Journal Detail Information

1

Cite

Share

Lipoabdominoplasty: A Comparative Study of Combined Operation Versus Lipoabdominoplasty Only.

Jeongho CHA ; Suk Joon OH ; Man Kyung JEON ; Sung Hoon KO

Archives of Aesthetic Plastic Surgery.2011;17(2):127-132.

Abdominoplasty may be applied to achieve aesthetic outcome and it also can be combined with other surgeries. In addition, liposuction has been offered to patients to improve contour. Liposuction combined with abdominoplasty gives us the advantage of higher patient satisfaction, better aesthetic outcome, and one-staged surgery. The authors performed a retrospective study to evaluate the outcomes. A total of 6 patients who underwent lipoabdominoplasty were included. The patients were all female and the mean age of the patients was 50.5 years old(age range, 32 to 58 years). This study surveyed lipoabdominoplasty based on the purpose of operation, type of suture, and application of quilting suture. Complication rates, patient satisfaction, and postoperative contour of the abdomen were questioned. A mild abdominal complication occurred in one patient, flap bullae, but this was healed within a week and overall flap survival was excellent with good satisfactory outcome. It appears that complication rates of simple lipoabdominoplasty group is low(1/6), and only minor complication occurs. Preservation of perforators during liposuction accounts for improved flap survival. In addition, abdominoplasty may be combined with other abdominal surgeries since other abdominal surgeries usually involve the lower abdomen, which will eventually be cut away curing the abdominoplasty stage.
Abdomen ; Abdominal Wall ; Abdominoplasty ; Adipose Tissue ; Blister ; Female ; Humans ; Imidazoles ; Lipectomy ; Nitro Compounds ; Patient Satisfaction ; Retrospective Studies ; Surgery, Plastic ; Sutures

2

Cite

Share

The Clinical manifestations and Signs of Long Term Use with Temporary Double-fold Making Materials on Upper Eyelid.

Tae Geun LIM ; Soo A LIM ; Yong Il YOUN ; Dong Lark LEE

Archives of Aesthetic Plastic Surgery.2011;17(2):123-126.

BThere are many materials which can make beautiful, clear eyelid crease with temporary effect. Double fold tape and glue are the most popular materials to make artificial double eye lids. However, the long-term use of these materials seems to make cause many local problems. This study was conducted to identify the long-term side effects of double-fold tape and glue. A total of 191 patients who have experienced double fold tape or glue were enrolled. The information of age, double-fold making product, and side effects were collected, based on medical records and, Patient & Observer scale(1: 'Normal', 5: 'Abnormal/Severe). The mean period of use was 23.7 months. The time required to make double-fold was 5~30 minutes. The most common symptom was itching sense, followed by decrease skin elasticity, skin dryness, and change of skin color. The most common signs was skin laxity, followed by eruption, keratinization, pigmentation, and local inflammation. One patient underwent medical treatment for conjunctivitis after double-fold glue usage. Double fold tape or glue can lead a problem with skin due to lack of oxygen exposure and rubbing eye lids with a stick. Appropriate use of double-fold products and careful monitoring of side effects are needed.
Adhesives ; Blepharoplasty ; Conjunctivitis ; Elasticity ; Eye ; Eyelids ; Humans ; Inflammation ; Keratins ; Medical Records ; Oxygen ; Pigmentation ; Pruritus ; Skin ; Surgical Tape

3

Cite

Share

The Correction of Inverted Nipple Using Modified Purse-String Sutures.

Kyung Min SON ; Ji Seon CHEON ; Gyu Bo KIM ; Jeong Yeol YANG

Archives of Aesthetic Plastic Surgery.2011;17(2):119-122.

