The medial plantar flap for heel coverage

    Levan Philippe M.D. , Chatel Harold M.D. , EL Khoury Joseph M.D. / 1 year ago / 842 views
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    This video shows the dissection of the medial plantar flap for heal coverage. This flap is a sensate flap that provide optimal tissue transposition  ...

    breast augmentation using silicone implant with autologous fat grafting

    P. levanM.D. , S. chatelain M.D. , J. El Khoury M.D. / 2 years ago / 1118 views
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    This video shows the technique of composite breast augmentation using a silicone implant and fat transfer in order to reshape and aesthetically improve the breast medial contour.   Authors : P. levan M.D. , H. Chatel M.D. ,  S. chatelain M.D , J. EL Khoury M.D....

    Prominent ear management

    Pr N. Hokayem M.D. , C. Awaida M.D. / 2 years ago / 907 views
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    This Video describes the treatement of prominent ears using concha resection, Mustarde and Furnas sutures Pr N. Hokayem M.D. , C. Awaida M.D. Beirut, Lebanon...

    Zygomatic Fracture

    N. Hokayem M.D., J. El Khoury M.D. / 2 years ago / 631 views
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    This is Zygomatic arch Fracture reduction using a temporal approach. This technique is limited to arch noncomplex fracture in young patients....

    Open approach in rhinoplasty

    P. Levan, S. Jabbour M.D / 2 years ago / 930 views
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    ​The open rhinoplasty is a challenging operation. Good technique and standardized approach make it easier. We present a video that explains the basic steps of the nose dissection in open rhinoplasty....

    Immediate Breast reconstruction with expander and abdominal advancement flap

    Nicolas Leymarie, Jean-François Honart, Benjamin Sarfati, MD / 2 years ago / 1165 views
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    The  Plastic surgeons team of Institut Gustave Roussy (IGR) presents an immediate breast reconstruction with expander, retropectoral and sub-facial pocket and abdominal advancement flap. The skin defect due to the resection of the nipple and areola complex is corrected with the abdominal advancement flap. The reconstruction of the inframammary fold is performed using the hammock technique with one medial and lateral stitch, and a running suture in the lower border of the incision of the fascia superficialis.  ...

    Abdominal Etching

    Jeremy Niddam, MD / 2 years ago / 4423 views
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    In this video, Dr. Jeremy Niddam demonstrates how his  approach and  liposculpting techniques can be used to create an abdominal contour and shape. Only French audio available....

    Extended TDAP flap (TAP flap) in breast reconstruction

    Raphael Sinna, MD, PhD / 2 years ago / 1275 views
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    The extended thoracodorsal flap allows pure autologous , implant and flap based or pure implant breast reconstruction. In this last case the flap is used like an ” vascularized “ADM to cover the implant. Fat grafting is often mandatory in all cases. Plastic Reconstructive and Aesthetic department CHU AMIENS Picardie Facebook :Amiens Plastic surgery department Insta: profsinna...

    Ptosis repair with Mullerectomy

    Dr W.NOEL, S. STRUK, H. TILLIET LE DENTU M.D / 2 years ago / 1215 views
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    This video illustrates how to perform a ptosis repair with Mullerectomy with posterior approach...

    Abdominoplasty with horizontal and vertical scars

    Philippe Levan, MD / 2 years ago / 945 views
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    Sometimes the skin excess is not enough to make a cutaneous resection to the level of the umbilicus. It is then more prudent to do in addition to the classic horizontal scar a short vertical scar. This avoids excessive traction, which can lead to a high positioning of the horizontal scar and / or cutaneous necrosis. It is an intermediate solution between complete abdominoplasty and partial abdominoplasty. In the latter case, the umbilicus is detached from the underlying musculo-aponeurotic plane and is sometimes placed very low because of the cutaneous resection which may be important....

    Ptosis repair : levator muscle resection.

