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Highlights of Archives of Facial Plastic Surgery
January 2001

Highlights of Archives of Facial Plastic Surgery

Arch Facial Plast Surg. 2001;3(1):5. doi:10.1001/archfaci.3.1.5
Sliding Genioplasty for Correction of Chin Abnormalities

Correction of chin underprojection has a significant effect on facial symmetry. Alloplastic chin implants and sliding genioplasty are the currently accepted methods of chin augmentation. While both procedures may be used for retrognathia or microgenia, the sliding genioplasty can also be used in chin asymmetry, prognathia, and vertical height discrepancies. Edward W. Chang, MD, DDS, and colleagues present a 5-year review of their experience with the sliding genioplasty in 43 patients. Their technique and cephalometric results are described. Forty-two of the 43 patients were extremely or very satisfied with the results. One was dissatisfied because of an occlusal problem.


Triple-Flap Technique for Reconstruction of Large Nasal Defects

Large zone-2 defects of the nose are commonly repaired with a forehead flap. Timothy W. Wild, MD, DDS, and C. Patrick Hybarger, MD, performed a cadaver study to identify the blood supply of the dorsal nasal flap in relation to the medial canthal tendon, and the superior melolabial flap in relation to the alar crease. Using this information, reconstruction was performed successfully in 10 patients with large nasal defects using a triple-flap technique. Frederick J. Menick, MD, discusses this article and compares this technique with the forehead flap with refinements that he and Gary Burget, MD, have described so well.

Article and Article

Cost Outcomes of Facial Plastic Surgery: Regional and Temporal Trends

Outcomes research attempts to evaluate the results of medical interventions in terms of patient satisfaction and quality of life as well as the costs of obtaining these results. The use of standardized outcomes instruments would allow more objective comparisons of both reconstructive and cosmetic surgery results. The primary author, Ramsey Alsarraf, MD, MPH, describes the cost and frequency of cosmetic facial plastic surgery procedures across the United States. Both continue to rise, and there appears to be an association between increased prices and increased frequency of procedures.


Trichophytic Incisional Approaches to Upper Facial Rejuvenation

The maintenance of a normal temporal and frontal hairline is an important consideration for many patients undergoing upper facial rejuvenation. J. David Holcomb, MD, and E. Gaylon McCollough, MD, describe their results in 99 consecutive patients undergoing these procedures. Depending on the preoperative anatomical deformities, their patients fell into 1 of 6 treatment groups, and they used their trichophytic incisional approach in 4 of these groups. These trichophytic incisions were acceptable to a large percentage of the patients and present an excellent option, particularly in revision surgery.


Philip IV at Fraga
Diego Velázquez (1598-1660), Philip IV at Fraga, 
1644, Spanish. Oil on canvas, 133 × 98 cm. 
Courtesy of the Frick Collection, New York, NY.

Diego Velázquez (1598-1660), Philip IV at Fraga, 1644, Spanish. Oil on canvas, 133 × 98 cm. Courtesy of the Frick Collection, New York, NY.