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Do I look like I’m cheesing hard It’s because I am!
Today I leave for a mission trip in Mexico where I have the great privilege of repairing cleft lips and palates. I could not be more honored . Can’t wait to tell you all about it!
#missiontrip #blessed
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And thank you to my sweet and talented friend @lightandmatterphoto for this amazing photo! More to follow!!
TEAMWORK MAKES THE DREAM WORK ⭐️
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Plastic surgeons frequently work as a team with neurosurgeons to reconstruct skull defects after brain surgery procedures . We also help orthopedic surgeons reconstruct arms and legs after bone repairs , and even aid cardiac surgeons in reconstructing chest defects after heart surgery ❤️.
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Just like any team-based situation, maintaining proper communication with other surgeons on the team and forming a proper surgical plan pre-operatively is extremely critical to providing the best patient outcomes!
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Here, Dr. Chang and I are working as a team to reconstruct someone’s skull .
Agradecendo mais uma vez ao convite da organização do XI Congresso Brasileiro de Fissuras Lábio Palatinas e Anomalias Crânio Faciais, que aconteceu este final de semana em Campinas - SP, para falar sobre cirurgia crânio facial em uma das doenças mais cruéis descritas no mundo: o NOMA.
#plasticsurgery #reconstructivesurgery #maxilofacial #craniomaxilofacial #noma #cirurgiaplástica #cirurgiaplastica
Why did I choose plastic surgery? This is a question I get asked often. .
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Plastic surgery comes from the Greek word “plastikos” which means to mold. And that’s what we do, in every sense. I’ve always been interested in art and science and plastic surgery is the perfect coalescence of the two. We are given the incredible opportunity to mold and reconstruct a patient’s body EVERYDAY.
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The most publicized component of our specialty is aesthetic or cosmetic surgery, but plastic surgery is a broad specialty in which we operate on nearly every part of the body, on patients of all ages. We aren't confined to any organ system. We treat patients with diseases ranging from congenital anomalies, to cancer, trauma, and degenerative/inflammatory disorders. Additionally, we often get to work in teams, alongside orthopedic surgeons, neurosurgeons, dermatologists, otolaryngologists and surgical oncologists to perform complex reconstructions of the head and neck, spine, extremities, chest and abdomen.
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Here is just the tip of the iceberg of why I love what I do:
❤️ After battling cancer and being left with a disfiguring mastectomy defect, we are able to reconstruct a new breast. Through these women, I am given a window of understanding of what it means to feel whole and complete.
There is nothing more special that seeing parents’ relief after their child underwent a cleft lip repair and knowing that their child will grow up like every other kid.
That hope that after performing an abdominoplasty on a hardworking mother after 3 pregnancies might make her feel like the best version of herself
. The opportunity to participate in transgender surgery to help a person feel comfortable within their own body.
Reconstructing a hand to become fully functional after a traumatic injury and seeing them get back to work. .
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What do you do and why did you choose it? #whymyspecialty thanks @balancedanesthesia for starting the discussion to speak freely about our professions and help educate.
WOUND HEALING...part deux
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PHASES
1. HEMOSTASIS (seconds to mins)
2. INFLAMMATION (day 1 to 6)
3. PROLIFERATION (day 4 to wk 3)
⏱*Fibroblasts first appear in the wound after 24 hrs and require adequate oxygen supply for collagen production.
☑️*At wk 1 after injury tensile strength is only 3% compared with normal skin and at 3 wks it approaches 30%.
4. MATURATION/REMODELING (wks 3 to 1 year)
☑️*Peak tensile strength is reached at approximately 90 days (80% preinjury strength) and ultimately determined by the quality and quantity of collagen. It never reaches 100%.
☑️*Deviations in this phase can cause unfavorable scarring or complete wound dehiscence.
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The role of our PT/OT colleagues is invaluable to a patient’s post recovery and communication between our teams is critical as there are often certain restrictions in place to avoid undue stress or potential source of compromise on a healing wound or tissue flap. The restrictions can vary based on the tissue type, operative site, timing, or simply surgeon preference.
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***Feel free to comment with any questions or input.
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Special thanks to my colleague @dcarraumd for the great times working together, especially this last case - a free alt flap to a radiated forearm wound.
Собрать статистику #RECONSTRUCTIVESURGERY выполните поиск с получением статистики (Перейти к подбору).