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Biomedical subjects

F Trepsat

Publications and source records attributed to F Trepsat.

At least 19 recordsLinked to original sources
PubMed1996

[Pathogenesis and treatment of the nasolabial fat pad: nasolabial dermolipopexy].

The author presents an original technique designed to control the nasolabial fat pad, which often becomes organized in the form of a fatty tube. Following sub-adipose facelift, the principle of this technique consists of opening the fat pad, then suspending it to the inferior orbital margin by a U-shaped suture anchored onto a plastic plate placed on the skin.

Humans↗
PubMed1995

[Lifting and blepharoplasty].

The term face lifting enconpasses a variety of surgical procedures. Their goal is to obtain a rejuvenated look: frontal lift, temporal lift, cervico facial lift. The mask lift tends to a more radical modification of the upper third and mind third of the face. Its indications, with the psychological counterpart must be cautiously decided. The video endoscopy has recently modified and reduced the importance of the incision in frontal and mask lift. The blepharoplasties may be performed separately or, in combination with a face lift. The upper blepharoplasties rejunevate the look. The lower blepharoplasties are mostly indicated in baggy eyelids.

Blepharoptosis↗
PubMed1994

[Face lifts of the malar, jugal and nasolabial area].

The author describes the various techniques, now classical, allowing correction of ageing of the middle third of the face: subcutaneous facelift, retightening of the deep planes, SMAS, platysma, as well as more recent procedures: deep facelift, composite facelift, facelift of the Superficial Adipo Cutaneous System (SACS). These techniques are designed to restore a normal position to tissues which have migrated with time: skin, fat and fibromuscular planes. The most difficult correction is that of the nasolabial pouch.

Esthetics↗
PubMed1994

[Contribution of videoendoscopy to the surgery of face rejuvenation].

After a delay of several years, endoscopic surgery was introduced into cosmetic surgery of the face in 1992. Initially, its indications were very limited as they only concerned resection of corrugator muscles for the treatment of wrinkles between the eyebrows. Today, it has a new lease of life, with the ambition of replacing classical forehead facelift, by constituting a surgical approach. It replaces the bicoronal incision by means of 5 small incisions which allow detachment and resection of the depressor supercilii muscles similar to that obtained via a bicoronal incision. The skin or scalp excess is absorbed by various techniques. However, endoscopy now has other ambitions: functional fronto-orbital surgery. It tries to achieve a new muscular equilibrium by resection of the depressor supercilii muscles and release of the levators: occipitofrontal muscle. In this way, this new technique achieves an entirely natural repositioning of the eyebrow. The authors describe all of the technical possibilities by endoscopy, median frontal endoscopy, endoscopic frontal facelift, endoscopic extraperiosteal masklift and endoscopic subperiosteal masklift, in the case of the forehead. A special technique has been developed: temporomalar facelift. Lastly, although cervicofacial dissection is technically possible using videoendoscopy, there nevertheless remains a major stumbling block: the excess skin. Based on an experience of more than a hundred cases over a period of more than 18 months, this technique provides extremely encouraging results leading the authors to adopt this technique definitively.

Endoscopy↗
PubMed1993

[Extra-periosteal mask-lift. Technical note].

Based on the work by Caix and Goin, it seemed logical to perform mask-lift by extra-periosteal dissection, as it is the adipose and cutaneous planes which are affected by age, while the periosteum is not distended. It is much more logical to directly displace the planes concerned by the operation rather than operating underneath the periosteum, a relatively poorly extensible barrier. Apart from the dangerous zone of the middle third of the zygoma, the frontal branch of the facial nerve is at no greater risk than during a forehead facelift. Extra-periosteal dissection does not raise any particular problems in the malomaxillary region.

Adult↗
PubMed1991

[Reduction mammaplasty using the postero-inferior glandular pedicle without de-epithelialization].

The author describes the technique which he has used for the last two years and in 140 cases of breast reduction. This technique uses an essentially posterior glandular pedicle, the blood supply of gland is essentially derived from the thoracic wall and there is no de-epithelialisation for vascular purposes. This simple technique provides patients with the certainty of normal lactation and almost certain restoration of nipple sensitivity. Moreover, as the skin is not placed under tension, the scars appear to be of better quality than when they are placed under tension as with many other techniques.

Breast↗
PubMed1991

[Submental region in young adults].

Techniques of correction of thickening of the submental region are based on an anatomical analysis: position of the hyoid bone, mental protrusion, supra- or sub-platysmal steatomery, anatomy of the platysma muscle. Defatting procedures can be performed with an aspiration cannula, but a musculoplasty is sometimes required. Only direct exploration allows modelling of the fat situated between the platysma and the floor of the mouth.

Adult↗
PubMed1989

[The choice of incisions and myoplasties in face lifts].

The choice of the site of incision in facial and forehead face lifts is very important, as, apart from minimising the scars, it determines the absence of alteration in the hairline. This is particularly important in occipital and frontal regions but also in the "sideburns". After defining the incision, the surgeon must decide which platysma muscles must be used to correct frontal, horizontal or vertical wrinkles, crows feet or cervical folds. The author presents his experience and technical developments in these two fields.

Facial Muscles↗
PubMed1989

[Upper palpebral dermolipectomy].

The classical techniques of superior blepharoplasty involve a preliminary determination of the quantity of excess skin. The author decided it would be useful to only determine the skin resection during the operation, as in the case of abdominal dermolipectomy. Blepharoplasty, performed in this way, is more precisely adapted when a frontal facelift is performed at the same time.

Eyelids↗
PubMed1989

[External canthopexy and blepharoplasty].

The obliquity of the palpebral cleft is one of the determinant elements of facial appearance. External canthopexy or transposition of the external palpebral tendon, performed in young subjects by release of the orbital septa, allows rejuvenation of the face and tightening of the skin without resection. In elderly subjects it is also a good insurance against postoperative lagophthalmia.

Esthetics↗
PubMed1989

[Sunken eyes].

A procedure to correct the supra tarsal depression observed in aging people is described. It is an adaptation of the procedure described for corrections of the same problem occurring after enucleation. After taking a mold, a silicone implant is created. It will be inserted behind the orbital septum of the upper eyelid to compensate for the fat resorption of the middle fat compartment.

Aging↗
PubMed1987

A different rasp for rhinoplasty.

A new rasp for rhinoplasty is presented. It can be dismantled and has a renewable blade that looks like the one you find in a plane. The main advantage of this rasp is that it rasps the cartilaginous septum as well as the bony part of the hump.

Humans↗