This document discusses various techniques for facelift surgery. It begins by noting that facial aging affects all layers of the face, changing its shape from heart-shaped to rectangular. Various facelift techniques are then described in detail, including subcutaneous facelift, SMAS plication, MACS lift, and deep plane lift. Post-operative care and potential complications are also outlined. The goal of facelift surgery is to reposition ptotic tissue and restore a more youthful facial contour.
MACS-Facelift (Minimal Access Cranial Suspension) is a procedure that leaves you looking fresher and youthful. People may not notice that you have had surgery, just that you look refreshed. The MACS-Lift helps to remove excessive jowling around the chin, deep creases that appear between your nose and mouth, and restores the outline of the jaw. The MACS-Lift is less invasive than other facelift procedures and leaves a shorter scar. This type of facelift will lift and hold up sagging tissues in the neck, cheeks, chin, or near the nose with suspension sutures in the deeper tissues. This operation is done on an outpatient basis while you are under local anesthesia.MACS FaceLift provides natural rejuvenation with shorter operative time, quicker recovery, and less potential for complications compared with traditional face lifts. Fat grafting and Blepharoplasty can enhance the final result.
Micro vascular free flaps used in head and neck reconstruction /certified fi...Indian dental academy
Welcome to Indian Dental Academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
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A flap is a unit of tissue that is transferred from one site (donor site) to another (recipient site) while maintaining its own blood supply or from a anastomised vessel.
Flaps come in many different shapes and forms. They range from simple advancements of skin to composites of many different types of tissue
Having a perfect nose, perfect ears, and scar less face is as aesthetic as having a well and perfectly shaped dimple. It can be natural or well‑crafted by an oral and maxillofacial surgeon, cosmetic surgeon. Hence, dimple surgery is very safe procedure and can be completed as an outpatient procedure in less time with minimum discomforts. The various described procedures for placing the dimple in cheeks are very simple and easy to perform by the surgeons and can impart a bold and attractive facial aesthetics.
MACS-Facelift (Minimal Access Cranial Suspension) is a procedure that leaves you looking fresher and youthful. People may not notice that you have had surgery, just that you look refreshed. The MACS-Lift helps to remove excessive jowling around the chin, deep creases that appear between your nose and mouth, and restores the outline of the jaw. The MACS-Lift is less invasive than other facelift procedures and leaves a shorter scar. This type of facelift will lift and hold up sagging tissues in the neck, cheeks, chin, or near the nose with suspension sutures in the deeper tissues. This operation is done on an outpatient basis while you are under local anesthesia.MACS FaceLift provides natural rejuvenation with shorter operative time, quicker recovery, and less potential for complications compared with traditional face lifts. Fat grafting and Blepharoplasty can enhance the final result.
Micro vascular free flaps used in head and neck reconstruction /certified fi...Indian dental academy
Welcome to Indian Dental Academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable.
A flap is a unit of tissue that is transferred from one site (donor site) to another (recipient site) while maintaining its own blood supply or from a anastomised vessel.
Flaps come in many different shapes and forms. They range from simple advancements of skin to composites of many different types of tissue
Having a perfect nose, perfect ears, and scar less face is as aesthetic as having a well and perfectly shaped dimple. It can be natural or well‑crafted by an oral and maxillofacial surgeon, cosmetic surgeon. Hence, dimple surgery is very safe procedure and can be completed as an outpatient procedure in less time with minimum discomforts. The various described procedures for placing the dimple in cheeks are very simple and easy to perform by the surgeons and can impart a bold and attractive facial aesthetics.
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Management of odontogenic tumors /certified fixed orthodontic courses by Indi...Indian dental academy
Welcome to Indian Dental Academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable
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Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
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The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
2. Facial aging is a panfacial phenomenon
Changes in all layers of face including bone
It converts inverted cone (heart shaped) of
face in to rectangular shape
Facelift reposition the ptotic tissue
Age for facelift – in 40s
17. Uncontrolled hypertension is a C/I for Surgery
Smoking , NSAIDs , HRT , anticoagulants - to be
stopped 3 wks prior to surgery
Photographic documentation of face. Pt’s youth
time photograph can be helpful.
Clinical assessment of facial nerve function
Ptosis of sub-mandibular gland to be noted
Patient counselling
19. Temporal hair incision
Anterior hairline incision
Incision in the hair + a transverse extension at
the base of sideburn
Pretragal
Tragal edge incision
Short scar technique(limited to retro auricular
sulcus,no occipital incision)
28. 1st facelift
Still used today
Basis of other facelift techniques
Subcutaneous dissection
Leaving 2 mm of fat in dermis
Large random pattern skin flap
Shifted in superolateral direction
(perpendicular to nasolabial fold , along the
line of zygomaticus major muscle)
29.
