Subject(s)
Education, Distance/trends , Internship and Residency/methods , Plastic Surgery Procedures/education , Video Recording/instrumentation , Videoconferencing/trends , COVID-19/epidemiology , COVID-19/prevention & control , Education, Distance/methods , Humans , Physical Distancing , Smartphone , Surgeons/educationABSTRACT
BACKGROUND: The competitive efficacy of the superficial musculoaponeurotic system (SMAS) rhytidectomy (SMASectomy) facelift has been well established. However, the outcomes after an associated open necklift have not been as reliable; the persistent incidence of recurrent bands and iatrogenic deformities has prompted a change in technique. OBJECTIVES: The author conducted a long-term retrospective review to evaluate a variation on the SMASectomy facelift technique. A solely lateral, "low SMAS" approach was substituted for direct necklift in all patients. METHODS: Patients who were candidates for a facelift underwent this laterally based, SMASectomy technique. Those who underwent concomitant full-face CO2 laser resurfacing were excluded from the review. A total of 198 patients treated consecutively during a 7-year period (2006-2012) were included in the study. RESULTS: Postoperative follow-up ranged from 1 to 7 years. All patients' neck deformities were fully corrected by the solely lateral SMASectomy technique. In addition, the patients recovered more rapidly than with traditional direct necklift, with no nerve injuries, skin compromise, or hypertrophic scarring. CONCLUSIONS: Results indicate that midline open necklift can be replaced by the low SMASectomy. LEVEL OF EVIDENCE: 4.
Subject(s)
Neck/surgery , Rejuvenation , Rhytidoplasty/methods , Skin Aging , Aged , Female , Humans , Middle Aged , Postoperative Complications/etiology , Retrospective Studies , Rhytidoplasty/adverse effects , Time Factors , Treatment OutcomeABSTRACT
UNLABELLED: To the authors' knowledge, this is the first report of an allergy to onabotulinumtoxinA. The 43-year-old woman experienced severe itching after injection of Botox and Juvéderm. Results of prick and patch testing confirmed a T-cell-mediated allergy to Botox. This case can aid in the evaluation of suspected allergies to Botox. LEVEL OF EVIDENCE: 5.
Subject(s)
Acetylcholine Release Inhibitors/administration & dosage , Botulinum Toxins, Type A/adverse effects , Drug Eruptions/etiology , T-Lymphocytes/drug effects , Acetylcholine Release Inhibitors/adverse effects , Adult , Anti-Allergic Agents/therapeutic use , Botulinum Toxins, Type A/administration & dosage , Drug Eruptions/diagnosis , Drug Eruptions/drug therapy , Drug Eruptions/immunology , Female , Humans , Intradermal Tests , Patch Tests , T-Lymphocytes/immunology , Treatment OutcomeABSTRACT
Traditionally, the primary goal of any abdominoplasty has always been to excise the central lower abdominal excess skin or pannus and plicate the abdominal fascia through a suprapubic incision. Unfortunately, this traditional abdominoplasty may often fall short of this goal: a scar that may ride too high; persistent skin and lipodystrophy at the pubis, thighs, flanks, and hips; and unfortunately a consistent incidence of midline skin necrosis or wound dehiscence. High lateral tension abdominoplasty addresses these shortfalls. It may be defined as a more complete treatment of the lower trunk aesthetic unit from the abdomen to the pubis, hips, and thighs, with a greater overall aesthetic result and margin of vascular safety. This article outlines the techniques and tools to accomplish these superior results safely and consistently.
