The definition of facial beauty often reflects an understanding of cultural, ethnic, and social ideals that culminate in the perceived harmony of the human face. Frederick T. C. Wong, FRCSEd (ORL), and colleagues discuss these aesthetic concepts, and their surgical implications, from Eastern and Western Chinese perspectives. In a collaborative effort between practitioners of ancient and modern teachings, the authors provide a unique discussion of cultural philosophies and the heritage of modern Chinese facial aesthetics. Six illustrative cases are thoughtfully presented and reviewed.
Congenital malformations of the external ear vary in severity and commonly require a graded reconstructive approach. Careful attention to ear position, vertical height, and the restoration of anatomic landmarks is essential. Bo Pan, MD, and colleagues present their innovative surgical approach in the treatment of mild and moderate constricted ear malformations. The authors review 62 consecutive cases in which patients underwent tumbling cartilage flap, free auricular composite grafting, or a combination of these 2 operative techniques. A detailed presentation of the surgical technique is complemented by the consistency and quality of postoperative results.
Asian blepharoplasty, in essence, is the complex art of creating an upper eyelid crease. The surgery and techniques appear deceptively simple, but are unforgiving to those who approach such undertakings as a general Westernization procedure. Joseph K. Wong, MD, FRCSC, and colleagues review their modifications of the continuous buried tarsal stitch procedure in 1648 patients. The authors highlight the simplicity, reproducibility, and operative success using this technique while lowering the overall complication rate in this extensive clinical series. Perioperative, intraoperative, and conceptual illustrations convey with clarity the essentials of this aesthetic procedure.
Aesthetic facial recontouring is an evolving approach in the treatment of Asian patients with angular, and even squared, skeletal features. Current modifications of traditional surgical approaches in malarplasty and mandible reshaping specifically address cosmetic, functional, and long-term results of aesthetic facial skeleton surgery. Xiongzheng Mu, MD, discusses 585 cases using both malar reduction and mandible reshaping techniques to establish optimal, effective, and reliable recontouring procedures. In addition, the author presents a comparison of wedge-section and inclined-fullness osteotomy techniques with other conventional approaches in an illuminating review of surgical outcomes.
Portrait of Elizabeth of Austria, Wife of King Charles IX of France, by a Follower of François Clouet (1516/20-1572).
This issue's Highlights were written by James Ridgway, MD.
Highlights of Archives of Facial Plastic Surgery. Arch Facial Plast Surg. 2010;12(4):216. doi:10.1001/archfacial.2010.45