About this Research Topic
Facial surgery is a multidisciplinary specialty involving different surgical and nonsurgical techniques which optimize methods for the diagnosis, and management of, some facial conditions. It is based on the knowledge and study of basic, clinical and technological disciplines, whose connection justifies the complimentary joint of the different techniques available in our therapeutic tools.
Facial surgery has changed significantly in the last twenty years, focusing on new concepts and strategies to treat different cases. In all these scenarios, more predictable and more precise modifications can be obtained. Thus, the emerging needs of our patients require new approaches that make surgery for facial alterations, or modifications, an important setting for the surgical discipline in the present and future. In this sense, when the facial surgeon is dealing with patients with facial deformities, patients who want facial masculinization or feminization, patients who desire facial rejuvenation or patients who need a change of facial image, variables related to hard and soft tissues must be considered in conjunction with surgical techniques to achieve the final objectives that in some cases must include the execution of one, two or three surgical procedures to make the results predictable.
In this setting of diverse surgical techniques, the complement of different specialties must interact to define the levels of action on the face established in 1) skin, 2) subcutaneous tissue, 3) muscle tissue and 4) bone tissue. Hard and soft tissue are a complex "master key" in the surgical plan.
Thus, diagnosis and planning involve a study of these 4 levels of action, the definition of the levels as well as the most suitable point at which to do it; then, the therapy requires definition of precision to achieve the aims. For these reasons, innovation and technological advances are needed to improve the overall performance; revolutions with 3D studies show high predictability when procedures involve bone level, but are not totally predictable when the soft tissues are included in the analysis.
The aim of this Research Topic is to obtain the best evidence possible for the facial surgeon in order to understand the scope that facial surgery considers in the current context, to recognize the best diagnostic protocols, to understand the basic determinants for surgical efficiency, and to define the most suitable protocols and techniques for different scenarios and facial conditions.
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