Facial plastic surgery clinics of North America
-
Facial Plast Surg Clin North Am · Feb 2007
ReviewDiagnosis, impact, and management of focal hyperhidrosis: treatment review including botulinum toxin therapy.
Idiopathic localized hyperhidrosis, called for hyperhidrosis, affects almost 3% of the US population. The most frequent anatomic sites of involvement include the axillae, palms, soles, and face. ⋯ Since 1996, intracutaneous injections of botulinum toxin have been used as a minimally invasive treatment for this condition with numerous studies documenting safety, efficacy, and extremely high levels of patient satisfaction. Botulinum toxin type A (Botox) was approved by the US Food and Drug Administration in 2004 for the treatment of axillary hyperhidrosis.
-
Otoplasty remains a challenging but rewarding operation for surgeons who approach it in a rigorous and exacting manner. This article outlines a particular systematic approach to cartilage-sparing otoplasty and related adjuvant procedures. Whichever methods are chosen, precise adherence to the goals and principles summarized herein will help ensure optimal surgical outcomes and associated patient satisfaction.
-
Success in microtia surgery requires meticulous patient education, planning, technique, and follow-through. When these principles are followed, excellent results as well as tremendous satisfaction are achievable for both the patient and surgeon.
-
This article describes the combined conchal cartilage resection and mattress suture technique for the treatment of protruding ears. It is a reproducible, versatile, and safe procedure. The technique improves the protrusion, symmetry, and form of the ear by addressing the poorly developed or absent antihelical fold and the abnormally large concha. It has been used for many years and has produced consistently good long-term results.
-
Facial Plast Surg Clin North Am · Nov 2003
ReviewComplications of botulinum toxin A use in facial rejuvenation.
The esthetic application of botulinum toxin type A is a safe treatment modality; nevertheless, complications can occur as a result of patient- and physician-related factors. Fortunately, adverse effects and undesirable sequelae after Botox injections are temporary. Complications may be more serious in patients who have more severe rhytids (which require more Botox), have undergone previous facial plastic surgery (altered anatomy), and those who have preexisting neuromuscular disease. The physician can reduce complications by using proper injection techniques, appropriate regional Botox dosing, and by being conservative in the overall approach to Botox-mediated facial rejuvenation.