    P. Levan, R. Billon M.D / 2 years ago / 2624 views
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    Resection and advancement of the levator aponeurosis is a technique often used in correction of ptosis in patients with greater than 5 mm of levator function. This technique is performed via the exposure of the levator aponeurosis through an anterior approach, traditionally using an incision running the entire length of the upper eyelid crease, then advancing the levator aponeurosis by folding or excising the muscle, and reattaching the aponeurosis to the anterior surface of the tarsus. This method results in an elevation in the contour of the upper lid by effectively shortening the levator muscle itself. This approach has the...

    Liposuction assisted Arm lift/ Brachioplasty

    T. Schmitt / I. Nseir M.D / 2 years ago / 1242 views
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    Authors : T. Schmitt, I. Nseir M.D This video illustrates how to perform a liposuction assisted brachioplasty after weight of loss. Visit us on wikiplastic.surgery Share your video ! Follow us on instagram...

    Asymmetric breasts correction by implants and unilateral mammopexy

    Philippe Levan, MD / 2 years ago / 1379 views
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    Breast augmentation in asymmetry may be complex. In this case, an increase in volume is carried out by two different sizes of round implant. The left breast which is more ptotic and large received a smaller one in association with a mammopexy with inverted T scars while the right hand received only a larger one without mammopexy....

    INVERTED NIPPLE CORRECTION

    C.Fenoll MD, A. Serre MD / 2 years ago / 2085 views
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    An inverted nipple (occasionally invaginated nipple) is a condition where the nipple is retracted into the breast. Women and men can have inverted nipples. The most common causes of nipple inversion include: Born with condition Breastfeeding Trauma including  surgery Breast cancer Breast infections or inflammations Rare Genetic variant of nipple shape Gynecomastia Pregnancy Tuberculosis Major wheight loss Around 10–20% of all women are born with this condition. Most common nipple variations that women are born with are caused by short ducts or a wide areola muscle sphincter. There are three grades of inverted nipples : Inverted nipple Grade 1 refers to...

    Upper lip lift

    Philippe Levan, MD, Raphaelle Billon, MD / 2 years ago / 1329 views
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    This video illustrates a procedure for upper lip lift. A young woman with an overlong upper lip wanted a more attractive facial presentation with a shorter and upturned upper lift. We perform a subnasal skin resection. The incision is made at the subnasal (inferior border of the columella-nostril-alar) region. After undermining the tissue between the subcutis and orbicularis oris muscle, the appropriate skin height is resected. The incision is then sutured delicately. Upper lip lift yields a significant esthetic effect with few complications. Both young women who want a more attractive upper lip with thick vermilion and older patients with...

    Breast Augmentation with Implants through Armpit

    Dr NOEL W. MD, Dr ALMADANI O. MD / 2 years ago / 1059 views
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    The transaxillary breast augmentation leaves no scar on the breast as the incision is made in the axilla whereby the implant is introduced. It is a suitable option for small areolas as is the case with this patient in the video. She also had a pinch test of more than 2 cm allowing for a sub-glandular implant. The assistant plays an important role helping lift off the breast with the lighted retractor. No drain was placed....

    An Update to Breast Implant-Associated ALCL

    The Plastic Surgery Channel / 2 years ago / 758 views
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    On March 21, 2017,  a new update was released from the Food and Drug Administration regarding BIA-ALCL  has the media buzzing with talk of serious illness and safety.  Seemingly none of the talk, however, is giving patients much real information. Dr. Bill Adams, Associate Clinical Professor, Department of Plastic Surgery at UT Southwestern, Board member for the American Society of Aesthetic Plastic Surgery, and  ASPS/ ASAP BI-ALCL Taskforce member and Dr. Jamil Ahmad, Assistant Professor, Division of Plastic and Reconstructive Surgery at the University of Toronto, and Board member for the American Society of Aesthetic Plastic Surgery, have received a...

    Upper and lower blepharoplasties

    Philippe Levan, MD / 2 years ago / 753 views
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    The authors present the surgical technique of upper eyelid and lower eyelid blepharoplasty.  It demonstrates the resection of the skin and internal fat pad of the upper eyelid. In addition, a lower blepharoplasty with a subciliary approach is used to remove skin excess and fat pads. The excedent of skin to be removed is evaluated by pinch test method....

