Cosmetic Surgery Today

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Posts Tagged ‘facial implants’

Physicians Recommend Facial Implants Plus Facelift for Better Results

Posted by Cosmetic Surgery Review on March 31, 2010

While facelift surgery can help to eliminate deep wrinkles and fine lines while sculpting the face and neck area, plastic surgeons may be able to get better results by adding facial implants to the surgical procedure.

A recent study presented at the American Association of Plastic Surgeons points out that simply tightening the loose skin by pulling it back is not enough to create the youthful appearance many patients want.

Since the underlying structure of the face is not modified with the facelift procedure, it may be necessary to add facial implants or use soft tissue fillers to create a contoured, streamlined appearance that appears more youthful.

Physicians at the University of Rochester Medical Center, and researchers from Harvard and Stanford Universities, have been taking a close look at the bone structure of people as they age, and have stated that loss of definition in the lower area of the face is what contributes to an older appearance. As a result, it’s important for plastic surgeons to focus on recreating a more defined jawline, and in some cases, extended the length and width of the jaw bone using various surgical techniques.

According to Howard N. Langstein, MD, professor and chief of plastic and reconstructive surgery at the University of Rochester Medical Center, measurements show “a significant decline in the jaw’s volume as a person ages, and therefore less support of soft tissue of the lower face and neck….though we have always known that bones change over time, until now, the extent to which it causes an aged appearance was not appreciated.”

Researchers that conducted the study believe that plastic surgeons must find other ways to restore the underlying structure of the face when performing facelift surgery, in order to achieve the most contoured and sculpted appearance. Facial implants may offer promising results for hundreds of men and women considering facelift surgery.


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First U.S. Transplant Reported in ASPS Journal

Posted by Cosmetic Surgery Review on January 28, 2010

The January issue of the Plastic and Reconstructive Surgery journal, the official publication of the American Society of Plastic Surgeons, contains a report about the first facial transplantation procedure performed in the United States.

Facial transplantation involves an extensive facial tissue grafting and transplant process that is different from traditional facial implants. The procedure is designed to correct disfigurement after severe injuries.

Dr. Maria Z. Siemionow and researchers at the Cleveland Clinic report that, “we are pleased to report an excellent functional, psychological and social outcome for our patient at 8 months following transplantation.”

The facial transplantation procedure was performed in December 2008 at the Cleveland Clinic, but physicians, plastic surgeons, bioethicists and psychiatrists had initiated the research process as early as 2003. This team of experts worked with several organ procurement organizations and developed an informed consent procedure that received approval by 2004.

The patient selected for the procedure was a 45-year-old woman who had suffered severe facial injuries from a short-range shotgun blast. She was left with severe disabilities and had explored several reconstructive facial surgery options, but none of them had produced a desirable outcome. The patient underwent a 22-hour procedure to replace over 80 percent of her facial anatomy. The tissues were prepared from a deceased donor, and the operation included a rehabilitation and physical therapy program so that the patient could adjust to her new face.

According to the ASPS journal’s report, “The patient has recovered well, with no serious complications through eight months of follow-up. With true dedication to her recovery, the patient has regained most facial functions, including sense of smell, speech, and the ability to eat solid foods and drink from a cup.”

To date, nine facial transplants have been performed successfully worldwide, and Dr. Sieminow is enthusiastic about future surgeries that could help disfigured patients enjoy much more favorable outcomes than conventional reconstructive surgery procedures.

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