Subject(s)
Bowen's Disease/pathology , Bowen's Disease/surgery , Cryosurgery , Humans , Male , Middle AgedABSTRACT
BACKGROUND: Face-lifting can result in a number of complications. A mini-invasive technique is now presented. OBJECTIVE: To perform face-lifting as a simple, quick, and mini-invasive ambulatory approach in patients requiring mild to moderate lift. MATERIALS AND METHODS: Using a Khawaja-Hernandez or Keith needle and polypropylene 2-0, the superficial SMAS is pulled up and fixed to the periosteum of the temporal bone. Nineteen patients were so operated on, 14 women and 5 men, whose ages varied from 51 to 67 years. Pre- and postoperative photographs were taken. The degree of satisfaction was measured from 1 to 3 (1 being the least satisfactory). Informed consent was signed by all of the patients. RESULTS: Satisfactory results were obtained in all cases. Patients enjoyed the ease of the procedure. CONCLUSION: This is a simple, quick, and noncomplicated way to perform a face-lift. It can be combined with other modalities of facial rejuvenation.
Subject(s)
Rhytidoplasty/methods , Aged , Female , Humans , Male , Middle Aged , Minimally Invasive Surgical Procedures , Patient Satisfaction , Suture Techniques , SuturesABSTRACT
BACKGROUND: Surgical eyebrow lift can result in a number of complications. A nonsurgical simple method of lifting the brow is presented. OBJECTIVE: To raise the eyebrows using a simple, quick, and noninvasive approach. METHODS: Twenty-nine patients, 27 women and 2 men, whose ages varied from 24 to 56 years (mean of 32 years) were included in the study. Preoperative and postoperative photographs were taken. In two patients, brow suspension was performed at the time of blepharoplasty. Informed consent was signed by all of the patients. For measuring the degree of satisfaction of the patients, we gave to them a sheet grading it from one to three (with one being the least satisfactory). Local anesthesia (1% lidocaine, 1:400,000 epinephrine), a conveniently sized Keith needle, and prolene 3/0 sutures were used. RESULTS: Satisfying results were obtained in all cases. The only problem encountered in two patients was temporary edema, and it settled in a few days. CONCLUSION: This is a very simple, quick, and noncomplicated method of raising the eyebrows. It can be repeated, revised easily, or combined with other modalities, such as peels, topical tretinoin, oral isotretinoin, fat injection, Goretex, and Botox as part of a facial rejuvenation program.
Subject(s)
Eyebrows , Rhytidoplasty/methods , Adult , Female , Humans , Male , Middle AgedABSTRACT
BACKGROUND: Intense Pulsed Light (IPL) is a noncoherent, nonlaser, filtered flashlamp, emitting a broadband visible light. Its efficacy has been reported recently in the treatment of photodamaged facial skin, promoting the production of neo collagen and ordering of elastic fibers. We don't know however, its efficacy in the treatment of striae distensae. OBJECTIVE: To assess gross and microscopical changes that occur in the striae distensae when treated by IPL. METHODS: A prospective study was carried out in 15 women, all of them having late stage striae distensae of the abdomen. Five sessions of IPL were performed in each one, once every two weeks. Skin biopsies and before and after photographs were taken of all the patients. Data concerning skin features (number of stretch marks in a square of 5 cm per side, sum of all the stretch marks to determine the total length, discolorations and general appearance) were all assessed before each session and at the end of the study. Microscopical changes were all carefully assessed. For the statistical analysis a "t" test for small samples was used. RESULTS: All patients showed clinical and microscopical improvement in each one of the parameters assessed. The "t" test for small samples showed a statistically significative difference (p < 0.01) in the post treatment dermal thickness. CONCLUSION: Striae distensae improved clinically and microscopically after IPL. It seems to be a promising method of treatment for this common problem with minimal side-effects, a wide safety margin and no downtime.
Subject(s)
Cicatrix/therapy , Phototherapy , Abdomen , Adult , Cicatrix/pathology , Female , Humans , Prospective Studies , Severity of Illness Index , Treatment OutcomeABSTRACT
BACKGROUND: Intense pulsed light (IPL) is a noncoherent, nonlaser, filtered flashlamp emitting a broadband visible light that has been shown to be effective in photoepilation, as well as in a number of vascular and pigmented lesions of the skin. Their efficacy has also been reported recently in the treatment of photodamaged facial skin. In the last condition, however, there are few studies showing the clinical and microscopic changes produced by IPL. OBJECTIVE: To assess the gross and microscopic changes that occur in photodamaged skin submitted to nonablative full-face resurfacing (NAFFR) using IPL. METHODS: Five women were submitted to five NAFFR sessions using IPL, one every 2 weeks. Skin biopsies and photographs were taken on all of the patients before the first procedure and after the last one, as well as weekly clinical assessment. Data concerning skin features (wrinkles, oiliness, thickness, dilated pores, and general appearance) were all assessed. Microscopic improvement of the aging features in the epidermis and dermis were all assessed. For the statistical analysis a t test for small samples was used. RESULTS: All the patients showed clinical and microscopic improvement in every one of the parameters assessed. The t test for small samples showed a statistically significant difference (P < 0.01) in epidermal thickness. CONCLUSION: Facial photodamage was clinically and microscopically improved using IPL. Use of IPL as a rejuvenating method seems to be promising, with minimal side effects, a wide safety margin, and minimal downtime.
Subject(s)
Face , Phototherapy , Rhytidoplasty/methods , Skin Aging/radiation effects , Skin/pathology , Adult , Female , Humans , Middle Aged , Treatment OutcomeABSTRACT
Los autores integran en forma concisa los puntos de mayor interés en anatomía quirúrgica práctica de cabeza y cuello para el cirujano dermatólogo
Subject(s)
Humans , Anatomy , Face/anatomy & histology , Face/blood supply , Face/innervation , Face/surgery , Facial Nerve , Head/anatomy & histology , Head/blood supply , Head/innervation , Head/surgery , Masseter Muscle/anatomy & histology , Neck/anatomy & histology , Neck/blood supply , Neck/innervation , Neck/surgery , Surgery, Plastic , Temporal ArteriesABSTRACT
En un estudio efectuado en eccemas de diferente naturaleza, comparamos la eficacia de pirrolidona carbo xilato de sodio con hidrocortisona al 1 por ciento contra pirrolidona carboxilato de sodio simple en 100 pacientes observados a lo largo de dos semanas. Se evaluaron tanto la eficacia clínica, como la aceptación cosmética y los posibles efectos colaterales, al fin del tratamiento y una semana después. Con pirrolidona carboxilato de sodio con hidrocortisona al 1 por ciento los resultados se consideraron como muy buenos en 94 porciento, y moderados en 6 porciento. Con pirrolidona carboxilato de sodio los resultados fueron muy buenos en 40 porciento y moderados en 60 porciento. La aceptación cosmética fue excelente. No se encontraron efectos colaterales.