    Dual mode rhinoplasty

    Guillaume Drossard, MD / 2 years ago / 600 views
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    Video from 2016 GAPS meeting. It is explained the concept of conservative rhinoplasty. For the 2017 GAPS Meeting, this technic is performed by an ultrasonic device...

    Superomedial pedicle breast reduction

    Philippe Levan, MD / 2 years ago / 1567 views
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    Superomedial pedicle for breast reduction. This technique offers a safe and predictable outcome for medium – large breast reduction....

    Bilobed flap

    N. Hokayem MD PhD, J. El Khoury MD / 2 years ago / 1428 views
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    This video shows how to perform a bilobed flap with the Zitelli modification in nasal reconstruction    ...

    STENCIL TECHNIQUE FOR AREOLA TATTOOING

    Julien Pauchot / 2 years ago / 765 views
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    A simple, reliable and reproducible procedure using a stencil for homogeneous tattoos with regular edges published in JPRAS open. More informations at http://www.sciencedirect.com/science/article/pii/S2352587814000084...

    PureGraft™ Système User Guide

    P. Levan, A. Serre M.D / 2 years ago / 625 views
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    The PureGraft™ System sets a new standard for fat graft processing with its membrane-based tissue filtration combined with speed, simplicity, safety and precision. The PureGraft™ technology takes only 15 minutes to purify a fat graft, removing excess and unwanted fluid, lipid, blood cells and debris in a controllable manner...

    Conference on “La fabrique du visage” at the GAPS Meeting 2016

    Professeur Bernard Devauchelle / 2 years ago / 874 views
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    Attend the exceptional conference on face transplant at the GAPS ( Group for advancement in Plastic surgery) meeting given by Professor Bernard Devauchelle*, the first surgeon to sucesfully perform a partial facial transplant in 2005 in Amiens, France. *Head of Departement of Maxillo-Facial Surgery at University Hospital of Amiens, France. Conférence exceptionnelle lors du congrès GAPS (Group for Advancement in Plastic Surgery) du Professeur Bernard Devauchelle*, premier chirurgien au monde à effectuer une greffe partielle du visage en 2005 à Amiens, France, sur le thème de la transplantation faciale. *Chef de service de Chirurgie maxillo-faciale au CHU d’Amiens, France....

    Blepharoptosis repair by levator muscle resection

    P. Pelissier, Noel W, A. Serre MD / 2 years ago / 638 views
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    Before undertaking repair of a ptotic eyelid you have to select your patient. The consultation might reveal a systematic etiology of their blepharoptosis (Myasthenia). All patients should routinely have their visual acuities, pupillary function and extraocular motility documented. There is a myriad of surgical techniques. We describe the external levator resection...

    Breast reduction: inverted-T technique with superior pedicle

    P. Levan MD, R. Billon MD / Hôpital Saint Joseph Paris / 3 years ago / 2963 views
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    The video demonstrates the preoperative markings and the surgical procedure for reduction mammoplasty with inverted-T incision and superior pedicle. Although avowed goals of this procedure are weight and volume reduction of the breast, aesthetic enhancement is often equally important....

    DIEP thoracic vessels preparation

    Authors : Rani Makhoul, MD - Omar Almadani, MD / 3 years ago / 1055 views
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    DIEP flap is a free flap technique used for breast reconstruction. The flap is harvested by one team while another prepares the receiving site. The receiving vessels are often the internal mammary (thoracic) arteries which run vertically behind the ribs near the sternum. This video shows how to access and prepare these vessels in a patient who previously had a mastectomy....

    Fleur-de-Lys abdominoplasty

    Philippe Levan, MD - Omar Al Madani, MD / 3 years ago / 2757 views
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    Fleur-de-Lys abdominoplasty (de la plazza) is an abdominal dermolipectomy with a vertical and horizontal incisions. It is indicated in the presence of horizontal skin excess in addition to the vertical excess.  ...

