Sherrell J. Aston, M.D.

The Percutaneous Trampoline Platysmaplasty: Technique and Experience With 105 Consecutive Patients
Mueller, Gregory P.; Leaf, Norman; Aston, Sherrell J.; Stone, Corbett W.
2012 JAN ;32(1):11-24, Aesthetic surgery journal
Objectives: The authors describe their trampoline platysmaplasty (TPP) approach, a percutaneous suture suspension necklift that constitutes a less invasive approach for neck rejuvenation. Methods: A retrospective study was conducted of 105 consecutive patients who underwent TPP. Age, sex, procedure(s) performed, complications, and patient satisfaction were recorded. Cadaver studies were conducted to compare the tensile strength of the ligaments that anchor the TPP to the tensile strength of the sutures placed to approximate the medial platysma borders. In addition, the accuracy of light transillumination to determine depth of travel of the light-emitting diode (LED) lighted rod was evaluated. Results: Patients underwent either TPP alone (18 women, 24 men) or TPP with a facelift (35 women, 28 men) between October 2007 and June 2009. The average age of the patients was 52 years, and average length of follow-up was 33 months. Patient satisfaction was high. Three early patients underwent immediate revision to improve results secondary to the suture matrix being too loose. Six additional patients had recurrent banding around one year postoperatively, but correction was achieved in all six by replacing the matrix with the help of the lighted rod. The results of the cadaver study revealed that the tensile strength of the retaining ligaments was statistically identical to the medial platysma borders, and the light transillumination feedback was accurate with regard to the depth of travel of the illuminated rod tip. Conclusions: The TPP approach for neck rejuvenation is effective and durable in properly-selected patients. It works well as a stand-alone procedure and in conjunction with facelift procedures. It also offers younger patients a less-invasive option to improve neck contours inherited through genetics. After nearly three years of follow-up of the patients in this report, the results appear to be long-lasting. Level of Evidence: 4
— id: 150797, year: 2012, vol: 32, page: 11, stat: Journal Article,

Face lift
Warren, Richard J; Aston, Sherrell J; Mendelson, Bryan C
2011 Dec;128(6):747e-764e, Plastic & reconstructive surgery
LEARNING OBJECTIVES:: After reading this article, the participant should be able to: 1. Identify and describe the anatomy of and changes to the aging face, including changes in bone mass and structure and changes to the skin, tissue, and muscles. 2. Assess each individual's unique anatomy before embarking on face-lift surgery and incorporate various surgical techniques, including fat grafting and other corrective procedures in addition to shifting existing fat to a higher position on the face, into discussions with patients. 3. Identify risk factors and potential complications in prospective patients. 4. Describe the benefits and risks of various techniques. SUMMARY:: The ability to surgically rejuvenate the aging face has progressed in parallel with plastic surgeons' understanding of facial anatomy. In turn, a more clear explanation now exists for the visible changes seen in the aging face. This article and its associated video content review the current understanding of facial anatomy as it relates to facial aging. The standard face-lift techniques are explained and their various features, both good and bad, are reviewed. The objective is for surgeons to make a better aesthetic diagnosis before embarking on face-lift surgery, and to have the ability to use the appropriate technique depending on the clinical situation
— id: 141708, year: 2011, vol: 128, page: 747e, stat: Journal Article,

Aesthetic plastic surgery
Aston, Sherrell; Steinbrech, Douglas; Walden, Jennifer
[Philadelphia PA] : W B Saunders, 2009,
— id: 1880, year: 2009, vol: , page: , stat: ,

Perioperative management of antidepressants and herbal medications in elective plastic surgery
Chin, Simon H; Cristofaro, Joseph; Aston, Sherrell J
2009 Jan;123(1):377-386, Plastic & reconstructive surgery
BACKGROUND: Patients seeking elective aesthetic surgery often use herbal medications and/or antidepressants. As the popularity of these medications grows, the plastic surgeon must become familiar with these drugs and their potentially harmful effects during the perioperative period. METHODS: The authors performed a PubMed search to identify commonly used herbs and antidepressants and their effects on patients during elective cosmetic surgery. RESULTS: Case series, studies, and reviews for 29 of the most common herbs and antidepressant medications were obtained from this search. On the basis of the existing data, the authors established recommendations for the management of these medications before elective cosmetic surgery. CONCLUSIONS: Most commonly used herbs and antidepressant medications have potentially deleterious effects on the patient during surgery, ranging from increased risk of bleeding to fatal interactions. The plastic surgeon must be familiar with these drugs to manage these patients appropriately
— id: 93225, year: 2009, vol: 123, page: 377, stat: Journal Article,

Lower lid deformity secondary to autogenous fat transfer: a cautionary tale
Spector, Jason A; Draper, Lawrence; Aston, Sherrell J
2008 May;32(3):411-414, Aesthetic plastic surgery
Although autogenous fat grafting is performed with increasing frequency, its safety around the periorbital area remains ill defined. This article presents the case of a young woman whose tear troughs were treated using autogenous fat transfer (AFT), with resultant bilateral lower lid deformities. Secondary correction of this aesthetic deformity caused by AFT to the tear trough proved extremely difficult and resulted in a temporary lower lid ectropion. After resolution of her ectropion, the patient was very satisfied with her postoperative appearance. The authors recommend a judicious approach to the correction of this deformity with AFT until objective outcome studies on this technique become more widely available
— id: 93941, year: 2008, vol: 32, page: 411, stat: Journal Article,

