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Permanent Plastic Surgery Job in Las Cruces New Mexico with Community Health Systems
Take over the patients from an existing practice Use all of your expertise and training in all aspects of reconstructive plastic surgery in Sunny Southwest New Mexico Certification and training in reconstructive
Permanent Plastic Surgery Job in Dothan Alabama with Community Health Systems
Dothan, AL - How good can it get! Dothan continues to grow and we're looking for another Plastic Surgeon. This opportunity is to join a busy practice. 08 Resident would be great. Email us or call
Permanent Plastic Surgery Job in Seattle Washington with Naficy Plastic Surgery & Rejuvenation Center
Plastic Surgeon Seattle, WA Busy cosmetic plastic surgery practice in a thriving community is seeking a board eligible/board-certified plastic surgeon. The senior surgeon has a practice limited
Archives of Facial Plastic Surgery current issue
ABOUT THIS JOURNAL: About This Journal
Mon, 17 Nov 2008 00:00:00 -0000
HIGHLIGHTS OF ARCHIVES OF FACIAL PLASTIC SURGERY: Highlights of Archives of Facial Plastic Surgery
Mon, 17 Nov 2008 00:00:00 -0000
EDITORIAL: The Archives of Facial Plastic Surgery: The First Decade
Larrabee, W. F. Mon, 17 Nov 2008 00:00:00 -0000
SPECIAL TOPICS: The Infracartilaginous Approach Revisited
Tasman, A.-J., Palma, P. Mon, 17 Nov 2008 00:00:00 -0000
The last decade has seen a marked increase in the use of the external approach for primary and secondary rhinoplasties. As a consequence, endonasal techniques are taught less and the external approach is increasingly being used for minor corrections. We review the infracartilaginous approach as an elegant variant of the endonasal approach and, for many procedures, a suitable alternative to the external approach and describe the technique of the infracartilaginous approach and illustrate its options with cases that, for the majority of rhinoplasty surgeons, would call for an external approach. We adopted the infracartilaginous approach as the preferred technique for most tip sculpting and repositioning procedures. The infracartilaginous approach is technically more challenging compared with the open approach in teaching situations. This, however, does not imply that the technique should therefore be abandoned. On the contrary, we are convinced that the technique can and should be taught and learned.
SPECIAL TOPICS: Advances in Craniofacial Surgery
Tatum, S. A., Losquadro, W. D. Mon, 17 Nov 2008 00:00:00 -0000
The past 10 years have witnessed many advances in craniofacial surgery. Advances in surgical techniques, such as distraction osteogenesis and endoscopic procedures, combined with refinements in surgical equipment, such as resorbable plating and distractors, have improved surgical outcomes, while minimizing morbidity. Technological advances in 3-dimensional imaging, computer simulation, and intraoperative navigation facilitate diagnosis, preoperative planning, and surgical execution. Rising cases of deformational plagiocephaly owing to increased supine infant sleep positioning necessitated the development of appropriate diagnosis and treatment and the avoidance of unnecessary surgery. A greater understanding of the genetic basis of craniofacial disorders has allowed better preoperative assessment and counseling. Finally, efforts to develop better bone graft substitutes with gene therapy and nanotechnology are ongoing.
SPECIAL TOPICS: Lasers and Optical Technologies in Facial Plastic Surgery
Wu, E. C., Wong, B. J. F. Mon, 17 Nov 2008 00:00:00 -0000
Lasers and optical technologies play a significant role in aesthetic and reconstructive surgery. The unique ability of optical technologies to target specific structures and layers in tissues to effect chemical, mechanical, or thermal changes makes them a powerful tool in cutaneous rejuvenation, hair removal, fat removal, and treatment of vascular lesions such as port-wine stains, among many other procedures. With the development of adjunct techniques such as epidermal cooling, lasers and optical technologies have become more versatile and safe. The constant improvement of existing applications and the emergence of novel applications such as photodynamic therapy, nanoparticles, spectroscopy, and noninvasive imaging continue to revolutionize aesthetic medicine by offering a minimally invasive alternative to traditional surgery. In the future, therapies will be based on individualized, maximum, safe radiant exposure to deliver optimal dosimetry. Lasers and optical technologies are headed toward safer, easier, more quantifiable, and more individualized therapy.
