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Cirugía Cosmética


Descripción: The action of liposuction with vacuum and movement of the cannula back and forth results in fragments of fat globules, torn fat cells, and neutral fat. During liposuction blood vessels are disrupted leaving a path for the fatty acids to enter the vascular system. The pulmonary vascular occlusion in fat embolism is often temporary or incomplete since fat globules do not completely obstruct capillary blood flow because of their fluidity and deformability. The initial symptoms of fat embolization are probably caused by mechanical occlusion of multiple blood vessels with fat globules that are too large to pass through the capillaries. The neutral fat that embolizes to the pulmonary circulation can be degraded by pneumocytes to free fatty acids that are injurious to the pulmonary parenchyma leading to adult respiratory distress syndrome (ARDS). The fat embolism syndrome (FES) is characterized by acute hypoxemia, respiratory distress, central nervous system dysfunction, and a petechial rash involving the head, neck, anterior thorax, or axilla. The diagnosis of pulmonary fat embolus is largely based on typical symptoms and signs. Treatment is mainly supportive measures.


Journal: Vol. 6, N°2, 139
(Dic 17 2012)

Quick Fat Transfer

Descripción: The history of fat transfer dates back to 1893, when Neuber, removed small pieces of fat from the upper arm, and implanted them into a depressed area of the face.1 For the last three decades, the popularity of fat transfer has crescended, as a result of the advent of liposuction, and availability of large amounts of fat for transfer. Several techniques have been used by different authors from time to time, but the results of fat transfer, especially long term results, have remained controversial, with absorption rates varying from 0-100%, in different anatomic areas.2- 6 Recently, the authors have used the "Quick Fat Transfer" technique, which has superior aesthetic long lasting results, than any of the previously described techniques.

Por: Hassan Abbas Khawaja, MD
Melvin A Shiffman, MD,JD
Enrique Hernandez-Perez, MD

Journal: Vol. 6, N°2, 140
(Dic 17 2012)



Ageing causes a reduction in facial volume and texture of the tissues that induces a fall of such for gravity and the consequent appearance of a imperfection.

Cosmetic surgery, with the aid of lifting, removes a portion of the tissues to restore themselves to a normal state. It is obvious that this is not a physiological intervention, but only a cosmetic treatment. The tissues are damaged and the itself intervention, with fibrous internal induced, worsens the microcirculation and aging more biologically the tissues. We have a young face aesthetically but old biologically.

The physician, however, is concerned to regenerate tissues and inducing the initial appearance altered by presenting a true biological rejuvenation. The scientific rationale of this operation belongs to the Regenerative Medicine, a new medical branch derived from the Physiological Medicine.

The regeneration of tissues of the face is defined by the term Medical Face Lifting and today proposes itself as an alternative to facelift surgery.

Por: Maurizio Ceccarelli
J. Víctor García

Journal: Vol. 6, N°2, 141
(Dic 17 2012)

Abordaje Transvestibular Sublabial Para La Colocación De Poste Intercrural En Adultos Con Falta De

Descripción: El abordaje transvestibular sublabial superior para la colocación de poste intercrural:
1. Es efciente en los pacientes con nariz hipoproyectada
2. Combinado con otras técnicas es un recurso técnico conveniente para lograr la mejoría estética de la nariz en cuanto a la proyección de la columnela
3. Logra mejoría estética en cuanto a la apertura del ángulo naso labial.
4. Logra disminución de costos en forma comparativa a los abordajes convencionales por que permite su realización con anestesia local, de manera rápida y en un entorno ambulatorio
5. Es una técnica confiable y reproducible.

Por: Dr. Jaime De Jesús Calderón Ortiz

Journal: Vol. 6, N°2, 142
(Dic 17 2012)

Sección de Resúmenes

Percutaneous Selective Radiofrequency Nerve Ablation for Glabellar Frown Lines

Descripción: Background: Muscles of the glabellar region can be overactive, giving patients a “scowling” look and making them appear angry, worried, or stressed.

