A one-stage procedure to reconstruct complete and incomplete unilateral/bilateral cleft lip and nose deformities is presented. Emphasis was made on closure of the lip muscles, correction of the nostril floor, correction of the alveolar cleft as well as reconstruction of the nose through an intranasal approach, with a supported suture technique for nasal correction. No dental or orthodontic treatment was available or performed in this older population. Emphasis was on primary closure of the muscles, using the rotation advancement principle. The repair that was performed was near anatomical, reconstructing the labial sulcus, the nostril floor, the alveolar cleft and the nasal deformity all in one stage. There was a high level of satisfaction both from the patient's and surgeon's point of view.
Background: Purpose of this article is to demonstrate the “Operation Rainbow Canada” cleft lip revision technique. This is a surgical technique used by Operation Rainbow Canada on volunteer surgical missions in developing nations. We show how to convert previous Millard or straight line cleft lip repairs to a Fisher anatomic subunit repair, placing a favourable scar along the philtrum. We show a case series of results and explain how this technique gives satisfying aesthetic results for patients seeking unilateral cleft lip revision. Methods: This technique combines the principles of the anatomic subunit repair for primary cleft lip repair as described by Fisher and the correction of the cleft nose deformity as described by McComb. We apply these 2 techniques to unilateral cleft lip revision at the same operation. Results: Patients for revision unilateral lip and nose deformities were treated with this technique over the course of several international surgical missions. There were over 90 cases of revisions performed by our group on previous repaired cleft lips. These procedures were done in India, China, and Cambodia. Conclusion: Previously repaired cleft lips can be improved by our revision procedure. We show how incorporating 2 triangular flaps to lengthen the cleft side of the repaired lip can be done in a revision setting. During lip revision, McCombs sutures can be placed to improve the aesthetic of the nose and correct the nasal alar dome.
A one-stage procedure to reconstruct complete and incomplete unilateral/bilateral cleft lip and nose deformities is presented. Emphasis was made on closure of the lip muscles, correction of the nostril floor, correction of the alveolar cleft as well as reconstruction of the nose through an intranasal approach, with a supported suture technique for nasal correction. No dental or orthodontic treatment was available or performed in this older population. Emphasis was on primary closure of the muscles, using the rotation advancement principle. The repair that was performed was near anatomical, reconstructing the labial sulcus, the nostril floor, the alveolar cleft and the nasal deformity all in one stage. There was a high level of satisfaction both from the patient's and surgeon's point of view.
A scarless facelift operation is the procedure of choice for facial rejuvenation. Emphasis is placed on the midfacial area to compliment the overall appearance of the face. Nasojugal folds are eliminated or improved. The cheek lift provides some augmentation in the malar area, which reduces the prominence of the nasolabial fold. Complications are minimal. The subperiosteal facelift operation is done via the lower eyelid blepharoplasty incision. Concurrent lower eyelid canthoplasty is done at the time of blepharoplasty to support the eyelid and to avoid postoperatiave ectropion.
During the past decade, more esthetic surgery has been performed on male patients compared with the past. The most common request has been for improvements in the chest, ‘love handles‘ and abdomen. In the youthful male, the musculature, breast tissue and nipple areolar complex are quite tight. As age progresses, laxity of the tissue, skin and musculature becomes a problem. Management of contouring of the male breast depends on the size and shape of the breasts, whether the breasts are glandular or fatty and whether ptosis is present. Surgery aims to reduce fat content, increase skin and subcutaneous tissue contracture, and reposition the tissue in a more anatomical plane. Most of the procedures done by the author have been by ultrasonic liposculpturing. The level of satisfaction has been over 90%. A combination of ultrasound and conservative excision of glandular components can be done. Management of most juvenile breast hypertrophy and enlargement should be discouraged because of incomplete growth of the patient. However, sometimes ultrasound liposuction has a significant role to play in correcting this deformity.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.