Assuntos
Humanos , Masculino , Anedotas como Assunto , Morte , Ética Profissional , Amigos , Características Humanas , Médicos/éticaRESUMO
Se presentan los resultados obtenidos en los últimos dos años de autoinjerto graso con la adición de facores de crecimiento y células madre (stem cells) en el modelado corporal y facial. Se observó que el autoinjerto graso con esta técnica presentaba mejor sobrevida, menor porcentaje de absorción y tiempo de recuperación más corto. Con el uso de factores de crecimiento y stem cells no se encontraron complicaciones, se disminuyó la morbilidad del érea tratada y la satisfacción para el paciente y para el equipo médico fue muy importante
Assuntos
Humanos , Tecido Adiposo , Fator de Células-Tronco , Sobrevivência de Enxerto , Substâncias de Crescimento , Engenharia Tecidual , Biologia Molecular , Cirurgia PlásticaRESUMO
Se presentan los resultados obtenidos en los últimos dos años de autoinjerto graso con la adición de facores de crecimiento y células madre (stem cells) en el modelado corporal y facial. Se observó que el autoinjerto graso con esta técnica presentaba mejor sobrevida, menor porcentaje de absorción y tiempo de recuperación más corto. Con el uso de factores de crecimiento y stem cells no se encontraron complicaciones, se disminuyó la morbilidad del érea tratada y la satisfacción para el paciente y para el equipo médico fue muy importante
Assuntos
Humanos , Fator de Células-Tronco , Tecido Adiposo/cirurgia , Tecido Adiposo/transplante , Sobrevivência de Enxerto , Cirurgia Plástica , Biologia Molecular , Engenharia Tecidual/estatística & dados numéricos , Substâncias de CrescimentoRESUMO
Recent advances in molecular biology and tissue engineering [9] have provided useful tools for improving surgery in general and plastic surgery in particular [11]. Advancing knowledge of cell function and easier ways to obtain active substances or even cells with specific activity have led to more frequent use of many surgical procedures. The active substances that participate in the restoration of damaged tissues are known as growth factors (fundamentally contained in platelets), cytokines, chemokines [16], and similar factors such as interleukins and tissue necrosis factors. Platelets, monocytes, and lymphocytes (T helper cells) as well as neutrophils and astrocytes are involved in the process. As potential cells, stem cells [15,23] also can be used, if obtained from the same patient. The authors used cells with well-known functions, which when added to the surgical procedures, seemed to promote the healing process and the restoration of damaged tissues. The simplest, most effective, and least expensive techniques were selected from trials and feasibility studies for wider use in all types of surgical procedures.
Assuntos
Transfusão de Sangue Autóloga , Hormônio do Crescimento Humano/administração & dosagem , Transfusão de Plaquetas , Ritidoplastia/métodos , Feminino , Humanos , Masculino , Procedimentos de Cirurgia Plástica/métodos , Resultado do Tratamento , CicatrizaçãoRESUMO
ABTRACT: Long sun exposure, in addition to ozone layer damage, produces structural damase to the normal skin. Injury to the dermal collagen and elastic fiber results in facial wrinkles. Photodamage to the skin is one of the most common sources of concern for patients visiting the plastic surgeon or dermatologist. Over the years, many alternative solutions have been developed. CO2 laser treatment is one of the alternatives bringing unique benefits and satisfactory results for both patient and surgeons. However, the initial problems of emotional discomfort, prolonged postoperative recovery and delayed return to normal activities have made patients reluctant to accept this method. This article discusses single-pass CO2 laser resurfacing with lower energy. Also, it proposes a technique that does not use wet gauze to remove the surface of the skin. This technique is applied in combination with an intensive skin care treatment. Different authors propose a single pass of CO2 laser with excellent results. With the reported method, identical long-lasting benefits are achieved, but the post-operative time is shorter.
Assuntos
Dióxido de Carbono/administração & dosagem , Terapia a Laser/métodos , Recuperação de Função Fisiológica , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Tempo , Resultado do TratamentoRESUMO
Plastic surgeons have the appropriate knowledge and clinical experience to perform a rhinoplasty. In the past 8 years, the authors have received for consultation some patients who had already undergone more than one rhinoplasty. As this shows, the specialist must be familiarized with the surgical technique specific for each case and its respective terminology. The authors propose the use of "repetitive reconstructive rhinoplasty" in referring to all the patients who for different reasons come to the specialist for a new rhinoplasty after a minimum of three surgeries performed previously. It must be emphasized that the plastic surgeon assumes the responsibility for choosing to perform repetitive reconstructive rhinoplasty, incurring the legal risk that the aesthetic or functional results may not satisfy the patient's expectations. One of the principal reasons for introducing repetitive reconstructive rhinoplasty emphasizes the "reconstructive" rather than the "aesthetic" role, whereas the legislation in many countries interprets the word "aesthetic" to imply an obligation for results that approximate perfection.
Assuntos
Periodicidade , Reoperação/métodos , Rinoplastia/métodos , Feminino , Humanos , Masculino , Complicações Pós-Operatórias , Terminologia como AssuntoRESUMO
Presentamos en este trabajo, una vía alternativa paara el tratamiento de la ptosis de la ceja. Mediante una incisión a nivel del pliegue palpebral, se puede tratar aquella porción de grasa que se encuentra por debajo del músculo orbicular, la pexia se logra con la sutura del músculo al arco marginal, lográndose, así mostrar un párpado más despejado. La intervención es realizada de forma ambulatoria, no conlleva mayores complicaciones qeu las hbituales y dan buenos resultados a corto plazo
Assuntos
Humanos , Procedimentos Cirúrgicos Ambulatórios , Blefaroplastia , Sobrancelhas , Pálpebras/cirurgiaRESUMO
Presentamos en este trabajo, una vía alternativa paara el tratamiento de la ptosis de la ceja. Mediante una incisión a nivel del pliegue palpebral, se puede tratar aquella porción de grasa que se encuentra por debajo del músculo orbicular, la pexia se logra con la sutura del músculo al arco marginal, lográndose, así mostrar un párpado más despejado. La intervención es realizada de forma ambulatoria, no conlleva mayores complicaciones qeu las hbituales y dan buenos resultados a corto plazo(AU)