Aesthetic Plastic Surgery
Announcements
Sat, 03 Jan 2009 06:42:21 -0000
Announcements Content Type Journal ArticleCategory AnnouncementsDOI 10.1007/s00266-008-9309-5 Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X
“Coagulum Suction”: A Simple Trick for the Reduction of Postoperative Hematoma Associated with Facelift
Sat, 03 Jan 2009 06:42:20 -0000
Abstract Background Facelift is currently one of the most requested procedures among consumers of aesthetic plastic surgery. Like any operation, it is accompanied by a variety of potential complications, with postoperative bleeding probably the most frequent. Hematomas can cause hyperpigmentation, contour changes due to subcutaneous scarring, prolongation of healing, and necrosis of the skin flap. The most common treatment is manual expression of the blood coagula. Needle aspiration sometimes cannot be used because of the viscosity of the coagula. Methods Seven patients underwent a new method of hematoma removal from wounds. One to two sutures were removed above the hairline under local anesthesia and a short liposuction cannula, 2.5 mm in diameter and 10–15 cm in length with one or two openings, was used for coagulum suction. Results All treated patients had the hematoma suction procedure without complications and with satisfactory outcomes and no subsequent bleeding. Conclusion Coagulum suction is a simple and fast method that can shorten the recovery following a facelift. This method cannot replace surgical revision in cases in which there is substantial and/or persistent bleeding. However, it can reduce hematomas that are large enough to delay healing and interfere with convalescence, yet too small to warrant surgical revision. Content Type Journal ArticleCategory Innovative TechniqueDOI 10.1007/s00266-008-9297-5Authors A. Sukop, University Hospital Kralovske Vinohrady, Charles University Prague Department of Plastic Surgery 3rd Faculty of Medicine, Srobarova 50 100 34 Prague 10 Czech RepublicM. Duskova, University Hospital Kralovske Vinohrady, Charles University Prague Department of Plastic Surgery 3rd Faculty of Medicine, Srobarova 50 100 34 Prague 10 Czech RepublicM. Tvrdek, University Hospital Kralovske Vinohrady, Charles University Prague Department of Plastic Surgery 3rd Faculty of Medicine, Srobarova 50 100 34 Prague 10 Czech RepublicE. Leamerova, University Hospital Kralovske Vinohrady, Charles University Prague Department of Plastic Surgery 3rd Faculty of Medicine, Srobarova 50 100 34 Prague 10 Czech RepublicM. Cakrtova, University Hospital Kralovske Vinohrady, Charles University Prague Department of Plastic Surgery 3rd Faculty of Medicine, Srobarova 50 100 34 Prague 10 Czech Republic Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X
Periareolar Breast Reduction
Sat, 03 Jan 2009 06:42:20 -0000
Abstract A personal approach to periareolar breast reduction is presented. The circular demarcation of periareolar skin must be limited to twice the demarcated areolar diameter (2 × 4 = 8 cm). A cylindrical resection of volume is removed, as in Strömbeck’s technique, from below the areola to the aponeurosis of the pectoral muscle. Through this space, two to four “keel-like” parenchymal pieces are removed to reduce the breast at the cardinal points. The breast cone is assembled by suturing the raw areas from bottom to top, hyperprojecting it. A “round-block” suture around the areola is made, and the procedure is concluded with skin suture. Indications, limitations, and possibilities for use of the technique are analyzed, and the equation is summarized as follows: residual ptosis versus long scars inside the limits and indications of more or less 300 g of removed volume and small or medium breast ptosis. Only after the first 10 cases was the limit of the technique determined. Therefore, these results were not homogeneous. The results were satisfactory and regular for 68 of the 78 patients subjected to surgery and follow-up evaluation. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-008-9296-6Authors Antonio Roberto Bozola, School of Medicine in São José do Rio Preto Division of Plastic Surgery Sao Jose do Rio Preto Brazil Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X
Thank You to Reviewers
Sat, 03 Jan 2009 06:42:19 -0000
Thank You to Reviewers Content Type Journal ArticleCategory EditorialDOI 10.1007/s00266-008-9307-7Authors Thomas M. Biggs, 1315 St. Joseph Parkway Suite 900 Houston TX 77002 USA Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X
Body Contouring with Solid Silicone Implants
Sat, 03 Jan 2009 06:42:19 -0000
