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Biomedical subjects

A C Abramo

Publications and source records attributed to A C Abramo.

At least 19 recordsLinked to original sources
PubMed1996

Full facelift through an endoscopic approach.

Full facelift through an endoscopic approach has been indicated for young individuals without significant skin excess but with mild laxity of the midface. It also has been indicated in secondary rhytidoplasty. Wide undermining of the face and neck is performed. Liposuction at submental and submandibular areas provides noticeable improvement for the neck and mandibular contour. Plication of the SMAS and platysma muscle is used to replace tissues and to regain a youthful appearance. Improved results become evident when plication is performed over the deformity. The unlikely course for the SMAS and platysma plication is to provide an aesthetic balance for the face and neck. Extracorporeal knotting is used to hold the folded muscle in position. In addition, scars are minimal and occur in areas where they cannot be seen. However, selection criteria must be followed to achieve excellent results with this procedure.

Adult↗
PubMed1995

Plicature of abdominoplasties with Marlex mesh.

We propose reinforcing the abdominal wall in abdominoplasties with a polypropylene mesh over three fusiform plications. A marked degree of musculoaponeurotic reinforcement is achieved and maintained postoperatively, especially if these layers are very flaccid. Indications for the procedure and patient selection are described.

Abdominal Muscles↗
PubMed1995

Anatomy of the forehead muscles: the basis for the videoendoscopic approach in forehead rhytidoplasty.

The musculoaponeurotic system that performs mime for the upper third of the face is composed of the subcutaneous fascia and the occipitofrontalis, corrugator supercilii, and procerus muscles. Perfect understanding of the activity of these muscles provides for correction of horizontal furrows on the forehead, horizontal lines on the root of the nose, and glabellar frown lines. An anatomic gap in the deep layer of the subcutaneous fascia provides for the wide mobility of the scalp and forehead. A natural eyebrow lift is achieved by interrupting the restrictive forces of the corrugator supercilii and procerus muscles against the upward action of the occipitofrontalis muscle. The forehead rhytidoplasty through the endoscopic approach can achieve these results with small incisions and without skin resection.

Adult↗
PubMed1994

Axillary approach for gynecomastia liposuction.

Liposuction through an axillary incision is used to treat pseudogynecomastia and true gynecomastia. It avoids the large undermining between the skin and the muscular plane that frequently occurs with usual procedures. When true gynecomastia is present, liposuction can be combined with an inferior periareolar incision for resection of the remaining glandular tissue. Unlike usual procedures that can lead to deep skin adherence, depression in the mammary area, or nipple-areola complex deformity, liposuction provides a well-defined contour for the male breast.

Adolescent↗
PubMed1993

Lower blepharoplasty: partially joined skin and muscle flaps.

As a method of performing a lower blepharoplasty, the author proposes a partially joined skin and muscle flap. This procedure allows one to resect separately different amounts of skin and muscle for appropriate correction of the lower-lid changes that require an aesthetic blepharoplasty. It also promotes muscle raising with consequent skin flap lifting. This technique resects a large amount of skin in order to achieve a smoother lower eyelid.

Eyelids↗
PubMed1993

Intraoperative rapid expansion in cleft palate repair.

Intraoperative rapid expansion in cleft palate repair increases surface area by distension of the palate and recruitment of the surrounding palate tissue. A 5-cc Foley catheter with the distal tip trimmed is employed as the tissue expander. Intraoperative rapid palate expansion is proposed for closure with less tension of large gaps between cleft borders. This procedure has not demonstrated any deleterious clinical effects in cleft palate repair.

Catheterization↗
PubMed1991

Pattern for reduction mammoplasty that uses a superior vertical dermal pedicle.

A new surgical planning pattern is described that permits application of the "coning principle" of the regional tissue after mammary reduction. It makes use of a superior vertical dermal pedicle for nourishing the nipple-areola complex. The pedicle is not connected to the subjacent mammary tissue and thus can be folded over itself to accommodate the nipple-areola area at its new position.

Adult↗
PubMed1991

Orbicularis oris muscle: a double-breasted suture for its repair in the unilateral cleft lip.

The release of abnormal insertions of orbicularis oris muscle from the columella and ala base, and from their inferior attachments along the labial margin, provides muscle flaps for a double-breasted suture in cleft lip repair. Using the muscle flaps for double-breasted sutures realigns the orbicularis oris muscle fibers to achieve an anatomical and functional repair that is characterized by a symmetrical lip length, nostrils, philtral column, and philtral dimple. Double-breasted sutures also increase muscle thickness surrounding the lip and consequently provides better symmetry for the nostril floor.

