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At least 325 records · Page 18Linked to original sources
PubMed1998

An evaluation of the use made of cosmetic and functional prostheses by unilateral upper limb amputees.

There is currently a distinction drawn between a prosthesis considered to be provided for purely cosmetic reasons and a functional prosthesis provided to enable the amputee to achieve basic hand function. Using video analysis the study reported in this paper demonstrates that for non-manipulative actions cosmetic prostheses are actively used in the performance of everyday tasks as frequently as functional prostheses. The study provides evidence for a cosmetic prosthesis to be presented to an amputee as a realistic initial prosthesis and not as the option of last resort if a functional prosthesis is rejected. It is also recommended that training is provided in the use of cosmetic prostheses in two-handed tasks.

Adolescent↗
PubMed1993

Cosmetic possibilities and problems in eyelid neurofibromas.

Neurofibromatosis type 1 (NF1) is an inherited systemic disease with frequent ocular involvement. A typical alteration observed in NF1 is the eyelid plexiform neurofibroma, often associated with facial homolateral hypertrophy. In such cases, surgical cosmetic results are rather unsatisfactory, since plexiform neurofibromas classically show a non-capsulated mass, with a marked tendency to local recurrence. The techniques for a cosmetic attempt are discussed on the basis of a personal series of eyelid reconstructions in NF1. The results can be considered satisfactory in some cases, when the orbital shape is preserved and the eyelid structure has not been excessively altered by the neurofibroma; in all other cases, the cosmetic outcome is inferior to the patient's and parents' expectations. The serious problem of recurrence is however a limitation to cosmetic surgery in eyelid neurofibromas.

Child↗
PubMed2002

Does cosmetic surgery improve psychosocial wellbeing?

Both men and women are becoming increasingly concerned about their physical appearance and are seeking cosmetic enhancement. Most studies report that people are generally happy with the outcome of cosmetic procedures, but little rigorous evaluation has been done. More extensive ("type change") procedures (eg, rhinoplasty) appear to require greater psychological adjustment by the patient than "restorative" procedures (eg, face-lift). Patients who have unrealistic expectations of outcome are more likely to be dissatisfied with cosmetic procedures. Some people are never satisfied with cosmetic interventions, despite good procedural outcomes. Some of these have a psychiatric disorder called "body dysmorphic disorder".

Body Image↗
PubMed1999

Cosmetic or esthetic dentistry?

This article, through presentation of case studies, defines differences and suggests separate definitions for the terms cosmetic dentistry and esthetic dentistry. Dentistry strives to emulate harmonious form and function for therapy, and modification of appearance is an integral part of dental treatment. Cosmetic dentistry suggests a certain accommodation and is a compromise of current technology. Cosmetic dentistry is commonly selected as an interim procedure that does not necessarily function ideally and does not always emulate the pristine state of a natural dentition. Esthetic dentistry requires less accommodation, incorporates acceptable biologic technology for long-term survival, functions suitably, and mimics the pristine state of the natural dentition. Cosmetic and esthetic dentistry are different in definition, concept, and execution.

Esthetics, Dental↗
PubMed2004

Medical litigation in cosmetic plastic surgery.

AIM: This article aims to highlight issues related to malpractice in plastic surgery and to point out the importance of good understanding of the law and the value of a patient's written informed consent as measures of professional protection. METHODS AND MATERIAL: Search of relevant literature from PubMed. RESULTS: The demand for cosmetic plastic surgery increases despite the increasing cost, in contrast to other traditional goods for which demand typically declines as price increases. Cosmetic plastic surgery has moved beyond the stage of being an exclusive privilege of the rich and famous. Nevertheless, cosmetic plastic surgery is one of the medical specialties exposed to a substantially high risk of malpractice claims. Most malpractice claims in cosmetic plastic surgery are not consequences of technical faults but because of inadequate patient selection criteria and lack of adequate communication between patient and surgeon. Proven efficient training, careful utilization of computer imaging techniques in association with the adoption of simple precautions and guidelines and adequate communication along with a completed patient's consent form are important essentials in case of medical litigation. CONCLUSIONS: In today's litigious society, maintenance of high standards in daily practice with continuous training and appropriate documentation of every procedure are all a sufficient defense of the plastic surgeon in case of medical litigation. Written patient's informed consent remains an integral part of the communication between physicians and patients, and importantly is facilitating professional protection.

Communication↗
PubMed1989

[Cosmetic dentistry].