Revisional neck surgery
Pitman, Gerald; Aston, Sherell J; Feldman, Joel J; LaFerriere, Keith
2007 Sep-Oct;27(5):527-538, Aesthetic surgery journal
— id: 101367, year: 2007, vol: 27, page: 527, stat: Journal Article,

Successful management of orbital cellulitis and temporary visual loss after blepharoplasty
Chiu, Ernest S; Capell, Brian C; Press, Robert; Aston, Sherell J; Jelks, Elizabeth B; Jelks, Glenn W
2006 Sep;118(3):67e-72e, Plastic & reconstructive surgery
— id: 70985, year: 2006, vol: 118, page: 67e, stat: Journal Article,

Current methods for brow fixation: are they safe?
Walden, Jennifer L; Orseck, Michael J; Aston, Sherrell J
2006 Sep-Oct;30(5):541-548, Aesthetic plastic surgery
BACKGROUND: No single technique for fixation of the scalp after forehead-lift is universally accepted. Complications such as alopecia, loss of elevation, implant palpability, paresthesia, and dural injury are possible with the variety of techniques used currently. This anatomic study was designed to evaluate the thickness of the calvarium at selected points used in brow fixation. The depth of cranial penetration necessary for currently used techniques is measured and compared. METHODS: In a study of 14 fresh adult cadavers, calvarial thickness was measured at selected points (A-F) used in various brow-lifting procedures. This was accomplished by drilling holes in selected points and using a depth gauge to measure thickness. Immediately adjacent to selected points, the cranium is prepared for brow fixation using the following techniques: cortical tunnels, 2.0-mm screw fixation (10, 12, and 14 mm), the Mitek 2.0-mm Quickanchor screw, and the Endotine 3.5 Forehead Device. The depths required for adequate fixation and the potential for cranial penetration through the inner table with all the standard techniques are compared. RESULTS: Depth analysis by mean values showed that sites posterior to the coronal suture (points C-F) were thickest. Depth analysis of sites stratified by gender showed that mean values for the thickness of female skulls were greater than those for males. A review of fixation methods found that cortical tunnels at 45 degrees angles never penetrated the inner table in any of the 14 skulls. Mitek screws never penetrated the inner table, and one Endotine post penetrated the inner table on the left side of one cadaver skull. After placement of 10-, 12-, and 14-mm miniscrews at each of the sites, it was found that three penetrated the inner table. The penetrations all were at far lateral sites, posterior to the coronal suture. CONCLUSION: Variation in skull thickness exists among cadaver specimens at different sites on the skull. In this study, thickness increased medially and posteriorly. Women tended to have thicker skulls than men, and age was not a major variable. This is consistent with findings in previous work. Given the unpublished reports of inner table penetration, with cerebrospinal fluid leak after invasive brow fixation, it behooves the surgeon to keep in mind the anatomy of the calvarium and its nuances
— id: 93942, year: 2006, vol: 30, page: 541, stat: Journal Article,

Applications of virtual reality in aesthetic surgery
Smith, Darren M; Aston, Sherrell J; Cutting, Court B; Oliker, Aaron
2005 Sep;116(3):898-904, Plastic & reconstructive surgery
BACKGROUND: Virtual reality has a long history in plastic and reconstructive surgery, with uses ranging from anatomical demonstration to craniofacial surgical planning. The purpose of this article is to add to the literature a computer graphics-based resource for aesthetic surgery. METHODS: Deformation tools, virtual cameras, and other components of Alias's Maya 4.0 were used to perform virtual surgical procedures on a detailed model of superficial facial anatomy. This three-dimensional model of superficial facial anatomy, derived from the National Library of Medicine's Visible Human Project, was also 'aged' in Maya at key depths of anatomical dissection. Adobe's After Effects 5.5 was used for animation postproduction work for all animations. RESULTS: Three-dimensional computer animations were developed to illustrate techniques in aesthetic surgery. Another animation was created that simulates facial aging at various levels of anatomical dissection. CONCLUSIONS: Computer modeling and animation have the potential to play an important role in education, surgical planning, development, and other aspects of aesthetic surgery
— id: 79084, year: 2005, vol: 116, page: 898, stat: Journal Article,

