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Clinics in Podiatric Medicine and... Oct 2020Management of extensive lower extremity soft tissue and skin loss can be a very difficult to achieve by any surgeon. There can be several associated comorbidities that... (Review)
Review
Management of extensive lower extremity soft tissue and skin loss can be a very difficult to achieve by any surgeon. There can be several associated comorbidities that need to be considered and addressed with these patients. The approach is multifactorial and requires commitment from both the surgeon as well as the patient. There are several protocols that have been formulated throughout the literature addressing soft tissue and skin coverage of the limbs. This article provides a review of the literature and describes the evaluation, harvesting, transplantation, and management of skin grafting techniques to the lower extremities.
Topics: Allografts; Autografts; Heterografts; Humans; Lower Extremity; Preoperative Care; Skin; Skin Transplantation; Skin, Artificial; Tissue Engineering; Tissue and Organ Harvesting; Transplant Donor Site
PubMed: 32919607
DOI: 10.1016/j.cpm.2020.07.007 -
The Veterinary Clinics of North... Mar 2022Wound healing is a complex process that traverses 4 main phases which overlap and are interdependent. Many patient-related factors can impede healing by disrupting the... (Review)
Review
Wound healing is a complex process that traverses 4 main phases which overlap and are interdependent. Many patient-related factors can impede healing by disrupting the normal pathways from one phase to the next. Wound-related factors also determine the best techniques or dressings for each patient. Species differences between cats and dogs must be understood for the successful treatment of cats. New techniques such as fish skin graft application, photobiomodulation, and bioelectric dressings hold promise as an addition to our armamentarium against wounds. NPWT, hyperbaric oxygen, regenerative medicine techniques, and low-level laser therapies yield mixed results and large-scale controlled studies are needed.
Topics: Animals; Bandages; Cats; Dogs; Skin Transplantation; Wound Healing
PubMed: 35082098
DOI: 10.1016/j.cvsm.2021.12.001 -
Facial Plastic Surgery Clinics of North... May 2020Hair transplant is a powerful and reliable procedure that provides a natural and high-impact result. This procedure can be used to restore scalp hair, eyebrow hair,... (Review)
Review
Hair transplant is a powerful and reliable procedure that provides a natural and high-impact result. This procedure can be used to restore scalp hair, eyebrow hair, beard hair, body hair, or areas of hair loss due to scarring. The hair transplant techniques of the past (hair plugs, scalp reductions) have etched a negative impression of hair restoration surgery in the public memory. With the improved techniques of follicular unit transplantation, more natural and discreet results can be obtained with minimal downtime and preservation of patient privacy. This article focuses on follicular unit transplantation and performance of the strip technique.
Topics: Alopecia; Hair Follicle; Humans; Patient Selection; Skin Transplantation; Tissue and Organ Harvesting; Transplant Donor Site; Transplantation, Autologous
PubMed: 32312502
DOI: 10.1016/j.fsc.2020.01.005 -
Facial Plastic Surgery Clinics of North... May 2020In the field of hair restoration, there has been a significant increase in demand with patients for facial hair transplantation procedures. Modern techniques in hair... (Review)
Review
In the field of hair restoration, there has been a significant increase in demand with patients for facial hair transplantation procedures. Modern techniques in hair transplantation allow for facial hair transplantation and for the attainment of natural-appearing results. Facial hair transplantation is a subspecialty within hair restoration with many gratifying benefits for the patients as well as for the hair restoration surgeon. Adapting these advanced techniques into a hair restoration practice allows a surgeon to offer their patients these procedures and provides an expanded artistic element to a hair restoration surgeon's practice.
Topics: Alopecia; Face; Female; Hair; Hair Follicle; Humans; Male; Patient Care Planning; Patient Selection; Postoperative Care; Preoperative Care; Skin Transplantation; Transplantation, Autologous
PubMed: 32312510
DOI: 10.1016/j.fsc.2020.01.010 -
Facial Plastic Surgery Clinics of North... May 2020Contemporary hair transplant surgery creates natural appearing transplanted hair. The procedure is performed as an outpatient under local anesthesia. Donor harvesting... (Review)
Review
Contemporary hair transplant surgery creates natural appearing transplanted hair. The procedure is performed as an outpatient under local anesthesia. Donor harvesting can be performed by either elliptical donor harvesting or follicular unit extraction. An experience surgical team is needed for a high-quality, efficient procedure. Robotic hair transplantation allows precise and efficient removal of follicular units. The robot allows for minimally invasive surgery. Robotic hair transplantation is an important tool for hair transplant surgeons, but does not replace appropriate candidate selection, hairline design, and the judgment of where to place and not place transplanted hair for optimal short- and long-term results.
