.2009.06.006Facial Plastic Surgery Clinics of North America 17, 4 (2009)2009-11-01Facial Plastic Surgery Clinics of North America2009-11-01174S1064-7406(09)X0003-9613624http://www.facialplastic.theclinics.com/article/PIIS1064740609000807/abstract?rss=yesFacelift surgery is complex and requires a significant commitment from both patient and surgeon. This article provides a collection of surgical tips and pearls that can be applied to most facelift procedures, no matter the surgical technique. A holistic approach to patient care is discussed regarding preoperative, perioperative, and postoperative management. Within this article the authors outline details so facial plastic surgeons can provide their patients with the smoothest surgical experience and recovery.Pearls in Facelift ManagementMarc S. Zimbler, Grigoriy Mashkevich10.1016/j.fsc.2009.06.011Facial Plastic Surgery Clinics of North America 17, 4 (2009)2009-11-01Facial Plastic Surgery Clinics of North America2009-11-01174S1064-7406(09)X0003-9625632http://www.facialplastic.theclinics.com/article/PIIS1064740609000959/abstract?rss=yesDiscussion Regarding Botulinum Toxin, Immunologic Considerations with Long-term Repeated Use, with Emphasis on Cosmetic ApplicationsDiscussion Regarding Botulinum Toxin, Immunologic Considerations with Long-term Repeated Use, with Emphasis on Cosmetic ApplicationsGary Borodic10.1016/j.fsc.2009.07.003Facial Plastic Surgery Clinics of North America 17, 4 (2009)2009-11-01Facial Plastic Surgery Clinics of North America2009-11-01174S1064-7406(09)X0003-9633637http://www.facialplastic.theclinics.com/article/PIIS1064740609001187/abstract?rss=yesIndex10.1016/S1064-7406(09)00118-7Facial Plastic Surgery Clinics of North America 17, 4 (2009)2009-11-01Facial Plastic Surgery Clinics of North America2009-11-01174S1064-7406(09)X0003-9639648