Facial Plastic Research Articles

The Measure of a Scar: Patient Perceptions and Scar Optimization after Skin Cancer Reconstruction.

In facial reconstruction after skin cancer resection, management and optimization of postoperative scar is a complex paradigm. Every scar is unique and presents a different challenge-whether due to anatomic, aesthetic, or patient-specific factors. This necessitates a comprehensive evaluation and an understanding of the tools at hand to improve its appearance. How a scar looks is meaningful to patients, and the facial plastic and reconstructive surgeon is tasked with its optimization. Clear documentation of a scar is critical to assess and determine optimal care. Scar scales such as the Vancouver Scar Scale, the Manchester Scar Scale, the Patient and Observer Assessment Scale, the Scar Cosmesis Assessment and Rating "SCAR" Scale, and FACE-Q, among others, are reviewed here in the context of evaluating postoperative or traumatic scar. Measurement tools objectively describe a scar and may also incorporate the patient's assessment of their own scar. In addition to physical exam, these scales quantify scars that are symptomatic or visually unpleasant and would be best served by adjuvant treatment. The current literature regarding the role of postoperative laser treatment is also reviewed. While lasers are an excellent tool to assist in blending of scar and decreasing pigmentation, studies have failed to evaluate laser in a consistent, standardized way that allows for quantifiable and predictable improvement. Regardless, patients may derive benefit from laser treatment given the finding of subjective improvement in their own perception of scar, even when there is not a significant change to the clinician's eye. This article also discusses recent eye fixation studies which demonstrate the importance of careful repair of large and central defects of the face, and that patients value the quality of the reconstruction.

Patient-Reported Outcomes Measures in Rhinoplasty: Need for Use and Implementation.

Patient-reported outcome metrics (PROMs) are increasingly utilized to capture data about patients' quality of life. PROMs play an important role in the value-based health care movement by providing a patient-centered metric of quality. There are many barriers to the implementation of PROMs, and widespread adoption requires buy-in from numerous stakeholders including patients, clinicians, institutions, and payers. Several validated PROMs have been utilized by facial plastic surgeons to measure both functional and aesthetic outcomes among rhinoplasty patients. These PROMs can help clinicians and rhinoplasty patients participate in shared decision making (SDM), a process via which clinicians and patients arrive at treatment decisions together through a patient-centered approach. However, widespread adoption of PROMs and SDM has not yet been achieved. Further work should focus on overcoming barriers to implementation and engaging key stakeholders to increase the utilization of PROMs in rhinoplasty.

Evidence-Based Medicine Applied to Facial Plastic Surgery.

The term “Evidence-Based Medicine” (EBM) was introduced in 1990 by Gordon Guyatt of McMaster University as “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients.”

Hyper-Beveled Composite Skin Graft for Nasal Reconstruction.

Facial Plastic Surgery & Aesthetic MedicineAhead of Print Hyper-Beveled Composite Skin Graft for Nasal ReconstructionAniruddha C. Parikh, Robert Rhodes, Lacy S. Brame, and Ivan WayneAniruddha C. Parikh*Address correspondence to: Aniruddha C. Parikh, MD, Department of Otolaryngology—Head and Neck Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA. E-mail Address: aniruddhaparikh1@gmail.comhttps://orcid.org/0000-0002-1212-978XDepartment of Otolaryngology—Head and Neck Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.Search for more papers by this author, Robert Rhodeshttps://orcid.org/0000-0003-0646-567XW Facial Aesthetics, and Oklahoma State University Center for Health Sciences, Oklahoma City, Oklahoma, USA.Search for more papers by this author, Lacy S. BrameDepartment of Otolaryngology—Head and Neck Surgery, Oklahoma State University Center for Health Sciences, Oklahoma City, Oklahoma, USA.Search for more papers by this author, and Ivan WayneW Facial Aesthetics, and Oklahoma State University Center for Health Sciences, Oklahoma City, Oklahoma, USA.Search for more papers by this authorPublished Online:24 May 2023https://doi.org/10.1089/fpsam.2023.0021AboutSectionsView articleView Full TextSupplemental MaterialPDF/EPUBView Supplemental Data Permissions & CitationsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail View article"Hyper-Beveled Composite Skin Graft for Nasal Reconstruction." Facial Plastic Surgery & Aesthetic Medicine, , pp. FiguresReferencesRelatedDetails Volume 0Issue 0 InformationCopyright 2023, American Academy of Facial Plastic and Reconstructive Surgery, Inc.To cite this article:Aniruddha C. Parikh, Robert Rhodes, Lacy S. Brame, and Ivan Wayne.Hyper-Beveled Composite Skin Graft for Nasal Reconstruction.Facial Plastic Surgery & Aesthetic Medicine.ahead of printhttp://doi.org/10.1089/fpsam.2023.0021Online Ahead of Print:May 24, 2023PDF download

