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    2678 results match your criteria Annales de chirurgie plastique et esthetique[Journal]

    1 OF 54

    [Benign tumors of the soft tissue of the hand, about 70 cases].
    Ann Chir Plast Esthet 2017 Nov 16. Epub 2017 Nov 16.
    Service de chirurgie orthopédique et traumatologie, hôpital d'instruction principal de Tunis, Montfleury, 1008 Tunis, Tunisie.
    Through a retrospective study of 70 cases of benign soft tissue tumors in the orthopedic traumatology department of the military hospital of Tunis over a 12-year period from January 2005 to December 2016, we have compared our findings to those of the literature in an attempt to identify epidemiological notions relevant to daily medical practice as epidemiological data on benign tumors of the soft parts of the hand remain few and sometimes discordant. The authors report a series of 70 active, young adults, mostly female, with a swelling at the level of the hand as the most common reason for consultation. The middle finger and index finger were the most affected fingers at equal frequencies. Read More

    [Transposition of the cephalic vein in free flap breast reconstruction: Technical note].
    Ann Chir Plast Esthet 2017 Nov 16. Epub 2017 Nov 16.
    Service de chirurgie plastique, reconstructrice et esthétique, hôpital Européen-Georges-Pompidou, université Paris-Descartes, Assistance publique-hôpitaux de Paris, 20, rue Leblanc, 75015 Paris, France. Electronic address:
    Free flaps have become a reliable practice for breast reconstruction. However, the venous congestion is still the most frequent reason of flap failure. It is due to bad quality of the internal mammary veins, a preferential superficial venous outflow of the flap or due to venous thrombosis. Read More

    [Management of hypopigmented scars following burn injuries].
    Ann Chir Plast Esthet 2017 Nov 15. Epub 2017 Nov 15.
    Unité fonctionnelle de chirurgie des brûlés, service de chirurgie plastique, reconstructrice et esthétique du Pr Mimoun, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75010 Paris, France. Electronic address:
    Objective: Permanent hypopigmentation of burn scars is a common consequence after partial and full thickness burns that heal by secondary intent, and they can cause severe aesthetic issues. The surgical goals for effective treatment of postburn hypopigmentation are to remove scar tissues, and to produce healthy melanocytes, with minimal donor site morbidity. This article reviews the current literature about the different ways to treat hypopigmentation following burn injuries and discusses the indications. Read More

    Facial reanimation surgery in Möbius syndrome: Experience from 76 cases from a tertiary referral hospital in Latin America.
    Ann Chir Plast Esthet 2017 Nov 15. Epub 2017 Nov 15.
    Plastic and Reconstructive Surgery Department, Hospital General "Dr. Manuel Gea González", Avenida Calzada de Tlalpan #4800, Col. Sección XVI, Delegación Tlalpan, 14080 Mexico City, Mexico. Electronic address:
    Introduction: Möbius syndrome is defined as a combined congenital bilateral facial and abducens nerve palsies. The main goal of treatment is to provide facial reanimation by means of a dynamic surgical procedure. The microneurovascular transfer of a free muscle transplant is the procedure of choice for facial animation in a child with facial paralysis. Read More

    [Use of indocyanine green angiography in oncological and reconstructive breast surgery].
    Ann Chir Plast Esthet 2017 Oct 26. Epub 2017 Oct 26.
    Department of Plastic Surgery, Gustave-Roussy, 114, rue Edouard-Vaillant, 94800 Villejuif, France.
    The Indocyanine green (ICG) is a soluble dye that is eliminated by the liver and excreted in bile. When illuminated by an near-infrared light, the ICG emits fluorescence in the near-infrared spectrum, which can be captured by a near-infrared camera-handled device. In case of intravenous injection, ICG may be used as a marker of skin perfusion. Read More

    [Reconstruction of abdo-perineal resection by Taylor flap: About 68 patients].
    Ann Chir Plast Esthet 2017 Oct 26. Epub 2017 Oct 26.
    Plastic, Reconstructive and Cosmetic and Burn Surgery unit, hôpital Saint-Louis, 1, avenue Vellefaux, 75010 Paris, France.
    Purposes: Healing after abdomino-perineal resection is often difficult, especially in patients who have undergone radiation therapy. Vaginal reconstruction is also an important issue for the women who undergo this surgery. We describe and analyze here our series of perineal reconstructions with modified Taylor flaps. Read More

