Journal Detail Information

1

Cite

Share

Chronic Ulcerating Lesions due to Limited Form of Wegener's Granulomatosis on the Face: Cosmetic Consideration.

Seung Han SONG ; Soon Je KIM ; Joo Hak KIM ; Nak Heon KANG

Archives of Aesthetic Plastic Surgery.2012;18(2):111-114.

Wegener's granulomatosis (WG) is a systemic disease characterized by necrotizing granulomas and vasculitis involving the upper and lower respiratory tract as well as the kidneys. Limited form of WG usually involves the head and neck, lacks renal involvement, and may not progress to generalized disease. We report the case of limited form of WG who presented not systemic symptom but several times relapsed multiple ulcerating lesions on the face, uveitis and keratoconjunctivitis. A 23 year-old female initially presented with ulcerative skin lesions on the left cheek and nose. The skin lesion had commenced as an ulcerative and nodulopapular lesion on her right cheek initially, 8 months ago. Subsequently, there was progression of the disease to her left cheek and nose. The patient was treated with oral prednisolone and oral cyclophosphamide. Two weeks later, skin lesion had started to heal, oral prednisolone tapered to 15 mg. Eight weeks later, all of skin lesions were healed well. With silicone gel sheets and Laser therapies, we gained excellent cosmetic results. In the aesthetic aspect, early recognition of rare variants of limited form of WG, facial chronic ulcerative wounds that are nonresponsive to conservative treatment, is very important as appropriate therapy can prevent facial mutilation.
Cheek ; Cosmetics ; Cyclophosphamide ; Female ; Granuloma ; Head ; Humans ; Keratoconjunctivitis ; Kidney ; Laser Therapy ; Neck ; Nose ; Prednisolone ; Respiratory System ; Silicone Gels ; Skin ; Ulcer ; Uveitis ; Vasculitis ; Wegener Granulomatosis

2

Cite

Share

Dual-vector Foreheadplasty for Reducing the Vertical Height of the Forehead with Concomitant Mid-facelift.

Yoonho LEE ; Jaegon KIM

Archives of Aesthetic Plastic Surgery.2012;18(2):106-110.

The object of this study is to introduce a novel method of foreheadplasty. The new foreheadplasty can lower the anterior hairline and results in reduction of the vertical forehead length and mid-face lift can be performed at the same time. A 54 year-old female who had a long forehead visited the clinic for rejuvenation of the mid-face. The authors performed dual-vector foreheadplasty and were able to lower the anterior hairline by the advancement of the posterior scalp flap. Mid-face lift was performed by elevation of the malar fat pads. The surgical results were analyzed by measuring the length of the forehead before and 2 years after the surgery. Medical photographs were taken at the same period. The preoperative length of the forehead was 75.5 mm and decreased to 63.0 mm after the surgery. The shortened forehead was well maintained even 2 years after the operation (63.3 mm). The patient suffered from partial sensory loss of the parietal region but resolved simultaneously after 2 months. No other complications, such as, hypertrophic scarring, infection, prolonged inflammation and alopecia occurred. In conclusion the dual-vector foreheadplasty is a relatively simple and safe way to lower the anterior hair line with the elevation of the mid-face.
Adipose Tissue ; Alopecia ; Cicatrix, Hypertrophic ; Female ; Forehead ; Hair ; Humans ; Inflammation ; Rejuvenation ; Rhytidoplasty ; Scalp

3

Cite

Share

Treatment of a Case of Wound Infection after Intramuscular Augmentation Gluteoplasty.

Jeong Hoon SUHK ; Sung Soo PARK

Archives of Aesthetic Plastic Surgery.2012;18(2):102-105.

Gluteoplasty is getting more concerns among female population with their rather flat contour of upper hips. We experienced a case of wound infection after intramuscular gluteal augmentation and cured with several steps of treatment protocol. We hereby report the case with treating devices and treatment protocol. A 38-year-old female who underwent gluteal augmentation with silicone implant 9 days ago, presented with prulent discharge at the suture site with general myalgia. Under IV general anesthesia, the wound was explored and more than 50 cc of prulent discharge was evacuated from the right gluteal pocket and subcutaneous tunnel. Massive irrigation and wound debridement was done with the help of Water-jet device and left the wound open for drainage. Several cautious steps are applied for reoperation including isolation of perianal skin, protection from skin maceration and contamination, Water-jet debridement, tight bleeding control with endoscope, progressive tension sutures, negative suction drains, occlusive dressings and stabilizing the buttock with Fixmull cotton tape splints. Wound infection is not a rare complication in gluteal augmentation surgery but if it is not treated properly, that would lead to a disastrous result. Therefore surgeons must be well accustomed to the treatment protocol for treating gluteal infection.
Adult ; Anesthesia, General ; Buttocks ; Clinical Protocols ; Debridement ; Drainage ; Endoscopes ; Female ; Hemorrhage ; Hip ; Humans ; Occlusive Dressings ; Reoperation ; Silicones ; Skin ; Splints ; Suction ; Sutures ; Wound Infection

4

Cite

Share

Bony Deformity after Augmentation Rhinoplasty with Silicone Implant.

