Book Summary via Google Products

Cosmetic Facial Surgery provides a highly illustrated, case-based approach to common face and neck procedures. In this full-color reference, internationally renowned surgeon Joe Niamtu III, DMD, covers techniques including brow, face, and neck lifts; nose, eye, and ear surgery; cosmetic surgery practice with discussions of the process of facial aging, diagnosing and consulting with patients, clinical digital facial implants; skin resurfacing; the use of neurotoxins; and the removal of skin lesions.

The book also prepares you for photography, and anesthesia considerations. In a companion DVD, video clips feature Dr. Niamtu demonstrating key procedures addressed in the text. Comprehensive coverage includes the full range of surgical procedures from the upper face to the lower face/neck area. Over 3,000 full-color photos show surgical techniques and before-and-after shots of actual cases done by Dr. Niamtu.

The study presents both a subjective (patient) and objective (physician) view of both the functional and aesthetic concerns presented by rhinoplasty patients.  Doctors Kathy Yu MD, Alyn Kim MD and Steven J. Pearlman MD surveyed 104 patients seeking revision rhinoplasty to evaluate their concerns.  The results were then compared with a surgeon’s evaluation of those concerns.

Only 5 to 15 percent of patients seek revision, according to the authors.  Among the aesthetic issues mentioned, the most common concerns include tip asymmetry, followed by “crooked middle third of the nose” and  “upper third irregularity.”

Some discrepancies were found between the patients concerns and the surgeon’s evaluation.  A surgeon with knowledge of nasal anatomy will, of course, have a more objective and knowledgeable assessment of each patient’s situation.  In many cases, (a mean of 79 percent) the surgeon could confirm or validate the patient’s concerns, but in others they did not.

Like many surgical procedures, the goal of rhinoplasty is not perfection, but improvement.  Nonetheless, if you are experiencing breathing problems or find that you are dissatisfied with the results of rhinoplasty, you may want to consult with your surgeon to reassess the results of the operation.

There are specialized procedures to address nasal obstruction as well as procedures to address aesthetic concerns.  For more information on these procedures, ask your cosmetic surgeon.

Read more

• Archives of Facial Plastic Surgery
• WomensHealth.gov

Is this the ideal implant substance for rhinoplasty? That’s a question some surgeons have sought to answer recently.

A study published late last year in Archives of Facial Plastic Surgery discussed the long-term results of this procedure and compared it to other common grafts used during nose surgery.

According to the authors, the ideal graft uses material meeting the following conditions:

• Readily available in large quantities
• Resists infection
• Resists absorption
• Completely integrated into host tissues
• Causes little patient morbidity

Based on their research, rib cartilage taken from human donors appears to be a viable option for rhinoplasty and revision rhinoplasty. Analysis of long-term results indicated that patients who used these grafts experienced a low complication rate and high satisfaction (94.2 percent of the 357 patients said they were satisfied with the results).

Read more about this study at ScienceDaily.com or access the full article through Archives of Facial Plastic Surgery.