• Title/Summary/Keyword: Skin lift

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Granuloma Formation, a Rare Complication after PDO Threads Lifting, and Adjuvant Treatment Using Dual-Frequency Ultrasound (LDM®-MED)

  • Hong, Seok Won;Park, Eun Soo
    • Medical Lasers
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    • v.8 no.1
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    • pp.35-38
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    • 2019
  • Thread-lifting is a minimally invasive procedure that shows good results and fewer complications as compared with those results and complications of standard surgery. Many procedures and techniques have been developed to create a younger appearance of facial/neck skin for aging people, and the demand for an improved aesthetic appearance is increasing. Since the incidence of side effects is much less than that of non-absorbable threads, which can lead to complications such as foreign body reactions, polydioxanone (PDO) threads are predominantly used for face lift procedures. A 66-year-old woman presented to our clinic with inflamed palpable masses. She had undergone a face lift with absorbable threads in our clinic 5 months previously. Excisional biopsy was performed with the patient under local anesthesia. During the operation, any threads were not detected and there was both fibrotic scar tissue and granulomatous tissue. For effectively promoting healing and managing the scars, treatment with LDM®-MED was performed on the day after surgery. The treatment was performed according to the author's protocol. Although foreign body granuloma as a complication after using non-absorbable thread types have been previously reported, it is relatively rare to find this type of complication after using absorbable thread. In this report, we present a case in which a 66-year-old female with foreign body granuloma after undergoing a face lift using absorbable threads was treated with the application of dual-frequency ultrasound, which promoted wound healing.

Strategies of upper blepharoplasty in aging patients with involutional ptosis

  • Lee, Tae-Yul;Shin, Yong Ho;Lee, Jin Gyu
    • Archives of Plastic Surgery
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    • v.47 no.4
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    • pp.290-296
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    • 2020
  • In many aging individuals, dermatochalasis and involutional ptosis appear together. Therefore, for functional and aesthetic purposes, ptosis correction and upper blepharoplasty are performed together. The aim of this article is to investigate factors that should be considered in order to achieve good results when simultaneously performing involutional ptosis correction and upper blepharoplasty in aging patients. Involutional ptosis is usually corrected through aponeurosis advancement in mild cases. In moderate or severe ptosis, the Muller muscle and aponeurosis are used together to correct ptosis. Using the two muscles together has the advantages of reducing lagophthalmos and increasing the predictability of outcomes after surgery. Broadly speaking, the surgical method used for involutional ptosis varies depending on the specific case, but unlike congenital ptosis, it is often not necessary to perform overcorrection. In particular, if there are problems such as severe dry-eye symptoms or risk of lagophthalmos, undercorrection should be considered. When performing ptosis correction, the surgeon should be careful not to overdo skin excision; instead, limited excision should be performed. After ptosis surgery, the brow may descend and the double fold may look too small. However, in order to make the double eyelids look larger, the surgeon should consider making the double eyelid design high rather than excising an excessive amount of skin. In some cases, to obtain more natural double eyelids and favorable results, it may be necessary to perform a sub-brow lift or forehead lift before or after involutional ptosis surgery.

Inspection of Welded Zone and Flat Plate Using Flexible ECA Probe (Flexible ECA Probe를 이용한 평판 및 용접부 검사)

  • Lee, Chang-Jun;Lee, Kyu Sung;Shin, Chung-Ho;Lee, Kyoung-Jun;Jang, Yoon Young
    • Journal of the Korean Society for Nondestructive Testing
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    • v.36 no.4
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    • pp.288-294
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    • 2016
  • This paper aims to compare the ability to detect notch defects existing in the plate and welded area using a flexible ECA (eddy current array) probe with OmniScan MX and MS-5800E. The characteristics of signals with various frequencies and lift-offs were also compared. As a result, when signals of frequencies 500, 1000, and 1500 kHz were used, the amplitude of the signal increased, as the depth of the notch increased, but reduced linearly in accordance with the lift-off variation. In addition, the detection sensitivity of the weld defect was found to be closely related to the contact surface of the probe and specimen. In this paper, it was demonstrated that the detection sensitivity was excellent when the contact surface of the probe and the specimen was sufficient, but it was poor when the contact surface was insufficient.

