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Biomedical subjects

F B Gibson

Publications and source records attributed to F B Gibson.

6 recordsLinked to original sources

Use of submentoplasty to enhance cervical recontouring in face-lift surgery.

A number of surgical techniques for recontouring the aging neck are available. Using liposuction and direct lipectomy, the surgeon can sculpt the jowl and submental contour. Posterior tightening of the ptotic platysma refines the submental area, while incisional or excisional techniques, along with midline plication, remove anterior banding. Despite these maneuvers, recurrent submental and cervical ptosis is noted in some patients. These individuals can benefit from a secondary submentoplasty, a submental tuck-up face-lift operation, usually within 6 to 18 months after their initial surgery. We have identified several reliable causes for a secondary submentoplasty. Submentoplasty as a planned second-stage surgery in certain patients allows achievement of more dramatic and long-lasting rejuvenation of the neck.

Adult↗

Chin position in profile analysis. Comparison of techniques and introduction of the lower facial triangle.

Many patients undergoing rhinoplasty can benefit from chin augmentation, yielding a more balanced appearance. Preoperative facial analysis identifies patients with retrusive chins and suggests optimal chin position. Current profile analysis methods depend on subnasale position (Legan's angle) or require estimation of bony landmarks from soft-tissue photographs (Goode's alar crease perpendicular, Gonzalez-Ulloa's zero meridian, and Merrifield's Z-angle). We describe a technique for determining ideal chin position using soft-tissue landmarks. We compare this technique with Legan's, Goode's, Gonzalez-Ulloa's, and Merrifield's techniques in 35 women and conclude that this method provides accurate and rapid determination of ideal chin position.

Adult↗