Aesthetic plastic surgery
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Aesthetic plastic surgery · Jan 1999
Propofol-ketamine technique: dissociative anesthesia for office surgery (a 5-year review of 1264 cases).
Propofol-ketamine technique is a room air, spontaneous ventilation (RASV), intravenous dissociative anesthetic technique which simulates the operating conditions of general anesthesia without the increased equipment requirements or costs. A total of 2059 procedures were performed on 1264 patients by 38 different surgeons. ⋯ All patients were pleased with their anesthetic and no hallucinations were reported. Cost:benefit analysis is presented as well as discussion of dissociative anesthesia being exempt from current California law (AB595).
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Aesthetic plastic surgery · May 1998
Case ReportsAutologous fat injection for soft tissue augmentation in the face: a safe procedure?
Autologous fat injection for soft tissue augmentation in the face is claimed to be a safe procedure. However, there are several case reports in the literature where patients have suffered from acute visual loss and cerebral infarction following fat injections into the face. Acute visual loss after injection of various substances into the face is a well-known complication of such interventions. ⋯ To minimize the risk of such a major complication, fat injections should be performed slowly, with the lowest possible force. One should avoid fat injections into pretraumatized soft tissue, for example, after rhytidectomy, because the risk of intravasation of fat particles may be higher. Metabolic disturbances such as hyperlipidemia may also contribute to the clinical manifestation of fat embolism Routine funduscopic examinations after fat injections into the face could help to provide data for future estimation of the patient's general risk.
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Aesthetic plastic surgery · Nov 1997
Aesthetic reconstruction of burn alopecia by using expanded hair-bearing scalp flaps.
Tissue expansion is one of the most important armamentaria for aesthetic scalp reconstruction after burn; however, the proper way to employ this technique for the scalp reconstruction usually presents a challenge to the plastic surgeon, especially in the case of a "sideburn" scenario or a large lesion, as with, for example, hemiscalp alopecia. In this article, 11 patients, with different degrees of hair-bearing scalp loss as a result of burn, and including four patients with hemiscalp alopecia were successfully treated by using tissue expansion. The results show that tissue expansion is a simple, safe, and efficient technique for aesthetic scalp reconstruction. Versatile design of the expanded scalp flap can distribute the expanded hair-bearing scalp properly in the reconstructed recipient site.
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Aesthetic plastic surgery · May 1995
Historical ArticleThe first Civil War photographs of soldiers with facial wounds.
During the Civil War, for the first time in medical history, a large number of excellent photographs were taken of many wounded Union and (to a lesser degree) Confederate soldiers by photographers assigned by their doctors or surgeons, or by photographers employed by the Army Medical Museum. The majority of these photographs demonstrating facial, head, and neck wounds have not been published since the Civil War, except for a few minor exceptions [3, 9]. The actual art of printing photographs in medical journals, daily newspapers, and magazines did not even begin until the early 1880s--almost two decades after the Civil War [24]. Any photographs that could be found in certain rare medical and surgical books during and immediately after the War were actually pasted into those books by their printers.
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Aesthetic plastic surgery · Jan 1993
Clinical office anesthesia: the use of propofol for the induction and maintenance of general anesthesia.
Ambulatory surgery has become routine for many plastic surgery procedures. Anesthesia techniques including general anesthesia by inhalation and intravenous infusion and the dissociative technique have all been used successfully for outpatient anesthesia. ⋯ We report on our experience with propofol as an induction agent and continuous drip for general anesthesia maintenance in 100 consecutive outpatient, plastic surgery procedures performed in an office facility. Assessment factors were recovery-room time, nausea and vomiting in the recovery room and at home, hallucinations, patients' recollection of anesthesia experience, and overall patient satisfaction.