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Résumé Introduction Près de la moitié de la population asiatique ne présente pas de pli palpébral supérieur. Dans un but esthétique, de nombreuses techniques chirurgicales ont été décrites pour la création de ce pli. Nous préconisons une technique semi-ouverte, de réalisation simple, permettant d’obtenir un résultat esthétique naturel. Matériels et méthodes L’intervention se déroulait sous anesthésie locale, et l’emplacement du pli palpébral, point clé de l’intervention, était décidé en pré-opératoire en coopération avec la patiente. Une incision d’une longueur de 1 cm était placée dans le sens du nouveau pli palpébral supérieur, puis trois points fermaient l’espace entre le muscle orbicularis oculi et le tarse. L’évaluation des résultats se faisait à l’aide d’un questionnaire rempli par la patiente, et d’un chirurgien indépendant qui évaluait des critères précis sur clichés photographiques. Résultats Nous avons opéré 10 patientes entre janvier 2012 et janvier 2014. Toutes les patientes étaient satisfaites : des résultats jugés excellents dans 8 cas sur 10, et bons dans 2 cas sur 10. Aucune complication majeure n’est survenue, le seul effet indésirable était la persistance d’ecchymoses. La durée de retour à un état physiologique de la paupière variait de 2 à 4 semaines. Conclusion La création d’un double pli palpébral supérieur dans la paupière asiatique par la technique semi-ouverte est une alternative simple, rapide, efficace et reproductible, permettant d’obtenir un bon résultat esthétique naturel et permanent. Summary Background Creation of a double upper eyelid is a popular procedure in Asian countries. Many incisional and non-incisional approaches have been described to create a new suprapalpebral fold. Objective The authors recommended a short incision technique to create a double eyelid and evaluated the results. Methods The location of the partial incision was determined pre-operatively with the patient. A one - centimeter partial incision was made on the middle one-third of the upper eyelid, and the orbicularis oculi muscle was dissected. Three anchoring stitches were placed for the creation of the permanent suprapalpebral fold. Those stitches were inverted single knots which linked the tarsal plate to the lower margin's dermis or dermomuscular junction of the incised skin. Intra-operative adjustment of position and curvature of the new fold was done by the active opening of the upper eyelid. Global results, symmetry and design were evaluated by the patient and one independent surgeon. Results Between January 2012 and January 2013, a total of 10 patients were operated using this technique. All patients were satisfied, with 8 results graded excellent and 2 results graded good. The average operation time was 20 minutes. There were no serious complications, the only unfavorable outcome was one persistent bruise. The follow-up period was one year. Recovery time varied from 2 weeks to a month. No correction procedure was needed. Conclusions The short central incisional technique for creation of a double eyelid described here provides excellent permanent and natural results, with no visible scar nor serious complications. [ABSTRACT FROM AUTHOR]

Surgical management of giantmelanoticnaeviremains a surgical challenge. Tissue expansion provides tissue of the same quality for the repair of defects. The aim of this study is to review tissular expansion for giant melanotic naevi. Materials and methods: We conducted a retrospective study from 2000 to 2012. All children patients who underwent a tissular expansion for giant congenital naevi had been included. Epidemiological data, surgical procedure, complication rate and results had been analysed. Results: Thirty-tree patients had been included; they underwent 61 procedures with 79 tissular-expansion prosthesis. Previous surgery, mostly simple excision had been performed before tissular expansion. Complete naevus excision had been performed in 63.3% of the cases. Complications occurred in 45% of the cases, however in 50% of them were minor. Iterative surgery increased the complication rate. Conclusion: Tissular expansion is a valuable option for giant congenital naevus. However, complication rate remained high, especially when iterative surgery is needed. [ABSTRACT FROM AUTHOR]

Summary Due to the increasing number of fat grafting procedures, several laboratories have developed their own fat processing system (Puregraft ® , LipiVage ® , Viafill ® , etc.), such as closed harvesting systems, centrifugation or washing and filtration devices, or even simple decantation techniques. However, all these tissue-engineering systems are expensive. Our team has developed a simple and fast autologous fat grafting system, useable even for a large volume of lipofilling, and based on low-pressure suction and a sterile closed-system for processing the harvested fat tissue. It is a cost-effective system, as it only costs 9.28 Eur (10.52 USD) for a 500 milliliters autologous fat graft procedure. [ABSTRACT FROM AUTHOR]

Summary Introduction Bilateral reduction mammaplasty (BRM) is a common procedure in plastic surgery. Our study aims to determine whether single-shot infiltration with ropivacaine during surgery reduces postoperative pain and decreases analgesic consumption. Methods In a prospective and monocentric study, all women operated by a single senior plastic surgeon, for whom BRM had been performed were included. The same surgical technique was performed for all patients (a superior pedicle, wise-pattern BRM with a closed-suction drainage). During the first half first part of the study period, none of the patients received ropivacaine infiltration (control group) and during the second half, all the patients received this infiltration (ropivacaine group). Infiltration was performed with a 20 mL solution of ropivacaine per side. Analgesic consumption and pain intensity were recorded during hospitalization and following discharge. Results Forty-nine patients were divided into two groups (29 in the ropivacaine group and 20 in the control group). The ropivacaine group had a significantly lower consumption than the control group on all analgesics (paracetamol, tramadol, nefopam and morphin) ( P < 0.001). Pain measurement reflected significantly lower scores in the ropivacaine group, both at four hours and three days postoperatively ( P < 0.001). This difference was no longer significant at day 7 postoperatively ( P = 0.147). Conclusion Single-shot ropivacaine infiltration during surgery reduces postoperative pain and decreases the analgesic consumption. With this peroperative infiltration, BRM can be performed with good pain control and moderate analgesic consumption, limiting side effects. [ABSTRACT FROM AUTHOR]