Medical Publications

Screenshot of Cutaneous Layer and SMAS Suspension (CaSS) Lift as a Minimally Invasive Lateral Midface Lift pdfCutaneous Layer and SMAS Suspension (CaSS) Lift as a Minimally Invasive Lateral Midface Lift

Received July 2, 2023. Accepted for publication September 30, 2023.

Background: In our prior study, the authors determined that pulling on the superficial adipose layer is more effective in lifting the skin than pulling on the superficial musculoaponeurotic system (SMAS). Applying this concept of using the superficial adipose layer to transmit the lifting force to the skin, this study examined improvements in patients who underwent lateral midface lifting using our minimally invasive multilayer lifting technique and measured the duration of those improvements.

The Rationale of Coronal Approach to Malar/Zygoma Reduction imageThe Rationale of Coronal Approach to Malar/Zygoma Reduction

Received for publication July 24, 2023; accepted August 16, 2023.

Background: Malar/zygoma reduction is an effective procedure to change a broader, flatter facial appearance to an oval facial shape. Of the intraoral and coronal approaches, the intraoral is the more commonly used technique than the coronal, due to the perception that complications with the coronal approach are significant, and intraoral results are satisfactory. We compared the postoperative effects of both approaches.

American Society of Plastic Surgeons publication imageAmerican Society of Plastic Surgeons Evidence- Based Clinical Practice Guideline: Eyelid Surgery for Upper Visual Field Improvement

Received for publication September 1, 2020; accepted January 19, 2022.

Background: A group of experts from different disciplines was convened to develop guidelines for the management of upper visual field impairments related to eyelid ptosis and dermatochalasis. The goal was to provide evidence- based recommendations to improve patient care.

publication imageSubbrow Lift Using Frontalis Sling to Correct Lateral Orbital Laxity

Received: 20 March 2020 / Accepted: 5 July 2020

Subbrow Lift Using Frontalis Sling to Correct Lateral Orbital Laxity

In order to correct upper lid laxity, upper blepharoplasty, subbrow excision, and forehead lift have been utilized. Our newly developed subbrow excision attaches the orbicularis oculi muscle to the frontalis mus- cle. This improves the longevity of the result without inhibiting the gliding plane of the periorbita.

The Use of a Retromammary Adipofascial Flap in Breast Augmentation for Patients with Thin Soft Tissue

 

Aesth Plast Surg

21 May 2018 / Accepted: 14 August 2018

The application of a retromammary adipofascial flap is an effective method of producing natural breast shape and providing additional soft tissue to the caudal breast region.

lev sheath publicationLevator Aponeurosis and Muller Muscle Plication Reinforced With Levator Sheath Advancement for Blepharoptosis Correction

The Journal of Craniofacial Surgery, Vol. 28, No. 7
October 2017

AMPSA may be an effective procedure for correcting blepharoptosis where the MRD-1 is less than 2 mm.

high double eyelid publication imageHigh Double Eyelid Fold Correction Using Wide Dual-Plane Dissection

Annals of Plastic Surgery, Vol. 78, No. 4
April 2017

Using a wide double-layer dissection, high folds were lowered success- fully even in situations where there was no redundant upper eyelid skin for excision. Read article for further information.

publication2 imageCorrection of Severely Contracted Nose

Plastic and Reconstructive Surgery, Vol. 138, No. 3
September 2016

Preoperative injection of isolated adipose- derived stromal cells into the contracted nasal scar tissue resulted in softening of the nasal enve- lope. Intraoperative release of remaining scar tis- sue and reconstruction of the internal framework with autologous grafts resulted in stable postop- erative results. There were no recurrences of con- tracture and there were no ischemic injuries to the overlying skin.

publication3 imageDouble-Eyelid Surgery Using Septoaponeurosis Junctional Thickening Results in Dynamic Fold in Asians

PRS Global Open
May 9, 2013

The authors introduce a double-eyelid surgery technique us- ing the SAJT. This SAJT fixation technique creates a dynamic double-eyelid fold. Our study showed a high patient satisfaction rate and that the resulting fold mimics the movement of the congenital supratarsal fold in Asians.

publication4 imageEffective Use of a Silicone-induced Capsular Flap in Secondary Asian Rhinoplasty

PRS Global Open
June 17, 2014

In secondary rhinoplasty after a silicone implant was used in the primary setting, the use of the capsular flap to preserve the dorsal SSTE volume was safe and reliable. There were no cases of recurrent capsular contracture, capsular resorption, or postoperative infection (Fig. 3). This technique avoids the dorsal irregularity and nasal SSTE vascular compromise that can occur with complete capsule removal.

publication5 imageAdjunctive Techniques to Traditional Advancement Procedures for Treating Severe Blepharoptosis

Plastic and Reconstructive Surgery, Vol. 133, No. 4
April 2014

The advancement technique using the levator aponeurosis–Müller’s muscle–lamina propria mucosa of conjunctiva composite was effective in the treatment of severe blepharoptosis with levator function of 2 to 7 mm. The technique produced elevating motion of the physiologic eyelid in a superior-posterior direction. There were no serious complications, such as long-term lagophthalmos or lid lag.

