
RealLifeSkin Prosthetics and Alloplastics Audio intro1 This is an audio file for the alloplastic and prosthetics introduction found on the home page.

Operating Room Footage - Harvesting Ear Cartilage for Rhinoplasty Although techniques and methods employed during rhinoplasty surgeries are the same regardless of race, there are some trends that apply to patients of certain ethnic backgrounds. East Asian patients often want their noses to appear narrower. This can be done through the use of infractures, where the nasal bones are broken and moved in or reset to thin out the nasal area and add projection in the process. Outfractures, where the nasal bones are broken and moved outwards, are used to widen a too-narrow dorsum. East Asian patients typically seek augmentation (adding material) of the bridge of their nose which will make the nose appear narrower as well. In Asia, patients typically use a variety of alloplastic implants including Gore-Tex, Med-Por, or silicone. Due to the risks of alloplastic materials, natural materials to the bridge of the nose, such as rib cartilage (costal cartilage) or ear cartilage (auricular cartilage) are being used more commonly. Patients of African descent commonly seek narrowing of wide nostrils. This procedure may include removing sections of the base of the nostrils or sections of the nose where it meets the face. The tip of the nose can be restructured by removing tiny sections of cartilage to give the nose more shape, or even adding cartilage to provide additional structure to the nasal tip.

Ear Prosthetics - Before and After Ear Prosthetic Restorations Patient photos before and after ear prosthetics alloplastic ear restorations. For more information on prosthetic / alloplastic ear and facial reconstruction, visit the Real Life website link above.

How Nose Surgery is Performed - Septoplasty (Rhinoplasty) See 1st hand how nose surgery is performed with Rhinoplasty Specialist Dr. Paul S. Nassif. A world-renowned expert in revision & ethnic rhinoplasty, watch and learn as he performs a Septoplasty. His practice, Spalding Drive Cosmetic Surgery & Dermatology, is located in Beverly Hills, CA. To improve nasal breathing function, a septoplasty may also be performed. If there is turbinate hypertrophy, an inferior turbinectomy can be done. Although techniques and methods employed during rhinoplasty surgeries are the same regardless of race, there are some trends that apply to patients of certain ethnic backgrounds. East Asian patients often want their noses to appear narrower. This can be done through the use of infractures, where the nasal bones are broken and moved in or reset to thin out the nasal area and add projection in the process. Outfractures, where the nasal bones are broken and moved outwards, are used to widen a too-narrow dorsum. East Asian patients typically seek augmentation (adding material) of the bridge of their nose which will make the nose appear narrower as well. In Asia, patients typically use a variety of alloplastic implants including Gore-Tex, Med-Por, or silicone. Due to the risks of alloplastic materials, natural materials to the bridge of the nose, such as rib cartilage (costal cartilage) or ear cartilage (auricular cartilage) are being used more commonly. Patients of African descent commonly seek narrowing of wide ...

Chin Implant Surgery Spalding Chin augmentation Chin augmentation can alter the underlying structure of the face, providing better balance to the facial features. Chin implants may dramatically improve ones profile by correcting a "weak" chin or receding chin due to congenital deficiency, age-related bone resorption or facial trauma. A weak chin can make the nose seem larger or make the neck appear fatty and undefined. Surgeons who specialize in rhinoplasty are often the first to suggest that changes in chin size or shape may enhance a profile as much as rhinoplasty. It is common for the facial plastic surgeon to recommend chin surgery in addition to nose surgery when the surgeon sees that chin augmentation is necessary to achieve facial balance and harmony. Chin augmentation with an implant is the procedure of choice for most patients with normally functioning teeth and jaw development. Fortunately, this is a relatively straightforward procedure that can make a major difference. A skilled facial plastic and reconstructive surgeon with a distinguished background, Dr. Paul S. Nassif has received international recognition by the media, patients and peers for his innovative surgical techniques. Known as a revision and ethnic rhinoplasty specialist, Dr. Nassif is sought after by patients from around the world for help in correcting some of the most challenging complications cases. His work specializes in obtaining natural results in both rhinoplasty and aging face ...

