The Experts below are selected from a list of 1284 Experts worldwide ranked by ideXlab platform
Douglas K. Ousterhout - One of the best experts on this subject based on the ideXlab platform.
-
first female to male facial confirmation surgery with description of a new procedure for masculinization of the thyroid Cartilage adam s apple
Plastic and Reconstructive Surgery, 2017Co-Authors: Jordan C Deschampsbraly, Caitlin L Sacher, Jennifer Fick, Douglas K. OusterhoutAbstract:Although male-to-female transgender patients commonly seek facial feminization surgery, facial masculinization surgery in the female-to-male transgender population is unreported in the literature. This report documents the first known female-to-male facial masculinization surgery, including a new technique for creating an "Adam's apple" to enhance the facial masculine appearance of a natal female. The authors "reversed" the methods typically used to feminize male facial features, and modified the forehead, nose, and chin to masculinize the patient's natal female facial features. The authors devised a novel technique to augment the thyroid Cartilage using autologous Rib Cartilage to create a visible Adam's apple. Initially, masculinization of the chin was accomplished with a multisegment chin osteotomy with grafts to vertically expand and widen the chin along with correcting pronounced microgenia. Subsequently, a second facial masculinization procedure was performed to masculinize the forehead, nose, and thyroid Cartilage. Rib Cartilage was harvested and carved into an appropriately shaped thyroid Cartilage onlay graft and then attached and integrated with the native thyroid Cartilage, creating a fully mobile Cartilage that translocates up and down with swallowing and a visible Adam's apple. Previously descRibed techniques to masculinize the facial features of natal male patients were adapted to masculinize the female-to-male patient. Those procedures were combined with the novel technique to create a visually perceptible and naturally mobile Adam's apple in the female-to-male transsexual patient. Collectively, these descRibed procedures can now provide most female-to-male transsexual patients with a satisfying transformation of their facial features.Therapeutic, V.
-
first female to male facial confirmation surgery with description of a new procedure for masculinization of the thyroid Cartilage adam s apple
Plastic and Reconstructive Surgery, 2017Co-Authors: Jordan C Deschampsbraly, Caitlin L Sacher, Jennifer Fick, Douglas K. OusterhoutAbstract:Although male-to-female transgender patients commonly seek facial feminization surgery, facial masculinization surgery in the female-to-male transgender population is unreported in the literature. This report documents the first known female-to-male facial masculinization surgery, including a new technique for creating an "Adam's apple" to enhance the facial masculine appearance of a natal female. The authors "reversed" the methods typically used to feminize male facial features, and modified the forehead, nose, and chin to masculinize the patient's natal female facial features. The authors devised a novel technique to augment the thyroid Cartilage using autologous Rib Cartilage to create a visible Adam's apple. Initially, masculinization of the chin was accomplished with a multisegment chin osteotomy with grafts to vertically expand and widen the chin along with correcting pronounced microgenia. Subsequently, a second facial masculinization procedure was performed to masculinize the forehead, nose, and thyroid Cartilage. Rib Cartilage was harvested and carved into an appropriately shaped thyroid Cartilage onlay graft and then attached and integrated with the native thyroid Cartilage, creating a fully mobile Cartilage that translocates up and down with swallowing and a visible Adam's apple. Previously descRibed techniques to masculinize the facial features of natal male patients were adapted to masculinize the female-to-male patient. Those procedures were combined with the novel technique to create a visually perceptible and naturally mobile Adam's apple in the female-to-male transsexual patient. Collectively, these descRibed procedures can now provide most female-to-male transsexual patients with a satisfying transformation of their facial features. CLINICAL QUESTION/LEVEL OF EVIDENCE Therapeutic, V.
Jordan C Deschampsbraly - One of the best experts on this subject based on the ideXlab platform.