publication6 imageTransareolar-Perinipple (Areolar Omega) Zigzag Incision for Augmentation Mammaplasty

Plastic and Reconstructive Surgery, Vol. 135, No. 3
March 2015

The transareolar-perinipple (areolar omega) zigzag incision resulted in satisfactory postoperative scarring and surgical results in Asian patients. This method increases the opening of the areolar incision and can be performed in patients with small (<3.5 cm) areolas. This approach can be an alternative in patients who are prone to hypertrophic scarring.

ptosis paper with baikCorrecting Upper Eyelid Retraction By Means of Pretarsal Levator Lengthening For Complications Following Ptosis Surgery

Plastic and Reconstructive Surgery, Vol. 130, No. 1
July 2012

It is very difficult to correct eyelid retraction caused by tissue fibrosis and muscle degeneration. Correction of the retraction by levator lengthening using the pretarsal tissue is simpler to execute, measurable during surgery, and easy to adjust, and offers high predictability in its result.

correction of asian short nose publication imageCorrection of Asian Short Nose With Lower Lateral Cartilage Repositioning and Ear Cartilage Grafting

PRS Global Open 2013

In our study, we have found lower lateral cartilage repositioning and ear cartilage grafting techniques to be effective in correcting short nose in Asians, with a low incidence of complications. Advantages of this technique include elongation of the entire nasal tip and ala, which results in more comprehensive and proportioned nasal augmentation. The mobile nasal tip is maintained by adequately freeing the retaining forces of the lower lateral cartilage while providing enough structural support.

publication12 imageCases of Mild Ptosis Correction with Suture-Method

Archives of Aesthetic Plastic Surgery, Vol. 18, No. 1
2012

This article introduces the minimally invasive double eyelid surgical technique, in which a permanent suture is used in order to make the double eyelid crease and correct mild ptosis without making an incision. The advantages are minimal to no scarring, quick recovery time, and minimal trauma to the eyelid tissue. Lastly, the advantage of the present method is its technical simplicity and relatively short operating time.

Surgery of the Breast publication imageAesthetic And Reconstructive Surgery of the Breast

Saunders Elsevier

Superior pedicle lift imageSuperior Pedicle Autoaugmentation Mastopexy:
A Review of 34 Consecutive Patients

Aesthetic Surgery Journal 30(2) 201–210
July 6, 2009

publication9 imageTechnical note: “Look-ahead” navigation method for K-wire fixation in rhinoplasty

Look ahead original_Mosaic_M

publication 13 imageRepetitive exposure to TGF-β suppresses TGF-β type I receptor expression by differentiated osteoblasts

Elsevier Gene 379 (2006) 175-184

Our new findings further define a critical role for Runx2 on TβRI expression by osteoblasts, and that Runx2 may act independently of other active elements such as Sp1 that drive basal TβRI synthesis by many cells (Ji et al., 1997). They emphasize the significance of regulatory mechanisms, generated in part by TGF-β itself that can limit its own effects within the skeleton, which may occur to maintain a balanced and controlled progression of events required for proper bone remodeling. Studies like these may further improve our understanding of development and disease in other cell types where Runx2 or other Runx isoforms are expressed, and where TGF-β activity has prominent biological effects.

publication 11 imageTime- and Dose-Related Interactions between Glucocorticoid and Cyclic Adenosine 3*,5*– Monophosphate on CCAAT/Enhancer-Binding Protein- Dependent Insulin-Like Growth Factor I Expression by Osteoblasts*

Endocrinology Vol. 141, No. 1
2000

Our current studies continue to reveal novel interactions between PKA-activating hormones and glucocorticoids and potential mechanisms for the permissive effects of glucocorticoids on IGF-I expression and protein synthesis by osteoblasts. Future studies will be necessary to define in more detail the complex molecular events that distinguish the permissive and suppressive effects of glucocorticoids on osteoblast function and skeletal integrity .

publication 14 imageRunt Domain Factor (Runx)-dependent Effects on CCAAT/ Enhancer-binding Protein d Expression and Activity in Osteoblasts*

The Journal of Biological Chemistry
May 8, 2000

Our results predict that gene expression through these two transcription factors can occur in multiple ways. As modeled in Fig. 7A, some genes (denoted as X), including C/EBP , could be regulated directly by Runx proteins, and other genes (denoted as Y) could be regulated directly by C/EBP gene family members.

publication 15 imageInsulin-Like Growth Factor Binding Proteins Localize to Discrete Cell Culture Compartments in Periosteal and Osteoblast Cultures From Fetal Rat Bone

Journal of Cellular Biochemistry, 71:351-362
1998

Similar IGFBPs are expressed by less differentiated periosteal bone cells and osteoblast-enriched cultures from fetal rat bone. Expression of IGFBP-3, IGFBP-4, and IGFBP-5 was enhanced by activators of PKA, while potent activators of PKC inhibited IGFBP-5 expression.

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