Inverted nipples have shortened lactiferous ducts and less fibrous and collagenous muscular tissue and less connective tissue present, thus giving less bulk and less tissue for nipple projection. Until now, many authors suggested various methods of correction of inverted nipple, but it shows that perfect method does not exist. From July 2008 to December 2010, 41 nipples in 21 patients were treated. 20 patients had bilateral inverted nipples. Under the local anesthesia with sedation, the nipple was everted. A small incision was made on both lateral side at the nipple-areola junction. After nipple traction, the lactiferous ducts and surrounding connective tissues were divided by sharp dissection only through vertical direction. Upper and lower purse-string sutures using Nylon 4-0 were performed for the maintenance of corrected nipple. The small incision was closed by the simple suture. The operation time averaged 15minutes for each nipple. The mean follow-up period was 6 months. There were no complications associated with surgery, such as recurrence, infection, hematoma, nipple necrosis and sensory loss. We applied modified purse-string sutures to mild and moderate inverted nipple patients, and acquired good results. So we report our experience with a review of literature.
Anesthesia, Local ; Breast Diseases ; Collagen ; Connective Tissue ; Follow-Up Studies ; Hematoma ; Humans ; Necrosis ; Nipples ; Nylons ; Recurrence ; Suture Techniques ; Sutures ; Traction

4

Cite

Share

Epicanthoplasty Using Y-M Plasty.

Dae Hee KIM ; Sung Won YOON ; Chung Hun KIM

Archives of Aesthetic Plastic Surgery.2011;17(2):112-118.

Lots of Koreans have relatively thick skin, small palpebral fissures and unfolded eyelids with a prominent epicanthal fold. Various methods have been developed to correct epicanthal fold. However, excessive or hypertrophic scar can be occurred, especially in the medial canthal and nasal area. And the recurrence may restrict the application of these methods. We developed a new epicanthoplasty using Y-M plasty to correct the epicanthal folds without obvious scar. From February 1999 to August 2010, all patients underwent Y-M plasty for the correction of epicanthal folds. Y-shaped incision line was designed not extending to the nasal area and the orbicularis oculi muscles were resected with skin. The dog ear deformities were corrected and sutured using nylon 7-0. The epicanthal folds were completely corrected. Prominent scar and recurrence were not observed. Most of the patients are satisfied with the results. Mean preoperative ICD(intercanthal distance) was 38.84 mm and average 2.24 mm ICD was reduced after the operation. Epicanthoplasty using Y-M plasty is relatively safe, easy and rapid method to design and apply even in the beginners with low risk of scars and recurrences. So, the authors propose this new versatile technique in the case of minimal to moderate epicanthal folds.
Animals ; Blepharoplasty ; Cicatrix ; Cicatrix, Hypertrophic ; Congenital Abnormalities ; Dogs ; Ear ; Eyelids ; Humans ; Muscles ; Nylons ; Recurrence ; Skin ; Skin Abnormalities

5

Cite

Share

Correction of Depressed Nasal Base and Piriform Aperture Using Polyethylene Implants.

Su Young CHOI ; In Soo BAEK ; Chul Gyoo PARK ; In Pyo HONG ; Du Young RHEE

Archives of Aesthetic Plastic Surgery.2011;17(2):107-111.

Lower midface concavity due to depressed nasal base and pyriform aperture may be aesthetically displeasing. A relative deficiency in lower midface projection may be congenital or acquired, particularly after cleft surgery and trauma. People with normal occlusion associated with lower midface concavity due to depressed nasal base and pyriform aperture can be corrected with an autologous bone graft or artificial implants. The authors performed paranasal augmentation with an alloplastic implants using a porous polyethylene implants(Medpor(R)) on 430 patients who had visited authors' hospital for aesthetic correction of lower midface contour from January 2000 to June 2009. 425 patients were satisfied with the outcome, which gave them a natural contour. Complications such as dislocation, displacement, infection and extrusion were not observed. Only five patients had their implants removed due to displeasing and foreign body sensations. Alloplastic augmentation in the paranasal area is a very easy procedure and can simulate the visual effect as that of maxillary advancement osteotomy. Paranasal augmentation using a porous polyethylene implants(Medpor(R)) in patients having lower midface concavity with normal occlusion can contribute to the enhancement of the lower midface contour.
Alveolar Ridge Augmentation ; Dislocations ; Displacement (Psychology) ; Foreign Bodies ; Humans ; Osteotomy ; Polyethylene ; Prostheses and Implants ; Sensation ; Transplants

6

Cite

Share

A Report on the Questionnaire about Augmentation Rhinoplasty.

