The Experts below are selected from a list of 93 Experts worldwide ranked by ideXlab platform
Walid Kassem - One of the best experts on this subject based on the ideXlab platform.
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Abdominal Musculoaponeuretic System: Magnetic Resonance Imaging Evaluation before and after Vertical Plication of Rectus Muscle Diastasis in Conjunction with Lipoabdominoplasty
Plastic and reconstructive surgery, 2011Co-Authors: Hamdy A. El-khatib, Shankar Rao Buddhavarapu, Habeba Henna, Walid KassemAbstract:BACKGROUND: The purposes of this study were to compare preoperative magnetic resonance imaging and intraoperative measurements of rectus Diastasis and to evaluate the long-term durability of the plication of the anterior rectus fascia. METHODS: Twenty consecutive cases of middle-aged female subjects undergoing lipoabdominoplasty and rectus plication were studied by magnetic resonance imaging preoperatively and between 6 months and 25 months postoperatively. Images were obtained in the T1 axial, T2 axial, sagittal, and coronal planes. Rectus Diastasis was measured at the maximum. Rectus Muscle thickness and width were measured, and abdominal circumferences were measured in the anteroposterior and transverse planes at the midpoint from the xiphisternum to the umbilicus and the midpoint from the umbilicus to the symphysis pubis corresponding approximately to the lumbar-2 and sacral-3 vertebral bodies. RESULTS: The absence of Diastasis can be precisely measured by magnetic resonance imaging. Postoperative Diastasis was not seen in any of the cases followed up to 25 months. The preoperative magnetic resonance imaging Diastasis values were consistently less than the intraoperatve measurements; however, this was attributed to Muscle relaxation at surgery due to Muscle relaxants during general anesthesia. There was a significant reduction in waistlines in both the anteroposterior and transverse dimensions measured by magnetic resonance imaging. CONCLUSIONS: Surgical repair of rectus Muscle Diastasis is a durable procedure, and magnetic resonance imaging follow-up is an excellent way to see the durability of the procedure. Magnetic resonance imaging is not operator-dependent and has no interobserver variations. It has the advantage of being a safe, radiation-free procedure with repeatability and dependability.
Robert M. Menard - One of the best experts on this subject based on the ideXlab platform.
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Vermilion Only Cross-lip Flap for Treating Whistle Deformity in Secondary Bilateral Cleft Lip Repair.
Plastic and reconstructive surgery. Global open, 2016Co-Authors: Clifford C. Sheckter, Robert M. MenardAbstract:Bilateral cleft lip repairs can result in various secondary deformities. One more commonly seen deformity, the whistle deformity, is characterized by a reduced or absent tubercle, orbicularis Muscle Diastasis, and abnormalities of the philtrum with notched appearance of cupid's bow. Various techniques have been described to address these problems. One common procedure is the lip-switch flap originally described by Abbe in 1898, which has been modified by various surgeons. In these procedures, lower lip vermilion, mucosa, orbicularis, and lip skin are transposed to the upper lip on a pedicle that is later divided. In all these variations of the lip-switch procedure, the transposed tissue involves the entire lower lip skin-leaving large, unsightly, and unnecessary scars. It also brings abnormal tissue into the philtrum further distorting the upper lip. A modified cross-lip flap that is limited to the taking only mucosa, vermilion, and orbicularis is feasible and provides an optimal reconstruction without compromising additional tissue.
Ted Lockwood - One of the best experts on this subject based on the ideXlab platform.
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maximizing aesthetics in lateral tension abdominoplasty and body lifts
Clinics in Plastic Surgery, 2004Co-Authors: Ted LockwoodAbstract:The aesthetic aspects of trunk and thigh contours are a frequent concern of both women and men. In the past two decades, liposuction has revolutionized the treatment of the aesthetic deformity of the body to the extent that it is now synonymous with body contour surgery. However, liposuction only deals with one element of body aesthetics. While excess fat deposits are the major component of body contour problems, skin laxity and skin contour irregularities (cellulite) are also a significant problem for many patients. In addition, rectus Muscle Diastasis in both women and men may play a role in the aesthetic deformity. Patient evaluation The ultimate success of body contour surgery is dependent as much on the accuracy of the initial patient assessment as it is on the technical expertise of the surgeon. Too often surgeons immediately categorize a prospective body contour patient by the surgical procedures that might be possible or that are requested by the patient, rather than based on careful study of the proportions and aesthetics of the patient’s body. Aesthetic body contour deformities frequently involve multiple areas of the trunk and thighs. The circumferential aesthetic unit of the trunk and thighs extends from the breasts to the knees. Surgery on one part of the aesthetic unit without consideration of its effect on the overall aesthetic balance of the body can lead to mediocre results and an imbalance in body contours. For example, lateral and posterior truncal deformities are commonly associated with abdominal deformities. Abdominoplasty without treatment of other truncal contour deformities will lead to aesthetic disharmony of the circumferential trunk. In addition, in patients who have aesthetic deformities of both the trunk and thighs, dramatic sculpturing of the trunk may create the visual illusion of much larger thighs, leading to an imbalance of the body aesthetic unit.