Abstract Background Body-contouring implants are becoming increasingly popular and more accepted and requested for aesthetic purposes. These implants must be placed in a safe and reproducible plane of anatomic dissection for a successful long-term outcome. Poor implant placement techniques result in greater complications such as asymmetry, implant migration, capsular contracture, and infection. This article discusses (1) the history and the evolution of body-contouring implants, (2) the different techniques and dissection planes in which to put the implants in the calf, gluteal, pectoral, and triceps/biceps areas, and (3) the complications associated with the different implantation techniques. Methods The different anatomical areas that have been treated with solid silicone implants are the gluteus, pectoral, calf, deltoids, biceps, triceps, and trapezium. Results Determining the ideal plane for implant placement is the most important surgical goal for satisfactory aesthetic results. Conclusion Aesthetic contouring of the chest, back, arms, buttocks, and calf can be done safely with solid silicone implants. Proper pocket dissection and location are paramount to successful implant placement and decreased complications. Content Type Journal ArticleCategory ReviewDOI 10.1007/s00266-008-9292-xAuthors Gerardo Flores-Lima, Centro Panamericano de Ojos Clínica Gerardo Flores-Lima 91 Avenida Norte #541, Colonia Escalón San Salvador El SalvadorBarry L. Eppley, Clarian North Medical Center 11725 North Illinois Street, Suite 140 Carmel IN 46032 USA Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X
Treatment of Axillary Hyperhidrosis/Bromidrosis Using VASER Ultrasound
Sat, 03 Jan 2009 06:42:17 -0000
Abstract Background Current methods of treatment for axillary hyperhidrosis and/or bromidrosis are palliative (use of topical aluminum chloride or injections of botulinum toxin type A) or surgically based for more permanence (excisional surgery, endoscopic transthoracic sympathectomy, liposuction/curettage). The surgical approaches have mixed effectiveness and incur the risk of significant side effects and complications. Methods Thirteen patients (3 males, 10 females) with significant axillary hyperhidrosis and/or bromidrosis were recruited, treated with the VASER ultrasound, and followed for 6 months. Preoperative assessment of the impact of hyperhidrosis and/or bromidrosis on lifestyle and the degree of sweat/odor were completed. Postoperative assessment of changes relative to lifestyle and degree of sweat/odor reduction and patient and surgeon satisfaction were completed. Results Eleven of 13 patients had significant reduction in sweat/odor and had no recurrence of significant symptoms at 6 months. Two patients had a reduction in sweat/odor but not to the degree desired by the patients. No significant complications were noted. A simple amplitude and time protocol was established that provides consistent and predictable therapy. The complete procedure takes less than 1 h to treat two axillae using local anesthetic. Conclusion The VASER is safe and effective for treatment of axillary hyperhidrosis/bromidrosis. The method is minimally invasive with immediate return to basic activities and only temporary minor restriction of arm movement. At 6 months the treatment appears to be long-lasting, but further follow-up is required for verification of permanence. This method has become the standard of care for the treatment of axillary hyperhidrosis/bromidrosis in the authors’ practice. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-008-9283-yAuthors George W. Commons, Stanford University School of Medicine 1515 El Camino Real, Suite C Palo Alto 94306 USAAngeline F. Lim, Stanford University Division of Plastic and Reconstructive Surgery 770 Welch Road, Suite 400 Stanford CA 94304 USA Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X
PubMed: 1529-4242
Hyperbaric oxygen in necrotizing fasciitis.
Mulla ZD Related Articles Hyperbaric oxygen in necrotizing fasciitis. Plast Reconstr Surg. 2008 Dec;122(6):1984-5 Authors: Mulla ZD PMID: 19050570 [PubMed - indexed for MEDLINE]
Computed tomographic angiography: an important radiologic modality for assessing vascular malformations.
Sun ZY, Yin GQ, Li WX Related Articles Computed tomographic angiography: an important radiologic modality for assessing vascular malformations. Plast Reconstr Surg. 2008 Dec;122(6):1982-3; author reply 1983-4 Authors: Sun ZY, Yin GQ, Li WX PMID: 19050568 [PubMed - indexed for MEDLINE]
Radial forearm flaps for reconstruction of the elbow, wrist, and hand.