-
first female to male facial confirmation surgery with description of a new procedure for masculinization of the thyroid Cartilage adam s apple
Plastic and Reconstructive Surgery, 2017Co-Authors: Jordan C Deschampsbraly, Caitlin L Sacher, Jennifer Fick, Douglas K. OusterhoutAbstract:Although male-to-female transgender patients commonly seek facial feminization surgery, facial masculinization surgery in the female-to-male transgender population is unreported in the literature. This report documents the first known female-to-male facial masculinization surgery, including a new technique for creating an "Adam's apple" to enhance the facial masculine appearance of a natal female. The authors "reversed" the methods typically used to feminize male facial features, and modified the forehead, nose, and chin to masculinize the patient's natal female facial features. The authors devised a novel technique to augment the thyroid Cartilage using autologous Rib Cartilage to create a visible Adam's apple. Initially, masculinization of the chin was accomplished with a multisegment chin osteotomy with grafts to vertically expand and widen the chin along with correcting pronounced microgenia. Subsequently, a second facial masculinization procedure was performed to masculinize the forehead, nose, and thyroid Cartilage. Rib Cartilage was harvested and carved into an appropriately shaped thyroid Cartilage onlay graft and then attached and integrated with the native thyroid Cartilage, creating a fully mobile Cartilage that translocates up and down with swallowing and a visible Adam's apple. Previously descRibed techniques to masculinize the facial features of natal male patients were adapted to masculinize the female-to-male patient. Those procedures were combined with the novel technique to create a visually perceptible and naturally mobile Adam's apple in the female-to-male transsexual patient. Collectively, these descRibed procedures can now provide most female-to-male transsexual patients with a satisfying transformation of their facial features.Therapeutic, V.
-
first female to male facial confirmation surgery with description of a new procedure for masculinization of the thyroid Cartilage adam s apple
Plastic and Reconstructive Surgery, 2017Co-Authors: Jordan C Deschampsbraly, Caitlin L Sacher, Jennifer Fick, Douglas K. OusterhoutAbstract:Although male-to-female transgender patients commonly seek facial feminization surgery, facial masculinization surgery in the female-to-male transgender population is unreported in the literature. This report documents the first known female-to-male facial masculinization surgery, including a new technique for creating an "Adam's apple" to enhance the facial masculine appearance of a natal female. The authors "reversed" the methods typically used to feminize male facial features, and modified the forehead, nose, and chin to masculinize the patient's natal female facial features. The authors devised a novel technique to augment the thyroid Cartilage using autologous Rib Cartilage to create a visible Adam's apple. Initially, masculinization of the chin was accomplished with a multisegment chin osteotomy with grafts to vertically expand and widen the chin along with correcting pronounced microgenia. Subsequently, a second facial masculinization procedure was performed to masculinize the forehead, nose, and thyroid Cartilage. Rib Cartilage was harvested and carved into an appropriately shaped thyroid Cartilage onlay graft and then attached and integrated with the native thyroid Cartilage, creating a fully mobile Cartilage that translocates up and down with swallowing and a visible Adam's apple. Previously descRibed techniques to masculinize the facial features of natal male patients were adapted to masculinize the female-to-male patient. Those procedures were combined with the novel technique to create a visually perceptible and naturally mobile Adam's apple in the female-to-male transsexual patient. Collectively, these descRibed procedures can now provide most female-to-male transsexual patients with a satisfying transformation of their facial features. CLINICAL QUESTION/LEVEL OF EVIDENCE Therapeutic, V.
Jack P Gunter - One of the best experts on this subject based on the ideXlab platform.
-
secondary rhinoplasty and the use of autogenous Rib Cartilage grafts
Clinics in Plastic Surgery, 2010Co-Authors: Spencer C Cochran, Jack P GunterAbstract:Postoperative rhinoplasty deformities--such as displacement or distortion of anatomic structures, inadequate surgery resulting in under-resection of the nasal framework, or over-resection caused by overzealous surgery--require a secondary rhinoplasty. Success in secondary rhinoplasty, therefore, relies on an accurate clinical diagnosis and analysis of the nasal deformities, a thorough operative plan to address each abnormality, and a meticulous surgical technique. Septal Cartilage is the grafting material of choice for rhinoplasty; however, auricular Cartilage and Rib Cartilage are used in secondary rhinoplasty. This article discusses the steps involved in the external approach to secondary rhinoplasty.
