Clinics in plastic surgery
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No ideal or all-purpose method of scar control exists. Successful management of hypertrophic scar depends on early and aggressive treatment. ⋯ The use of pressure is only one segment of the total rehabilitation of the thermally injured patient. Its use in conjunction with exercise, splinting, positioning, and reconstructive surgery allows an optimal level of function and cosmesis to be achieved.
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The male patient for aesthetic plastic surgery should expect to have a good experience, with few, if any complications from anesthesia. Proper planning is essential to the process, from setting up the surgical facility to selection and preparation of patients. Anesthetic techniques should be adapted to the needs of each patient, with his safety and comfort the most important consideration. ⋯ This technique requires a combination of skillful local administration, selection of appropriate sedation drugs in proper doses, and a cooperative patient. Ideally, the selection and administration of drugs and monitoring of the patient should be by an anesthetist, who understands drug interactions and synergistic and additive effects of sedation drugs. Facility set-up, professional personnel, and recovery and discharge criteria are essential to good anesthesia care for the male aesthetic patient.
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Apert patients frequently provide a challenge in airway management. For simple procedures, a safe anesthetic plan can be formulated if the anatomic factors affecting the airway are carefully considered. More extensive and prolonged craniofacial reconstructive surgeries require more monitoring and include all the problems associated with difficult intubation, hazardous airway management, massive blood loss and fluid shift, and long anesthetic times. After assessment of all these specific needs, the anesthesiologist will be presented with a difficult but not insurmountable risk.
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An acneiform eruption is a well-recognized feature of Apert syndrome. Management is determined by the extent and morphology of the eruption. This article details treatment procedures for acne that closely resembles acne vulgaris.
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The best quality long-lasting results require attention to the diagnosis of the precise anatomic problems followed by the architectural planning--the art of making beautiful highlights, shadows, and curves where indicated to produce a result that is aesthetically pleasing. Attention to the details of the surgical planning, execution of surgery, and postoperative care are essential to minimize untoward results and problems and produce a happy patient and pleased surgeon.