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Biomedical subjects

Patrick Flaharty

Publications and source records attributed to Patrick Flaharty.

3 recordsLinked to original sources

Radiance.

New injectable agents are expanding the role of fillers in facial soft tissue augmentation. Radiance FN (fine needle) is a new injectable filler composed of calcium hydroxylapatite (CaHA) microspheres suspended in an aqueous gel carrier. CaHA has been used in various forms as a human implant material with an excellent record of biocompatibility. The early experience with Radiance FN suggests this agent to be both safe and effective in softening facial folds, filling depressed scars, and adding soft tissue volume. Although Radiance FN has been touted as a "longer-lasting" injectable, the true longevity of the product as a facial filler remains in question.

Biocompatible Materials↗

Lip augmentation using eyelid tissue from upper blepharoplasty surgery.

PURPOSE: To study the efficacy of eyelid tissue removed during upper eyelid blepharoplasty as a filler graft to augment lips. METHODS: A prospective study involving 14 female patients who underwent lip enhancement with eyelid tissue. All patients underwent CO2 laser upper eyelid blepharoplasty and desired fuller lips. The eyelid tissue was deepithelialized with the CO2 laser before implantation in the lips. Patients were followed for 6 months, and an objective grading scale based on photographs was used to assess outcomes. RESULTS: In each case, the patient's lips were substantially fuller at 6 months after surgery. Patients were pleased with the natural feel and appearance of their lips. One patient had a bacterial infection, which was successfully treated with oral antibiotics. CONCLUSIONS: Eyelid tissue from upper blepharoplasty surgery provides a quick, economical and natural method to enhance lip volume.

Adult↗

The use of aerosolized fibrin glue in face-lift surgery.

The purpose of this study was to report the use of aerosolized fibrin glue in face-lift surgery. A prospective study was conducted of 48 patients undergoing face-lift surgery sequentially assigned into two groups. The first 24 patients underwent face lifts without glue and the next 24 patients with the use of aerosolized fibrin glue. One surgeon (J.P.F.) performed all the face lifts using the same technique. Drains were only used in those patients who did not receive fibrin glue. The amount of bruising and edema was compared in the two groups, as was the incidence of complications, such as hematomas. Operating time was also assessed in the two groups. The patients in whom glue was used had significantly less bruising and swelling (p < 0.0001), with a more rapid healing response. The risk of hematoma was also less with the use of glue (0 percent) than without glue (8.3 percent), but this was not statistically significant (p = 0.489). Another benefit was that drains were not needed when glue was used. Operating times were shorter by 13.3 minutes with the use of glue (p < 0.0001). Aerosolized fibrin glue has great promise in improving face-lift results, with excellent outcomes and fewer complications. The added cost of the glue is partially offset by an expedited patient recovery period without the need for drains.

Aerosols↗