No abstract

The management of xanthelasma can be challenging, as evidenced by our own experiences as well as that of other physicians. Appreciating the difficulties is important, so as to inform the patient of the risks of recurrences after surgical excision and to plan the surgical procedure to prevent ocular complications such as ectropion. The patient with xanthelasma who desires a blepharoplasty is an especially interesting topic. A conservative approach, at times using staged excisions, as discussed in this article, will help achieve the desired result and assure patient satisfaction.

No abstract

Different types of alloplastic implants are currently being utilized in performing mentoplasty. A review of the literature points out the number of prostheses that have been used. Each type of material has inherit physical properties which determine its characteristics for use as a chin implant. The type of implant and method selected in chin augmentation depends upon accurate preoperative evaluation and full understanding of the properties of alloplastic substances. Five hundred and thirty-nine cases of chin augmentation utilizing different materials and methods were reviewed over a nine year period. The limitations of mentoplasty as well as the advantages, disadvantages, and in selected cases, the indications for the use of a particular implant are discussed.

The concept of rhinoplasty of the mature nose is presented. As an isolated procedure or in conjunction with other facial plastic procedures, shortening the length of a drooping nose can give the effect of a more youthful appearance. The anatomy and physiology of the nose as it ages is discussed and if understood by the surgeon, these patients need no longer be rejected because of their age. Technical consideration are important, and the use of the modified rim incision, high septal transfixion and lobule rotation is suggested. An analysis of 30 cases over a noe year period is documented to support this thesis.