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{{short description|American plastic surgeon}}
{{Multiple issues|refimprove=February 2009|peacock=February 2009}}
{{more citations needed|date=February 2009}}
'''David Ralph Millard, Jr.''' (June 4, 1919-June 19, 2011) was a [[plastic surgeon]] who developed several techniques used in [[cleft lip and palate]] surgeries. He was chief of the Division of Plastic Surgery at University of Miami's Miller School of Medicine for 28 years, and maintained a private practice in Miami.


'''David Ralph Millard, Jr.''' (June 4, 1919 – June 19, 2011) was a [[plastic surgeon]] who developed several techniques used in [[cleft lip and palate]] surgeries. He also popularized the [[East Asian blepharoplasty|double eyelid surgery]] or "Asian blepharoplasty" to “deorientalize” patients’ faces<ref>{{Cite journal|last=Millard|first=D. R. Jr|title=Oriental Peregrinations |date=November 1955|url=https://dx.doi.org/10.1097/00006534-195511000-00001|journal=Plastic and Reconstructive Surgery|language=en-US|volume=16|issue=5|pages=319–336|doi=10.1097/00006534-195511000-00001|pmid=13273142|s2cid=36822324|issn=0032-1052}}</ref> while stationed in [[South Korea]] during the [[Korean War]]. He was chief of the Division of Plastic Surgery at University of Miami's Miller School of Medicine for 28 years, and maintained a private practice in Miami.
⚫
In 2000, Dr. Millard was nominated as one of 10 "Plastic Surgeons of the Millennium" by the [[American Society of Plastic Surgeons]]. In the April 2000 issue of Plastic Surgery News, Dr. Millard was described as "the most brilliant and creative plastic surgeon we have alive. His work and publications speak for themselves."<ref name="Plastic and Reconstructive Surgery Journal">{{cite news|url=http://journals.lww.com/plasreconsurg/toc/2000/0405 |title={{April 2000-volume 105-issue 5: Plastic and Reconstructive Surgery|work=Plastic and Reconstructive Surgery Journal |date=2000-04 |accessdate=2010-07-16}}</ref> He is considered to be one of the founders of modern reconstructive facial surgery. See also [[The paramedian forehead flap]]


==Personal life==
==Early life==
Millard was born at [[Barnes-Jewish Hospital|Barnes Hospital]], [[St. Louis, Missouri|St. Louis]], [[Missouri]]. He played football at Yale, where future president Gerald R. Ford was assistant varsity coach, studied medicine at [[Harvard Medical School]] in 1944 and interned in pediatric surgery at [[Boston Children's Hospital]]. A U.S. Navy veteran, he served stateside in WWII but in Korea during the Korean War, where he became interested in local children with cleft lips. He had two sons, a daughter, and six grandchildren.
Millard was born at [[Barnes-Jewish Hospital|Barnes Hospital]], [[St. Louis, Missouri|St. Louis]], [[Missouri]]. He attended the [[Asheville School]] in [[Asheville, North Carolina]].<ref>{{Cite web|url=https://www.ashevilleschool.org/alumni/notable-alumni|title = Notable Alumni - Asheville School}}</ref> He played football at Yale, studied medicine at [[Harvard Medical School]] in 1944 and interned in pediatric surgery at [[Boston Children's Hospital]]. A U.S. Navy veteran, he served stateside in [[World War II]] but in Korea during the [[Korean War]], where he became interested in local children with cleft lips.


