Forehead deep wrinkles make man's face ugly. Especially, in case that a young people has short forehead, one or two forehead deep wrinkles is likely go give a aggressive impression to people. Traditional forehead lift basically not only perfrom the selective excision of frontalis muscle which cause forehead wrinkles, but extend the width of forehead by practical lift through scalp excision. Recently, various filling materials such as collagen have been developing, and laser resurfacing and endoscopic plastic surgery has gradually been generalized, so the frequency of the traditional forehead lift which needs the extensive operation through coronal incision is gradually diminished. But collagen injection is repeatedly taken every regular times and it has a weak point that the width of forehead cannot be regulated. Laser resurfacing can't solve the problem of deep wrinkles. The purpose of endoscopic brow lift which has been generalized currently is mainly brow lift, and so this method is not good for deep wrinkles because it can't modualte frontalis muscle which cause forehead transverse wrinkles. Recently it has been reported that Alloderm composed of dermal collagen from cadavar skin is universally used in covering as well as filling up soft tissue defect and its usability is also successful. Authors recently correct three young persons who have forehead deep wrinkles by combination of endoscopic forehead lift and subcutaneous Alloderm implantation under the wrinkles for 2 years. At first, we extended the width of forehead and smoothed the depth of wrinkles by endoscopic brow lift. After having endoscopic operation, we inserted Alloderm in subcutaneous pocket and performed suspension suture outside. The average increase of forehead width is 5 mm and all patients had corrected transverse wrinkles remarkably. During the 9 months, wrinkles didn't recur and implanted Alloderm also didn't absorbed. As a better method, authors reported that combining endoscopic brow lift with Alloderm implantation for the correction of short forehead and deep wrinkles could be used in place of traditional forehead lift.
Collagen ; Forehead* ; Humans ; Scalp ; Skin ; Surgery, Plastic ; Sutures

Flap survival is critical to the success in reconstructive surgery, there have been many investigations to increase the blood supply to the flaps such as surgical delay and pharmacologic delay. Prostaglandin(PG) is released from various tissues including blood vessel in response to physical stimulus. Among the Prostaglandins, PGE1 has been proven to be a vasodilatation property and many authors have demonstrated its effect to increase blood supply after random cutaneous flap surgery. Clinically, however, muscle flap or musculocutaneous flap is more significantly used in reconstructive surgery and hemodynamic effects of PGE1 of this type of flap are still not documented. The authors designed the random muscle flap to study the hemodynamic effects of PGE1 of the muscle flap. Superior based rectus muscle flap was elevated from rats and the superior epigastric artery, its major vascular pedicle, was ligated to create the random-type muscle flap. Twenty two rats were divided into two experimental groups and each group had 11 rats; Group I: No drugs Group II: PGE1 injection group for 7 postoperative days intraperitoneally The average muscle flap survival rate of group I was 46+/-3.0 precent and it had a higher survival rate than the control group(23+/-4.3%). The muscle flap survival rates showed significant differences between the two groups (p< 0.005) This study shows that the administration of the PGE1, in clinical usage of the rare random muscle flap with a pedicle injury or musculocutaneous flap with the risk of distal cutaneous flap necrosis, such as TRAM flap, which might be much safer and popular.
Alprostadil ; Animals ; Blood Vessels ; Epigastric Arteries ; Hemodynamics ; Myocutaneous Flap ; Necrosis ; Prostaglandins ; Rats* ; Rectus Abdominis* ; Survival Rate ; Vasodilation

Background: In Asian women who undergo facelift procedures, satisfying results are achieved for facial rhytides, but sometimes there are postoperative complaints concerning the mandibular angle. Unlike Caucasians, Asians generally have a prominent mandibular angle. Accordingly, bone contouring surgery must be considered, since the bones of the face serve as the frame for facelift surgery. We investigated the effects of simultaneously performing mandibular angle reduction and facelift to achieve an oval facial contour and a youthful face. Methods: We evaluated 17 Asian women who simultaneously underwent mandibular angle reduction and facelift between April 2016 and May 2018. The clinical results were assessed based on preoperative and postoperative photographs and the Global Aesthetic Improvement Scale. Results: Surgery was successful in all cases. Postoperatively, improvements in facial rhytides and appropriate mandibular contours were achieved. All patients were satisfied with the outcomes. Some patients experienced short-term complications, such as hematoma and numbness of the skin above the incision line; however, these complications improved. Serious long-term complications were not noted. Conclusions Highly satisfying outcomes can be achieved with combined mandibular angle reduction and facelift for Asian women with a wide and rectangular face.