30.
31.
32.
33.
34. Normal (long axis of
lobule is 15 ° Posterior
to long axis of ear)
35. Adv
Relatively safe
Easy to do
Rapid recovery
Disadv
Ineffective in heavier
patients with significant
ptosis of deep tissue
Skin will stretch with time
leading to a loss of effect
Distortion of facial shape
36. Incision - vertical temporal +/- post auricular
extension
Vector of traction - Postero – superior
SMAS – SMAS fixation
SMAS is sutured directly
(no purse string fashion)
Platysmaplasty – direct (infralobular excision)
37.
38.
39.
40.
41. ADV
Easy
Safe
Autologous malar
augmentation
DISADV
Cheese wire effect
No release of
ligaments
Limited effect in
heavy jowls
42. Based on specialised suture suspension
Suture loops placed in purse string fashion
Anchoring point – Deep temporal fascia
(SMAS – DTF)
Vertical vector of traction
No dissection in neck.(Liposuction in >95%)
Types – 1. basic
2. extended
48. ADV
No deep plane dissection
Less dissection – faster
recovery
No dissection over SCM
muscle
Reversible during surgery
Easy to learn
DISADV
Loss of effect if
sutures pull through
No ligament release
Less effective for
heavy jowls
Relative lack of
malar
augmentation
49. Resection of a portion of SMAS - at the
interface of mobile & fixed SMAS
(directly overlying the anterior edge of
parotid gland).
Extends from tail of parotid to lateral canthus
50.
51.
52.
53. ADV
No SMAS flap elevation , so
lesser tearing of superficial
fascia & better holding of
suture fixation
Facial nerve injury is less , as
majority of dissection carried
over parotid gland
Rapid,safe,durable & with less
complications
DISADV
Not applicable
for thin face,
where fat needs
to be preserved
54. Also known as dual plane facelift
Subcutaneous facelift with separate SMAS
flap
SMAS flap shifted more vertically than the
skin flap
55.
56.
57. Adv
2 different vector is
more effective
No skin tension
Excellent
mobilisation &
advancement of
SMAS (ligament
release)
Disadv
More time
consuming
More chance of
damage to deep
structures
Thin skin flap
58. Deep subcutaneous dissection immediately
superficial to SMAS & platysma
Raising skin & superficial fat as a single layer
SMAS layer untouched
Adv
Thick robust flap
No facial nerve injury
Disadv
Flap is unidirectional
Skin tension at suture line
59.
60. Formerly known as deep plane facelift
Composite musculo cutaneous flap
Dissection – deep to SMAS platysma plane
(avascular plane so less hematoma)
Robust flap (so indicated in secondary facelift, in
smokers )
Particularly effective for deep nasolabial fold &
midface
Disadv- facial nerve injury, single vector
61.
62. For central oval of the face (forehead , periorbita , midface ,
chin )
Most suitable plane for implant placement
Biplanar ( subperiosteal + subcutaneous )
Midface gets maximum benefit
Open / endoscopic technique
One cosmetic unit
Forehead & upper eye lid
Lower eye lid & mid face
Lower face & neck
63.
64.
65.
66.
67. Adv
en bloc mobilisation(no tension on
skin)
Short incision
Implant placement
Better visibility & orientation
Safe plane
More durable
More balanced & natural
rejuvenation (no windswept/
motorcyclist appearance)
Disadv
Additional
equipments
needed
Limited effect in
lower face &
neck
68. Flap along the superior border of zygomatic
arch . (unlike traditional low cheek SMAS flap
elevated below arch )
Extending the dissection medially to mobilise
midface soft tissue
Improves midface , upper anterior cheek
Allows simultaneous lift of jaw line , cheek &
mid face
71. Light dressings
Rest with head end of bed elevated
No neck flexion (no pillow)
Control of blood pressure (pain, anxiety,urinary
retention)
Cool packs to face
Drain removal on 1st post op morning
Suture removal in 7-9th day
Photographic documentation of result – after 6
months of surgery.
72. Hematoma –
most common
Localised & worsening pain
T/t – evacuation (rather than giving analgesic )
Nerve injury(facial & great auricular)
Skin slough (retro auricular area)
Unsatisfactory scars
Alopecia
Infection(rare)
73. Goals-
To relift the face & neck
Remove primary facelift scars
Preserve maximum temporal & sideburn
Less skin resection
Time consuming, technically demanding
Intra op bleeding & postop hematoma – less
Risk of nerve injury is slightly higher
74. The worst of all outcomes is to look operated
Surgical disharmony compromises the result