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Nasal Tip Surgery
Published in Suleyman Tas, Rhinoplasty in Practice, 2022
In almost all aesthetic surgeries such as abdominoplasty, brachioplasty, mammoplasty, blepharoplasty, platysmaplasty, and face-lifting, removing excess skin and leaving the skin stretched enables attainment of the intended result. However, in rhinoplasty, only an alar excision is possible. Since reduction of the central part of the nose does not allow for the removal of skin from there, there is a need for a different approach for redraping (Figure 4.59).
Aesthetic
Published in Tor Wo Chiu, Stone’s Plastic Surgery Facts, 2018
Generally, the closed approach is sufficient for most surgeries (especially if no tip work is needed) but involves significant retraction required with the limited exposure, as well as the significant learning curve. Under certain circumstances, the closed approach may be contraindicated: Cantilever graft is needed.Excess skin needs to be excised.Extreme cephalic malposition of lateral crura, which makes alar dissection difficult with a closed approach.Severe deviation/deformity.Cocaine nose.
Genital surgery
Published in James Barrett, Transsexual and Other Disorders of Gender Identity, 2017
Although the cosmetic and functional results are usually good, some patients find some aspect of the vulva unsatisfactory. Particularly with penile inversion techniques, there is a tendency for the skin at the back of the neovagina (the ‘fourchette’) to be pulled forward, and in some patients this may partially cover the vaginal introitus. Treatment is very simple – the skin may be incised backwards as an episotomy, and sutured open. The cosmetic result after this is often enhanced, and penetration and dilation made very much easier. The neolabia are occasionally also a source of dissatisfaction. If too much skin is left they may become pendulous, and even lead to discomfort in underclothing or on sitting. The excess skin may easily be excised. With care it is sometimes possible to augment any labia minora at the same time.
Translation and validation of a Swedish version of the BODY-Q: a patient-reported outcome instrument for weight loss and body contouring surgery
Published in Journal of Plastic Surgery and Hand Surgery, 2022
Monika Fagevik Olsén, Christina Biörserud, Micheline Al Nouh, Trude Staalesen, Anna Elander
Excess skin is common after massive weight loss. There is a lack of knowledge regarding who develops excess skin and how much it will affect the individual. However, we do know that excess skin is a major problem for many patients after obesity surgery. In previous studies, patients have described that they feel that their body is more deviant after the weight loss as the skin hangs, causing itching and rashes and makes it hard to find clothes that fit [2]. In addition, the skin prevents them from being as active as they want as they are ashamed over the ‘new’ body [4]. Therefore, it is of great importance to have valid PROM:s to evaluate the patient’s situation regarding symptoms related to excess skin to have as a basis for decision regarding financing of post-bariatric plastic surgery. Both BODY-Q and SESQ are suitable in evaluating the patients’ experiences of their body and excess skin.
Depressive symptoms before and after abdominoplasty among post-bariatric patients – a cohort study
Published in Journal of Plastic Surgery and Hand Surgery, 2022
Christina Nielsen, Anna Elander, Trude Staalesen, Micheline Al Nouh, Monika Fagevik Olsén
No correlation was found between age and changes in BDI scores (rs = 0.094, p = .314). Weight loss is often very significant during the first 1 or 2 years following bariatric surgery, [37] and this causes new and unexpected problems related to excess skin in the majority of patients, excess skin affects most of the body, but it is most pronounced on the abdomen, inner thighs, breasts and upper arms [38]. Apart from cosmetic concerns, excess skin causes secondary conditions, such as dermatitis, irritation and rash within the skin folds, and impaired activities of daily living [39]. These may be categorised as symptoms of a functional nature, which are directly related to excess skin. However, the relationship between excess skin and mental health in post-bariatric patients is still unclear. The results of this study reveal a poor correlation between the BDI sum score and SESQ score before abdominoplasty and a fair correlation postoperatively. The patients in this study also assessed their QoL before and after abdominoplasty; however, there were no significant differences in either the PCS or MCS. To further analyse the data, a correlation analysis was performed between the severity of depressive symptoms and QoL. The correlation between the BDI sum and SF-36 scores was fair to moderate both pre- and postoperatively. The moderate correlation of the BDI sum score with the MCS was stronger than that with the PCS, which supports the view that depressive symptoms are related to mental health aspects.
In vitro prediction of in vivo pseudo-allergenic response via MRGPRX2
Published in Journal of Immunotoxicology, 2021
Linu M. John, Charlotte M. Dalsgaard, Claus B. Jeppesen, Kilian W. Conde-Frieboes, Katrine Baumann, Niels P. H. Knudsen, Per S. Skov, Birgitte S. Wulff
Abdominal skin specimens were obtained from five individual patients undergoing cosmetic surgery for removal of excess skin. The skin was transported at ambient temperature to RefLab (Copenhagen, Denmark) in a container supplied with sterile saline immediately after surgical removal. As the skin donors were fully anonymized, the tissue was obtained and used in this study in accordance with the Danish Act on Research Ethics Review of Health Research Projects, Section 14 (3) - “Notification obligation” concerning the use of anonymized human tissue for research purposes. Note that at the time of performing the study, the use of human skin was exempt from ethical approval because donors were fully anonymized. This means that while an ethical approval was obtained, but no informed consent from each skin donor was required; thus, no approval number is available.