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BACKGROUND: It has been speculated that the immediate decrease in body fat following liposuction may affect body composition by feedback mechanisms of body fat regain. Physical activity has both short- and long-term impacts on health. Although the lay public often associates higher levels of physical activity with body fat distribution changes, studies on the association between physical activity and body fat distribution present inconsistent results. The aim of this study was to investigate the cross-sectional and prospective associations between physical activity and body mass index following liposuction. METHODS: This is a prospective, bidirectional, cross-sectional study, including 526 liposuction patients, who were followed up at a mean of 11.7 and 24.3 months after surgery. RESULTS: The sum of skinfolds at 11.7 months was highly correlated with skinfolds at 24.3 months (rho = 0.74, p < 0.001). More than 85 percent of participants remained in the same quintile or changed by not more than one quintile during the 13.6-month period. Tracking of physical activity was considerably lower but still significant; the correlation was 0.24 (p < 0.001), and 61.4 percent of the patients moved one or less quintiles. In fully adjusted models, no significant cross-sectional or longitudinal associations were found between physical activity and body mass index. CONCLUSIONS: The authors provide evidence of tracking of physical activity and particularly body mass index following liposuction. The authors' results do not support the hypothesis that physical activity and fatness are strongly related following liposuction.
Subject(s)
Body Fat Distribution/methods , Body Mass Index , Exercise/physiology , Lipectomy/methods , Obesity/surgery , Adult , Cross-Sectional Studies , Female , Follow-Up Studies , Humans , Male , Middle Aged , Obesity/physiopathology , Prospective Studies , Time FactorsABSTRACT
Background. Telemedicine can be defined as the use of electronic media for transmission of information and medical data from one site to another. The objective of this study is to demonstrate an experience of telemedicine in plastic surgery. Methods. 32 plastic surgeons received a link with password for real-time streaming of a surgery. At the end of the procedure, the surgeons attending the procedure by the Internet answered five questions. The results were analyzed with descriptive statistics. Results. 27 plastic surgeons attended the online procedure in real-time. 96.3% considered the access to the website as good or excellent and 3.7% considered it bad. 14.8% reported that the transmission was bad and 85.2% considered the quality of transmission as good or excellent. 96.3% classified the live broadcasting as a good or excellent learning experience and 3.7% considered it a bad experience. 92.6% reported feeling able to perform this surgery after watching the demo and 7.4% did not feel able. 100% of participants said they would like to participate in other surgical demonstrations over the Internet. Conclusion. We conclude that the use of telemedicine can provide more access to education and medical research, for plastic surgeons looking for medical education from distant regions.
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Background. Venous thromboembolism (VTE) is a disorder with short-term mortality and long-term morbidity. Healthy patients submitted to elective aesthetic plastic surgeries (EAPS) have risk factors to develop VTE not well established yet. The objective of this study was to examine the incidence and risk factors for VTE in these patients. Methods. Longitudinal, prospective (minimum follow-up of 3 months), observational study. Comprehensive information on patient characteristics and surgeries performed was obtained. Preoperative, intraoperative, and postoperative risk factors were analyzed for their association with VTE. Results. A total of 1254 patients were included in the study. Postoperative VTE occurred in 17 (1,35%) of patients. VTE was more frequent in patients more than 40 years old (82.3%). Smoking, patients with 2 or 3 pregnancies, and hormone replacement therapy, and oral contraceptives use presents higher levels of VTE. In this study we have not found any correlation between liposuction, augmentation mammoplasty, mastopexy, and rhinoplasty as an isolated risk factor for VTE. Conclusions. The incidence of VTE in patients undergoing EAPS was 1.35%. Patients with more than 40 years of age, tobacco users, patients with 2 or more pregnancies, and hormone replacement therapy or oral contraceptives use presents higher levels of VTE.
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INTRODUÇÃO: Mastopexia periareolar crescente com aumento mamário é uma técnica bem descrita para correção de ptoses mamárias classificadas com graus I e II de Regnault. O objetivo deste estudo é discutir os resultados obtidos utilizando essa técnica, com posicionamento do centro de implantes redondos abaixo do mamilo. MÉTODO: Ptoses de grau I foram corrigidas, em pacientes selecionadas, utilizando uma combinação de mastopexia crescente periareolar com aumento mamário utilizando implantes de gel de silicone redondos de perfil alto. As pacientes responderam a um questionário, classificando os resultados obtidos com a mamoplastia como pobres, satisfatórios ou bons. RESULTADOS: Foram estudadas 128 pacientes, que receberam implantes de silicone com volume médio de 308 ml. Foram observadas taxas de reoperação e de complicação de 9,4% e 8,6%, respectivamente. Oitenta e uma (63,3%) pacientes responderam ao questionário, das quais 58% consideraram o resultado bom, 35,8% satisfatório e 6,2% pobre. CONCLUSÕES: Este estudo demonstrou que essa combinação de técnicas proporciona bons resultados, com baixo índice de complicações.