Commentary on: "Assessing the Prevalence of Burnout Among Female Microvascular Head and Neck Surgeons" by Benjamin et al: Addressing Burnout in Otolaryngology.

Facial Plastic Surgery & Aesthetic MedicineAhead of Print Commentary on: “Assessing the Prevalence of Burnout Among Female Microvascular Head and Neck Surgeons” by Benjamin et al: Addressing Burnout in OtolaryngologyAlexandra E. Tunkel and Theda C. KontisAlexandra E. Tunkelhttps://orcid.org/0000-0002-0452-4974School of Medicine and Health Sciences, George Washington University, Washington, District of Columbia, USA.Search for more papers by this author and Theda C. Kontis*Address correspondence to: Theda C. Kontis, MD, Aesthetic Center at Woodholme, 1838 Greene Tree Road, Suite 370, Baltimore, MD 21208, USA E-mail Address: tckontis@aol.comAesthetic Center at Woodholme, Baltimore, Maryland, USA.Department of Otolaryngology Head and Neck Surgery, Division of Facial Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.Search for more papers by this authorPublished Online:10 May 2023https://doi.org/10.1089/fpsam.2022.0428AboutSectionsView articleView Full TextPDF/EPUB Permissions & CitationsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail View article"Commentary on: “Assessing the Prevalence of Burnout Among Female Microvascular Head and Neck Surgeons” by Benjamin et al: Addressing Burnout in Otolaryngology." Facial Plastic Surgery & Aesthetic Medicine, , pp. FiguresReferencesRelatedDetails Volume 0Issue 0 InformationCopyright 2023, American Academy of Facial Plastic and Reconstructive Surgery, Inc.To cite this article:Alexandra E. Tunkel and Theda C. Kontis.Commentary on: “Assessing the Prevalence of Burnout Among Female Microvascular Head and Neck Surgeons” by Benjamin et al: Addressing Burnout in Otolaryngology.Facial Plastic Surgery & Aesthetic Medicine.ahead of printhttp://doi.org/10.1089/fpsam.2022.0428Online Ahead of Print:May 10, 2023PDF download

Assessing the Prevalence of Burnout Among Female Microvascular Head and Neck Surgeons.

Background: Research has not explicitly explored differences between male and female microvascular head and neck (MHN) surgeon burnout, which should be identified and addressed to ensure career satisfaction and longevity. Objective: To measure and compare the prevalence of burnout among male versus female MHN surgeons. Methods: A prospective questionnaire based on the Maslach Burnout Inventory (MBI) was distributed through a web-based survey to the American Association of Facial Plastic and Reconstructive Surgeons and American Head and Neck Society in 2021 and 2022. Additional variables collected included demographics, relationship and parental status, academic rank, annual salary, and COVID-19-related questions. Results: One hundred thirteen surveys were collected. Twenty-nine (25.7%) were women and all completed MHN surgery fellowships. Women trended toward more emotional exhaustion than men (2.8 mean MBI vs. 2.3 mean MBI) but reported similar personal achievement (4.8 mean MBI vs. 4.9 mean MBI). Men experienced less workplace sexual harassment (p < 0.001). Women experienced more burnout (69% vs. 39%, p = 0.006) during the COVID-19 pandemic. Conclusion: Female MHN surgeons reported in this survey to experience more workplace sexual harassment and higher COVID-19-related burnout than their male counterparts.

Septal Perforation Repair Quality of Life Outcomes Using the Revised 15-item Glasgow Benefit Inventory.