A nationwide dental survey was carried out in The Netherlands. One of the objectives of the study was to assess the objective and subjective need for cosmetic dentistry in the Dutch adult population. A stratified sample of 2784 dentate persons, aged 15 to 74 years, participated in the study. The esthetics of anterior teeth and bicuspids in upper and lower arches were assessed by the dental examiners as well as by the examinees. Analyses of the data showed that 15.8 to 62.6 percent of the people in the age-range form 15 to 74 years was in need for cosmetic dental care, according to the dental examiners. Based on the patient's opinion (subjective need) these percentages varied between 17.5 and 40.4 percent. The discrepancy between the objective and subjective assessment in the percentage of people in need for cosmetic dental care increased with age. The results indicate that there is a need for cosmetic (restorative) dentistry in The Netherlands.

Adolescent↗
PubMed1988

Cosmetic surgery of black skin.

Black patients who desire cosmetic surgery have not had many treatment options or services available to them. At this time, the requests for specific cosmetic surgical procedures by black patients have far exceeded the number of cosmetic surgeons able to meet their needs. A surgeon who calls himself or herself a cosmetic surgeon can no longer limit professional services to white patients only. The patient selection process must be color-blind, for only then will the patient perceive that his or her doctor truly has a sense of ethnic fair play.

Black People↗
PubMed1981

Indentikit Model II--a potential tool for judging cosmetic appearance.

The purpose of this paper is to introduce the Identi-kit Model II as a tool for investigation of social reactions to cosmetic variations associated with facial anomalies. In one study, a group of judges rated cosmetic appearance from photographs, while another group rated cosmetic appearance from Identi-Kit constructions. A high correlation was found between ratings obtained from the two sets of stimuli. In a second study, three groups of different judges rated cosmetic appearance of Identi-Kit constructions with three types of facial stigmata associated with facial clefting. Ratings of appearance were found to vary systematically as the number of stigmata were increased. Based on the findings of these studies, the authors suggest that Identi-Kit constructions may be useful for investigating the effects of changing specific facial characteristics while holding others constant.

Adolescent↗
PubMed1994

Graves ophthalmopathy. Results of transantral orbital decompression performed primarily for cosmetic indications.

PURPOSE: Transantral orbital decompression is effective treatment for excessive proptosis and optic neuropathy due to Graves ophthalmopathy. In these sight-threatening circumstances, patients willingly accept the side effects of orbital decompression. When transantral orbital decompression is performed for cosmetic indications, patients' acceptance of side effects may be different. This study reports detailed results of transantral decompression for 34 patients in whom the indications were primarily cosmetic. METHODS: The medical records of 34 patients with Graves ophthalmopathy who had transantral orbital decompression primarily for cosmetic indications were reviewed. Preoperative and postoperative physical features of the eyes were compared. Long-term assessment was formulated from follow-up examination and a follow-up questionnaire. RESULTS: The most notable improvement was in the reduction of proptosis (mean decrease, 5.2 mm). The frequency of asymmetry of proptosis, however, did not improve. Asymmetry was more than 1 mm in 44% of patients preoperatively and in 54% postoperatively. Although the palpebral fissure was decreased by an average of 2.7 mm, upper lid retraction became worse in 12 (43%) of 28 eyes. Of 15 patients who had no diplopia preoperatively, continuous diplopia developed postoperatively in 73%. The patients underwent a total of 37 eye muscle operations and 31 eyelid operations after decompression. Of 29 patients who responded to a long-term follow-up questionnaire, 69% were satisfied with the appearance of the eyes and 31% found it acceptable. No patient was dissatisfied. Symptomatic diplopia was present in 6.9% of patients at the time of the follow-up questionnaire. CONCLUSION: Transantral orbital decompression performed for cosmetic indications in Graves ophthalmopathy may need to be followed by eye muscle and lid operations. These procedures result in a high degree of patient satisfaction. However, a small percentage of patients experience persistent diplopia, despite multiple eye muscle procedures.

Adolescent↗
PubMed1998

Methods for reducing energy dissipation in cosmetic gloves.

For cosmetic reasons, hand prostheses are provided with cosmetic gloves. Their pleasing appearance, however, is accompanied by poor mechanical behavior, resulting in a negative influence on prosthesis operation. Glove stiffness is high and nonlinear, and internal friction in the glove material causes energy dissipation (hysteresis). In this article, two methods for reducing hysteresis in cosmetic gloves are proposed, that may be applied independently or in combination. Glove modification. Altering the mechanical properties of the glove itself is the first method that is presented. It was found possible to reduce both stiffness and hysteresis about 50% by forming grooves into the inside of the glove. Together with the evaluation of this method, several properties of the cosmetic glove were determined. Motion optimization. Additionally, a second method for reducing hysteresis was developed. The amount of hysteresis is influenced by the way the glove is forced to deform. The prosthesis mechanism, determining this deformation, was designed for minimum hysteresis and maximum cosmesis. For the prosthesis-glove combination used in this study, thumb motion optimization reduced hysteresis by about 65%.

