Both HA gel and autologous fat provide augmentation of NLFs. The magnitude and duration of NLF correction appear to be similarly effective and safe within a period.
Rationale:Surgical removal of a sebaceous cyst is usually accomplished through an external incision, which inevitably results in a scar. Herein, we described an intraoral approach for excising sebaceous cysts located in the lip or cheek near lip commissure, to avoid a skin scar.Patient concerns:Removal of the cyst but without leaving a scar on the face.Diagnoses:Six patients were diagnosed with a subcutaneous cyst located in the lip or cheek near lip commissure.Interventions:We implemented an intraoral approach to excise the cyst, wherein an intraoral incision was made and blunt dissection was performed through the buccinator muscle or orbicularis oris muscle until the cyst wall was seen. The cyst was then dissected from the surrounding subcutaneous tissue by careful blunt dissection with a hemostat and completely removed through the intraoral incision.Outcomes:All patients had complete recovery, with no recurrence or complaints for at least 6 months after the surgery.Lessons:A sebaceous cyst located in the lip or cheek near lip commissure can be excised by an intraoral approach through the mouth, which avoids a visible scar on the skin.
I t is commonly accepted that double-eyelid surgery results in largerappearing eyes, a soft and womanly appearance, clear-cut features and a refreshed appearance to the face (1). Upper eyelid blepharoplasty is one of the most popular cosmetic surgeries in Asia because nearly one-half of the Asian population lacks a supratarsal fold (2). The first cutaneous suture technique was devised by Mikamo (reported by Lam [3]). Various methods have been described, broadly including the incisional, nonincisional and mini-incisional methods (4). The present article introduces a modified mini-incisional technique. METHODSA total of 372 patients (325 women and 47 men) were involved in the study between July 2008 and August 2014. Their age ranged from 16 to 34 years (mean 24 years of age), and all underwent the modified mini-incisional upper blepharoplasty. Bilateral surgeries were performed in 341 patients and unilateral procedures in 31 patients. The follow-up period was three to 12 months (mean nine months) to evaluate the effect. Patient satisfaction was evaluated three months postoperatively. Satisfactory results indicated no multiple eyelids, no shifting or disappearance of the fold, and symmetrical heights of the fold when the difference between the bilateral heights was <1 mm. Complications were recorded. Preoperative evaluationThe desires of the patients were understood during consultation and they were taken into consideration before the operative design. With the patient sitting, the height and shape of the desired double-eyelid line were simulated. A probe was used to push the upper eyelid upward to form a crease in front of a mirror. The crease position was confirmed when the patient was satisfied with the simulated crease, which was usually approximately 7 mm to 10 mm above the ciliary margin. The symmetry of the line on the bilateral upper eyelid was verified. The proposed double-eyelid line was marked using a marker pen. All patients were photographed pre-and postoperatively. Surgical procedureThe operation was performed under local anesthesia. 1% lidocaine (5 mL) containing 1:100,000 of epinephrine was injected into each eyelid. Four 2 mm incisions were made along the double-eyelid line. BACkGROUND: Double-eyelid blepharoplasty is one of the most popular cosmetic surgeries in Asia. OBjECTIVE: To introduce a modified mini-incisional technique to form a double eyelid. METHODS: A total of 372 patients (325 women, 47 men) were involved in the study between July 2008 and August 2014. Their age ranged from 16 to 34 years, with a mean age of 24 years. All patients underwent the modified mini-incisional upper blepharoplasty. In the technique, four 2 mm incisions were made along the designed fold. The orbicularis muscle overlying the levator aponeurosis was removed. The removal of the lateral fat pad was completed accordingly. The medial fat pad was also removed if necessary. Suture was used to fix the skin to pretarsal fascia along the double-eyelid line. The double-eyelid crease was formed after the operation. RESULTS...
It is commonly accepted that double-eyelid surgery results in largerappearing eyes, a soft and womanly appearance, clear-cut features and a refreshed appearance to the face (1). Upper eyelid blepharoplasty is one of the most popular cosmetic surgeries in Asia because nearly one-half of the Asian population lacks a supratarsal fold (2). The first cutaneous suture technique was devised by Mikamo (reported by Lam [3]). Various methods have been described, broadly including the incisional, nonincisional and mini-incisional methods (4). The present article introduces a modified mini-incisional technique. METHODSA total of 372 patients (325 women and 47 men) were involved in the study between July 2008 and August 2014. Their age ranged from 16 to 34 years (mean 24 years of age), and all underwent the modified mini-incisional upper blepharoplasty. Bilateral surgeries were performed in 341 patients and unilateral procedures in 31 patients. The follow-up period was three to 12 months (mean nine months) to evaluate the effect. Patient satisfaction was evaluated three months postoperatively. Satisfactory results indicated no multiple eyelids, no shifting or disappearance of the fold, and symmetrical heights of the fold when the difference between the bilateral heights was <1 mm. Complications were recorded. Preoperative evaluationThe desires of the patients were understood during consultation and they were taken into consideration before the operative design. With the patient sitting, the height and shape of the desired double-eyelid line were simulated. A probe was used to push the upper eyelid upward to form a crease in front of a mirror. The crease position was confirmed when the patient was satisfied with the simulated crease, which was usually approximately 7 mm to 10 mm above the ciliary margin. The symmetry of the line on the bilateral upper eyelid was verified. The proposed double-eyelid line was marked using a marker pen. All patients were photographed pre-and postoperatively. Surgical procedureThe operation was performed under local anesthesia. 1% lidocaine (5 mL) containing 1:100,000 of epinephrine was injected into each eyelid. Four 2 mm incisions were made along the double-eyelid line. BACkGROUND: Double-eyelid blepharoplasty is one of the most popular cosmetic surgeries in Asia. OBjECTIVE: To introduce a modified mini-incisional technique to form a double eyelid. METHODS: A total of 372 patients (325 women, 47 men) were involved in the study between July 2008 and August 2014. Their age ranged from 16 to 34 years, with a mean age of 24 years. All patients underwent the modified mini-incisional upper blepharoplasty. In the technique, four 2 mm incisions were made along the designed fold. The orbicularis muscle overlying the levator aponeurosis was removed. The removal of the lateral fat pad was completed accordingly. The medial fat pad was also removed if necessary. Suture was used to fix the skin to pretarsal fascia along the double-eyelid line. The double-eyelid crease was formed after the operation. RESULTS:...
The minimally traumatic midface lift is a simple, reliable, and effective approach for the aging face of women in their 30s and 40s.
BACKGROUND Temporal depression is commonly found among people. OBJECTIVE Objective and subjective evaluation of lipoinjection for correction of temporal depression. METHODS From November 2012 to January 2018, 34 healthy female subjects underwent temporal augmentation by lipoinjection on both sides. Efficacy was assessed by objective and subjective parameters. The quantitative measurement of the temporal defect was obtained using molded plasticine preoperatively and 12 months after treatment. The subjective assessment consisted of excellent, good, fair, and poor results based on the patients' self-evaluations. The adverse events were recorded. RESULTS The follow-up period ranged from 12 to 36 months. It was found that a statistically significant difference existed between the preoperative and postoperative defect on both temples. Regarding the patients' self-evaluations, 17 patients (50.0%) reported feeling excellent, 15 patients (44.1%) as good, and 2 patients (5.9%) as fair, and no patient as poor. After the statistical analysis, it was found that the volumetric restoration rate of the grafted fat decreased as the temporal defect generally increased during the aging process. Injection-site swelling and bruising were commonly found complications; other complications were not found. CONCLUSION Autologous fat is inexpensive and readily available. Fat grafting is an alternative for correction of temporal depression.
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