BACKGROUND: The combination of crescent periareolar mastopexy with breast augmentation is a well-described technique for the cosmetic improvement of breast ptosis classified as grades I and II, according to the Regnault grade scale. The aim of this study is to discuss the results obtained by the authors using a combination technique where the center of the round implants was positioned below the nipple projection. METHODS: Grade I ptosis was corrected in certain patients by a combination of crescent periareolar mastopexy with breast augmentation using round-shaped, high-profile silicone gel implants. Each patient completed a questionnaire and rated the results obtained as poor, satisfactory, or good. RESULTS: Were studied 128 patients who received silicone implants (average volume, 308 mL). The observed reoperations and complications rates were 9.4% and 8.6%, respectively. Eighty-one (63.3%) patients responded to the questionnaire, and 58% considered the result good, 35.8% considered it satisfactory, and 6.2% considered it poor. CONCLUSIONS: This study showed that this combination of techniques yields good results and low complication rates.
Subject(s)
Adolescent , Adult , Middle Aged , Breast Implants , Case Reports , Mammaplasty , Breast/surgery , Surveys and Questionnaires , Plastic Surgery Procedures , Silicone Gels , Esthetics , Methods , Patients , Surgery, PlasticABSTRACT
A marcação pré-operatória da incisão na dermolipectomia abdominal tem papel fundamental na forma e no posicionamento da cicatriz resultante. Além da marcação, o descolamento, a tração e a ressecção dos tecidos excedentes também contribuem para esse desfecho. Após observação e análise estatística de 36 abdominoplastias, foi desenvolvido um molde de marcação pré-operatória que reproduz a forma das incisões consideradas adequadas do ponto de vista estético. A forma de incisão considerada adequada apresenta 3 segmentos de reta: um central, de 11 ± 0,4 cm, e 2 laterais angulados em 155 graus, com 16,5 ± 2,3 cm. O molde consegue reproduzir a forma das incisões consideradas adequadas de modo rápido, barato e reprodutível.
Preoperative marking of the incision in abdominoplasty plays a key role in the shape and position of the resulting scar. The undermining, traction, and resection of redundant tissue also influence these outcomes. After observation and statistical analysis of 36 abdominoplasty procedures, a preoperative marking template, which reproduces the incision shape that is considered the most suitable from an aesthetic point of view, was developed. The most suitable incision shape has 3 line segments: one central segment that is 11 cm ± 0.4 cm in length and 2 lateral segments that are 16.5 ± 2.3 cm in length at an angle of 155°. The template provides a quick, inexpensive, and consistent technique for reliably reproducing the suitable incision shape.
Subject(s)
Humans , Abdomen/surgery , Casts, Surgical , Cicatrix , Subcutaneous Fat, Abdominal/surgery , Lipectomy , Plastic Surgery Procedures , Esthetics , Methods , Process Optimization , PatientsABSTRACT
INTRODUÇÃO: O aumento das mamas se tornou um dos procedimentos mais realizados em Cirurgia Plástica. A cirurgia de aumento dos seios é quase inteiramente determinada por três variáveis: localização da incisão, plano de alocação da prótese e tipo de implante. Não há provas incontestáveis que apóiem a superioridade de uma combinação de opções sobre outra. O objetivo deste estudo é comparar, através da análise do cirurgião e das pacientes submetidas ao procedimento, a qualidade da cicatriz originada pela cirurgia de aumento mamário utilizando a via submamária e transareolomamilar. MÉTODO: Estudo longitudinal prospectivo para investigar pacientes submetidas a aumento mamário estético. Foi utilizada a Escala Paciente e Observador de Avaliação da Cicatriz para mensuração da qualidade cicatricial na revisão de um ano. RESULTADOS: Quarenta e nove mulheres foram submetidas a mamoplastia de aumento primária por via inframamária (22 pessoas) ou abordagem transareolomamilar (27 pessoas), em um seguimento médio de 13 meses. O grupo transareolomamilar apresentou melhores resultados na avaliação do paciente. Entre os cirurgiões, a avaliação de ambos os grupos apresentou resultados semelhantes. CONCLUSÕES: Concluímos, com base nas escalas utilizadas e nos dados clínicos obtidos, que a via transareolomamilar demonstrou qualidade superior na avaliação de pacientes. Não houve diferença estatisticamente significativa entre as duas incisões na análise dos cirurgiões. Estudos adicionais envolvendo maior número de pacientes são necessários para comparar o resultado de cada uma das incisões avaliadas.
INTRODUCTION: Breast augmentation has become one of the most frequently performed procedures in Plastic Surgery. The surgery of breast augmentation is almost entirely determined by three variables: selection of incision location, pocket plane for implant placement, and appropriate implant. There is no incontrovertible evidence that supports the superiority of one combination of choices over another. The aim of this study is compare the scar quality by means of patient and surgeon opinion, in women who have undergone augmentation mammaplasty by either the inframammary or transareomamilar approach. METHODS: A prospective study investigated patients who underwent aesthetic breast augmentation. Scar testing was performed using The Patient and Observer Scar Assessment Scale when the patient returned for the 1 year revision. RESULTS: Forty nine women underwent primary augmentation mammaplasty by either the inframammary (22 persons) or transreolomamilar (27 persons) approach at an average follow-up of 13 months. The transareolomamilar showed better results in the patient's evaluation. Among the surgeons evaluation both groups showed similar results. CONCLUSIONS: We conclude, based on the scales used and the clinical data, that the transareolomamilar has demonstrated superior quality in the patient's evaluation. It was not a statistically significant difference between the two incisions in the surgeon's analysis. Additional studies involving a larger number of patients are needed to compare the scars outcome from each of the incisions evaluated.
