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        Double-Fold Operation with a Partial Incision and Continuous Buried Suture

        강인숙,최지선,홍정근 대한미용성형외과학회 2017 Archives of Aesthetic Plastic Surgery Vol.23 No.3

        Background The double fold operation is one of the most common aesthetic surgeries in Korea. There are many methods to make double fold using non-incision, incision and partial incision. Patients seeking double folds prefer natural appearance, less downtime, minimal scarring technique. The most favorable method is the minimal invasive but long-lasting fold formation technique. Methods From October 2003 to September 2016, this procedure was applied in 7,963 patients who worried about surgical scar or preferred non-incision method with puffy eyelids. Five stab incisions including two small incisions were taken in the upper eyelid. Through the small incision lines, the pretarsal muscle and the orbital fat were removed to facilitate tissue adhesion. The double fold line was made with the continuous buried suture. The suture was tied in the fifth stab incision site and the knot was placed deeply to prevent granuloma formation. Results This method was performed in all patients. The complications were asymmetry (52 cases), fold loosening (43 cases), granuloma (12 cases), conjunctival hemorrhage (5 cases), and scar (4 cases). Especially 74% of fold loosening cases were developed in mild ptotic patients. Conclusions This method achieves good cosmetic result, shorter operation time, less morbidity, faster recovery in puffy eyelids than the other method.

      • KCI등재

        The Feasibility of Platelet-Rich Fibrin Matrix Filler in a Nude Mouse Model

        전현준,김동규,이정우,최강영,정호윤,조병채,신준호,이승렬,양정덕 대한미용성형외과학회 2017 Archives of Aesthetic Plastic Surgery Vol.23 No.3

        Background In contrast to fillers made from artificial substances, platelet-rich fibrin matrix (PRFM) filler does not cause hypersensitivity reactions or foreign body reactions. PRFM is also highly accessible in terms of cost. Hence, in this study, the efficacy of PRFM for soft tissue augmentation and volume maintenance was evaluated in an animal experiment. Methods Twenty nude mice were injected with hyaluronic acid filler, fibrin glue, PRFM filler, and normal saline (control). The remaining volume was measured 4 times over the course of 8 weeks using the volumetric taping bowl method and magnetic resonance imaging. Results All nude mice survived and showed no signs of infection, such as erythema or edematous changes, during the study period. Migration of the injected substance was not detected at 2, 4, or 8 weeks after the procedure. The remaining volumes of normal saline at 2, 4, and 8 weeks were 10.50%, 2.00%, and 0.00%; fibrin glue, 20.50%, 9.00%, and 2.50%; hyaluronic acid filler, 82.00%, 35.00%, and 17.33%; and PRFM filler, 70.31%, 26.75%, and 14.37%, respectively. Conclusions PRFM filler had a high soft-tissue filling capacity compared with the control. It also showed a similar effect to hyaluronic acid filler. Thus, PRFM filler could be a good alternative for correcting soft-tissue deficits.

      • KCI등재

        Feasibility and Aesthetic Results of Small Bilateral V-Y Advancement Flaps in the Extremities and Back

        김동연,최종현,문석호,오득영 대한미용성형외과학회 2017 Archives of Aesthetic Plastic Surgery Vol.23 No.3

        Background Random type small V-Y advancement flap is widely used for facial reconstruction with advantages including good color and texture match. However, the flap is not as widely used in the extremities and back as in the face because of apprehension of the relatively poor vascularity as a risk factor of flap necrosis. We used a small bilateral V-Y advancement flap for the repair of extremity and back defects from various causes. Competent clinical outcomes are described. Methods Between 2007 and 2014, 24 patients (48 flaps) with skin defects in the upper or lower extremities and back were enrolled. The site of the defect was on back (n=6), forearm (n=7), upper arm (n=2), lower leg (n=5), thigh (n=3), and axilla (n=1). Results Among the 48 flaps, 47 survived (no event: 42 flaps, total necrosis: 1 flap, partial necrosis: 5 flaps). All partial necrotized flaps healed in 3–4 weeks with conservative care. However, debridement and skin grafting was required for the total necrosis flap. One total necrosis and two partial necroses occurred on the anterolateral side of the lower leg. Two partial necroses occurred on the paraspinal area. Conclusions Contour deformities including central depression and the dog-ear deformity were not observed. Small bilateral V-Y advancement in the extremity and back could be a safe and useful flap, if thick subcutaneous fat and subcutaneous plexus were saved. But areas with thin subcutaneous fat layer, such as the anterolateral lower leg, are poor candidates and carry the increased risk of improper subcutaneous pedicle circulation.

      • KCI등재

        Upper facial surgery: simultaneous hairline-lowering surgery during endoscopic forehead lifting

        민장환,박진우,Woo Yeol Baek 대한미용성형외과학회 2021 Archives of Aesthetic Plastic Surgery Vol.27 No.3

        Background Endoscopic forehead lifting is one of the most common procedures in the field of upper facial surgery. The upper third of the face determines the facial expression and plays a key role in the appearance of facial youth. After the forehead, a high hairline is one of the most important features of the upper third of the face contributing to age identification. The combined evaluation of these two features should be a basic premise of upper facial surgery. Methods The authors present a surgical sequence in which endoscopic forehead lifting and lowering of the high hairline by means of a scalp flap advancement are carried out during the same operation. The incision line is located along the hairline. After the scalp and forehead flap are moved, they are fixed using the bone tunnel fixation method. Results In total, 194 patients were treated with endoscopic forehead lifting and simultaneous hairline lowering between August 2018 and July 2020. On average, the patients’ hairlines were 18 mm lower and their eyebrows were 5 mm higher. No patients had serious complications. Conclusions Endoscopic forehead lifting and simultaneous hairline lowering surgery make it possible

      • KCI등재

        Inverted Nipple Correction Using a Combination of the Perpendicular Suture Method and the Purse-String Suture Method

        강재경,윤병민,송정국,신명수 대한미용성형외과학회 2017 Archives of Aesthetic Plastic Surgery Vol.23 No.2

        While various surgical methods are used for inverted nipple correction, an optimal technique has not been established. We describe a combination of suture methods including purse-string sutures, based on a report by Gould et al. This is a simple and safe method for inverted nipple correction.