Designing a virtual reality model for aesthetic surgery
Smith, Darren M; Aston, Sherrell J; Cutting, Court B; Oliker, Aaron; Weinzweig, Jeffrey
2005 Sep;116(3):893-897, Plastic & reconstructive surgery
BACKGROUND: Aesthetic surgery deals in large part with the manipulation of soft-tissue structures that are not amenable to visualization by standard technologies. As a result, accurate three-dimensional depictions of relevant surgical anatomy have yet to be developed. This study presents a method for the creation of detailed virtual reality models of anatomy relevant to aesthetic surgery. METHODS: Two-dimensional histologic sections of a cadaver from the National Library of Medicine's Visible Human Project were imported into Alias's Maya, a computer modeling and animation software package. These two-dimensional data were then 'stacked' as a series of vertical planes. Relevant anatomy was outlined in cross-section on each two-dimensional section, and the resulting outlines were used to generate three-dimensional representations of the structures in Maya. RESULTS: A detailed and accurate three-dimensional model of the soft tissues germane to aesthetic surgery was created. This model is optimized for use in surgical animation and can be modified for use in surgical simulators currently being developed. CONCLUSIONS: A model of facial anatomy viewable from any angle in three-dimensional space was developed. The model has applications in medical education and, with future work, could play a role in surgical planning. This study emphasizes the role of three-dimensionalization of the soft tissues of the face in the evolution of aesthetic surgery
— id: 79085, year: 2005, vol: 116, page: 893, stat: Journal Article,

An anatomical comparison of transpalpebral, endoscopic, and coronal approaches to demonstrate exposure and extent of brow depressor muscle resection
Walden, Jennifer L; Brown, C Coleman; Klapper, Andrew J; Chia, Christopher T; Aston, Sherrell J
2005 Oct;116(5):1479-1487, Plastic & reconstructive surgery
BACKGROUND: Approaches for exposure of the muscles of brow depression include transpalpebral, endoscopically assisted, and open coronal techniques. The purpose of this anatomical study was to compare the capacity for visualization and amount of brow depressor muscle resection with each technique. METHODS: The corrugator supercilii, depressor supercilii, medial orbicularis oculi, and procerus muscles were studied by gross anatomical dissection carried out on 24 sides of 12 cadaver heads. First, all visible corrugator and depressor supercilii muscles were resected by means of an upper blepharoplasty incision. Subsequently, a subgaleal endoscopic approach was used to evaluate the extent of resection performed and remove the remaining muscle after transpalpebral corrugator resection. This was followed by coronal exposure to assess the anatomical location and extent of muscle resection accomplished by the two previously mentioned techniques. RESULTS: In all dissections, endoscopy demonstrated that up to one-third of the lateral aspect of the transverse heads of the corrugator supercilii remained following transpalpebral resection. Oblique corrugator head resections were complete, without significant residual muscle following transpalpebral corrugator resection. The procerus muscle was able to be blindly transected by means of the transpalpebral incision but exposed and ablated in all 12 specimens using endoscopy. Coronal exposure demonstrated that no significant amount of corrugator, depressor supercilii, or procerus muscle remained in any of the 12 heads following endoscopically assisted exposure and resection. The medial head of the orbital portion of the orbicularis oculi was visualized and accessible regardless of the technique used. CONCLUSIONS: In 24 anatomical dissections, transpalpebral corrugator resection failed to remove up to one-third of the transverse head of the corrugator muscle. Removal of the brow depressor muscles was accomplished with the endoscopic approach, as confirmed by coronal exposure
— id: 93943, year: 2005, vol: 116, page: 1479, stat: Journal Article,

Ge-si zheng xing wai ke xue = Grabb & Smith's plastic surgery
Aston, Sherrell J; Guo shu zhong
Xi an : Shi jie tu shu chu ban xi an gong si, 2002,
— id: 1883, year: 2002, vol: , page: , stat: ,

Secondary face lift
Bernard, Robert W; Aston, Sherrell J; Casson, Phillip R; Klatsky, Stanley A
2002 May;22(3):277-283, Aesthetic surgery journal
— id: 101562, year: 2002, vol: 22, page: 277, stat: Journal Article,

Balloon-assisted endoscopic brow lift: preliminary experience
Bass, L S; Karp, N S; Aston, S J
1998 May-Jun;18(3):163-166, Aesthetic surgery journal
Balloon dissectors are inexpensive, disposable devices originally designed to provide rapid, atraumatic development of the work space needed for endoscopic hernia repair. We sought to evaluate the utility of these devices for endoscopic brow lift. Cadaver testing (n = 5) was followed by clinical use with assessment of flap loss, dissection time, completeness of dissection, and, more subjectively, amount of bleeding and tissue trauma. Dissection time over the forehead was less than 3 minutes in all cases; the remainder of the procedure was completed in times ranging from 20 to 35 minutes. No partial or total flap loss was experienced (n = 12). Bleeding after dissection was minimal. Dissection was possible in either the subperiosteal (n = 7) or subgaleal plane (n = 5), creating a smooth optical cavity. Dissection advanced to nearly the orbital rims, leaving only nerve identification, muscle removal, and flap elevation/fixation to complete the brow lift. Balloon dissection devices allow rapid mobilization of tissue planes with a minimum of effort. The feasibility of using balloon devices to speed and simplify endoscopic brow lift dissection has been demonstrated. Their full utility must await the results of outcome studies in a larger clinical series and must be balanced against their cost
— id: 101563, year: 1998, vol: 18, page: 163, stat: Journal Article,

Grabb and Smith's plastic surgery
Grabb, William C.; Smith, James Walter; Aston, Sherrell J.; Beasley, Robert W.; Thorne, Charles; Grabb, William C
Philadelphia : Lippicott-Raven, c1997,
— id: 578, year: 1997, vol: , page: , stat: ,

