The Clinical Problem ( Fig. 17.1 ) The deviated nose presents significant problems to the aesthetic surgeon and is one area in which revisions for residual deviation or asymmetry are common. Synonyms for the deviated nose include crooked, S -shaped,…
The Clinical Problem ( Fig. 16.1 ) There is great variance within the accepted norm for nasal tip appearance. Fat bulbous noses or sharply projecting nose tips are very complex anatomic structures and require considerable surgical skill and experience when…
The Clinical Problem A prominent nose is regarded as abnormal if it is larger than average, but even within different cultures this is very subjective. Larger prevalence of the prominent nose in a total population is seen in the Mediterranean…
The Clinical Problem ( Fig. 14.1 ) Platysma bands are vertical, cordlike structures in the anterior neck that patients often describe as tendons and think detract from an appealing neck. Along with transverse cervical creases, submental skin, and/or fat excess…
The Clinical Problem Aging in white individuals is accompanied by jowls, submental laxity, or fullness and laxity, with banding of the platysma muscles. This combination is often referred to as a turkey neck. Along with these changes, which begin in…
The Clinical Problem ( Fig. 12.1 ) Synopsis Neck shape is determined by the following: ▪ Mandible anatomy—chin hypoplasia ▪ Skin turgor, texture, tone ▪ Fat deposition location and volume ▪ Platysma anatomy and physiology ▪ Submandibular gland size and…
The Clinical Problem ( Fig. 11.1 ) The patient looks in the mirror and at recent photographs and thinks that he or she looks old and tired. She or he comments, “how I feel is much younger then how I…
The Clinical Problem A variety of differing aesthetic treatments and procedures are presently available for nonsurgical periorbital rejuvenation. Although less invasive treatments will not replace surgery, a growing patient population is seeking results through low-risk procedures with associated minimal downtime.…
The Clinical Problem: Prominent Bulging Suborbicularis Oculi Fat Pad and Retro-Orbicularis Oculi Fat Pad ( Fig. 9.1 ) The aging lower eyelid can be a complex and difficult problem to improve aesthetically. There is considerable risk of over-resection of both…
The Clinical Problem ( Fig. 8.1 ) Rejuvenation of the midface was formerly limited to a lower lid blepharoplasty in conjunction with some form of a face lift. Neither adequately addresses the nasojugal groove (also referred to as the tear…