Facial plastic surgery clinics of North America
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Facial Plast Surg Clin North Am · Aug 2009
ReviewOptions for the management of forehead and scalp defects.
Forehead and scalp reconstruction comprises a diverse and complex set of defects. Repair must be performed with minimal disturbance to surrounding structures, such as the eyelid, eyebrow, and hairline. ⋯ This article addresses the options for the management of forehead and scalp defects, including secondary intention healing, skin grafting, local flaps, free flaps, tissue expansion, and negative pressure treatment. When possible, special consideration is given to addressing the advantages and disadvantages of each repair option, while providing a framework from which to plan scalp and forehead reconstruction.
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Facial Plast Surg Clin North Am · May 2009
Facial transplantation: the next frontier in head and neck reconstruction.
Facial reconstruction poses a unique surgical challenge-restoring the aesthetic form and function of the face. Established techniques for reconstruction include skin grafts, local cutaneous tissue flaps, and free flap autografts. ⋯ The success of recent hand, knee joint, and larynx allotransplantation and advances in immunosuppressive regimens have pushed the technical frontiers of composite tissue transfer to include partial facial transplantation. This article reviews current techniques for reconstruction of facial defects, with a focus on the microsurgical, immunologic, and ethical considerations of facial allotransplantation.
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Facial Plast Surg Clin North Am · May 2008
Dealing with the difficult trauma and reconstructive surgery patient.
Many of the issues that exist for cosmetic surgery patients exist for noncosmetic patients in areas such as reconstructive surgery and trauma. Although cosmetic and noncosmetic patients usually are considered separate in terms of elective versus nonelective, there are other issues in dealing with reconstructive surgery patients versus those undergoing cosmetic surgery. This article reviews a variety of issues specific to noncosmetic reconstructive surgical patients and discusses issues unique to pediatric patients, craniomaxillofacial trauma patients, patients who have skin cancer defects, scar revision patients, and major reconstruction after cancer resections and craniomaxillofacial trauma.
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Facial Plast Surg Clin North Am · Nov 2007
ReviewUsing permanent implant materials for cosmetic enhancement of the perioral region.
The aging of the perioral region continues to challenge facial plastic surgeons. Numerous rejuvenating surgical techniques, resurfacing methods, fillers, augmenters, and implants have been and continue to be developed. The drive for minimally invasive procedures that have a lasting effect has led to the development of several permanent injectable materials and implants to soften the melolabial grooves and marionette lines and augment the lips. These devices and their availability, usefulness, and practicality are examined.
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Facial Plast Surg Clin North Am · May 2007
Understanding physician responsibilities and limitations for drug and device off-label use.
Facial plastic surgery, by its nature, is a field that constantly is seeking new and innovative ways of treating patients. This innovation often involves novel techniques and tools. ⋯ Physicians are able to use drugs and devices off-label but are required to follow certain guidelines. This article describes the physician's legal responsibilities and limitations in off-label drug or device use.