Topics: Alopecia; Hair Follicle; Humans; Patient Selection; Robotic Surgical Procedures; Skin Transplantation; Tissue and Organ Harvesting
PubMed: 32312506
DOI: 10.1016/j.fsc.2020.01.011 -
Facial Plastic Surgery Clinics of North... May 2020As an alternative to hair transplantation for lowering the overly high hairline, hairline-lowering/forehead-reduction surgery has several advantages, including... (Review)
Review
As an alternative to hair transplantation for lowering the overly high hairline, hairline-lowering/forehead-reduction surgery has several advantages, including unsurpassed density and immediate results. Appropriate candidates for this surgery must have a stable frontal hairline (thus excluding most men) and a fairly to very mobile scalp that will permit sufficient advancement to warrant this more "invasive" approach. The main objective of this surgery is the lowering of the hairline. The authors' surgical approach, which was developed over the performance of more than 90 of these procedures and produces consistent results with low rates of complications, is described.
Topics: Alopecia; Forehead; Hair; Humans; Patient Selection; Scalp; Skin Transplantation
PubMed: 32312507
DOI: 10.1016/j.fsc.2020.01.002 -
International Journal of Environmental... Apr 2022Vitiligo is described as a dermatological condition characterized by pigmentation disorders in both the skin and mucous membranes. Clinically, this disease is... (Review)
Review
Vitiligo is described as a dermatological condition characterized by pigmentation disorders in both the skin and mucous membranes. Clinically, this disease is characterized by the presence of well-defined white areas of various shapes and sizes, which are a manifestation of a reduced number of melanocytes. Due to the fact that vitiligo can be a significant cosmetic problem for patients, a number of methods are currently available to help fight for a better skin appearance. If all the available non-invasive procedures turn out to be ineffective, surgery can help, which is a very good alternative in the case of difficult-to-treat but stable changes. Both the development of new techniques and modifications to the already available treatment of cell and tissue transplantation give hope to numerous patients around the world. The effectiveness of a particular method is determined by its appropriate selection depending on the lesions undergoing therapy. Each form of surgical intervention has its advantages and disadvantages, which, along with the location or size of the treated hypopigmentation area, should be analyzed by a doctor and discussed with their patient. This article is an overview of the currently available methods of surgical treatment of vitiligo and a comparison of their pros and cons.
Topics: Humans; Melanocytes; Skin; Skin Transplantation; Treatment Outcome; Vitiligo
PubMed: 35457678
DOI: 10.3390/ijerph19084812 -
Tidsskrift For Den Norske Laegeforening... May 2022Skin grafting involves covering an area of missing skin with healthy skin tissue harvested from another part of the body. The aim of this clinical overview is to give a...
Skin grafting involves covering an area of missing skin with healthy skin tissue harvested from another part of the body. The aim of this clinical overview is to give a short introduction to the procedure.
Topics: Humans; Skin; Skin Transplantation; Wound Healing
PubMed: 35635412
DOI: 10.4045/tidsskr.21.0671 -
Facial Plastic Surgery Clinics of North... May 2020
Topics: Alopecia; Cosmetic Techniques; Cosmetics; Hair; Humans; Laser Therapy; Platelet-Rich Plasma; Plastic Surgery Procedures; Skin Transplantation
PubMed: 32312511
DOI: 10.1016/j.fsc.2020.02.002 -
Journal of Burn Care & Research :... Jan 2023The classical treatment of extensive full-thickness skin loss due to trauma or burns has been the split-thickness skin graft. While split-thickness skin grafts close the...
The classical treatment of extensive full-thickness skin loss due to trauma or burns has been the split-thickness skin graft. While split-thickness skin grafts close the wound, they leave patients with visible scars, dry skin, pruritis, pain, pigmentation alterations, and changes in sensation. The optimal replacement for full-thickness skin loss is replacement with intact full-thickness skin. New technologies combined with advances in the understanding of the mechanisms behind wound healing have led to the development of techniques and products that may eventually recapitulate the functions, appearance, and physical properties of normal skin. Autologous homologous skin constructs, minimal functional skin units, and composite bioengineered skin with dermal substitutes all represent potential avenues for full-thickness composite skin development and application in extensive wounds. This article summarizes the progress, state, and future of full-thickness skin regeneration in burn and massive wound patients.
Topics: Humans; Burns; Skin; Wound Healing; Skin Transplantation; Cicatrix; Skin, Artificial
PubMed: 36567471
DOI: 10.1093/jbcr/irac102