Cessation Of Hairline Recession Following Open Forehead Rejuvenation
androgenetic alopecia; complications; pattern; restoration; Surgery
Background: The senior author (B.G.) observed that patients who underwent forehead rejuvenation using a pretrichial incision did not experience hairline recession. The aim of this study was to objectively measure the effects of forehead rejuvenation on hairline recession. Methods: A 15-year retrospective review was performed in 31 forehead rejuvenation patients [17 endoscopic and 14 open (pretrichial incision) with adequate early (within 1 year) and late (8 years) postoperative photographs] and 11 age- and follow-up-matched cosmetic surgery patients who did not have forehead rejuvenation. Hair recession was measured using the Mirror program for Windows by averaging two successive perpendicular distances from bilateral medial canthi to the hairline and dividing by the intercanthal distance. In pretrichial incision patients, the distance from the incision to the anterior hairline was recorded. Results: The difference in short-term postoperative hairline measurements among groups was not significant (p = 0.445). Only the pretrichial group demonstrated significant stability between short-term and long-term hairline positions (p = 0.005). The pretrichial group demonstrated a stable or improved hairline position compared with either the endoscopic (p = 0.017) or control group (p = 0.006), whereas these patients demonstrated significant recession over time. Hairline measurements between early and late postoperative photographs in the endoscopic and control groups were not significant (p = 0.621). Conclusions: The pretrichial incision results in a stable hairline position over time compared with the endoscopic technique or matched controls. Pretrichial incision patients did not demonstrate separation between the scar and hairline, indicating no hair loss in this site. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III.
Guyuron B; Gatherwright J; Totonchi A; Ahmadian R; Farajipour N
Plastic and Reconstructive Surgery
2014
2014-01
Journal Article or Conference Abstract Publication
<a href="http://doi.org/10.1097/01.prs.0000436815.88590.4e" target="_blank" rel="noreferrer noopener">10.1097/01.prs.0000436815.88590.4e</a>
NONCOMPRESSION UNICORTICAL MINIPLATE OSTEOSYNTHESIS OF MANDIBULAR FRACTURES
Surgery; fixation; compression osteosynthesis; open reduction; plates
The use of transoral noncompression unicortical miniplates in treating 42 consecutive patients with 64 displaced mandibular fractures (excluding subcondylar) was reviewed Titanium miniplates (Wurzburg) were used for fixation. The principles set forth by Champy and colleagues, with two plates for body and symphyseal fracture fixation and one plate superiorly along the oblique ridge for angle fractures, were performed. Intermaxillary fixation was not used postoperatively. Results compared favorably with other forms of treatment with no evidence of postoperative malocclusion, with an overall complication rate of 3%. The advantage of no external incision, avoidance of intermaxillary fixation, and normal postoperative incisal opening and occlusion make this technique our treatment of choice.
Davies B W; Cederna J P; Guyuron B
Annals of Plastic Surgery
1992
1992-05
Journal Article or Conference Abstract Publication
<a href="http://doi.org/10.1097/00000637-199205000-00004" target="_blank" rel="noreferrer noopener">10.1097/00000637-199205000-00004</a>