By Edoardo Raposio
Concentrating on strategy, that's defined and illustrated intimately, this booklet is written via world wide specialists and gives designated, step by step directions on the best way to practice cutting-edge endoscopic surgical thoughts within the advanced cosmetic surgery box. greater than three hundred top quality photographs aid make clear complicated ideas during the ebook.
Atlas of Endoscopic cosmetic surgery represents a accomplished description of the present endoscopic concepts within the plastic, reconstructive a cultured box. It provides surgeons with all of the details essential to effectively accomplish an endoscopic method of fluctuate cosmetic surgery tactics, 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 stomach wall surgery.
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Additional info for Atlas of Endoscopic Plastic Surgery
During this procedure, it is important to dissect every part of the muscle, which E. Raposio and G. Caruana Fig. 8 The endoscope is inserted through the incision in the subgaleal plane until the superciliary region is reached, in order to perform the section of the corrugator supercilii, depressor supercilii, and procerus muscles bilaterally, thus decompressing the supraorbital and supratrochlear nerves bilaterally. Our modified endoscope (Karl Storz, Tuttlingen, Germany) consists of a 9-mm trocar with an air/insufflator/ suction triple valve, a straight Hopkins telescope with fiber-light transmission, a Wittmöser operating sheath with a connection for highfrequency diathermy, and a specifically designed, elliptical-tipped wire loop electrode for electrocautery b receives facial nerve fibers responsible for contraction of the muscle itself, in order to prevent irritation to surrounding nerves from the muscle’s movement.
After creating this pocket on either side, we perform rigorous hemostasis, which we verify by endoscopy. After using the sizers, we insert the definitive prostheses (Fig. 18), and check by endoscopy that the landmarks in the posterior wall of the implant are correctly positioned (Fig. 19). We then introduce a suction drain and close the skin with subcutaneous stitches and an intradermal suture. We attach a moldable dressing, clearly marking the inframammary fold, the upper pole, and the midline to strengthen the intermammary cleft [5–7].
6 (a, b), Nylon 1–0 sutures are placed in the superciliary region at each side of both supratrochlear and supraorbital nerves bilaterally, with the purpose of lifting the frontal skin during the endoscopic procedure and better visualizing the anatomic structures 20 Fig. 7 To clean the subgaleal plane of blood and residual anesthetic fluid, suction of the entire undermined forehead is performed through the hairline incision before inserting the endoscope and whenever the endoscopic view is not clear a Fig.