Biomedical subjects

C Le Louarn

Publications and source records attributed to C Le Louarn.

22 records · Page 2Linked to original sources

PubMedDate not supplied

Partial subfascial abdominoplasty.

An efficient liposuction is one performed behind and above the abdominal superficial fascia. It is followed first by a dissection at the deep side of this fascia, and then after a change of plane, at the supra-umbilical level to reach the pre-muscular fascia plane. Dissection is then adjusted according to the amount of excess skin. As the amount of tissue that needs to be vascularized by the subdermal arterial network is reduced, and as no major lymphatic trunk is cut, the partial subfascial abdominoplasty respects the anatomy of the region better. In our experience (65 cases since March 1989) this quick and reliable technique totally avoids the most frequent risk of abdominoplasty: seroma.

Abdomen↗

PubMedDate not supplied

Remodeling bodylift with high lateral tension.

Body lifts are surgical procedures that are infrequently performed because the length of operating time increases the risk to the patient as well as the likelihood of surgeon fatigue. The other drawback of body lifts is the long incision line. However in our experience, these incisions are well accepted if they are well placed and if the results of body change is significant. The goal of this paper is to show how operating time can be shortened and the scar be correctly positioned by using precise preoperative markings. In addition to high superior tension abdominoplasty, the two innovations of this type of body lift are the dermal fat flap and the suspension of tissue in the trochanteric and buttock regions. Meticulous hemostasis limited undermining, and the closure of dead space are factors that produce a more reliable procedure, both in terms of postoperative problems and the final results.

Abdomen↗

PubMedDate not supplied

High superior tension abdominoplasty.

Although abdominoplasty has always been a routine operation, demands for it are constantly increasing for diverse reasons. For one, stomach reduction practiced by digestive surgeons is becoming a regular procedure. Massive weight loss induced by this surgery leads to a demand for abdominoplasty with increased risks of a difficult postoperative period and complications. In addition, more and more patients are looking for an improvement of a moderate cutaneous excess following pregnancy. In this case, standard abdominoplasty technique does not permit a sufficient skin resection and the surgeon must perform a vertical below umbilical scar and an insufficient epigastrium tension. Finally, a hematic or lymphatic collection is obviously undesirable and can lead to an aesthetic disaster. For these reasons, surgeons, more than ever, need a reliable technique that adapts to those different situations.

Abdomen↗

PubMedDate not supplied

Botulinum toxin A and facial lines: the variable concentration.

Our improved understanding of the functional anatomy of the face and of the action of the botulinum toxin A leads us to determine a new injection procedure which consequently decreases the risk of eyebrow and eyelid ptosis, and increases the toxin injection's possibilities and efficiencies. Variable toxin injection concentrations adapted to each injected area are used. Thanks to the new procedure in the upper face, toxin A action is quite close to an endoscopic surgical action. In addition, interesting results are achievable on the nose, upper part of the nasolabial fold, jawline and neck regions. Lastly, a smoothing effect on the skin is obtained by the anticholinergic action of the toxin A on the dermal receptors.

Adult↗