Biomedical subjects

John P Fezza

Publications and source records attributed to John P Fezza.

4 recordsLinked to original sources

PubMed2006

Laserbrasion: the combination of carbon dioxide laser and dermasanding.

BACKGROUND: The purpose of this study was to assess the efficacy of laserbrasion (the combination of carbon dioxide laser and dermasanding) in the removal of heavy perioral wrinkles. METHODS: Ninety patients underwent laserbrasion for treatment of heavy perioral wrinkles. They were assessed clinically by the surgeon and staff for wrinkle reduction, healing, and complications. A subset of 26 patients was followed for more than 1 year to assess long-term effects, especially hypopigmentation. RESULTS: Laserbrasion was successful in reducing 95 percent of heavy perioral wrinkles as compared with 75 percent seen previously with laser alone. No complications were noted with laserbrasion, and there was no significant long-term hypopigmentation. Healing time was quicker for laserbrasion (9 days) than for laser alone (12 days). CONCLUSIONS: Laserbrasion is an effective and safe method of reducing deep perioral wrinkles. The technique is easy to perform and inexpensive for the laser surgeon. Laserbrasion can yield better results than the laser alone and has the added benefit of a shorter healing time.

Acyclovir↗

PubMed2004

Advanta implants.

Advanta is a new expanded polytetrafluoroethylene implant with dual porosity that can be used to enhance facial features. It is marketed for use in the areas of the nasolabial folds, marionette lines, and glabella and also to augment lips. Advanta implants provide a quick and effective method for facial augmentation. The implants feel soft and natural and the complication rate is low.

Female↗

PubMed2003

Lip augmentation using eyelid tissue from upper blepharoplasty surgery.

PURPOSE: To study the efficacy of eyelid tissue removed during upper eyelid blepharoplasty as a filler graft to augment lips. METHODS: A prospective study involving 14 female patients who underwent lip enhancement with eyelid tissue. All patients underwent CO2 laser upper eyelid blepharoplasty and desired fuller lips. The eyelid tissue was deepithelialized with the CO2 laser before implantation in the lips. Patients were followed for 6 months, and an objective grading scale based on photographs was used to assess outcomes. RESULTS: In each case, the patient's lips were substantially fuller at 6 months after surgery. Patients were pleased with the natural feel and appearance of their lips. One patient had a bacterial infection, which was successfully treated with oral antibiotics. CONCLUSIONS: Eyelid tissue from upper blepharoplasty surgery provides a quick, economical and natural method to enhance lip volume.

Adult↗

PubMed2002

The use of aerosolized fibrin glue in face-lift surgery.

The purpose of this study was to report the use of aerosolized fibrin glue in face-lift surgery. A prospective study was conducted of 48 patients undergoing face-lift surgery sequentially assigned into two groups. The first 24 patients underwent face lifts without glue and the next 24 patients with the use of aerosolized fibrin glue. One surgeon (J.P.F.) performed all the face lifts using the same technique. Drains were only used in those patients who did not receive fibrin glue. The amount of bruising and edema was compared in the two groups, as was the incidence of complications, such as hematomas. Operating time was also assessed in the two groups. The patients in whom glue was used had significantly less bruising and swelling (p < 0.0001), with a more rapid healing response. The risk of hematoma was also less with the use of glue (0 percent) than without glue (8.3 percent), but this was not statistically significant (p = 0.489). Another benefit was that drains were not needed when glue was used. Operating times were shorter by 13.3 minutes with the use of glue (p < 0.0001). Aerosolized fibrin glue has great promise in improving face-lift results, with excellent outcomes and fewer complications. The added cost of the glue is partially offset by an expedited patient recovery period without the need for drains.

Aerosols↗