Aesthetic plastic surgery
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Aesthetic plastic surgery · Nov 2007
Biography Historical ArticlePlastic surgery: personal recollections, contributions, and some thoughts: the Ohmori lecture: 18th I.S.A.P.S. Congress, Rio De Janeiro--2006.
Professor Ivo Pitanguy is Head Professor of the Plastic Surgery Departments of the Pontifical Catholic University of Rio de Janeiro and the Carlos Chagas Institute of Postgraduate Medical Studies. He also is a member of the Brazilian Society of Plastic Surgery, the National Academy of Medicine, and the Brazilian Academy of Letters, as well as Visiting Professor of the International Society of Aesthetic Plastic Surgery (ISAPS). He is a Fellow of the American and the International College of Surgeons (FICS, FACS). He also is the Honorary President of the Alumni Association of Professor Ivo Pitanguy, and has recently been declared the Patron of Plastic Surgery in Brazil through a unanimous vote by the Brazilian Society of Plastic Surgery.
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Aesthetic plastic surgery · Mar 2007
Randomized Controlled Trial Controlled Clinical TrialMagnesium sulphate as an adjuvant to total intravenous anesthesia in septorhinoplasty: a randomized controlled study.
The current study was designed to assess the effect of magnesium sulphate infusion on hemodynamic parameters, neuromuscular blocking, propofol consumption, serum concentration of magnesium ions, and recovery from anesthesia during total intravenous anesthesia. ⋯ Magnesium sulphate can be used safely as an adjuvant to total intravenous anesthesia for day case surgeries, with the effect from potentialization of neuromuscular blockade taken into consideration.
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Aesthetic plastic surgery · Mar 2007
Randomized Controlled TrialPostoperative analgesic effect of locally infiltrated levobupivacaine in fleur-de-Lys abdominoplasty.
This prospective double-blind study compared the analgesic properties of locally infiltrated levobupivacaine with those of ropivacaine in fleur-de-lys abdominoplasty. ⋯ It is concluded that for mini abdominoplasty, adequate analgesia is achieved for at least 4 h postoperatively by local tissue infiltration with either ropivacaine or levobupivacaine. However, in terms of intensity and duration of analgesia, levobupivacaine was found to be more effective than ropivacaine in reducing postoperative pain associated with mini abdominoplasty.
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Aesthetic plastic surgery · Nov 2006
Case ReportsUse of gabapentine (neurantin) for relief of intractable pain developed after face-lift surgery.
Complications of rhytidectomy, technically one of the most challenging operations of the aesthetic surgery, have been widely reported in the literature and nerve injuries are one of these possible complications during facial rejuvenation surgery. Beside the injuries of motor branches of the facial nerve, complaints of numbness and development of neuromas due to sensorial nerve injuries were reported in the literature. In this particular reported case, however, complaints of a 52-year-old woman, presented with diffuse intractable pain in her left cheek radiating to the neck and behind the ear after facial rejuvenation surgery, improved dramatically by use of gabapentine. Although there was no apparent neuroma formation on her neck, MRI findings are inconclusive and she had not responded to injection of local anesthetics at all.
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Aesthetic plastic surgery · Jul 2006
Multicenter Study Comparative StudyPectus excavatum breast and chest deformity: indications for aesthetic plastic surgery versus thoracic surgery in a multicenter experience.
Breast and chest wall disfiguration attributable to a funnel chest is an aesthetically and sometimes functionally debilitating deformity requiring surgical correction. Whereas extensive and combined deformities of the ventral chest wall are classically corrected using a so-called minimally invasive repair of the pectus excavatum, a modified Ravitch repair, or the minimized Erlangen repair, plastic surgeons are mostly challenged with alloplastic implant corrections of mild funnel chests. The authors have introduced an endoscopic method for placement of customized implants to restore the visible and nonfunctionally disturbing deformation of mild funnel chests when only the sternal plate is involved. This study compared these different plastic surgical and thoracic surgical approaches in a multicenter experience to develop a clinical algorithm and to identify those patients not requiring bony correction but rather alloplastic endoscopic implant correction alone. ⋯ Whereas with combined deformity of the sternal plate and the rib cage, a modified Ravitch repair yields good results, the endoscopic soft tissue correction with customized implants helps to avoid unsightly scars, allows for safe hemostasis in the dissection pocket, and leads to enhanced patient satisfaction. In the case of major chest wall deformity with orthopedic and functional relevance, a combination of the minimally invasive procedures (e.g., endoscopic correction and Erlangen repair) seems to show both optimized cosmetic results and maximized functionality.