New Surgical Technique Aims to Rejuvenate the Jawline

Extended Deep Plane Facelift Patient Before & After: This middle aged woman had an extended deep plane facelift procedure performed by Dr. Andrew Jacono, which included the restoration of the extended arc of a youthful jawline. (Image courtesy of New York Center for Facial Plastic & Laser Surgery)

Extended Deep Plane Facelift Patient Before & After: This middle aged woman had an extended deep plane facelift procedure performed by Dr. Andrew Jacono, which included the restoration of the extended arc of a youthful jawline. (Image courtesy of New York Center for Facial Plastic & Laser Surgery)

In a new study published in Aesthetic Surgery Journal, Andrew Jacono, MD, FACS, and director of the New York Center for Facial Plastic & Laser Surgery, unveils an advanced surgical technique that he suggests could help restore the youthful arc of a feminine jawline.

The study focuses on repositioning excess soft tissue to the back portion of the jaw to restore the contour and volume that creates the arc of a youthful feminine jawline. As we age, soft tissues of the face droop, creating jowls that hide the jawline while there is also a loss of volume over the jaw towards the ear, making the jawline appear shorter and puffier. Until now, facelifts have focused on rejuvenating the fallen jowls, failing to restore the extended arc of a youthful jawline which has come to represent an integral part of the feminine ideal.

In this study, this “arc” is defined as the Mandibular Defining Line (MDL), a new anatomic metric in evaluating the continuous, lower jawline contour from the chin to under the ear. The technique produces a 2.8 cm increase in length of the jawline, on average, re-lengthening the jawline that becomes truncated with age, explains a media release from the New York Center for Facial Plastic & Laser Surgery.

“Although today’s facelifting methods are able to remove jowls, the well-defined lower jawline of youth is not recreated. An easy way to pinpoint someone’s age regardless of whether they have undergone a facelift is to look at the length of their jawline,” Jacono says. “With this new technique, we now have the ability to create a defined, plush jawline from chin to ear. This adds length to the natural arc of youth, thus extending the MDL.”

The study included 203 consecutive patients that underwent extended deep plane facelifts with rotational flap modification. There was a mean increase in the length of the MDL from 7.1 cm preoperatively to 9.9 cm postoperatively. Postoperative imaging was performed using the VECTRA M3 Imaging System, which creates lifelike, high-resolution, three-dimensional renderings of aesthetic procedures, per the release.

[Source(s): New York Center for Facial Plastic & Laser Surgery, PR Newswire]

Study: Google Placement Favors Physicians’ Social Media Presence–Not Smarts and Skills

Patients find plastic surgeons based on their popularity online and often ignore their experience, expertise, and ability, suggests a study published in the Aesthetic Surgery Journal, one of the two official publications of the American Society for Aesthetic Plastic Surgery (ASAPS/The Aesthetic Society).

In the study, researchers conducted a Google.com search in the top 25 United States metropolitan areas to identify the top 20 websites of board-certified plastic surgeons. Social media presence was quantified by tracking the number of followers on Facebook, Twitter, and Instagram for every surgeon, as well as medical school and year of graduation.

Through a multivariate logistic regression analysis, it became evident that the total number of social media followers is associated with Google first-page placement, while medical school ranking and years in practice, were not, explains a media release from ASAPS.

“Surprisingly, Google is delivering patients style (online social media presence), over substance (academic pedigree, years of experience, etc), which is a bit disconcerting,” states Dr Clark F. Schierle, MD, PhD, FACS, an author of the study.

“Google’s current algorithms are fueling the transition to this new business model, which means that patients believe a first-page ranking on Google is more important than a physician’s experience, expertise, and ability,” he notes.

The study shows what Schierle and his co-authors have suspected for some time, that the old paradigm of patients finding plastic surgeons through referrals, word-of-mouth, a surgeon’s reputation, and academic pedigree is over. Having a strong social media following is what now drives patients into plastic surgeons’ offices, the release continues.

Patients have increasingly been using online resources to make healthcare decisions and have a tendency to trust and value the ratings that providers receive online. As the understanding and use of social media has grown, it has become a natural marketing venue for providers of aesthetic surgery due to its low cost and ability to reach a wide audience.

The proliferation of preoperative and postoperative photos, intraoperative videos, and graphic explanations of the procedures offered appeals to many potential patients, as evidenced by many of the hugely popular social media accounts belonging to aesthetic surgery providers.

“This also raises questions regarding professional etiquette on these social media channels, especially in light of some aesthetic providers’ harmful behavior,” Schierle concludes in the release.

[Source(s): American Society for Aesthetic Plastic Surgery, PR Newswire]

ASAPS Study Reveals Characteristics of Ideal Thigh in Women

Findings from a recent study published in the Aesthetic Surgery Journal, the official publication of the American Society for Aesthetic Plastic Surgery (ASAPS/The Aesthetic Society), finds that characteristics of the aesthetically ideal thigh in women include wider thighs, creating a more natural contour from the augmented buttock.

These findings represent a fundamental shift from the traditionally assumed preference for slender thighs and demonstrate the importance for plastic surgeons to consider thigh appearance and augmentation when performing gluteal procedures.

Last year, there were more than 1.5 million aesthetic surgical procedures performed in the United States. As modern aesthetic trends shift to fuller, more dramatic curves, the number of gluteal augmentations also continue to rise. In 2017, more than 25,000 buttock augmentation procedures were performed—an increase of more than 25% from the previous year. Yet, there is little research available to inform patients and surgeons about the impact that thigh shape and size can have on the overall aesthetic after a buttock augmentation. To predict positive outcomes for this procedure, the authors performed the first population analysis of thigh characteristics that men and women view as aesthetically attractive.

Using images from the operative photos of a 27-year-old female patient, the surgeons digitally altered the images to create thighs of varying proportions and angles. These images were surveyed among a diverse group of men and women from the US and abroad. Of those surveyed, 54.4% of respondents were male and 45.6% were female, with all age groups and ethnicities represented. The data received concluded that contrary to traditional aesthetic perceptions, respondents preferred the thigh option with a thigh-buttock junction angle of 170 degrees and thus the widest thigh base with more than 43% preferring it overall.

“Trends in cosmetic nonsurgical and surgical procedures have been leaning towards more pronounced, curvier aesthetics for quite some time now, so this doesn’t come as a surprise,” states W. Grant Stevens, MD, president of The Aesthetic Society and an author of the study, in a media release from ASAPS. “Further, balance and harmony have always been in vogue, so if you enhance the size/shape of one feature, it makes sense to balance that enhancement out with nearby features as needed,” he explains.

While many have described detailed guidelines for surgical approaches to gluteal augmentation, the thigh, though in immediate proximity to the buttock and playing a significant role in its appearance, has been neglected by researchers. By surveying a diverse group of individuals, the authors seek to begin to establish population-based guidelines for the ideal thigh and improve outcomes and patient satisfaction for gluteal procedures.

[Source(s): American Society for Aesthetic Plastic Surgery, PR Newswire]