Faculty Bibliography

The lips are key features to be considered in facial balance. Correction of lip atrophy in Romberg's disease, therefore, contributes significantly to restoration of facial symmetry. Along with other ancillary surgical procedures used for facial reconstruction in hemifacial atrophy, tongue flaps provide an excellent means of correction of the lip deformity with minimal morbidity and good results

Platysma/SMAS procedures are still in the evaluation stage. Two significant advantages of the platysma/SMAS procedures are that (1) an operation can be designed for the individual patient's anatomic deformity, and (2) some problems that were little corrected by conventional facelifting techniques are improved dramatically with the extended procedures

Presented here are six examples of potentially life-threatening propranolol-epinephrine interactions. The only report found that warns of a deleterious clinical interaction between propranolol and epinephrine appeared in 1980. With widespread use of propranolol for approved and unapproved conditions, the population at risk is significant. All physicians and dentists using local anesthetic with epinephrine should be aware of this interaction

Ambulatory surgery in a private plastic surgery office is a practical and desirable reality. This can be achieved only in a properly staffed facility. A small number of employees are needed but each must be carefully selected for proper qualifications and attributes, appropriate training and skills necessary to execute the assigned duties, the correct attitude toward patient care, and a sense of responsibility to the surgeon. The facility must be appropriately built and job descriptions organized so as to achieve efficient and good patient care and high employee satisfaction. This common sense approach has proved effective in our experience and should serve the prospective office-based plastic surgeon well

A retrospective analysis of data on 307 patients was made. The incidence of firmness in breasts augmented by saline-filled prostheses was compared to the incidence in breasts augmented by gel-filled prostheses. A statistically significant lower rate of constricting capsule formation was found in the saline-inflated group

Most descriptions of the skin-muscle flap lower lid blepharoplasty, the so-called McIndoe technique, indicate dissection of the flap in a cephalad-to-caudad direction from near the ciliary margin toward the bony orbital rim. However, this report describes a technical variation in which counter-traction and lateral-to-medial blunt dissection 'opens up' the potential anatomical space between the orbicularis oculi muscle and the tarsus and septum orbitale. This technique is easier and faster than the McIndoe procedure