2017-18 HSC Section 4 Green Book

Wilson AJ, Chang B, Taglienti AJ, et al. A quantitative analysis of onabotulinumtoxinA, abobotulinumtoxinA, and incobotulinumtoxinA: a randomized, double-blind, prospective clinical trial of comparative dynamic strain reduction. Plast Reconstr Surg . 2016; 137(5):1424-1433. EBM level 2............................................................................................................91-100 Summary : The aim of this study was to perform a direct comparison of the three FDA-approved type A neurotoxins for glabellar motion via a quantitative analysis of strain reduction. The authors cite that direct comparison studies in the literature are limited in many instances to static photography that may be more subjective in nature. Furthermore, the authors suggest that relying upon subjective data may limit our true understanding on how to clinically apply each neurotoxin to a specific area for maximal patient outcomes. E. Rhytidectomy Antell DE, May JM, Bonnano MJ, Lee NY. A comparison of the full and short- scar face-lift incision techniques in multiple sets of identical twins. Plast Reconstr Surg . 2016; 137(6):1707-1714. EBM level 2..............................101-108 Jacono AA, Malone MH, Talei B. Three-dimensional analysis of long-term midface volume change after vertical vector deep-plane rhytidectomy. Aesthet Surg J. 2015; 35(5):491-503. EBM level 4...............................................109-121 Summary : This article establishes vertical vector deep-plane rhytidectomy as an effective means to restoring mid-facial volume loss. Using three-dimensional analysis via the Vectra 3D imaging software, mid-facial volume changes pre- facelift and post-facelift are examined. Also, the surgical anatomy of the cheek fat compartments and operative technique are described. Kandinov A, Mutchnick S, Nangia V, et al. Analysis of factors associated with rhytidectomy malpractice litigation cases. JAMA Facial Plast Surg . 2017; 19(4):255-259. EBM level 5.......................................................................122-126 Summary : This study reviews common reasons for litigation following rhytidectomy. It details the most common judgements in favor of the defendant as well as those in favor of the plaintiff. Insight is given to the surgeon on possible means to avoid litigation. Killion EA, Hyman CH, Hatef DA, et al. A systematic examination of the effect of tissue glues on rhytidectomy complications. Aesthet Surg J . 2015; 35(3):229- 234. EBM level 3........................................................................................127-132 Summary : This meta-analysis reviews the utility of fibrin glue in preventing hematoma after facelift surgery. Previous studies to date, including a meta- analysis, determined minimal benefit likely due to a small sample size. With a much larger patient pool, these authors conclude that fibrin glue may indeed be beneficial in preventing postoperative hematoma but determine no effect on postoperative seroma or ecchymosis. Summary : This study compares the outcomes of short-scar and full-incision facelifts at 1 and 5 years.