    [Study of satisfaction concerning the navel after abdominal dermolipectomy with transposition: A report of 96 cases].
    Ann Chir Plast Esthet 2017 Oct 30. Epub 2017 Oct 30.
    Service de chirurgie plastique, reconstructrice et esthétique, centre de traitement des brulés, AP-HP St Louis, 1, avenue Claude-Vellefaux, 75010 Paris, France.
    Goal Of The Study: The umbilicus has a major role in the aesthetics of the anterior abdominal wall. Many publications deal with abdominal dermolipectomies but few focus on umbilicoplasty. However, these are essential in assessing the aesthetic result. Read More

    The inframammary skin-sparing mastectomy technique.
    Ann Chir Plast Esthet 2017 Oct 16. Epub 2017 Oct 16.
    Department of Surgery, Institut Curie, 26, rue d'Ulm, 75005 Paris, France. Electronic address:
    Skin-sparing mastectomy and immediate implant-based breast reconstruction is technically a challenging procedures for women with large, ptotic breasts. This is usually performed using the Wise pattern incision resulting in an inverted T scar, which is associated with postoperative complications. The other challenge is obtaining adequate coverage of the prosthesis. Read More

    Anatomy of lower eyelid and eyelid-cheek junction.
    Ann Chir Plast Esthet 2017 Oct 14;62(5):365-374. Epub 2017 Oct 14.
    Department of Medical Education, Albany Medical College, 47 New Scotland avenue MC-135, 12208 Albany, NY, USA.
    Background: Understanding the anatomy of the lower eyelid and the lid-cheek junction is important for surgical and non-surgical approaches. It is important to understand the correlation between the clinical presentation and the individual anatomy to direct an adequate treatment.

    Methods: A review of the literature based on the authors experience combined with anatomical dissections was conducted to reveal the current concepts of the surgical and non-surgical anatomy. Read More

    The anterolateral thigh perforator flap in pharyngo-esophageal reconstruction.
    Ann Chir Plast Esthet 2017 Oct 9. Epub 2017 Oct 9.
    Service de chirurgie plastique et reconstructrice, Gustave-Roussy, Cancer Campus Grand Paris, 114, rue Édouard-Vaillant, 94805 Villejuif, France. Electronic address:
    Today's customary techniques for pharyngo-esophageal reconstruction are jejunum and radial forearm free flaps. In this type of reconstruction, the jejunum flap is considered as the reference, but when its harvesting is not possible, the radial forearm flap is used. Since perforator flaps have begun to be developed, the anterolateral thigh flap (ATF) has become increasingly prominent in pharyngo-esophageal reconstruction. Read More

    Intraoperative instillation of ropivacaine during the placement of sub-muscular cosmetic breast implants: Is there a clinical benefit?
    Ann Chir Plast Esthet 2017 Oct 9. Epub 2017 Oct 9.
    Plastic and recontructive surgery, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75010 Paris, France.
    Introduction: The sub-muscular placement of cosmetic breast implants leads to substantial pain due to the muscular distention. The aim of this study was to assess the efficiency of intraoperative ropivacaine instillation to reduce postoperative pain the day after surgery.

    Material And Methods: We conducted a prospective, controlled, single-blinded study comparing the intraoperative instillation of 7. Read More

    Oncological safety of nipple-sparing prophylactic mastectomy: A review of the literature on 3716 cases.
    Ann Chir Plast Esthet 2017 Oct 10. Epub 2017 Oct 10.
    Unité de sénologie, CHRU, hôpitaux universitaires de Strasbourg, hôpital de Hautepierre, 1, avenue Molière, 67098 Strasbourg cedex 09, France; IGBMC, institut de génétique et de biologie moléculaire et cellulaire, biologie du cancer, 1, rue Laurent-Fries, 67400 Illkirch-Graffenstaden, France. Electronic address:
    Introduction: The objective of our study was to evaluate the risk of cancer after prophylactic nipple-sparing mastectomy (PNSM).