Yoon YI, Rhee SC, Lee DL, Yoo JS Related Articles Radial forearm flaps for reconstruction of the elbow, wrist, and hand. Plast Reconstr Surg. 2008 Dec;122(6):1980-1 Authors: Yoon YI, Rhee SC, Lee DL, Yoo JS PMID: 19050567 [PubMed - indexed for MEDLINE]
The reverse radial forearm flap in reconstruction of the hand.
Zambacos GJ, Mandrekas AD Related Articles The reverse radial forearm flap in reconstruction of the hand. Plast Reconstr Surg. 2008 Dec;122(6):1979-80; author reply 1980 Authors: Zambacos GJ, Mandrekas AD PMID: 19050564 [PubMed - indexed for MEDLINE]
Comparative study of incisions for primary repair of unilateral complete cleft lip.
Ilango N, Sachi K, Gupta AK Related Articles Comparative study of incisions for primary repair of unilateral complete cleft lip. Plast Reconstr Surg. 2008 Dec;122(6):1978 Authors: Ilango N, Sachi K, Gupta AK PMID: 19050562 [PubMed - indexed for MEDLINE]
A prospective, randomized, double-blind, controlled trial of continuous local anesthetic infusion in cosmetic breast augmentation.
Parsa FD, Parsa AA, Sprouse-Blum AS, Jackowe DJ, Semenza M, Pang J Related Articles A prospective, randomized, double-blind, controlled trial of continuous local anesthetic infusion in cosmetic breast augmentation. Plast Reconstr Surg. 2008 Dec;122(6):1978-9; author reply 1979 Authors: Parsa FD, Parsa AA, Sprouse-Blum AS, Jackowe DJ, Semenza M, Pang J PMID: 19050561 [PubMed - indexed for MEDLINE]
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Permanent Plastic Surgery Job in Las Cruces New Mexico with Community Health Systems
Take over the patients from an existing practice Use all of your expertise and training in all aspects of reconstructive plastic surgery in Sunny Southwest New Mexico Certification and training in reconstructive
Permanent Plastic Surgery Job in Dothan Alabama with Community Health Systems
Dothan, AL - How good can it get! Dothan continues to grow and we're looking for another Plastic Surgeon. This opportunity is to join a busy practice. 08 Resident would be great. Email us or call
Permanent Plastic Surgery Job in Seattle Washington with Naficy Plastic Surgery & Rejuvenation Center
Plastic Surgeon Seattle, WA Busy cosmetic plastic surgery practice in a thriving community is seeking a board eligible/board-certified plastic surgeon. The senior surgeon has a practice limited
Archives of Facial Plastic Surgery current issue
ABOUT THIS JOURNAL: About This Journal
Mon, 17 Nov 2008 00:00:00 -0000
HIGHLIGHTS OF ARCHIVES OF FACIAL PLASTIC SURGERY: Highlights of Archives of Facial Plastic Surgery
Mon, 17 Nov 2008 00:00:00 -0000
EDITORIAL: The Archives of Facial Plastic Surgery: The First Decade
Larrabee, W. F. Mon, 17 Nov 2008 00:00:00 -0000
SPECIAL TOPICS: The Infracartilaginous Approach Revisited
Tasman, A.-J., Palma, P. Mon, 17 Nov 2008 00:00:00 -0000
The last decade has seen a marked increase in the use of the external approach for primary and secondary rhinoplasties. As a consequence, endonasal techniques are taught less and the external approach is increasingly being used for minor corrections. We review the infracartilaginous approach as an elegant variant of the endonasal approach and, for many procedures, a suitable alternative to the external approach and describe the technique of the infracartilaginous approach and illustrate its options with cases that, for the majority of rhinoplasty surgeons, would call for an external approach. We adopted the infracartilaginous approach as the preferred technique for most tip sculpting and repositioning procedures. The infracartilaginous approach is technically more challenging compared with the open approach in teaching situations. This, however, does not imply that the technique should therefore be abandoned. On the contrary, we are convinced that the technique can and should be taught and learned.
