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[Is it reasonable to perform any esthetic surgery in HIV positive patients?].

HIV seropositivity is becoming an increasingly frequent problem amongst candidates for aesthetic surgery. Although a routine screening test for HIV is not legally compulsory, it should nevertheless be requested prior to any aesthetic surgery. Is it reasonable to take the risk of aggravating the disease in order to perform purely elective aesthetic surgery? The answer to this question is not unequivocal, but must tend towards non-intervention, the reasons for which must be clearly explained to the patient in order to obtain his "informed consent".

AIDS Serodiagnosis↗

[Esthetic surgery and psychological rupture states].

Although the psychological profile of patients requesting cosmetic surgery is often similar, the consequences of surgery can be dramatic in certain cases and result in a true state of rupture. The various forms, depression or aggression, and the conditions of onset are analysed. The four essential predisposing factors are: lack of information, result-satisfaction dichotomy, patient-surgeon divorce, and the responsibility of colleagues who, as a result of their inconsiderable comments, destabilize an already fragile psychological state.

Depressive Disorder↗

[Dental ethics, esthetics and cosmetics].

By means of adhesive dentistry sound teeth can be made more beautiful without damaging tooth structure. This is called cosmetic dentistry. Within the dental profession there is a discussion about the following questions: is cosmetic dentistry real dentistry? Is it ethical to render cosmetic services to patients? In this article arguments are displayed to answer this question in a positive manner.

Adult↗

[Labial incompetence. Therapeutic considerations of esthetic and functional deficits].

The lips constitute an anatomic, physiologic and aesthetic specific entity which is integrated between nasal and chin areas. Inocclusion of the lips at rest forms an anomaly which affects mandibular growth, lip function and facial morphology. This vertical labial dysharmony implies on one hand an architectural skeletal unbalance at inferior third of the face, mostly associated with dento-alveolo-maxillary disturbance, on the other hand a disorder of oro-facial muscular behaviour. The treatment's aim is the restoration of a spontaneous lip seal at rest. It will be institute as early as growth-hood using functional orthopaedic devices. In adolescent and adult, the correction of existing dento-alveolar dysharmonies by orthodontic means will be completed, if necessary, by surgical procedures either orthognathic correcting retrognathism or maxillary anterior alveolar hyperplasia with dental extrusion, or morphologic to achieve elongation of congenital upper short lip or elevating of lower lip attracted towards the chin. Orthopaedic and morphologic analyses are necessary to locate the site of the responsible anomalies and indicate particular surgical technics relative to the magnitude of functional and aesthetic repercussion.

Esthetics↗

[Anthropometric assessments in dental esthetics].

Various parameters related to the mobility of the upper lip in a sample of 200 patients, have been considered in order to establish the correlation these have with the extent of lip mobility and the relative visibility of their teeth. From this study it was clear that a large number of patients, with a low index of tooth visibility, could benefit, from the viewpoint of their periodontal health, from the application of prosthetic margins above the gums. This would not damage the aesthetic aspect because the margins in question would only be visible with the lips contracted or, in certain patients, never.

Adult↗

[Critical study of surgical approaches in esthetic rhinoplasty].

Not only the approach is the first but also one of the most important steps of every surgical operation. This is specially true about the nose, which is a cavernous, complex and inextensible structure. Nevertheless these difficulties it is possible to have a good exposure allowing to make the greatest number of aesthetic rhinoplasties, from endonasal incisions. In spite of a recent vogue external incisions seem to be reserved for few special and difficult cases or secondary corrections.

Esthetics↗