B Guyuron

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..Reduction of the nasal spine increased the upper lip length on profile and reduced tip projection when a large reduction took place. Significant reduction in caudal nose projection resulted in widening of the alar base...

..A novel, less traumatic cylinder core fat harvest and delivery technique for facial augmentation with minimal incisional access is reported here...

..Aesthetic analysis of the face is best accomplished by dividing the face into equal thirds. A long forehead may lend the appearance of a less attractive, disproportionate, and senescent face...

..The present study demonstrates the efficacy of independent surgical deactivation of three common migraine headache trigger sites through a double-blind, sham surgery, controlled clinical trial...

..It is also evident that injection of Botox is an extremely reliable predictor of surgical outcome...

..This source has been used on 74 occasions at 128 sites, from July 1, 2002, to December 31, 2002, with no complications attributable to the technique...

..3 percent). Surgical deactivation of migraine trigger sites can eliminate or significantly reduce migraine symptoms. Additional studies are necessary to clarify the mechanism of action and to determine the long-term results...

..Patient and surgeon satisfaction with this method has been very high, and consequently, it has been used for almost all patients in the senior author's (Guyuron's) practice...

..This study was designed to assess the long-term efficacy of surgical deactivation of migraine headache trigger sites...

..While the soft triangle is the key component in short nostril disharmony, the alar rim and cartilaginous structures that border the nostrils play a salient role as well...

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..However, many proponents of the technique are convinced that this procedure is indeed an optimal choice for the majority of patients desiring forehead rejuvenation and have found the means of preventing adversities...

..The authors describe a new technique, basket submandibular gland suspension, for the effective long-term treatment of submandibular fullness...

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..Potential complications and ways to minimize them are discussed...

..The authors review the defects caused by frequent insufflation of cocaine, outline representative internal and external nasal deformities, and detail the surgical methods available to correct these deformities...

..By carefully identifying nasal base and alar abnormalities, harmony can be established to correct an undesirable appearance...

..Each of the six categories of septal deviation requires specific management. If a single procedure is selected for all of the septal deformities, disappointing results may ensue...

..Furthermore, the procedure is, to some degree, labor-intensive...

..These techniques significantly augment the surgeon's repertoire of methods for addressing the subtleties of caudal nasal deviation correction and achieving predictable results...

..If the dorsum was previously overresected, a cartilage graft to the caudal dorsum or midvault will create an optimal dorsal frame and reduce the potential for a recurrent supratip deformity...

..9) The lateral crura convexity control suture alters the degree of convexity of the lateral crura. The nuances of these sutures and their multiplanar effects on the nasal tip are discussed...

..The purpose of this article is to review the efficacy of the vest-over-pants technique for elimination of the platysma bands and improvement of the cervicomental angle...

..The purpose of this study was to identify the environmental factors that contribute to facial aging in identical twins...

..The soft-tissue response in relation to the alar base narrowing was about 52 percent. This study reveals a predictable soft-tissue response to skeletal alterations on all zones except zone 7 (nasal spine area)...

..This article reviews the pertinent anatomy and techniques for endoscopic forehead rejuvenation, and describes the authors' technique for more consistent, predictable results...

..CONCLUSION: Endoscopic forehead rejuvenation improves brow position relative to the orbital rim, brow arch form, vertical frown lines, and horizontal frown lines of the forehead, with stable results many years after surgery...

..Additionally, the senior author's (BG) technique and experience of nearly 30 years of practice is described...

..This study examines the frequency and array of surgical maneuvers during primary aesthetic rhinoplasty in a single surgeon's practice...

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..CONCLUSION: A newly recognized deformity is reported subsequent to the injection of botulinum toxin type A into the temporalis muscle. Informing patients of this transient deformity may minimize concern following treatment...

..One patient had overcorrection as a result of an aggressive concomitant submental lipectomy. Another patient had central depression in the submental area. None of the patients had difficulties with mandibular movement or swallowing...

..This article focuses on delineation of supraorbital nerve branching patterns relative to the corrugator muscle fibers and identifies four branching patterns that help improve understanding of the local anatomy...

..A cadaveric study was undertaken to elucidate and delineate the location of this nerve's foramen and intramuscular course...

..RESULTS: Correction of the nasal tip ptosis requires accurate diagnosis, a recognition of the interplay between various anatomic components, specific strategy planning, and a correction of anatomic abnormalities...

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..This article simplifies the recognition of common alar base disharmonies. The classification system is intended to facilitate choosing the best surgical technique to correct the alar base flaws...

..Both arnica and corticosteroids have been suggested for reducing the postoperative edema and bruising associated with rhinoplasty. This study compared the efficacy of these products following rhinoplasty...

..4 to 2.1 per month on average (P <.04), and the intensity decreased from 8.6 to 6.1 (P <.04). CONCLUSION: These results support the hypothesis that focal injection of botulinum toxin type A may be an effective therapy for migraine...

..An anatomical study was undertaken to develop a greater understanding of the potential entrapment sites along the course of this nerve...

..Part I of this two-part study aims to define corrugator supercilii muscle topography with respect to external bony landmarks...

..This article discusses the general principles and the surgical details of septorhinoplasty...

..Our goal is to familiarize the plastic surgeon with vWD, including physiology, diagnostic criteria, classification, and molecular basis for multiple vWD variants, and diagnosis and management...

..Suturing techniques are one of the most commonly used means to reshape the nasal cartilage; however, no data exist regarding the optimal suture material and its long-term effect...

..5 cm lateral to the midline. This location can, in turn, be used to guide the practitioner performing chemodenervation of the semispinalis capitis muscle in an attempt to provide migraine symptom relief...

..A well-designed anterior hairline beveled incision over the temple would allow for improved leverage during soft-tissue repositioning and a concealed hairline incision in the temple region...

..This report acknowledges past contributions to nasal tip surgery and looks at the recent evolution of techniques commonly used today...

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..Despite such routine alteration and/or use, the characteristics of septal cartilage have not been adequately defined...