As the external rhinoplasty approach continues to increase in popularity for even minor nasal corrections, endonasal techniques are being taught and used less frequently. The controversy regarding the ideal approach to the nasal tip continues to be debated, and Abel-Jan Tasman, MD, and Pietro Palma, MD, describe the infracartilaginous approach as an elegant variant of the endonasal rhinoplasty and advocate its use as an alternative to the external approach for many procedures, including correction of marked nasal tip abnormalities in particular.
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Face to Face, the pro bono arm of the Educational and Research Foundation of the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS), was initially created in 1991 for a humanitarian teaching and surgical mission to Ekaterinberg, Russia. Since then, the program has expanded into a multitude of humanitarian efforts, has treated over 1000 adults and children worldwide, and has referred over 2500 patients who have experienced domestic violence to volunteer surgeons within the United States. From the inaugural Russian trip to the development of the National Domestic Violence Program to many still-evolving programs, Minas Constantinides, MD, traces the 17-year history of Face to Face, revealing a story of compassion, commitment, and perseverance by AAFPRS members who continue to make Face to Face a philanthropic success.
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Since the pioneering work of Paul Tessier, MD, almost 40 years ago, treatment of congenital or acquired deformities of the craniofacial skeleton and soft tissue continues to face many challenges. Sherard A. Tatum, MD, and William D. Losquadro, MD, highlight major advances in craniofacial surgery over the past 10 years, including progress in distraction osteogenesis, the development of endoscopic techniques, and advances in 3-dimensional imaging, computer simulation, and intraoperative navigation that have led to enhanced diagnosis, operative planning, and better surgical outcomes with decreased morbidity. They also discuss the rising frequency of deformational plagiocephaly and the emerging role of genetics in further improving diagnosis, counseling, and treatment of patients with craniofacial disorders.
Lasers are playing an increasingly more prominent role in the facial plastic surgeon's armamentarium. Edward C. Wu, BS, and Brian J. F. Wong, MD, PhD, summarize the major uses of lasers today, including skin rejuvenation, hair removal, treatment for pigmented lesions, and laser lipolysis. They also detail the improvement of existing applications and emergence of newer technologies such as epidermal cooling, fractional ablation, photodynamic therapy, nanoparticles, and spectroscopy. These further refinements of laser and optical technology made in the last decade not only make laser therapy safer, more accurate, and easier today, but continued development in individualizing therapy will lead to “smarter” treatments that will benefit both patients and physicians alike.
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End of the Season by William Merritt Chase (1849-1916).
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This issue's Highlights were written by Amit Bhrany, MD.
Highlights of Archives of Facial Plastic Surgery. Arch Facial Plast Surg. 2008;10(6):367. doi:10.1001/archfaci.10.6.367