Vol. 1 No. 3 (2016)

  • Open Access

    Original Research Articles

    Article ID: 4

    Lower periorbital area treatment with Restylane Vital Skinbooster

    by Denis Souto Valente, Rafaela Koehler Zanella, Ângelo Syrillo Preto Neto, Sibelie Souto Valente, Felipe Laranjeira

    Journal of Surgical Dermatology, Vol.1, No.3, 2016; 3732 Views

    Facial aging along the periocular area has led to the development of new non-surgical therapies. The lower periorbital area is a vital region for facial rejuvenation and several procedures have been studied to treat it, especially procedures with dermal fillers for volume rebuilding. This manuscript aims to describe a filling technique with hyaluronic acid (HA) along the superficial layer of the lower periorbital area, presenting its effectiveness and safety. Our assessment was made by autonomous observers with pictures of before and after treatment, rated from 0 (no enhancement) to 100 (maximum enhancement). Patients’ self-assessment was also performed using a visual analog scale (VAS) based on a 100-mm ruler affording a 0–100 rating. Thirty patients were enrolled in this study. The autonomous observers’ evaluation presented a 78.4 mean improvement rate. Patients’ self-assessments after the treatment were 0% reporting no improvement, 6.7% mild improvement, 23.3% moderate improvement, 66.7% great improvement, and 3.3% maximum improvement. Restylane Vital Skinbooster infiltration at the lower periorbital area proved to be a safe treatment. The described technique is also simple to execute, has a low rate of complications, and produces a high satisfaction rate.

  • Open Access

    Perspectives

    Article ID: 47

    The use of folded melolabial interpolation flaps to repair full thickness distal nasal defects: A review of technique and results

    by Eamonn Maher, Scott Walen, Ian Maher

    Journal of Surgical Dermatology, Vol.1, No.3, 2016; 2837 Views

    The nose is a common site for skin cancer and there are several surgical options available for reconstruction after excision. Traditional surgical teaching suggests that in the case of a partial full thickness defect involving the distal nose or ala, a paramedian forehead flap (PMFF) or an intranasal lining flap with free cartilage graft and additional cutaneous flap should be performed. However, each of these options comes with unique disadvantages. The incision and pedicle required for the PMFF can be unsightly and functionally limiting, while the intranasal lining flap is technically challenging and can obstruct the nostril. Herein, we review our experience with a two-stage folded-over melolabial interpolation flap (MLIF) to repair partial full thickness defects of the distal nose and ala in order to recreate the cutaneous covering, nasal rim, and inner mucosal lining.