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[Surgical follow-up and importance of information and consent on behalf of patients undergoing esthetic blepharoplasty].

INTRODUCTION: Plastic surgery of the eyelids aims to improve the cosmetic aspect while correcting either an excess of palpebral skin, or an orbital septum dehiscence with fat porf2p4on in the palpebral spaces, after evaluation of horizontal and vertical palpebral laxity. PATIENTS AND METHODS: The authors describe follow-up of upper and lower lid blepharoplasty by cutaneous and conjunctival approaches respectively, with case descriptions and a review of the literature. RESULTS: A "calendar" is made of the different phases of healings, to the final aesthetic aspect desired. DISCUSSION: The patients wishes as to technique and results of blepharoplasty must be discussed and understood. The surgeon must forewarn of eventual per and postoperative complications (hemorrhage, infection), but also the usual follow-up (hematoma, edema, scarring ...). This allows to avoid aggravation of the patients "legitimate" worrying when he/she looks in the mirror! CONCLUSION: The authors underline the importance of patient information concerning the pre and postoperative aspects of aesthetic blepharoplasty.

Blepharoplasty↗
PubMed1999

[Different techniques of reduction mammaplasty comparing clinical and esthetic complications with patient satisfaction].

OBJECTIVE: The purpose of this study was to evaluate whether the use of one singleton and safe surgical procedure could be replaced by modified procedures adapted to the individual pathology without increase of complications rates. MATERIAL AND METHODS: 225 consecutive reduction mammaplasties were evaluated retrospectively, comparing the inferior central pedicle (n = 89) to the superior central pedicle (n = 12), the superior medial pedicle (n = 13), the central gland pedicle (n = 17) and the free areola nipple transplantation (n = 34). We checked for surgical and aesthetic complications of different techniques and satisfaction of the patients by questionnaire and personal interview. RESULTS: There was no difference in the incidence of different complications, satisfaction of the patients was comparable. The most frequent perioperative complication was hematoma formation, long-term problems were scar formations. CONCLUSIONS: As different techniques of reduction mammaplasties are mainly variations of surgical procedures it seems to be possible to adapt the procedure to the individual situation. With thorough indication and technique this approach does not increase complication rates.

Esthetics↗
PubMed1999

[Marginal adaptation of different esthetic filling materials under the effect of heat treatment].

The aim of the study was to examine the marginal adaptation of six tooth coloured restoratives to the tooth hard tissues before and after heat treatment considering the filling method and the placement of the cavity margin. The study showed that 1) the composite marginal adaptation was better with enamel bonding technique than with total bonding technique; 2) the microleakage was less before heat treatment; 3) the best fit was at the occlusal surface and the worst at the gingival tooth-filling junction with the composites; 4) non-composites showed the best adaptation at the approximal enamel-filling junction and the worst at the occlusal surface; 5) the best marginal adaptation could be achieved with Charisma and SpectrumTPH among the composites, and Dyract among the non-composites.

Dental Marginal Adaptation↗