Split earlobe injuries are relatively common in individuals with pierced ears. They result from various forms of trauma, including babies pulling earrings, spousal abuse, and heavy earrings. Complete lobe clefts usually occur from either sudden pull injuries or from chronic traction.
Dr Patrick Treacy shares some of his most challenging cases. This month he ta...Dr. Patrick J. Treacy
A 61-year-old Irish female, presented with complete pulled earlobes bilaterally as a consequence of possible low placement of original piercings and pendulous ear-rings. She wanted repair of the defect so she could begin to wear her earrings again. The patient was in no distress the defect had caused scar tissue along the involved cleft.
Dr Patrick Treacy on Diagnosis and Treatment of Malignant Melanoma Dr. Patrick J. Treacy
A 23-year-old Siberian female patient presented with a changing lesion on her abdomen. The patient stated the lesion was present for about two years and it started
off from within a freckle, which started to grow larger and somewhat darken in appearance. It had the clinical appearance of a melanoma and the dermoscopy three-point checklist (designed to allow non-experts not to miss detection of melanomas) was used to determine whether this had a high likelihood of malignancy. It included:
Asymmetry: asymmetry of colour and structure in one or
two perpendicular axes
Atypical network: pigment network with irregular holes
and thick lines
Blue-white structures: there was some evidence of blue-
white veil and regression structures
2.tahrir n. aldelaimi article the evaluation of impacted third molars using...MohammedAbdulhammed
Tahrir N. Aldelaimi's ( dean of college of dentistry / Anbar University ) Published paper Show plagiarized paragraph (High light ) from article belong to Faiez N. Hattab, Ma'amon A. Rawashdeh and Mourad S. Fahmy
Procedural errors in endodontics /certified fixed orthodontic courses by In...Indian dental academy
Welcome to Indian Dental Academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable.
Dr. Rahul VC Tiwari - Fellowship In Orthognathic Surgery - Jubilee Mission Medical College Hospital and Research Center, Thrissur, Kerala - 20TH PUBLICATION - IJADS
Influence of fractured instruments on the success rate of endodontic treatmentsaad1957
The fracture of an instrument is a recognized complication in endodontics. The immediate response to a fractured instrument is
frequently to regard the treatment as a failure. Several factors must, however, be taken into account to evaluate the prognosis of the tooth
in this situation. The objective of the endodontic treatment with or without a fractured instrument remains the same, namely to disinfect
the root canal system and prevent its recontamination. The time at which file fracture occurred during treatment and the degree of canal
infection should be considered when determining the potential effect of instrument fracture on treatment outcome. Patients must be
informed about an instrument fracturing in their tooth for ethical and legal reasons. The aim of this paper is to attempt to place fractured
instruments in context, not to provide an in depth description of fractured instrument management techniques.
Clinical Relevance: To understand the influence of fractured instruments on prognosis in endodontics.
Dr Patrick Treacy shares some of his most challenging cases. This month he ta...Dr. Patrick J. Treacy
A 61-year-old Irish female, presented with complete pulled earlobes bilaterally as a consequence of possible low placement of original piercings and pendulous ear-rings. She wanted repair of the defect so she could begin to wear her earrings again. The patient was in no distress the defect had caused scar tissue along the involved cleft.
Dr Patrick Treacy on Diagnosis and Treatment of Malignant Melanoma Dr. Patrick J. Treacy
A 23-year-old Siberian female patient presented with a changing lesion on her abdomen. The patient stated the lesion was present for about two years and it started
off from within a freckle, which started to grow larger and somewhat darken in appearance. It had the clinical appearance of a melanoma and the dermoscopy three-point checklist (designed to allow non-experts not to miss detection of melanomas) was used to determine whether this had a high likelihood of malignancy. It included:
Asymmetry: asymmetry of colour and structure in one or
two perpendicular axes
Atypical network: pigment network with irregular holes
and thick lines
Blue-white structures: there was some evidence of blue-
white veil and regression structures
2.tahrir n. aldelaimi article the evaluation of impacted third molars using...MohammedAbdulhammed
Tahrir N. Aldelaimi's ( dean of college of dentistry / Anbar University ) Published paper Show plagiarized paragraph (High light ) from article belong to Faiez N. Hattab, Ma'amon A. Rawashdeh and Mourad S. Fahmy
Procedural errors in endodontics /certified fixed orthodontic courses by In...Indian dental academy
Welcome to Indian Dental Academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable.
