1.
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3. First show the blank slides (eg. Aetiology ) > Ask
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4. At the end rerun the show – show blank> ask questions >
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5. This will be an ACTIVE LEARNING SESSION x
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6. Good for self study also.
7. See notes for bibliography.

2.
Principals of Plastic Surgery

3.
Principals of Plastic Surgery
• Plastic-ancient Greek plassein, to mould or
shape
• To restore Form and Function.
• Cosmetic surgerry
• Aesthetic surgery

4.
Indications

5.
Indications
• Loss of Tissue
• Excess of Tissue
• Deformed Tissue
• Whims/trends/fashion

6.
Etiology

7.
Etiology
• Idiopathic
• Congenital
• Traumatic
• Infections /Infestation
• Autoimmune
• Neoplastic (Benign/Malignant)
• Degenerative

8.
Techniques

9.
Techniques
• Excision/ Liposuction
• Filling the defect
• Reshaping

10.
Excision:How to get fine Scar

11.
Excision:How to get fine Scar
• Atraumatic Techniqque
• Skin lines
• Wrinkle lines
• Contour lines
• Line of dependency
• Concealing scars
• Elliptical incisions
• Wedge excisions
• Multiple excisions
• Hemostasis

12.
Methods of closure
•

13.
Methods of closure
• Sutures
• Tapes
• Staples and clips
• Wound adhesives

14.
Avoiding suture marks

15.
Avoiding suture marks
• Time of suture removal
• Tension
• Distance from wound edge
• Infection
• Method of suturing :Buried

16.
Closure

17.
Closure
• Skin grafts
• Flaps
• Free tissue transfer

18.
Skin Grafts

19.
Skin Grafts
• Partial thickness grafts
• Full thickness grafts
• Hair transplant

20.
Flaps

21.
Flaps
• Local Skin Flaps
– Rotational
• Transpositional
• Interpolation
– Advancement
• V-Y
• Y-V
• Bipedicle
• Distant Skin Flaps
• Tissue expansion
• Compound flaps

22.
Distant Skin Flaps

23.
Distant Skin Flaps
• Direct Flaps from distance
– Trunk to hand
• Indirect flaps
– Carrier
– Migration

24.
Crane Principle

25.
Crane Principle
• Subcutaneous tissue +Skin transferred then
skin returned.

26.
Compound flaps

27.
Compound flaps
• Myocutaneous flap.
• Free Tissue Transfer.

28.
• Muscle and tendon transfer

29.
Z Plasty

30.
Z Plasty

31.
Tissue Transplantation

32.
Tissue Transplantation
• Autograft
• Isograft
• Allograft
• Xenograft

33.
Tissue Transplantation
• Skin
• Bone
• Cartilage
• Injectable collagen
• Fat
• Fascia

34.
Implants:Silicone

35.
Implants:Silicone
• Breast
• Chin
• Nose
• Ears
• Orbit
• Malar
• Maxilla
• Skull
• Mandible
• Testes
• Joints of fingers

36.
BOTOX® Cosmetic
•

37.
BOTOX® Cosmetic
• glabellar frown lines
• lateral canthal lnes.

38.
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39.
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