Is there a difference? A prospective study comparing lateral and standard SMAS face lifts with extended SMAS and composite rhytidectomies
Ivy EJ; Lorenc ZP; Aston SJ
1996 Dec;98(7):1135-1143, Plastic & reconstructive surgery
Presented is a prospective study comparing limited SMAS (lateral SMASectomy), conventional SMAS, extended SMAS, and composite rhytidectomies. Randomized patients received either a limited SMAS or conventional SMAS face lift on one side and an extended SMAS or composite rhytidectomy on the other. All procedures were performed at Manhattan Eye, Ear and Throat Hospital in accordance with their well-defined surgical descriptions. Postoperative courses were followed clinically for at least 1 year. Photographs were taken preoperatively and at 6 and 12 months postoperatively. Photographs were reviewed by three independent experienced face lift surgeons. The study comprises 21 patients, 20 women and 1 man, with a mean age of 59 years (range 47 to 70 years). Nineteen patients underwent primary rhytidectomies; two underwent secondary face lifts. For the first 12 patients, each had an extended SMAS procedure performed on one side; on the other, 7 had a conventional SMAS and 5 had a limited SMAS (lateral SMASectomy) face lift. In the last 9 patients, a conventional SMAS was carried out on one side in 8, a limited SMAS in 1, and on the opposite side, a composite rhytidectomy was performed. Complications were few. Temporary weakness of the buccal branch of the facial nerve occurred in 2 patients on the side of the more extensive surgery. On the operating table at completion of the surgery, there was more improvement in reversal of midfacial ptosis and flattening of the nasolabial folds with both extended SMAS and composite rhytidectomies. The composite flap had the most dramatic effect on the nasolabial folds and oral commissure. After 24 hours, once swelling developed and facial motion became reactivated, the noticeable differences in the midface and nasolabial folds were lost. No discernible differences in facial halves were noted again. Differences between facial sides on the 6- and 12-month postoperative photographs were not detectable. We conclude that for routine facial plasty, comparable clinical outcomes are obtained at 6 months and 1 year with limited (lateral SMASectomy) and conventional SMAS face lifts compared with extended SMAS and composite rhytidectomies. All procedures are lacking in their improvement of midface ptosis and the nasolabial folds. The increased surgical risks, morbidity, and convalescence associated with those more extensive procedures do not seem to be warranted in the average patient
— id: 18005, year: 1996, vol: 98, page: 1135, stat: Journal Article,

Cirugia plastica : la cara = Plastic surgery. The face (pt. 2 v. 3)
McCarthy, Joseph G; Aston, Sherrell J; et al
Buenos Aires : Medica Panamerica, 1996,
— id: 1882, year: 1996, vol: , page: , stat: ,

Malar augmentation with silicone implants
Ivy EJ; Lorenc ZP; Aston SJ
1995 Jul;96(1):63-68, Plastic & reconstructive surgery
This study is a retrospective review of all consecutive surgeries involving insertion of silicone malar implants performed at the Manhattan Eye, Ear and Throat Hospital from January 1, 1985 to April 30, 1993. Sixty-four patients underwent placement of 126 silicone malar implants. Three different sizes were utilized: 23 size 1, 85 size 2, and 18 size 3. Eleven patients underwent unilateral implant placement, all for reconstructive purposes. The average and median ages of the patients were 43 and 44 years, respectively, with a range of 18 to 83 years. Malar implants were inserted for the following reasons: hypoplasia, post-traumatic deformity, post-tumor resection deformity, and correction of hemifacial microsomia. In 79 percent of the patients, malar augmentation was performed in conjunction with other surgical procedures. All implants were placed in a subperiosteal pocket by either the intraoral, subciliary, or preauricular approach. Forty-one percent were fixed in place by percutaneous sutures. Malar augmentation with silicone implants for both aesthetic and reconstructive purposes is an increasingly common surgical procedure. Good results are obtained with few complications. Infection is rare even with transoral placement. Silicone malar implants should be placed in a subperiosteal pocket and can be inserted safely through various routes. Malpositioning of implants is infrequent, and fixation sutures are not required. The most common problem is improper size selection. Patient satisfaction is high, in that no patient underwent permanent removal of a malar silicone implant once inserted
— id: 18008, year: 1995, vol: 96, page: 63, stat: Journal Article,

Neurosensory preservation in endoscopic forehead plasty
Lorenc ZP; Ivy E; Aston SJ
1995 Sep-Oct;19(5):411-413, Aesthetic plastic surgery
The recent introduction of endoscopic techniques and instrumentation in aesthetic surgery was caused in part by the desire to minimize surgical scars as well as to decrease the possibility of sensory changes secondary to extended incisions, such as the execution of a coronal incision in performing a forehead plasty. Although endoscopic surgical techniques provide field magnification together with excellent illumination, localization and preservation of the forehead neurovascular bundles via the endoscope can be time consuming and tedious. A new method is introduced where percutaneous localization of the supraorbital and supratrochlear nerves enables the surgeon to perform an endoscopic forehead plasty in an expeditious manner with preservation of sensation of the forehead and scalp
— id: 18007, year: 1995, vol: 19, page: 411, stat: Journal Article,

