Breast expanders , with or with nipple reconstruction as a second phase.
Trial of tattoo, try to find a colour that mimics colour of your skin – for vitiligo wait untill it is stable to place the tatto coz there will stimulate moredepigmentation but
Contacts – ulcers or microorganisima , insert ink under the stroma of the cornea.
Allergy to synthetic products in make up , avoid disturbance , want a permenet look in all conditions including while in a pool or awaking in the morning.
8th WIN n’ LEARNCosmetic and MedicalApplications of TattooPresenters: Jacqueline KihweleLutfi Abdallah
• Humans for generations have used tattoos fora number of reasons which serve as marks ofstatus and rank, symbols of religious andspiritual devotion, decorations for bravery,sexual lures and marks of fertility, pledges oflove, punishment, protection, and as themarks of outcasts, slaves and convicts.• There is evidence that tattoos were used formedical reasons.
The American Academy of Dermatologydistinguishes 5 types of tattoos:1. Traumatic tattoos, also called "natural tattoos"2. Amateur tattoos;3. Professional tattoos, both via traditional methodsand modern tattoo machines;4. Cosmetic tattoos;5. Medical tattoos.
Reconstructive and Cosmetic tattooingAreolar reconstruction• Breast reconstruction after mastectomy isfundamental to the psychosocial health of thepatient and helps her regain a positive bodyimage.• Tattooing of the nipple-areola complex isusually the final step of the breastreconstruction process.
Tattooing as camouflage• Tattooing is used to repigment the skin in conditionsthat cause hypopigmentation or hyperpigmentationincluding burns.• It is also used as an alternative to laser treatment inport-wine stain and in cosmetic surgery of the scalp.• Tattooing is used for micropigmentation of the lips andfingertips in patients who have vitiligo. However, thisshould be reserved for those with stable vitiligo, sincetattooing may trigger another patch of vitiligo at tattoosites.
• Although medical management exists forvitiligo, it is often ineffective for lip vitiligosince the success of medical therapy dependson the pigment-cell reservoir at the site ofdepigmentation.• The lips lack such a reservoir of melanocytes,so tattooing may be an option.
Tattooing to hide surgical scars• decorative tattooing to camouflagecosmetically undesirable scars• It is a valid option, especially in youngerpatients, among whom tattooing is commonand acceptable.
Cleft Lip Surgery Scar CamouflageSource: http://www.artisticcosmeticsolutions.com/scar_camo.html
Corneal Scarring,• Perforating injury, measles keratitis, and otherconditions can result in cosmeticallydisfiguring discoloration of the cornea.• When microsurgical reconstruction isineffective or is not an option, cornealtattooing has been reported to providesatisfactory results at up to 4 years.
Left (A) central scar after perforating injury in childhood, Right(B)mature cataract Result immediately postoperatively aftertattooing a pupil.Source: Pitz S, Jahn R, Frisch L, Duis A, Pfeiffer N. Corneal tattooing: an alternative treatment for disfiguringcorneal scars. Br J Ophthalmol 2002; 86:397–399.
Patient with visible corneal opacity on the left and tattooedcornea on the right. The process was done in conjunction with anOphthalmologist when he rejected corneal transplantation andcontact lens.
‘Permanent makeup’• Permanent makeup is the use of tattoos toenhance eyebrows, lips (liner and/or lipstick),eyes (liner), and even moles, usually with naturalcolors, as the designs are intended to resemblemakeup• tattooing may be beneficial to people withallergies to conventional makeup or withdisabilities that make applying makeup difficult
Permanent make up drawn to enhance eyebrows, lips (linerand/or lipstick), eyes (liner).Source: http://www.phundeals.com/deal/detroit/200-500-permanent-makeup-bloomfield-esthetics-7
Medical application from historyÖtzi is a mummified human discovered in 1991in the Schnalstal glacier in the Alps, on theborder between Austria and Italy. He diedaround 3300 BC.
• Medical tattoos has been used in the ancienttimes for several purposes, the major use was atherapeutic, such tattoos has been seen in Ötzithe Iceman, has several tattoos, concentrated atjoints: parallel lines on the right foot and ankle,bars along the lower spine, lines on the left calf,and crosses inside the right knee and left ankle.X-rays revealed chronic degeneration of bone andcartilage in the spine and arthritic wear and tearof the knees and ankles, suggesting the practiceof the ancient folk remedy of tattooing to relievepain.
MEDICAL ALERT TATTOOING• Medical alert tattooing is a form of medicalidentification similar to medical alert jewelry,i.e. bracelets and necklaces, to alert firstresponders to a medical condition or tospecific desires for care, such as do-not-resuscitate (DNR) directives.
• New phenomenon (practiced by the patients ontheir own without medical consultation can befound on the internet).• These practice are seemingly underreported inthe medical literature with its advantage andpotential drawbacks.• E.g. A woman with a tattoo warning of a pastsevere reaction to succinylcholine duringanesthesia. She had been advised to wearmedical alert jewelry, but she instead chose atattoo.
Medical warning tattoo drawn just below the wrist of the diabetic patientSource: http://www.medicinenet.com/tattoo_pictures_slideshow/article.htm
Pathologist Dr. Ed Friedlander on the left and Dr. Albert Cutter M.D displaytheir tattoo with a medical directive to not use CPR.Source: http://www.ctvnews.ca/medical-tattoos-offer-important-health-information-1.774009http://www.aarp.org/health/conditions-treatments/info-06-2012/medical-alert-tattoo.html
Organ donor tattooIn the case of a person who had his consent tobe an organ donor tattooed on his chest orother part of the body, the tattoo was viewed asnot equivalent to signed documentation
RADIATION ONCOLOGY• Tattooing is used in radiation oncology toensure accurate targeting of radiation therapy.• Typically, several small, black marks 1 to 2 mmin size are applied by a medical professionalusing an 18- or 19-gauge hypodermic needleand india ink.
Tattoo on the chest of the patient on the final treatments of thebreast cancer which mark the outline of the plateSource: http://nancysbreastcancerjourney.blogspot.cz/2012_07_01_archive.html
ENDOSCOPIC TATTOOING• In laparoscopic gastrointestinal surgery, lesionsare often difficult to visualize and localize sincethe surgeon is unable to palpate the boweldirectly to identify the diseased segment; thisincreases the risk of resecting the wrong segmentof bowel.• Endoscopic tattooing of the segment to beresected greatly improves the accuracy oflaparoscopic procedures.
The serosal appearance of the non palpable colonic lesionmarked with india ink (black stain) as seen during laparoscopicresectionSource: Willium & Wilkins, Baltimore p.55
FORENSIC MEDICINE• Specialists in forensic medicine use primarymarkers such as fingerprints and dentalrecords and secondary markers such asbirthmarks, scarring, and tattoos to identifyvictims.• Tattoos are useful for identification whenfingerprints or dental records are unavailable
Tsumani ocean waves on the left and devastation caused fromthe air on the rightSource: http://esl-bits.net/listening/Media/2011-06-16/Tsunamis/http://news.nationalgeographic.com/news/2012/04/pictures/120412-indonesia-tsunami-earthquake-science-world/#/2-tsunami-flooding-destruction_51402_600x450.jpg
• However, as the body decomposes, tattooscan discolor and fade, making them hard toidentify. Application of 3% hydrogen peroxideto the tattoo site has been reported to aid inidentification, and infrared imaging has shownpromise.
“21st Century Medicine , think broader , thinkthree dimensional”Thank you