SPECIAL TOPICS: Advances in Craniofacial Surgery
Tatum, S. A., Losquadro, W. D. Mon, 17 Nov 2008 00:00:00 -0000
The past 10 years have witnessed many advances in craniofacial surgery. Advances in surgical techniques, such as distraction osteogenesis and endoscopic procedures, combined with refinements in surgical equipment, such as resorbable plating and distractors, have improved surgical outcomes, while minimizing morbidity. Technological advances in 3-dimensional imaging, computer simulation, and intraoperative navigation facilitate diagnosis, preoperative planning, and surgical execution. Rising cases of deformational plagiocephaly owing to increased supine infant sleep positioning necessitated the development of appropriate diagnosis and treatment and the avoidance of unnecessary surgery. A greater understanding of the genetic basis of craniofacial disorders has allowed better preoperative assessment and counseling. Finally, efforts to develop better bone graft substitutes with gene therapy and nanotechnology are ongoing.
SPECIAL TOPICS: Lasers and Optical Technologies in Facial Plastic Surgery
Wu, E. C., Wong, B. J. F. Mon, 17 Nov 2008 00:00:00 -0000
Lasers and optical technologies play a significant role in aesthetic and reconstructive surgery. The unique ability of optical technologies to target specific structures and layers in tissues to effect chemical, mechanical, or thermal changes makes them a powerful tool in cutaneous rejuvenation, hair removal, fat removal, and treatment of vascular lesions such as port-wine stains, among many other procedures. With the development of adjunct techniques such as epidermal cooling, lasers and optical technologies have become more versatile and safe. The constant improvement of existing applications and the emergence of novel applications such as photodynamic therapy, nanoparticles, spectroscopy, and noninvasive imaging continue to revolutionize aesthetic medicine by offering a minimally invasive alternative to traditional surgery. In the future, therapies will be based on individualized, maximum, safe radiant exposure to deliver optimal dosimetry. Lasers and optical technologies are headed toward safer, easier, more quantifiable, and more individualized therapy.
Aesthetic Plastic Surgery
Announcements
Sat, 03 Jan 2009 06:42:21 -0000
Announcements Content Type Journal ArticleCategory AnnouncementsDOI 10.1007/s00266-008-9309-5 Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X
“Coagulum Suction”: A Simple Trick for the Reduction of Postoperative Hematoma Associated with Facelift
Sat, 03 Jan 2009 06:42:20 -0000
Abstract Background Facelift is currently one of the most requested procedures among consumers of aesthetic plastic surgery. Like any operation, it is accompanied by a variety of potential complications, with postoperative bleeding probably the most frequent. Hematomas can cause hyperpigmentation, contour changes due to subcutaneous scarring, prolongation of healing, and necrosis of the skin flap. The most common treatment is manual expression of the blood coagula. Needle aspiration sometimes cannot be used because of the viscosity of the coagula. Methods Seven patients underwent a new method of hematoma removal from wounds. One to two sutures were removed above the hairline under local anesthesia and a short liposuction cannula, 2.5 mm in diameter and 10–15 cm in length with one or two openings, was used for coagulum suction. Results All treated patients had the hematoma suction procedure without complications and with satisfactory outcomes and no subsequent bleeding. Conclusion Coagulum suction is a simple and fast method that can shorten the recovery following a facelift. This method cannot replace surgical revision in cases in which there is substantial and/or persistent bleeding. However, it can reduce hematomas that are large enough to delay healing and interfere with convalescence, yet too small to warrant surgical revision. Content Type Journal ArticleCategory Innovative TechniqueDOI 10.1007/s00266-008-9297-5Authors A. Sukop, University Hospital Kralovske Vinohrady, Charles University Prague Department of Plastic Surgery 3rd Faculty of Medicine, Srobarova 50 100 34 Prague 10 Czech RepublicM. Duskova, University Hospital Kralovske Vinohrady, Charles University Prague Department of Plastic Surgery 3rd Faculty of Medicine, Srobarova 50 100 34 Prague 10 Czech RepublicM. Tvrdek, University Hospital Kralovske Vinohrady, Charles University Prague Department of Plastic Surgery 3rd Faculty of Medicine, Srobarova 50 100 34 Prague 10 Czech RepublicE. Leamerova, University Hospital Kralovske Vinohrady, Charles University Prague Department of Plastic Surgery 3rd Faculty of Medicine, Srobarova 50 100 34 Prague 10 Czech RepublicM. Cakrtova, University Hospital Kralovske Vinohrady, Charles University Prague Department of Plastic Surgery 3rd Faculty of Medicine, Srobarova 50 100 34 Prague 10 Czech Republic Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X
Periareolar Breast Reduction
Sat, 03 Jan 2009 06:42:20 -0000
