PubMed HealthSearch

Biomedical subjects

R A Mladick

Publications and source records attributed to R A Mladick.

At least 19 recordsLinked to original sources

Twelve months of experience with Bioplastique.

Over a 12-month period, 40 patients were treated for various facial defects using a new, injectable microimplant material--Bioplastique. Areas treated included cheeks, chins, lips, nasolabial lines, nasoglabellar lines, infraoral lines, noses, and miscellaneous depressions. Patients were observed for overcorrection, inflammation, morbidity, allergic reaction, or other complications. Both patient and physician satisfaction were recorded. Use of Bioplastique was found to offer permanent results by means of a quick, simple procedure administered under local anesthesia without scarring. With proper training and a good "eye," subtle corrections are possible. The author anticipates wide application of Bioplastique for the treatment of numerous soft tissue deficiencies.

Face

Male body contouring.

Male body contouring is discussed in regard to indications and patient selection. General guidelines are given for anesthesia, positioning, preoperative marking, and operating room preparation. The technique is discussed for facial, chest, and abdominal contouring. Suction lipoplasty, abdominoplasty, flankplasty, and thigh contouring are discussed in detail.

Abdomen

Gynecomastia. Liposuction and excision.

Lipoplasty has facilitated the correction of gynecomastia and improved the morbidity and end results. The author details his technique of combining lipoplasty with excision for gynecomastia.

Esthetics

Alloplastic cheek augmentation.

Alloplastic cheek augmentation can achieve an attractive malar prominence that is in balance and harmony with the other facial features. To reach this goal, the surgeon must first identify the proper candidate and then determine the type of malar deficiency. A vertical line through the lateral canthus allows the malar deficiency to be classified as anterior-medial, posterior-lateral, or combined. The proper implant is selected on the basis of the type of the defect and the degree of the deficiency. Different techniques are described that help the surgeon locate the site of the ideal malar eminence. Once that site is located, the surgeon outlines the proposed pocket for the implant. Both silicone and Proplast implants are successful. The insertion may be through the intraoral route, blepharoplasty approach, or under the face lift flap. The possible complications are discussed, but the complication rate is minimal.

Humans

Lipoplasty of the calves and ankles.

The author details his experience over the past 6 years with 53 patients who had lipoplasty of the calves and ankles. The patient selection and diagnosis are critical. Determining whether the problem is localized or circumferential (generalized) influences the approach. The incisions are outlined as well as the best technique to provide excellent access to the entire leg. Although the results take a considerable period of time to appear because of long-lasting edema, after 3 months in the localized cases and 6 months in the generalized cases, an excellent configuration of the lower leg may be obtained. The author has had no significant complications in this series.

Adult

Sixteen months' experience with the Illouz technique of lipolysis.

The Illouz technique of lipolysis was used in 167 patients over a 16-month period. Five hundred procedures were done in a variety of areas. The operation has been performed almost entirely as an outpatient procedure with excellent to good results in almost all areas and minimal complications. The technique is detailed, along with considerations of fluid replacement and postoperative care.

Adult

The muscle-suspension lower blepharoplasty.

The muscle-suspension (or muscle sling) lower blepharoplasty is a technique that can be used to some extent for all lower lids in which tightening and smoothing is desired. It seems to provide an extra degree of support by counteracting the natural tendency of gravity to produce scleral show or ectropion when the lid skin is tightened. It consists of anchoring a sling of orbicularis muscle to the periosteum of the lateral orbital rim, with an upward and lateral pull--while the skin is pulled in a more medial or upward direction.

Eyelids

Salvage of the ear in acute trauma.

Salvage of the ear in major acute trauma has been refined over the years. When severed parts were merely discarded, patients had to accept the defect or seek correction by secondary reconstruction. As primary reconstruction improved, the severed parts were reattached minimizing late deformities. Even when severed parts were not available, primary reconstruction advanced to meet the need. In the future it appears that immediate microvascular reconstruction will surpass our present achievements.

Debridement