Dr. Rahul VC Tiwari - Fellowship In Orthognathic Surgery - Jubilee Mission Medical College Hospital and Research Center, Thrissur, Kerala - 20TH PUBLICATION - IJADS
Influence of fractured instruments on the success rate of endodontic treatmentsaad1957
The fracture of an instrument is a recognized complication in endodontics. The immediate response to a fractured instrument is
frequently to regard the treatment as a failure. Several factors must, however, be taken into account to evaluate the prognosis of the tooth
in this situation. The objective of the endodontic treatment with or without a fractured instrument remains the same, namely to disinfect
the root canal system and prevent its recontamination. The time at which file fracture occurred during treatment and the degree of canal
infection should be considered when determining the potential effect of instrument fracture on treatment outcome. Patients must be
informed about an instrument fracturing in their tooth for ethical and legal reasons. The aim of this paper is to attempt to place fractured
instruments in context, not to provide an in depth description of fractured instrument management techniques.
Clinical Relevance: To understand the influence of fractured instruments on prognosis in endodontics.
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
Dr Patrick Treacy shares some of his most challenging cases. This month he talks
about treating post endoscopic thoracic sympathectomy “gustatory sweating” with
botulinum toxin A
Dr Patrick Treacy shares some of his most challenging cases.
This month he talks about treating Cutaneous Malignant Melanoma. Melanoma, also known as malignant melanoma, is a type of cancer that develops from the pigment-containing cells known as melanocytes. They typically occur in the skin but may rarely occur in the mouth, intestines, or eye. In women they most commonly occur on the legs, while in men they are most common on the back. Sometimes they develop from a mole with concerning changes including an increase in size, irregular edges, change in color, itchiness, or skin breakdown
When it comes to create and deliver the best features for target users, usability discussions can go on endlessly.
But there are other features to implement in the release, and at some point, this new release must be shipped.
So how to make sure you have achieved the minimum usability to avoid rejection.. and even foster adoption?
What does it take to make your assessment and reduce the risk of any further negotiation?
This is what this talk intends to provide - an explanation of a method and a team-spirit to adopt.
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
Dr Patrick Treacy shares some of his most challenging cases. This month he talks
about treating post endoscopic thoracic sympathectomy “gustatory sweating” with
botulinum toxin A
Dr Patrick Treacy shares some of his most challenging cases.
This month he talks about treating Cutaneous Malignant Melanoma. Melanoma, also known as malignant melanoma, is a type of cancer that develops from the pigment-containing cells known as melanocytes. They typically occur in the skin but may rarely occur in the mouth, intestines, or eye. In women they most commonly occur on the legs, while in men they are most common on the back. Sometimes they develop from a mole with concerning changes including an increase in size, irregular edges, change in color, itchiness, or skin breakdown
When it comes to create and deliver the best features for target users, usability discussions can go on endlessly.
But there are other features to implement in the release, and at some point, this new release must be shipped.
So how to make sure you have achieved the minimum usability to avoid rejection.. and even foster adoption?
What does it take to make your assessment and reduce the risk of any further negotiation?
This is what this talk intends to provide - an explanation of a method and a team-spirit to adopt.
‘Double X’ Cross Fixationin Paediatric Supracondylar Humerus Fractures: A 20-...clinicsoncology
Over the last 50 years, the developments emerged in the diagnosis and treatment of supracondylar humerus fractures (SHF) have significantly reduced the number of severe complications while certain complications with dreadful evolution, such as elbow stiffness or Volkmann’s syndrome, have completely vanished. During my residency, in 1982, on the suggestion of Prof. Pesamosca, I have performed a surgical intervention for a patient diagnosed with SHF
Title: Otoplasty: New Modification of the Mustardé technique
Author: Mohamed A.S.M. El-Rouby, MD,
Assistant Professor of Plastic surgery, Ain Shams University, Cairo, Egypt.
Abstract
Background: one of the most established techniques for management of protruding ears is the Mustardé technique (1). Many modifications had been published for this technique; however, all these modifications started by retro-auricular incision. We modify the Mustardé technique using three retroauricular microincisions to correct several deformities of the auricular cartilage in protruding ears.
