The author presents his personal method of repairing a bilateral cleft lip, focusing on both the embryogenic factors of this condition and its anatomic-functional abnormalities. The surgical technique used enables correction in a single operation through suture of the lateral portions at the midline and elevation of the bifurcated flap of the prolabium to form the columella and the nasal floor. The deep psychological, social, and economic impact of the pathology is discussed, and the importance of a one-step surgical correction of the defect for the particular patient population at question is stressed.

Adolescent↗

PubMedDate not supplied

Prominent ears--Pitanguy's island technique: long-term results.

Through the analysis of 300 cases of prominent ears operated by Pitanguy's technique with a follow-up of 1-15 years we observed the preservation of the aesthetic aspect as well as the cephaloauricular angle. We call attention to its easy performance and almost no incidence of early or late complications.

Child↗

PubMedDate not supplied

Surgical treatment of macrocheilia.

The authors report 27 cases of macrocheilia, discussing each cause individually. They classify macrocheilia according to its etiology, emphasizing the importance of an accurate diagnosis in treating the disease. The operative technique indicated for each cause is discussed. The technique basically consists of a fusiform resection, which may include a larger or smaller amount of lip tissue depending on the disease process. The incision may be interrupted at the mid-lip and W-plasty or lateral Z-plasties may be used to avoid the formation of dog ears.

Adolescent↗

PubMedDate not supplied

Contour surgery in the patient with great weight loss.

Obesity can be defined as a chronic disease in which there is excess of body adiposity, leading to severe secondary health problems. This metabolic pathology shortens life-span and is a main cause of diabetes, atherosclerosis, systemic arterial hypertension, and reduction of pulmonary function, among others. The plastic surgeon is involved with the obese patient under two circumstances: either the patient is currently overweight and requests reduction of excess adipose tissue, or has suffered a great weight loss and desires correction of one, or more, contour deformities. In either case, planning demands a close preoperative analysis and careful preparation of the patient, execution of a meticulous surgical routine, and close postoperative follow-up. In this article, various body contour deformities will be addressed, showing the senior author's strategy in treating the obese patient that has achieved the loss of considerable weight.

Adult↗