The 18-item Glasgow Benefit Inventory (GBI) has been widely used to measure patient general health response to otorhinolaryngologic and facial plastic interventions. The GBI was recently reorganized into 15 questions with 5 sub-scale factors (GBI-5F) to improve its utility. Application of the GBI-5F to septal perforation treatments may improve our understanding of quality of life outcomes. The GBI was given to patients seen from August 2018 through October 2021 who were at least 6 months postoperative attempted perforation surgical closure using bilateral nasal mucosal flaps with an interposition graft. Original GBI and GBI-5F scores were computed and subgroup analysis performed in this retrospective medical record review. Of the 98 patients (mean age 45.5 years) who met study criteria, 65 were female. Mean perforation length was 12.9, and height 9.7 mm. The mean postoperative time to GBI completion was 12.7 months. Highest GBI-5F scores were noted in the Quality of Life factor, followed by Self-confidence and Social Involvement. Females reported significantly higher scores than men. Total GBI scores were similar to those recorded for other rhinologic procedures. The GBI-5F provides measurable insight into patient quality of life benefit following septal perforation repair.

L-Strut Division Technique for Correction of Anterocaudal Septal Deviation: Functional and Cosmetic Outcomes.

Facial Plastic Surgery & Aesthetic MedicineAhead of Print L-Strut Division Technique for Correction of Anterocaudal Septal Deviation: Functional and Cosmetic OutcomesSonam Dodhia, Ade Obayemi, Kevin Kuonqui, and Oscar TrujilloSonam Dodhia*Address correspondence to: Sonam Dodhia, MD, Department of Otolaryngology/Head and Neck Surgery, New York Presbyterian Hospital, Columbia University Medical Center, 180 Fort Washington Avenue 8th Floor, New York, NY 10032, USA. E-mail Address: snd7005@nyp.orghttps://orcid.org/0000-0002-8195-0475Department of Otolaryngology/Head and Neck Surgery, New York Presbyterian Hospital, Columbia University Medical Center, New York, New York, USA.Search for more papers by this author, Ade ObayemiDepartment of Otolaryngology/Head and Neck Surgery, New York Presbyterian Hospital, Columbia University Medical Center, New York, New York, USA.Search for more papers by this author, Kevin KuonquiDepartment of Otolaryngology/Head and Neck Surgery, New York Presbyterian Hospital, Columbia University Medical Center, New York, New York, USA.Search for more papers by this author, and Oscar TrujilloDepartment of Otolaryngology/Head and Neck Surgery, New York Presbyterian Hospital, Columbia University Medical Center, New York, New York, USA.Search for more papers by this authorPublished Online:5 May 2023https://doi.org/10.1089/fpsam.2022.0396AboutSectionsView articleView Full TextPDF/EPUB Permissions & CitationsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail View article"L-Strut Division Technique for Correction of Anterocaudal Septal Deviation: Functional and Cosmetic Outcomes." Facial Plastic Surgery & Aesthetic Medicine, , pp. FiguresReferencesRelatedDetails Volume 0Issue 0 InformationCopyright 2023, American Academy of Facial Plastic and Reconstructive Surgery, Inc.To cite this article:Sonam Dodhia, Ade Obayemi, Kevin Kuonqui, and Oscar Trujillo.L-Strut Division Technique for Correction of Anterocaudal Septal Deviation: Functional and Cosmetic Outcomes.Facial Plastic Surgery & Aesthetic Medicine.ahead of printhttp://doi.org/10.1089/fpsam.2022.0396Online Ahead of Print:May 5, 2023PDF download

Minimal Access Percutaneous Depressor Anguli Oris Myectomy and Terminal Neurolysis for Facial Paralysis Patients with Aberrant Reinnervation Syndrome.