-
dorsal augmentation with autogenous Rib Cartilage
Seminars in Plastic Surgery, 2008Co-Authors: Jack P Gunter, Spencer C Cochran, Vincent P MarinAbstract:Reconstruction of the nasal osseocartilaginous framework is the foundation of successful primary and secondary rhinoplasty. When adequate septal Cartilage is unavailable, the Rib provides the most abundant source of Cartilage for graft fabrication and is the most reliable when structural support is needed. We present the senior author's (J.P.G.) experience and evolution of techniques of dorsal augmentation with autogenous Rib Cartilage grafts with internal K-wire stabilization in rhinoplasty.
-
the tripod concept for correcting nasal tip Cartilages
Aesthetic Surgery Journal, 2004Co-Authors: Jack P Gunter, Yung L YuAbstract:In treating nasal-tip deformities, the authors use the tripod concept to anatomically simulate the paired lower lateral Cartilage complexes. They recommend using Rib Cartilage to obtain predictable and reproducible results.
-
the rate of warping in irradiated and nonirradiated homograft Rib Cartilage a controlled comparison and clinical implications
Plastic and Reconstructive Surgery, 1999Co-Authors: William P Adams, Jack P Gunter, Rod J Rohrich, Cliff P Clark, Jack B RobinsonAbstract:Irradiated homograft costal Cartilage reportedly warps less than autologous Cartilage based on clinical observation; however, no controlled, experimental studies on the warping characteristics of irradiated homograft costal Cartilage have been done. Fresh cadaver costal Cartilage (Ribs 5 through 8) was prepared and irradiated using a standardized technique. A specially designed Cartilage-cutting device was used to cut the Cartilage into a reproducible size. The irradiated (n = 23) and nonirradiated (n = 20) groups were incubated in vitro and assessed over a 4-week period. There was no significant difference in warping between the irradiated and nonirradiated groups (p = 0.1). The centrally cut pieces of Cartilage in each group warped less than peripherally cut blocks in each group. Peripherally cut pieces of both the irradiated and nonirradiated groups warped at a faster rate compared with the nonirradiated groups. All Cartilage exhibited continued warping over the 4-week study period. We concluded that there was no difference in warping characteristics between irradiated and nonirradiated homograft Rib Cartilage. Furthermore, unlike previous studies, Cartilage grafts continued warping over time for at least 4 weeks, and this phenomenon may be extrapolated as a causative factor in delayed postoperative nasal deviation after rhinoplasty and nasal reconstruction where Rib grafts are used.
-
internal stabilization of autogenous Rib Cartilage grafts in rhinoplasty a barrier to Cartilage warping
Plastic and Reconstructive Surgery, 1997Co-Authors: Jack P Gunter, Clifford P Clark, Ronald M FriedmanAbstract:Abstract Autogenous Rib Cartilage grafts have gained more widespread use in rhinoplasty as dorsal onlay grafts and columellar struts. However, the usefulness of Rib as a donor site has been limited by difficulties with postoperative Cartilage warping. We hypothesized that the internal stabilization of Rib Cartilage grafts with Kirschner wires would prevent warping. The costochondral Cartilages of a fresh cadaver were harvested and carved into 4 x 10 x 40 nm blocks. A single 0.035-in K-wire was placed longitudinally into the center of each of the study specimens (n = 9), whereas no internal stabilization was utilized in the control group (n = 9). Over a 10-day study period, a mean of 2.2 degrees of warping was observed in the grafts with K-wires as compared to 8.9 degrees in the control group. This indicates that internal stabilization of Rib grafts significantly reduces warping (p < 0.001). In a subsequent clinical study, 28 patients underwent placement of internally stabilized columellar struts (n = 19) and/or dorsal nasal grafts (n = 12) using autogenous Rib Cartilage. At a mean follow-up of 13.5 months (range 3 to 36 months), graft warping was not observed in any patient. Satisfactory aesthetic results were achieved in all but one patient, in whom mild displacement of a dorsal onlay graft occurred. Palatal extrusion of the K-wire occurred in 3 of the first 9 columellar struts. This prompted an alteration in technique with no subsequent extrusions. We conclude that the internal stabilization of autogenous Rib Cartilage grafts with K-wires effectively prevents graft warpage.
