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1.
Clin Plast Surg ; 36(2): 181-92, v; discussion 193, 2009 Apr.
Article in English | MEDLINE | ID: mdl-19309641

ABSTRACT

The first part of this article familiarizes the reader with the evolution of mesotherapy, injection lipolysis, and the use of phosphatidylcholine and deoxycholate for subcutaneous fat reduction. There is an emphasis on the underlying basic science of fat metabolism and the biochemistry of phosphatidylcholine, so that practitioners will be able to understand future published research on these topics. The second half details some personal experience with injection lipolysis.


Subject(s)
Lipolysis/physiology , Obesity/therapy , Phosphatidylcholines/therapeutic use , Surgery, Plastic/methods , Humans , Injections , Phosphatidylcholines/administration & dosage , Surgery, Plastic/instrumentation
2.
Plast Reconstr Surg ; 122(2): 652-658, 2008 Aug.
Article in English | MEDLINE | ID: mdl-18626389

ABSTRACT

SUMMARY: Modified sutures have been developed and are currently being used in closed and open facial rejuvenation procedures. In addition, these sutures have applications in body contouring procedures and wound closure. The indications and efficacy of these sutures continue to evolve.


Subject(s)
Minimally Invasive Surgical Procedures/trends , Plastic Surgery Procedures/trends , Sutures , Adult , Aged , Blepharoplasty/methods , Female , Humans , Male , Middle Aged , Postoperative Complications/etiology , Postoperative Complications/surgery , Reoperation , Rhytidoplasty/methods , Suture Techniques , Treatment Outcome , Wound Healing/physiology , Young Adult
4.
Cleft Palate Craniofac J ; 39(1): 26-9, 2002 Jan.
Article in English | MEDLINE | ID: mdl-11772166

ABSTRACT

OBJECTIVE: The purpose of this study was to compare the financial impact of two treatment approaches to the unilateral cleft alveolus. The recently advocated nasoalveolar molding (NAM; and gingivoperiosteoplasty (GPP; at the time of lip repair were compared with the traditional approach of secondary alveolar bone graft. DESIGN: The records of all patients (n = 30) with unilateral cleft lip and alveolus treated by a single surgeon during 1985 through 1988 were examined retrospectively. The patients were divided into two groups: group 1 patients (n = 14) were treated by lip repair, primary nasal repair, and secondary alveolar bone graft prior to eruption of permanent dentition; group 2 patients (n = 16) were treated by NAM, GPP, lip repair, and primary nasal repair. Patients who required secondary alveolar bone graft after GPP were noted. The cost of treatment by each protocol was calculated in 1998 dollars. RESULTS: The average cost of treatment for a patient treated by lip repair, primary nasal repair, and secondary alveolar bone graft prior to eruption of permanent dentition was $22,744. Of the 16 patients treated by NAM, GPP, lip repair, and primary nasal repair, 10 required no further treatment of the unilateral cleft alveolus; six patients required secondary alveolar bone graft. The average per-patient treatment cost in this group was $19,745. The average cost savings of NAM and GPP, compared with alveolar bone graft is $2999. CONCLUSIONS: The treatment of unilateral cleft alveolus by nasoalveolar molding and gingivoperiosteoplasty results in substantial cost savings, compared with treatment by secondary alveolar bone graft.


Subject(s)
Alveolar Process/pathology , Alveoloplasty/methods , Bone Transplantation/methods , Cleft Palate/surgery , Gingivoplasty/methods , Nose/pathology , Palatal Obturators , Periosteum/surgery , Anesthesiology/economics , Bone Transplantation/economics , Cleft Lip/surgery , Cleft Lip/therapy , Cleft Palate/rehabilitation , Clinical Protocols , Cost Savings , Fees, Medical , General Surgery/economics , Gingivoplasty/economics , Health Care Costs , Hospitalization/economics , Humans , Operating Rooms/economics , Orthodontics/economics , Palatal Obturators/economics , Recovery Room/economics , Retrospective Studies , Time Factors , Tooth Eruption , Treatment Outcome
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