Apfelberg DB

To evaluate the safety and efficacy of a novel bioabsorbable suspension device made of a polymer of polylactic acid and polyglycolic acid (Endotine Ribbon), we performed a retrospective multi-institutional case study of 21 patients who unde…

Histologic data describing the depth of penetration that occurs with the CO2 laser using variations in delivered energy, number of passes, and density settings have been limited. Most of the initial studies used a 3-mm collimated handpiece;…

The UltraPulse carbon dioxide laser with CPG scanner was utilized to deepithelialize dermal pedicles in breast reduction inferior pedicle flaps. Clinical advantages include lack of bleeding, markedly shortened time of dissection, and excell…

The ultrapulse carbon dioxide laser has been used in 110 patients for resurfacing and 50 patients for facelift, eyelid, and forehead surgery. Skin resurfacing is able to remove layers of skin of 100 microns without bleeding. Use of the comp…

Twenty-eight patients have undergone facelift and blepharoplasty in which the YAG laser scalpel was used. The laser is able to produce an incision with excellent hemostasis. The patients in this series demonstrated markedly diminished blood…

Ten patients underwent upper eyelid blepharoplasty using the carbon dioxide laser on one eyelid and a conventional technique on the other. Administrative factors, safety considerations, ease of procedure, and short- and long-term results we…

A massive cavernous hemangioma of the face has been resected using a combination of old and new techniques. The ability of the neodymium: YAG laser to cut with excellent hemostasis formed the basis for the resection. Adjuncts to the surgica…

Thirty-four patients with 57 cutaneous lesions have been treated with the Nd:YAG laser under an experimental protocol over a year of study. The majority of treatments were done on an outpatient basis under local anesthesia. Capillary/cavern…

Pathophysiology and clinical usage of the argon laser is reviewed. The powerful blue-green light produces tissue ablation and photocoagulation. Vascular lesions such as hemangiomas and telangiectasias are easily blanched as are inflammatory…

Pathophysiology and clinical usage of the carbon dioxide laser is reviewed. The unique light is capable of relatively bloodless excision when finely focused or vaporization and cautery when defocused. Malignant and infectious lesions can be…

Adenoma sebaceum is a disfiguring facial deformity that constitutes part of the multiple system involvement in tuberous sclerosis. Three affected patients have been treated with carbon dioxide "laserbrasion," which has resulted in a long-la…

Custom-fabricated silicone implants were used in 17 patients to reconstruct thoracic deformities associated with pectus excavatum, hypoplasia of the thorax, and radical mastectomy. The implants have been in place an average of 2 1/2 years. …

New concepts in the control of breast cancer and improvements in plastic surgery techniques have facilitated subsequent breast reconstruction. In a six-year period 72 breast reconstructions were carried out in 57 women after surgical treatm…

An analysis of the benefits of submuscular versus subcutaneous implantation was made on mastectomy patients. Ninety-one breast were reconstructed following mastectomy. In 30 breasts, the implants were placed subcutaneously; in 19, subpector…

We review the care and treatment of 93 patients who underwent submuscular breast reconstruction in our service between 1975 and 1980. The indications and clinical situations in which submuscular reconstruction has been useful include: follo…

A 15-year review is made of contour restoration by custom silicone inlay technique. Eighty-three patients have undergone surgery since 1962. The indications, preparation of moulage and implant, surgical technique, and care of complications …

We describe the creation of an umbilicus where none previously existed, during an abdominoplasty, and the cosmetic shaping of a stretched umbilicus after an umbilical hernia repair.…

We have had a substantial decrease in the number of postoperative hematomas following face lifts since we started putting the patients in extreme Trendelenburg position after all the cutting was done, to reveal any potential bleeding points…

Biopsy specimens from 38 "de-epithelized" dermal pedicles were examined microscopically. There was considerable variation in the depth of the plane among surgeons, procedures, and even between specimens from two sides of a bilateral procedu…

Eight cases of extensive oromandibular resections have been reconstructed by the use of deltopectoral shoulder flaps with a segment denuded for deep placement. The operative technique is described, and the various uses of this flap are outl…

In ten patients breast reconstruction was done after surgical treatment for a premalignant or malignant breast disease. In six of these, prophylactic subcutaneous mastectomy and implant reconstruction were carried out, and in the remaining …