Abstract A personal approach to periareolar breast reduction is presented. The circular demarcation of periareolar skin must be limited to twice the demarcated areolar diameter (2 × 4 = 8 cm). A cylindrical resection of volume is removed, as in Strömbeck’s technique, from below the areola to the aponeurosis of the pectoral muscle. Through this space, two to four “keel-like” parenchymal pieces are removed to reduce the breast at the cardinal points. The breast cone is assembled by suturing the raw areas from bottom to top, hyperprojecting it. A “round-block” suture around the areola is made, and the procedure is concluded with skin suture. Indications, limitations, and possibilities for use of the technique are analyzed, and the equation is summarized as follows: residual ptosis versus long scars inside the limits and indications of more or less 300 g of removed volume and small or medium breast ptosis. Only after the first 10 cases was the limit of the technique determined. Therefore, these results were not homogeneous. The results were satisfactory and regular for 68 of the 78 patients subjected to surgery and follow-up evaluation. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-008-9296-6Authors Antonio Roberto Bozola, School of Medicine in São José do Rio Preto Division of Plastic Surgery Sao Jose do Rio Preto Brazil Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X
Thank You to Reviewers
Sat, 03 Jan 2009 06:42:19 -0000
Thank You to Reviewers Content Type Journal ArticleCategory EditorialDOI 10.1007/s00266-008-9307-7Authors Thomas M. Biggs, 1315 St. Joseph Parkway Suite 900 Houston TX 77002 USA Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X
Body Contouring with Solid Silicone Implants
Sat, 03 Jan 2009 06:42:19 -0000
Abstract Background Body-contouring implants are becoming increasingly popular and more accepted and requested for aesthetic purposes. These implants must be placed in a safe and reproducible plane of anatomic dissection for a successful long-term outcome. Poor implant placement techniques result in greater complications such as asymmetry, implant migration, capsular contracture, and infection. This article discusses (1) the history and the evolution of body-contouring implants, (2) the different techniques and dissection planes in which to put the implants in the calf, gluteal, pectoral, and triceps/biceps areas, and (3) the complications associated with the different implantation techniques. Methods The different anatomical areas that have been treated with solid silicone implants are the gluteus, pectoral, calf, deltoids, biceps, triceps, and trapezium. Results Determining the ideal plane for implant placement is the most important surgical goal for satisfactory aesthetic results. Conclusion Aesthetic contouring of the chest, back, arms, buttocks, and calf can be done safely with solid silicone implants. Proper pocket dissection and location are paramount to successful implant placement and decreased complications. Content Type Journal ArticleCategory ReviewDOI 10.1007/s00266-008-9292-xAuthors Gerardo Flores-Lima, Centro Panamericano de Ojos Clínica Gerardo Flores-Lima 91 Avenida Norte #541, Colonia Escalón San Salvador El SalvadorBarry L. Eppley, Clarian North Medical Center 11725 North Illinois Street, Suite 140 Carmel IN 46032 USA Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X
Treatment of Axillary Hyperhidrosis/Bromidrosis Using VASER Ultrasound
Sat, 03 Jan 2009 06:42:17 -0000
Abstract Background Current methods of treatment for axillary hyperhidrosis and/or bromidrosis are palliative (use of topical aluminum chloride or injections of botulinum toxin type A) or surgically based for more permanence (excisional surgery, endoscopic transthoracic sympathectomy, liposuction/curettage). The surgical approaches have mixed effectiveness and incur the risk of significant side effects and complications. Methods Thirteen patients (3 males, 10 females) with significant axillary hyperhidrosis and/or bromidrosis were recruited, treated with the VASER ultrasound, and followed for 6 months. Preoperative assessment of the impact of hyperhidrosis and/or bromidrosis on lifestyle and the degree of sweat/odor were completed. Postoperative assessment of changes relative to lifestyle and degree of sweat/odor reduction and patient and surgeon satisfaction were completed. Results Eleven of 13 patients had significant reduction in sweat/odor and had no recurrence of significant symptoms at 6 months. Two patients had a reduction in sweat/odor but not to the degree desired by the patients. No significant complications were noted. A simple amplitude and time protocol was established that provides consistent and predictable therapy. The complete procedure takes less than 1 h to treat two axillae using local anesthetic. Conclusion The VASER is safe and effective for treatment of axillary hyperhidrosis/bromidrosis. The method is minimally invasive with immediate return to basic activities and only temporary minor restriction of arm movement. At 6 months the treatment appears to be long-lasting, but further follow-up is required for verification of permanence. This method has become the standard of care for the treatment of axillary hyperhidrosis/bromidrosis in the authors’ practice. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-008-9283-yAuthors George W. Commons, Stanford University School of Medicine 1515 El Camino Real, Suite C Palo Alto 94306 USAAngeline F. Lim, Stanford University Division of Plastic and Reconstructive Surgery 770 Welch Road, Suite 400 Stanford CA 94304 USA Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X
PubMed: 1529-4242
Hyperbaric oxygen in necrotizing fasciitis.
