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High- and low-technology solutions for massive cavernous hemangioma of the face: lasers and leeches to the rescue.
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…
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Preliminary report on use of the neodymium-YAG laser in plastic surgery.
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…
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Carbon dioxide laserbrasion for treatment of adenoma sebaceum in tuberous sclerosis.
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…
- Clinical applications of the Argon and carbon dioxide lasers in dermatology and plastic surgery.
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Customized silicone implants of the breast and chest.
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. …
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Breast reconstruction for premalignant and malignant disease--an update.
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…
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Breast reconstruction following mastectomy: a comparison of submuscular and subcutaneous techniques.
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…
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Submuscular breast reconstruction--indications and techniques.
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…
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Custom-fabricated silicone implants for contour restoration.
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 …
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Two unusual umbilicoplasties.
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.…
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Use of Trendelenburg position to reveal open blood vessels and prevent hematomas in face lifts.
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…
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"De-epithelization" and dermal pedicles.
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…
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Deltopectoral flap with a segmental dermal pedicle in head and neck reconstruction.
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…
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Breast reconstruction for malignant or premalignant disease.
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 …