Sung Taek HONG ; Sun Ho SONG ; Deok Woo KIM ; Eul Sik YOON ; Eun Sang DHONG ; Se Hwee HWANG ; Jae Yong JEONG ; Jae Hoon KIM ; Seong Geun PARK

Archives of Aesthetic Plastic Surgery.2011;17(2):99-106.

Rhinoplasty is one of the most popular surgical procedures in plastic surgeries. Good results depend not only on the surgical technique but also on individual preference and philosophy of the surgeons. This article reports on the survey of the attitude, preference, and philosophy of surgeons, and finally to elicit the evidence based consensus of current trends mainly dealing with the primary rhinoplasty. The Korean Society of Rhinoplasty Surgeons(KSRS) prepared a questionnaire composed of 20 questions asking about the primary esthetic rhinoplasty. A total of 77 out of 450 plastic surgeons attending the rhinoplasty symposium, 2009, Korea replied and the answerswere assessed. Twenty questions were about operation techniques, preference of alloplastic implant, autologous materials and trivia about the complications rates, etc. Many plastic surgeons preferred silicone to Gore-tex(R). In cases of autologous cartilage grafts, experienced plastic surgeons were more likely to use septal cartilage. But generally, ear cartilages were more frequently used when it is concomitantly used with alloplastic implants. Among silicone implants, boat-shape implant was preferred to L-shape regardless of their surgical experiences. Many Korean plastic surgeons prefer open rhinoplasty to closed rhinoplasty and routinely use boat shape silicone with auricular cartilage when they are doing simple primary rhinoplasty.
Cartilage ; Consensus ; Ear Cartilage ; Korea ; Philosophy ; Rhinoplasty ; Ships ; Silicones ; Transplants ; Surveys and Questionnaires

7

Cite

Share

Strategy for the Treatment of Infraorbital Dark Circles.

Jong In SHIN ; In Oh KWON ; Chang Yeon KIM

Archives of Aesthetic Plastic Surgery.2011;17(2):91-98.

Infraorbital dark circles refer to the darkness of lower eyelids and can be a significant cosmetic problem for the people of any age and sex. Although the general concern for dark circles is increasing, little has been published about the treatment of dark circles in the scientific literature. Dark circles are not a single disease but combination of causative symptoms. We classified patients to five groups according to patients' symptoms; bulging of infraorbital fat(Ia), sunken lower eyelids(Ib), depression or groove on midface(Ic), thin translucent skin(IIa), and excessive pigmentation(IIb). We reviewed medical records and photographs of patients retrospectively. The classification of patients and the treatment of the groups were evaluated. Problems of shape, especially bulging of infraorbital fat was the main cause of dark circles in most patients(65.2%). The treatment of each group included transconjunctival fat reposition or removal(Ia), single fat cell graft(Ib,IIa), microfat graft(Ic), and various dermatologic therapies(IIb). We obtained better results when we did combination of the treatments according to symptomatic groups.
Adipocytes ; Blepharoplasty ; Cosmetics ; Darkness ; Depression ; Eyelids ; Fats ; Humans ; Medical Records ; Retrospective Studies

8

Cite

Share

Transconjunctival Subperiosteal Septal Reset for the Correction of Orbital Fat Bulging and Tear Trough.

Jong In SHIN ; In Oh KWON ; Chang Yeon KIM

Archives of Aesthetic Plastic Surgery.2011;17(2):83-90.

