Classification and treatment of facial tissue atrophy in Parry-Romberg disease

Background: This report aims to show procedures that the senior author has used for the rehabilitation of facial deformities in Parry-Romberg disease since 1983. The authors also report the classification they use to plan the most appropriate surgical procedure for these patients. Methods: For this study, 95 patients (67 females and 28 males) with different types of facial tissue depression were classified according to the depth of the defect so adequate treatment could be planned. The cases were classified into four types. For types 1 and 2, only fat grafts were used, whereas for types 3 and 4, a combined procedure was used according to the case using cartilage and bone grafts, free dermis-fat grafts, and galeal flaps. Results: The results were successful, with few or no complications. Objective examinations showed excellent aesthetic improvement, with obvious deformity alleviated and the emotional status of the patients improved. Conclusions: The authors' practice frequently sees cases of Parry-Romberg disease, which has allowed them to gain significant experience in this field. For depression types 1 and 2, they recommend only fat infiltration, and for types 3 and 4, they favor combined treatment with lipoinjection, galeal flaps, free dermis-fat grafts, and bone and cartilage grafts. Occasionally, in areas of soft tissue with fibrosis, the authors infiltrated around 4 ml of fragmented fascia grafts instead of fat grafts. © 2007 Springer Science+Business Media, LLC

CO2 response of nanostructured CoSb2O6 synthesized by a Nonaqueous Coprecipitation Method

Background: This report aims to show procedures that the senior author has used for the rehabilitation of facial deformities in Parry-Romberg disease since 1983. The authors also report the classification they use to plan the most appropriate surgical procedure for these patients. Methods: For this study, 95 patients (67 females and 28 males) with different types of facial tissue depression were classified according to the depth of the defect so adequate treatment could be planned. The cases were classified into four types. For types 1 and 2, only fat grafts were used, whereas for types 3 and 4, a combined procedure was used according to the case using cartilage and bone grafts, free dermis-fat grafts, and galeal flaps. Results: The results were successful, with few or no complications. Objective examinations showed excellent aesthetic improvement, with obvious deformity alleviated and the emotional status of the patients improved. Conclusions: The authors' practice frequently sees cases of Parry-Romberg disease, which has allowed them to gain significant experience in this field. For depression types 1 and 2, they recommend only fat infiltration, and for types 3 and 4, they favor combined treatment with lipoinjection, galeal flaps, free dermis-fat grafts, and bone and cartilage grafts. Occasionally, in areas of soft tissue with fibrosis, the authors infiltrated around 4 ml of fragmented fascia grafts instead of fat grafts. " 2007 Springer Science+Business Media, LLC.",,,,,,"10.1007/s00266-006-0215-4",,,"http://hdl.handle.net/20.500.12104/40097","http://www.scopus.com/inward/record.url?eid=2-s2.0-34548726865&partnerID=40&md5=aa70efbf5d6a5db802364ae9b0ca8719",,,,,,"5",,"Aesthetic Plastic Surgery",,"42

Aesthetic facial contour augmentation with microlipofilling

Background: We have found that the use of microfat grafts can improve the contour of the face. Objective: We describe our technique for facial contour augmentation using microlipofilling and present the results of 32 cases treated between 1995 and 2002. Methods: We conducted a preoperative evaluation, including photographic and radiologic studies, to determine for which patients the procedure was appropriate and to identify the need for additional procedures. Fat was harvested with the use of 10-mL syringes with 14-gauge needles. Only 5 mL of fat was harvested in each syringe. After the donated fat was washed and fragmented, it was infiltrated by means of a percutaneous approach with 18- or 20-gauge needles to reduce trauma and avoid scarring. Thin (2-mm-wide) rolls of fat grafts were placed in well-vascularized tissues to prevent absorption. The amount of fat infiltrated depended on the flatness of the area. Results: All patients had satisfactory outcomes after follow-up ranging from 1 to 5 years. Complications were rare. Conclusions: With appropriate placement, facial contour augmentation with microlipofilling is a safe, simple, inexpensive aesthetic procedure that provides consistent, long-term aesthetic improvement

Some problems and solutions in abdominoplasty.

A review of 428 abdominoplasties performed for the correction of abdominal flaccidity emphasizes the need for a wide repertory of surgical techniques to achieve an aesthetically natural appearance of the abdomen. Six details of surgical technique have considerably improved the results of abdominoplasty performed at our institute during the past 14 years. These six technical details are easy to accomplish without prolonging the total operating time