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Biomedical subjects

H E Pierce

Publications and source records attributed to H E Pierce.

At least 19 recordsLinked to original sources
PubMed1988

Cosmetic surgery of black skin.

Black patients who desire cosmetic surgery have not had many treatment options or services available to them. At this time, the requests for specific cosmetic surgical procedures by black patients have far exceeded the number of cosmetic surgeons able to meet their needs. A surgeon who calls himself or herself a cosmetic surgeon can no longer limit professional services to white patients only. The patient selection process must be color-blind, for only then will the patient perceive that his or her doctor truly has a sense of ethnic fair play.

Black People↗
PubMed1986

Keloids: scar revision.

The treatment of keloids can be a long-term, and at times, vexing, dermatologic surgical management problem arising in both white and non-white patients. This paper reviews a number of conventional, as well as novel, therapeutic approaches for the management of this disease of uncontrolled scar growth. Additionally, fundamental aspects of this disease are covered, including clinical, histologic, biochemical, immunologic, endocrinologic, and epidemiologic factors. An understanding of these latter aspects may be useful to the clinician in realizing the best possible therapeutic results. It must be emphasized that, regardless of the technique employed, an observation period of at least 2 years is necessary to effectively limit the chance and degree of recurrence.

Adrenal Cortex Hormones↗
PubMed1986

Laminar dermal reticulotomy and chemical face peeling in the black patient.

The technique of surgical planing, or laminar dermal reticulotomy, is described with special attention to its use in the black patient population. Additionally, the use of chemical peels in this group is discussed. Possible complications including scarring, pigmentary changes, milia formation, and infection are evaluated. Finally, indications for this technique as well as full-face chemical peel using trichloroacetic acid or the Baker-Gordon phenol formula in blacks are noted, and two illustrative case reports are presented.

Adult↗
PubMed1986

Postsurgical acrylic ear splints for keloids.

It is generally acknowledged that earlobe keloids are best surgically resected and repaired while attempting to leave a residual skeletal cartilaginous soft-tissue framework, oftentimes composed of keloidal tissue itself. Whether grafts, flaps, or primary incision and closure are performed, the success of each procedure may require the adjuvant use of pressure to the involved ear-lobes for at least a year. Where gross deformity has existed, the use of an "oyster splint" seems to act as a pressure remolding device.

Acrylates↗
PubMed1985

Possible use of the Radovan tissue expander in hair replacement surgery.

Inelastic scalps in patients with male pattern baldness tax the ingenuity of the dermatologic surgeon in executing a satisfactory donor site closure without tension and subsequent wound dehiscence. The Radovan tissue expander permits the scalp to stretch slowly and facilitates the reconstruction of large scalp defects. Two cases are presented, illustrating this technique and its complications of pressure necrosis and expander extrusion. It is believed that this represents a significant advance in the field of hair replacement surgery.

Adult↗
PubMed1984

Collagen pretest.

Zyderm, a bovine-collagen implant material, is costly. A simple tissue distensibility technique assists in forecasting the effectiveness and approximate cost of the collagen material to be used.

Animals↗
PubMed1982

The black dermatologist: 1990--a viewpoint.

Despite equivalent training in dermatology and dermatologic surgery, in a traditional sense black dermatologists are overtrained in the area of cancer surgery by virtue of the nature of their black practices. I believe that the survival of black dermatologists in the United States will one day depend upon the adjunctive dermatoplastic skills that they must develop, not only to meet the increasing demand for these procedures by their patients, but to assure a broadening of their economic base to meet their white competition.

Black or African American↗
PubMed1981

Laminar dermal reticulotomy.

Laminar dermal reticulotomy is a procedure in which a dermatome is used to achieve a finer result in the obliteration of scars on the face caused by acne or trauma. A method of preoperative assessment of degree or depth of scarring and postoperative result of laminar dermal reticulotomy by use of a phototopographic technique is described. Laminar dermal reticulotomy may be done following other procedures like dermabrasion, chemical peel, and conventional plastic surgery.

Cicatrix↗
PubMed1981

An effective method of inducing analgesia and anesthesia for dermatoplastic surgery in an office.

Butorphanol tartrate (Stadol [Bristol]) and diazepam (Valium [Roche]) given intravenously in combination, in proper doses, and properly monitored are effective and safe to induce analgesia and calmness preliminary to extensive infiltration of local anesthetics that are otherwise painful and distressin. They are particularly good for moderately long and prolonged dermatoplastic procedures, and all the better because their analgesic and calmative effects last well into the postoperative period.

Analgesia↗
PubMed1980

Cosmetic head and face surgery--ethnic considerations.

In recent years there has developed an "image awareness" among various racial and ethnic groups throughout the world. Perhaps because people live longer, a greater sense of self-esteem based on the way one looks has developed. The communications media are highly promotional of interest in one's self. People want to feel good and look good, even if it requires blepharoplasty, face-lift, rhinoplasty, dermabrasion, or other types of cosmetic surgery. It is interesting that persons born in one place, and for business or personal reasons transposed to another part of the world, soon desire to remold their physical and cultural images in accordance with the practices and customs of their new milieux. This paper addresses these problems.

Cryosurgery↗
PubMed1979

Keloids: enigma of the plastic surgeon.

The treatment of keloids continues to be an enigma to the surgeon and the patient as well. There is to date no absolute single method that assures success. Generally speaking, we must use all the tools in our armamentarium, including radiation, intra-keloid steroids, surgery and postoperative constant wound pressure in an effort to remold the newly forming collagen. While these do not guarantee satisfactory results, they are the best we have to date and adequately justify our attempts to help patients with this problem. Of great importance is the necessity for the patient to be fully informed of the need for protracted follow-up without guarantees regarding the final outcome.

Ear, External↗
PubMed1977

The strip graft as a means of hairline replacement.

The strip-graft hairline replacement is a surgical procedure requiring meticulous tissue handling and attention to detail. Even then, the unpredictability of successful "takes" causes the cosmetic surgeon some concern. When combined with the original Orentreich autograft technique it can be valuable in the surgical treatment of male pattern baldness.

Alopecia↗