Claudio Cardoso de Castro

Hand rejuvenescence by fat filling.

&NA; The advantages of fat filling for hand rejuvenescence are discussed. Seventy‐two patients treated by this method are presented, including their follow‐up, complication rate, and details of combined operations. Preference is given to local anesthesia when no other major surgeries are associated with the method. A highly satisfactory rate was obtained (98.62%) with a low complication rate (4.15%).

Gluteoplasty: Anatomic Basis and Technique

BACKGROUND Although the placement of implants for gluteal augmentation is becoming more common, the procedure still faces strong resistance from patients and some surgeons as a result of unsatisfactory outcomes in the past. OBJECTIVE The authors describe easily-identifiable anatomic reference points that can assist the surgeon in the performance of gluteoplasty, making the procedure simpler and safer. METHODS Based on a literature review, an anatomic study was performed of dissections of the gluteal region in seven formalinized and fresh cadavers. This study allowed the authors to observe anatomic details and propose bony reference points to guide gluteoplastic surgery. Between July 2006 and February 2009, 105 patients underwent gluteoplasty according to the guidelines resulting from the cadaveric study. RESULTS All patients were female, ages 22 to 50 years. The surgical procedure, once refined, resulted in a low complication rate. In the final 50 patients in the series, there was only one seroma, one wound infection, and no cases of dehiscence. Bruising on the side of the thigh was encountered in four of the total 105 cases (3.8%). The clinical photos demonstrate the positive aesthetic results of this technique. CONCLUSIONS When gluteoplasty is performed utilizing a systematic strategy based on bone anatomy references, it can be a predictable procedure with reproducible results and minimal complications.

How to deal with abdominoplasty in an abdomen with a scar

Abdominoplasty is a common procedure in plastic surgery. Reviewing 150 patients who underwent abdominoplasty, it has been observed that 72% of the patients already had an abdominal scar. How to deal with abdominoplasty in an abdomen with a previous scar is discussed in this article.

Limited incisions in abdominoplasty.

Presented here is our experience with a new approach to abdominoplasty using a limited incision with liposuction. The indications and advantages of the proposed technique are discussed. The procedure was performed in 20 consecutive cases. The benefits of the procedure are the resultant natural contour of the abdominal wall and umbilicus, the maintenance of the mons pubis at its original site, and, most importantly, a limited scar.

The role of the superficial musculoaponeurotic system in face lift.

: A study of 10 patients who underwent a unilateral dissection of the superficial musculoaponeurotic system (SMAS) is discussed. According to the different postoperative results, the patients were grouped into three classes, with either major, minor, or no obvious benefit from the SMAS dissection. The indications for and value of SMAS treatment in face lift are discussed, based on the results observed.

Superficial musculoaponeurotic system-platysma: a continuous study.

: Taking advantage of anatomical knowledge, in this report we suggest the benefits of an ample superficial musculoaponeurotic system undermining reaching the insertions of platysma muscle in the cutaneous muscles of the mouth and chin. This dissection is followed by an upward pull of the superficial musculoaponeurotic system-platysma on the face and a posterosuperior pull on the neck. The described procedure is recommended for patients presenting with drooping chin and lateral gravity bags. The method was performed in 84 of 148 patients, with excellent results.

T abdominoplasty to remove multiple scars from the abdomen.

A patient presented with multiple scars on the abdomen from previous surgical procedures. Much of the scarring was eliminated and the form of the abdomen restored by an atypical inverted T abdominoplasty.

Analysis of 60 cases of simultaneous mammaplasty and abdominoplasty.

The authors report 60 cases of simultaneous breast and abdomen reduction and analyze the value of its use. The combined procedure remodels the body contour with excellent results and low morbidity.

Extensive Cervical and Lower Face Lipectomy: Its Importance and Anatomical Basis

The authors propose a more extensive lipectomy than usual along and above the mandibular branch, to obtain better results in the neck and lower face in rhytidectomy. The operative technique is based on anatomical findings. Results are excellent when the procedure is indicated and properly performed. Lipectomy is recommended in patients with abnormal fat deposits about the lower face and neck; it. is not advised for obese patients.

Massive breast hypertrophy in a young girl.

A patient with massive virginal breast hypertrophy is reported in this study. A 16-year-old girl presented with abnormal growth of her breasts in 1 year. Due to the enormous breast volume, which caused her physical and psychological problems, she curtailed her social life. After a thorough gynecological and breast assessment, she was referred to the plastic surgery division for breast reduction. She underwent total subcutaneous mastectomy followed by immediate breast reconstruction by subpectoral prosthesis implantation.