ABSTRACT
Laser resurfacing is a new method to treat atrophic scars. The pulsed erbium YAG laser has been shown to be effective in the treatment of this variations of the skin texture secondary to a lot of conditions. Er:YAG laser allows precise epidermal ablation with minimal thermal injury to surrounding tissues. The goal of this study was to evaluate the effectiveness of the Er:YAG laser in the treatment of atrophic scars with multiple applications. In agreement with previously reported studies our results show that multiple treatments with erbium YAG laser are safe and effective to improve atrophic scars.
Subject(s)
Cicatrix/surgery , Laser Coagulation/methods , Adult , Erbium , Female , Humans , Male , Treatment OutcomeABSTRACT
Lipodystrophies are rare conditions in which the most remarkable feature is an atrophy of the subcutaneous tissues. Until two decades ago, they were all considered under the name of "lipoatrophic diabetes", and only recently they have been properly classified. Currently four syndromes are recognized: congenital total lipodystrophy, late onset or acquired lipodystrophy, cephalothoracic or partial progressive lipodystrophy and partial face-sparing lipodystrophy. We report the case of a 73-year-old patient, long distance bus driver, who presented to our clinic for the correction of a malar atrophy located on the left side of his face. Until he was 48 years old his appearance was normal, but at the time he reports the slow onset of a facial atrophy which was confined to the cheek. The atrophy was very slowly progressing, so that at this moment at 73 years of age he presented to our observation for the correction of the asymmetry. Clinical examination and history oriented us towards a variation of Parry-Romberg's syndrome characterized by a non progressive late onset hemifacial atrophy. No muscle or bony involvement is present. No other important abnormalities, excluding a moderate hyperglycemia have been observed. A biopsy of the region shows a marked elastosis and a complete atrophy of the subcutaneous fat. Correction of the deformity was achieved with autologous fat injection and was still satisfactory after one year.
Subject(s)
Facial Hemiatrophy , Lipodystrophy , Adipose Tissue/transplantation , Age Factors , Aged , Biopsy , Cheek , Facial Hemiatrophy/pathology , Facial Hemiatrophy/surgery , Follow-Up Studies , Humans , Lipodystrophy/pathology , Lipodystrophy/surgery , Male , Time FactorsABSTRACT
Divided nevus of the eyelid as a rare pathologic entity and develops during fetal growth, when the two eyelids are still fused together. Its surgical treatment is mostly based on full thickness skin grafts. We report a case of a 22-year-old woman with a congenital divided nevus affecting the left upper and lower eyelid. The patient was treated in our Department because of the onset of a purple red nodule in the lower part of the nevus. We examined the case from embryological, histopathological, clinical, and diagnostic standpoints, and discuss surgical options in order to reach an optimal functional and aestetic result.
Subject(s)
Eyelid Neoplasms/pathology , Nevus, Pigmented/pathology , Skin Neoplasms/pathology , Adult , Biopsy , Eyelid Neoplasms/congenital , Eyelid Neoplasms/surgery , Female , Humans , Nevus, Pigmented/congenital , Nevus, Pigmented/surgery , Skin Neoplasms/congenital , Skin Neoplasms/surgeryABSTRACT
The Authors discuss the problems related to male infertility, pointing out their different clinical and therapeutical features. They stress the importance of plastic surgery in the treatment of disorders such as penile chordee, hypospadias as well as nervous and vascular lesions.