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Biomedical subjects

E G McCollough

Publications and source records attributed to E G McCollough.

At least 19 recordsLinked to original sources
PubMed1999

Malar augmentation: a 5-year retrospective review of the silastic midfacial malar implant.

OBJECTIVES: To determine the effectiveness and safety of the Silastic midfacial malar implant and to review indications, patient selection, technique, and complications of malar augmentation. DESIGN: Five-year retrospective review of clinical cases with at least 2-year follow-up. PATIENTS: A cohort of 60 consecutive private patients with complaints of malar hypoplasia or facial asymmetry. SETTING: A plastic surgery clinic. INTERVENTION: Silastic midfacial malar implants were fitted in each patient. Most underwent implantation via the canine fossa approach and in conjunction with another facial plastic procedure. MAIN OUTCOME MEASURES: Subjective patient satisfaction, photographic grading using a visual analog scale, and complications. RESULTS: Of the 60 patients, 51 (85.0%) reported an excellent result after at least a 2-year follow-up. Ten patients (16.7%) had some form of undesirable sequelae; however, only 4 (3.4%) of 118 implants had to be revised. Photographically, all 60 patients graded postoperative improvement. CONCLUSIONS: Findings support the contention that the Silastic midfacial malar implant is a safe and effective alloplastic alternative to treat malar hypoplasia and facial asymmetry. The complication and revision rates are acceptable. Relative technical ease of insertion makes malar augmentation an excellent adjunct for rhytidectomy and rhinoplasty.

Adolescent↗
PubMed1998

The etiology of prolonged erythema after chemical peel.

BACKGROUND: As the number and methods of skin resurfacing procedures are increasing, there is a small number of patients that develop a prolonged inflammation during the postoperative period. OBJECTIVE: We attempted to correlate risk factors for the development of prolonged postpeel erythema (PPPE) and inflammation. A treatment regimen will be described to eliminate permanent skin changes. METHODS: A retrospective chart review is presented to define and correlate risk factors for the development of PPPE and a treatment protocol is described. The setting is a large multisurgeon aesthetic center. Two-hundred and thirty-six consecutive chemical phenol peels on 196 patients over a 2-year period were reviewed. RESULTS: Eleven percent of patients developed PPPE. Allergy to tape was the only factor significantly correlated with PPPE. All patients had complete resolution of skin changes with appropriate treatment. CONCLUSION: A small population of patients undergoing skin resurfacing procedures will develop prolonged erythema. No major risk factor could be correlated with its development. A treatment plan was devised and was successful in all cases.

Adult↗
PubMed1997

Posterior cervical rhytidectomy: a valuable adjunct in facial rejuvenation surgery.

OBJECTIVE: To describe the aesthetic indications and operative technique of posterior cervical rhytidectomy as a staged procedure after extended cervical-facial rhytidectomy. DESIGN: The senior author's series of patients requiring posterior cervical rhytidectomy is reviewed, including preoperative and postoperative aesthetic results. SETTING: A private practice plastic surgery clinic. PATIENTS: Eleven patients who underwent staged posterior cervical rhytidectomy after extensive cervical-facial rhytidectomy are presented, with follow-up ranging from 3 months to 8 years. During this same duration, 941 primary and 256 secondary cervical-facial rhytidectomies were performed. INTERVENTIONS: The preoperative and postoperative results are presented along with a description of the pertinent anatomy and the senior author's operative technique. Potential complications are reviewed. A discussion is included on ways to minimize these untoward sequelae. OUTCOME MEASURE: The aesthetic postoperative results are reviewed, and representative clinical photographs are presented. RESULTS: Staged posterior cervical rhytidectomy is a safe and effective means of improving certain stigmata of previous cervical-facial rhytidectomy in patients requiring extensive facial rejuvenation. CONCLUSIONS: Posterior cervical rhytidectomy is a valuable surgical adjunct in selective patients who demonstrate redundant skin and soft tissue in the posterior cervical region.

Adult↗
PubMed1995

Deep-depth chemical peeling.

Although a wide range of peeling agents are available, few can provide the dramatic improvement that is seen with phenol-based peeling. The nonoccluded phenol-based technique described in this article has been used successfully for over 20 years. Due to the deeper degree of injury and more involved recovery period, the surgeon will be best served by not only reading about this technique, but also observing an experienced surgeon.

Chemexfoliation↗
PubMed1991

Nasal tip projection. Quantitative changes following rhinoplasty.

