BACKGROUND Over the last two decades, short scar facelifts, often referred to as "mini" facelifts, have gained popularity. We use a purse-string reinforced (PRS) superficial musculoaponeurotic system rhytidectomy (SMASectomy) shortscar facelift that combines a SMASectomy in the vertical direction and suspension sutures in order to improve structural facial support. In the case of visible platys...

STATEMENT OF THE PROBLEM Penetrating wounds of the neck are common in the civilian trauma population. Risk of significant injury to vital structures in the neck is dependent on the penetrating object. For gunshot wounds, approximately 50% (higher with high velocity weapons) of victims have significant injuries, whereas this risk may be only 10% to 20% with stab wounds. The management of injurie...

Dr. Bernard: The first patient is a 70-year-old nonsmoker who underwent a deep plane face lift about 10 years ago (Figure 1). She wants to see improvement in the jowls, cheek, neck, and jaw line. You will notice that there is some asymmetry of her face. She has had no nerve damage. She has what appears to be a pretragal incision. Given that this is a secondary face lift, how would you approach ...

Background Aim: to review outcomes of the ‘no zone’ approach penetrating neck injuries (PNIs) with advent high-fidelity computed tomography-angiography (CT-A) in order determine most appropriate management for stable PNIs. Design: Systematic review. Population: Retrospective and prospective cohort studies patients who sustained trauma, as defined by an injury which penetrates platysma, whose in...

BACKGROUND Platysma myocutaneous flap (PMF) is a generally used technique for defect reconstruction after an oral cancer resection. The aim of the study is to present our experience using vertical PMF that sacrificed the facial artery and vein for intraoral reconstruction. METHODS A retrospective review of the medical records of 54 patients who underwent vertical PMF that sacrificed the facia...

BACKGROUND The most appropriate management of penetrating neck injury (PNI) remains controversial. This study was conducted to determine the accuracy and safety of physical examination as the basis of selective observational management of PNI at our institution. METHODS The study was conducted between 1991 and 2006. Patients whose injuries penetrated platysma were included. Following resuscit...