{"title":"Multi-Wave Punch for Follicular Unit Excision Hair Transplantation Surgery.","authors":"Jae Hyun Park, Yeh Hong Ho, Kotchamol Manonukul","doi":"10.4103/JCAS.JCAS_37_23","DOIUrl":"10.4103/JCAS.JCAS_37_23","url":null,"abstract":"<p><p>Follicular unit excision is widely used for hair transplantation because it lacks a donor scar and is associated with less postoperative pain. Obtaining high-quality grafts and minimizing hair follicle damage during graft harvesting are key. This review elaborates on the types and dynamics of punches used in follicular unit extraction. We also describe the utility and advantages of a new \"Multi-Wave Punch,\" a new type of punch designed to optimize graft extraction and reduce follicular injury. This multi-wave punch is composed of three different parts. The cutting edge at the end is blunt-angled. Adjacent is the leading edge, which is characterized by several horizontally oriented multi-wave shapes. Most proximal is the main body, which is decagonal in shape. Because of the multi-wave and decagonal structure, the punch easily enters the outer layers of the scalp. The wave energy is transmitted to the surrounding tissue, separating hair follicles from adjacent tissue, facilitating extraction, reducing follicular damage, and ensuring higher quality grafts.</p>","PeriodicalId":15415,"journal":{"name":"Journal of Cutaneous and Aesthetic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10768951/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44574076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bilobed Flaps: An Esthetic Method of Reconstructing Circular Defects.","authors":"Tejashwani Lal, Joyner Lal","doi":"10.4103/JCAS.JCAS_168_22","DOIUrl":"10.4103/JCAS.JCAS_168_22","url":null,"abstract":"<p><p>Local flap reconstruction is an important skill used to excise and repair many cutaneous defects in various anatomical regions of body. In this article, the authors have described the bilobed flap reconstruction technique useful in the resection of various circular and semicircular defects, especially over nose tip and lateral wall of the nose. The authors have highlighted various indications, procedural techniques, and complications related to the surgery which will help in better esthetic outcome.</p>","PeriodicalId":15415,"journal":{"name":"Journal of Cutaneous and Aesthetic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10768961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41705097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hypodermic needle as a safe and easy mini cotton bud applicator for chemical cautery","authors":"Muhammed Mukhtar","doi":"10.4103/jcas.jcas_42_22","DOIUrl":"https://doi.org/10.4103/jcas.jcas_42_22","url":null,"abstract":"To simplify the chemical cautery, micropipette and syringe outlet are stuffed with cotton wick for a better flow of chemical due to capillary action. However, the corrosive effect of chemicals on metallic needle and on rubber/plastic cap of the piston leads to the leakage of chemicals. Hypodermic needle and tooth picks have been used for chemical cautery, but it requires frequent dipping into the chemical, which is not safe. A bent (hooked) hypodermic needle is described as an alternative for safe, quick, and precise cauterization of multiple small skin lesions.","PeriodicalId":15415,"journal":{"name":"Journal of Cutaneous and Aesthetic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139365214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sunthosh Sivam, Christine Mackay, Clinton Humphrey, J David Kriet
{"title":"Giant PMMA Foreign Body Granulomas with Imaging.","authors":"Sunthosh Sivam, Christine Mackay, Clinton Humphrey, J David Kriet","doi":"10.4103/JCAS.JCAS_194_20","DOIUrl":"10.4103/JCAS.JCAS_194_20","url":null,"abstract":"<p><p>Filler complications have a wide array of presentations including early and late manifestations. A rare late complication is the foreign body granuloma or granulomatous foreign body reaction. We present a case of giant foreign body granulomas developing 7 years after polymethylmethacrylate (PMMA) filler injection. The patient had an excellent response to a single intralesional injection of triamcinolone acetonide and 5-fluorouracil. The unique opportunity to have pretreatment and posttreatment magnetic resonance imaging (MRI) allows for appreciation of the multidirectional expansion of these granulomas as well as the response in this case. Updated treatment recommendations based on the literature review support the use of oral antibiotics, oral steroids, and intralesional therapies. Surgical excision is reserved as an absolute last resort due to potential complications.</p>","PeriodicalId":15415,"journal":{"name":"Journal of Cutaneous and Aesthetic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10768963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43228726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Boppana, L. Simhachalam Kutikuppala, P. Kalyani