Jung Sik KONG ; Yang Woo KIM ; Young Woo CHEON

Archives of Aesthetic Plastic Surgery.2012;18(2):98-101.

Silicone implants for augmentation rhinoplasty have been used by many surgeons over the past few decades. However, no clinical evaluation of the nasal bones beneath the silicone implant has been conducted to date. Between 2010 and 2012, we reviewed patients' facial computed tomography scans and finally selected 13 patients according to the exclusion criteria. To evaluate the extent of bone resorption, we measured the angle (theta) of the deformed portion. And we measured the thickness of nasal bones to evaluate the bony resorption.A total of 13 patients had some evidence of bone resorption or bony deformity on their computed tomography. An evaluation of the CT scan of the nasal bones showed deformity of the bones underneath the implant. The bones had lost the dome shaped convexity and showed flat configuration under the implant. The values of the angle (theta) ranged from 45to 75 degrees (mean 58.1 degree). The thickness of nasal bone showed statistically significant results at the tip of bony vault. This study has demonstrated of bone deformation beneath the silicone implants in humans.
Bone Resorption ; Congenital Abnormalities ; Humans ; Nasal Bone ; Rhinoplasty ; Silicones

5

Cite

Share

A Nipple Splint Using a Textile-Like Thermoplastic Cast.

Seo Hyung LEE ; Donghun LEE ; Yu Jin KIM

Archives of Aesthetic Plastic Surgery.2016;22(3):165-167. doi:10.14730/aaps.2016.22.3.165

Nipples are protected by nipple splints after reconstructing or reshaping them using various materials. We have devised a nipple splint using textile-like thermoplastic tape, which is made out of knitted hybrid fabric, is latex-free, and keeps its position well beneath a brassiere with simple taping. Its conformation is readily modifiable according to each patient's breast shape, if it is soaked into hot water. A patient who underwent nipple reconstructive surgery had this thermoplastic cast applied for a month, and the contour of the nipple was well preserved without reports of skin irritation or pressure sores developing on the areola.
Breast ; Humans ; Nipples* ; Pressure Ulcer ; Skin ; Splints* ; Textiles ; Water

6

Cite

Share

A Rare Complication after Latissimus Dorsi Flap Breast Reconstruction: Radial Nerve Palsy.

Joon Hyun KWON ; Jae Bong KIM ; Jeong Woo LEE ; Kang Young CHOI ; Ho Yun CHUNG ; Byung Chae CHO ; Jung Dug YANG

Archives of Aesthetic Plastic Surgery.2016;22(3):160-164. doi:10.14730/aaps.2016.22.3.160

Among autologous breast reconstruction techniques, breast reconstruction using the latissimus dorsi musculocutaneous flap is widely used, offering advantages including the relative simplicity of the procedure and the reliable and consistent vascularity of the flap. Accordingly, more than 500 cases have been performed in the past 8 years at Kyungpook National University Medical Center. This study reports on a rare case involving a radial nerve neuropathy complication which was experienced for the first time at the medical center. The current case demonstrates that in addition to common complications, such as seroma of the donor site and scarring, additional intraoperative complications in areas unrelated to the surgical site can occur, including radial nerve neuropathy in the opposite arm.
Academic Medical Centers ; Arm ; Breast* ; Cicatrix ; Female ; Gyeongsangbuk-do ; Humans ; Intraoperative Complications ; Mammaplasty* ; Myocutaneous Flap ; Paralysis* ; Radial Nerve* ; Radial Neuropathy ; Seroma ; Superficial Back Muscles* ; Tissue Donors

7

Cite

Share

Blepharoptosis in Behçet's Disease.

So Min HWANG ; On LIM ; Min Kyu HWANG ; Min Wook KIM ; Jong Seo LEE

Archives of Aesthetic Plastic Surgery.2016;22(3):157-159. doi:10.14730/aaps.2016.22.3.157

Behçet's disease is a systemic chronic disease that occurs in tissues such as eyes, joints, organs and nerves, and it has been noted that symptoms may be observed in a variety of tissues. In previous studies, reports of blepharoptosis observed in patients with Behçet's disease have been rare. We would like to report a case where a patient among those who visited our hospital with blepharoptosis had a history of Behçet's disease. This patient had been diagnosed with Behçet's disease, and complained of bilateral blepharoptosis even at the time of diagnosis. He complained of dysfunctions in vision and hearing, and upon eye examination, an eye movement disorder was found in his left eye. From the symptoms, neuro-Behçet's disease was diagnosed. The oculomotor and levator palpebrae superioris muscles are both controlled by cranial nerve III, which may suggest that Behçet's disease in this patient occurred in cranial nerve III. The patient received an oral steroid, and the symptoms have improved without surgery. Since we could identify the correlation between Behçet's disease and blepharoptosis, we considered that sharing this case and its outcome would be helpful for plastic surgeons who treat eyelids.
Behcet Syndrome ; Blepharoptosis* ; Chronic Disease ; Diagnosis ; Eyelids ; Hearing ; Humans ; Joints ; Muscles ; Ocular Motility Disorders ; Oculomotor Nerve ; Plastics ; Surgeons

8

Cite

Share

Management of a Visible Nodule Following Poly-L-Lactic Acid Injection in the Periorbital Area.