Facial Plastic Surgery & Aesthetic MedicineAhead of Print Minimal Access Percutaneous Depressor Anguli Oris Myectomy and Terminal Neurolysis for Facial Paralysis Patients with Aberrant Reinnervation SyndromeJacob K. Dey and Kofi D.O. BoaheneJacob K. Dey*Address correspondence to: Jacob K. Dey, MD, Division of Facial Plastic & Reconstructive Surgery, Department of Otolaryngology—Head & Neck Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA. E-mail Address: dey.jacob@mayo.eduhttps://orcid.org/0000-0001-8197-2079Division of Facial Plastic & Reconstructive Surgery, Department of Otolaryngology—Head & Neck Surgery, Mayo Clinic, Rochester, Minnesota, USA.Search for more papers by this author and Kofi D.O. Boahenehttps://orcid.org/0000-0002-4924-7560Division of Facial Plastic & Reconstructive Surgery, Department of Otolaryngology – Head & Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.Search for more papers by this authorPublished Online:27 Apr 2023https://doi.org/10.1089/fpsam.2023.0033AboutSectionsView articleView Full TextSupplemental MaterialPDF/EPUBView Supplemental Data Permissions & CitationsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail View article"Minimal Access Percutaneous Depressor Anguli Oris Myectomy and Terminal Neurolysis for Facial Paralysis Patients with Aberrant Reinnervation Syndrome." Facial Plastic Surgery & Aesthetic Medicine, , pp. –FiguresReferencesRelatedDetails Volume 0Issue 0 InformationCopyright 2023, American Academy of Facial Plastic and Reconstructive Surgery, Inc.To cite this article:Jacob K. Dey and Kofi D.O. Boahene.Minimal Access Percutaneous Depressor Anguli Oris Myectomy and Terminal Neurolysis for Facial Paralysis Patients with Aberrant Reinnervation Syndrome.Facial Plastic Surgery & Aesthetic Medicine.ahead of printhttp://doi.org/10.1089/fpsam.2023.0033Online Ahead of Print:April 27, 2023PDF download

International Collaboration Trends in Facial Plastic and Reconstructive Surgery

Research in facial plastic and reconstructive surgery (FPRS) in the global health setting, especially in low- and middle-income countries (LMICs), is increasing year by year. As this work progresses, it will be crucial to include voices and perspectives of individuals living in the LMICs being studied. To characterize and understand international collaborations in published literature on FPRS care in a global health setting and report patterns in whether these articles included authors from the LMICs in which the studies took place. A systematic bibliometric scoping review of articles in Scopus from 1971 to 2022 was performed using a set list of search terms; studies were included using predetermined inclusion and exclusion criteria. Studies met criteria for inclusion if the abstract or text contained information regarding surgeons from a different country performing surgery or conducting research in an LMIC within the domain of FPRS. Exclusion criteria were studies that did not mention a facial plastic or reconstructive surgery and studies where both an HIC and LMIC were not mentioned. A total of 286 studies met criteria for inclusion. The highest percentage of studies (n = 72, 25.2%) were conducted across multiple countries. A total of 120 studies (41.9%) discussed cleft lip/palate. Overall, 141 studies (49.5%) included at least 1 author from the host LMIC; 89 (31.1%) had first authors from LMICs, and 72 (25.2%) had senior authors from LMICs. A total of 79 studies (27.6%) described humanitarian clinical service trips without mentioning research or education in the text. The remaining studies described research, education projects, or a combination. The published literature on humanitarian service trips had the lowest rate of inclusion of a first or senior author from the host LMICs. In this systematic bibliometric scoping review, findings showed a general trend of increased international work in the field of FPRS. However, there continues to be a paucity of inclusive authorship trends, with the majority of studies not including first or senior authors from LMICs. The findings presented here encourage new collaborations worldwide, as well as the improvement of existing efforts.

Using injectable fillers for chin and jawline rejuvenation.

As the population ages, facial plastic providers must remain aware of the treatments to prevent and reverse the external signs of aging. In the mandibular region, skin laxity and soft tissue sagging in the jawline may lead to jowling and chin ptosis along with reduced chin projection. While surgical procedures, including chin implantation, may be performed, nonsurgical procedures are becoming increasingly popular due to their temporary, noninvasive, yet effective methods. This review covers the use of hyaluronic acid, calcium hydroxylapatite, poly-l-lactic acid, and polymethyl methacrylate in the jawline. PubMed was searched for data on the mechanism of action, pertinent anatomy, indications, contraindications, technique, and evidence supporting the safety and efficacy of the fillers. There are a wide variety of fillers available for use in the lower face with unique characteristics and application methods. While the advantages of injectable fillers include relatively affordable cost, minimal patient discomfort, and limited recovery times, taking measures to prevent short- and long-term complications is necessary for optimal results. Understanding the benefits and limitations of injectable fillers in the jawline can help providers appropriately counsel and treat patients.

