Lesavoy MA

[BACKGROUND] The sheer number of accepted inferior turbinoplasty techniques emphasizes the fact that there is no general agreement on which approach yields optimal results, nor are there data available that describes prevalent techniques in…

The umbilicoplasty is a key component of abdominoplasty and closure of autologous abdominal wall donor sites in breast reconstruction (TRAM/DIEP). The aesthetically-pleasing umbilicus tends to be small and vertically-oriented in nature, wit…

[BACKGROUND] The specialty of plastic surgery has evolved to encompass a wide breadth of both reconstructive and aesthetic surgery. Practitioners in other specialties have increasingly advanced on procedures and areas that have traditionall…

[BACKGROUND] Difficulties that arise with subpectoral breast implant placement include the following: malpositioning of the implant; improper superior contouring; and unnatural movement with chest muscle contraction. Correction of these def…

A new technique for soft-tissue correction of the retraced submental fold in the Witch's Chin deformity is described. An illustrative case report demonstrating our technique, results, and the pathogenesis of this condition is presented. An …

Aberrant breast tissue is usually present along the milk line above or below the normal breast location. Occasionally, it is found in unusual locations, such as the axilla, scapula, thigh, and labia majora. Accessory axillary breast tissue …

A new method for correction of asymmetric alae is presented. Asymmetric alae frequently follow nasal, columellar, and alar reconstruction, and the resulting distortion can pose a reconstructive dilemma. Correction of these deformities can r…

A technique to preserve the umbilicus in abdominal wall reconstruction for prune-belly syndrome is presented. Our technique has been utilized in 5 cases with success.…

Many techniques have been developed for the correction of eyelid ptosis. A new tarsal plate resection technique is described for use in cases of minimal ptosis with fair to good levator function. The procedure involves a horizontal lenticul…

An interesting case of reduction mammaplasty in a male-to-female transsexual is presented using a combination of conventional resection and implant change surgery. The associated changes of advanced silicone mastitis provided some unique ph…

There have been 23 true vestigial tails reported in the literature since 1884. A new case is described, and its magnetic resonance imaging and pathological features are presented. A review of the literature and analysis of the pathological …

Malignant hyperthermia is a seemingly rare genetic myopathy. Hypermetabolic crisis accompanied by a rise in body temperature to as high as 44 degrees C is its hallmark. Malignant hyperthermia is usually triggered by potent inhalated anesthe…

In the course of a below elbow amputation, forearm composite tissue that would routinely be discarded was used as a microvascular free-tissue transfer for distant reconstruction. The principle of "spare part" microsurgical reconstruction sh…

Vaginal reconstruction can be an uncomplicated and straightforward procedure when attention to detail is maintained. The Abbe-McIndoe procedure of lining the neovaginal canal with split thickness skin grafts has become standard. The use of …

Two cases of nipples placed too high by reduction mammaplasties have been corrected by a combination of maneuvers--including (1) shortening the distance from the nipple to the inframammary line, and (2) repositioning of the areola-nipple co…