    Extended forearm brachioplasty

    P. LEVAN MD, W. NOEL MD, NSEIR I MD / 3 years ago / 935 views
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    We present herein a video of a extended forearm brachioplasty after a massive weight loss.  ...

    Buttocks augmentation with biconvex gluteal implants

    Philippe Levan / 3 years ago / 927 views
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    The technique with double  scars placed in the intergluteal sulcus is shown. Biconvex silicon implants are used to have better projection. Indeed this kind of shape allows higher volume without increasing the diameter  of the implant. It also prevents problem in case of  flip-over of the implant....

    RECONSTRUCTION OF POSTERIOR LAMELLA OF THE LOWER EYELID USING HUGHES PROCEDURE

    Rani Makhoul, MD / 3 years ago / 855 views
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    This video presents a case of a whole full-thickness defect of the lower eyelid reconstructed with the Hughes procedure. This technique recreates the posterior lamella of the lower eyelid through use of a tarsoconjunctival flap from the upper eyelid. At least 4mm of tarsus is preserved proximal to the lid margin for lid stability and to prevent the complication of upper lid entropion. The tarsoconjunctival flap is advanced into the defect of the lower eyelid and secured with a medial and lateral periosteal flaps. A laterally based myocutaneous transposition flap from the upper eyelid (Tripier flap) reconstructs the anterior lamella....

    Gynecomastia surgical treatment without skin resection

    Philippe Levan / 3 years ago / 1658 views
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    The surgical procedure used to treat gynecomastia that is both glandular and fatty in nature with small or moderate enlargement and no skin excess (Simon stage 1 or 2a) combines both liposuction and resection. When liposuction is unsuccessful at removing all the tissue required to achieve a good result, the remaining tissue is resected through an inferior periareolar incision. Attention must be maintained not to over-resect the subareolar area. A cuff of tissue 1 to 1.5cm is left directly under the nipple areola complex....

    Ultrasonic Rhinoplasty using Piezotome

    Philippe Levan / 3 years ago / 2580 views
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    The author shows a new rhinoplasty technique using ultrasonic bone removal to perform more precise rhinoplasties, and correct issues caused by traditional rhinoplasty tools. The ultrasonic bone aspirator uses sound waves to remove bones without damaging surrounding membranes or tissue. This allows surgeons to correct minor irregularities and asymmetry, and major deformities, like a severely deviated nasal spine....

    Lower bodylift combined with gluteal implants

    Philippe Levan / 3 years ago / 761 views
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    The author shows an original surgical technique for bodyreshaping after massive weight loss. Two surgeries are combined in the same time : gluteal enhancement and lower bodylift. Because the buttocks volume could not always be corrected by autologous flap or lipofilling, this new technique is a new manner to resolve this problem....

    Keystone Flap

    Philippe Levan / 3 years ago / 1124 views
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    A keystone island perforator flap is typically used for reconstruction of an oncologic resection defect of sarcomas and skin cancers in the extremities, trunk, and the head and neck regions....

    Botulinum toxin for neck rejunevation

    Philippe Levan / 3 years ago / 861 views
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    Botulinum toxin can be used to treat platysmal bands and improve lower face tissue ptosis. We describe here a safe, reliable and minimal invasive technique for the treatment of the neck and the lower face. The results can be seen starting the second day after the procedure and lasts up to 6 months....

    Diastasis repair using Retrorectus mesh during abdominoplasty

    R. Makhoul MD, O. Al Madani MD / 3 years ago / 1038 views
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    Diastasis recti (also known as abdominal separation) is commonly defined as a gap of roughly 2.7 cm or greater between the two sides of the rectus abdominis muscle. When present in a patient undergoing abdominoplasty, it is often corrected by plicating the linea alba. When the Diastasis is too large, a mesh will provide better support and less chance of recurrence. Watch a rectus diastasis repair using retrorectus polypropylene mesh simultaneous to a horizontal abdominoplasty.  ...