hyaluronic acid in calves defects correction

Aim: Since the advent of fillers, new techniques are continuously developed for different uses. In this study, we evaluated the use of hyaluronic acid for calf augmentation. Methods: A total of 42 patients were enrolled in this study. All of them underwent augmentation procedure in our centers under local anesthesia, the operations were completed within 1 h with a prompt correction of the defects. Results: Thirty-nine patients were satisfied with the treatment (93%), while three had complications, local infection, and lumps, that were resolved quickly (7%). Conclusion: Macrofillers can be injected into the calf to correct any defects. The advantages include short duration of treatment; the procedure performed under local anesthesia and limited side-effects that resolve promptly. This study suggests the use of biocompatible macrofillers for the augmentation of not only calves, but also for augmentation of breast and buttocks

Innovative non-surgical plastic technique for saddle nose correction: a study on 97 patients

Background: Non-surgical rhinoplasty is one of the best choices in mild cases of the saddle nose, and it represents a solution for the aesthetical amelioration of facial deformity; nevertheless, in most critical cases, surgical intervention is still required. This study reports the experience and results of a single facial plastic surgeon (M.G.) using a non-surgical technique for the correction of saddle noses in a large cohort of patients. Methods: This retrospective study assesses all patients injected from January 2017 through October 2023 in private clinics in Milan (Italy), London (UK), and Dubai (UAE). All patients were followed up for 12 months. The harvested adipose tissues were processed with different systems and with or without acoustic wave therapy (AWT). The extracted products have been characterized in terms of cellular yield and cell growth. Ninety-seven patients were injected with adipose-derived products or hyaluronic acid (HA). Patients were followed up for 12 months, and satisfaction data were analyzed. Results: The stem cells obtained from the patients who previously received AWT displayed a statistically higher cell growth ability in comparison with those of the cells derived from patients who did not receive AWT. The evolution of patient satisfaction during the time for each group of treatment was investigated, and cellular treatments show the best maintenance of patient satisfaction over time. Conclusions: Dermgraft and AWT approaches resulted in the highest patient satisfaction for the non-surgical correction of the saddle nose deformity

Facial Contour Recovery by Lipofilling: A Closed Loop System Protocol

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Submental Orotracheal Intubation: An Alternative to Tracheotomy in Transfacial Cranial Base Surgery

This retrospective study evaluated the safety and efficacy of submental intubation not only for trauma treatment but also for oncological cranial base surgery. The medical records of 24 patients who underwent submental intubation from 1996 to 2002 were reviewed. There were 6 procedures for craniofacial trauma, 12 transmaxillary approaches to the clivus for clivus chordomas, and 6 transmaxillary approaches to the cranial base for chondrosarcomas. Time required for intubation, accidental extubation, postoperative complications, and the healing of intraoral and submental scars were evaluated. The submental orotracheal intubation was completed successfully in all patients. No accidental extubations or tube injuries occurred. The mean time required for intubation was 5 minutes. The only complication was one case of superficial infection of the submental wound. The intraoral and submental accesses healed with minimal scarring in all patients. Submental orotracheal intubation is a useful and safe technique for airway management of craniomaxillofacial traumas and during transfacial approaches to the cranial base. It avoids the complications associated with tracheostomy. It also permits considerable downward retraction of the maxilla after a Le Fort I osteotomy and is associated with good clival exposure. Furthermore, it does not interfere with maxillomandibular fixation at the end of the surgery

Valutazione e governance della scuola. Verso un sistema valutativo context-based

Governare una realt\ue0 complessa come la scuola necessita di pratiche valutative diverse per funzioni e procedure che devono per\uf2 ritrovare senso e unitariet\ue0 in una strategia complessiva. Tale compito esige responsabilit\ue0 e apertura al contesto: l\u2019ampliamento dei poteri decisionali e della flessibilit\ue0 nella definizione dell\u2019offerta formativa implica, per le scuole, l\u2019impegno a rendere conto delle proprie azioni in rapporto al territorio e al sistema di istruzione nel suo complesso. Occorre dunque sviluppare una cultura della valutazione atta a generare azioni efficaci, efficienti e sostenibili ed implementare pratiche utili allo sviluppo della singola realt\ue0 scolastica e di quella territoriale in cui \ue8 inserita. Muovendo da tale presupposto, il volume rende conto del progetto \u201cValutazione e governance della scuola. Verso un sistema valutativo context-based\u201d, parte del programma di ricerca (PRIN) \u201cLa valutazione per il miglioramento dei servizi formativi. Una ricerca Universit\ue0-territorio per la costruzione partecipata di modelli innovativi di assessment\u201d finalizzato a produrre conoscenza sullo stato delle culture, degli approcci e dell\u2019impiego della valutazione e a sviluppare pratiche valutative in modo partecipato, al fine di promuovere innovazione e crescita del servizio in un'ottica integrata con il territorio

Injections in Aesthetic Medicine: Atlas of full-face and full-body Treatment

The use of injectables, known as dermal fillers, is becoming ever more popular in aesthetic medicine. Full-face and full-body treatments using such fillers are increasingly substituting for various surgical techniques; not only do they provide immediate results at a lower cost, but they also avoid the use of general anesthesia and shorten the recovery period. In addition, dermal fillers can be successfully used for body remodeling, for example in patients with bow legs and those requiring breast remodeling.This book outlines the fundamental principles of the use of different fillers and injection techniques in the treatment of facial and body areas. An impressive collection of sequential color photographs illustrate the procedures step by step and demonstrate the results. The volume will be an invaluable tool for aesthetic doctors, practicing dermatologists, plastic surgeons, and all other physicians interested in the field of aesthetic medicine.