ABSTRACT
No disponible
Subject(s)
Humans , Hand Injuries/history , Hand Injuries/surgery , Surgery, Plastic/methods , Plastic Surgery Procedures/history , Plastic Surgery Procedures/methodsABSTRACT
El aumento mamario es uno de los procedimientos más comúnmente realizados en todo el mundo entre las cirugías reconstructivas estéticas. Entre las indicaciones para realizar el procedimiento se encuentran las alteraciones primarias y secundarias relacionadas con la forma y el volumen de los senos. Durante la evaluación inicial, se debe hacer hincapié en la anamnesis y el examen físico, permitiendo definir el tamaño del objetivo y las expectativas realistas para determinar prospectivamente las posibles tasas de satisfacción postoperatoria. Hay varios métodos utilizados para seleccionar los implantes adecuados que se han vuelto más precisos con el tiempo y con el uso de la tecnología. Aunque existen múltiples materiales desarrollados, hasta el momento los implantes de silicona siguen siendo los más utilizados en todo el mundo con bajas tasas de complicaciones dependiendo de cada paciente y de la técnica utilizada. Se considera como una de las cirugías estéticas reconstructivas con mayor grado de aceptación entre la población general que se somete a este tipo de procedimientos.
Breast augmentation is one of the most commonly performed procedures worldwide among aesthetic reconstructive surgeries. Among the indications for performing the procedure are primary and secondary alterations related to breasts shape and volume. During the initial assessment, emphasis should be placed in the anamnesis and physical examination, allowing to define target sizing and realistic expectations to prospectively determine the possible postoperative satisfaction rates. There are several methods used to select the appropriate implants that have become more accurate with time and with the use of technology. Although there are multiple materials developed, to this moment silicone implants continue to be the ones most used worldwide with low complication rates depending on each patient and on thetechnique used. It is considered as one of the aesthetic reconstructive surgeries with the highest degree of acceptance among the general population who undergo this type of procedures.
Subject(s)
Humans , Female , Breast Implants , MammaplastyABSTRACT
Different problems can be encountered when planning a lower blepharoplasty, such as festoons, prominent fat bags, and a conspicuous transition from eyelid to cheek. Frequently, they occur simultaneously. In such cases, a larger amount of skin excision is needed to achieve an adequate correction. This carries an increased risk of eyelid retraction when dealing with hypotonic eyelids. Orbicularis muscle suspension can provide vertical support to the eyelid and so achieve a safer, more effective correction. Several techniques have been reported to obtain this effect. We have found a laterally based transposition orbicularis flap to be a safe end effective method to transmit a controlled amount of traction to the lower lid.
Subject(s)
Blepharoplasty/methods , Surgical Flaps , Aged , Female , Follow-Up Studies , Humans , Male , Middle AgedABSTRACT
BACKGROUND: Hand injuries by roller machines are not uncommon. Short mentions in textbooks describe them as severe. Injuries by dough sheeter machines, an example of roller trauma, are treated frequently in the authors' practice. No reports on lesions specifically caused by sheeters were found. METHODS: This study retrospectively analyzed 28 consecutive cases. Causes of accidents and injury patterns were described, and severity was graded by the Hand Injury Severity Score. RESULTS: Injury patterns were referenced to anatomic components. Integument (24 cases) and skeleton (14 cases) were the most frequently injured, whereas tendons and nerves were the least frequently injured. Hand Injury Severity Score values ranged from 4 to 182 (mean, 75.36). Only two cases qualified as mild. The remaining cases fell into the moderate, major, or severe categories. In three cases, the Hand Injury Severity Score was not applicable. CONCLUSIONS: As a rule, sheeter accidents cause serious injuries. Integument and bone traumas are predominant. Simple safety practices could prevent most of these injuries.
