Contour compression of rhinoplasty

 

To improve the effect of rhinoplasty the author proposes both external and internal contour compression of a nose. Before the operation the mould of the patient’s midface is taken, then plaster mask (model) is made on which a nose of desired shape is formed. Using this mask (model) a plaster-gauze splint is made, which is applied on the operated nose for a fortnight. This compression maintains the desired fixation of disconnected bone-cartilage nasal fragments reproducing closely the plaster model. If desired, the shape of a model nose on the mask can be modified and the next splint can be made for further correction of the operated nose shape. Thus the splint actively reshapes the nose, while traditional bandages just passively fix the shape obtained on rhinoplasty. The experience of 452 operations ensures that the method gives the opportunity to forecast the patient’s appearance prior to surgery and in majority of cases the desired individal shape of nose can be achieved. (J. "Annals of Surgery" ?3. 1997 Moscow)

 

 

Subcutaneous dissection and liquid-gel dermotension

 

A new method for dissecting (splitting) subcutaneous soft tissues without a skin incision using the so-called wire scalpel (RF Patent ? 3223, March 16, 1995) is described. The method is designed to create hypodermic cavities for subsequent dermotension by means of gradually filling them with a liquid or gel-like material (e.g isotonic sodium chloride solution, gel Formacryl). This mode of tissue expansion was called liquid-gel dermotension. It is technically simple, requires no skin incision, speeds up tissue augmentation, permits application of cellulocutaneous grafts of any size and shape, and yields highquality plastic material. Since 1992, the above procedure has been used in 19 cases for gradual and acute dermatension. (J. "Annals of Plastic, Reconstructive and Aesthetic Surgery" ?2 35-40. 1997 Moscow).

Russian Academy Of Sciences Clinical Hospital
Marlen A. Sulamanidze Face Surgeon
Center for Aesthetic Dermatology and Surgery
12/2 Fotievoi UL. Pol. â„– 3 Moscow Russia
Pn. (095) 930-9107, 322-0884
Fax. (095) 930-1314
E-mail: gracia@orc.ru
URL: http://www.orc.ru/~gracia/

Horizontal mammoplasty

Abstract

While improving the results of mammoplastics we have developed the operation technique providing for the satisfactory breast shape with post-surgery scars in natural and unobtrusive places:

  1. Circularly round the areole.
  2. Horisontally along the inframammal fold.

Unlike the analogous common techniques the proposed access in based on mathematical calculations and corresponding special pre-operational marking.

The vertical components of skin tension is an intrinsic property of this technique while the horisontal components is achieved through intraoperational outline dermotension of the skin gone in the area of newly formed areola and figure cut along the inframammaral fold as well as directed folding of the upper edge of the wound.

Proper mastopecsy is achieved through enveloping the gland with the lower de-epidermised shred and sewing it to the second intercost, and in case of reductional mammoplastics, by removing the lower and, it necessary, the upper central liposaction is additionally made.

Since 1992 we have applied horisontal mammoplastics to 24 patients with moderate or considerable breast ipose as with hypertophic mastoptose and gigantomasty and have achieved aesthetically satisfactory results.