Caitlin L Sacher - One of the best experts on this subject based on the ideXlab platform.
-
first female to male facial confirmation surgery with description of a new procedure for masculinization of the thyroid Cartilage adam s apple
Plastic and Reconstructive Surgery, 2017Co-Authors: Jordan C Deschampsbraly, Caitlin L Sacher, Jennifer Fick, Douglas K. OusterhoutAbstract:Although male-to-female transgender patients commonly seek facial feminization surgery, facial masculinization surgery in the female-to-male transgender population is unreported in the literature. This report documents the first known female-to-male facial masculinization surgery, including a new technique for creating an "Adam's apple" to enhance the facial masculine appearance of a natal female. The authors "reversed" the methods typically used to feminize male facial features, and modified the forehead, nose, and chin to masculinize the patient's natal female facial features. The authors devised a novel technique to augment the thyroid Cartilage using autologous Rib Cartilage to create a visible Adam's apple. Initially, masculinization of the chin was accomplished with a multisegment chin osteotomy with grafts to vertically expand and widen the chin along with correcting pronounced microgenia. Subsequently, a second facial masculinization procedure was performed to masculinize the forehead, nose, and thyroid Cartilage. Rib Cartilage was harvested and carved into an appropriately shaped thyroid Cartilage onlay graft and then attached and integrated with the native thyroid Cartilage, creating a fully mobile Cartilage that translocates up and down with swallowing and a visible Adam's apple. Previously descRibed techniques to masculinize the facial features of natal male patients were adapted to masculinize the female-to-male patient. Those procedures were combined with the novel technique to create a visually perceptible and naturally mobile Adam's apple in the female-to-male transsexual patient. Collectively, these descRibed procedures can now provide most female-to-male transsexual patients with a satisfying transformation of their facial features.Therapeutic, V.
-
first female to male facial confirmation surgery with description of a new procedure for masculinization of the thyroid Cartilage adam s apple
Plastic and Reconstructive Surgery, 2017Co-Authors: Jordan C Deschampsbraly, Caitlin L Sacher, Jennifer Fick, Douglas K. OusterhoutAbstract:Although male-to-female transgender patients commonly seek facial feminization surgery, facial masculinization surgery in the female-to-male transgender population is unreported in the literature. This report documents the first known female-to-male facial masculinization surgery, including a new technique for creating an "Adam's apple" to enhance the facial masculine appearance of a natal female. The authors "reversed" the methods typically used to feminize male facial features, and modified the forehead, nose, and chin to masculinize the patient's natal female facial features. The authors devised a novel technique to augment the thyroid Cartilage using autologous Rib Cartilage to create a visible Adam's apple. Initially, masculinization of the chin was accomplished with a multisegment chin osteotomy with grafts to vertically expand and widen the chin along with correcting pronounced microgenia. Subsequently, a second facial masculinization procedure was performed to masculinize the forehead, nose, and thyroid Cartilage. Rib Cartilage was harvested and carved into an appropriately shaped thyroid Cartilage onlay graft and then attached and integrated with the native thyroid Cartilage, creating a fully mobile Cartilage that translocates up and down with swallowing and a visible Adam's apple. Previously descRibed techniques to masculinize the facial features of natal male patients were adapted to masculinize the female-to-male patient. Those procedures were combined with the novel technique to create a visually perceptible and naturally mobile Adam's apple in the female-to-male transsexual patient. Collectively, these descRibed procedures can now provide most female-to-male transsexual patients with a satisfying transformation of their facial features. CLINICAL QUESTION/LEVEL OF EVIDENCE Therapeutic, V.