Patients and Methods: 46 patients (7unilateral, 39 bilateral) (85 ears) who were candidates for this technique, their age (25 ± 2.8 years), 38 males, 8 females. The operation time, steps, follow up sessions (2 weeks, 3, 6 and 18 months) data was recorded. Preoperative and postoperative (1,18 months) photos were compared and analyzed by custom made computer program the evaluated the results.
Results: 42 patients achieve a natural appearance. extrusion of threads occurred in 8 ears. Asymmetrical ears were noticed in 4 patients and recurrence in 11 patients. These patients were revised by Mustardé technique with retro-auricular incisions. None of the patients developed retro-auricular scars.
Conclusion: this versatile modification allows for better asthenic results of otoplasty and minimizes complications of skin incision unless cartilage and/or skin resection is needed.
Arch expansion /certified fixed orthodontic courses by Indian dental academy Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Expansion appliances /certified fixed orthodontic courses by Indian dental ac...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Implant supported maxillofacial prosthesis/cosmetic dentistry coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Similar to Dr Patrick Treacy treating pulled earlobes (20)
Dr Treacy is considered one of the most influential aesthetic
practitioners in the world, having forever altered the field of
aesthetic medicine. With anecdotes taken from his extraordinary memoir – and reveals why he finally decided to lift the mask.
A 53-year-old Irish female presented with an intractable trigeminal neuralgia pain in the region of her left maxillary nerve (V2) who did not respond to pharmacotherapy including pregabalin 300mgs bd and gabapentin 300mgs bd. She had been admitted to hospital for one month for intravenous oxycodone hydrochloride. She had also more than fifty nerve blocks in the previous years and had undergone stereotactic gamma knife radiosurgery which had work for five months but later resulted in uncontrollable dysesthesia pain in the region of her left maxillary nerve. She defined this as a continual unpleasant sensation of something 'crawling' under her skin in her left periorbital. There was a sensation of intense pain in her left external nasal area and that of electric shock, burning, and pins and needles and left mental area.
One of aesthetic medicines most notable characters,
Dr Patrick Treacy shares some of his favourite anecdotes
from his extraordinary memoir and reveals why he finally
decided to lift the mask.
Although having a facial disfigurement secondary to trauma, a birthmark, a birth defect or some abnormality does not affect a patient’s health; society deems it often leads to stigmatisation and limitations of opportunities afforded to others.
Dr Patrick Treacy shares some of his most challenging cases. This month he talks about treating cutaneous warts. Warts appear in various forms on different sites of the body and include common warts (verruca vulgaris), plane or flat warts, myrmecia, plantar warts, coalesced mosaic warts, filiform warts, periungual warts, anogenital warts (venereal or condyloma acuminata), oral warts and respiratory papillomas.
Dr Patrick Treacy on devices for dealing with post-pregnancy baby weightDr. Patrick J. Treacy
Pregnancy leads to many changes in a woman’s
body, mainly through the interaction of steroid
hormones, lactogen and cortisol on the underlying
tissues and structures. The growing foetus itself
causes mechanical change also by stretching
skin, muscle and fascia and demanding an increased
calorific supply. The amount of extra weight gained
during pregnancy varies among women.
Dr Patrick Treacy on combining therapies for optimal outcomes in treating the...Dr. Patrick J. Treacy
This paper looks at the possibility of combining five
established therapies in an attempt to address
common concerns related to facial ageing. The
therapies included microneedling, low dose
Ultralase laser, (PRP) plasma rich protein growth
factors, Omnilux 633 light and neurotoxins. The technique is
called the DUBLiN face-lift as an acronym of the procedures
involved. D Dermaroller U Ultralase Laser B Blood growth
factors Li Light (near red 633) N Neurotoxin.
The author compared this method to fractionalised laser
skin resurfacing (FLSR) in terms of reduction of photoageing
and overall aesthetic effect. Neurotoxin was used in
both studies.