    Material And Methods: The PubMed database was consulted using the following key-words: "nipple-sparing mastectomy", "prophylactic", "locoregional recurrence", "oncological risk". Articles published between January 1995 and December 2016 were searched. Read More

    Improving free-flap survival using intra-operative heparin: Ritualistic practice or evidence-base medicine? A systematic review.
    Ann Chir Plast Esthet 2017 Oct 10. Epub 2017 Oct 10.
    Université Paris-Diderot, Sorbonne Paris Cité, France; Hôpital Saint-Louis, AP - HP, 75010 Paris, France.
    Introduction: The failure rate of free flaps is approximately 5%, mostly due to thrombosis of microvascular anastomosis. A number of pharmacological agents have been tested in order to enhance the patency of microvascular anastomosis and so to as extend the survival of free flaps. One of them is heparin, a very commonly used anticoagulant. Read More

    [Alberic Pont, the great war and the "broken faces"].
    Ann Chir Plast Esthet 2017 Oct 10. Epub 2017 Oct 10.
    Chirurgie maxillo-faciale, stomatologie, chirurgie orale et chirurgie plastique de la face, hospices civils de Lyon, centre hospitalier Lyon-Sud, université Claude-Bernard-Lyon 1, 165, chemin du Grand-Revoyet, 69310 Pierre-Bénite, France.
    The First World War and the number of facial injuries made specialized trauma centers necessary. Alberic Pont was trained both in medicine and dentistry. He founded in Lyon one of the first French specialized wards, which received more than 7000 soldiers overall. Read More

    Full-thickness skin grafts for lower leg defects coverage: Interest of postoperative immobilization.
    Ann Chir Plast Esthet 2017 Oct 3. Epub 2017 Oct 3.
    Université Paris-Diderot, Sorbonne Paris Cité, Paris, France; Hôpital Saint-Louis, AP-HP, 75010 Paris, France.
    Introduction: Full-thickness skin graft is an effective reconstruction method after excision of skin lesions on the lower limb that are not amenable to primary closure. The randomness of graft take is the major drawback of this procedure.

    Objective: The objective of the study was to evaluate the outcome of full-thickness skin grafts (FTSG), used to repair lower leg defects after excision of skin lesions, after a 5-day immobilization period. Read More

    [Fasciocutaneous flap reliable by deep femoral artery perforator for the treatment of ischial pressure ulcers].
    Ann Chir Plast Esthet 2017 Sep 27. Epub 2017 Sep 27.
    Service de chirurgie plastique, reconstructrice et esthétique, université Claude-Bernard Lyon 1, hôpital de la Croix-Rousse, hospices civils de Lyon, CHU, 103, Grande rue de la Croix-Rousse, 69004 Lyon, France.
    Introduction: The surgical management of pressure ulcers in the paraplegic or quadriplegic population is marked by the high risk of recurrence in the long-term. In the current era of perforator flaps, newer reconstructive options are available for the management of pressure ulcers, decreasing the need to use the classically described muscular or musculocutaneous locoregional flaps. The coverage of ischial sores described in this article by a pedicled flap based on a deep femoral artery perforator, appears to be an effective first-line reconstructive option for the management of limited size pressure ulcers. Read More

    [Clinical analysis before surgery in facial and neck rejuvenation].
    Ann Chir Plast Esthet 2017 Oct 27;62(5):375-386. Epub 2017 Sep 27.
    Carré esthétique Lafayette, 5, place Aristide-Briand, 44000 Nantes, France. Electronic address:
    The first step to determine a medical or surgical intervention is the clinical exam. The clinical exam is the paramount step to provide a treatment plan that can be modified and individualized accounting the patient preferences. During the consultation for facial rejuvenation, attention should be paid to understand the patient's motivation and expectations. Read More

    [The third dimension of the face aging, improvement of its understanding].
    Ann Chir Plast Esthet 2017 Oct 22;62(5):387-398. Epub 2017 Sep 22.
    Service de maxillofaciale, centre hospitalier Compiègne, 8, avenue Henri-Adnot, ZAC de Mercières 3, 60200 Compiegne, France. Electronic address:
    Objectives: Over the past 30 years, surface imaging has made tremendous progress. Surgical management has also been subject of numerous technical and strategic developments. For a better understanding of the curative strategies of face aging, the authors have put into perspective the three-dimensional data acquired up to date. Read More

