Avaliação da plicatura do SMAS usando vetor vertical na reabilitação facial

Orientador: Ruth Maria GrafCo-orientador: Gilvani Azor de Oliveira e CruzMonografia (especialização) - Universidade Federal do Paraná, Especialização em Cirurgia Plástica e ReparadoraInclui referênciasResumo: Introdução: Ritidoplastia é uma das cirurgias plásticas mais realizadas, tanto como objetivo reparador na reabilitação facial, como estético, buscando diminuir o excesso de tecidos abaixo da mandíbula, proporcionando o reposicionamentodos tecidos, atravésda plicatura do SMAS (Sistema músculo-aponeurótico superficial) e retirada do excesso de pelee da diminuição do ângulo cérvico-facial,buscandomelhorarorejuvenescimento facial. A transição cérvico-facial é importante, poiscom o aumento dessa angulação,demonstra com maior evidência o envelhecimentofacial. Objetivos:O propósito desse estudo foicomparar duas técnicas de ritidoplastia técnica-1: MACs lifting,e técnica–2: SMASectomia, ambas usando plicatura com vetor vertical, para o tratamento da transição cérvicofacial. Material e Métodos: Foram operados 29 pacientes, sendo 6 submetidos a MAC-lift e 23 a smasectomia com plicatura vertical,de 2004 até 2009, no Hospital de Clínica da Universidade Federal do Paraná e em Clínica privada, após assinado termo de consentimento, e acompanhados por até 1 ano. Resultados:O resultado desse estudo evidenciou que a técnica 2: SMASectomia com plicatura vertical foi superiora técnica–1e teve diferença estatística entre o momento inicial e os momentos seguintes. O mesmo não ocorreu em relação a técnica 1. Conclusão:Concluímos que aduas técnicas apresentaramresultado significativos no tratamento do envelhecimento na região cérvico-facial, sendo que a SMASectomia com plicatura no vetor vertical foi mais eficiente no tratamento.Abstract: Introduction : Rhytidectomy is one of the m ost performed plastic surgeries, both aimed at repairing facial rehabilitation, such as aesthetic, seeking to reduce excess tissue below the jaw, allowing the repositioning of the tissues by plication of the SMAS (superficial musculoaponeurotic system ) a reduction of cervicalnd removal of excess skin and facial, seeking to improve facial rejuvenation. The transition cervicofacial is important, because with the increase this angle, most obviously demonstrates facial aging. O bjective : The purpose of this s techniquetudy was to compare two techniques of facelift 1: MACs facelift, and technical M2: SMASectomia, using both vector with vertical placation for the treatment of cervicofacial transition. : We operated 29 patients, 6 underwen aterial and Methods t MAC23 and lift the smasectomia with vertical plication, from 2004 to 2009 in the Clinical Hospital of Federal University of Parana and private clinic, after signed consent form, and followed for up to one year. R esults : The result of this study showed vertical plication technique was overthat the technique 2: SMASectomia with and had a statistical difference between the initial moment and the moments following. This did not occur in relation to a technique. C onclusion : We conclude that both technique s showed significant results in the treatment of aging in the cervicofacial area, and the SMASectomia plication with the vertical component was more effective in the treatment

Augmentation mammoplasty by subfascial technique

Introduction: The implantation technique of subfascial silicone prostheses described by Graf in 2003 has advantages over submuscular and subglandular techniques. Unlike the techniques already described, the prosthesis is implanted in the aponeurosis of the pectoral muscle, providing better aesthetic results and fewer complications in the postoperative period. Objectives: The present study aims to describe the use of breast implants in the subfascial plane and analyze the rates of complications of patients undergoing this procedure. Methods: A retrospective study by analyzing electronic medical records of 233 patients who underwent augmentation mammoplasty with subfascial detachment. Patients who underwent other implantation techniques of prostheses, mastopexy and who used different sizes of prostheses were excluded. Results: Most patients opted for the incision performed in the inframammary groove; the size of the prostheses increased over the period studied, and only one complication was reported postoperatively. Conclusion: Plastic surgeons have increasingly used the subfascial technique because it presents satisfactory aesthetic results and low rates of complications, as shown in the study, becoming a differentiated option for patients who will perform augmentation mammoplasty