Dr Patrick Treacy shares some of his most challenging cases. This month he talks about treating facial popular sebaceous hyperplasia. Sebaceous hyperplasia is a disorder of the sebaceous glands in which they become enlarged, producing yellow, shiny bumps on the face
Dr Patrick Treacy discusses dermal filler complications and how to deal with ...Dr. Patrick J. Treacy
At present, there’s a paucity of literature regarding both the prevention and management of serious events, despite the fact that these complications are the very things that patients and physicians both continually fear. Many physicians, (including myself), feel that corporate prefer not to address these issues and they are driven underground. Over the years, many of my colleagues have referred me their more serious problems and I consequently have developed a certain experience in this area. This insight into complications of dermal filler use will serve to highlight both of these problems and try to help one manage these complications if they should ever happen to you.
This month sees the publication of Dr Patrick Treacy’s memoirs. Vicky Eldridge reveals what readers can expect from this fascinating insight into the life of one of the industry’s best-known doctors
‘Behind The Mask’ – The Extraordinary Story of The Irishman who Became Michae...Dr. Patrick J. Treacy
Dr. Patrick Treacy is a well-known face within the Aesthetic industry, both in the UK and Ireland, as well as the World. A loveable, Irish rogue with a charming, boyish smile and a cheeky demeanour, Patrick, (what better
name for an Irishman is there) is also a very accomplished and knowledgeable medical professional and humanitarian.
Dr Patrick Treacy looks back at the history of one
of the most impactful products in the field of aesthetic
medicine, botulinum toxin. He writes ...without knowing it, Justinus Kerner laid the opening shots in the greatest contribution of biology to the world of cosmetic medicine – he was actually describing the neurological action of botulinum toxin, later to be known to a different world in another century as Botox®
Squamous cell carcinoma is the second-most common
cancer of the skin (after basal cell carcinoma but more
common than melanoma). It usually occurs in areas exposed to the sun. Sunlight exposure and immunosuppression are risk factors for SCC of the skin, with chronic sun exposure being the strongest environmental risk factor
Dr. Patrick Treacy looks at the history of lasers in Aesthetic Medicine Dr. Patrick J. Treacy
Following the death of the inventor of the laser, Charles Townes, Dr Patrick Treacy looks back at the history of this groundbreaking technology and examines how its use in aesthetics has evolved. Dr Patrick Treacy is CEO Ailesbury Clinics, chairman of the Irish Association of Cosmetic Doctors and Irish regional representative of the British College of Aesthetic Medicine (BCAM). He is also president of the World Trichology Association. Dr Treacy has won a number of awards for his contributions to facial aesthetics and hair transplants including the AMEC Award in Paris in 2014. Dr Treacy also sits on the
editorial boards of three international journals and features regularly on international television and radio programmes. He is scientific committee for AMWC Monaco 2015, AMWC Eastern Europe 2015, AMWC Latin America 2015, RSM ICG7 (London) and Faculty IMCAS Paris 2015 and IMCAS China 2015.
Following the death of the inventor of the laser, Charles Townes, Dr Patrick ...Dr. Patrick J. Treacy
Following the death of the inventor of the laser,
Charles Townes, Dr Patrick Treacy looks back at
the history of this groundbreaking technology and
examines how its use in aesthetics have evolved
Dr. Patrick Treacy explains how the changes experienced
during and after pregnancy can lead women to seek aesthetic
procedures for a number of issues, including sagging skin,
stretch marks, and excess fat
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
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New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
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These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
1. 63Aesthetic Medicine • September 2016
Dr Patrick Treacy shares some of his most challenging cases. This month he talks
about treating pulled earlobes
Dr Treacy’s
CASEBOOK
A
61-year-old Irish female, presented with
complete pulled earlobes bilaterally as a
consequence of possible low placement of
original piercings and pendulous earrings. She
wanted repair of the defect so she could begin
towearherearringsagain.Thepatientwasinnodistressand
the defect had caused scar tissue along the involved cleft.
DISCUSSION
Split earlobe injuries are relatively common in individuals
withpiercedears.Theyresultfromvariousformsoftrauma,
including babies pulling earrings, spousal abuse, and heavy
earrings. Complete lobe clefts usually occur from either
sudden pull injuries or from chronic traction. A variety of
techniques exist for the plastic surgeon to reconstruct this
area. The repair of torn earlobes is a frequently requested
procedure for cosmetic surgeons.1
Many techniques have
beenpublishedontherepairofearlobetears2,3,4
.Sometears
occur over many years from the constant weight of heavy,
pendulous earrings. In cases where the earlobe is acutely
torn, many patients fail to seek immediate care. In both
cases, the pathology of the tear concerns the torn edges of
the lobe becoming epithelialised and thus forming a fistula
or cleft. All methods of earlobe repair concern the removal
of the scar epithelium and some type of approximation of
the fresh edges5
.