Mulla ZD Related Articles Hyperbaric oxygen in necrotizing fasciitis. Plast Reconstr Surg. 2008 Dec;122(6):1984-5 Authors: Mulla ZD PMID: 19050570 [PubMed - indexed for MEDLINE]
Computed tomographic angiography: an important radiologic modality for assessing vascular malformations.
Sun ZY, Yin GQ, Li WX Related Articles Computed tomographic angiography: an important radiologic modality for assessing vascular malformations. Plast Reconstr Surg. 2008 Dec;122(6):1982-3; author reply 1983-4 Authors: Sun ZY, Yin GQ, Li WX PMID: 19050568 [PubMed - indexed for MEDLINE]
Radial forearm flaps for reconstruction of the elbow, wrist, and hand.
Yoon YI, Rhee SC, Lee DL, Yoo JS Related Articles Radial forearm flaps for reconstruction of the elbow, wrist, and hand. Plast Reconstr Surg. 2008 Dec;122(6):1980-1 Authors: Yoon YI, Rhee SC, Lee DL, Yoo JS PMID: 19050567 [PubMed - indexed for MEDLINE]
The reverse radial forearm flap in reconstruction of the hand.
Zambacos GJ, Mandrekas AD Related Articles The reverse radial forearm flap in reconstruction of the hand. Plast Reconstr Surg. 2008 Dec;122(6):1979-80; author reply 1980 Authors: Zambacos GJ, Mandrekas AD PMID: 19050564 [PubMed - indexed for MEDLINE]
Comparative study of incisions for primary repair of unilateral complete cleft lip.
Ilango N, Sachi K, Gupta AK Related Articles Comparative study of incisions for primary repair of unilateral complete cleft lip. Plast Reconstr Surg. 2008 Dec;122(6):1978 Authors: Ilango N, Sachi K, Gupta AK PMID: 19050562 [PubMed - indexed for MEDLINE]
A prospective, randomized, double-blind, controlled trial of continuous local anesthetic infusion in cosmetic breast augmentation.
Parsa FD, Parsa AA, Sprouse-Blum AS, Jackowe DJ, Semenza M, Pang J Related Articles A prospective, randomized, double-blind, controlled trial of continuous local anesthetic infusion in cosmetic breast augmentation. Plast Reconstr Surg. 2008 Dec;122(6):1978-9; author reply 1979 Authors: Parsa FD, Parsa AA, Sprouse-Blum AS, Jackowe DJ, Semenza M, Pang J PMID: 19050561 [PubMed - indexed for MEDLINE]
Sites:
American Academy of Cosmetic Surgery: Not-for-profit organization providing information on cosmetic surgery for patients, physicians, and the media. Includes a physician search and procedural information.American Academy of Facial Plastic and Reconstructive Surgery: American Academy of Facial Plastic and Reconstructive Surgery, A national medical specialty of the AMA is the worlds largest association of facial plastic and reconstructive surgeons. Those physicians performing cosmetic and reconstructive surgery of the face, head, and neck.
American Academy of Facial Plastic and Reconstructive Surgery: American Academy of Facial Plastic and Reconstructive Surgery, A national medical specialty of the AMA is the worlds largest association of facial plastic and reconstructive surgeons. Those physicians performing cosmetic and reconstructive surgery of the face, head, and neck.
