Introduction: Liposuction is a cosmetic procedure that removes undesired body fat. More recently, it has been associated with complications and deaths, raising concerns about the risk involved in the procedure. Since the tumescent technique was described by Jeffrey Klein, surgeons from around the world have contributed to the development of the technique, making liposuction with microcannulas and local anesthesia a safe and effective procedure that achieves its objective. Nevertheless, severe complications and deaths are described in the literature when the procedure is performed under general anesthesia or with IV drugs, or when there is a breach of the protocols recommended for local tumes- cent anesthesia. Therefore, it is necessary to establish protocols for liposuction procedures that use local tumescent anesthesia, to promote safety.
Objective:To demonstrate that using local tumescent anesthesia in liposuction is safe.
Methods: Retrospective study of medical records of 568 patients who underwent 1,107 liposuction procedures assisted by local tumescent anesthesia between 1998 and 2004.
Results: There were no deaths or complications that required hospitalization.
Conclusions: When standardized protocols are observed, liposuction assisted exclusively by local tumescent anesthesia was shown to be a safe procedure.

Keywords: LIPECTOMY, ANESTHESIA, LOCAL, SAFETY

Introduction: Melasma is a common pigmentary disorder. Notwithstanding, its treatment is frustrating, and slow to take effect. Although depigmenters still are the main treatment modality, lasers have recently emerged as an innovative option. Objective: To preliminarily determine the effects of non-ablative photothermolysis on persistent melasma.
Methods: Ten patients with resistant melasma underwent three 1540 nm fractional nonablative erbium laser sessions (with one month intervals), with a 15 mm spot size handpiece. No additional treatment was carried out 3 months before or after. The energy level used ranged from 8 to 15 mJ/MB, and the pulse duration was 15 ms. Responses were evaluated by both the researcher physician and the patients.
Results: Seven patients completed the study; three patients left due to side effects. The researching physician reported that the patients who completed the study obtained 50-75% improvement one month after the last session. The patient''''''''s analysis resulted 50-75% improvement for 5 patients, and 75-100% for the remaining two. The physician and the patients reported that the improvement was maintained at the 3-month follow-up visit.
Conclusions: Although the preliminary results were satisfactory, further, longer-term studies are necessary to establish more efficient protocols and to observe possible recurrences.

Keywords: MELANOSIS, LASERS, TREATMENT OUTCOME

The cuniculatum carcinoma is a rare, slow-growth, local aggressive subtype of the squamous cell carcinoma, presented as a verrucous lesion with a low metastasis capacity. Its histopathology shows keratin-filled crypts, and its etiology is linked with HPV, especially 11 and 16 subtypes. The treatment of choice is surgical excision, followed by regular monitoring due to the high risk of local recurrence. We report a case of a woman with Cuniculatum carcinoma treated with surgery with perioperative frozen section procedure, graft, and good evolution.

Keywords: Carcinoma; Carcinoma, Squamous Cell; Foot