Objective: The authors describe percutaneous selective nerve ablation, a minimally-invasive technique, for treatment of glabellar frown lines, and report results from a series of patients treated with the technique.

Methods: Since November 2007 to December 2009, 27 patients (22 women and five men) underwent the procedure to improve glabellar frown lines. Surface pathway of the nerve to the corrugator supercilii and procerus was checked with a peripheral nerve stimulator. For percutaneous localization, a 22-gauge monopolar electrode was introduced into the lateral brow and cheek skin without incision. Short electrical stimulation (0.3-0.5 mA) was delivered to identify the proper lesion sites. Synchronous contraction of corrugator supercilii was elicited and radiofrequency nerve ablation performed (85°C, 70 seconds). In all patients, the frontal branch of the facial nerve and angular nerve were treated bilaterally. The improvement was evaluated using the Wrinkle Assessment Scale.

Por: Hassan Abbas Khawaja, MD

Journal: Vol. 6, N°2, 137
(Dic 17 2012)

Use of Porous High-Density Polyethylene (Medpor) for Spreader or Extended Septal Graft in Rhinoplast

Descripción: In this study, 29 patients with porous high-density polyethylene (group A) and 29 patients with septal cartilage (group B) were enrolled for either spreader or extended septal graft. By questionnaire or telephone survey, the authors evaluated patients' cosmetic satisfaction and complications. The authors also used postoperative photographs to evaluate cosmetic results. For the functional analysis, the change of visual analog scale of nasal obstruction and change of minimal cross-sectional area using acoustic rhinometry were compared. Of 29 patients in group A, 27 were totally satisfied with the results. No complication were seen by the authors, except for 2 cases of extrusion during 5.3 ± 1.8 years. The patients in group A showed more decrease of nasal obstruction by visual analog scale and more improvement of minimal cross-sectional area as compared with those in group B. Therefore, porous high-density polyethylene is an ideal alloplastic material for spreader or extended septal graft in rhinoplasty in both cosmetic and functional aspects, in view of the authors. The authors report it safe and stable over a long-term period.

Por: Hassan Abbas Khawaja, MD

Journal: Vol. 6, N°2, 138
(Dic 17 2012)

Simplified Aesthetic Surgery- Principles & Techniques

Descripción: Ever since, I wrote my first textbook on Cosmetic Surgery, “Simplified Cosmetic Surgery- Art, Science & Practice” in 2010, I started working on my second book, “Simplified Aesthetic Surgery- Principles & Techniques”.
Simplification in Aesthetic Surgery, is now what the patients want, and what exactly cosmetic surgeons, dermatologists, plastic surgeons, and allied specialists related to Aesthetic Surgery, want to learn and master.
Simplification, and safety in Aesthetic Surgery, has become priority of most Aesthetic Surgeons.

Por: Hassan Abbas Khawaja, MD
Melvin A. Shiffman, MD, JD

Journal: Vol. 6, N°2, 143
(Dic 17 2012)

Temas Selectos en Cirugía Cosmética

Descripción: “Temas Selectos en Cirugia Cosmetica”, is a concise textbook, covering selected essential themes in cosmetic surgery. Dr.Enrique Hernandez-Perez, a highly experienced cosmetic surgeon, and dermatologist, certified by, and examiner of the American Board of Cosmetic Surgery, has compiled his essence of decades of essential cosmetic surgery practice, into this textbook. Other, well known authorities in cosmetic surgery, like Melvin A. Shiffman, Nikolay Serdev, Hassan Abbas Khawaja, Dra. Doris Hexel, Jose Enrique Hernandez-Perez, Mauricio Hernandez-Perez, Robert Burke, Dra. Taciana Dal Forno, Dra.Mariana Soiremann, Dra. Manoela Donida Porto, Dr. Arthur Tykocinski, Dr. Jose Seijo Cortes, and Dr. Jose de Jesus Valdez Velasco, have contributed to this textbook, sharing their cosmetic surgery knowledge, with the readers...

Por: Dr.Enrique Hernandez-Perez, ABCS

Journal: Vol. 6, N°2, 144
(Dic 17 2012)


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