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Biomedical subjects

F Trepsat

Publications and source records attributed to F Trepsat.

14 recordsLinked to original sources

[Reduction mammaplasty using the postero-inferior glandular pedicle without de-epithelialization].

The author describes the technique which he has used for the last two years and in 140 cases of breast reduction. This technique uses an essentially posterior glandular pedicle, the blood supply of gland is essentially derived from the thoracic wall and there is no de-epithelialisation for vascular purposes. This simple technique provides patients with the certainty of normal lactation and almost certain restoration of nipple sensitivity. Moreover, as the skin is not placed under tension, the scars appear to be of better quality than when they are placed under tension as with many other techniques.

Breast

[Submental region in young adults].

Techniques of correction of thickening of the submental region are based on an anatomical analysis: position of the hyoid bone, mental protrusion, supra- or sub-platysmal steatomery, anatomy of the platysma muscle. Defatting procedures can be performed with an aspiration cannula, but a musculoplasty is sometimes required. Only direct exploration allows modelling of the fat situated between the platysma and the floor of the mouth.

Adult

[The choice of incisions and myoplasties in face lifts].

The choice of the site of incision in facial and forehead face lifts is very important, as, apart from minimising the scars, it determines the absence of alteration in the hairline. This is particularly important in occipital and frontal regions but also in the "sideburns". After defining the incision, the surgeon must decide which platysma muscles must be used to correct frontal, horizontal or vertical wrinkles, crows feet or cervical folds. The author presents his experience and technical developments in these two fields.

Facial Muscles

[Upper palpebral dermolipectomy].

The classical techniques of superior blepharoplasty involve a preliminary determination of the quantity of excess skin. The author decided it would be useful to only determine the skin resection during the operation, as in the case of abdominal dermolipectomy. Blepharoplasty, performed in this way, is more precisely adapted when a frontal facelift is performed at the same time.

Eyelids

[External canthopexy and blepharoplasty].

The obliquity of the palpebral cleft is one of the determinant elements of facial appearance. External canthopexy or transposition of the external palpebral tendon, performed in young subjects by release of the orbital septa, allows rejuvenation of the face and tightening of the skin without resection. In elderly subjects it is also a good insurance against postoperative lagophthalmia.

Esthetics

[Sunken eyes].

A procedure to correct the supra tarsal depression observed in aging people is described. It is an adaptation of the procedure described for corrections of the same problem occurring after enucleation. After taking a mold, a silicone implant is created. It will be inserted behind the orbital septum of the upper eyelid to compensate for the fat resorption of the middle fat compartment.

Aging