      • KCI등재

        Deep Inferior Epigastric Perforator Flap Breast Reconstruction in a Patient with Huge Uterine Leiomyoma

        김지민,고준걸,오득영 대한미용성형외과학회 2017 Archives of Aesthetic Plastic Surgery Vol.23 No.2

        The deep inferior epigastric perforator (DIEP) flap has long been the gold standard for autologous breast reconstruction. Various factors that can disrupt abdominal wall vascular anatomy make dissection of the DIEP flap a technically demanding procedure. The mass effect from a huge uterine leiomyoma has not been previously reported as a factor influencing abdominal wall vascularity. The aim of this report was to describe the case of a patient with a huge uterine leiomyoma who underwent immediate free DIEP flap breast reconstruction without any major complications.

      • KCI등재

        Late Capsular Hematoma after Prosthesis Removal Following Aesthetic Breast Augmentation: A Case Report

        박시현,박은수,강상규 대한미용성형외과학회 2017 Archives of Aesthetic Plastic Surgery Vol.23 No.2

        Late capsular hematoma formation after augmentation mammoplasty with an implant is a very rare complication. Some mechanisms explaining late capsular hematoma formation have been reported; it is thought to be associated with capsular contracture, textured implants, and the use of corticosteroid and anticoagulant agents. However, no reports of late capsular hematoma formation after prosthesis removal have been published. Herein, we report a case of late capsular hematoma formation after the removal of a prosthesis 10 years previously, following augmentation mammoplasty.

      • KCI등재

        Early Management of Scars Using a 532-nm Nd:YAG Laser

        장준영,한진호,윤근철,신현우,김용성,김준규 대한미용성형외과학회 2017 Archives of Aesthetic Plastic Surgery Vol.23 No.2

        Background Laser therapy is generally postponed until scar maturation. We speculated that the use of laser therapy at the beginning of the wound healing process might minimize discomfort and problems at an early stage. Methods From January 2013 to May 2014, we conducted a study of 50 patients who underwent primary closure or scar revision procedures due to facial scarring. Within 1 to 2 weeks after the removal of all stitches, we performed laser treatments with a 532-nm neodymium-doped yttrium aluminium garnet (Nd:YAG) laser. To assess the improvement of the scars, we evaluated the scars using the Vancouver Scar Scale (VSS) and conducted a photo analysis using a computer graphics program. Results The mean score on the VSS decreased from 5.99 to 1.49 after the laser treatment. The score for each evaluation item decreased, meaning that the scars improved. The differences showed statistical significance. In the photo analysis that was conducted using Adobe Photoshop, the mean brightness of the pixels located within the scar territory increased from 61.54% to 69.42% after laser treatment, and the mean chroma decreased from 50.65% to 43.12%. These changes were statistically significant. Conclusions We used a 532-nm Nd:YAG laser at an early stage of scar formation and confirmed improvements in the redness, hyperpigmentation, and hypertrophy of the scars shortly after treatment.

      • KCI등재

        Comparison of the Amount of Drainage in 3 Acellular Dermal Matrices in Implant-Based Breast Reconstruction: A Retrospective Study

        김준규,김용성 대한미용성형외과학회 2017 Archives of Aesthetic Plastic Surgery Vol.23 No.2

        Background Acellular dermal matrix (ADM)-assisted breast reconstruction has gained popularity because it has several advantages. Some studies have reported that the use of ADM was strongly associated with postoperative complications, especially seroma formation. We performed direct-to-implant breast reconstruction using 3 types of human allograft products (CGDerm®, AlloDerm®, and MegaDerm®). The purpose of this study was to obtain information useful for the selection of an ADM product by comparing the amount of collected serum and the maintenance period of the drain. Methods Seventy-three patients with breast cancer who underwent ADM-assisted implant breast reconstruction between March 2011 and January 2016 were included in this study. The patients were divided into 3 groups based on the type of ADM that was used. The demographic characteristics collected were: age, body mass index (BMI), breast reconstruction location, smoking history, axillary dissection, comorbidities (such as hypertension and diabetes mellitus [DM]), breast implant size, breast implant type, amount of ADM, the total amount of serum that was collected in the drain, and the maintenance period of the drain. Results We obtained significant results after adjusting for variables including age, BMI, DM, axillary dissection, ADM amount, and breast implant size. Compared to AlloDerm, MegaDerm showed a significantly smaller amount of total drained serum and a significantly shorter drain maintenance period. Conclusions The use of MegaDerm led to smaller amounts of drained serum and a shorter drain maintenance period than when AlloDerm was used. In contrast, no significant differences were found between CGDerm and AlloDerm, or between CGDerm and MegaDerm.

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