Round block breast uplift techniques

The Benelli breast uplift (concentric, or peri-areolar or doughnut lift)
This technique is considered less invasive and was designed with the scars being around the areolae. With the Benelli, a donut shaped piece of tissue around the areola border is removed and the surrounding tissue sutured to the areola. The incisions are normally closed with purse string sutures. Sometimes a little more tissue is removed above the areola (like the crescent) to compensate for a lifting effect when it is sutured. The Benelli lift results in a flatter, rounder breast shape post-operatively as opposed to a sloped breast. The flatter aspect after the uplift is, however, temporary, and given time to settle a pleasant effect does ususally occur quickly.

The Benelli breast uplift can be combined with breast augmentation in cases of moderate ptosis(saginess) of the breast and a very empty skin envelope.

Areola Reduction Surgery
Some women may be displeased with the size of their areolae which may be enlarged due to genetic predisposition, previously having had large breasts then undergoing tissue loss, stretching of the areola due to implants or other reasons. The areola reduction surgery is designed to remove the redundant areola tissue to improve the overall cosmetic appearance of enlarged areolae. The reduction may result in a slight lift and may also produce slight irregularities at the incision line if the reduction was significant.

Again the approach can be combined with  breast augmentation via implants

Dr.Alexander Amir  Aslani, MD, EBOPRAS

Hospital:
Director and Chief Surgeon
Department of Plastic, Aesthetic and Reconstructive Surgery
Hospital Quiron Malaga
Avda.Imperio Argentina, 1
E-29004 Malaga
Spain
www.quiron.es
www.cirumed.es

Trigger finger release

….is a common condition mostly affecting 3rd and 4th finger. The principle is that, for a variety of reasons, the flexor tendon of a finger may get trapped in a “pulley” that normally forms they basis for the flexor tendon to glide in.

Should now the tendon thicken or other pathologic processes restrict movement of the tendon within the pulley, this can lead to entrapment of the tendon within the pulley and blockage of movement. it is one of the most common requests in hand surgery.

Whilst steriod injections have been suggested and are possibly still widely practised, state of the art treatment is surgical release of the pulley, which can easily be done under local anestetic.

Read more about trigger finger here.

Dr.Alexander Amir Aslani, MD, EBOPRAS

Hospital:
Chief Surgeon and Head of Department
Department of Plastic, Aesthetic and Reconstructive Surgery
Hospital Quiron Malaga
Avda.Imperio Argentina, 1
E-29004 Malaga
Spain
www.quiron.es

Private practice:
Cirumed Clinic
Avda.Ramon y Cajal 7-4°
E-29601 Marbella/Malaga
Spain
Phone:+34 607 307 515
info@cirumed.es
www.cirumed.es

Dupuytren´s disease-when to operate ?

Dupuytren´s , also known as “coachman´s”disease is normally divided into 4 stages. Incidence is very high among Celtic skin type, the disease is much rarer in darker skin types.

There are to approaches to the timing of operation Dupuytren´s disease in hand surgery: In early stages from grade II onwards the operation is much more straightforward and recovery for the patient is less traumatic, nevertheless, there is always a chance that the disease comes to a standstill and surgery may not be necessary.

On the other hand, advanced stages of Dupuytrens disease  require some much more complicated surgery and  have got higher incidences of surgical complications, such as nerve damage and wound healing problems.

I normally make the decision dependend on whether or not the dominant hand is affected. Another indicator is a strong family history. pain is also a deciding factor when making the decision whether or not to operate in Dupuytren´s disease, if patient´s suffer pain then I the indicationfor surgery is stronger.

Read more about Dupuytren´s disease here.

Dr.Alexander Amir Aslani, MD, EBOPRAS

Hospital:
Director and Chief Surge0n
Department of Plastic, Aesthetic and Reconstructive Surgery
Hospital Quiron Malaga
Avda.Imperio Argentina, 1
E-29004 Malaga
Spain
www.quiron.es

Private practice:
Cirumed Clinic
Avda.Ramon y Cajal 7-4°
E-29601 Marbella/Malaga
Spain
Phone:+34 607 307 515
info@cirumed.es
www.cirumed.es

Macrolane……alternative use to breast enlargement

Macrolane is currently undergoing a certain hype as being the non-surgical alternative to traditional breast enlargement.

There are good indications for Macrolane and some patients are indeed suitable for that, but it has to be borne in mind that not everybody is. Nevertheless I do see a promising potential for the substance in the treatment of for post-surgical irregulaities , for instance, following liposuction.

Such irregularities are not entirely unusual especially after extensive liposuction and sometimes not easy to treat, and I do think that Macrolane significantly adds to our instrumentarium in these cases, offering a less invasive solution for many cases. Nevertheless, Macrolane will not be able to permanently treplace breast augmentation surgery as many pateints looking for it falsely hope. It is an addition to the surgeons armatorium in breast augmentation, not a replacement.

Read more about macrolane here

Dr.Alexander Amir  Aslani, MD, EBOPRAS

Hospital:
Chief Surgeon and Head of Department
Department of Plastic, Aesthetic and Reconstructive Surgery
Hospital Quiron Malaga
Avda.Imperio Argentina, 1
E-29004 Malaga
Spain
www.quiron.es

Private practice:
Cirumed Clinic
Avda.Ramon y Cajal 7-4°
E-29601 Marbella/Malaga
Spain
Phone:+34 607 307 515
info@cirumed.es
www.cirumed.es

Permanent wrinkle fillers in the face

It may just be coincidence, but I am lately noticing an increased number of patients asking me for permanent wrinkle fillers in the face.

I fully understand patients desire for that, because most patients are under the impression that permanent fillers will give them permanent results. This is one side of the story, the other side, which is worrying me as a surgeon more, is that I am rather concerned that not only results, but more so possible problems are permanent.

This is what a lot of patients do not bear in mind, and without wanting do demonize permanent fillers (I think there is quite a few good ones around), I advise that patients should always approach permanent fillers with the due respect.

Whilst most resorbable fillers like hyaluronic acid for instance do of course share the diadvantage of needing touch-ups because they are not permanent, this is also one of their key advantages, because complications arising from them are also temporary. In my practice I currently restrict the use of permanent fillers to the correction of irrgularities after rhinoplasty, and that only after treatment has benn initiated with a resorbable filler. Also bear in mind that once you have had a permanent wrinkel filler in the face, it excludes you form having a temporary wrinkle filler as addition afterwards.

I advise all patients to bear that in mind when looking into permanent wrinkle fillers, which often may sound more attractive than they are in the end.

Dr.Alexander Amir  Aslani, MD, EBOPRAS

Hospital:
Chief Surgeon and Head of Department
Department of Plastic, Aesthetic and Reconstructive Surgery
Hospital Quiron Malaga
Avda.Imperio Argentina, 1
E-29004 Malaga
Spain
www.quiron.es

Private practice:
Cirumed Clinic
Avda.Ramon y Cajal 7-4°
E-29601 Marbella/Malaga
Spain
Phone:+34 607 307 515
info@cirumed.es
www.cirumed.es