    [Forehead rejuvenation].
    Ann Chir Plast Esthet 2017 Oct 22;62(5):406-423. Epub 2017 Sep 22.
    50, rue de la République, 69002 Lyon, France. Electronic address:
    The goal of this article is to provide a systemic approach to forehead rejuvenation. Fillers, botulinic toxin injections, transpalpebral, endoscopic or bicoronal brow lift must be usual techniques for every plastic surgeon in overall facial rejuvenation. Achieving a long lasting and aesthetically pleasing forehead is possible only with surgical techniques when aging is obvious. Read More

    [Anatomical basis for rejuvenation surgery].
    Ann Chir Plast Esthet 2017 Oct 21;62(5):355-364. Epub 2017 Sep 21.
    Service de chirurgie plastique et reconstructrice, centre Léon-Bérard, 28, rue Laennec, 69373 Lyon cedex 08, France.
    The understanding of the face anatomy is mandatory before to be able to appreciate the different surgical techniques of face lifting. Despite numerous controversies and anatomical variations, we can find in the literature several keystone works that allows us to understand that the soft tissues of the face are not only a superposition of layers but also a tridimensionnal structure with a fibrous system that links the different layers. This structures creates a mix loose spaces, fat and retaining ligament that can be describe in a quite systematic manner. Read More

    [Botulinum toxin: An important complement for facial rejuvenation surgery].
    Ann Chir Plast Esthet 2017 Oct 19;62(5):495-519. Epub 2017 Sep 19.
    59, rue Spontini, 75116 Paris, France. Electronic address:
    The improved understanding of the functional anatomy of the face and of the action of the botulinum toxin A leads us to determine a new injection procedure which consequently decreases the risk of eyebrow and eyelid ptosis and increases the toxin's injection possibilities and efficiencies. With less units of toxin, the technique herein described proposes to be more efficient on more muscles: variable toxin injections concentration adapted to each injected muscle are used. Thanks to a new procedure in the upper face, toxin A injection can be quite close to an endoscopic surgical action. Read More

    [Aging prevention, new surgical techniques and future options for facial rejuvenation].
    Ann Chir Plast Esthet 2017 Oct 15;62(5):592-597. Epub 2017 Sep 15.
    59, rue Spontini, 75116 Paris, France. Electronic address:
    Prevention of aging is mainly obtained through appropriate health practices, modulated by the genetic causes of aging. Causes of facial structural aging include gravity, volume loss, contraction of the mimic muscles and obviously biological aging of tissues. Among the very numerous new surgical technique of facial rejuvenation, we could point out: for the frontal region, obviously we are focus on the endoscopic and non-endoscopic frontal lifts. Read More

    Extradigital glomic tumor of the forearm. About a case and review of literature.
    Ann Chir Plast Esthet 2017 Sep 15. Epub 2017 Sep 15.
    Service de chirurgie plastique et reconstructrice, centre des brûlés, hôpital Hôtel-Dieu, CHU de Nantes, place Alexis-Ricordeau, 44093 Nantes cedex 01, France. Electronic address:
    We report the clinical case of a 72-year-old man followed for 10years by a specialized pain center, for neuropathic pain poorly systematized, triggered by the contact of the anteromedial face of the right forearm. After surgical excision, histological analysis indicated a well-circumscribed nodule in the subcutaneous region, confirming that the mass was a glomus tumor. In this clinical case, surgical excision allowed an immediate disappearance of the pains without recurrence to this day. Read More

    [The eyelid-cheek junction].
    Ann Chir Plast Esthet 2017 Oct 15;62(5):435-448. Epub 2017 Sep 15.
    Service de chirurgie plastique reconstructrice et esthétique, hôpital Pasteur 2, 30, voie Romaine, 06000 Nice, France.
    The eyelid-cheek junction is a key area which generates many comments: from looking tired to looking good or rested, without forgetting charm, beauty, and a youthful appearance. In spite of many interesting medical and surgical procedures, treating this area is sometimes difficult and results are not always up to our expectations. Standardized blepharoplasty, which has often been improperly used, has shown its limits. Read More

