1. From the Aesthetic Surgical Associates, Metairie, La (Drs Guerra and S. E. Metzinger), the Department of Ophthalmology, Tulane University Medical Center, New Orleans, La (Drs R. C. Metzinger and Naugle), and the Department of Otolaryngology (Dr Xie and Mr Xie) and the Department of Surgery, Section of Plastic and Reconstructive Surgery (Dr Rigby), Louisiana State University Health Sciences Center, New Orleans.