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The principles include minimizing infection, maximizing tissue oxygenation, ensuring adequate nutrition, and determining adequate debridement when indicated. With its delicate skin and near constant exposure to wind, the sun and other environmental hazards, the neck has a tendency to age quickly. Address for correspondence Brian J. Transconjunctival approach in lower eyelid blepharoplasty. Facial Reanimation Facial paralysis can be a consequence of traumatic facial nerve injury, iatrogenic injury, oncologic resection, temporal bone surgery, skull-base surgery, congenital syndromes, and viral infections. Induction of dermal collagenesis, angiogenesis, and adipogenesis in human skin by injection of platelet-rich fibrin matrix. They all involve fracture of the pterygoid plates.

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Fat Grafting Complementary fat grafting took hold broadly across the specialty as years of evidence largely driven by the work of many surgeons and dermatologists demonstrated the efficacy of the manual liposuction of fat and precise injection of small aliquots of this tissue into the regions surrounding the midface, orbit, temporal fossa, neck and other regions.

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Overview of Facial Plastic Surgery and Current Developments

For young patients with good skin elasticity, Dr. This may include scar revision, fracture repair, laceration repair, vascular birth mark treatment, cleft lip and palate repair, surgery for craniofacial deformities, orthognathic surgery, or cancer reconstruction. The beads are not absorbed by the body but cause fibrotic granulation under the skin through foreign-body reactions. The main advances in facial reconstruction for these traumatic facial fractures are in new instruments and hardware. For example, Ledgerwood et al developed an electroactive polymer artificial muscle device that could potentially restore lost muscular contraction for use as an eyeblink prosthesis. Consensus recommendations on the use of botulinum toxin type a in facial aesthetics Plast Reconstr Surg 6, Suppl:

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