    [Cervical lift: An update].
    Ann Chir Plast Esthet 2017 Oct 14;62(5):461-473. Epub 2017 Sep 14.
    Service de chirurgie plastique reconstructrice, hôpital Roger-Salengro, CHU de Lille 59000 Lille, France. Electronic address:
    The neck is an aesthetic unit for which a rejuvenation request is sometimes very targeted or ore often encompassed in a global surgical project of face-lift. To obtain a long lasting outcome, the plastic surgeon has to make a full, detailed, and exhaustive analysis of the neck in order to choose the best indication within the multiple surgical tools. A full clinical examination is the key point, every aspects are outlined. Read More

    Three-dimensional imaging, an important factor of decision in breast augmentation.
    Ann Chir Plast Esthet 2017 Sep 11. Epub 2017 Sep 11.
    Service de chirurgie maxillofaciale, plastique, reconstructrice et esthétique, hôpital Central, CHU de Nancy, 29, avenue du Maréchal-de-Lattre-de-Tassigny, 54000 Nancy, France.
    Introduction: Since the beginning of the 21st century, three-dimensional imaging systems have been used more often in plastic surgery, especially during preoperative planning for breast surgery and to simulate the postoperative appearance of the implant in the patient's body. The main objective of this study is to assess the patients' attitudes regarding 3D simulation for breast augmentation.

    Method: A study was conducted, which included women who were operated on for primary breast augmentation. Read More

    [Benefits of volumetric to facial rejuvenation. Part 2: Dermal fillers].
    Ann Chir Plast Esthet 2017 Oct 12;62(5):550-559. Epub 2017 Sep 12.
    Hôpital américain de Paris, 63, boulevard Victor-Hugo, 92200 Neuilly-sur-Seine, France; 90, boulevard Flandrin, 75116 Paris, France.
    Injectable substances known as fillers are used to palliate age-related atrophy and ptosis, and for their so-called "pseudo-lifting" action. They do not replace face and neck lift, but allow it to be postponed or, when injected after surgical lifting, make the result durable. Hyaluronic acid has a predominant and unchallenged place among fillers, well ahead of poly-L-lactic acid or calcium hydroxyapatite. Read More

    [Incisions and baseline operative technique of cervicofacial lifting].
    Ann Chir Plast Esthet 2017 Oct 12;62(5):399-405. Epub 2017 Oct 12.
    Clinique Charcot, 69110 Sainte-Foy-les-Lyon, France; Cabinet privé, 50, rue de la République, 69002 Lyon, France; Centre Léon-Bérard, 28, rue Laennec, 69008 Lyon, France.
    Cervicofacial lifting is one of the most iconic procedure of plastic surgery and is about hundred years old. In the following chapters of this report, numerous technical points will be specify. A baseline reliable and reproducible technique, appealing to the largest possible audience is presented in order to begin this surgery in optimum conditions. Read More

    [Benefits of volumetric to facial rejuvenation. Part 1: Fat grafting].
    Ann Chir Plast Esthet 2017 Oct 5;62(5):532-549. Epub 2017 Sep 5.
    Hôpital américain de Paris, 63, boulevard Victor-Hugo, 92200 Neuilly-sur-Seine, France; 90, boulevard Flandrin, 75116 Paris, France.
    For a number of years, a volumetric approach using autologous fat injection has been implemented to improve cosmetic outcome in face-lift procedures and to achieve lasting rejuvenation. Autologous fat as filling tissue has been used in plastic surgery since the late 19th century, but has only recently been associated to face lift procedures. The interest of the association lies on the one hand in the pathophysiology of facial aging, involving skin sag and loss of volume, and on the other hand in the tissue induction properties of grafted fat, "rejuvenating" the injected area. Read More

    [Upper lip lift].
    Ann Chir Plast Esthet 2017 Oct 4;62(5):482-487. Epub 2017 Sep 4.
    15, rue Spontini, 75116 Paris, France.
    The author revisits an old technique of shortening of the upper lip. He shows the interest of systematically analyzing the length of the upper lip in any consultation of face and especially of rejuvenation. He develops indications based on the visibility of the upper incisors at the half-open mouth rest. Read More

    [Use of Harmonic blade in face lifting].
    Ann Chir Plast Esthet 2017 Oct 4;62(5):560-566. Epub 2017 Sep 4.
    20, quai Claude-Bernard, 69007 Lyon, France. Electronic address:
    Introduction: Rapid recovery and return to social activities are what every patient wishes when considering to undergo a face lifting procedure. In our practice, the use of the Harmonic scalpel in order to achieve this goal has greatly improved the postoperative period.

