By Edoardo Raposio
Concentrating on process, that's defined and illustrated intimately, this booklet is written via all over the world specialists and gives precise, step by step directions on the way to practice state of the art endoscopic surgical recommendations within the complicated cosmetic surgery box. greater than three hundred fine quality photographs support make clear advanced innovations through the e-book.
Atlas of Endoscopic cosmetic surgery represents a finished description of the present endoscopic concepts within the plastic, reconstructive a cultured box. It provides surgeons with all of the info essential to effectively accomplish an endoscopic method of fluctuate cosmetic surgery techniques, from carpal and cubital tunnel liberate, breast augmentation and reconstruction, migraine surgical procedure, hyperhidrosis administration, to facial aesthetic surgical procedure, flap and fascia lata harvesting, and mastectomy and belly wall surgery.
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Extra resources for Atlas of Endoscopic Plastic Surgery
Prep and drape are done in the usual fashion, with the axillary area fully exposed. Fig. 1 The typical instrumentation required for endoscopic subfascial breast augmentation. 2 Patient Markings The patient is marked in a standing position. The anterior border of the axillary fold is marked (Fig. 2), ensuring that the incision is placed posterior to this point. The incision is marked Fig. 2 First, the anterior border of the axillary fold is marked with the patient standing with her arms at rest.
When the facial nerve has little or no function, the mid face develops ptosis or sagging and the modiolus tends to droop. The result is an asymmetrical facial position at rest and oral incompetence, which cause great distress for the patient in regards to facial appearance and function. The affected side of the face can be lifted and supported by placing fascia lata slings under the skin to suspend the modiolus to a suitable support, usually the zygoma. Other indications for fascia lata grafts include revision of other surgical procedures used to reanimate the paralysed face, such as if a free muscle transfer has been used to “dynamise” a paralysed face but the position of the modiolus has slipped or was not sufficiently lifted.
Compared with previously described blind transaxillary approaches, the transaxillary endoscopic approach maintains the advantage of inconspicuous scars and in addition affords direct vision for excellent control of the pocket dissection . The endoscopic camera also allows a magnified image of the dissection plane. The procedure does require additional equipment, setup, and possibly operative time compared with the two most popular non-endoscopic approaches, inframammary and periareolar incisions.