Low Negative Pressure Combined With Supertumescence Microliposuction As a New Method For Repairing Facial Fat Overfilling: A Case Series of 32 Patients

Author(s):  
Bo Yin ◽  
Xinyu Zhang ◽  
Lei Cai ◽  
Xuefeng Han ◽  
Facheng Li

Abstract Background Face fat overfilling sometimes occurs and is very difficult to repair unfortunately. Objectives The authors report their first experience of micro-liposuction with low negative pressure combined with super-tumescence (LNPST) in a case series of 32 patients. Methods The LNPST micro liposuction was performed in 32 patients aged 22 to 41 (mean, 29.6±4.9) years with facial overfilling. Two independent plastic surgeons intraoperatively monitored and recorded discomfort and bleeding using a grading system. All patients were followed up for haematoma within 1 week postoperatively and for skin numbness and muscle paralysis at 1 week and 3 months postoperatively. In addition, 6 months postoperatively, patient satisfaction with the postoperative aesthetic effects was analysed by Face-Q. Results All patients successfully completed the operation under local anaesthesia. The intraoperative discomfort and blood-loss scores were 1.69±0.62 and 1.22±0.41, respectively. The haematoma score was 1.13±0.34 within 1 W [other scores: postoperative skin numbness (1 W: 1.96±0.62; 3 M: 1.13±0.33) and postoperative muscle paralysis (1 W: 1.22±0.51; 3 M: 1.0±0)]. Overall, neither skin necrosis nor serious complications requiring revision surgery occurred. Seventy-two percent of the patients (n = 23) answered the Face-Q questionnaire (21.8±1.7), covering satisfaction with the outcome score into a standard score (81.7±15.1, from 0 to 100), which verified the high satisfaction rate. Conclusions LNPST technology is a safe and effective method for facial-fat-overfilling repair, with less bleeding, less neuro injury, fewer complications and high patient satisfaction.

2020 ◽  
Vol 73 (6) ◽  
pp. 550-556 ◽  
Author(s):  
Hesham Elsharkawy ◽  
Hassan Hamadnalla ◽  
Ece Yamak Altinpulluk ◽  
Rodney A. Gabriel

Background: The rhomboid intercostal and subserratus plane (RISS) block is a new interfascial block technique that has shown promising results for abdominal and thoracic surgeries. Our objective was to describe the improved analgesia and dermatomal coverage in patients who received bilateral RISS blocks after a major abdominal surgery.Case: Twenty-one patients who underwent abdominal surgery received the rhomboid intercostal component of the block at the T5 to T6 levels, and the subserratus component block was performed at the T6 to T9 levels.The RISS blocks provided effective postoperative analgesia. There was a variation in the dermatomal coverage ranging from T3 to T12. Patients reported a high satisfaction rate from pain management. Conclusions: The RISS block in abdominal surgery seems to have an important role in perioperative pain management, complementing the multimodal analgesic regimen. To determine the efficacy of the RISS block for abdominal surgery, we need further randomized control trials.


2014 ◽  
Vol 9 (3) ◽  
pp. 83
Author(s):  
Richard Hayman

A Review of: Cirasella, J., & Bowdoin, S. (2013). Just roll with it? Rolling volumes vs. discrete issues in open access library and information science journals. Journal of Librarianship and Scholarly Communication, 1(4). http://dx.doi.org/10.7710/2162-3309.1086 Abstract Objective – To understand the prevalence of, motivations for, and satisfaction with using a rolling-volume publishing model, as opposed to publishing discrete issues, across open access academic journals in library and information science. Design – A 12 question survey questionnaire. Setting – English-language, open access library and information science (LIS) journals published in the United States of America. Subjects – A total of 21 open access LIS journals identified via the Directory of Open Access Journals that were actively publishing, and that also met the authors’ standard of scholarliness, which they established by identifying a journal’s peer-review process or other evidence of rigorous review. Based on responses, 12 journals published using discrete issues, while 9 published as rolling volumes or as rolling volumes with some discrete issues. Methods – In late 2011, the study’s authors invited lead editors or primary journal contacts to complete the survey. Survey participants were asked to identify whether their journal published in discrete issues, rolling volumes, or rolling volumes with occasional discrete issues, with the latter two categories combined as one for ease of results analysis. Survey logic split respondents into two groups, either discrete-issue or rolling-volume. Respondents in both categories were posed similar sets of questions, with the key difference being that the questions directed at each category accounted for the publication model the journals themselves identified as using. Editors from both groups were asked about the reasons for using the publication model they identified for their journal: within the survey tool, authors provided 16 potential reasons for using a discrete-issue model, and 13 potential reasons for using a rolling-volume model. Respondents from both groups were asked to mark all reasons that applied for their respective journals. The survey also included questions about whether the journal had ever used the alternate publishing model, the editor’s satisfaction with their current model, and the likelihood of the journal switching to the alternate publishing model in the foreseeable future. Main Results – The authors collected complete responses from 21 of the original 29 journals invited to participate in the study, a response rate of 72%. For the 12 journals that identified as using discrete issues, ease of production workflow (91.7%), clear production deadlines (75.0%), and journal publicity and promotion (75.0%) were the three most common reasons for using a discrete-issue model. For the nine journals using rolling volumes, improved production workflow (77.8%), decreased dependence on production deadlines (77.8%), and increased speed of research dissemination (66.7%) were the three most common reasons cited for using a rolling-volume model. Findings show that overall satisfaction with a journal’s particular publication model was a common factor regardless of publishing model in use, though only the rolling-volume editors unanimously reported being very satisfied with their model. This high satisfaction rate is reflected in editors’ positions that they were very unlikely to switch away from the rolling-volume method. While a majority of editors of discrete-issue journals also reported being very satisfied or somewhat satisfied with their current model, the mixed responses to whether they would contemplate switching to the alternate model suggests that awareness of the benefits of rolling-volume publishing is increasing. Conclusion – Researchers discovered a greater incidence of rolling-volume model journals with open access LIS journals than anticipated, suggesting that this is an area where additional research is necessary. The relative newness of the rolling-volume model may be a contributing factor to the high satisfaction rate among editors of journals using this model, as journal editors are likely to be more deliberate in selecting this model over the traditional discrete-issue publishing model. Workflow and production practices were identified as key characteristics for selecting a publishing model regardless of the model selected, and therefore this is another area in need of further investigation.