Jin Su SHIN ; Eun Soo PARK ; Jin Young KIM

Archives of Aesthetic Plastic Surgery.2016;22(3):153-156. doi:10.14730/aaps.2016.22.3.153

Poly-L-lactic acid (PLLA) is a synthetic injectable medical agent for use as an effective soft tissue filler to treat facial fat volume loss, although complications including nodule formation do occur. We describe a case of foreign body granuloma formation in an immunocompetent patient who received PLLA in the periorbital region for soft tissue aesthetic enhancement and treated with surgical intervention by subciliary approach.
Dermal Fillers ; Granuloma, Foreign-Body ; Humans ; Lactic Acid

9

Cite

Share

Bone Framework Graft through an Intraoral Approach in a Patient with Columellar Scar Contracture.

Myung Good KIM ; Ie Hyon PARK ; Chang Sik PAK ; Baek Kyu KIM ; Jae Hoon JEONG

Archives of Aesthetic Plastic Surgery.2016;22(3):149-152. doi:10.14730/aaps.2016.22.3.149

We present our experience with calvarial bone framework insertion through an intraoral approach for a patient who was at risk for columellar necrosis due to a previous open rhinoplasty. A 58-year-old woman exhibited severe columellar contracture, so that the columellar tissue was too fragile to be touched. We could not incise the columella and insert a new nasal implant through the bilateral rim incision. Moreover, the patient had septal cartilage perforation and collapse. The patient needed columellar support as well as nasal dorsum reconstruction. The authors decided to graft an autogenous L-strut bone framework through an intraoral approach. Two pieces of 5-cm × 1-cm sized split calvarial bone were harvested and trimmed to fit the width and length of the nasal dorsum and columella. The right-angle-shaped bone framework was made with an absorbable plate and screws. Through a gingivobuccal incision, the bone framework graft was inserted and the graft was fixed with absorbable screws. The patient did not experience complications such as skin necrosis or inflammation. A bone framework grafted through an intraoral approach can be a good choice for patients who have experienced scar contracture in the columella, septal cartilage perforation, and collapse.
Cartilage ; Cicatrix* ; Contracture* ; Female ; Humans ; Inflammation ; Middle Aged ; Necrosis ; Oral Surgical Procedures ; Rhinoplasty ; Skin ; Transplants*

10

Cite

Share

Endoscope-Assisted Trichophytic Anterior Hairline Brow Lift.

Ji Min KIM ; Jeong Geun HONG

Archives of Aesthetic Plastic Surgery.2016;22(3):144-148. doi:10.14730/aaps.2016.22.3.144

BACKGROUND: The brow lift plays an essential role in upper face rejuvenation. The authors designed a new brow lift technique, the endoscope-assisted trichophytic anterior hairline brow lift. It combines the advantages of an endoscopic approach and an anterior hairline approach. This technique was applied to 13 patients with aesthetically excellent results. METHODS: A trichophytic incision line was designed within the fine hairs of the entire anterior hairline and the incision was extended to the temporal hair-bearing scalp. After the incision, most of the procedures were conducted in a similar way to the conventional endoscopic brow lift. Without direct visualization, the dissection was extended down onto the root of the nose and the forehead. An endoscope was used from 2 cm above the supraorbital notch to avoid supraorbital nerve injury. Scars were assessed with the Stony Brook Scar Evaluation Scale (SBSES) at the time the sutures were removed. The visual analogue scale (VAS) score was checked at postoperative 1-year follow-up. The surgical outcomes for brow position and subjective satisfaction were rated with the Global Aesthetic Improvement Scale (GAIS) at postoperative 1-month follow-up. The dermatome of the deep branch of the supraorbital nerve, especially around the hairline, was checked with a two-point discrimination test. RESULTS: From October 2012 through August 2015, 13 endoscope-assisted trichophytic anterior hairline brow lifts were performed. The GAIS score was 1.62 on average. The VAS score was 2.09 on average. No permanent nerve damage has been reported except for 2 cases of temporary paresthesia. These fully recovered at 1-month follow-up. CONCLUSIONS: Based on our results, we think our technique could be a safe and effective treatment option for brow ptosis patients with a high hairline.
Cicatrix ; Discrimination (Psychology) ; Endoscopes ; Follow-Up Studies ; Forehead ; Hair ; Humans ; Nose ; Paresthesia ; Rejuvenation ; Rhytidoplasty ; Scalp ; Sutures

DISPLAY OPTIONS

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share