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D P de Pina

Publications and source records attributed to D P de Pina.

5 recordsLinked to original sources

Aesthetic resection of the submandibular salivary gland.

This paper analyzes some pathologies of the submandibular salivary gland that present a special interest for facial aesthetic surgeons. Even up-to-date techniques to correct the aesthetic deformities of the submandibular and cervical regions can be disappointing when the patient presents an increasing volume or ptosis of the submandibular salivary gland. Sometimes, even though the submandibular gland has not been preoperatively identified, it may become evident postoperatively, compromising the submandibular and cervical contour because the musculocutaneous flaccidity has been corrected and the fatty tissue present in this area has been eliminated. A personal approach is presented to treat the ptosis or the submandibular salivary gland enlargement that compromises rhytidoplasty results. A partial resection of the superficial part of the gland is suggested to treat some cases of ptosis or enlargement of the submandibular salivary gland.

Esthetics↗

Mammaplasty: shape, volume, and scar size.

Recently many mammaplasty techniques have been presented with special attention paid to the resulting scar's size and its position. The surgeon should try to hide the scar, and if the inverted T incision is used, its horizontal branch should be as short as possible and kept in the breast area. Nevertheless, excessive concern about the final scar size should not interfere with the final results of the mammaplasty as far as shape, volume and lasting results are concerned. The author presents his experience in mammaplasty with respect to the volume, the shape, and the scar size interrelationships.

Adolescent↗

Diagnosis and technical refinements in rhytidectomy: a personal approach.

The scared look caused by the overcorrection of the frontal area and mobilization of the lateral canthus of the eye and mouth are frequent complications or failures in rhytidectomy. These complications are usually related to poor surgical planning originating at imprecise preoperatory diagnosis. Many problems can be avoided and the results improved when the patient undergoes a meticulous preoperatory examination and a precise diagnosis is achieved in each facial segment. This allows the appropriate surgical technique to be chosen for each case, including the full orbital septum opening to sculpture the eyelids, the liposuction and SMAS plication to sculpture the face, and cervical and submental platysma plication to sculpture the neck. The presented standardization has been shown to be very efficient as far as technical performance and postoperatory results are concerned.

Adult↗