ABSTRACT
Os autores apresentam técnica corretiva conservadora para o lóbulo senil. A literatura pertinente é rica em técnicas redutoras de lóbulos longilíneos ou rasgados. Os autores creem que a cirurgia para os lóbulos deve poupar tecidos in situ, a despeito de usuais técnicas de preenchimento com material orgânico e biocompatíveis. A presente técnica se baseia na clássica redução lobular periférica da borda livre, que agrega ao componente do face lifting para reduzir o lóbulo e ao mesmo tempo poupar tecidos e encorpá-lo na cicatriz oculta retrolobular. Resolução tripartite até hoje não apresentada na literatura. Com oito casos operados: seis tipo pec-man no passado; um na forma clássica marginal e três recentes com esta modificação técnica.
The authors present a new surgical approach to the aging earlobe. The technique is based on the classic marginal reduction technique of the earlobe contour that has been improved. In essence, it seeks to preserve the subdermal fat layer of the distal flap created for the purpose of raising the earlobe while being shortened, thickened and smooth, in a hidden scar. It is a tripartite resolution to this problem never seen in the relevant literature. Four 68-yearold women were treated: the first with the classic manner in 2009 and the others with this modification to improve the earlobe withered appearance in 2017-2019. The study shows a rejuvenating eutrophic reduction technique.
ABSTRACT
Um consenso atual em otoplastia estética apregoa que somente as técnicas que desmontem a resiliente arquitetura cartilaginosa das orelhas protrusas, aliadas à fixação da nova forma com suturas, podem alcançar resultados bons e estáveis. O alvo cirúrgico de toda otoplastia é a nova dobra da antélice torneada e estética: uma roliça dobra afunilada que dá forma e beleza à orelha externa. Neste artigo é descrita a experiência de 10 anos com o uso de um novo instrumental no estriamento da cartilagem auricular: as tradicionais agulhas de crochê. Além disso, são demonstrados o modo de aparelhar o novo dispositivo, para ter uma borda inferior em bisel cortante, e a técnica de manejo desse dispositivo por pequenas botoeiras sob a hélice auricular. Após a moldagem do complexo antelical, é assegurada a nova forma com suturas, absorvível e não-absorvível. Com essa técnica, é observado baixo índice de complicações, em decorrência de estreitos túneis de descolamento cutâneo da face anterior do pavilhão auricular. No artigo, é também apresentado um caso clínico bem-sucedido com o uso do novo instrumental.
In aesthetic otoplasty, it is widely known that only techniques that disassemble the resilient cartilaginous architecture in cases of protruding ears coupled with anchoring sutures can achieve good and stable results. All surgical otoplasty procedures aim to achieve a new, shapely, and aesthetic antihelix fold that shapes and beautifies the outer ear. In this article, we describe our 10-year experience with the use of a new instrument for auricular cartilage striation - the traditional crochet needle. Moreover, we describe the manner in which the new instrument can be prepared in order to have a lower bevel cutting edge as well as the technical management of this instrument in small buttonholes in the auricular helix. After molding the antihelix complex, the new form is fixed with absorbable and non-absorbable sutures. With this technique, there is a low complication rate due to narrow cutaneous detachment tunnels in the anterior surface of the ear. In the article, we also describe the successful clinical use of the new instrument.
Subject(s)
Humans , Male , Needles/adverse effects , Ear Cartilage/surgery , Surgery, Plastic/methods , Ear Deformities, Acquired/surgery , Ear, External/surgery , Plastic Surgery Procedures , Esthetics , Methods , Patients , MethodsABSTRACT
The following is a special clinicosurgical essay that arose from the study of a routine aesthetic blepharoplasty in which the postoperative maintenance of an excess eyelid fold on one side was observed in spite of a greater tissue resection. The clinical investigation of a spectacular asymmetric eyebrow ptosis increased our interest in going through the pertinent literature to speculate any and all forms of change and concept that could lead us to the explanation for this picture of supraciliary abnormality. Because nothing has been reported to date in respect to the subject under study in this paper that would emphasizeeyebrow asymmetry, our research was intended to prove its occurrence on normal human face. It is our opinion that much data in the specialized literature is symptomatic, such as Eyebrow Ptosis, Asymmetric Upper Lids, Frontal FlacciditY and Blepharochalasis, and the well know Facial Asymmetry. All of this physiognomy of the human face is well know from a static structural point of view, however the subject that will be approached here is a sectorial asymmetry of an anatomo-functional nature.