Breast Reconstruction (sequels of cancer)
Mastectomy leaves physical and emotional consequences for patients. Reconstruction can be done in the same surgical procedure mastectomy, and in other cases it will be advisable to do as deferred.
There are different techniques to reconstruct a breast:
• Expanders prosthetic reconstruction consists of the progressive filling by infiltrations with physiological solution in order to cause expansion of the breast tissue and create space to place a silicone prosthesis.
• The abdominal flap breast reconstruction (flap) lies in the transfer of tissue in the abdomen to the upper chest area, to create a new breast.
• The flap allows to obtain tissue from the back and remove to the chest area to create a new breast.
It is usually required 2 or 3 surgeries:
1. Reconstruction of the affected expander or a prosthetic breast flap.
2. Replacement tissue expander by a definitive prosthesis.
3. Reconstruction of the nipple-areola complex.
These procedures are performed under general anesthesia.
Post Bariatric Plastic Surgery
After massive weight loss, either by bariatric surgery or through diets, due to loss of elasticity and excess skin changes, which does not fit the new body contour, leaving sequels tend to be more noticeable occur in arms, breasts, abdomen, buttocks and lower limbs.
The most frequent atrial defect is microtia (partial or total absence of the pinna, which is presented as very different, isolated or integrated into a malformation syndrome clinical forms. In all cases, the reconstruction of the pinna must be made from the 9-10 years old using costal cartilage of the patient, which reproduces the absent reliefs in a first time. at 6 months, the handset retro groove and the projection of the reconstructed ear is achieved with a cartilage graft covered by a skin graft. This type of procedure can be performed with the patient under local anesthesia and sedation.
Maxillofacial (facial fractures)
The facial fractures caused by accidents or serious attacks, specific treatment is required in order to recover the aesthetic but also the functionality of not only the affected area. Management of facial fractures is essential to ensure proper reduction and fixation thereof, using minimally invasive and maximum bone regeneration techniques. This type of procedure can be performed with the patient under local anesthesia and sedation.
Pediatric Oral and Maxillofacial Surgery
Cleft lip and cleft palate are the most common congenital facial malformations, are due to a congenital disorder .. To properly treat these patients, treatment should be performed by a multidisciplinary team and start your treatment from newborns, requiring attention special. Surgically correctable defects are: lip (queilorrafia), palate (palatoplasty, veloplasty), alveolus (bone graft), nose (rhino-septoplasty), etc. These surgeries are essential for the proper function of speech and swallowing, good facial appearance and social adjustment of the child. Each anatomical structure has an age of optimal surgical correction depending on their development, so that continued monitoring of these patients is paramount.