TREATMENT
The author first infiltrated the torn lobe on both sides
with local anaesthetic and adrenaline. The lobe was then
fashioned into a slight ‘V’ shape by removing skin consisting
of scar epithelium and exposing cartilage in the area that
was to be treated with a radiofrequency electrode (Fig 1).
The incised lobe was approximated with a single, buried
5-0 Vicyrl. Another proline suture was placed at the inferior
lobe to allow precise approximation of the wound edges for
cosmeticeffect.Thelobewasthenevertedandtheposterior
aspect of the wound was sutured also.
METHODS OF TREATMENT
Most earlobe tears are repaired by local anaesthesia with
a vasoconstrictor. Common incisional modalities include
scar excision with scissors, scalpel, elliptical biopsy punch,
radiowave surgery, and CO2 laser. As mentioned by >
CASE FILESwww.aestheticmed.co.uk
D E V I C E S
Fig 1. Most earlobes are classified as partial or complete
Fig 2. Ellman Surgitron Unit used to get clean opposing sides
2. 64 Aesthetic Medicine • September 2016
Dr Niamatu5
, the author also prefers the use of 4.0 MHz
high-frequency radiowave surgery (Fig 2). This modality
allowsforarelativelypressurelessincisionbecausethefine
radiowave electrode does not heat up or cut by pressure.
The radiowaves use the tissue as electrical resistance and
cause the intracellular water to boil. The active surgical
electrode merely serves as a means of directing the high-
frequency radiowaves. The Lumenis ultra-pulsed CO2 laser
with a 0.2 mm cutting hand piece is a true pressureless
incisionalmethodandalsoofferscoagulationbydefocusing
the beam (Fig 3). Regardless of the incisional modality
used, the procedure is basically the same for most tears.
Complications are infrequent with earlobe repair, although
a depressed linear scar and inferior notching of the lobe can
occur from improper alignment of the inferior lobe or from
scar retraction. I would however recommend waiting six
weeks before re piercing the lobe, and placing the piercing
in an area slightly away from the torn repair site. AM
>> Dr Patrick Treacy is CEO of Ailesbury Clinics, chairman of the Irish Association of Cosmetic Doctors and
Irish regional representative of the British College of Aesthetic Medicine (BCAM). He is also president of
the World Trichology Association. Dr Treacy has won a number of awards for his contributions to facial
aesthetics and hair transplants including the AMEC Award in Paris in 2014. Dr Treacy also sits on the
editorial boards of three international journals and features regularly on international television and radio
programmes. He was on the scientific committee for AMWC Monaco 2015, AMWC Eastern Europe 2015,
AMWC Latin America 2015, RSM ICG7 (London) and Faculty IMCAS Paris 2015 and IMCAS China 2015.
REFERENCES
1. NiamtuJ.Surgicalrepairofcleftearlobe.JOralMaxillofacSurg1997;55:886–90.
2. Niamtu J. Oral and maxillofacial surgery clinics of North America, vol 12.
Philadelphia: WB Saunders, 2000:781–9.
3. Boo-Chai K. The cleft ear lobe. Plast Reconstr Surg 1961;28: 681–8.
4. Kailash Narasimhan, Ian T. Jackson European Journal of Plastic Surgery June
2010, Volume 33, Issue 3, pp 125-128 A long-term review of Z-plasty technique
for repair of split earlobes
5. Dermatol Surg. 2002 Feb;28(2):180-5. Eleven pearls for cosmetic earlobe
repair. Niamtu J 3rd
6. Bianco-Davila F, Vasconez HC. The cleft earlobe: a review of methods of
treatment. Ann Plast Surg 1994;33:677–80.
CASE FILES www.aestheticmed.co.uk
D E V I C E S
Fig 3. Radiofrequency incision used to remove scar tissue
Fig 4. Sutured with 4X0 Proline after deep vicryl suture
Fig 5. Earlobe covered with steristrip bandage
Fig 6. Eversion of lobe to suture the posterior aspect