Influence of steroids on postoperative swelling after facialplasty: a prospective, randomized study
Rapaport DP; Bass LS; Aston SJ
1995 Dec;96(7):1547-1552, Plastic & reconstructive surgery
Steroids are widely used in facial aesthetic surgery to reduce postoperative edema. We performed a randomized, double-blind study to try to document the effectiveness of this practice. Fifty consecutive facialplasty patients of one surgeon were randomized to steroid and no steroid groups. Steroid group patients received betamethasone 6 mg IM preoperatively. Postoperative scoring of swelling was performed at approximately days 5 and 9 by a single observer. There were no significant differences between the two groups at either postoperative interval or in the rate of improvement. Subgroups of patients who underwent additional procedures also showed no significant differences. We were not able to demonstrate any statistically significant difference in swelling after facialplasty with this steroid regimen
— id: 18006, year: 1995, vol: 96, page: 1547, stat: Journal Article,

Endoscopic forehead lift
Bernard, Robert W; Aston, Sherrell J; Daniel, Rollin K
Long Beach CA : American Society for Aesthetic Plastic Surgery, 1994,
— id: 1884, year: 1994, vol: , page: , stat: ,

Clinical geriatric eyecare
Aston, Sherrell J; Maino, Joseph H
Boston MA : Butterworth-Heinemann, 1993,
— id: 1887, year: 1993, vol: , page: , stat: ,

Cirugia plastica : la cara II = Plastic surgery. The face (pt. 2 v. 3)
McCarthy, Joseph G; Manrique, Jorge; Aston, Sherrell J
Madrid : Medica Panamerica, 1992,
— id: 1881, year: 1992, vol: , page: , stat: ,

Grabb & Smith's plastic surgery
Grabb, William C; Smith, James W; Aston, Sherrell J
Boston MA : Little, Brown, 1991,
— id: 1886, year: 1991, vol: , page: , stat: ,

Geriatric educational programs
Aston SJ
1990 May;67(5):329-330, Optometry & vision science
Information on the geriatric patient is needed in the curricula of all health professional programs. During the 1988 Academy Meeting a Symposium on the Graying of America: Optometric Considerations, was held. The following paper will: (1) summarize a recent survey of geriatric education in the United States schools and colleges of optometry, (2) describe two continuing education projects on gerontology conducted for practicing optometrists, and (3) discuss two recently completed projects involving the training of optometric faculty
— id: 18009, year: 1990, vol: 67, page: 329, stat: Journal Article,

The graying of America: optometric considerations. Introduction
Aston SJ
1990 May;67(5):313-314, Optometry & vision science
Normal and abnormal effects of aging impact greatly on individuals and their families. Health care providers must therefore be knowledgeable about how to care for elderly persons. In order to interact among elderly persons and within the aging network, optometrists need to have a broad understanding of gerontology
— id: 18010, year: 1990, vol: 67, page: 313, stat: Journal Article,

Optometric gerontology : a resource manual
Aston, Sherrell J; DeSylvia, Denise A; Mancil, Gary L
Washington DC : US Dept. Health & Human Services. Administration on Aging, 1990,
— id: 1891, year: 1990, vol: , page: , stat: ,

Reconstruction of the trunk
Shaw WW; Aston SJ; Zide BM
Plastic surgery Philadelphia : Saunders, 1990,
— id: 3549, year: 1990, vol: , page: 3675, stat: Chapter,

Symposium on the delivery of optometric care in nontraditional settings. Summary and conclusions
Aston SJ
1989 Jan;66(1):26-28, Optometry & vision science
During the 1987 Academy Meeting, a joint Optometric Education/Public Health and Occupational Optometry Symposium was held on The Delivery of Optometric Care in Nontraditional Settings. Papers were presented on prison systems, long-term care facilities, schools for the mental/physically handicapped, home eye care services, migrant work program, and juvenile detention facilities. This paper is an overview of care delivered in nontraditional settings, including important health care and demographic considerations, brief summation of the nontraditional populations presented, the impact on optometric education, and implications for optometric manpower needs
— id: 18011, year: 1989, vol: 66, page: 26, stat: Journal Article,

Optometric gerontology : faculty training workshops and manual
Aston, Sherrell J; DeSylvia, Denise A; Mancil, Gary L
Rockville MD : Association of Schools and Colleges of Optometry, 1989,
— id: 1890, year: 1989, vol: , page: , stat: ,

Skin-muscle flap lower lid blepharoplasty
Aston SJ
1988 Apr;15(2):305-308, Clinics in plastic surgery
Lateral to medial dissection in the 'potential space' between the orbicularis oculi muscle and the septum orbitale simplifies the skin-muscle flap lower lid blepharoplasty. The procedure is safe, rapid, and atraumatic
— id: 18013, year: 1988, vol: 15, page: 305, stat: Journal Article,

Caring for the older adult : a curriculum for optometric practitioners
Aston, Sherrell J
Philadelphia PA : Pennsylvania College of Optometry, 1988,
— id: 1889, year: 1988, vol: , page: , stat: ,

