Biomedical subjects
Publications and source records attributed to B Cornette de Saint Cyr.
Endoscopic axillary breast augmentation combine advantages against few inconvenients. The authors discribe the surgical endoscopic technique and the medical patient management. A study on 48 patients shows the efficiency on quick professional activity (3 days) thanks to the control of inflamatory syndrom with a quick procedure and perioperatoire treatment.
The anatomy give a description of the fixation of breast ligaments, on submammary fold, on the vascularisation of the areola-nipple complex and the surgical consequence on sensibility. The innervation areola-nipple complex comes from the 4th lateral cutaneous branch. The sensitive troubles are frequent but compensed by the sensual gratification of the breast. Skin incisions have been analyticly study. Periareolar incision is less pratice than submammary or axillary incision. The concept of adequation parenchyma-implant is fondamental however the pocket is pre- or retropectoral.
The subperiosteal facelift is, as its name indicates, a deep technique essentially adapted to the upper two-thirds of the face. It is performed via a bicoronal incision, often associated with a vestibular incision, which allows frontal, maxillary, malar, zygomatic and orbital dissection. Section of the superficial leaflet of the temporal aponeurosis reveals the DMAS (Deep Musculo Aponeurotic System) which can be used to raise all of the soft tissues of the face while protecting the frontal branch of the facial nerve. Elevation of the tissues of the face is essentially vertical and acts on the forehead, temporal region, gaze and cheekbones. Current incisions allow maximal preservation of hair and avoid ascension of the sideburns. This technique is particularly indicated in relatively young subjects.
The subperiosteal lift developed by Tessier is a technique for rejuvenating the face and emphasizing beauty. It is performed using two approaches: intraoral and bicoronal or precapillary. It entails a total subperiosteal undermining of the face beginning 2 cm over the orbits and continuing on the orbital rims, the zygomatic arches, and the malar bones. This allows total lifting of the soft tissues of the face (DMAS, deep musculo aponeurotic system). The lateral and vertical traction allows elevation of the superior two thirds of the face, eyebrows, and cheeks. Lifting pulls up from the forehead to the mandibular line. The fixation of the superficial layer of the temporal aponeurosis in traction to the upper part also has an effect on tissue elevation. The best candidates for this procedure are women in their late 30s or early 40s but can be used on those from 30 to 50 and more. It is highly specialized operation which requires substantial surgical experience both in selecting the patient and in execution.