Artificial Limbs↗
PubMedDate not supplied

Cosmetic results of supracondylar osteotomy for correction of cubitus varus.

From 1984 to 1995, 19 patients with cubitus varus resulting from supracondylar humeral fractures underwent lateral closing-wedge osteotomies at The Royal Alexandra Hospital for Children. As the indication for osteotomy in all cases was the cosmetically unacceptable cubitus varus, we reviewed the cosmetic results. Seventeen patients were available for review. Subjective reports from patients and parents, as well as objective clinical assessment by one of the authors, were used to assess these results. According to our grading system, 12 (76%) patients had excellent results. These patients and their parents were satisfied with the cosmetic results, and there was no clinical evidence of a bony prominence over the lateral condylar region or an unsightly operative scar. One patient had a poor result with a lateral bony prominence and an unsightly scar, both of which were clinically obvious. We report that lateral closing osteotomies in children who have not yet reached skeletal maturity produce excellent cosmetic results.

Child↗
PubMed1997

Marketing the cosmetic dental practice.

Marketing a cosmetic dental practice is a necessary element of patient education today. A professional relations coordinator is essential for developing integrated strategies that help patients understand the options available to them in cosmetic dentistry. Cosmetic dentistry is an evolving field that can be difficult for patients to fully understand. Only through patient education and marketing will dentists be able to expand their practices to include cosmetic dentistry.

Dental Staff↗
PubMed1997

Nonsurgical facelifts via cosmetic dentistry: fact or fiction.

The role that cosmetic dentistry can play in improving one's overall facial esthetics has become increasingly more meaningful to patients, dentists, and physicians as elective cosmetic procedures continue to gain momentum and acceptance in today's Western culture. By incorporating fundamental principals of proper smile design into a total esthetic facial enhancement treatment plan, dramatic improvements may be realized. As cosmetic dentists, maxillofacial surgeons, and orthodontists continue to make successful strides with their physician counterparts, they must continue to emphasize the key role that the smile commands. Although a review of current literature discloses few references to the specific topic of facial enhancements through cosmetic dentistry, it is nonetheless a topic for further discussion.

Aging↗
PubMed1998

Tumescent anesthesia for dermatologic surgery. Cosmetic and noncosmetic procedures.

BACKGROUND: Tumescent anesthesia was originally described by Klein and Lillis for liposuction surgery. Its extension to many other interventions in dermatologic surgery (cosmetic and noncosmetic) has provided a significant contribution in the performance of safe, ambulatory, and simplified procedures. OBJECTIVE: To demonstrate the validity of the technique in various procedures. METHODS: Over the course of 1 year all large reconstruction or cosmetic surgery was performed using tumescent anesthesia. In a total of 242 cases performed, the advantages and disadvantages of the procedure were analyzed. RESULTS: Tumescent anesthesia was found to be very effective in achieving adequate anesthesia for performance of the reconstructive or cosmetic procedures. Good patient compliance was achieved with no serious sequelae. CONCLUSION: Tumescent anesthesia is one the most substantial progressions in the field of cosmetic and reconstructive surgery, with advantages that by far outnumber the few disadvantages.

Ambulatory Surgical Procedures↗
PubMed2006

Botulism in 4 adults following cosmetic injections with an unlicensed, highly concentrated botulinum preparation.

CONTEXT: Botulism is a potentially lethal paralytic disease caused primarily by toxins of the anaerobic, spore-forming bacterium Clostridium botulinum. Although botulinum toxin A is available by prescription for cosmetic and therapeutic use, no cases of botulism with detectable serum toxin have previously been attributed to cosmetic or therapeutic botulinum toxin injections. On November 27, 2004, 4 suspected botulism case-patients with a link to cosmetic botulinum toxin injections were reported to the Centers for Disease Control and Prevention. OBJECTIVE: To investigate the clinical, epidemiological, and laboratory aspects of 4 suspected cases of iatrogenic botulism. DESIGN, SETTING, AND PATIENTS: Case series on 4 botulism case-patients. MAIN OUTCOME MEASURES: Clinical characteristics of the 4 case-patients, epidemiological associations, and mouse bioassay neutralization test results from case-patient specimens and a toxin sample. RESULTS: Clinical characteristics of the 4 case-patients were consistent with those of naturally occurring botulism. All case-patients had been injected with a highly concentrated, unlicensed preparation of botulinum toxin A and may have received doses 2857 times the estimated human lethal dose by injection. Pretreatment serum toxin levels in 3 of the 4 case-patients were equivalent to 21 to 43 times the estimated human lethal dose; pretreatment serum from the fourth epidemiologically linked case-patient was not available. A 100-microg vial of toxin taken from the same manufacturer's lot as toxin administered to the case-patients contained a toxin amount sufficient to kill approximately 14,286 adults by injection if disseminated evenly. CONCLUSIONS: These laboratory-confirmed cases of botulism demonstrate that clinical use of unlicensed botulinum toxin A can result in severe, life-threatening illness. Further education and regulation are needed to prevent the inappropriate marketing, sale, and clinical use of unlicensed botulinum toxin products.