Transconjunctival lower blepharoplasty has gained interest because of less-invasiveness and fast recovery. This is a study about operative skill, strength, and weakness of transconjunctival lower blepharoplasty and a trial for suggesting the guidelines for patient selection. The authors reviewed the medical records and photographs of 530 patients(M:F=470:60) who underwent transconjunctival lower blepharoplasty with orbital fat reposition and subperiosteal septal reset, retrospectively. Most of the patients were satisfied with results for correction of orbital fat bulging and tear trough deformity. Eighteen patients(3.4%) developed relapse of fat bulging requiring revision with subsequent fat removal(seventeen patients) or fat reposition(one patient). Two patient(0.4%) developed entropion. One case was corrected with revisional surgery and the other case was recovered after an injection of triamcinolone. Delayed hematoma was developed in five patients. Surgical evacuation was required in 3 cases. Minor problems included postoperative swelling, bruise, and transient paresthesia that resolved spontaneously. Transconjunctival lower blepharoplasty is an excellent surgical choice for correction of orbital fat bulging and tear trough in the patients who have proper tension of soft tissue. Invisible scar, fast recovery, and low complication rate are merits of this method.
Blepharoplasty ; Cicatrix ; Congenital Abnormalities ; Contusions ; Entropion ; Hematoma ; Humans ; Medical Records ; Orbit ; Paresthesia ; Patient Selection ; Recurrence ; Retrospective Studies ; Skin Aging ; Triamcinolone

9

Cite

Share

Genioplasty and Orthognathic Surgery in Skeletal Class II.

Jee Hyeok CHUNG

Archives of Aesthetic Plastic Surgery.2011;17(2):75-82.

Although 'small chin' is not a medical terminology, it is widely used between non-medical persons and even between medical doctors. But there are two kinds of diagnosis which look small chin. One is microgenia and another is micrognathia and because they called as a same name 'small chin', sometimes they are confused and result in suboptimal operation result. Microgenia can be treated by advancing sliding genioplasty, implant insertion and sometime by fat grafting. And micrognathia must be treated by orthognathic surgery theoretically. But many times advancing sliding genioplasty, implant insertion or fat grafting are applied to micrognathia. Sometime it was done by misdiagnosis but sometimes it is done intentionally to avoid orthognathic sugery which is considered as a complicated operation to the peoples who are unfamiliar to it. Sometimes it results in somewhat acceptable result, but it is not the best. So in this article, the author is going to discuss about the different results of orthgnathic surgery and camouflage sliding advancing genioplasty.
Chin ; Diagnostic Errors ; Genioplasty ; Humans ; Intention ; Mandible ; Orthognathic Surgery ; Transplants

10

Cite

Share

Genioplasty Using Autologous Fat Grafting.

Bok Kyun NOH ; Jae Ha HWANG

Archives of Aesthetic Plastic Surgery.2011;17(2):69-74.

Facial beauty depends on the form, proportion and position of its various units. The chin is the most prominent element of the lower third of the face, both in the frontal view and in profile. Whether it is advisable to perform rhinoplasty first, followed by genioplasty, or the reverse depends on the type and severity of the deformities of the nose and chin. The selection of material is a matter of the plastic surgeon's preference. Fat is an ideal tissue filler substance because it is living tissue and from the patient's own body. So it is nonallergenic. The procedure can be performed alone as a chin augmentation with fat grafting or in combination with rhinoplasty or other facial surgery. The technique requires minimally traumatic fat harvesting, fat preparation, and multi-level facial infiltration. Remnant fat in the initial procedure is frozen and stored at -18C and can be used successfully for minor touch-up procedures. We have performed a review of chin surgery, the multiple aesthetic analyses available and the advantages and disadvantages of the various materials. Autologous fat transfer to the chin is safe, cost effective, and can produce long term aesthetic improvement. Although there are many synthetic fillers available, autologous fat is perhaps the best option for genioplasty. This simple, fast procedure is a very good alternative for patients with some form of microgenia or when patients and surgeons are not likely to use alloplastic implants.
Adipose Tissue ; Beauty ; Chin ; Congenital Abnormalities ; Genioplasty ; Humans ; Mandible ; Nose ; Rhinoplasty ; Transplantation, Autologous ; Transplants

DISPLAY OPTIONS

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share