T A Miller

Publications (2)6.76 Total impact

• Article: Lateral subcutaneous brow lift and interbrow muscle resection: clinical experience and anatomic studies.

  T A Miller, G Rudkin, M Honig, M Elahi, J Adams
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  ABSTRACT: The authors report consistent improvement in 65 patients with lateral brow ptosis by using a lateral subcutaneous brow lift at the temporal hairline. In 48 of these patients, vertical glabellar wrinkles were improved by the direct excision of procerus, corrugator, and orbicularis muscles through 3-mm medial brow incisions. Anatomic dissections in 10 cadavers and examinations of 50 skulls were used to study the location of the supraorbital and supratrochlear nerves. Dissections revealed that the supratrochlear nerve was never closer than 1.6 cm to the midline at the level of the supraorbital ridge. In no dissection was a supratrochlear foramen noted. Lateral subcutaneous brow lift was consistently successful in elevating the lateral brow. In no patient was nerve damage to the supraorbital nerve noted. In most patients, the temporal hairline was improved by excising a triangle of balding scalp. Through 3-mm medial brow incisions, the interbrow musculature can be excised by using a small rongeur in an area 3.2 cm wide without risk of nerve damage, improving vertical glabellar wrinkles.
  Plastic &amp Reconstructive Surgery 04/2000; 105(3):1120-7; discussion 1128. · 3.38 Impact Factor
• Article: Aging nasolabial fold and treatment by direct excision.

  G Rudkin, T A Miller
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  ABSTRACT: The anatomy, terminology, and management of the aging nasolabial fold represent a subject of some controversy in the plastic surgery literature. A variety of rhytidectomy techniques and adjuncts, and directed surgical procedures, have been designed to improve the aesthetics of the aging nasolabial region. Experience with direct excision of the nasolabial fold in more than 30 patients is presented, and the anatomy and terminology of the nasolabial region are discussed. Direct excision has proven to be an effective therapy for the management of the aging nasolabial fold in selected patients, primarily men with sun-damaged skin.
  Plastic &amp Reconstructive Surgery 11/1999; 104(5):1502-5; discussion 1506-7. · 3.38 Impact Factor