Local anesthesia in cervico-facial ritidoplasty

the authors present their experience of 200 pacient's submitted to cervico-facial ritidoplasty under local anesthesia at Clincia de Cirurgia Plastica Ruy Vieira between 1985 and 1989. the anesthetist, surgical atmosphere and proper equipament are indispensable, so that the patient is monitorized to allows the imediate finding of any systemic disturbance due to the rapid absortion of the local anesthetic and its correction. The duration of the aneshesia is the restrictive factor, and the surgeon must have security and dominate the operatory tecnique. This anesthetic technique gives a better level for undermining, minor bleeding, smaller postoperatory morbidity and the collaboration of the patient in some phases of the surgery

Reconstruçäo palpebral / Reconstruçäo of the eyelids

The author emphasizes the technical aspects of the reconstruction surgery of the eyelids. We recommend strongly the use of specific tools and special lights, and the use of magnifying lens, because small trauma con cause a lot of damage in some cases, where the patient doesn't have a second chance of eye-sight. Then, we shown a few cases of partial or total reconstruction of the eyelids, using very simple procedures with gratifying results. The use of proper methods and principles is clearly required, in a region were the patient, and the doctor, may note have a second chance of reconstruction