Lecture notes for medical students

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7. See notes for bibliography.

2. Principals of Plastic Surgery

3. Principals of Plastic Surgery
• Plastic-ancient Greek plassein, to mould or
shape
• To restore Form and Function.
• Cosmetic surgerry
• Aesthetic surgery

4. Indications

5. Indications
• Loss of Tissue
• Excess of Tissue
• Deformed Tissue
• Whims/trends/fashion

6. Etiology

7. Etiology
• Idiopathic
• Congenital
• Traumatic
• Infections /Infestation
• Autoimmune
• Neoplastic (Benign/Malignant)
• Degenerative

8. Techniques

9. Techniques
• Excision/ Liposuction
• Filling the defect
• Reshaping

10. Excision:How to get fine Scar

11. Excision:How to get fine Scar
• Atraumatic Techniqque
• Skin lines
• Wrinkle lines
• Contour lines
• Line of dependency
• Concealing scars
• Elliptical incisions
• Wedge excisions
• Multiple excisions
• Hemostasis

12. Methods of closure
•

13. Methods of closure
• Sutures
• Tapes
• Staples and clips
• Wound adhesives

14. Avoiding suture marks

15. Avoiding suture marks
• Time of suture removal
• Tension
• Distance from wound edge
• Infection
• Method of suturing :Buried

16. Closure

17. Closure
• Skin grafts
• Flaps
• Free tissue transfer

18. Skin Grafts

19. Skin Grafts
• Partial thickness grafts
• Full thickness grafts
• Hair transplant

20. Flaps

21. Flaps
• Local Skin Flaps
– Rotational
• Transpositional
• Interpolation
– Advancement
• V-Y
• Y-V
• Bipedicle
• Distant Skin Flaps
• Tissue expansion
• Compound flaps

22. Distant Skin Flaps

23. Distant Skin Flaps
• Direct Flaps from distance
– Trunk to hand
• Indirect flaps
– Carrier
– Migration

24. Crane Principle

25. Crane Principle
• Subcutaneous tissue +Skin transferred then
skin returned.

26. Compound flaps

27. Compound flaps
• Myocutaneous flap.
• Free Tissue Transfer.

28. • Muscle and tendon transfer

29. Z Plasty

30. Z Plasty

31. Tissue Transplantation

32. Tissue Transplantation
• Autograft
• Isograft
• Allograft
• Xenograft

33. Tissue Transplantation
• Skin
• Bone
• Cartilage
• Injectable collagen
• Fat
• Fascia

34. Implants:Silicone

35. Implants:Silicone
• Breast
• Chin
• Nose
• Ears
• Orbit
• Malar
• Maxilla
• Skull
• Mandible
• Testes
• Joints of fingers

36. BOTOX® Cosmetic
•

37. BOTOX® Cosmetic
• glabellar frown lines
• lateral canthal lnes.

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