Re: "Preparing for a Paradigm Shift in Medical Conference Development and Implementation" by Hakimi et al.

Facial Plastic Surgery & Aesthetic MedicineAhead of Print Re: “Preparing for a Paradigm Shift in Medical Conference Development and Implementation” by Hakimi et al.Amanda E. Dilger and Natalie A. KraneAmanda E. Dilger*Address correspondence to: Amanda E. Dilger, MD, Department of Otolaryngology—Head and Neck Surgery, Harvard Medical School, Massachusetts Eye and Ear, 243 Charles Street, Boston, MA 02114, USA, E-mail Address: amanda_dilger@meei.harvard.eduhttps://orcid.org/0000-0002-5484-7413Department of Otolaryngology—Head and Neck Surgery, Harvard Medical School, Massachusetts Eye and Ear, Boston, Massachusetts, USA.Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, Massachusetts, USA.Search for more papers by this author and Natalie A. Kranehttps://orcid.org/0000-0002-5226-736XDepartment of Otolaryngology—Head and Neck Surgery, Oregon Health and Science University, Portland, Oregon, USA.Search for more papers by this authorPublished Online:22 Mar 2023https://doi.org/10.1089/fpsam.2023.0053AboutSectionsView articleView Full TextPDF/EPUB Permissions & CitationsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail View article"Re: “Preparing for a Paradigm Shift in Medical Conference Development and Implementation” by Hakimi et al.." Facial Plastic Surgery & Aesthetic Medicine, , pp. –FiguresReferencesRelatedDetails Volume 0Issue 0 InformationCopyright 2023, American Academy of Facial Plastic and Reconstructive Surgery, Inc.To cite this article:Amanda E. Dilger and Natalie A. Krane.Re: “Preparing for a Paradigm Shift in Medical Conference Development and Implementation” by Hakimi et al..Facial Plastic Surgery & Aesthetic Medicine.ahead of printhttp://doi.org/10.1089/fpsam.2023.0053Online Ahead of Print:March 22, 2023PDF download

Management, Referral Patterns, and Outcomes in Bell's Palsy: A Single-Institution 903 Patient Series.

In 2013, the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) published guidelines for Bell's palsy (BP), including recommendations for workup, management, and specialist referral. Patients with BP often present to primary care; however, adherence to guidelines may vary by setting. This study sought to evaluate the management of patients with BP presenting to primary care, emergency department (ED), and urgent care settings. Retrospective cohort study. Tertiary care center. Retrospective chart review of patients identified by diagnosis code for BP. A total of 903 patients were included; 687 (76.1%) presented to ED, 87 (9.6%) to internal medicine, 77 (8.5%) to family medicine, and 52 (5.8%) to urgent care. On presentation, 804 (89.0%) patients were prescribed corticosteroids and 592 (65.6%) antiviral therapy. Steroid therapy ranged from 1 dose to greater than a 14-day course, with 177 (19.6%) receiving an adequate duration of 10 days or greater. Referrals were provided to facial plastics and/or otolaryngology for 51 patients (5.6%). For all comers, 283 (31.3%) had complete resolution, 197 (21.8%) had an incomplete resolution, 62 (6.9%) had persistent palsy, and 361 (40.0%) lost to follow-up. In assessing the association between clinic setting and management, appropriate corticosteroid therapy (p < .01), imaging (p < .01), and eye care (p < .01) were statistically significant. Adherence to guidelines for BP management varies amongst providers. In our study cohort, 15.5% of patients received medical therapy in accordance with AAO-HNS guidelines, and only 5.6% were referred to facial plastics. To facilitate more appropriate care, tertiary care institutions may benefit from system-wide care pathways to manage acute BP.

Needs Assessment of Gender-Affirming Face, Neck, and Voice Procedures and the Role of Gender Dysphoria.

