[Experimental research on the peculiarity and esthetic effect of the neck-jaw angle].
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Since the introduction of laser therapy was developed continuously. New indications are possible in the aesthetic surgery. The laser is used for the treatment of naevi, hemangiomas, wide port-wine-stains, teleangiectasias, tattoos, epilations and skin resurfacing. To fulfill the expectations of the patients and the remands of a plastic aesthetic surgeon it is important to find the correct indication and choose the right laser. Vascular and pigmental disorders can be successfully treated with the flash lamp pumped pulsed dye laser. Laser containing different wave lengths are available. For the treatment of the aged skin the Ultrapuls-CO2-Laser offers advantages in comparison with the Erbium-YAG-Laser. However these lasers can not replace a facelift or blepharoplasty.
In the last few years, aesthetic facial surgery--especially soft-tissue surgery--has received increasing attention, not only from the medical profession but also particularly from the media. This is due, in part, to the growing level of general acceptance of the formerly stigmatized issue of aesthetic surgery, and in part to increasing patient expectations. Moreover, the introduction of less invasive procedures with outstanding long-term results have brought about a considerable change in aesthetic surgery. A comprehensive account of face lifting, forehead lifting, brow lifting, blepharoplasty, cervical liposuction and adjuvant techniques of skin rejuvenation will be given and discussed.
First reports about the use of the excimer laser in dermatology date back to 1997. It is seen as an improvement on conventional phototherapy and photochemotherapy because of the lower cumulative UV-dose involved, the shorter time frame required for treatment and the option of targeting individual lesions without affecting the surrounding healthy skin. In addition to the indications of psoriasis vulgaris, vitiligo and atopic eczema (for which there is now FDA approval in the US), the spectrum of possible uses for the excimer laser is growing rapidly, especially in the field of light-sensitive dermatoses. Case studies so far have ranged from post-operative hypopigmentation to acne vulgaris and from alopecia areata to parapsoriasis en plaque. The foremost priorities in the future will be to evaluate reproducible therapeutic regimens with realistic prospects of success in large-scale studies; assess potential iatrogenic risks in treatment; develop pathogenetic models for the mechanism of action; and define therapeutic approaches to new indications. This paper summarizes the publications to date and discusses our observations and experiences.
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Reconstruction of lip defects presents a challenge to the surgeon. Apart from attaining a good aesthetic result, preserving the function of the oral sphincter is an essential objective. A variety of techniques and modifications of procedures for reconstructing lip defects have been reported in the literature. It is up to the surgeon to select the reconstruction procedure ensuring optimum functional and cosmetic results, depending on the location, size, and depth of the defect. The division of the lips into aesthetic subunits can prove very beneficial in designing lip reconstruction procedures. The upper lip is divided into three aesthetic subunits: two lateral subunits and a median subunit, the philtrum. The lower lip constitutes a single subunit. In this study, established reconstruction techniques are discussed and a concept serving to facilitate the appropriate choice of technique is introduced. This concept differentiates between vermilion defects on the one hand, and partial-thickness and full-thickness lip defects on the other hand. For the lower lip, the full-thickness defects are classified as defects involving one-third, one-third to two-thirds of the lower lip width, and between two-thirds and complete loss of lip tissue. For the upper lip, a distinction is made between isolated defects of the central and lateral subunits and combined defects of the central and lateral subunits. Important principles of surgery and the advantages or disadvantages of different reconstruction techniques are discussed.
BACKGROUND: The aim of the study was to analyze the influence of possible temporary or permanent disorders of sensation on the degree of the patient's satisfaction following an orthognathic operation. PATIENTS AND METHODS: After an average of 47 months (range: 9-141), a follow-up examination was performed in 78 women (64.5%) and 43 men (35.5%) with an average age of 24.3 years (range: 19-40) at the time of operation. In 67 cases there had been a sagittal division of the mandible, in 11 cases a Le Fort I osteotomy, in 26 cases a bimaxillary osteotomy, in 4 cases an isolated genioplasty, and in 13 cases a segmental osteotomy in the upper or the lower jaw. In the peripheral area supplied by the nerves V2 and V3 sensation was examined by the two-point discrimination test and the result related to the patients' satisfaction using the chi-square test. RESULTS AND DISCUSSION: The following qualities of sensation were recorded: anesthetic (2.7%), hypesthetic (16.6%), paresthetic (8.3%), and normesthetic (72.4%). The patients' satisfaction was rated as very satisfied in 51.3%, as satisfactory in 44.8%, and in 3.9% the patients' expectations had not been fulfilled; 75% regarded their outward appearance as markedly improved and a good 50% of the patients noted improved mastication. Therefore, three-fourths of all the patients would even be willing to be operated on again. Two-dimensional analysis, however, demonstrated only a weakly significant positive relationship between patient satisfaction and the preserved, or restored, sensation in the trigeminal region.
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Four hundred eighty-one 10- to 13-year-old children answered questions to determine their skill at self-evaluation and their level of self-satisfaction with their own dental appearance. Their answers were correlated to dental-orthodontic variables measured for each child. Findings indicate that while subjects were objective in self-evaluation, there were sex-specific correlates between particular dental variables and self-satisfaction.
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