RESUMO
BACKGROUND: Facial aging leads to loss of structural integrity. OBJECTIVE: To develop a means of supporting ptotic facial tissue without facelifting. METHODS: Polypropyline sutures were modified by designing many dents along their lengths. These "APTOS" threads hold tissue firmly because of the sharp edges to the dents. These threads were used to lift facial tissue in 186 patients. RESULTS: APTOS threads proved successful in lifting various ptotic areas of the face, improving facial contour. Improvement persisted in most patients with follow-up of two months to 30 months. In four patient (2.5%) the thread failed. CONCLUSION: Lifting facial tissues using APTOS threads is simple, constructive, and time-saving. It avoids scars and the need for implants.
Assuntos
Polipropilenos , Ritidoplastia/métodos , Técnicas de Sutura , Humanos , Agulhas , Envelhecimento da PeleAssuntos
Tecido Adiposo/transplante , Adulto , Anestesia/métodos , Desinfecção/métodos , Face/cirurgia , Feminino , Humanos , Pessoa de Meia-Idade , Seleção de Pacientes , Complicações Pós-Operatórias/etiologia , Cuidados Pré-Operatórios/métodos , Seringas , Preservação de Tecido/métodos , Coleta de Tecidos e Órgãos/métodos , Transplante/instrumentação , Transplante/métodosRESUMO
Face lifting fails to correct many aging changes because it does not restore lost tissues but merely removes excess tissue. Volume expansion of involuted tissues must be accomplished to properly rejuvenate the face. Fat grafting can be used to fill involuted facial tissues. This can be accomplished by transfer of cylinders of fat. Cellular micro-implants can also be used as autologous grafts.
Assuntos
Tecido Adiposo/transplante , Lipectomia/métodos , Ritidoplastia/métodos , Tecido Adiposo/patologia , Anestesia , Humanos , Exame Físico , Próteses e ImplantesRESUMO
The use of the syringe has been an advance in reduction and incremental liposculpturing. A real democratization in the medicosurgical group has been possible due to the simplification of the equipment. The shock-absorbing action of the syringe makes the operation safer and allows more fat to be removed and better results to be obtained because one does perfectly symmetrical work. The syringe is a unit of measurement in this surgery of volume.
Assuntos
Lipectomia/instrumentação , Seringas , Tecido Adiposo/cirurgia , Anestesia , Humanos , Lipectomia/efeitos adversos , Lipectomia/métodosRESUMO
We have used the honeycombed suction lipectomy (wet and/or dry) in over 700 patients. It represents a major advancement in the treatment of the localized adiposities of the body. Its advantages are eliminating the need for long, unsightly scars and reducing operating time and morbidity. Selection of appropriate patients is of paramount importance for reliable results because this technique is truly sculpting of the soft tissues. Results improve also with the proper training and experience of the surgeon. The indications and complications have been discussed. This technique (honeycombed suction lipectomy) appears more reliable than suction curettage that employs sharp dissection.