Botulinum Toxins, Type A↗
PubMed2003

A new proposal of skin-closure system for median sternotomy: usefulness and cosmetic results analysis of MEDIZIP Surgical Zipper in neoplastic immuno-compromised patients.

BACKGROUND AND OBJECTIVES: The authors evaluate the effectiveness and the cosmetic results obtained using the new skin closing system MEDIZIP Surgical Zipper in oncological immuno-compromised patients submitted to median sternotomy. METHODS: In our Institute, from 1999 to 2002, MEDIZIP was used to close the sternal wounds in 45 patients undergoing median sternotomy for bilateral metastasectomy, It took about half a minute (mean time: 32.00 +/- 11.48 sec) to perform the application. To evaluate the cosmetic results, a three-level scale was conceived: level 1: very good, level 2: satisfactory, level 3: inadequate. RESULTS: Overall forty-two 20 cm-long zippers were used, two 25 cm-long and one 30 cm-long. MEDIZIP remained in situ for an average of 9.98 +/- 2.23 days (median: 9 days; range: 8-13 days). The average time taken for inspection was 70.00 +/- 2.48 sec (median: 70, range: 45-130) and the zipper was removed in a few seconds. No wound infections were observed. We classified 39 patients at level 1 (very good, 87%), and 6 at level 2 (satisfactory, 13%). CONCLUSIONS: MEDIZIP can be considered an effective skin-closure system which is easily and quickly handled and assures good cosmetic results with non-invasive removal; it proves particularly useful in pediatric patients and in adults affected by neoplastic diseases and undergoing multiple combined anti-cancer treatments.

Adult↗
PubMed1985

[Determination of 5-methoxypsoralen in suntan cosmetics].

A method for the determination of 5-methoxypsoralene in suntan-cosmetics is described. After liquid chromatographic clean-up, the final extract is screened by twodimensional thin layer chromatography. For positive extracts 5-methoxypsoralene is analysed quantitatively by capillary gas chromatography, using 5-alpha-cholestane as an internal standard and flame ionization detection (FID). The results were confirmed by gas chromatography-mass spectrometry (GC-MS). The recoveries for suntan-cosmetics of emulsion type were 70% and for tanning oils 90%. Detection limits of the method were 0,1 to 0,5 mg/kg, depending on the sample type. By application of this method 5-methoxypsoralene was detected in 6 of the 21 cosmetic products at levels up to 28 mg/kg.

5-Methoxypsoralen↗
PubMed1988

A method for the determination of N-nitrosoalkanolamines in cosmetics.

A method für the determination of N-nitrosoalkanolamines in cosmetics and toiletries is described. The ingredients used in their manufacture N-nitroso-bis-(2-hydroxyethyl)amine (N-nitrosodiethanolamine, NDELA) and N-nitroso-bis-(2-hydroxy-propyl)amine (NBHPA) are almost exclusively the contaminants. The method has therefore been modified for their determination. N-Nitroso-(2-hydroxy-ethyl)-(2-hydroxypropyl)amine is used as the internal standard. After dilution with water, the cosmetic is adsorbed onto a kieselguhr column and extracted with n-butanol. The extract is brought to dryness, re-dissolved in chloroform/acetone (5 + 1) and transferred to a silica gel column. The column is washed and eluted with acetone. The eluate is dried and the residue is treated with N-methyl-N-trimethylsilyl-heptafluorobutyramide. Trimethylsilyl (TMS)derivatives of N-nitrosoalkanolamines are determined by gas-chromatography with a thermal energy analyzer (TEA). Recovery of the internal standard is 95% and the determination limit is 5 micrograms/kg, Repeated analyses of a foam bath, spiked with 30 micrograms/kg NDELA, gave an average content of 32 micrograms/kg NDELA (variation coefficient 8.8%; n = 10). In order to avoid artefact formation during the clean-up process, kieselguhr containing 50% sodium ascorbate has to be used when cosmetics containing free dialkanolamines are analyzed.

Alkanes↗