Author(s):  
Bharatendu Swain

Abstract Background Scar visibility is a major deterrent to patients seeking reconstructive surgery. Endoscopic surgery can address a wide range of problems, from minimizing or concealing scars to improving access and outcomes in certain situations. This case series includes a wide range of reconstructive surgery problems addressed by subcutaneous endoscopic surgery. Having one or more trained assistants is a major deterrent to the performance of endoscopic surgery by the lone practitioner. The single (or two-port technique for muscle harvest) used in most cases simplifies subcutaneous endoscopic surgery. Methods A single-port endoscopy technique, with a 4-mm, 30-degree side viewing telescope and sheath, optical camera and cold light source, was used. Case records were reviewed for access incisions, procedure abandonment, postoperative pain, complications, and patient satisfaction. Results A total of 53 endoscopic surgical episodes between 2003 and 2013 were reviewed. Using a single port, most cases were done successfully. The access site was changed peroperatively in one case. Complications included transient nerve palsy in one case, which recovered completely. There was minimal intraoperative bleeding. Postoperative pain was low except in one case and managed with minimal analgesia. Patient satisfaction was high in all cases. Conclusions Subsurface endoscopy done on a wide range of reconstructive surgery procedures and resulted in minimal scars and high patient satisfaction.


2010 ◽  
Vol 138 (9-10) ◽  
pp. 546-550 ◽  
Author(s):  
Katarina Andjelkov ◽  
Marcos Sforza ◽  
Renato Zaccheddu ◽  
Goran Lazovic ◽  
Miodrag Colic

Introduction. Otoplasty or correction of prominent ears, is one of most commonly performed surgeries in plastic surgery both in children and adults. Until nowadays, there have been more than 150 techniques described, but all with certain percentage of recurrence which varies from just a few up to 24.4%. Objective. The authors present an otoplasty technique, a combination of Mustardj?s original procedure with other techniques, which they have been using successfully in their everyday surgical practice for the last 9 years. The technique is based on posterior antihelical and conchal approach. Methods. The study included 102 patients (60 males and 42 females) operated on between 1999 and 2008. The age varied between 6 and 49 years. Each procedure was tailored to the aberrant anatomy which was analyzed after examination. Indications and the operative procedure are described in stepby- step detail accompanied by drawings and photos taken during the surgery. Results. All patients had bilateral ear deformity. In all cases was performed a posterior antihelical approach. The conchal reduction was done only when necessary and also through the same incision. The follow-up was from 1 to 5 years. There were no recurrent cases. A few minor complications were presented. Postoperative care, complications and advantages compared to other techniques are discussed extensively. Conclusion. All patients showed a high satisfaction rate with the final result and there was no necessity for further surgeries. The technique described in this paper is easy to reproduce even for young surgeons.


2021 ◽  
Vol 7 ◽  
pp. 205951312110490
Author(s):  
Jennifer VH Tran ◽  
Shantel DJ Lultschik ◽  
Sheetal Sapra ◽  
Kevin Dong ◽  
Klaudija Gusic ◽  
...  

