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Excision of Prominent Posterior Septal Angle and Nasal Spine for Downward Tip Rotation, in Short Upp
T-Excision for Nasal Tip Rotation
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Aesthetic Surgery Journal - Volume 40, Issue 2, February 2020
International Journal Of Dermatology - Volume 59, Issue 2
Journal Of Cosmetic Dermatology - Volume 19, Issue 2 Pages: 261-555 February 2020

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Artículos de la MSAACS

Cirugía Cosmética

Simplified Anatomy and Danger Areas of Female Genital Tract and Its Clinical Significance in Cosmeti

Descripción: Simplified anatomy of the female genital tract has been presented with illustrations for clarity. Danger areas related to cosmetic surgery of the female genital tract will be discussed and highlighted for the cosmetic surgeons.

Por: Hassan Abbas Khawaja, MD

Journal: Vol. 8, N°1, 154
(Mar 06 2015)



Medical Face Lifting - Regeneración de los Tejidos Faciales

Descripción: A nivel facial, el envejecimiento determina una reducción de volúmenes y de consistencia de los tejidos, lo cual determina una caída (ptosis) de éstos por acción de la gravedad, y la consiguiente aparición de alteraciones estéticas. El tejido óseo del cráneo involuciona disminuyendo su volumen. De este modo se reducen las superficies de apoyo de los tejidos blandos que revisten el hueso, con el consiguiente “relativo” desequilibrio entre contenido y continente, lo cual determina descolgamiento de aquellos. El tejido muscular también involuciona, aunque este proceso no es el más determinante. El tejido adiposo pierde su consistencia y su volumen con un efecto de vaciado del rostro; se produce un deslizamiento hacia abajo y adelante del tejido cutáneo que está por encima de la zona afectada. Finalmente también la dermis pierde su turgencia, sea por pérdida de agua o por desestructuración de la matriz intercelular.

Por: Maurizio Ceccarelli
J. Víctor García

Journal: Vol. 8, N°1, 156
(Mar 06 2015)



Thread Vaginal Tightening

Descripción: Threads in facial surgery have been used extensively 1,2. The authors describe a simplified technique of hymenoplasty, vaginal tightening and labiaplasty under local anesthesia using threads. After proper learning of the technique, complications are minimal and results are excellent. Labiaplasty Patients are operated in the lithotomy position. Careful antisepsis is done with povidone iodine. 2% chilled xylocaine in normal saline in a ratio of 20cc 2% xylocaine + 60cc of 0.9% normal saline is used as anesthesia using ultra-fine insulin syringe for the initial spurt, and fine lamis syringe for infiltration of the rest of labia portion to be operated. We use fine scissors for trimming edges of the cut / broken / lacerated labia. We repair labia majora using prolene 3/0 interrupted / continuous sutures. However, catgut 3/0 sutures, can also be used. For the labia minora, we use catgut 3/0 sutures either continuous or interrupted

Por: Hassan Abbas Khawaja MD
Enrique Hernandez-Perez MD

Journal: Vol. 8, N°1, 157
(Mar 06 2015)



Preoperative Risk Assessment for Thromboembolism

Descripción: There is nothing more distressing in cosmetic surgery than having a patient developing thromboembolism and dying after an elective surgery. Patients should be evaluated for risk factors for thromboembolism before surgery and measures taken to prevent thromboembolism. The various risks for thromboembolism are discussed and the means to prevent or avoid thromboembolism are discussed. One of the most common errors in cosmetic surgery that increase the risk of thromboembolism is the failure to have the patient stop estrogens at least four weeks before surgery and two weeks after surgery.

Por: Melvin A. Shiffman, M.D., J.D.

Journal: Vol. 8, N°1, 158
(Mar 06 2015)



Stem Cell Enriched Fat Transfer

Descripción: 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. 8, N°1, 159
(Mar 06 2015)



Cirugía Dermatológica

Toxina Botulínica Intradérmica en el Tratamiento del Acné: Justificación y Protocolos

Descripción: Las glándulas sebáceas son acinosas ramificadas a secreción olocrina (transformación del citoplasma de las células glandulares en sebo) y son constituidas por una porción acinosa secernente situada en la dermis, de un canal excretor revestido por un epitelio estratificado que desemboca en el infundibolo del folículo pilífero. La producción del sebo de parte de la glándula está bajo un control hormonal. Los andrógenos (Testosterona, Delta-4-Androstenedione, DHEA) circulantes alcanzan la glándula y aquí, por acción del 5-alfa-reduttasa se transforman en diidrotestosterona que estimula la función glandular produciendo sebo. Con el término acné se refiere a una enfermedad de la piel caracterizada por un proceso inflamatorio de las unidades folículo-sebáceas, es decir del folículo pilífero y de la glándula sebácea anexa, que se manifiesta clínicamente con aspectos polimórficos: del simple comedón a pápulas, pústulas hasta también a nódulos y a resultados cicatricial. El acné es identificable de la presencia, más o menos evidente, de los comedones. El comedón, la lesión elemental del acné, es una dilatación del orificio folicular conteniente un material blanquecino o pardusco constituido por lípidos, queratina, pigmentos melanicos, pelos y bacterias.

Journal: Vol. 8, N°1, 160
(Mar 06 2015)



Sección de Resúmenes

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

Journal: Vol. 8, N°1, 155
(Mar 06 2015)



Aesthetic Surgery Journal

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. 8, N°1, 161
(Mar 06 2015)



Sonic Rhinoplasty Histologic Correlates and Technical Refinements Using the Ultrasonic Bone Aspirato

Descripción: Objective: Demonstration of histologic correlates and to describe refinements in cosmetic rhinoplasty using the ultrasonic bone aspirator. Methods: This retrospective review of 103 consecutive patients undergoing cosmetic rhinoplasty at a tertiary care facial plastic surgery practice extends the applications for the ultrasonic bone aspirator to include reducing the nasal spine, glabellar deepening, sculpting of mobile bone fragments after osteotomy, smoothing of bony edges after medial osteotomy, and reducing the convexity of nasal bones. The authors performed histologic analysis of cartilage samples, and the patient and surgeon subjectively evaluated the aesthetic outcome of the procedure. Results: Satisfactory results were obtained in all cases. Seven patients experienced minor complications. One patient had a visible dorsal irregularity, 2 had palpable but not visible dorsal irregularities, 2 had asymmetry of the dorsum, and 2 had under-resection of the dorsum. Skin or soft-tissue injury, was not seen in any case. Conclusions: Ultrasonic bone aspirator can be a useful adjunct for the cosmetic rhinoplasty surgeon. It permits precise, graded removal of bone without damage to surrounding soft tissue or mucosa. With multiple applications in nasal surgery, the ultrasonic bone aspirator permits refinement of subtle irregularities and asymmetry of the nasal bones. Device associated complications are rare.

Por: Hassan Abbas Khawaja, MD

Journal: Vol. 8, N°1, 162
(Mar 06 2015)





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