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Carbon dioxide laser resurfacing is a commonly used tool for facial rejuvenation that has been proven to be efficacious. Many published studies describe the short-term improvement and complications encountered in this procedure. One of the most common complications is hypopigmentation, which is present in a marked percentage of patients. In this issue, P.Daniel Ward, MD, MS, and Shan R. Baker, MD, describe the long-term effectiveness and complications encountered in a cohort of patients who underwent full-face laser resurfacing in an academic facial plastic surgery practice. Outcomes of this study demonstrate good long-term efficacy and a rate of hypopigmentation of 12.8%.
The endoscopic forehead midface-lift has proven to be a reliable technique to rejuvenate the upper face. James C. Marotta, MD, and Vito C. Quatela, MD, shed light on the beneficial effects of the endoscopic forehead midface-lift compared with a lower eyelid blepharoplasty as a separate procedure. They evaluated 25 patients and found a mean change in the vertical height of 5 mm in the endoscopic forehead midface-lift group, whereas lower eyelid blepharoplasty alone did not affect the vertical height of the lower lid. They conclude that this technique is a powerful tool to decrease the vertical height of the lower eyelid, lessen infraorbital hollowing, and improve dermatochalasis.
The gastro-omental flap is an infrequently used yet valuable tool in the modern reconstructive surgeon's armamentarium. It provides a smooth, thin, pliable mucosal flap for reconstruction of oral, oropharyngeal, and pharyngoesophageal defects, particularly those with large soft tissue loss. Stephen W. Bayles, MD, and Richard E. Hayden, MD, present a series of 25 patients with head and neck defects over a 19-year period in whom reconstruction with a gastro-omental flap was performed. The flap success rate was 96%, and only 1 flap developed venous thrombosis. Particular applications of this flap are discussed and illustrative cases presented.
GORE-TEX has been one of the most commonly used alloplastic materials in rhinoplasty. Its advantages include its microporous nature and pliability. However, its use has been controversial because of the failure of other alloplastic materials in rhinoplasty. Krzysztof Conrad, MD, FRCSC, FRCS, and colleagues performed a retrospective medical chart review of 521 patients who underwent GORE-TEX implantation rhinoplasty during the period 1989 to 2007 and had a mean follow-up duration of 71 months. The biological complication rate was 1.9% and included infection, soft tissue swelling, migration, and extrusion. The authors conclude that GORE-TEX should be strongly considered for major and minor corrections of the nasal wall and bridge despite the small biological complication rate.
A Bacchante by Benjamin West (1738-1820).
This issue's Highlights were written by Joseph Shvidler, MD.
Highlights of Archives of Facial Plastic Surgery. Arch Facial Plast Surg. 2008;10(4):223. doi:10.1001/archfaci.10.4.223