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Biomedical subjects

P Regnault

Publications and source records attributed to P Regnault.

At least 19 recordsLinked to original sources

Breast reduction and mastopexy, an old love story: B technique update.

In summary, the recent findings of my personal experience with the B technique have been quite helpful and rewarding. I found that drawing a lateral angle when planning the procedure obtains a more circular areola contour and avoids last moment modifications. Also, upper pole undermining allows for an upper pole horizontal plication in the cases of a simple mastopexy. Figures 4 and 5 show results of the B technique. These modifications have been used over the last four years with no special complications and very satisfactory results.

Breast

The Regnault "B" technique in mastopexy and breast reduction: a 12-year review.

The "B" technique for mastopexy and reduction with and without prosthesis has been used by the author over the last 12 years for all forms of breast ptosis and hypertrophy. It has been used consistently and uniquely in over 1000 cases. Its cosmetic advantages are the short length of the scar, avoidance of a median projection of the scar, and a beautiful roundness in the best cases. The technique proved to be very adaptable to various deformities and is easy to use. The percent of complications is thought to be no greater than that of other techniques.

Breast

The minus-plus mastopexy.

The minus-plus mastopexy technique is designed for correction of moderate or major breast ptosis where breast volume is adequate but located in the lower quadrants and increased fullness in the upper quadrants is desired. The advantages of this procedure are absence of a medial scar, excellent projection, ensured nipple viability, speed, and flexibility.

Adult

Nasal augmentation in the problem nose.

The author emphasizes that nasal implants made of pierced silicone material, or conchal cartilage, are extremely satisfactory in selected cases. Their use should be restricted to dorsal implants, and the type of implant individually adapted to each case. The implant used should be made of solid silicone with numerous large holes piercing its form to create a natural fixation. In addition, the author stresses that cartilage grafts are very satisfactory, especially for small depressions or tip augmentation.

Adult

Secondary thigh-buttock deformities after classical techniques. Prevention and treatment.

Secondary high-buttock corrections pose difficult problems because of the poor vascularization of certain areas, the limited mobilization of the soft tissue, and the tendency toward poor scar formation. These factors limit the surgical techniques available. The tendency for the deformity to recur may necessitate several corrective procedures. The authors discuss correction of supratrochanteric depressions, trochanteric bulges, scars, contour irregularities, perineal bands, and flat buttocks.

Adipose Tissue

Brachioplasty, axilloplasty, and pre-axilloplasty.

Brachioplasty can be a satisfactory means of removing excess fat and skin from the upper extremity after moderate to massive weight loss. However, patients must be well informed preoperatively of the scars that are to be expected. The procedure itself is simple, easily performed under local anesthesia, requires minimal or no undermining, and rarely produces complications. Preaxillary fat deposits can also be satisfactorily corrected surgically.

Adipose Tissue

Depressed scars and soft tissues.

The authors describe a technique that brings great improvement to the treatment of depressed scars. It is simple and safe as long as enough superficial tissue is available. Unequal peripheral undermining allows closure under minimal tension, is less extensive than in previously described techniques, and separates the deep scar from the superficial one.

Abdomen

Facial and submandibular lipectomy with upward rhytidectomy.

This paper describes the removal of fat from several areas of the face and neck. Defatting is recommended whenever an excess is unaesthetic. The areas to be treated are most frequently submental and submandibular, but also chin, lower check and Bichat fat pads may have to be removed. A special type of rhytidectomy with upward pulling and direct crow's foot excision is often performed in conjunction with the defatting.

Adipose Tissue

Breast reduction: B technique.

The B breast reduction remains an excellent technique. It gives a small scar, well located, and a natural looking breast with good projection (Figs. 5, 6, and 7). In comparison to most classical techniques, the breast has less tendency to become flat with time, and the nipple-areola complex does not migrate up while the breast tissue sags down, but follows, like a nonoperated breast. It certainly is the method of choice in all kinds of mastopexies where it is useless to make long scars when short ones give a more aesthetic result.

Breast

The Skoog rhinoplasty: a modified technique.

This study is a 6-year experience with 305 cases in which the technique was used for large noses. The techniques described is based on the Skoog rhinoplasty principle: autografting the osteocartilagineous nasal dorsum after its reduction to the best suitable shape and size, so that the osseous part of the graft lies on the remaining nasal bones. The authors have conjointly used the intracartilaginous approach, which leaves a unique scar away from the graft, and the extramucosal dissection, which keeps the graft separated from the nasal cavity by an intact mucosal lining. They also used the internal lateral osteotomy, which reduces postoperative swelling. The technique is described with all details. The cases shown demonstrate that this type of rhinoplasty prevents the middle third retraction because of the osteocartilaginous graft and most of the common secondary deformities. The analysis of results obtained in this series show 89 percent excellent (patient and surgeon pleased). Secondary correction had to be done in eight cases, by reducing or removing the graft.

Adult

Partially submuscular breast augmentation.

The partially submuscular implantation has not permanently impaired normal arm or shoulder movements. As the lower and medial origins are severed only as far superiorly as the 3rd rib, just a small portion of the whole muscle is affected. The breast looks natural because the prosthesis remains separated from the skin by the muscle in the upper portions. The contour of the gland, soft tissues, and implant creates a pleasing outline in the lower part. A palpable capsular formation has developed in only 6 percent of our cases, when examined after one year.

Breast

Breast ptosis. Definition and treatment.

A definition of ptosis of the breast is given which permits differentiation of several kinds of defects to be made: pseudoptosis, partial ptosis, and true ptosis. In case of true ptosis, three degrees are described according to the nipple relation to the submammary fold and skin brassiere. An association with hypoplasia is described. The corrective techniques chosen are different according to the various types of ptosis and their possible association with various types of hypoplasia. The subpectoralis augmentation is used to insert the prosthesis in all cases.

Breast

Abdominoplasty by the W technique.

The W abdominoplasty is an excellent esthetic operation (Figs. 7-12), based on several important principles. 1. The drawing of the W with its 3 angles gives 3 good landmarks for a symmetrical result. The mid-angle may be cut off by one to two cm at the time of closure, if it seems too sharp. 2. By making the incision inside the hairline, there is no increase in the height of the pubic hair. 3. By removing more tissues laterally than in the midline the traction on the flap is equalized, thus giving a nice draping on the hips. 4. The operation equalizes the wound edges and avoids producing skin folds. 5. Complete removal of the skin and fat between the umbilicus and the pubis is always possible if the operating table is put in a proper position for closure. No vertical scar has ever been necessary in our series. 6. The direction of the final scar, although different from the primary incision due to the traction, remains low-just above the inguinal fold and approximately in the same direction, in the area concealed by small bathing suits. 7. The maximum stretching of the abdominal skin favors a lasting result.

Abdomen