Objectives/Hypothesis: To present a novel technique based on the combination of aesthetic and reconstructive techniques for the radical and safe excision of preauricular sinus along with minimal cosmetic impairing. St...Objectives/Hypothesis: To present a novel technique based on the combination of aesthetic and reconstructive techniques for the radical and safe excision of preauricular sinus along with minimal cosmetic impairing. Study Design: Case report, description of surgical method and brief overview of the literature. Methods: In a patient with bilateral preauricular sinus, we used a modified face-lift incision and SMAS-fixation instead of solely excising the sinus with skin ellipse. Results: Total removal of the bilateral fistulous systems could be achieved, along with a very aesthetically pleasing result. Conclusions: The surgical approach shown here allows a radical excision with only minimal aesthetic impairment using a shortened facelift-incision and SMAS-fixation.展开更多
As developing countries globally continue to face harsh economic challenges, a new approach to changing the status quo has become imperative. Enter New Structural Economics （NSE）, an enlightened theory put forward b...As developing countries globally continue to face harsh economic challenges, a new approach to changing the status quo has become imperative. Enter New Structural Economics （NSE）, an enlightened theory put forward byJustin YiIu Lin, former World Bank Chief Economist and present honorary Dean of Peking University＇s National School of Development.展开更多
Aim:Traditional facelift techniques rely on pulling.They approach the superficial or intermediate layers where the facial nerves and muscles are located,increasing the risk of facial nerve injury.They approach the cen...Aim:Traditional facelift techniques rely on pulling.They approach the superficial or intermediate layers where the facial nerves and muscles are located,increasing the risk of facial nerve injury.They approach the central oval from the periphery and produce unnatural vectors of pull and aesthetic results.Alternative techniques that work on the subperiosteal plane using endoscopic techniques are described.Modern concepts of volume augmentation,beautification and rejuvenation of the facial expression are an inherent part of such techniques,or can be easily integrated.Methods:The central oval is approached via four small scalp incisions and additional intraoral,upper gingivo-buccal incisions.The interconnected frontal subperiosteal,temporal subfascial and midface subperiosteal areas are lifted,imbricated and suspended sequentially.The brow/forehead is suspended to the skull using cortical screws.The midface and lower periorbita are suspended to the fascia of the temporal muscle.The buccal fat pad is used to enhance the ogee line of the midface.Other three-dimensional volumetric maneuvers can easily be applied.In this setting,upper and lower lid blepharoplasties become more straightforward,skin only procedures.Actinic or nicotine damaged skin can be treated with lasers,peels or fluidified fat grafting in the same setting.The excess skin on the lower face and neck can be redrapped with standard cervicofacial techniques.Deep subplatysmal cervicoplasty can be done concomitantly,or at another time to complete comprehensive rejuvenation.Results:The procedures described herein has been performed in 824 patients with excellent aesthetic results and low complication rate.The average rate of rejuvenation was 18 years. ;Conclusion:These combination techniques are called Biplanar Endoscopic Assisted Mask and Triplanar Endoscopic Assisted Mask facial rejuvenation.They are advanced techniques of facial rejuvenation that provide comprehensive,natural,long lasting results.展开更多
Aim:Improving the cervical contour is one of the main goals of patients seeking face and neck rejuvenation.However,little attention has been dedicated to refine the anterior border of the sternocleidomastoid muscles a...Aim:Improving the cervical contour is one of the main goals of patients seeking face and neck rejuvenation.However,little attention has been dedicated to refine the anterior border of the sternocleidomastoid muscles and to improve the inferior neck.In this study,the authors sought to describe new surgical tactics to address these issues.Methods:The records of 1,019 patients were evaluated retrospectively.Surgical strategies to treat the neck were reviewed and two new approaches,described.Plication of the sternohyoid muscles and lateral plication of the platysma along the anterior border of the sternocleidomastoid muscles are detailed and supplemented with a video.Results:Of the 1,019 patients,937 patients(91.9%)underwent subplatysmal neck lift.Three-hundred-and-forty-eight patients(34.1%)underwent sternohyoid muscles plication,and 784 patients(76.9%)had rejuvenation of the sternocleidomastoid muscles.The most common complication was weakness of the lower lip depressors[79 patients(7.7%)].Conclusion:Approaching the sternohyoid muscles and rejuvenating the sternocleidomastoid muscles are new reliable and effective tactics to optimize results in neck lifts.展开更多
基金funded by the German Research Foundation(DFG)the Albert Ludwigs University Freiburg in the funding programme Open Access Publishing.