Short term "vision and aging" training for optometric and long-term care professionals
Aston, Sherrell J
Philadelphia PA : Pennsylvania College of Optometry, 1988,
Includes: Final report -- Abstract -- Policy/Program Implications -- Executive Summary -- Dissemination and Utilitization
— id: 1888, year: 1988, vol: , page: , stat: ,

Vision and aging : a curriculum for long-term care professionals
Aston, Sherrell J
Philadelphia PA : Pennsylvania College of Optometry, 1988,
— id: 1892, year: 1988, vol: , page: , stat: ,

A collection device for suction-assisted lipectomy and autologous fat transplantation
Matarasso HA; Aston SJ; Pitman GH
1988 May;20(5):492-493, Annals of plastic surgery
— id: 18012, year: 1988, vol: 20, page: 492, stat: Journal Article,

The suction cannula: retractor in facial plasty
Matarasso HA; Aston SJ
1987 Dec;80(6):869-870, Plastic & reconstructive surgery
— id: 18014, year: 1987, vol: 80, page: 869, stat: Journal Article,

Platysma-SMAS cervicofacial rhytidoplasty
Aston SJ
1983 Jul;10(3):507-520, Clinics in plastic surgery
Platysma/SMAS procedures are still in the evaluation stage. Two significant advantages of the platysma/SMAS procedures are that (1) an operation can be designed for the individual patient's anatomic deformity, and (2) some problems that were little corrected by conventional facelifting techniques are improved dramatically with the extended procedures
— id: 18017, year: 1983, vol: 10, page: 507, stat: Journal Article,

Propranolol-epinephrine interaction: a potential disaster
Foster CA; Aston SJ
1983 Jul;72(1):74-78, Plastic & reconstructive surgery
Presented here are six examples of potentially life-threatening propranolol-epinephrine interactions. The only report found that warns of a deleterious clinical interaction between propranolol and epinephrine appeared in 1980. With widespread use of propranolol for approved and unapproved conditions, the population at risk is significant. All physicians and dentists using local anesthetic with epinephrine should be aware of this interaction
— id: 18016, year: 1983, vol: 72, page: 74, stat: Journal Article,

Personnel for the office surgical facility
Godfrey NV; Aston SJ
1983 Apr;10(2):273-276, Clinics in plastic surgery
Ambulatory surgery in a private plastic surgery office is a practical and desirable reality. This can be achieved only in a properly staffed facility. A small number of employees are needed but each must be carefully selected for proper qualifications and attributes, appropriate training and skills necessary to execute the assigned duties, the correct attitude toward patient care, and a sense of responsibility to the surgeon. The facility must be appropriately built and job descriptions organized so as to achieve efficient and good patient care and high employee satisfaction. This common sense approach has proved effective in our experience and should serve the prospective office-based plastic surgeon well
— id: 18018, year: 1983, vol: 10, page: 273, stat: Journal Article,

Tongue-flap reconstruction of the lip vermilion in hemifacial atrophy
Rees TD; Tabbal N; Aston SJ
1983 Nov;72(5):643-647, Plastic & reconstructive surgery
The lips are key features to be considered in facial balance. Correction of lip atrophy in Romberg's disease, therefore, contributes significantly to restoration of facial symmetry. Along with other ancillary surgical procedures used for facial reconstruction in hemifacial atrophy, tongue flaps provide an excellent means of correction of the lip deformity with minimal morbidity and good results
— id: 18015, year: 1983, vol: 72, page: 643, stat: Journal Article,

A comparison of capsule formation following breast augmentation by saline-filled or gel-filled implants
Reiffel RS; Rees TD; Guy CL; Aston SJ
1983 ;7(2):113-116, Aesthetic plastic surgery
A retrospective analysis of data on 307 patients was made. The incidence of firmness in breasts augmented by saline-filled prostheses was compared to the incidence in breasts augmented by gel-filled prostheses. A statistically significant lower rate of constricting capsule formation was found in the saline-inflated group
— id: 18019, year: 1983, vol: 7, page: 113, stat: Journal Article,

Skin-muscle flap lower lid blepharoplasty: an easier dissection
Aston SJ
1982 ;6(4):217-219, Aesthetic plastic surgery
Most descriptions of the skin-muscle flap lower lid blepharoplasty, the so-called McIndoe technique, indicate dissection of the flap in a cephalad-to-caudad direction from near the ciliary margin toward the bony orbital rim. However, this report describes a technical variation in which counter-traction and lateral-to-medial blunt dissection 'opens up' the potential anatomical space between the orbicularis oculi muscle and the tarsus and septum orbitale. This technique is easier and faster than the McIndoe procedure
— id: 18020, year: 1982, vol: 6, page: 217, stat: Journal Article,

Third International Symposium of Plastic and Reconstructive Surgery of the Eye and Adnexa
Aston, Sherrell J.; Hornblass, Albert; Meltzer, Murray A.; Rees, Thomas D
Baltimore : Williams & Wilkins, c1982,
— id: 127, year: 1982, vol: , page: , stat: ,