==The Millard repair procedure==
==The Millard repair procedure==
The rotation-advancement procedure for [[cleft lip and palate#Cleft lip|cleft lip]] repair, also known as the Millard Repair, is designed to create a softer, more natural-looking lip. Surgery performed prior to the Millard procedure involved pulling both sides of the cleft lip together resulting in a tightly closed upper lip. The Millard Procedure rotates the tissue and creates a "Z" shaped scar instead. The "Z" shape gives the tissue more elasticity, resulting in greater flexibility and restoration of the [[Cupid's bow]].<ref name="Time">{{cite news|url=http://www.time.com/time/magazine/article/0,9171,945662,00.html |title={{Medicine: CLeft-Lip Craft|work=TIME |date=1976-08-23 |accessdate=2010-07-16}}</ref>
The rotation-advancement procedure for [[cleft lip and palate#Cleft lip|cleft lip]] repair, also known as the Millard repair, is designed to create a softer, more natural-looking lip. Surgery performed prior to the Millard procedure involved pulling both sides of the cleft lip together resulting in a tightly closed upper lip. The Millard procedure rotates the tissue and creates a Z-shaped scar instead. The "Z" shape gives the tissue more elasticity, resulting in greater flexibility and restoration of the [[Cupid's bow]].<ref name="Time">{{cite magazine|url=http://www.time.com/time/magazine/article/0,9171,945662,00.html |archive-url=https://web.archive.org/web/20110220082030/http://www.time.com/time/magazine/article/0,9171,945662,00.html |url-status=dead |archive-date=February 20, 2011 |title=Medicine: CLeft-Lip Craft|magazine=TIME |date=1976-08-23 |accessdate=2010-07-16}}</ref>
<center>
<gallery class="center">
<gallery>
image:Millardrepair1.svg|The blue lines indicate incisions.
image:Millardrepair1.svg|The blue lines indicate incisions.
Image:Millardrepair2.svg|Movement of the flaps; flap A is moved between B and C. C is rotated slightly while B is pushed down. Note how the cupid's bow is created.
Image:Millardrepair2.svg|Movement of the flaps; flap A is moved between B and C. C is rotated slightly while B is pushed down. Note how the cupid's bow is created.
</gallery>
</gallery>

</center>
==Recognition==
⚫
In 2000, Millard was nominated as one of "10 Plastic Surgeons of the Millennium" by the [[American Society of Plastic Surgeons]]. In the April 2000 issue of ''Plastic Surgery News'', Millard was described as "the most brilliant and creative plastic surgeon we have alive. His work and publications speak for themselves."<ref name="Plastic and Reconstructive Surgery Journal">{{cite news|url=http://journals.lww.com/plasreconsurg/toc/2000/0405 |title=April 2000-volume 105-issue 5: Plastic and Reconstructive Surgery|work=Plastic and Reconstructive Surgery Journal |date=April 2000 |accessdate=2010-07-16}}</ref> He is considered to be one of the founders of modern reconstructive facial surgery.

==Personal life==
Millard had two sons,(Duke and Bond) a daughter (Meleney), and six grandchildren (Davey, Lindsey, Blake, Ryan, Jennifer, and Kelsey).


==Bibliography==
==Bibliography==
* [[Harold Gillies|Gillies HD]], Millard DR. ''The Principles and Art of Plastic Surgery.'' Butterworth. 1958.
* [[Harold Gillies|Gillies HD]], Millard DR. ''The Principles and Art of Plastic Surgery.'' Butterworth. 1958.
** Reviews: [http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1512094], [http://www.ejbjs.org/cgi/reprint/39/2/477], [http://www.jbjs.org.uk/cgi/reprint/39-B/4/805].
** Reviews: [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1512094/], [https://web.archive.org/web/20070928160147/http://www.ejbjs.org/cgi/reprint/39/2/477], [https://web.archive.org/web/20070927032020/http://www.jbjs.org.uk/cgi/reprint/39-B/4/805].
* Millard R, Pigott R, Zies P. ''Free skin grafting of full-thickness defects of abdominal wall.'' Plast Reconstr Surg. 1969
* Millard R, Pigott R, Zies P. ''Free skin grafting of full-thickness defects of abdominal wall.'' Plast Reconstr Surg. 1969
* Millard DR, ''Total reconstructive rhinoplasty and a missing link.'' Plast. Reconstruct Surg 37:167-171, 1966.
* Millard, DR, ''Total reconstructive rhinoplasty and a missing link.'' Plast. Reconstruct Surg 37:167-171, 1966.