To assess the needs of transgender and nonbinary (TNB) adults for gender-affirming face, neck, and voice procedures. Cross-sectional survey. Online, February to May 2022. Primary outcomes included utilization of otolaryngologists and speech-language pathologists; gender dysphoria felt from the face, neck, and voice self-reported on a 0 to 10 numeric rating scale (0 = no dysphoria, 10 = unbearable); and desire for various gender-affirming face, neck, and voice procedures. We used ordinal logistic and linear regression to assess relationships between site-specific dysphoria and the desire for relevant procedures. TNB participants (N = 234) infrequently sought gender-affirming care with speech-language pathologists (23%), facial plastic surgeons (8%), or laryngologists (3%). Participants experienced the strongest dysphoria from the voice (median 7/10), jawline/chin (4/10), and neck (3.5/10). Transmasculine and nonbinary participants typically seeking masculinization (n = 83) frequently desired voice therapy (want = 35%, had = 8%). Transfeminine and nonbinary participants typically seeking feminization (n = 145) frequently desired voice therapy (want = 52%, had = 23%), chondrolaryngoplasty (want = 45%, had = 5%), and hair removal/electrolysis (want = 43%, had = 44%). Many desired at least 1 facial feminization surgery procedure (65%), especially mandible reduction (want = 42%, had = 3%), rhinoplasty (want = 41%, had = 1%), and forehead reduction (want = 37%, had = 4%). Dysphoria ratings were associated with desiring relevant procedures (p < .05 for all), notably voice therapy (odds ratio [OR] = 1.50), chondrolaryngoplasty (OR = 1.46), mandible reduction (OR = 1.38), rhinoplasty (OR = 1.59), and forehead reduction (OR = 1.82). Gender dysphoria from the face, neck, and voice can be severe for TNB people and is associated with the desire for gender-affirming procedures. The high demand yet low reported access to these procedures highlights the need for providers of gender-affirming face, neck, and voice care.

Upper Blepharoplasty: An Evidence-Based Assessment of Preoperative Considerations and Surgical Techniques.

Upper blepharoplasty is one of the most common facial plastic surgical procedures performed. Due to its growing popularity, an abundance of articles is available describing variations in the surgical technique and outcomes. As a result, it has become increasingly difficult to identify appropriate surgical literature validated by a high level of evidence. The purpose of this review is to identify and describe specific evidence-based components of the preoperative evaluation and surgical approach in upper blepharoplasty surgery.

Cephalometry analysis of facial soft tissue based on two orthogonal views applicable for facial plastic surgeries

Cephalometry analysis of facial soft tissue based on two orthogonal views applicable for facial plastic surgeries

Re: "The Detroit Keloid Scale: A Validated Tool for Rating Keloids" by Lyons et al.

Facial Plastic Surgery & Aesthetic MedicineAhead of Print Re: “The Detroit Keloid Scale: A Validated Tool for Rating Keloids” by Lyons et alRuoqing Xu, Xin Huang, and Tao ZanRuoqing XuDepartment of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.†These authors contributed equally to this study.Search for more papers by this author, Xin HuangDepartment of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.†These authors contributed equally to this study.Search for more papers by this author, and Tao Zan*Address correspondence to: Tao Zan, MD, PhD, Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, 639 Zhizaoju Road, Shanghai 200011, China. E-mail Address: zantao@sjtu.edu.cnhttps://orcid.org/0000-0002-0337-6674Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.Search for more papers by this authorPublished Online:7 Feb 2023https://doi.org/10.1089/fpsam.2022.0358AboutSectionsView articleView Full TextPDF/EPUB Permissions & CitationsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail View article"Re: “The Detroit Keloid Scale: A Validated Tool for Rating Keloids” by Lyons et al." Facial Plastic Surgery & Aesthetic Medicine, , pp. –FiguresReferencesRelatedDetailsCited byCommentary on: Re: “The Detroit Keloid Scale: A Validated Tool for Rating Keloids” by Lyons et al Alexis B. Lyons, David M. Ozog, Henry W. Lim, Kate Viola, Amy Tang, and Lamont R. Jones7 February 2023 | Facial Plastic Surgery & Aesthetic Medicine, Vol. 0, No. 0 Volume 0Issue 0 InformationCopyright 2023, American Academy of Facial Plastic and Reconstructive Surgery, Inc.To cite this article:Ruoqing Xu, Xin Huang, and Tao Zan.Re: “The Detroit Keloid Scale: A Validated Tool for Rating Keloids” by Lyons et al.Facial Plastic Surgery & Aesthetic Medicine.ahead of printhttp://doi.org/10.1089/fpsam.2022.0358Online Ahead of Print:February 7, 2023PDF download

Commentary on: Re: "The Detroit Keloid Scale: A Validated Tool for Rating Keloids" by Lyons et al.

