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A case of progressive scleromyxedema is described in a 61-year-old man. He was treated with dermabrasion of the nose and forehead, which resulted in cosmetic improvement. The patient had systemic symptoms including transient aphasia, memory loss, near-syncopal episodes, and respiratory difficulty following treatment.
Porosity, elasticity, and texture influence the hair's ability to be changed. The types of color--temporary, gradual, natural, semipermanent, and permanent--depend upon the size of the "coloring" molecule to determine whether they penetrate the cortex (permanent) or precipitate on the cuticle. Different types of hair--thick or coarse, fine or thin--have varying affinity for different products and coloring/waving methods. Damaged hair is treated differently from hair with healthy, less porous shafts. Because so many people have color-treated hair today, dermatologists should be aware of all the latest changes and improvements, in order to assist patients with damaged or congenitally deformed hair. Acid-based permanents are becoming the most commonly used. Daily care with shampooing and conditioning has attained its most sophisticated level with the use of anionic and cationic surfactants in all hair-care products. It is also important for the dermatologist to be aware of what help is available for his or her patients. Cosmetic companies are eager to help any patient with severe problems with texture, dullness, over-fine or congenitally defective hair. The physician should send the patient with a severe problem directly to the nearest company headquarters or major city office to have a hair analysis, and receive suggestions from the experts of that company. For patients with moderate to mild problems, the dermatologist should be able to recommend three or four good salons in the local area with which he or she is familiar. Our main goal as physicians is to take care of the entire patient and to enable him or her to have a good self-image.
Sixteen patients having had an aorto-femoral bifurcation bypass performed were allocated at random for having their right inguinal incisions sutured with staplers and the left incisions with monofilament nylon sutures or vice versa. Long-term follow-up (11 months) demonstrated no differences in the appearance of the scars. The only advantage of the stapler is the short duration of skin-closure as compared to the sutured wounds. Since the long-term cosmetic results are equal and the cost price of the staplers are far higher than sutures we cannot recommend staplers for skin closure in routine operations.
The hemorrhagic tendencies of 23 Doberman Pinscher pups were observed during cosmetic otoplasty and were ranked by a +1 to +4 grading system (+1 = least hemorrhage, and +4 = most hemorrhage). A second estimate of the hemostatic competencies of these dogs was made by counting the gauze sponges used in the otoplasties. Factor VIII-related antigen concentrations and coagglutinin cofactor concentrations were measured in plasma samples from blood drawn not more than 30 hours before the surgical procedures were done. The factor VIII-related antigen concentrations were between 9% and 147% of the concentration in a normal plasma pool, and the coagglutinin cofactor concentrations were between 1% and 165%, indicating that some of these dogs had von Willebrand's disease. The hemorrhagic tendencies of 12 pups were graded +1. This group had a mean antigen concentration of 75% (min-max, 38% to 147%) and a mean coagglutinin cofactor concentration of 89% (min-max, 42% to 165%). These were significantly greater than the antigen and cofactor concentrations of the grades +2 (n = 5), +3 (n = 3), or +4 (n = 3) dogs. Significant differences were not found when antigen concentrations of the grade +2 dogs (mean, 16%; min-max, 11% to 22%), grade +3 dogs (mean, 13%; 12% to 16%), and grade +4 dogs (mean, 11%; 9% to 12%) were compared with each other, nor were significant differences seen among the coagglutinin cofactor concentrations of the grade +2 dogs (mean, 7%; min-max, 1% to 11%), grade +3 dogs (mean, 6%, 4% to 8%), and grade +4 dogs (mean, 5%; 2% to 9%).(ABSTRACT TRUNCATED AT 250 WORDS)
Surgically implanted head restraint devices have been used in nonhuman primate research for more than a decade. Superficial scalp defects are created by the implantation procedures and remain after the devices are removed, a factor that occasionally hinders continued use of the animals by investigators on esthetic grounds. A technique is described whereby the scalp defects are surgically repaired, resulting in a good cosmetic appearance and effectively increasing the potential for reuse of these animals.
The purpose of cosmetic blepharoplasty is the reduction of redundant soft tissue of the upper and lower eyelids, improvement due to wrinkling and relaxation of the lid skin, and eradication of the fullness and bulges in the lids. The Angres Permalid-Liner is a new microsurgical procedure that implants various earthtone color pigments to the base of the eyelashes. When done together with aesthetic blepharoplasty, it can dramatize the eyes by giving sharper definition to the eye shape, makes lashes look thicker, makes the eye look larger and amplifies the whites of the eyes. At the same time, it can also be used to eliminate dark circles around the eyes, blend in skin grafts, and mask unsightly blemishes.
