ABSTRACT
A variety of dermal fillers is available and has been used for soft tissue augmentation. Fillers used in rhinoplasty are minimally invasive and can help patients who are concerned with surgical procedures and recovery time. Nevertheless, there have been many reports about unsatisfactory results and complications using fillers for augmentation rhinoplasty. The unsatisfactory results include ill defined lateral aspect of nose, widening of injected filler, migration, and overcorrection. Therefore, the filler materials should be used according to its properties and nasal anatomical characteristics.
Subject(s)
Humans , Acrylic Resins , Hyaluronic Acid , Nose , RhinoplastyABSTRACT
Botulinum toxin A injection to reduce glabellar lines has become one of the most popular procedures in facial rejuvenation. 5-site injection is generally accepted: into the procerus muscle at the midline and each corrugator muscle at its inferomedial and superolateral aspects. The superolateral injection site is above the pupil and approximately 1cm above the bony orbital rim. According to our observation, corrugator muscles are not either symmetric or tightly related to the surface anatomical landmarks such as pupils and bony orbital rims. Therefore when glabellar lines were treated by surface anatomical landmarks, in the case of asymmetrical corrugator, it was not precisely targeted to obtain sufficient paralytic effects. Herein, we suggest functional anatomy-based Botulinum toxic A injection to correct glabellar frown lines and its theoretical backgrounds. Between 1999 and 2007, 329 patients were enrolled in the study. 86 patients between 1999 and February of 2001 were injected by the traditional injection method. Later 243 patients were treated by the functional anatomy-based injection. By the new method, injection points were determined by observing glabellar furrows and skin fine wrinkles after repetition of muscle contraction. By this method, we could enhance the cosmetic effects and heighten patients' satisfaction.
Subject(s)
Humans , Aging , Botulinum Toxins , Cosmetics , Muscle Contraction , Muscles , Orbit , Pupil , Rejuvenation , SkinABSTRACT
No abstract available.
ABSTRACT
With hightened interest in bone contouring surgeries, newer and lesser invasive treatment modalities for bone augmentation surgeries are being introduced. Bone augmentation effects with long lasting injectable tissue fillers were studied. Between June, 2006 and November, 2008, 33 cases of small chin patients underwent chin augmentation via Royamid(R) and Radiesse(R) injections, 9 and 24 cases respectively. No complications were observed through the follow up period. Twenty six patients showed satisfaction with aesthetic results at 6 months follow up. In 7 cases, temporary swelling and erythema were observed. The augmentation effect lasted more than 6 momths in both Royamid(R) hard and Radiesse(R) groups. In 7 cases of Royamid(R) hard group, the aesthetic effects lasted more than one year. Long lasting tissue filler seems to be a good alternative treatment modality for bone augmentation surgery if approached with strict protocol indications and careful patient selection.
Subject(s)
Humans , Acrylic Resins , Chin , Erythema , Follow-Up Studies , Patient SelectionABSTRACT
PURPOSE: The epicanthal fold is a unique finding in the medial canthal area of many Asians. Various methods have been developed to eliminate this fold. However, excessive and prominent scarring in the medial canthal and nasal area and recurrence restricted application of epicanthoplasty. The authors performed a epicanthoplasty using Y-V advancement flap method in order to obliterate the epicanthal fold without making incisions in the nasal area and as a result, to avoid postoperative scarring. METHODS: Sixty one patients underwent epicanthal fold correction using Y-V advancement flap method from July 1999 to February 2005. There were 4 males and 57 females with ages ranging from 9 to 60 years. The epicanthoplasty was performed combined with double eyelid operation, ptosis correction, augmentation rhinoplasty, nasal alar reduction, and nasal tip-plasty. RESULTS: There were few complications in our studies, and most of the patients were satisfied with the results. CONCLUSION: Remarkable advantages of our Y-V advancement flap epicanthoplasty are as follows: 1) minimal postoperative scarring in the medial canthal area, 2) application of modified double eyelid operation, 3) wider opening of the medial palpebral fissure, 4) the correction of entropion or epiblepharon, 5) no recurrence.
Subject(s)
Female , Humans , Male , Asian People , Blepharophimosis , Blepharoplasty , Cicatrix , Entropion , Eyelids , Recurrence , Rhinoplasty , SuccinatesABSTRACT
Because of its simplicity, augmentation rhinoplasty with filler material has been used as alternative choice of the operative augmentation rhinoplasty. With development of various filler materials the duration of which is long, the augmentation rhinoplasty using filler material has wide usage. This article describes the choice of filler suitable for augmentation rhinoplasty. As skin and soft tissue are abundant at the nasal tip and root, they are easily elevated when filler material is injected. However, in case of nasal dorsum, especially supratip depression, there is a lack of skin and soft tissue, therefore, the filler material injected is redistributed into the nasal tip and dorsum. Ideal filler material for augmentation rhinoplasty should be located at the injection site without quantitative change. Fortunately, 3.3% PAAG(polyacrylamide gel) has hard consistency, but no component change, and has long duration. Therefore, it seems to be an ideal filler material among numerous filler materials currently sold.