Identical twin face lifts with differing techniques: a 10-year follow-up.

To evaluate the efficacies of four different surgical techniques in facial rejuvenation, two sets of identical twins were operated on by four different surgeons. The technical approaches to facial rejuvenation included lateral superficial musculoaponeurotic system (SMAS)-ectomy with extensive skin undermining, composite rhytidectomy, SMAS-platysma flap with bidirectional lift, and endoscopic midface lift with an open anterior platysmaplasty. All patients were photographed by an independent surgeon at 1, 6, and 10 years postoperatively. At the same time interval, the cases were presented and discussed in a panel format at the annual meeting of the American Society for Aesthetic Plastic Surgery. Each operating surgeon was allowed to critique the results and discuss how his methods had changed over the intervening 10-year interval. Postoperative photographs at 1, 6, and 10 years after surgery are included to allow the reader to examine long-term results utilizing various approaches to facial rejuvenation in identical twins.

MOC-PS(SM) CME article: breast augmentation.

LEARNING OBJECTIVES: After studying this article, the participant should be able to: 1. Evaluate patients seeking breast augmentation using key variables to assist in selection from the choices for incision, implant type and size, and plane of dissection. 2. Minimize the need for revisionary surgery to factors beyond the surgeon's control. SUMMARY: The purpose of this article is to provide guidelines for Maintenance of Certification continuing medical education using the breast augmentation module. It may be used as an aid in the extraction of data for 10 consecutive cases of breast augmentation and, in this regard, provides a template to facilitate the collection of pertinent information. Interspersed with the Maintenance of Certification-oriented format is continuing medical education information regarding the current state of practice concerning the multiple variables in the specific procedure of breast augmentation.