    Patients And Methods: We have performed 920 face lifting procedures exclusively using the Harmonic scalpel from 2001 to May 2017. Read More

    [Chemical peels and management of skin aging].
    Ann Chir Plast Esthet 2017 Oct 30;62(5):520-531. Epub 2017 Aug 30.
    Centre OroFace, 4, boulevard des Romarins, 13400 Aubagne, France. Electronic address:
    Chemical peels are an alternative and/or a complementary treatment to the surgical procedures for skin aging. The purpose of this article is to specify the procedures and the indications of the three principal types of chemical peels: alpha-hydroxy acids, trichloracetic acid, phenol-croton oil peel. The clinical examination will determine the depth of the lesions to treat and will take into consideration counter-indications and specific limits to each patient. Read More

    [Face-lift surgery in ambulatory].
    Ann Chir Plast Esthet 2017 Oct 25;62(5):575-578. Epub 2017 Aug 25.
    Clinique de chirurgie esthétique, 168, cours Fauriel, 42100 Saint-Étienne, France. Electronic address:
    Objective: The proposal is to demonstrate that facelift surgery is particularly suitable for the care in ambulatory.

    Methods: Between 2010 and 2016, 246 patients were operated for a facelift in ambulatory.

    Results: No major complication arose in this series (241). Read More

    [Face rejuvenation with tensor threads].
    Ann Chir Plast Esthet 2017 Oct 25;62(5):488-494. Epub 2017 Aug 25.
    8, rue de Solferino, 75007 Paris, France. Electronic address:
    The last decades has seen new priorities in treatment of a flabby, ageing face towards minimally invasive aesthetic surgery, to be accompanied and followed by the requirements to perform such interventions with the maximally reduced health hazards, with inconsiderable injury, without cuts and, respectively, to be followed by no resulting scars, as well as a short postoperative period. We propose a new reviewing presentation of the tensor threads. After having explained the technology of the threads, we will discuss the good patient indication, the criteria which determine the choice of the threads and methods for each type of patient. Read More

    Multicenter evaluation of quality of life and patient satisfaction after breast reconstruction, a long-term retrospective study.
    Ann Chir Plast Esthet 2017 Aug 25. Epub 2017 Aug 25.
    Service de chirurgie plastique, reconstructrice et esthétique, service des brûlés et chirurgie de la main, centre François-Xavier-Michelet, groupe hospitalier Pellegrin, université Bordeaux-Segalen, 33000 Bordeaux, France.
    Introduction: Breast reconstruction techniques are multiple and they should be chosen in order to improve women's satisfaction and well-being, thus obtaining a personalized treatment. This report's major purpose was to study, through the Breast-Q questionnaire, how the functional and aesthetic outcomes, as well as the complications, of the main autologous breast reconstruction techniques, can affect patients quality of life and well-being at long-term. The secondary purpose was to analyse, thus to identify, the independent factors characterizing the different reconstructive techniques, which may affect patients' satisfaction. Read More

    Surgical approaches in neck dissection: Comparing functional, oncologic and aesthetic aspects of transverse cervicotomy to Paul André's approach.
    Ann Chir Plast Esthet 2017 Aug 21. Epub 2017 Aug 21.
    Univ Paris Diderot, Sorbonne Paris Cité, 75013 Paris, France; Plastic and Reconstructive department, hôpital Saint-Louis, AP-HP, 75010 Paris, France.
    Background: Surgical approaches in neck dissection: comparing functional, oncologic and aesthetic aspects of transverse cervicotomy to Paul André's approach.

