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Biomedical subjects

D R Millard

Publications and source records attributed to D R Millard.

At least 37 records · Page 2Linked to original sources
PubMed1987

A challenge to the undefeated nasolabial folds.

Previous attempts to improve the nasolabial folds have been disappointing. By extending the face lift skin dissection to the nasolabial fold and up onto the malar prominence, reducing the fat of this fold by excision, and applying direct posterior retraction to the freed facial skin, rather dramatic improvement in the nasolabial folds have been achieved. This is a preliminary report with a follow-up of 8 months or less.

Adipose Tissue↗
PubMed1985

Management of congenital bilateral cleft nose.

A rare case of nasal clefting was presented to illustrate and emphasize the following points: The workup of nasal clefting should be complete to rule out associated deformities. Marked improvement may be noted with normal growth during the first few years of life. The surgical procedure employed a primary V-Y flap harvested from the central excess of nasal skin based on a very thin vascular area at the nasal columella. At this primary procedure, the flap was telescoped on itself to provide fullness in the nasal tip area. It was also split, and two transposition flaps were inset into the gap left behind by rotating the ala into normal position. The donor area of the V-Y flap provided easy access to the intercanthal area so that the excess skin on the bridge of the nose could be reduced. Two subsequent minor procedures were required for adjusting irregularities in the tip.

Child, Preschool↗
PubMed1983

Surgical correction of the fat neck.

This is an up-to-date review of the state of the art in the treatment of the fat neck at the University of Miami School of Medicine, based on twenty-five years of experience including several thousand cases. The combination of submental lipectomy, platysma myectomy, facelift, submandibular lipectomy, platysma myotomy, and posterior muscle traction with suture fixation has consistently produced marked improvement in the fat neck. Under this regimen, when the patient returns in five to ten years for a second lift, it is rare that the neck requires more than the skin tightening that comes with a simple facelift.

Adipose Tissue↗
PubMed1982

Breast aesthetics when reconstructing with the latissimus dorsi musculocutaneous flap.

The main merits of the latissimus dorsi musculocutaneous flap is breast reconstruction are the addition of a muscle as well as a skin component and the speed and efficiency of the reconstruction. Seven salient points in this technique have been discussed and emphasis has been placed on the ideal shape of the skin island. Previously, the shape has been consistently a stereotypical ellipse, but the possibilities of adapting the shape to the specific donor scar and contour of the opposite breast may offer possibilities and had been outlined with drawings and demonstrated on patients.

Breast↗
PubMed1981

Aesthetic reconstructive rhinoplasty.

Aesthetic reconstructive rhinoplasty by definition means the creation of a nose that blends happily with its face and enjoys patent bilateral airways. This goal requires the construction of a delicate but dependable support to the bridge and tip, adequate viable lining, and cover of the correct color and texture. All this should be accomplished without distracting donor scars. It is important that the bridge and tip stand proudly, the alae an columella contours be sculptured, and the scars lie unnoticeable in the regional unit lines camouflaged by light and shadows.

Esthetics↗
PubMed1981

Reconstructive rhinoplasty of the tip.

Loss of the nasal tip has a more disastrous effect on the face than the size of the deformity would suggest, thus reconstruction becomes vital. Immediate replacement of the severed piece is first choice. If this is not possible and the defect is no more than 1.25 cm at its thickest depth, an auricular chondrocutaneous graft is next choice. When the tip defect is more extensive, a midline vertical forehead flap or, in rare cases, an arm flap is indicated.

Adolescent↗
PubMed1980

Three very short noses and how they were lengthened.

This is the story of three short noses with different etiologies, requiring a variation in radical treatment. The lengthening of one required support and flap cover; another, flap lining support, and flap cover; and the third, rearrangement of tissues already present with free skin grafts to lining and cover. They have all maintained their length and airway over the years.

Adolescent↗
PubMed1979

Abbe flap on mucosal pedicle.

A difficult secondary bilateral cleft lip deformity with nasal distortion was treated with eight local flaps specifically designed for this case. One of these was an Abbe flap in which the coronary vessel in the pedicle was inadvertently divided. The judgment in handling this flap and its fate as a composite lip flap based on a narrow mucosal pedicle is reported.

Adult↗