Your Rhinoplasty ?'s Answered - What are the Different Rhinoplasty Procedures? Rhinoplasty Specialist Dr. Paul S. Nassif, of "Dr. 90210" and Spalding Drive Plastic Surgery in Beverly Hills, discusses many of the procedures performed during rhinoplasty surgery. 1. Surgical Sequence Septoplasty with Graft Harvesting +/- Turbinoplasty Incisions and Skeletonization (Primarily Open Technique) Nasal Tip Surgery Osteotomies Harvest/Placement of Autologous and/or Alloplastic Grafts Alar Base Reduction 2. Septoplasty & Turbinoplasty Preoperative Nasal Obstruction Infrequent Deviated Septum Infrequent Standard Techniques Used Hemi-transfixion or Killian Incision Graft Harvesting (Dorsal Augmentation, Plumping Grafts & Extended Columellar Strut) Conservative Turbinoplasty 3. Incisions & Skeletonization Primarily Open Technique Utilized Subdermal Dissection Over Nasal Tip Subperiosteal Dissection Over Nasal Dorsum Excise & Save Subcutaneous/Fibrofatty /Mucoperichondrial Tip Tissue (Aids in Tip Definition and may be used for Camouflaging Grafts) 4. Nasal Tip Surgery Cephalic Trim (Leave 7 mm in place) Undermine Vestibular Skin from Undersurface of Alar Cartilage (Lateral & Medial Crura) Lateral Crural Steal

Facial Prosthetics - Before and After Multiple pictures of patients before and after facial prosthetic alloplastic restoration. For more information on alloplastic facial reconstruction, visit the Real Life website link above.

The Science of Mimix HA Cement with Dr. Barry Eppley The use of hydroxyapatite cement mixtures is a common method of alloplastic cranial defect reconstruction. Dr. Barry Eppley, board-certified plastic surgeon of Indianapolis, discusses the research and science behind Mimix hydroxyapatite cement in craniofacial surgery.

artMORE VIDEOS ONLINE STREETBIKE STUNT SCHOOL A continuous flow intersection (CFI), also called a crossover displaced left-turn (XDL), is an at-grade intersection that moves the turn conflict (to the left where traffic drives on the right and vice versa) out of the main intersection.A CFI moves the left-turn down the road several hundred feet eliminating the left-turn traffic signal phase.The CFI is a patented design invented by Francisco Mier, of Mexico, where over 40 have been implemented over the past decade.As the design is patented, agencies must pay to obtain the rights for use of the design; however, the patent has expired in the United States. This general configuration is not new, as it appeared in various versions in various places with the implementation of channelization in the United States the 1950s, such as the Telegraph Road section of US Route 24 in Michigan. A traffic island can be a median strip, a strip in the middle of a road. It can also be a narrow strip between roads that intersect at an acute angle. Some traffic islands may serve as refuge islands for pedestrians. Traffic islands are often used at partially blind intersections on back-streets to prevent cars from cutting a corner with potentially dangerous results. In parts of the United Kingdom, the term island is used as a synonym for roundabout. On divided roads, including expressways, motorways, or autobahns, the central ...

Orbital Prosthetics - Eye with Face Prosthetic Restorations Orbital Prostheses Alloplastic restorations are eye prostheses with the surrounding tissue alloplastically reconstructed. This video shows multiple pictures of patients before and after eye and facial prosthetic / alloplastic restoration. For more information on eye and orbital prosthetic / alloplastic facial reconstruction, visit the Real Life website link above.

Narcissist's Cognitive Deficits The narcissist lacks empathy. He is, therefore, unable to meaningfully relate to other people and to truly appreciate what it is to be human. Instead, he withdraws inside, into a universe populated by avatars -- simple or complex representations of parents, peers, role models, authority figures, and other members of his social milieu. There, in this twilight zone of simulacra, he develops "relationships" and maintains an on-going internal dialog with them. The narcissist attributes his failures and mistakes to circumstances and external causes. This propensity to blame the world for one's mishaps and misfortunes is called "alloplastic defence". At the same time, the narcissist regards his successes and achievements (some of which are imaginary) as proofs of his omnipotence and omniscience. This is known in attribution theory as "defensive attribution". Conversely, the narcissist traces other people's errors and defeats to their inherent inferiority, stupidity, and weakness. Their successes he dismisses as "being in the right place at the right time" -- ie, the outcome of luck and circumstance. (From the book "Malignant Self-love: Narcissism Revisited" by Sam Vaknin - Click on this link to purchase the print book, or 16 e-books, or 2 DVDs with 12 hours of video lectures on narcissists, psychopaths, and abuse in relationships: www.narcissistic-

Rhinoplasty Operating Room Footage - Tip Cartilage Contouring (Nose Job) Join RhinoplastySpecialist Dr. Paul Nassif, of Spalding Drive Cosmetic Surgery & Dermatology located in Beverly Hills, in the operating room as he performs Tip Cartilage Contouring. Although techniques and methods employed during rhinoplasty surgeries are the same regardless of race, there are some trends that apply to patients of certain ethnic backgrounds. East Asian patients often want their noses to appear narrower. This can be done through the use of infractures, where the nasal bones are broken and moved in or reset to thin out the nasal area and add projection in the process. Outfractures, where the nasal bones are broken and moved outwards, are used to widen a too-narrow dorsum. East Asian patients typically seek augmentation (adding material) of the bridge of their nose which will make the nose appear narrower as well. In Asia, patients typically use a variety of alloplastic implants including Gore-Tex, Med-Por, or silicone. Due to the risks of alloplastic materials, natural materials to the bridge of the nose, such as rib cartilage (costal cartilage) or ear cartilage (auricular cartilage) are being used more commonly. Patients of African descent commonly seek narrowing of wide nostrils. This procedure may include removing sections of the base of the nostrils or sections of the nose where it meets the face. The tip of the nose can be restructured by removing tiny sections of cartilage to give the nose more shape, or even adding ...