    Methods: This single-center retrospective study compares a new transverse incision for cervicotomy to the classical approach described by Paul André in neck dissections. The evaluation criteria were: number of lymph nodes analyzed, operative time, complications, patient satisfaction and aesthetic aspects of the scar. Read More

    [Lumbar artery perforator flap for breast reconstruction].
    Ann Chir Plast Esthet 2017 Aug 9. Epub 2017 Aug 9.
    Service de chirurgie plastique et reconstructrice, Gustave-Roussy, 114, rue Édouard-Vaillant, 94805 Villejuif, France.
    Even though DIEP-SIEA flaps or latissimus dorsi musculocutaneous flap are the most frequently used, a wide variety of flaps have been described for autologous breast reconstruction. Concerning the choice of donor-site, the aim is to prevent and to limit the morbidity. That is why the donor-site should be carefully chosen, according to the morphology of the patient. Read More

    [Stereophotogrammetry and facial surgery: Principles, applications and prospects].
    Ann Chir Plast Esthet 2017 Aug 9. Epub 2017 Aug 9.
    Chirurgie maxillo-faciale, stomatologie, chirurgie orale et chirurgie plastique de la face, université Claude-Bernard-Lyon 1, centre hospitalier Lyon-Sud, hospices civiles de Lyon, 165, chemin du Grand-Revoyet, 69310 Pierre-Bénite, France.
    The clinical examination of the face needs a reliable, objective and innocuous tool. Stereophotogrammetry for a medical use has been available for more than fifteen years but its popularity is still limited by a high cost. We hereby define the principles of stereophotogrammetry, its fields of application in facial surgery and the prospects, which might soon be offered by a wider access to this technique. Read More

    [Prevention of the post-surgical insatisfactions and possible medico-legal complications].
    Ann Chir Plast Esthet 2017 Oct 7;62(5):579-591. Epub 2017 Aug 7.
    82, boulevard de Courcelles, 75017 Paris, France.
    The purpose of this work is to better understand the reasons for post-surgical instability and what makes up the bed of medico-legal complications. Beyond technical competence, it is essential to observe a very high degree of rigor in listening to the real motivations in order to give the most accurate possible surgical indications and in particular to know to detect and never to operate certain patients who, whatever we do, will always be dissatisfied. The quality of information is one of the essential elements of prevention: information is part of the care and there is no therapeutic success without a successful relationship between a caregiver and a carereceiver. Read More

    [Facelift under local anesthaesia in outpatient surgery].
    Ann Chir Plast Esthet 2017 Oct 4;62(5):567-574. Epub 2017 Aug 4.
    Clinique esthétique Lyon tête d'or, 88, boulevard des Belges, 69006 Lyon, France. Electronic address:
    Facelift under local anesthesia: the author recounts his experience and methodology developed to operate facelift under local anesthesia in order to reduce operative morbidity and be able to operate persons who do not desire general anesthesia. The technique is based on the knowledge of the sensitive anatomy of the face as well as the practice of sensitive conduction blocks at the level of the face allowing to decrease the doses of local anesthetics. Read More

    [Jugal rejuvenation and jowls treatment].
    Ann Chir Plast Esthet 2017 Oct 2;62(5):424-434. Epub 2017 Aug 2.
    281, Corniche-Kennedy, 13007 Marseille, France. Electronic address:
    The aim of this study is to analyze the anatomical changes leading to the appearance of jugal aging with the appearance of jowls. It is also to describe the different techniques and to highlight those that are most effective with the permanent concern of obtaining a natural result with a well-defined jawline and a harmonious distribution of jugal volumes. For this purpose, the techniques of lifting with relocation of the displaced volumes and lipostructure are often associated with the strict respect of different directional vectors for the underlying tissues and for the skin redraping. Read More

    [Endoscopy and face-lift].
    Ann Chir Plast Esthet 2017 Oct 2;62(5):474-481. Epub 2017 Aug 2.
    47, rue Spontini, 75116 Paris, France. Electronic address:
    For many years, the face-lift has not been the only intervention for facial rejuvenation. It is necessary today to specify the type of face-lift, cervico-facial lifting, frontal lifting or facelift. We will consider in this article the frontal lift and centro-facial lift and its possible execution assisted by endoscopy with therefore minimal scars, hidden in the scalp. Read More

