In nasal reconstruction, the most complex procedure or diagnostic test isn't necessarily the best, according to one surgeon. The traditional approach to submucosal resection for patients with nasal obstruction is a fairly difficult procedure, says Malcolm A. Lesavoy, M.D., an Encino, Calif., plastic surgeon and clinical professor of plastic, cosmetic and reconstructive surgery and hand surgery at the University of California Los Angeles Medical Center.
According to Robert L. Simons, M.D., rhinoplasty remains the top facial plastic procedure for long-term enhancement of beauty. He is a Miami facial plastic and reconstructive surgeon and otolaryngologist. Based on more than 40 years' experience, he offers some advice for fellow surgeons.
The extended superficial musculoaponeurotic system (SMAS) lift avoids high levels of tension and creates results superior to those of conventional SMAS lifts in properly selected patients, says the extended SMAS lift's co-developer.
Successful upper- and lower-lid blepharoplasty requires attention to detail and fine-tuning through tactics such as temporal anchoring and the suspension suture. The pretreatment examination is particularly important for patients considering blepharoplasty, says Norman J. Pastorek, M.D., a New York facial plastic surgeon in private practice.
By thinning the flap all at once after underlying lining and cartilage support has been created, the three-stage forehead flap allows better aesthetic outcomes than two-stage procedures for complex nasal reconstruction, says Frederick J. Menick, M.D., a Tucson, Ariz., plastic and reconstructive surgeon in private practice.
Several physicians have reported sporadic problems with Juvederm needles popping off syringes in mid-injection.
In late October, the site was generating about 100 inquiries daily.
National report — While it is difficult to pin down precise data regarding body dysmorphic disorder (BDD), sources tell Cosmetic Surgery Times it's more common than many cosmetic surgeons think. Perhaps more importantly, the link between BDD and suicide attempts makes it crucial to accurately identify and refer such patients for appropriate treatment, experts say.
Patients who return home disenchanted with their results usually have nowhere to turn.
This step allows one to achieve some release of the muscle in that area, which tends to soften the deep depression that defines this occurrence.