Background: In Asian women who undergo facelift surgery, satisfactory results are typically achieved with regard to facial rhytides, but concerns have been reported regarding the postoperative appearance of the malar prominence region. Anatomically, compared to Caucasians, Asians have thick skin and a wide and short facial geometry. Asians generally exhibit zygomatic protrusion; accordingly, bone contouring surgery, which alters the base frame used in a facelift, should be considered. We aimed to investigate the effects of simultaneous reduction malarplasty and facelift to achieve appropriate malar repositioning and a youthful-looking face. Methods: We assessed 16 Asian women who underwent simultaneous reduction malarplasty and facelift between March 2014 and March 2018. The clinical results were assessed based on preoperative and postoperative photographs and Global Aesthetic Improvement Scale scores. Results: Surgery was successful in all cases. Postoperative improvement with regard to facial rhytides and appropriate malar repositioning were achieved. All patients were satisfied with the outcomes. Some patients experienced short-term complications, but their conditions improved. Serious long-term complications were not noted. Conclusions Highly satisfactory outcomes can be achieved with combined reduction malarplasty and facelift for Asian women with wide faces.

Eccrine spiradenoma is an uncommon benign adnexal tumor originating from the eccrine sweat gland. We diagnosed a eccrine spiradenoma on a 55-year-old man with histopathologic confirmation upon biopsy followed by complete resection, who had visited our clinic with a chief complain of occipital scalp mass. The solitary eccrine spiradenoma occurring in the scalp is rarely to be seen and should be considered as a differential diagnosis for a solitary cystic mass of the scalp.
Biopsy ; Bone Cysts ; Diagnosis, Differential ; Humans ; Middle Aged ; Scalp* ; Sweat Glands

Pressure sore is usually developed by repeated or persistent pressure given to fixed regions. Due to increase in old ages, paraplegia or quadriplegia by traffic accidents and industrial accidents, the incidence of pressure sore is increasing. V.A.C.(R)(vacuum assisted closure, KCI Inc, U.S.A.) has been highly effective for accelerating wound healing, however, high cost and the use of special equipment have been preventing it from popular use. We applied the negative pressure of wall suction (100-150mmHg) with Medifoam B(R)(Hydrophilic polyurethane foam, Ildong Pharm, Co., Korea) on pressure sore wound instead of expensive dressing foam of V.A.C.(R) So, we could accelerate wound healing without special equipment or incurring high cost. We were able to reduce the cost to 10% with Medifoam B(R) and wall suction dressing compared with V.A.C.(R) In this aspect, the technique explained above seems to be clinically useful.
Accidents, Occupational ; Accidents, Traffic ; Bandages ; Incidence ; Paraplegia ; Polyurethanes ; Pressure Ulcer* ; Quadriplegia ; Suction ; Wound Healing ; Wounds and Injuries

Sialoblastoma and hepatoblastoma of neonate were very rare cancer. We present a case of concurrent sialoblastoma with hepatoblastoma associated with chromosomal anomaly.
Hepatoblastoma* ; Humans ; Infant, Newborn*

PURPOSE: The operative treatment for blow-out fracture involves restoration of intra-orbital soft tissue and bony structural integrity. There are several methods for reconstruction of inferior blow out fracture. We report reduction of inferior blow-out fracture with urinary balloon catheter in comparison with Medpor(R) using group to complication rate. METHODS: A retrospective study was performed on 67 patients who underwent inferior orbital blow-out fracture reconstruction with Medpor(R) implant or urinary balloon catheter following between 2003 and 2006. Hospital records were reviewed especially for preoperative and postoperative enophthalmos, diplopia, extraocular muscle movement limitations, and hypoesthesia between Medpor(R) implant group and balloon catheter using group. RESULTS: There was no significant statistical difference between both groups on incidence of postoperative complications of enophthalmos, diplopia, extraocular muscle movement limitations, and hypoesthesia. Postoperative infection, ectropion were absent in both groups. CONCLUSION: The use of urinary balloon catheter is simple, fast and inexpensive. Urinary balloon catheter is an alternative and reliable use for reduction of inferior orbital blow-out fracture.
Catheters* ; Diplopia ; Ectropion ; Enophthalmos ; Hospital Records ; Humans ; Hypesthesia ; Incidence ; Orbit ; Orbital Fractures* ; Postoperative Complications ; Retrospective Studies