Journal of Cutaneous and Aesthetic Surgery
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   2018| April-June  | Volume 11 | Issue 2  
    Online since August 28, 2018

 
 
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REVIEW ARTICLES
Simplifying injectables for volumetric rejuvenation of face
Shehnaz Zulfikar Arsiwala
April-June 2018, 11(2):51-59
DOI:10.4103/JCAS.JCAS_67_18  PMID:30210206
Volumetric rejuvenation with fillers is a minimally invasive technique used for facial volume restoration. Volume restoration demands adequate knowledge of fat pads and vascularity of the face and the understanding of the depletion patterns. Volumetric restoration with injectable has witnessed a paradigm shift in the last decade with a global rejuvenation, acquiring a predominant emphasis over focal wrinkle filling to restore the depletion pattern of facial fat layers. The techniques used to achieve optimal restoration of facial volume revolve around zonal lifting and tenting, and the impact of treatment on one zone of the surrounding zones is crucial. A face mapping performed for filler technique has thus evolved, with many experts advocating varied techniques from global restoration to point lifts at key areas, to improve the outcome of filler injections, albeit safely, thus simplifying the process. A systematic approach to various techniques and the point lifts in various zones pertaining to the face structure in the Indian skin are highlighted in this article.
  3,850 295 -
Beware what you inject: Complications of injectables—dermal fillers
Maya Vedamurthy
April-June 2018, 11(2):60-66
DOI:10.4103/JCAS.JCAS_68_18  PMID:30210207
Cosmetic filler injections are most popular among the antiaging procedures. As in any other cosmetic injectable procedures, complications are likely to occur even under experienced hands. However, it is the duty of the aesthetic physician to identify and manage these potential complications. The objective of this symposia is to help the aesthetic physician to identify these complications early and manage them appropriately to improve outcomes.
  3,732 271 -
Fat busters: Lipolysis for face and neck
Abhay Talathi, Prajakta Talathi
April-June 2018, 11(2):67-72
DOI:10.4103/JCAS.JCAS_59_18  PMID:30210208
Persistence and hypertrophy of fat pads particularly of the face and neck region disturb beauty proportions, thus demand treatments. Phosphatidylcholine and deoxycholic acid are the most commonly used solutions for injection lipolysis. As we stand today, sodium deoxycholate preparation is approved by the US Food and Drug Administration for the same. This article describes the correct use of solution to achieve fat reduction and ensure safety. Complete details of patient selection, assessment, dosing, and injection techniques are described in this article. A brief note on posttreatment care and complications is also provided.
  1,998 220 -
Dynamic relaxers of the face
Rashmi Shetty
April-June 2018, 11(2):47-50
DOI:10.4103/JCAS.JCAS_61_18  PMID:30210205
Dynamics of the facial aesthetics is changing rapidly as we treat more and more faces. Our understanding of the molecule at hand and its various applications only expands as our learnings progress. Perception and expectation of the end goal to beauty itself are evolving, and therefore newer ways of analyzing, understanding, and delivering of any aesthetic drug have to evolve continuously. Botulinum toxin is one of the wonders in the aesthetic world, which led the entire focus of the medical fraternity into nonsurgical facial aesthetics. Botulinum toxin was and is still the best tool for relaxing lateral canthal lines and glabellar frown lines. However, it has evolved further to now impart changes/enhancements in skin texture and luminosity, enhancement in facial shape, and reduction in glandular activity of sebaceous, sweat, and salivary glands, therefore leading to a lot more aesthetic application while it still remains as the line eraser.
  1,733 159 -
PRACTICE POINTS
Anatomy and applications of the #15 scalpel blade and its variations
Somodyuti Chandra, Indrashis Podder, Manas Chatterjee, Lawrence Field
April-June 2018, 11(2):79-82
DOI:10.4103/JCAS.JCAS_70_16  PMID:30210210
Scalpels have been used to make skin incisions since the advent of “modern” dermatosurgery. #15 Scalpel blade and #3 handle (Bard-Parker handle) are most frequently used by a dermatosurgeon. Besides the proper equipment, appropriate technique is mandatory to ensure a “precise” incision. In this article, we discuss about the anatomy, variations, and different uses of the #15 scalpel blade and the ideal method of making a “precise” skin incision.
  1,472 123 -
CASE REPORTS
Multiple miliary osteoma cutis of face
Anup K Lahiry
April-June 2018, 11(2):95-97
DOI:10.4103/JCAS.JCAS_54_17  PMID:30210214
Multiple miliary osteoma cutis is an uncommon condition presenting as multiple skin-colored papules of variable sizes on the face. A 48-year-old woman presented with multiple skin-colored hard papules on both cheeks. Examination revealed firm-to-hard dome-shaped asymptomatic papules in cluster over both cheeks. A punch biopsy was performed, which showed evidence of focal bony trabeculae with associated normal appendages. Few larger papules were incised and followed up with curettage of bony material and closed. All lesions could not be incised and removed because of large number of lesions in cluster.