{"title":"Face transplantation: What you need to know?","authors":"S. Boppana, L. Simhachalam Kutikuppala, P. Kalyani","doi":"10.4103/jcas.jcas_45_22","DOIUrl":"https://doi.org/10.4103/jcas.jcas_45_22","url":null,"abstract":"Since the 1990s, face transplants have gotten a lot of press and public attention across the world. After a transplant was disclosed in November 2005, the first recipient, Isabelle Dinoire, found herself at the center of a spectacular event of surgical innovation. Up till August 2020, 47 transplants have been performed globally (including two retransplants), all of which have received substantial media attention. Hundreds of publications addressing the procedure’s medicinal, physical, psychological, and ethical ramifications have been published in the scholarly literature, far outnumbering the procedure’s occurrence. Face transplants have also appeared in films, television shows, and novels, indicating a desire to explore the social and interpersonal consequences of face variance. This is an attempt to present a comprehensive context of face transplantation progress and practice, based mostly on extant documentary sources. It traces the history of face transplants, identifying major milestones and themes along the way and focusing on its development as a therapeutic option for individuals with severe facial abnormalities. There are still important questions to be asked about the patient’s perspective, as well as the complex philosophical and sociological meanings of the face, but this article focuses on the institutional and cultural factors that have allowed for such an ethically complex and radical surgery to take place. Opportunity and financial feasibility are among them, as are expertise, ambition, and an awareness of patient needs.","PeriodicalId":15415,"journal":{"name":"Journal of Cutaneous and Aesthetic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139365329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hatan Mortada, Saud A Alshenaifi, Hussain A Samawi, Mohanad M Marzoug, T. Alhumsi, Bander Alaithan
{"title":"The safety of large-amount liposuction: A retrospective analysis of 28 cases","authors":"Hatan Mortada, Saud A Alshenaifi, Hussain A Samawi, Mohanad M Marzoug, T. Alhumsi, Bander Alaithan","doi":"10.4103/jcas.jcas_59_22","DOIUrl":"https://doi.org/10.4103/jcas.jcas_59_22","url":null,"abstract":"Our study aims to assess the safety of large amounts of liposuction in a new light. This is a retrospective review of patients who underwent large-volume liposuction from August 2020 to April 2021. Patient demographics, liposuction areas, the amount of infiltrate and aspirate, the surface area of liposuction areas, anesthesia duration, pain score after surgery, preoperative and 4-h postoperative hemoglobin, and basic metabolic panel (sodium, potassium, creatinine, urea) were measured. Out of the 28 patients, 26 (92.85%) were females. The mean age was 37.1 years old. The mean preoperative hemoglobin was 13.73 g/dL. The average anesthesia time was 220.39 min. The average amount of liposuction infiltrated was 7.55 L, and the average amount of liposuction aspirate was 6.83 L. The mean hemoglobin 4 h postoperatively was 13.7 g/dL. With proper patient selection and a comprehensive physical exam with preoperative blood workup performed in an accredited facility with a highly experienced plastic surgeon and anesthesiologist, mega liposuction can be safely performed as a day surgery procedure.","PeriodicalId":15415,"journal":{"name":"Journal of Cutaneous and Aesthetic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139364923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prospective study of flap surgery-related complications in cutaneous tumors: A tertiary care institutional experience of 6 years","authors":"Shilpa Kanathur, Gorur Divya, Gowrappala Shanmukhappa Asha, Dammaningala Venkataramaiah Lakshmi, Loganathan Eswari","doi":"10.4103/jcas.jcas_111_22","DOIUrl":"https://doi.org/10.4103/jcas.jcas_111_22","url":null,"abstract":"Flap surgeries are the standard choice for reconstruction of defects post excision of cutaneous tumours. Complications following these surgeries