Report on methods of treatment of unsightly pigment changes in the face with beta-carotene orally given in combination with locally applied sunscreens. This "balance of pigment" results especially in acral vitiligo in good or very good cosmetic effects. The new treatment is described in detail.
The operations to replace the thumb have been proved in thalidomide embryopathy both functionally and cosmetically. The best results are achieved in the pollicisation of dolichophalangeal triphalangeal thumbs. Simultaneously existing radial club hand impairs the operative results considerably.
A new therapeutic approach based on the Krukenberg procedure for patients with wrist amputations, together with a functional-cosmetic prosthesis, is described. The indications for this surgery are modified since the operation was originally designed for patients with bilateral wrist amputations or for the blind patient with a unilateral or bilateral amputation. This new approach is based on personal observations and studies of the socioeconomic condition of many amputated patients in Venezuela who reject the use of a conventional prosthesis or orthesis.
This article deals with the office treatment of several common cosmetic problems. The topic of benign lesions is discussed, which includes the management of lentigines, milia, spider nevi, telangiectasis, xanthelasma, and keloids. The use of several modalities for the treatment of acne scarring is advocated; these include dermabrasion, punch-transplant replacement techniques, and collagen implants. Chemical face peels for actinic damage and premature wrinkling are described, and the use of hair transplants, scalp-reduction techniques, and scale flaps to surgically correct male-pattern alopecia are discussed.
The author describes the prescribing of a minimum clearance, molded fenestrated cosmetic scleral contact lens with a 2 mm lens in the iris section in front of an optical iridectomy. The lens was designed to improve cosmesis, and to restore a blind eye to 20/90.
A horizontal submammary skin incision was chosen as approach route to median sternotomy in 36 patients undergoing cardiac operations. The low complication rate in conjunction with a cosmetically acceptable result makes this procedure the method of choice for selected patients. The potentially higher risk of infection should not be overlooked when planning the operation.
In recent years there has developed an "image awareness" among various racial and ethnic groups throughout the world. Perhaps because people live longer, a greater sense of self-esteem based on the way one looks has developed. The communications media are highly promotional of interest in one's self. People want to feel good and look good, even if it requires blepharoplasty, face-lift, rhinoplasty, dermabrasion, or other types of cosmetic surgery. It is interesting that persons born in one place, and for business or personal reasons transposed to another part of the world, soon desire to remold their physical and cultural images in accordance with the practices and customs of their new milieux. This paper addresses these problems.
Modern concepts in the technique of cosmetic rhinoplasty and the psychological evaluation of a patient, together with the surgeon-patient relationship, are discussed. A revision rate of 7, 1% in a total of 882 cases over an 8-year period falls within internationally accepted standards. The reasons for patient dissatisfaction are reviewed.
In the past decade there has been a remarkable increase in the number of patients having cosmetic operations to achieve a more youthful appearance. Demographic, social and economic factors in our society have contributed to this phenomenon, along with an increase in the number of trained plastic surgeons. Moreover, there recently have been major technical advances in aesthetic surgical procedures, including innovations in anesthetic techniques. The newer procedures for forehead-plasty, blepharoplasty and face lift are based on improved understanding of the facial anatomy. The operations are more complex and extensive, but experience has shown that they can be done safely. Correction of the changes of facial aging has been enhanced and the duration of the result has been prolonged.
A patient with bilateral ocular injuries with hypotony and light perception vision was fitted with scleral shells modified to allow light to pass through the central 4-mm area. This modification, allowing the patient to retain light perception with the prosthesis in place, aided in the rehabilitation of this patient by encouraging his independent ambulation, providing clues to time, place, and direction, and offering an enhanced cosmetic effect.
The principles of repair of complications of cosmetic blepharoplasty are aimed at correction of the deformity present. Shortage of skin is usually corrected by skin grafting, lax lower lids by lid shortening procedures, and poor upper lid closure by releasing restricting tissues. Some unusual complications and their treatment are also described.
Blindness associated with cosmetic blepharoplasty is a rare but real occurrence. Thorough ophthalmic and medical preoperative screening of patients and minimal gentle orbital surgery are necessary to decrease the incidence of this tragic complication. We must continue to try to return prolapsed orbital fat from the eyelids back into the orbit and maintain it there by reinforcing the orbital septum rather than by excising fat. Until such operative procedures are perfected, it is suggested that deep orbital injections be avoided and that patients be monitored carefully postoperatively. If an orbital hemorrhage should occur, immediate lateral canthotomy should be performed, followed by whatever other decompressing or ocular hypotensive measures may be necessary.