A Numerical Study on Flows Over Two-Dimensional Simplified Vehicle-Like Body (단순화된 2차원 자동차형 물체주위 유동에 관한 수치해석적 연구)

  • 강신형;이영림;유정열;이택시;김응서
    • Transactions of the Korean Society of Mechanical Engineers
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    • v.13 no.2
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    • pp.277-286
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    • 1989
  • Turbulent flows around two-dimensional vehicle-like bodies in ground proximity are numerically simulated. The Reynolds averaged Navier-Stokes equations with a k-.epsilon. turbulence model are numercally solved, and a body-fitted coordinate system is used. It is shown that the simulation is acceptable in comparison with limitted data measured in the wind-tunnel. According to numerical simulations, drag coefficients are under-estimated and lift coefficients are over-estimated during the model test in the wind-tunnel if the ground is fixed. Such ground effects are reduced as Reynolds number is increased. Reducing the gap between the vehicle and the ground make drag coefficients smaller and lift coefficients larger. The changes in static pressure distributions on the bottom and the rear surface play dominent roles in determination of the drag and the lift of the body in ground proximity. Drag component less than 10% of the total amount is contributed by skin-frictions. When the slant-angle of the body is reduced, the drag shows its minimum value and the lift shows its maximum value at about 22 degree.

A New Complex Minimally Invasive Thread Lift Method for One-Time Three-Step Fixation of the Face and Neck Soft Tissues

  • Zhukova, Olga;Dydykin, Sergey;Kubikova, Eliska;Markova, Natalia;Vasil'ev, Yuriy;Kapitonova, Marina
    • Archives of Plastic Surgery
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    • v.49 no.3
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    • pp.296-303
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    • 2022
  • Background In recent years thread lift has become widespread; however, existing methods need to improve their long-term outcome, which requires considering topographic anatomy of face and neck, especially the ligamentous apparatus. This study aims to assess the effectiveness and safety of an innovative method of one-time three-step thread facelift, which provides an additional support to the ligamentous structures of the upper, middle, and lower thirds of the face and neck. Methods The study included 357 patients aged 32 to 67 years with various morphotypes of aging. The original method of thread lift was applied, and its effectiveness was followed up for to 2 years. The Wrinkle Severity Rating Score (WSRS) and Global Aesthetic Improvement Scale (GAIS) scores were used for assessment by investigators, independent observers, and patients. Statistical significance was determined using paired t-test and chi-square test. Results The mean WSRS score was 3.88 ± 0.88 before the thread lift, 1.93 ± 0.81 one month after the procedure, and 2.36 ± 0.85 after 2 years of follow-up. The mean GAIS was 4.80 ± 0.04 one month after thread lift, and 4.01 ± 0.04 after 2 years, while in the patients' assessment Global Satisfaction Scale was 4.86 ± 0.02 and 4.10 ± 0.02, respectively. There were no clinically significant complications throughout the observation period. Conclusion The new method of one-time three-step thread fixation of the soft tissues of the face and neck demonstrated a high degree of satisfaction by both experts and patients after 2 years of follow-up. It showed high efficacy and safety, including in the group of patients with pronounced age-related changes of the skin of face and neck.

Analyse of characteristic of Eddy current sensor using Boundary Element Method (경계요소해석을 이용한 와전류 센서의 특성 해석)

  • Yoon, Man-Sik;Choi, Duck-Su;Yang, Gyu-Chang;Lee, Hyang-Beom;Park, Seung-Han
    • Proceedings of the KIEE Conference
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    • 2002.07b
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    • pp.697-699
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    • 2002
  • In this paper, the characteristics analysis of the eddy current sensor by using boundary element method package is presented. For the boundary element analysis. Faraday, which is the commercial package of the integrated engineering software, is used. To observe the impedance characteristic of the eddy current senor with the sensor position and lift-off, the eddy current testing analysis is performed on the ferromagnetic plate with defect. Considering the skin depth of the ferromagnetic specimen, the 800(Hz) driving source is chosen. The result shows that electro motive force is reduced as the probe moves to near the defect and the lift-off of the probe increases.

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The Efficacy of Korean Herbal Cosmetics for Facial Skin Elasticity (한방화장품이 안면부의 탄력 개선에 미치는 영향)

  • Kim, Min-Hee;Yun, Young-Hee;Cho, Ga-Young;Choi, In-Hwa
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.25 no.3
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    • pp.150-159
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    • 2012
  • Objective : The purpose of this study was to evaluate the effect of korean herbal cosmetics for facial skin elasticity. Methods : We recruited patients and divided them to cosmetics group and control group randomly. We provided korean herbal cosmetics to cosmetics group and subjects in cosmetics group applied the provided cosmetics for 4 weeks. Control group waited and applied cosmetics that had previously used for 4 weeks. We assessed all subjects in 0 week, 2 weeks and 4 weeks. Primary assessment instrument was moire topography photo scale. Second assessment instrument was skin moisture, oiliness and elasticity which assessed with skintouch system v1.0, detox/regeneration questionnaire score and self-evaluating facial wrinkle/looseness score. Result : Moire topography photo scale improved in cosmetics group than control group significantly. Skin moisture and elasticity assessed with skintouch system improved in cosmetics group than control group significantly while skin oiliness assessed with skintouch system have not improved significantly. Detox/regeneration questionnaire score and self-evaluating facial wrinkle/looseness score improved in cosmetics group than control group significantly. Conclusion : Korean herbal cosmetics application might be effective method for facial skin elasticity.

