Growing array of fillers expands options for facial rejuvenation
The pivotal clinical trial leading to approval of the new filler was conducted at 15 sites in North America. It included 235 patients who were treated to correct midface volume deficit and 47 untreated controls. Eligible patients had moderate, significant or severe midface volume deficit as assessed using a six-point validated rating scale.
Basically any wound that is potentially problematic should be seen and treated by a plastic surgeon. Some examples: burns especially in children, elderly or hand and face burns, high velocity/high impact injury wounds, wounds where tissue is lost, where tissues are torn irregularly or avulsed, crush wounds etc. The reason is that in these wounds, tissue is de-vitalized and needs gentle and selective handling as well as proactive management to ensure as best a healing as possible. Further, wounds that have not healed in a reasonable time of two weeks are better seen by a plastic surgeon.
When considering recent plastic surgery trends, a lesser-known procedure might come to mind – buccal fat removal. This decades-old procedure that involves reshaping the face through the removal of fat found in the cheeks has recently seen a boom in demand.
Most people would be surprised to hear about plastic surgery for children but in fact pediatric plastic surgery forms a very important part of our work. This mainly refers to correction of birth defects and treatment of injuries or burns. Other examples may be surgery to correct babies born with a paralyzed hand or born with rare tumors. Rarely the birthing process can damage the delicate nerves in the neck leading to paralysis of the baby’s hand;early plastic surgery on the nerves can improve this significantly. All these are reconstructive surgeries;cosmetic surgery is not done in children. In this article I will cover some common birth defects and their treatments, cleft defects and vascular swellings will be covered in another article.
Birth defects are merely errors in the complex process of an embryo becoming a baby. Some of them may have devastating consequence while some are mere variations. Plastic surgeons are using their skills everyday all over the world in performing life changing surgeries to bring about hope to millions of such babies and their families. Continuing the feature from the last week, Dr. Mohan discusses cleft defects in detail and briefly touches upon other common anomalies.