Introduction Keloid scars are therapeutically challenging and although many treatment options exist, there are no specific guidelines, and few reports have discussed keloids in the umbilical region. Methods Here, we present a successful treatment of a 31-year-old female with a history of a recurrent keloid in the umbilical region. The keloid was treated using intralesional cryotherapy followed by intralesional onabotulinumtoxinA and triamcinolone acetonide injections. Discussion The patient expressed high satisfaction, minimal side effects, and no recurrence. Conclusion Overall, due to the low rate of side effects, high patient satisfaction, and absence of recurrence, this treatment modality should be considered as an option for umbilical keloids. Lay Summary Background to subject: Keloids are a type of scar that are difficult to treat. There are many treatment options available, but there is no single best treatment for keloids that form around the belly button region. Question being asked: Is intralesional cryotherapy with intralesional onabotulinumtoxinA and triamcinolone acetonide injections effective at treating keloids in the belly button region? How the work was conducted: We treated a 31-year-old female with a keloid around the belly button region that returned after prior treatment. The keloid was treated using combination therapy of freezing the keloid from the inside out, which is called intralesional cryotherapy. This was followed by two types of injections, called onabotulinumtoxinA and triamcinolone acetonide, directly into the keloid. What we learned: Overall, due to the low rate of side effects, high patient satisfaction and the keloid not returning, this treatment plan should be considered as an option for keloids in the belly button region. What we did not learn: This treatment may or may not be effective and safe for all patients of all skin types and demographics as this treatment was performed for only one patient.


2020 ◽  
Vol 53 (02) ◽  
pp. 244-253
Author(s):  
Parag Shashank Telang

Abstract Background Facial feminization surgery (FFS) is a combination of facial bony and soft tissue surgeries designed to modify and convert a masculine face to feminine. One’s face plays a very central role in gender incongruence and FFS helps patients overcome this. There are prominent differences between the male and the female facial anatomy (bony and soft tissue) which can be surgically altered to change the visual perception of the face. Methods The author presents the method used at his center for treating 220 patients of gender incongruence requesting FFS from June 2016 to June 2019. The alterations to known methods of forehead contouring, hairline lowering, and jaw shave adopted by his team are discussed. He also presents the logic of performing the entire FFS in two stages at an interval of 7 to 10 days. Results A total of 220 cases of FFS are presented, along with surgical details of techniques used, the sequence and staging of procedures performed, and the results obtained. A two-staged approach to FFS is proposed to maximize the recovery and minimize complications and promote faster healing. Different methods of forehead contouring are also explained in detail. Conclusions FFS is a very rewarding surgery for the plastic surgeon and has high patient satisfaction rate. With proper training in craniomaxillofacial and soft tissue surgery, it is possible for the plastic surgeon to be the main team leader for this procedure. A two-stage approach is highly recommended.


2013 ◽  
Vol 17 (5) ◽  
pp. 362-364 ◽  
Author(s):  
Furkan Erol Karabekmez ◽  
Ahmet Duymaz ◽  
Zeynep Karacor

Background: Neurofibromatosis may present with different skin lesions. Disfiguring lesions on the face might be challenging for the surgeon or clinician to correct and may have adverse effects on patients' social lives, especially in young women. Objective: To present the dermabrasion technique combined with serial excisions of a deeper accompanying lesion to treat superficial facial lesions in a young neurofibromatosis patient. Methods: Dermabrasion was applied to superficial lesions on the face, and staged excision was applied to the deeper lesion located on the forehead. Results: We obtained high patient satisfaction with the result. The deep lesion was excised totally, and superficial lesions were decreased with dermabrasion. Conclusion: Dermabrasion may become a good alternative in cases of neurofibromatosis with superficial facial lesions.


2021 ◽  
Vol 15 (3) ◽  
pp. 213-216
Author(s):  
Rodrigo Yuzo Masuda ◽  
Vinicius Felipe Pereira ◽  
Andre Vitor Kerber Cavalcante Lemos ◽  
Caio Augusto de Souza Nery ◽  
Nacime Salomão Barbachan Mansur

Objective: First tarsometatarsal joint (TMTJ) arthrodesis, also known as Lapidus, is a surgical procedure used to treat severe hallux valgus, associated hypermobility of the first ray, and/or osteoarthritis of the first TMTJ. Despite the high satisfaction rate and high corrective power, this technique is not without complications. This study aimed to report the complications of first TMTJ arthrodesis. Methods: This is a case series of 16 patients treated with first TMTJ arthrodesis. Patients were evaluated based on foot radiographs, clinical alignment of the hallux, and signs and symptoms. Results: Eight patients had either major or minor complications. Three patients had recurrent deformity (1 with associated nonunion), 2 had delayed union, 2 had hardware loosening (1 with associated nonunion), and 1 had wound dehiscence. Conclusion: First TMTJ arthrodesis requires greater care in choosing the surgical technique for the treatment of hallux valgus. In addition, some points should be considered to minimize complications as much as possible. We believe that data are still scarce to provide a concrete basis. Level of Evidence IV; Therapeutic Studies; Case Series.


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