Orbicularis oculi muscle flaps. A follow-up of the technique to reduce crow's feet and lateral canthal skin folds
Aston SJ
1981 Oct;8(4):679-686, Clinics in plastic surgery
— id: 18021, year: 1981, vol: 8, page: 679, stat: Journal Article,

Orbicularis oculi muscle flaps: a technique to reduce crows feet and lateral canthal skin folds
Aston SJ
1980 Feb;65(2):206-216, Plastic & reconstructive surgery
Flaps of the lateral orbital portion of the orbicularis oculi muscle splayed out and sutured under tension help smooth skin folds and reduce wrinkles in the lateral canthal area
— id: 18022, year: 1980, vol: 65, page: 206, stat: Journal Article,

Platysma and SMAS cervicofacial rhytidoplasty obtuse cervicomental angle
Aston, Sherrell J
[Chicago IL] : American Society of Plastic and Reconstructive Surgeons, 1980,
— id: 1885, year: 1980, vol: , page: , stat: ,

Aesthetic plastic surgery
Rees, Thomas D.; Aston, Sherrell J.; Stilwell, Daisy
Philadelphia : Saunders, 1980,
— id: 116, year: 1980, vol: , page: , stat: ,

Platysma muscle in rhytidoplasty
Aston SJ
1979 Dec;3(6):529-539, Annals of plastic surgery
Surgical alteration of the platysma muscle improves the results of cervicofacial rhytidoplasty. The operative technique indicated for an individual patient is determined, in part, by the anatomy of the platysma deformity. Many questions regarding the late results of platysma muscle surgery can only be answered by long-term follow-up. This paper presents the results in 75 patients who had platysma muscle flap cervicofacial rhytidoplasty. The 8 most common platysma deformities are discussed. Undesirable results and pitfalls in technique are noted
— id: 18023, year: 1979, vol: 3, page: 529, stat: Journal Article,

Ocular manifestations and treatment of hemifacial atrophy
Muchnick RS; Aston SJ; Rees TD
1979 Nov;88(5):889-897, American journal of ophthalmology
Enophthalmos, flattening of the maxilla that may progress to inferior orbital rim and floor defects, eyelid atrophy, and slight relative hypotony occurred in patients with hemifacial atrophy. Less common manifestations included pupillary and iris abnormalities, vertical muscle imbalances, and retinal changes. The prognosis for vision was good. Fluid silicone injection was the major modality in treatment and the results were generally excellent
— id: 18024, year: 1979, vol: 88, page: 889, stat: Journal Article,

UNUSUAL COMPLICATION ASSOCIATED WITH BLEPHAROPLASTY
Aston, SJ; Bornstein, A
1978 ;2(4):451-453, Aesthetic plastic surgery
— id: 29751, year: 1978, vol: 2, page: 451, stat: Journal Article,

Complications of rhytidectomy
Rees TD; Aston SJ
1978 Jan;5(1):109-119, Clinics in plastic surgery
A review of the more common and/or more serious complications which may follow rhytidectomy has been presented. The surgeon who performs face lift surgery must be aware of these complications, their incidence, their management, and, in many instances, how they can be prevented, as prevention is the best treatment for postrhytidectomy problems
— id: 18025, year: 1978, vol: 5, page: 109, stat: Journal Article,

The nasal spine
Aston SJ; Guy CL
1977 Jan;4(1):153-162, Clinics in plastic surgery
Although not a frequent occurence, when present a prominent nasal spine contributes to unpleasing septolabial and columella-alar angles which detract from the overall aesthetic quality of the face. It is important to recognize and correct this deformity. In some patients the necessity for spine resection may be subtle. Resection of the nasal spine must be conservative
— id: 18028, year: 1977, vol: 4, page: 153, stat: Journal Article,

The male rhytidectomy
Baker DC; Aston SJ; Guy CL; Rees TD
1977 Oct;60(4):514-522, Plastic & reconstructive surgery
More men are undergoing rhytidectomy now. This operation is specifically different in the preoperative planning, the surgical procedure, the postoperative complications, and the final results (compared to rhytidectomy in females). Large hematomas occurred in our male patients more than twice as often as in females
— id: 18027, year: 1977, vol: 60, page: 514, stat: Journal Article,

A clinical evaluation of the results of submusculo-aponeurotic dissection and fixation in face lifts
Rees TD; Aston SJ
1977 Dec;60(6):851-859, Plastic & reconstructive surgery
In 25 random patients undergoing rhytidectomy, we did unilateral subplatysmal-fascial dissections of the superficial musculoaponeurotic system (SMAS) of the face and neck--with redistribution of the tension of this system and fixation by suturing. Late evaluation of these patients by 3 observers showed no detectable difference in the results, as compared to the other side on which the standard technique of skin flap elevation alone was done. Our investigation did not study the usefulness of more extensive dissections of the muscle with complete transection excision of segments of it, or the formation of long muscle flaps
— id: 18026, year: 1977, vol: 60, page: 851, stat: Journal Article,

