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Marita, Adinda
Yayasan Lingkar Studi Bedah Plastik
Civil Engineering, Building, Construction & Architecture Other

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Modified Radial Incision Technique in Reduction Nipple Hypertrophy Marita, Adinda; Budiman, Budiman
Jurnal Plastik Rekonstruksi Vol. 1 No. 4 (2012): July Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (387.328 KB) | DOI: 10.14228/jpr.v1i4.115

Abstract

Background: Nipple hypertrophy causes psychosocial embarrassment and discomfort to the affected individuals. The only mean to correct it is by performing surgical procedure aiming to reduce the diameter as well as the vertical height of the nipple while preserving the lactiferous ducts. Patients and Methods: Two cases of nipple hypertrophy were described in this case series : the first one was a male patient presented with an overly prominent nipple of the left breast. Second case was a female patient with bilateral nipple hypertrophy. Circular design was performed at the tip of the nipple to match the size of the normal nipple. Three wedged excisions was made, and also three radial pillars with its pedicle divided into two parts: the lower part was de-epithelialized. This technique was able to reduce the diameter and also the vertical height of nipples without compromising their vascular supply. Result: No complications such as nipple necrosis or sensory loss were found in both patients during follow-up period. The normal symmetry of the nipple contour was restored. Conclusion: We described a simple technique for both male and female patients with nipple hypertrophy, which provided good aesthetic result and patient satisfaction.
Surgical Intervention in Upper Lid Haemangioma To Prevent Amblyopia: Two Cases Report Sudjatmiko, Gentur; Marita, Adinda
Jurnal Plastik Rekonstruksi Vol. 1 No. 1 (2012): January Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (426.764 KB) | DOI: 10.14228/jpr.v1i1.24

Abstract

Non-operative treatment for Hemangioma involving deeper skin structures extending into the mucosa is usually unsuccessful, since usually no involution will develop. Early surgical planning is important to prevent amblyopia and for the child’s self confidence of their cosmetic appearance later in life. We present two cases of superior palpebra hemangioma who underwent early surgical treatment. The first case involves a large hemangioma of the left superior palpebra with severe vision restriction; although later examination was proven that the visual function was still preserved. The second case involves a smaller perioccular lesion. Surgery was performed on both cases. In the larger hemangioma, only partial of tumor was removed by incision at the lid crease and intra-lesion injection of corticosteroids was administered to the remaining tumor.Advantages of surgical procedure in early rapidly growing stage and in very large hemangioma of upper eyelid; firstly, provides a definitive early treatment; secondly, safe because bleeding was manageable, and third prevent occlusion-related amblyopia. Besides these bene!ts surgery promises added esthetic outcome.
Co-Authors Budiman Budiman Sudjatmiko, Gentur