==See also==
* [[The paramedian forehead flap]]


==References==
==References==
{{reflist}}
{{reflist}}
* Jeffrey Weinzweig ''Plastic Surgery Secrets'', Hanley & Belfus, ©1999 ISBN 156053219X / ISBN 9781560532194
* Jeffrey Weinzweig ''Plastic Surgery Secrets'', Hanley & Belfus, ©1999 {{ISBN|1-56053-219-X}} / {{ISBN|978-1-56053-219-4}}


==External links==
==External links==
*[http://calder.med.miami.edu/Ralph_Millard/index.html Ralph Millard biography]
*[http://calder.med.miami.edu/Ralph_Millard/index.html Ralph Millard biography]


{{Persondata <!-- Metadata: see [[Wikipedia:Persondata]]. -->
| NAME = Millard, Ralph
| ALTERNATIVE NAMES = Millard, David Ralph
| SHORT DESCRIPTION =
| DATE OF BIRTH = 1919-06-04
| PLACE OF BIRTH = St. Louis, Missouri
| DATE OF DEATH = 2011
| PLACE OF DEATH =
}}
{{DEFAULTSORT:Millard, Ralph}}
{{DEFAULTSORT:Millard, Ralph}}
[[Category:1919 births]]
[[Category:1919 births]]
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{{US-med-bio-stub}}
{{US-physician-stub}}

[[pl:Ralph Millard]]

Latest revision as of 07:20, 21 October 2024

David Ralph Millard, Jr. (June 4, 1919 – June 19, 2011) was a plastic surgeon who developed several techniques used in cleft lip and palate surgeries. He also popularized the double eyelid surgery or "Asian blepharoplasty" to “deorientalize” patients’ faces[1] while stationed in South Korea during the Korean War. He was chief of the Division of Plastic Surgery at University of Miami's Miller School of Medicine for 28 years, and maintained a private practice in Miami.

Early life

[edit]

Millard was born at Barnes Hospital, St. Louis, Missouri. He attended the Asheville School in Asheville, North Carolina.[2] He played football at Yale, studied medicine at Harvard Medical School in 1944 and interned in pediatric surgery at Boston Children's Hospital. A U.S. Navy veteran, he served stateside in World War II but in Korea during the Korean War, where he became interested in local children with cleft lips.

The Millard repair procedure

[edit]

The rotation-advancement procedure for cleft lip repair, also known as the Millard repair, is designed to create a softer, more natural-looking lip. Surgery performed prior to the Millard procedure involved pulling both sides of the cleft lip together resulting in a tightly closed upper lip. The Millard procedure rotates the tissue and creates a Z-shaped scar instead. The "Z" shape gives the tissue more elasticity, resulting in greater flexibility and restoration of the Cupid's bow.[3]

  • The blue lines indicate incisions.
    The blue lines indicate incisions.
  • Movement of the flaps; flap A is moved between B and C. C is rotated slightly while B is pushed down. Note how the cupid's bow is created.
    Movement of the flaps; flap A is moved between B and C. C is rotated slightly while B is pushed down. Note how the cupid's bow is created.

Recognition

[edit]

In 2000, Millard was nominated as one of "10 Plastic Surgeons of the Millennium" by the American Society of Plastic Surgeons. In the April 2000 issue of Plastic Surgery News, Millard was described as "the most brilliant and creative plastic surgeon we have alive. His work and publications speak for themselves."[4] He is considered to be one of the founders of modern reconstructive facial surgery.

Personal life

[edit]

Millard had two sons,(Duke and Bond) a daughter (Meleney), and six grandchildren (Davey, Lindsey, Blake, Ryan, Jennifer, and Kelsey).

Bibliography

[edit]
  • Gillies HD, Millard DR. The Principles and Art of Plastic Surgery. Butterworth. 1958.
  • Millard R, Pigott R, Zies P. Free skin grafting of full-thickness defects of abdominal wall. Plast Reconstr Surg. 1969
  • Millard, DR, Total reconstructive rhinoplasty and a missing link. Plast. Reconstruct Surg 37:167-171, 1966.

See also

[edit]

References

[edit]
  1. ^ Millard, D. R. Jr (November 1955). "Oriental Peregrinations". Plastic and Reconstructive Surgery. 16 (5): 319–336. doi:10.1097/00006534-195511000-00001. ISSN 0032-1052. PMID 13273142. S2CID 36822324.
  2. ^ "Notable Alumni - Asheville School".
  3. ^ "Medicine: CLeft-Lip Craft". TIME. 1976-08-23. Archived from the original on February 20, 2011. Retrieved 2010-07-16.
  4. ^ "April 2000-volume 105-issue 5: Plastic and Reconstructive Surgery". Plastic and Reconstructive Surgery Journal. April 2000. Retrieved 2010-07-16.
[edit]


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