The choice of suture material for skin closure
Aston SJ
1976 Mar;2(1):57-61, Journal of dermatologic surgery
Sutures must be chosen on the basis of known biologic properties of the wounds in which they are to be placed, the known interactions of the chosen suture material with tissues of wounds in particular sites, and the intended purpose of the suture material. The following paper concentrates on suture material used to approximate cutaneous wounds, and briefly, the wounds themselves
— id: 18030, year: 1976, vol: 2, page: 57, stat: Journal Article,

The tuberous breast
Rees TD; Aston SJ
1976 Apr;3(2):339-347, Clinics in plastic surgery
The tuberous breast deformity cannot usually be corrected satisfactorily by standard augmentation mammaplasty or mastopexy. The two operative techniques described have been most helpful in dealing with this difficult problem. Anatomic differences in patients may permit or require modification of the techniques to correct a specific deformity. Although our experience to date with these techniques has been limited in number, we have been pleased with the postoperative results
— id: 18029, year: 1976, vol: 3, page: 339, stat: Journal Article,

Congenital trigeminal neuropathy in oculoauriculovertebral dysplasia-hemifacial microsomia (Goldenhar-Gorlin syndrome)
Aleksic, S; Budzilovich, G; Reuben, R; Feigin, I; Finegold, M; McCarthy, J; Aston, S; Converse, J M
1975 Oct;38(10):1033-1035, Journal of neurology neurosurgery & psychiatry
A 2 1/2 year old child with clinical features of Goldenhar-Gorlin syndrome showed diminished pinprick sensation over the right half of the face. After surgery for the cleft lip, the child died. Neuropathological investigations showed agenesis of the right trigeminal nerve and hypoplasia of the right trigeminal brain-stem nuclei. Nosological aspects of the Goldenhar-Gorlin syndrome and previously reported cases of congenital trigeminal anaesthesia in this disorder are discussed. It is suggested that the hypoplasia of the trigeminal nerve is responsible for the diminished facial sensation seen in some patients with this craniofacial syndrome
— id: 117265, year: 1975, vol: 38, page: 1033, stat: Journal Article,

Intussusception in the adult
Aston SJ; Machlfeder HI
1975 Sep;41(9):576-580, American surgeon
Intussusception in the adult is an uncommon condition usually with a chronic history but it may occasionally present as an acute process. The clinical picture is most often that of a large or a small bowel obstruction. When the intussusception begins in the small bowel, a benign causative factor is found most frequently, whereas intussusception of the colon is most often secondary to a malignant lesion. Idiopathic causes occur rarely as compared to the pediatric age group. The treatment of adult intussusception is surgical
— id: 18031, year: 1975, vol: 41, page: 576, stat: Journal Article,

Intraparotid neurilemoma of the facial nerve
Aston SJ; Sparks FC
1975 Jun;110(6):757-758, Archives of Surgery (Chicago)
— id: 18032, year: 1975, vol: 110, page: 757, stat: Journal Article,

The effect of hematoma on the thickness of pseudosheaths around silicone implants
Williams C; Aston S; Rees TD
1975 Aug;56(2):194-198, Plastic & reconstructive surgery
— id: 51050, year: 1975, vol: 56, page: 194, stat: Journal Article,

A technique for posterior myectomy and internal sphincterotomy in short-segment Hirschsprung's disease
Alexander JL; Aston SJ
1974 Apr;9(2):169-170, Journal of pediatric surgery
— id: 18034, year: 1974, vol: 9, page: 169, stat: Journal Article,

Management of the pancreas after pancreaticoduodenectomy
Aston SJ; Longmire WP
1974 Mar;179(3):322-327, Annals of surgery
— id: 18035, year: 1974, vol: 179, page: 322, stat: Journal Article,

Acute adrenal hemorrhage complicating anticoagulant therapy
O'Connell TX; Aston SJ
1974 Sep;139(3):355-357, Surgery, gynecology & obstetrics
— id: 18033, year: 1974, vol: 139, page: 355, stat: Journal Article,

Pancreaticoduodenal resection. Twenty years' experience
Aston SJ; Longmire WP
1973 Jun;106(6):813-817, Archives of Surgery (Chicago)
— id: 18037, year: 1973, vol: 106, page: 813, stat: Journal Article,

Horner's syndrome and spontaneous pneumothorax
Aston SJ; Rosove M
1973 Jun 28;288(26):1411-1411, New England journal of medicine
— id: 18036, year: 1973, vol: 288, page: 1411, stat: Journal Article,

Granular cell myoblastoma of stomach
Aston SJ; Tompkins RK
1973 Feb;177(2):228-231, Annals of surgery
— id: 18038, year: 1973, vol: 177, page: 228, stat: Journal Article,

Horner's syndrome occurring with spontaneous pneumothorax
Aston SJ; Rosove M
1972 Nov 23;287(21):1098-1098, New England journal of medicine
— id: 18039, year: 1972, vol: 287, page: 1098, stat: Journal Article,

Cardiac valve replacement. A seven-year follow-up
Aston, S J; Mulder, D G
1971 Apr;61(4):547-555, Journal of thoracic & cardiovascular surgery
— id: 18040, year: 1971, vol: 61, page: 547, stat: Journal Article,