Facial Plastic Surgery & Aesthetic MedicineAhead of Print Commentary on: Re: “The Detroit Keloid Scale: A Validated Tool for Rating Keloids” by Lyons et alAlexis B. Lyons, David M. Ozog, Henry W. Lim, Kate Viola, Amy Tang, and Lamont R. JonesAlexis B. Lyonshttps://orcid.org/0000-0003-0799-5680Department of Dermatology, Henry Ford Health, Detroit, Michigan, USA.Search for more papers by this author, David M. Ozog*Address correspondence to: David M. Ozog, MD, Department of Dermatology, Henry Ford Health, 3031 W Grand Boulevard, Suite 800, Detroit, MI 48202-2689, USA. E-mail Address: dozog1@hfhs.orgDepartment of Dermatology, Henry Ford Health, Detroit, Michigan, USA.Search for more papers by this author, Henry W. LimDepartment of Dermatology, Henry Ford Health, Detroit, Michigan, USA.Search for more papers by this author, Kate ViolaDepartment of Dermatology, Henry Ford Health, Detroit, Michigan, USA.Search for more papers by this author, Amy TangDepartment of Public Health, Henry Ford Health, Detroit, Michigan, USA.Search for more papers by this author, and Lamont R. Joneshttps://orcid.org/0000-0001-9638-232XDepartment of Otolaryngology Head and Neck Surgery, Henry Ford Health, Detroit, Michigan, USA.Search for more papers by this authorPublished Online:7 Feb 2023https://doi.org/10.1089/fpsam.2022.0379AboutSectionsView articleView Full TextPDF/EPUB Permissions & CitationsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail View article"Commentary on: Re: “The Detroit Keloid Scale: A Validated Tool for Rating Keloids” by Lyons et al." Facial Plastic Surgery & Aesthetic Medicine, , pp. –FiguresReferencesRelatedDetails Volume 0Issue 0 InformationCopyright 2023, American Academy of Facial Plastic and Reconstructive Surgery, Inc.To cite this article:Alexis B. Lyons, David M. Ozog, Henry W. Lim, Kate Viola, Amy Tang, and Lamont R. Jones.Commentary on: Re: “The Detroit Keloid Scale: A Validated Tool for Rating Keloids” by Lyons et al.Facial Plastic Surgery & Aesthetic Medicine.ahead of printhttp://doi.org/10.1089/fpsam.2022.0379Online Ahead of Print:February 7, 2023PDF download

American Academy of Facial Plastic and Reconstructive Surgery Face-to-Face Ukraine Volunteer Surgical Team.

American Academy of Facial Plastic and Reconstructive Surgery Face-to-Face Ukraine Volunteer Surgical Team.

Evaluation of Mobile and Digital Single-Lens Reflex Photography for Facial Surgical Analysis.

High-quality perioperative photography is imperative to good surgical planning in facial reconstructive and aesthetic surgery. We explore the utility of an add-on smartphone telephoto lens to avoid the distortions noted in prior studies using smartphone cameras. Standard perioperative photographs of the same subject were taken with three distinct cameras using a dual-ring light setup. The three camera setups iPhone 11 alone, iPhone 11 with the 58 Moment telephoto lens attachment, and a D3300 Nikon DSLR APS-C sensor camera with a 60 mm NIKKOR F2.8G ED macro lens were compared using a 47-question online survey consisting of demographic and image-specific questions sent to plastic surgeons. Forty-nine facial plastic surgeons completed the survey. The iPhone 11 alone was identified as having the lowest quality for central/peripheral distortion (83%), columella/caudal septum/alar anatomy (58.3%), and skin quality (38.3%). With the addition of the telephoto lens, the ability to assess all categories was significantly improved. 53.1% (n= 26) of respondents found the iPhone 11 + 58 mm telephoto lens setup to be the most useful for perioperative surgical planning. Smartphone photography with the addition of a telephoto lens can offer a comparable option to the DSLR with regard to photo quality and detail. A telephoto add-on lens is an effective solution to overcome the central distortion seen in images taken by the iPhone for perioperative photography. This photo quality was found to be comparable to that of traditional DSLR cameras in our survey study. 3 Laryngoscope, 133:2590-2596, 2023.