Nose Prosthetics - Before & After Nose Prosthetic Restorations Multiple pictures of patients before and after nose prosthetic alloplastic restoration. For more information on alloplastic nose and facial reconstruction, visit the Real Life website link above.

Cranio-Facial Prosthetic and Alloplastic Reconstruction RealLifeSkin™ cranio-facial prosthetic - alloplastic reconstruction for ear, nose, eye and face amputees. Facial reconstructive plastic surgery has made great advances in recent years, however where facial plastic surgery has it limits, alloplastic - prosthetic facial reconstruction provides hope. This short video show various types of facial amputees with their prosthetic restorations. Different retention methods are also revealed, such as RealLifeSkin™ patented IFR technology, osseointegration, and adhesive.

Beyond Cosmetics - Facial Prosthetics - Part 2 Alloplastic Facial Reconstruction is a combination of both art and science. Hosted by the famous singer and film star, Rex Allen. Eye and facial prostheses are shown and explained. Unique attachment of facial prosthetics (hemi-facial, oculofacial, orbital, ocular, nose, ear, etc.) with osseointegration, and internal fixation retention is demonstrated. Several patient interviews, with many before and after shots are shown. A nose prosthesis creation process is shown step by step, from beginning impressions to final fitting and painting.

Obstructive: Passive-Aggressive (Negativistic) Personality Disorder and Narcissism Passive-aggressiveness wears a multitudes of guises: procrastination, malingering, perfectionism, forgetfulness, neglect, truancy, intentional inefficiency, stubbornness, and outright sabotage. This repeated and advertent misconduct has far reaching effects. Consider the Negativist in the workplace: he or she invests time and efforts in obstructing their own chores and in undermining relationships. But, these self-destructive and self-defeating behaviors wreak havoc throughout the workshop or the office. People diagnosed with the Negativistic (Passive-Aggressive) Personality Disorder resemble narcissists in some important respects. Despite the obstructive role they play, passive-aggressives feel unappreciated, underpaid, cheated, and misunderstood. They chronically complain, whine, carp, and criticize. They blame their failures and defeats on others, posing as martyrs and victims of a corrupt, inefficient, and heartless system (in other words, they have alloplastic defenses and an external locus of control). Passive-aggressives sulk and give the "silent treatment" in reaction to real or imagined slights. They suffer from ideas of reference (believe that they are the butt of derision, contempt, and condemnation) and are mildly paranoid (the world is out to get them, which explains their personal misfortune). In the words of the DSM: "They may be sullen, irritable, impatient, argumentative, cynical, skeptical and contrary." They are also hostile, explosive, lack impulse ...

Beyond Cosmetics -Facial Prosthetics- Part 1 Alloplastic Facial Reconstruction is a combination of both art and science. Hosted by the famous singer and film star, Rex Allen. Eye and facial prostheses are shown and explained. Unique attachment of facial prosthetics (hemi-facial, oculofacial, orbital, ocular, nose, ear, etc.) with osseointegration, and internal fixation retention is demonstrated. Several patient interviews with many before and after shots are shown. A nose prosthesis creation process is shown step by step, from beginning impressions to final fitting and painting.

Plastic Surgery 2009 - Dentures Help Facial Prosthetics Become Part of Body Titanium dental implants, traditionally used to hold dentures in place, are successfully being used by plastic surgeons to better treat patients in need of facial prosthetics as a result of cancer, burns, or trauma, new research suggests. Titanium is a material that successfully fuses into bone, which creates a structural and functional connection between the bone and dental implant allowing it to become part of the body. The prosthesis contains a magnet that when attached to the dental implant, allows it to better stay in its intended position and last longer. One-hundred-three patients successfully had reconstruction for ear, eye, or nose defects with an average of three dental implants used per defect. Initially, some implants used in previously radiated areas were lost and needed to be replaced. Consequently, caution is required when implants are used in radiated areas. Members of the American Society of Maxillofacial Surgeons (ASMS) will present the study at the ASPS Plastic Surgery 2009 conference, Oct. 23-27, in Seattle. By the Numbers: Nearly 5 million reconstructive plastic surgery procedures were performed in 2008, up 7 percent from 2007, reports the ASPS.