American Anaplastology Association: Organization with members in the field of prosthetic therapy and prosthetic surgery for patients with facial or somato disfigurements.
American Board of Facial Plastic and Reconstructive Surgery: American Board of Facial Plastic and Reconstructive Surgery certifies surgeons exclusively in facial plastic and reconstructive surgery.
American Society of Plastic Surgeons: The American Society of Plastic Surgeons (ASPS) and Plastic Surgery Educational Foundation (PSEF) offer education on plastic surgery (cosmetic and reconstructive) and help patients find board-certified plastic surgeons., The American Society of Plastic Surgeons (ASPS) and Plastic Surgery Educatio...
Association of Plastic and Reconstructive Surgeons of Southern Africa: Includes about the APRSSA, find a surgeon in Southern Africa, events which include congresses and meetings, news and relevant links.
Austin Smiles: A non-profit organization providing free reconstructive plastic surgery, mainly cleft lip and palate, to the children of Austin,TX and Latin America.
California Society of Plastic Surgeons: California Society of Plastic Surgeons - Surgeon directory of American Board certified plastic surgeons performing cosmetic plastic surgery and reconstructive plastic surgery
Canadian Association for Accreditation of Ambulatory Surgery Facilities, Inc.: About the Association, membership, meetings, public information and a member search.
Canadian Association for Facial , Plastic, and Reconstructive Surgery: Procedure information for patients, physician listing, contact information.
Canadian Laser Aesthetic Surgery Society: cosmetic laser surgery, cosmetic surgery, chirurgie esthtique au laser, chirurgie esthtique, cosmetic dermatology, dermatologie esthtique, Canadian Laser Aesthetic Surgery Society, CLASS, Quebec, Montreal, Toronto, Calgary, Edmonton, Winnipeg
Canadian Society for Aesthetic Plastic Surgery: Providing information about procedures and physician referrals.
International Alliance of Hair Restoration Surgeons: Hair restoration surgeons dedicated to performing state-of-the-art hair transplant surgery
International College of Surgeons: Membership and contact information, newsletter and mission statement.
Interplast: Interplast envisions a world in which no human being suffers physically or emotionally from a repairable congenital deformity or injury. To reach that vision, Interplast partners with volunteers and overseas medical colleagues to educate and empower local communities so that medical access is ava...
ISAPS - International Society of Aesthetic Plastic Surgery: Worldwide organization created at the United Nations. Information on board, professors, members, media center, ethics, membership, courses, and contacts.
New England Society of Plastic and Reconstructive Surgeons: New England Society of Plastic and Reconstructive Surgeons Homepage includes membership directory, history of the society, mission statement, information regarding surgical procedures, and relevant links
Operation Rainbow: Organizes, funds, and oversees volunteer surgical teams that provide free facial and orthopaedic reconstructive surgery to children in medically under-served countries.
Operation Smile: Not-for-profit, volunteer medical services organization that provides reconstructive facial surgery to indigent children and young adults
Philippine Society for Cosmetic Surgery: Includes directory of active members and upcoming events.
Rotaplast International: Charitable organization sponsored by international Rotary clubs. Provides free reconstructive surgery to children, presently in South America.
Small World Foundation: A non-profit organization providing free reconstructive surgery for children and adults throughout the United States and the world.
The American Society for Aesthetic Plastic Surgery: The American Society for Aesthetic Plastic Surgery is a research, public, and educational organization that provides accurate information on all aspects of cosmetic plastic surgery. We are a professional organization of board certified plastic surgeons.
The Egyptian Society of Plastic and Reconstructive Surgeons: Official Governing body of Plastic Surgery in Egypt
The Faculty of Medicine - Memorial University of Newfoundland: Information on how Vietnamese children benefit from Project Outreach's reconstructive surgery.
The International Confederation for Plastic Reconstructive and Aesthetic Surgery (IPRAS): The purpose of the IPRAS is to promote plastic surgery both scientifically and clinically, to further education and to encourage friendship between physicians in all countries.
World Plastic Surgery: Official site for the International Confederation for Plastic, Reconstructive and Aesthetic Surgery, IPRAS and the International Plastic, Reconstructive and Aesthetic Foundation, IPRAF.
This directory is based on the Open Directory and may have been modified