  1,453 67 -
PRACTICE POINTS
An innovative training model for practicing hairline designing
Jyoti Gupta, Gillian Roga, Kavish Chouhan, Amrendra Kumar
April-June 2018, 11(2):83-87
DOI:10.4103/JCAS.JCAS_40_17  PMID:30210211
Hair transplantation has undergone a massive transformation in todays world. Besides advancement in technique there has also been a great increase in the demand for hair transplant. This rise in demand for hair transplant has further led to an increase in the requirement of professionally trained hair transplant surgeons. In this article we have described a new, versatile and simple technique for hair transplant surgeons to effectively practice hair line designing. This innovative technique proves vital in perfecting the art of the recipient area designing for the hairline, eyebrow, beard etc. for a surgeon who is undergoing training as well as for previously trained surgeons to rehearse an old skill to gain further confidence. Besides helping us practice the art of hairline designing this technique also teaches us the correct angle, direction, depth and density of slits which are ideal and thus helps us to be better prepared for the real life scenario.
  1,285 136 -
EDITORIAL
Trends for facial injectable therapies in medical aesthetics
Shehnaz Z Arsiwala
April-June 2018, 11(2):45-46
DOI:10.4103/JCAS.JCAS_98_18  PMID:30210204
  1,261 132 -
ORIGINAL ARTICLE
Arm contouring after massive weight loss: Liposuction-assisted brachioplasty versus standard technique
Verdiana Di Pietro, Gianfranco M Colicchia, Valerio Cervelli, Pietro Gentile
April-June 2018, 11(2):73-78
DOI:10.4103/JCAS.JCAS_102_17  PMID:30210209
Massive weight loss (MWL) brachioplasty is frequently requested for the improvement of the appearance and function of arms. Despite its diffusion, this procedure can be associated with significant complications. Liposuction-assisted brachioplasty (LAB) preserves the vascular, nervous, and lymphatic network and reduces the incidence of postoperative complications. This retrospective cohort study is aimed at analyzing two different modalities of arm contouring after MWL by evaluating the outcomes and complications. Of 31 patients (all females, average age 43.5 years), 20 were managed with standard brachioplasty represented by a swallowtail scar and monobloc resection and 11 with brachioplasty combined with aggressive liposuction. Evaluated parameters included age, body mass index, method of weight loss, and complications rate. No statistical analysis was used. Major postoperative complications (reoperation, bleeding, or thromboembolism) were not reported in both groups. The incidence of minor complications (wound separation, wound infection, and seroma) was globally 42%; the incidence of complications was significantly lower in the LAB group (9% vs. 60%). The incidence of hypertrophic scarring or keloid was higher in the control group (55% vs. 18%). Most patients were satisfied after surgery: in the LAB group, 81.8% of the patients expressed a high degree of satisfaction and 18.2% a good degree of satisfaction after 4 months of follow-up. In our experience, the LAB should be preferred in MWL patients because it has a lower rate of complications and a faster recovery than the standard technique. Proper execution requires considerable technical skill and experience.
  1,191 106 -
CASE REPORTS
Lipoid proteinosis: Skin resurfacing with combination of fractional CO2 and non-ablative radio frequency: A rare case report
Chandraiah Madura, Arti Priya, Byalekere Shivanna Chandrashekar
April-June 2018, 11(2):91-94
DOI:10.4103/JCAS.JCAS_29_18  PMID:30210213
Lipoid proteinosis (LP) is a rare autosomal-recessive genodermatosis, characterized by the deposition of amorphous hyaline-like material in different parts of the body, especially the skin and mucous membranes. Disfiguring lesions predominantly affect the facial appearance. No curative therapy and treatment options limited to symptomatic approaches are available. Facial disfigurement in this disease may have a huge negative effect on the patients’ psychology and quality of life. With this regard, the patients may benefit very much from the treatments that enhance their cosmetic outlook. We present a 19-year-old female patient with LP who came to us seeking treatment for her facial lesions. She was treated with a combination regimen of fractional carbon dioxide and non-ablative radio frequency with good clinical and aesthetic outcome.
  928 52 -
INNOVATIONS
Innovative use of abdominoplasty specimen
Saurabh Gupta, Devi P Mohapatra, Ravi K Chittoria, Elankumar Subbarayan, Sireesha K Reddy, Vinayak Chavan, Abhinav Aggarwal, Likhitha C Reddy
April-June 2018, 11(2):88-90
DOI:10.4103/JCAS.JCAS_55_18  PMID:30210212
Simulator training is important for understanding nipple–areolar complex reconstruction. Human tissue is the best tissue simulator for surgical training. Abdominoplasty specimen is a useful tissue simulator, which is suitable for practicing nipple–areolar complex reconstruction. It is similar to the natural mound created in breast reconstruction. Authors have shared their experience of using abdominoplasty specimen for simulator training of nipple–areolar complex reconstruction for plastic surgery residents. Abdominoplasty specimen is cost-effective, readily available, and an efficient tool for plastic surgery training for the residents.
  780 42 -
CORRESPONDENCES
A simple, efficient, and economical head drape technique for facial procedures: The nun’s veil drape
Guirgis A Awad
April-June 2018, 11(2):98-99
DOI:10.4103/JCAS.JCAS_32_18  PMID:30210215
  750 55 -
Dermatological surgery in patients with cardiac implantable electronic devices: A new paradigm
Andre B S Khoo, Vishal Madan
April-June 2018, 11(2):100-101
DOI:10.4103/JCAS.JCAS_107_17  PMID:30210216
  708 39 -
COMMENTARY
29th National Dermatology Congress of the Algerian Society of Dermatology Algiers, October 18 and 19, 2017
Robert A Schwartz, Aicha Salhi
April-June 2018, 11(2):102-103
DOI:10.4103/JCAS.JCAS_111_17  PMID:30210217
  698 28 -
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