Fifty-one patients were enrolled in a study and underwent primary rhinoplasty. Serial nasal tip projection measurements were made preoperatively, intraoperatively, and 6 months postoperatively. Actual changes in measured nasal tip projection were evaluated with respect to preoperative goals and specific procedures used to accomplish these goals in the nasal tip. Several useful observations are made from these data: (1) The most important components of nasal tip projection in the postsurgical nasal tip are the medial crura, their attachment to the caudal septum, and the presence of additional cartilaginous grafts placed between the medial crura or beneath the crural feet. (2) Actual nasal tip projection will decrease postoperatively, unless measures to increase the length and strength of the medial crural segment are taken (ie, McCollough-modified Goldman tip procedure, cartilage struts, plumping grafts, etc), regardless of the preoperative goal. (3) The double-dome unit procedure is effective in narrowing the wide or bulbous lobule but alone does not permanently increase nasal tip projection. (4) Conservative tip procedures, such as a complete strip, result in decreased nasal tip projection and should therefore be used in patients in whom retrodisplacement of the nasal tip is the intended result.

Adult↗
PubMed1991

Beyond critical care: appearance-related afflictions.

There is no reason to believe that humans will not continue in their never-ending quest for self-fulfillment, for in it mankind carries forward the purpose of life itself. Through the art and science of aesthetics, specialists throughout the various health professions are cooperating to help individuals from all socio-economic backgrounds overcome appearance-related afflictions and improve the quality of life. (Figure 10).

Adult↗
PubMed1990

Augmentation mentoplasty using Mersilene mesh.

Many different materials are available for augmentation mentoplasty. However, the optimal implant material for chin implantation has yet to be found. During the past several years, a number of experienced surgeons have turned to the use of Mersilene mesh. Mersilene mesh is a non-absorbable Dacron polyester fiber that can be conformed easily into layers to achieve tailored dimensions and shape. At the McCollough Plastic Surgery Clinic PA, Birmingham, Ala, 277 patients over a 10-year period underwent chin augmentation with Mersilene mesh implants. The material provides excellent tensile strength, durability, and surgical adaptability. The overall complication rate was 3.2% (nine patients); infection rate, 2.5% (seven patients); and removal secondary to infection, 1.7% (five patients). Based on this 10-year experience, Mersilene mesh remains our material of choice for chin augmentation.

Adult↗
PubMed1989

SASMAS suspension rhytidectomy. Rationale and long-term experience.

Prudent surgeons who perform face-lifting operations continue to alter techniques to reduce morbidity and achieve lasting results. The philosophy and technique herein described arose from the premise that suspension of the superficial musculoaponeurotic system (SMAS) suspends the skin-adipose unit (SA). In turn, suspension of the skin-adipose unit (SA) suspends the SMAS. When proper suspension is achieved, both systems function in tandem as a single unit, ie, the SASMAS (skin-adipose superficial musculoaponeurotic system). The SASMAS technique has been performed in approximately 1200 patients with gratifying results and minimal complications.

Female↗
PubMed1989

Rhinoplasty: a humbling experience.

Rhinoplasty can produce a dramatic improvement in one's appearance, but if not performed properly, a lasting deformity exists. Appearance-related surgery places the surgeon's professional reputation at stake more than with other types of surgery. Artistic skills are needed, along with knowledge of anatomy and physiology of the nose, and recognition of factors that produced the problem. The standards of our society demand consistently good results: a surgeon performing rhinoplasty is considered proficient only after approximately 8 years of experience and continuing education. The unpredictable response of nasal tissues to the surgery can present a humbling experience to the surgeon who critically evaluates his or her results.

Female↗
PubMed1988

Blepharoplasty. Avoiding plastic eyelids.

The goal of a facial plastic surgeon should be to correct the undesirable conditions for which he has been consulted and to avoid leaving his mark on the patient. By embracing the concept that prevention is better than cure, it is generally possible to avoid the "operated-on look" following cosmetic surgery. We describe a number of safeguards we use to preserve natural-looking eyes following lower lid blepharoplasty in men and women. The most common, permanent complication described following conventional lower lid blepharoplasty is the round eye. The condition is readily identified by an increase in scleral show between the limbus and lower lash margin. Closer evaluation will reveal inferomedial displacement of the lateral commissure, increased slope of the lateral third of each eyelid, a flattened, unanimated, pretarsal component, and an unnatural infralash crease produced by the healed incisional scar. These findings are one step short of ectropion; therefore, the methods herein described should help reduce the incidence of this more dreaded and serious complication of blepharoplasty.

Eyelids↗
PubMed1987

Surgery of the nasal tip.

Ten operative procedures for surgery of the nasal tip are described and illustrated with case photographs. A working understanding of the various tip techniques described should allow the rhinoplastic surgeon to achieve consistently good results.

Cartilage↗