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Biomedical subjects

S A Klatsky

Publications and source records attributed to S A Klatsky.

6 recordsLinked to original sources

Thyroid disorders masquerading as aging changes.

Some (2.6%) patients seeking aesthetic blepharoplasty had undiagnosed hypothyroidism contributing to periorbital aging changes; 0.3% had undiagnosed hyperthyroidism. Characteristic features suggesting the possibility of hypothyroidism were edema, "festoons," and "secondary" bags. The characteristic features of hyperthyroidism were proptosis and edema. Treatment of the underlying medical condition reversed the changes to a variable extent. Aesthetic surgery was not necessary in some patients.

Adult↗

Immediate reconstruction after mastectomy: team approach.

A review of 198 cases of breast reconstruction done at the time of mastectomy for carcinoma of the breast shows an extremely low morbidity. The technique of using a tissue-expander prosthesis enables immediate breast reconstruction without any fear of impairing prognosis, of spreading disease, or of impeding adjuvant therapy.

Female↗

Lower eyelid examination following blepharoplasty in the monkey.

To determine the validity and reliability of the physical examination in evaluating abnormalities of the lower eyelid following blepharoplasty, a model using monkeys was developed. One plastic surgeon performed a variety of blepharoplasties, including extensive resection of lower lid skin and/or muscle, and/or the creation of scarring in the orbital septum. Three months postoperatively, a second plastic surgeon and an ophthalmologist examined these monkeys' lower eyelids. Although there was substantial agreement between the observers as to the degree of scleral show and which eye was "worse" in each monkey, the examiners were correct in just 7 of 24 attempts to identify the exact operative procedure that had been performed. This study demonstrates that it is difficult to identify the cause of abnormalities in appearance and position of the lower lid after blepharoplasty. Orbital septal scarring can cause the same degree of scleral show as excessive skin resection. Muscle resection contributed little to lower lid position.

Animals↗

Aesthetic rhinoplasty in patients with thick nasal skin.

Results of rhinoplasty in patients with thick nasal skin are presented. An approach is utilized that yields a predictable result without the necessity for external skin incisions or frequent secondary procedures. The aesthetic result is maximized by attention to preoperative skin preparation, thorough modification of the soft tissue of the distal nose prior to the skeletal remodeling, and a meticulous postoperative regimen of controlled splinting and compression exercises.

Humans↗

Separate skin and muscle flaps in lower-lid blepharoplasty.

A lower-lid blepharoplasty technique that involves wide dissection of separate skin and muscle flaps and their individual redraping and resection is presented. This procedure, which can be used as a routine approach to lower-lid blepharoplasty is especially effective in the management of atrophic, wrinkled, or deeply creased skin; "festoons" of orbicularis; orbicularis hypertrophy; and "secondary bags".

Eyelid Diseases↗