Dr. Schlesinger Explains Lip Lift and Augmentation with Alloderm - Not Graphic скачать в хорошем качестве

Dr. Schlesinger Explains Lip Lift and Augmentation with Alloderm - Not Graphic

Dr. Schlesinger Explains Lip Lift and Augmentation with Alloderm - Not Graphic. Visit us online at http://goo.gl/DwFCzf or call us at 808-201-0540. How does a lip lift surgery work? Dr. Schlesinger, a board-certified plastic surgeon in Honolulu, Hawaii walks us through the steps of this procedure as well as what is involved in a lip augmentation using Alloderm. Transcript: Hi, I'm Larry Schlesinger and I'm a board-certified plastic surgeon from Honolulu, Hawaii. Today, we'll be doing a lip lift and lip augmentation. And this specific mechanism or treatment is to excise an area of the upper lip under the nose. But then, to keep it from showing almost any scars at all, you turn it into each nostril like a z-plasty, and that breaks up the scar and makes it almost invisible. The lip augmentation is gonna be done with AlloDerm. AlloDerm got a bad name in the earlier part of this century because what was being done was people would take pieces, very thin pieces of AlloDerm, thin as paper you would type with, and rolling it up into like a fruit roll and then sticking it in the lips. The problem with that is the blood supply has to come from the surrounding tissue, which is, in lips, as everyone knows, is nothing but capillaries. And as these capillaries go into the first roll and the second roll and the third roll, pretty soon the inner ones die and liquefy, inner pieces liquefy, and so you're not really getting good revascularization of the graft. What we're gonna be using, instead of something as thick as typing paper, we're gonna be using something thick as cardboard. It's approximately three millimeters thick. And by being a single sheet, when we put it in, it tubes itself. It rolls into a tube, forming a tube as it goes in. Then, since it's a single piece, the blood vessels are integral to this sheet. It doesn't have to go perforating through. And therefore, the three stages of revascularization of a graft, plasmatic imbibition, inosculation, and neovascularization, can occur all within the first 72 hours, at least the start. So, within approximately four to five days, you have a great blood supply to this single piece of ADM. We tube it, we pull it through with a tendon passer, and then we put, at the commissures, three, maybe four chromic sutures, at least one of them being a horizontal mattress so we get eversion. They come out at 72 hours. You wanna take 'em out at three days or they'll leave scars. And it always heals well. Initially, it doesn't look like it's gonna heal well, but they always heal well with no scarring. And that's the surgery for today. I'm Larry Schlesinger from Honolulu, Hawaii. Aloha. S. Larry Schlesinger, Mommy Makeover Institute of Hawaii and The Breast Implant Center of Hawaii. 1221 Kapiolani Blvd., Suite 1025, Honolulu, HI