Jennifer Fick - One of the best experts on this subject based on the ideXlab platform.
-
first female to male facial confirmation surgery with description of a new procedure for masculinization of the thyroid Cartilage adam s apple
Plastic and Reconstructive Surgery, 2017Co-Authors: Jordan C Deschampsbraly, Caitlin L Sacher, Jennifer Fick, Douglas K. OusterhoutAbstract:Although male-to-female transgender patients commonly seek facial feminization surgery, facial masculinization surgery in the female-to-male transgender population is unreported in the literature. This report documents the first known female-to-male facial masculinization surgery, including a new technique for creating an "Adam's apple" to enhance the facial masculine appearance of a natal female. The authors "reversed" the methods typically used to feminize male facial features, and modified the forehead, nose, and chin to masculinize the patient's natal female facial features. The authors devised a novel technique to augment the thyroid Cartilage using autologous Rib Cartilage to create a visible Adam's apple. Initially, masculinization of the chin was accomplished with a multisegment chin osteotomy with grafts to vertically expand and widen the chin along with correcting pronounced microgenia. Subsequently, a second facial masculinization procedure was performed to masculinize the forehead, nose, and thyroid Cartilage. Rib Cartilage was harvested and carved into an appropriately shaped thyroid Cartilage onlay graft and then attached and integrated with the native thyroid Cartilage, creating a fully mobile Cartilage that translocates up and down with swallowing and a visible Adam's apple. Previously descRibed techniques to masculinize the facial features of natal male patients were adapted to masculinize the female-to-male patient. Those procedures were combined with the novel technique to create a visually perceptible and naturally mobile Adam's apple in the female-to-male transsexual patient. Collectively, these descRibed procedures can now provide most female-to-male transsexual patients with a satisfying transformation of their facial features.Therapeutic, V.
-
first female to male facial confirmation surgery with description of a new procedure for masculinization of the thyroid Cartilage adam s apple
Plastic and Reconstructive Surgery, 2017Co-Authors: Jordan C Deschampsbraly, Caitlin L Sacher, Jennifer Fick, Douglas K. OusterhoutAbstract:Although male-to-female transgender patients commonly seek facial feminization surgery, facial masculinization surgery in the female-to-male transgender population is unreported in the literature. This report documents the first known female-to-male facial masculinization surgery, including a new technique for creating an "Adam's apple" to enhance the facial masculine appearance of a natal female. The authors "reversed" the methods typically used to feminize male facial features, and modified the forehead, nose, and chin to masculinize the patient's natal female facial features. The authors devised a novel technique to augment the thyroid Cartilage using autologous Rib Cartilage to create a visible Adam's apple. Initially, masculinization of the chin was accomplished with a multisegment chin osteotomy with grafts to vertically expand and widen the chin along with correcting pronounced microgenia. Subsequently, a second facial masculinization procedure was performed to masculinize the forehead, nose, and thyroid Cartilage. Rib Cartilage was harvested and carved into an appropriately shaped thyroid Cartilage onlay graft and then attached and integrated with the native thyroid Cartilage, creating a fully mobile Cartilage that translocates up and down with swallowing and a visible Adam's apple. Previously descRibed techniques to masculinize the facial features of natal male patients were adapted to masculinize the female-to-male patient. Those procedures were combined with the novel technique to create a visually perceptible and naturally mobile Adam's apple in the female-to-male transsexual patient. Collectively, these descRibed procedures can now provide most female-to-male transsexual patients with a satisfying transformation of their facial features. CLINICAL QUESTION/LEVEL OF EVIDENCE Therapeutic, V.