A Study on the Establishment of Proper Metalworking Fluids Supply Method to Reduce the amount Used (절삭유 사용량의 억제를 위한 적절한 공급 방식의 설정을 위한 연구)

  • 강재훈;송준엽;송철원;최종호
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2003.06a
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    • pp.1803-1806
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    • 2003
  • Metalworking fluids (MWFs) are fluids used during machining and grinding to prolong the lift of the tool, carry away debris, and protect the surfaces of work pieces. These fluids reduce friction between the cutting tool and the work surface. reduce wear and galling, protect surface characteristics, reduce surface adhesion or welding and carry away generated heat. Workers can be exposed to MWFs by inhaling aerosols (mists) and by skin contact with the fluid. Skin contact occurs by dipping the hands into the fluid, splashes, or handling workpieces coated with the fluids. The amount of mist generated (and the resulting level of exposure) depends on many factors. To reduce the environmental pollution wastes and the potential health risks associated with occupational exposures to MWFs, it is required to establish optimum MWFs supply method and condition with minimum quantity in all over the mechanical machining field including high-speed type heavy cutting process.

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Design of a morphing actuated aileron with chiral composite internal structure

  • Airoldi, Alessandro;Quaranta, Giuseppe;Beltramin, Alvise;Sala, Giuseppe
    • Advances in aircraft and spacecraft science
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    • v.1 no.3
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    • pp.331-351
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    • 2014
  • The paper presents the development of numerical models referred to a morphing actuated aileron. The structural solution adopted consists of an internal part made of a composite chiral honeycomb that bears a flexible skin with an adequate combination of flexural stiffness and in-plane compliance. The identification of such structural frame makes possible an investigation of different actuation concepts based on diffused and discrete actuators installed in the skin or in the skin-core connection. An efficient approach is presented for the development of aeroelastic condensed models of the aileron, which are used in sensitivity studies and optimization processes. The aerodynamic performances and the energy required to actuate the morphing surface are evaluated and the definition of a general energetic performance index makes also possible a comparison with a rigid aileron. The results show that the morphing system can exploit the fluid-structure interaction in order to reduce the actuation energy and to attain considerable variations in the lift coefficient of the airfoil.

Temple and Postauricular Dissection in Face and Neck Lift Surgery

  • Lee, Joo Heon;Oh, Tae Suk;Park, Sung Wan;Kim, Jae Hoon;Tansatit, Tanvaa
    • Archives of Plastic Surgery
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    • v.44 no.4
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    • pp.261-265
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    • 2017
  • Periauricular paresthesia may afflict patients for a significant amount of time after facelift surgery. When performing face and neck lift surgery, temple and posterior auricular flap dissection is undertaken directly over the auriculotemporal, great auricular, and lesser occipital nerve territory, leading to potential damage to the nerve. The auriculotemporal nerve remains under the thin outer superficial fascia just below the subfollicular level in the prehelical area. To prevent damage to the auriculotemporal nerve and to protect the temporal hair follicle, the dissection plane should be kept just above the thin fascia covering the auriculotemporal nerve. Around the McKinney point, the adipose tissue covering the deep fascia is apt to be elevated from the deep fascia due to its denser fascial relationship with the skin, which leaves the great auricular nerve open to exposure. In order to prevent damage to the posterior branches of the great auricular nerve, the skin flap at the posterior auricular sulcus should be elevated above the auricularis posterior muscle. Fixating the superficial muscular aponeurotic system flap deeper and higher to the tympano-parotid fascia is recommended in order to avoid compromising the lobular branch of the great auricular nerve. The lesser occipital nerve (C2, C3) travels superficially at a proximal and variable level that makes it vulnerable to compromise in the mastoid dissection. Leaving the adipose tissue at the level of the deep fascia puts the branches of the great auricular nerve and lesser occipital nerve at less risk, and has been confirmed not to compromise either tissue perfusion or hair follicles.