predominantly result as a consequence of bleeding, tension, ischemia, infection. A Prospective study of patients treated for tumor excision and flap reconstruction between the period of 2014 and 2020 were followed up and complications encountered were analysed. A total of 70 patients with cutaneous malignancies underwent flap surgeries. Complications encountered were bleeding, hematoma, infection, necrosis, pincushioning, keloid, hypertrophic scars. Successful outcome depends on pre operative evaluation, appropriate technique selection based on site of tumor, intraoperative care, post operative care and timely management of complications if any.","PeriodicalId":15415,"journal":{"name":"Journal of Cutaneous and Aesthetic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139365189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Small incision upper blepharoplasty in the treatment of upper eyelid solitary nasal pad fat protrusion","authors":"T. Elhamaky","doi":"10.4103/jcas.jcas_33_22","DOIUrl":"https://doi.org/10.4103/jcas.jcas_33_22","url":null,"abstract":"The aim of this article is to investigate the efficacy of small incision blepharoplasty in the treatment of upper eyelid single nasal pad fat bulge. This is a prospective study of 43 eyes of 24 patients who underwent small incision upper blepharoplasty for the treatment of solitary nasal pad fat bulge. All patients underwent a comprehensive ophthalmic examination, periorbital evaluation, and patient satisfaction evaluation using Global Aesthetic Improvement Scale (GAIS) and Blepharoplasty Outcomes Evaluation (BOE) at baseline, 1 week, 3 months, and 6 months after the surgery. All patients underwent small incision upper eyelid blepharoplasty for excision of nasal fat pad bulge. Baseline nasal fat bulge was graded into grades 1, 2, and 3 in 4 (9.3%), 12 (27.9%), and 27 (62.8%) eyes, respectively. While at 6-month follow-up, grade 0 was recorded in 38 (88.4%) eyes, and grade 1 was recorded in 5 (11.6%) eyes. The mean operative time was 11.7 ± 1.9 min. GAIS showed degrees 1, 2, and 3 in 2 (8.3%), 19 (79.2%), and 3 (12.5%) patients at 6-month follow-up, respectively. Twenty-two patients (91.7%) reported a BOE scale of more than 95%, whereas two patients (8.3%) reported a scale of 80–90% at 6-month follow-up. Our cohort highlights the beneficial effects of small incision upper blepharoplasty in the treatment of upper eyelid solitary or lone nasal pad fat bulge, providing a safe, short-timing, and effective option.","PeriodicalId":15415,"journal":{"name":"Journal of Cutaneous and Aesthetic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139366127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Mohan, R. Chittoria, S. Koliyath, I. Pathan, N. Thomas, Nishad Kerakada, Maramreddy Kedareswar, Diwash Koirala, Aishwarya R, Furqan Mohammed Ahmed
{"title":"Therapeutic plasma exchange therapy in burns","authors":"P. Mohan, R. Chittoria, S. Koliyath, I. Pathan, N. Thomas, Nishad Kerakada, Maramreddy Kedareswar, Diwash Koirala, Aishwarya R, Furqan Mohammed Ahmed","doi":"10.4103/jcas.jcas_173_21","DOIUrl":"https://doi.org/10.4103/jcas.jcas_173_21","url":null,"abstract":"Severe burn injury affects the body in many devastating ways, the most severe being systemic inflammatory response syndrome. This results in a myriad of effects like increasing capillary permeability, thereby fluid loss. It also causes a surge in inflammatory mediators like interleukin (IL)-6, which further increases the capillary leak and fluid loss. This results in refractory hypotension in patients despite adequate fluid resuscitation. Plasma exchange has been used in the management of a number of illnesses with a significant inflammatory component, and, therefore can be considered to have a role in burn injury. In our article, we would like to share our experience of using therapeutic plasma exchange therapy in burn patient","PeriodicalId":15415,"journal":{"name":"Journal of Cutaneous and Aesthetic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139364674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Fractional CO2 laser-induced delivery of topical corticosteroids hastens resolution of localized plaque sarcoidosis","authors":"Rohit Kothari, Nandita Rajan, Aashna Sutaria, Yugal K Sharma, Aayush Gupta","doi":"10.4103/jcas.jcas_68_22","DOIUrl":"https://doi.org/10.4103/jcas.jcas_68_22","url":null,"abstract":"","PeriodicalId":15415,"journal":{"name":"Journal of Cutaneous and Aesthetic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139365930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}