Cryosurgery is an established technique for treating keloids. The development of intralesional cryosurgery has been an important advance in that technique. In addition to producing better results in large and refractory keloids, intralesional cryosurgery presents a lower rate of complications. The authors present a new low-cost device for use in intralesional cryosurgery that allows easy handling in practically all body areas.

Keywords: KELOID, CRYOSURGERY, SURGICAL EQUIPMENT

Post-adjusted M-plasty can be used in any surgical defect that can be closed by direct approximation of the borders to avoid the formation of apical protrusions. It is performed without prior planning; the tissue is removed only if the surgeon detects a protrusion during surgery. This method offers the advantage of sparing healthy tissue by adjusting the incisions to each patient’s skin’s tension lines, wrinkles and junctions of cosmetic units, in addition to the possible use of the “M”s pedicle as a small advancement flap. This study describes the procedure step by step, highlighting the differences and advantages compared to traditional M-plasty.

Keywords: SURGICAL PROCEDURES, MINOR, AMBULATORY SURGICAL PROCEDURES, ABDOMINAL WOUND CLOSURE TECHNIQUES

Aspiration curettage of sweat glands is a minimally invasive surgical technique for the treatment of axillary hyperhidrosis. It is safe and easy to perform, offers a high success rate and comparatively few side effects. It is generally well tolerated by patients and requires a reduced recovery time when compared to other surgical modalities.

Keywords: HYPERHIDROSIS; SURGERY; CURETTAGE

Introduction: Microneedling, also known as percutaneous collagen induction therapy, is a safe and effective procedure, mostly used for rejuvenation, treatment of scars, melasma, alopecia, and other conditions, as well as for drug delivery. Despite the safety and benefits of this technique, the control of pain during the procedure is its major limiting factor.
Objectives: To assess whether the drug delivery system for topical anesthesia immediately before a microneedling session is capable of reducing the pain.
Methods: A split-face pilot study was carried out with nine consecutive cases of microneedling that had been indicated for the treatment of acne scars, rejuvenation and collagen induction. All patients underwent cleansing of the skin followed by the application of topical anesthetics on the entire face, and drug delivery with a 0.5mm roller only on the left hand side of the face. Next, all anesthetics were removed and microneedling with a 1.0mm roller was performed on both sides of the face
Results: There was a significant reduction of the pain on the left hand side of the face, where the drug delivery was carried out (p <0.01), with a mean value of 3.33 (± 1.49) on the Visual Analogue Scale as compared to the right hand side, which yielded a mean value of 5.22 (± 1.74).
Conclusion: The topical anesthetic drug delivery technique was effective and successful in reducing the pain during microneedling procedures carried out in the study’s patients group.

Keywords: anesthesics, local; collagen; scars

Nevus lipomatosus cutaneous superficialis is an uncommon dermatosis in which the adipose tissue is present ectopically in the dermis.This condition is clinically divided into two variants: classical and solitary.The first is characterized by soft, pedunculated, cerebriform, skin-colored or yellowish papules or nodules, mainly involving the pelvic region.The latter is observed as a solitary or sessile papule. Treatment with surgical excision is usually enough. Nevus lipomatosus cutaneous superficialis may be associated with other conditions such as multiple lipomas, as in our case.

Keywords: Nevus; Dermis;Adipocytes; Lipoma

INTRODUCTION: Axillary bromhidrosis is a disease of significant psychosocial impact characterized by bad odor in the armpits. The cause of bromhidrosis is multifactorial, and studies indicate that it is related to the bacterial transformation of substances secreted by the apocrine glands. Some cases of bromhidrosis are difficult to control by clinical therapies, and surgical therapies are well indicated. Surgical treatments for the disease aim to remove the axillary sweat glands and range from more aggressive to minimally invasive procedures. This review aims to list and compare all surgical alternatives described in the medical literature.

Keywords: Surgical Procedures, Operative; Sweat Glands; Hyperhidrosis; Apocrine Glands