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Rectus Muscle Diastasis in males: primary indication for endoscopically assisted abdominoplasty.
Plastic and reconstructive surgery, 1998Co-Authors: Ted LockwoodAbstract:Endoscopic techniques through umbilical and mons pubis ports have provided a method to plicate rectus Muscle Diastasis without skin resection. Limited or no skin excision is performed. Major series have included only women. The criteria for patient selection for endoscopic abdominoplasty include a protuberant abdomen caused by rectus Muscle Diastasis with minimal actual or potential skin laxity. There should not be significant intra-abdominal obesity. Extra-abdominal familial fat deposits may be part of the abdominal aesthetic deformity. In most women, rectus Muscle Diastasis because of pregnancy, obesity, or aging is associated with actual or potential skin laxity of the abdomen and lateral trunk. Endoscopic abdominoplasty in these women would produce mediocre early results and poor aging potential for the future. There are a limited number of women who are reasonable candidates for the endoscopic approach. In contrast, rectus Muscle Diastasis without skin laxity is a common finding in men older than 30 to 40 years of age. There may be a history of weight fluctuations, weightlifting, or full-excursion sit-up exercises, which may lead to progressive separation of the rectus Muscles over time. Other etiologic factors include chronic or intermittent abdominal distension, advancing age, or familial weakness of the abdominal musculofascial tissues. Endoscopically assisted abdominoplasty was performed in four male patients with good to excellent results at 4 to 18 months. Minor complications occurred in half the patients but were successfully treated without re-operation. Men with prominent abdominal contours who are diet- and exercise-resistant should be examined both for familial fat deposits and for significant rectus Muscle Diastasis. Contouring of the male abdomen may be the primary indication for endoscopically assisted abdominoplasty.
Hamdy A. El-khatib - One of the best experts on this subject based on the ideXlab platform.
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Abdominal Musculoaponeuretic System: Magnetic Resonance Imaging Evaluation before and after Vertical Plication of Rectus Muscle Diastasis in Conjunction with Lipoabdominoplasty
Plastic and reconstructive surgery, 2011Co-Authors: Hamdy A. El-khatib, Shankar Rao Buddhavarapu, Habeba Henna, Walid KassemAbstract:BACKGROUND: The purposes of this study were to compare preoperative magnetic resonance imaging and intraoperative measurements of rectus Diastasis and to evaluate the long-term durability of the plication of the anterior rectus fascia. METHODS: Twenty consecutive cases of middle-aged female subjects undergoing lipoabdominoplasty and rectus plication were studied by magnetic resonance imaging preoperatively and between 6 months and 25 months postoperatively. Images were obtained in the T1 axial, T2 axial, sagittal, and coronal planes. Rectus Diastasis was measured at the maximum. Rectus Muscle thickness and width were measured, and abdominal circumferences were measured in the anteroposterior and transverse planes at the midpoint from the xiphisternum to the umbilicus and the midpoint from the umbilicus to the symphysis pubis corresponding approximately to the lumbar-2 and sacral-3 vertebral bodies. RESULTS: The absence of Diastasis can be precisely measured by magnetic resonance imaging. Postoperative Diastasis was not seen in any of the cases followed up to 25 months. The preoperative magnetic resonance imaging Diastasis values were consistently less than the intraoperatve measurements; however, this was attributed to Muscle relaxation at surgery due to Muscle relaxants during general anesthesia. There was a significant reduction in waistlines in both the anteroposterior and transverse dimensions measured by magnetic resonance imaging. CONCLUSIONS: Surgical repair of rectus Muscle Diastasis is a durable procedure, and magnetic resonance imaging follow-up is an excellent way to see the durability of the procedure. Magnetic resonance imaging is not operator-dependent and has no interobserver variations. It has the advantage of being a safe, radiation-free procedure with repeatability and dependability.
Clifford C. Sheckter - One of the best experts on this subject based on the ideXlab platform.
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Vermilion Only Cross-lip Flap for Treating Whistle Deformity in Secondary Bilateral Cleft Lip Repair.
Plastic and reconstructive surgery. Global open, 2016Co-Authors: Clifford C. Sheckter, Robert M. MenardAbstract:Bilateral cleft lip repairs can result in various secondary deformities. One more commonly seen deformity, the whistle deformity, is characterized by a reduced or absent tubercle, orbicularis Muscle Diastasis, and abnormalities of the philtrum with notched appearance of cupid's bow. Various techniques have been described to address these problems. One common procedure is the lip-switch flap originally described by Abbe in 1898, which has been modified by various surgeons. In these procedures, lower lip vermilion, mucosa, orbicularis, and lip skin are transposed to the upper lip on a pedicle that is later divided. In all these variations of the lip-switch procedure, the transposed tissue involves the entire lower lip skin-leaving large, unsightly, and unnecessary scars. It also brings abnormal tissue into the philtrum further distorting the upper lip. A modified cross-lip flap that is limited to the taking only mucosa, vermilion, and orbicularis is feasible and provides an optimal reconstruction without compromising additional tissue.
