AESTHETIC PLASTIC SURGERY

AESTHETIC PLASTIC SURGERY

Dr. ALI ALBAZZAZ
PLASTIC SURGON

Aesthetic surgery

Aesthetic surgery is a major branch of plastic surgery that deals with improvement of the shape and appearance of any part of the body.
These surgeries must be done only by an expert plastic surgeon.
The goal of these surgeries is to reach the aesthetic ideals as much as possible.
Today, it has huge expansions and developments, with the introduction of modern technologies of minimally invasive procedures

MINIMALLY INVASIVE PROCEDURES

BOTOX INJECTIONS
FILLARS
FAT TRANSFER
LASERS

Botox injections are the best known of a group of medications that use various forms of botulinum toxin to temporarily paralyze muscle activity. This toxin is produced by the microbe that causes botulism, a type of food poisoning.


Noted primarily for the ability to reduce the appearance of some facial wrinkles, Botox injections are also used to treat such problems as repetitive neck spasms (cervical dystonia), excessive sweating (hyperhidrosis), overactive bladder and some causes of crossed eyes. Botox injections may also help prevent chronic migraines in some peopl

BOTOX

It is type 1 botulinum toxin derived from special type of bacteria and treated to act locally with low diffusion rate.
It act to temporary weaken or even paralyze specific muscles specially those of facial expressions.
The usual duration of action is 3-6 months.
It is useful to manage forehead,periorbital ,neck and mouth wrinckles

fillars

Special types of substances mostly composed of hyalironic acid of deffirent concenteratios
Used to fill empty or depressed areas in the face or other parts of the body.
Either temporary or permanent.
Permanent types cause serious complications and must be avoided.
They act to appose trophic changes of the soft tissues and even bone.

Fat grafting/fat injections

Is the use of alloplastic fat harvested from the person itself and transferred to other part of the body to give it more bulk .
The harvesting done by special liposuction canullas,purified ,centrifuged and homoginized prior to injection. depositing fat through a hollow metal cannula resulted in a better long-term correction and a more natural- appearing change in facial and body contours than fat grafting through an open incision.

Aesthetic surgeries

Rhinoplasty
Blepheroplasty
Face lift
Otoplasty
Abdominoplasty
Mammoplasty
liposuction

rhinoplasty

This surgery include change in the skeleton of the nose and the soft tissue cover ,two types.:
Open rhinoplasty
Closed rhinoplasty
Rhinoplasty can be done above the age of 16 y as the bonny skeleton stabilized at this age.


rhinoplasty
Rhinoplasty is one of the most challenging procedures in plastic surgery. The rhinoplasty surgeon must have aunderstanding of the underlying anatomy, the ability to perform nasofacial analysis in order to determine the operative plan, and the ability to execute techniques that manipulate bone, cartilage, and soft tissue. These skills are tempered with an aesthetically astute eye in order to produce a result that blends harmoniously with the rest of the face.

RATIONALE FOR THE CLOSED RHINOPLASTY

APPROACH
Advantages
Leaves no external scar
Limits dissection to areas needing modification
Permits creation of precise pocket so graft material fitsexactly without need for fixation
Allows percutaneous fixation when large pockets are made
Promotes healing by maintaining vascular bridges
Encourages accurate preoperative diagnosis and planning
Produces minimal postsurgical edema
Reduces operating time
Results in fast patient recovery
Creates intact tip graft pocket
Allows composite grafting to alar rims
Disadvantages
Requires experience and great reliance on accurate preoperative diagnosis
Prohibits simultaneous visualization of surgical field by teaching surgeon and students
Does not allow direct visualization of nasal anatomy
Makes dissection of alar cartilages difficult, particularly in cases of malposition
Anaesthesia—


RATIONALE FOR THE OPEN RHINOPLASTY
APPROACH
Distinct advantages Potential disadvantages
Binocular visualization External nasal ncision
Evaluation of complete (transcolumellar scar) deformity without distortion
Prolonged operative time
Protracted nasal tip edema
Precise diagnosis and
correction of deformities
Columellar incision separation Allows use of both hands.
Delayed wound healing
More options with original tissues and cartilage grafts
Direct control of bleeding with electrocautery
Suture stabilization of grafts (invisible and visible)

blepharoplasty

Is a surgical procedure done by expert plastic surgeons to re shape the upper and lower eye lids to :
enhance the aesthetic look,
remove excess and redundant skin.
Remove excess retro orbital fat protruding through the orbital septum that forms the dommy fatty bags of the upper and lower lids
Elevate the lateral cantus to higher position to give the eye younger look.

Prominent ear deformities

To deal with this problem we must know the causes of prominent ears:
Shallow or absent anti helex.
Hypertrophied concha
so the procedure is to create or deepen the antihelex and/or reduce the size of the concha ,this procedure done through post auricular incision.
We can do this surgery at the age of 4 years because the ear at this age reach 80% the size of adult ear.

Face lift

Is the most difficult aesthetic surgery that manage aging faces and deals with facial and neck sagging skin and soft tissue.
Types:
Subcutaneous face lift.
SMAS dissection.
Minimal access cranial suspension.
WITH OR WITHOUT platismal and neck skin tightening

abdominoplasty

is that surgery done to to the abdomen to get rid of:
excess fat
Excess skin
Repair defective abdominal muscles.
It is one of the most frequently done surgeries to both sexes specially females with multi deliveries ,obese and fluctuant weight gaining and loss.


Types of abdominoplasies:
Classical abdominoplasty.
Mini abdominoplasty.

Classical abdominoplasty

Extensive dissection of the abdominal flap upwords to the costal cartilages.
Umbilical transposition.
Abdominal wall repair (rectus sheeth plicationwith or without hernial repair).
Excess skin and fat excision

Mini abdominoplasty

The dissection of the abdominal flap is limited to below the umbalicus.
Limitted abdominal wall repair.
With or without umbilical trasposition.
Excess skin and fat excision

mammoplasty

Reduction mammoplasty
Augmentation mammoplasty.
mastopexy

Reduction mammoplasty

Done to reduce the size of the breasts
Indications:
Neck pain
Shoulder pain by the bra.
Fungal infection at the sub mammary folds.
Aesthetic purposes .

Augmentation mammoplasty

This type of surgery done to increase the size of the breast.
We can do it by using breast implants either saline filled or scilicon implants.
Fat injection to the breast is relatively contraindicated because it may lead to fibrous tissue formation and calcifications that will lead to mislead early tumor detection.
Fillers are contraindicated to augment the breasts because it will lead to giant cell and granuloma formation in the breast.

mastopexy

Is that surgery that tighten the redundant ,lax and pendulous breast without removing any glandular stracture.
It deals with reduction of the skin only with or without nipple areolar transposition.


liposuction
Liposuction is the surgical aspiration of fat from the ubcutaneous
plane leaving a more desirable body contour and a smooth transition between the suctioned and the nonsuctioned
areas.
Liposuction is one of the most popular cosmetic procedures
performed by board certified plastic surgeons in the
United States.
Although liposuction is not a technically difficult procedure to perform, it requires thoughtful planning and careful patient selection to achieve aesthetically pleasing results.
Poor planning or poor exclusions can result in uncorrectable deformities.

Liposuction should not be offered as a treatment for obesity.

In a perfect world, it is used to remove genetically distributed or diet-resistant fat. In practical terms, however, it is frequently used to remove fat that could be lessened with diet and exercise.
Ideal liposuction candidates are within 20% of their ideal body weight (or less than 50 pounds above chart weight).
Abnormally distributed bulges of fat or fat that is distributed outside the confines of the ideal body shape are the “target” areas that are commonly suctioned