    Dorsal median lipectomy (the arrow technique): A new approach for the treatment of the circumferential truncal skin and fatty tissue excess.
    Ann Chir Plast Esthet 2017 Aug 1. Epub 2017 Aug 1.
    Department of plastic reconstructive and aesthetic surgery, university hospital of Picardie, 80054 Amiens, France.
    The increase in the number of patients who undergo massive weight loss surgery has led to an increasing number of patients who complain of circumferential abdominal skin and soft tissue excess. Currently, the only surgical option to treat soft tissue excess is vertical median abdominal lipectomy (fleur-de-lys technique). However, many patients are reluctant to undergo this surgery because of the position of the scar. Read More

    [Temporal rejuvenation].
    Ann Chir Plast Esthet 2017 Oct 1;62(5):449-460. Epub 2017 Aug 1.
    281, Corniche Kennedy, 13007 Marseille, France. Electronic address:
    The temporal region has imprecise limits in the young patient. During the aging process, it becomes individualized with the appearance of a temporal fossa, the temporal, orbital and zygomatic bone margins, the ptosis of the lateral part of the brow and the appearance of the wrinkles of the crow's foot. As this area frame the look, it should be taken into consideration during the clinical examination as well as the facial and cervical stages. Read More

    The impact of autologous breast reconstruction using DIEP flap on the oncologic efficacy of radiation therapy.
    Ann Chir Plast Esthet 2017 Jul 28. Epub 2017 Jul 28.
    Head of plastic and reconstructive surgery department, Notre-Dame hospital, university of Montreal hospital center (CHUM), 1560, rue Sherbrooke Est, Quebec, H2L 4M1 Montreal, Canada. Electronic address:
    Introduction: In the management of breast cancer radiation therapy plays a substantive role in decreasing local recurrence and increasing overall survival. Still, there exists controversy concerning compromised radiation delivery plans and suboptimal delivery after immediate autologous breast reconstruction. Our study aims to assess the oncologic safety of immediate breast reconstruction (IBR) with a Deep inferior epigastric perforator flap (DIEP), in the setting of adjuvant radiation therapy. Read More

    [Malignant proliferating trichilemmal cyst of the scalp: A case report].
    Ann Chir Plast Esthet 2017 Jul 26. Epub 2017 Jul 26.
    Service de dermatologie, hôpital militaire Moulay-Ismaïl, 50000, Meknès, Maroc; Faculté de médecine et de pharmacie, 30000, Fès, Maroc.
    Background: Proliferating trichilemmal cyst (PTC) is a rare adnexal tumor, generally benign, primarily sitting on the scalp of elderly women. About fifty cases are reported in the literature. Herein, we describe another one particularly aggressive. Read More

    [Dermatofibrosarcoma protuberans: Surgical margins using Slow-Mohs micrographic surgery. A clinical retrospective study about 20 cases].
    Ann Chir Plast Esthet 2017 Jul 26. Epub 2017 Jul 26.
    Service de chirurgie maxillo-faciale, stomatologie et chirurgie orale, centre François-Xavier-Michelet, groupe hospitalier Pellegrin, CHU de Bordeaux, place Amélie-Raba-Léon, 33000 Bordeaux, France.
    Objectives: The main objective of this study is to determine the necessary surgical margins to obtain a complete R0 resection for head and neck dermatofibrosarcoma protuberans (DFSP) using Slow-Mohs micrographic surgery. The secondary objective is to study the recurrence rate of these tumors.

    Patients And Methods: Slow-Mohs micrographic surgery was used for patients included between 2005 and 2015 at Bordeaux universitary hospital. Read More

    [Care and optimal management of the face- and neck-lift patients].
    Ann Chir Plast Esthet 2017 Oct 26;62(5):347-354. Epub 2017 Jul 26.
    Clinique Charcot, 69110 Sainte-Foy-lès-Lyon, France; Cabinet privé, 50, rue de la République, 69002 Lyon, France; Centre Léon-Bérard, 28, rue Laennec, 69008 Lyon, France. Electronic address:
    Surgical and case management for patients demanding a face- and neck-lift are very important. The purpose of this paper is to help the plastic surgeons with information and recommendations useful for the best medical care of patients requiring a face- and neck-lift. The first consultation is the most important contact with the patient. Read More

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