RESUMO
The use of particulate silicone in plastic surgery involves the introduction of solid silicone into the body. The silicone is in small pieces in order for it to adapt to the shape of the defect. This way large quantities can be introduced through small incisions. It is also possible to distribute the silicone particles from outside the skin to make the corrections more regular. This method has been very useful for correcting post-traumatic depressions in the face and all areas where the depression has a rigid back support. We consider it the treatment of choice for correcting the funnel chest deformity.
Assuntos
Próteses e Implantes , Silicones , Cirurgia Plástica/métodos , Face/cirurgia , Tórax em Funil/cirurgia , Humanos , Complicações Pós-Operatórias , Fatores de TempoRESUMO
The standard abdominal lipectomy is a risky procedure with respect to where the first incision (i.e., the transverse suprapubic incision) is located. Failure to place the incision successfully may distort the whole procedure, resulting in an overly tight abdominal wall, hypertrophy, and upward displacement of the scar along with the pubic hair, and also excessive tension causing skin necrosis of the abdominal flap. Advantages of our reversed technique are emphasized.
Assuntos
Músculos Abdominais/cirurgia , Lipectomia/métodos , Obesidade/cirurgia , Humanos , Retalhos CirúrgicosRESUMO
In the human axilla, the proportion of eccrine and apocrine sweat glands is 1:1. The former are in the dermis, while most of the latter are in the subcutaneous cellular tissue. After studying the difficult methods that have been described for the surgical treatment of axillary hyperhidrosis, we concluded that the treatment should be as radical as possible and deal with both types of glands. The technique described here is a combined method which removes en bloc the skin and subcutaneous cellular tissue of more than half the area of sweating and the subcutaneous cellular tissue of the rest, leaving an S-shaped scar that follows the main axis of the axilla. Problems with this method have been minimal. Follow-up studies carried out up to 3 years after the operation have indicated excellent results.