文摘Objectives/Hypothesis: To present a novel technique based on the combination of aesthetic and reconstructive techniques for the radical and safe excision of preauricular sinus along with minimal cosmetic impairing. Study Design: Case report, description of surgical method and brief overview of the literature. Methods: In a patient with bilateral preauricular sinus, we used a modified face-lift incision and SMAS-fixation instead of solely excising the sinus with skin ellipse. Results: Total removal of the bilateral fistulous systems could be achieved, along with a very aesthetically pleasing result. Conclusions: The surgical approach shown here allows a radical excision with only minimal aesthetic impairment using a shortened facelift-incision and SMAS-fixation.
文摘As developing countries globally continue to face harsh economic challenges, a new approach to changing the status quo has become imperative. Enter New Structural Economics （NSE）, an enlightened theory put forward byJustin YiIu Lin, former World Bank Chief Economist and present honorary Dean of Peking University＇s National School of Development.
文摘Aim:Traditional facelift techniques rely on pulling.They approach the superficial or intermediate layers where the facial nerves and muscles are located,increasing the risk of facial nerve injury.They approach the central oval from the periphery and produce unnatural vectors of pull and aesthetic results.Alternative techniques that work on the subperiosteal plane using endoscopic techniques are described.Modern concepts of volume augmentation,beautification and rejuvenation of the facial expression are an inherent part of such techniques,or can be easily integrated.Methods:The central oval is approached via four small scalp incisions and additional intraoral,upper gingivo-buccal incisions.The interconnected frontal subperiosteal,temporal subfascial and midface subperiosteal areas are lifted,imbricated and suspended sequentially.The brow/forehead is suspended to the skull using cortical screws.The midface and lower periorbita are suspended to the fascia of the temporal muscle.The buccal fat pad is used to enhance the ogee line of the midface.Other three-dimensional volumetric maneuvers can easily be applied.In this setting,upper and lower lid blepharoplasties become more straightforward,skin only procedures.Actinic or nicotine damaged skin can be treated with lasers,peels or fluidified fat grafting in the same setting.The excess skin on the lower face and neck can be redrapped with standard cervicofacial techniques.Deep subplatysmal cervicoplasty can be done concomitantly,or at another time to complete comprehensive rejuvenation.Results:The procedures described herein has been performed in 824 patients with excellent aesthetic results and low complication rate.The average rate of rejuvenation was 18 years. ;Conclusion:These combination techniques are called Biplanar Endoscopic Assisted Mask and Triplanar Endoscopic Assisted Mask facial rejuvenation.They are advanced techniques of facial rejuvenation that provide comprehensive,natural,long lasting results.
文摘Aim:Improving the cervical contour is one of the main goals of patients seeking face and neck rejuvenation.However,little attention has been dedicated to refine the anterior border of the sternocleidomastoid muscles and to improve the inferior neck.In this study,the authors sought to describe new surgical tactics to address these issues.Methods:The records of 1,019 patients were evaluated retrospectively.Surgical strategies to treat the neck were reviewed and two new approaches,described.Plication of the sternohyoid muscles and lateral plication of the platysma along the anterior border of the sternocleidomastoid muscles are detailed and supplemented with a video.Results:Of the 1,019 patients,937 patients(91.9%)underwent subplatysmal neck lift.Three-hundred-and-forty-eight patients(34.1%)underwent sternohyoid muscles plication,and 784 patients(76.9%)had rejuvenation of the sternocleidomastoid muscles.The most common complication was weakness of the lower lip depressors[79 patients(7.7%)].Conclusion:Approaching the sternohyoid muscles and rejuvenating the sternocleidomastoid muscles are new reliable and effective tactics to optimize results in neck lifts.