Child↗
PubMed1990

Abdominoplasty: modified plication.

The authors present an addition to standard abdominoplasty techniques. Transverse plication of the aponeurotic layer in the epigastrium corrects the prominence in this area and helps the flap to reach the pubic region.

Abdominal Muscles↗
PubMedDate not supplied

Forehead rhytidoplasty: endoscopic approach.

The difficulty in determining how much skin must be resected to achieve an adequate forehead and eyebrow lift through the coronal approach led the author to search for another forehead rhytidoplasty procedure. The endoscopic approach yields a natural lift of the eyebrows without skin excision through a minimal incision. It has been useful for patients who have a prominent forehead or have had a forehead rhytidoplasty. In addition, this technique provides a smooth forehead that is achieved by breaking the continuity of the forehead and glabella muscles. Despite the fact that the endoscopic approach is in the early stages of development, the results obtained from its use allow it to be an alternative procedure for treating the aging forehead and glabella.

Adult↗
PubMedDate not supplied

The "lazy S-shaped" plication of the SMAS-platysma musculoaponeurotic system: a 10-year review.

Morphological changes that appear with the aging process are expressed by loss of the youthful face and neck contours. A "lazy S-shaped" plication involving the superficial musculoaponeurotic system (SMAS)-Platysma has been performed to recover the face and neck contour. On the neck, the posterior segment of the lateral portion of the muscle was stretched upward and backward to the mastoid. On the face, plication was done laterally and superiorly to the corner of the mouth toward the zygomatic arch. The anterior platysmal bands were approached in the midline to reinforce the muscle sling of the neck. Extensive skin dissection with suction lipectomy under direct visualization of the submental and cervical fat were associated. Photographs were taken preoperatively, 1 year, and 10 years after the surgery. Face and neck contour at 10 years was compared with that at 1 year after the surgery and with the patient look before the surgery. Improvement of the face and neck contour was achieved in all patients at 1 year postoperatively. At 10 years after the surgery the face and neck contour was equal or eventually better than before the surgery.

Esthetics↗
PubMedDate not supplied

Abdominoplasty with two fusiform plications.

Two-fusiform plications are recommended for contouring the abdomen to produce a slimmer waistline in abdominoplasty, rather than the classical median xiphoid-pubic fusiform plication. This procedure was accomplished in 11 patients. After the dermoadipose flap was undermined, two fusiform shapes were marked at the transition of the sheaths of the rectus abdominis muscles with the external obliques. The slimmer waistline produced intraoperatively was maintained during the late postoperative period (mean 20 months), without loss of the natural contour between the rectus muscles. Maintenance of the natural contours of the abdominal muscles is of fundamental importance to reduce the embarrassment of a postabdominoplasty flat abdomen.

Abdominal Muscles↗
PubMedDate not supplied

Extramucosal rhinoplasty with videoscopic assistance.

Extramucosal approach provides for earlier results, less edema and echymoses. The final inspection using the magnificence of the videoscopic camera makes visible small irregularities at the cut edge of the nasal bones, upper portion of the lateral cartilage, and dorsal aspect of the septal cartilage. The removal of both cartilaginous and bony spicules provides improvements in the quality of the results. Videoscopic assistance in association with extramucosal approach is very helpful to achieve an aesthetic and functional result in rhinoplasty.

Adult↗
PubMedDate not supplied

H-Shaped, double-contour plication in abdominoplasty.

H-shaped, double-contour plication, by reducing the longitudinal and transverse abdominal diameters, improves the waistline and reinforces the entire anterior abdominal wall, with better accommodation of the cutaneous flap. The decrease in the longitudinal diameter allows lowering and fixation of the cutaneous flap without tension.

Abdominal Muscles↗
PubMedDate not supplied

Late spontaneous extrusion of a texturized silicone gel mammary implant.

A case report of late spontaneous extrusion of a 250-cm(3), round, texturized silicone gel mammary implant, 14 months after implantation, is presented. The irregular surface of the implant, the location of the implant pocket, and the absence of the fibrous capsule were responsible for alterations in the skin thickness. In addition, the pressure exerted by the implant against the skin provides for stasis with venous thrombosis at the inferior portion of the breast. The continuous manipulation of the breast over a thin skin with vascular alterations led to the skin perforation with implant extrusion.

Adult↗