Full-thickness defects of the upper lip Defects of up to one third of the upper lip, not including the majority of the philtral subunit, may be closed primarily without risk of significant tightening. Often this closure also requires a perialar excision and advancement. Meticulous realignment of the vermilion border is essential. Full-thickness defects that involve a majority of the philtral subunit are treated very effectively with replacement of the entire philtral subunit. An Abbe flap from the lower lip is ideal in reconstructing the central subunit, and depending on the size of the residual lateral subunit defects, these defects can often be closed with cheek advancement or rotational flaps carefully approximate to the Abbe flap. Precise …show more content…
48.20). Webster later modified this technique. In this procedure large cheek advancement flaps are designed with excess advanced skin oriented within the nasolabial folds superiorly and in the crease between the mentum and the cheek inferiorly. Advancement of buccal mucosa is necessary for creation of a new vermilion. Because denervation is necessary to advance the cheek musculature, a lack of motor function and sensitivity results, which limits quality in this type of tissue …show more content…
Oral hygiene should be maintained with antiseptic mouthwash, a diluted hydrogen peroxide rinse, or both. Routine surgical wound care includes regular cleaning of suture lines to minimize crust formation. Hydrogen peroxide solution is helpful for atraumatic removal of sutures. Cutaneous suture lines should be cared for in the typical postoperative fashion by routinely cleansing with 1:1 hydrogen peroxide and water mixture followed by the application of antibiotic ointment. Excess tension on the repair should be avoided. This includes minimizing talking, facial expressions, and consuming only small bites of food. Initially, a liquid or soft food diet may be necessary, while those with extensive reconstructions may require placement of feeding tubes. Steri-strips may be used to aid in the elimination of tension along the suture lines. Sutures may be removed as early as one week postoperatively. Cross-lip pedicles may be separated at three weeks. The timing of revision or staged surgeries (e.g. commissuroplasty) varies based on the complexity of the
Dr. Thomassen frequently performs chin augmentation procedures using chin implants to correct a chin that is lacking adequate projection. This chin characteristic is referred to as a 'weak ' chin. When a patient has a 'weak ' chin, his or her nose and forehead appear larger than they truly are.
• You can return to your regular activities and diet unless instructed otherwise by your health care provider.
was done after 3 days for contact lens removal, then after 1 week, 1 month, 3 months and 6
Due to breathing and eating difficulties, a tracheostomy tube is placed in them to assist in breathing and eating. This tube will improve on obtaining an adequate nutrition and advance the energy for further growth. Madibular and maxillary sugery will correct the upper and lower jaw followed by nasal sugery to balance the definition of the “new” jaw.
Not happy with your smile due to the look of your gums? You can fix this problem with a gum lift procedure. The technical name is a gingivectomy, and the purpose is to reshape the gumline in a way that removes any extra tissue. The end result are gums that are more pleasing to look at and can boost your confidence. If you’re considering the procedure be sure to know about these 3 things.
The process does not require invasive surgery, so that means that you will experience no recovery time or discomfort.
From the Minnesota group, Pihlstrom et al., studied on 453 teeth, including molar teeth, of 17 patients with moderate to advanced periodontitis. In the study, scaling and root planing was done, and one maxillary and one mandibular quadrant of each patient received modified Widman flap. Patients were under regular periodontal maintenance for a follow up to 6 ½ years. They found that in shallow pockets (1-3mm depth), there was loss of clinical attachments, and this is consistent with other studies; For pockets with 4-6mm depth, both non-surgical and surgical methods were equally effective in pocket depth reduction, although scaling and root planing had slightly greater clinical attachment level gain; in deep (>7mm) pockets, scaling and root planing showed pocket depth reduction for 3 years, modified Widman flap showed longer reduction for up to 6 ½ years, and both treatments showed effective attachment gain. Although the non-molar teeth tended to respond more favorable, the results indicated that both treatments were effective in treating periodontitis and maintenance of clinical attachment levels on molar and non-molar teeth.
If a cut (incision) was necessary to remove this, it may have been repaired for you by your caregiver either with suturing, stapling, or adhesive strips. These keep together the skin edges and allow better and faster healing.
Although nurse practitioners and registered nurses have been known to perform lip enhancement procedures, you can avoid ‘duck’ lips by choosing an experienced, board certified facial plastic surgeon like Dr. Kristina Tansavatdi to perform your lip enhancement procedure. Dr. Tansavatdi uses her experience to help her patients attain the youthful lips they desire.
There are many techniques for preforming lip augmentation. Your surgeon will describe and offer you options that fit your aesthetic goals. It is important that the prospective candidate informs their surgeon of all preexisting allergies they have in order to avoid an allergic reaction to the materials used. There are three main methods of performing lip augmentation, lip implants, lip fillers and fat transfer. Lip implants and fat transfer procedures provide permanent lip augmentation whereas dermal filler is used as a temporary means to enhance the fullness of the lips and is broken down by your body over time.
Examples include facial cheeks, wrinkles, lips, laugh lines, crow's feet, breasts, and buttocks. The medical procedure works the best in breast augmentation, to slow down signs of aging, and/or buttock enlargement. Prior to the procedure, expect satisfactory customer service from our staff in terms of scheduling and industry knowledge. Our staff will treat our patients like family from beginning to end.
Cosmetic dentists recommend that you bite on your gauze pads periodically in order to stop the bleeding. Change the gauze pads once they become soaked with blood. Call your dentist if the bleeding does not subside within 24 hours. You can also minimize swelling by using an ice pack. Apply the ice pack to your cheek for 15 to 20 minutes at a time during the first 24 hours after your surgery.
After the surgery a drainage tube might be inserted beneath your skin for one to three days to remove any fluid buildup that occurs. An elastic dressing, girdle, or body stocking must be worn over the treated area to control swelling and bleeding, and to help your skin shrink to fit your new contour. “The suctioned areas will be swollen and bruised, and you may feel a burning sensation.'; You may temporarily loose all feeling in the suctioned area (Liposuction).
Furthermore, several surgical techniques depending on secondary intention for minor or extensive disease are also described in the literature. Excision and split skin grafting is a basic tool in the surgical treatment and the result of this procedure is often satisfactory15. Massive regional hidradenitis suppurativa can be successfully managed with wide surgical excision, VAC therapy, and skin grafting for better outcomes16. Furthermore, Negative-pressure dressings have been used as bolster for skin grafts in order to reconstruct such defects after wide surgical excision17. Other option is the double opposing V-Y perforator-based flaps which have been described for reconstruction of axillary defects following excision of hidradenitis suppurativa to recreate the axillary contour after wide surgical excision of the hair-bearing skin of the
Six weeks later, Madam A presented to the ED once again with left sided Bell’s Palsy. She reported that she had undergone another dental procedure ( the second of a two staged procedure) to the same right sided molar region. A telephone consult with her dental officer revealed that her anaesthesia had been straightforward and there were no complications during or just after the anaesthesia, observed at the dental clinic.