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New Treatment of Facial Paralysis by

Microsurgery with NTL (Viterbo Technique)

Facial paralysis is a disfiguring disorder with significant psychological impact, emotional and family, leading to these suicidal patients, because these patients are marginalized in their families, work and their social environment ...

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ARTICLES

 

Post-bariatric surgery
 

Morbid obesity is characterized by the excessive accumulations of adipose tissue (fat) that are heterogeneously distributed throughout the body, having reached epidemic rates worldwide, being the most recent gastroplasty treatment technique.

Tables of obesity are those in which the body mass index (BMI) is above 30kg/m2 and morbid obesity, when levels are above 35 kg/m2 or above when associated with 40Kg/m2-morbidities, as coronary artery disease, hypercholesterolemia, hypertension, bone disease, diabetes mellitus, lung disease, sleep apnea, which compromise the quality of life of obese.

The morbidly obese patients who are treated by bariatric surgery, have great weight loss, which subsequently result in huge body dysmorphia characterized by asymmetrically distributed dermograsas redundancies in the various segments corporeal and worsen the quality of life. Patients with dermograsos excesses in the region of the abdomen, flanks, buttocks associated with mitosis, circumferential abdominoplasty is a surgical solution proven effective.
   
The excesses dermograsos abdomen, flanks and buttocks mitosis are frequent alterations in patients with severe weight loss induced by bariatric surgery.

In studies conducted in Brazil, Sintra and Modolin (Brazilian Journal of Plastic Surgery Vol 24-2009) in patients post-bariatric surgery is performed to correct redundancy of tissue, who underwent surgery to improve their appearance physical, it was demonstrated that affective-sexual benefit, providing personal hygiene and productivity, introducing an improved quality of life, directly influencing their self-esteem, self-image and body image.

Other current session of evaluation methods are happiness, social indicators, standard of health.

Plastic surgery in these patients has an important role on the self-image. The body contour surgery depends primarily on the extent of surgery, the period that the patient was obese and his weight loss. To get success in body contouring surgery, emotional and personal aspects must be analyzed, ie the patient must be psychologically stable.

The qualitative avaliación adaptation of these patients showed that plastic surgery positively influenced them, becoming, more sociable, showing improvements in mood, self-esteem, rafters in their behavior, improving their social and family life.
  While the techniques outlined in this type of patient satisfaction with the achieved results in the abdominal region, buttocks, breasts, arms and legs.

It is emphasized that the traditional techniques of cosmetic surgery, do not provide good results in patients with major weight loss of tissues, therefore it is mandatory the use of unique techniques for these patients, as well as experience in this type of surgery. For example, a traditional abdominoplasty technique, only improves the anterior abdominal wall, while compared with a circumferential abdominoplasty, this provides an improvement in the anterior, posterior of the abdomen and buttocks.

The ideal patient is one with stable weight loss about 4 months, with less body mass index (BMI) as possible, emotional balance and stable clinical condition.

   

   

Figure 1: preopraratorio and post-operative

 

Figure 2: Appearance and post-operative preopraratorio

 

Figure 3: Appearance and post-operative preopraratorio

 

 
 
 

 

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