Hair transplantation is one of the therapeutic options for the treatment of cicatricial alopecia; however, the adherence between the scalp and the periosteum hinders its execution and compromises the final result. The use of adipose tissue grafting, as fat fragments harvested from the infra-gluteal crease, at least 30 days before the transplantation to optimize the results, is proposed.

This is case report of lichen planus pigmentosus associated with classical lichen planus treated with intense pulsed light. Intense pulsed light technology has been used successfully for removal of various benign pigmented skin lesions and, in this rare case, it has proved its effectiveness.

Keywords: LICHEN PLANUS, PHYSICOCHEMICAL TREATMENT, PHYSICAL-CHEMICAL TREATMENT, HYPERPIGMENTATION

Introduction: The interest in minimally invasive procedures for facial rejuvenation fos- tered the development of the cutaneous filling technique to treat wrinkles and folds. Hyaluronic acid is one of the most popular fillers,as it is considered the least immuno- genic and safest in its category.
Objective: To evaluate and compare the efficacy,safety and duration of effect after the application of the filler CRMDex® in nasolabial folds,in one session versus two sessions.
Methods: Open clinical trial,with the randomization of nasolabial folds and comparison between two techniques.Women,aged 30 to 60 years old (n=30),presenting with accen- tuated symmetric nasolabial folds of minor to moderate degrees were subjected to intra- dermal injections of the same volume of CRMDex®.Three independent dermatologists evaluated the effectiveness of the treatment using the Wrinkle Severity Rating Scale.
Results: There was no difference in treatment effect for one versus two sessions.Both groups achieved a reduction of at least one degree according to the severity scale,and had a similar duration of the filling effect.The more frequent local adverse events (pain,ery- thema and edema) occurred during the injection and improved spontaneously.
Conclusions: There was no improvement in therapeutic response with the injection of smaller volumes per session.It seems that higher filler volumes may increase the risk of local adverse events.

Keywords: HYALURONIC ACID, BIOLOGICAL REACTIONS, DERMIS, CICATRIX

Keloids are dermal fibroproliferative benign disorders that develop at the site of cutaneous injury, due to an imbalance of the mechanisms that control tissular repair and regeneration. The pathogenesis is not well understood, however it is postulated that an imbalance between anabolic and catabolic factors occurs in the healing process, resulting in overproduction of collagen. There are several treatment modalities, nevertheless recurrence rates are high. The objective of the present paper is to describe five cases of keloid in the ear lobe that showed a good response to a combination therapy: excisional surgery, corticosteroid injection, and pressure device.

Keywords: KELOID; AMBULATORY SURGICAL PROCEDURES; ADRENAL CORTEX HORMONES; PRESSURE

Introduction: Introduction: Not focused ultrasound is a noninvasive alternative to improve body contour.
Methods: It's reported five cases treated with eight weekly sessions of not focused ultrasound on the abdomen.
Results: The treatment did not affect the routine of patients; it was comfortable and safe for most. There was a reduction in the thickness of the fat layer evaluated by ultrasound and in the circumferential measures in all patients, with clinical improvement evidenced in the photographic documentation especially in patients with lesser thickness of subcutaneous.
Conclusion: The device was safe, and was shown clear reduction in abdominal subcutaneous tissue.

Keywords: ADIPOSE TISSUE; ULTRASONIC THERAPY; ULTRASONOGRAPHY; ABDOMINAL SUBCUTANEOUS FAT

INTRODUCTION: Liposuction is one of the most performed cosmetic surgeries in the world. Its mortality varies from 2,6 (6) to 19 (7) deaths/100 thousand. Data were obtained through questionnaires from medical societies (4-10) and retrospective data from forensic medicine institutes. However, both methods present flaws: the first due to professional bias and information duplicity, and the second due to the lack of data on the cause of death.
OBJECTIVES: To identify the number and causes of liposuction deaths through documentary records of news published in the press and study of death certificates.
METHODS: This is a documentary, descriptive-quantitative study. Knowing the deceased patients’ names and the cities where the death occurred, we obtained death certificates from the civil registry offices.
RESULTS: We surveyed 102 deaths and 86 death certificates. Pulmonary thromboembolism was the most cited cause of death in 17.44%, 45% on the same day of surgery. 53.6% of surgeries were performed in hospitals, and 61.76% of them, alone. Most physicians responsible for the surgeries were plastic surgeons (74%). Still, none were registered as a specialist in Dermatology at the Federal Medical Council. In 12.98% cases, doctors who participated in the surgery filled out the death certificate.
LIMITATIONS: The ethical impossibility of accessing medical records and the inadequate filling of death certificates.
CONCLUSION: The compulsory notification must be established by law to create a databa

Keywords: Liposuction; dead.

Reconstruction of the scalp after suspected skin lesions excision is a challenge. Tamir et al. described the three-point-advancement (Mercedes flap) to close circular wounds. These tissue advancements create triangles in the edges, which must be removed. However, extensive lesions do not allow the three points to join, preventing central closure. Valesky et al. described the central closure using total skin grafts made from the triangles. The literature lacks these case reports, making it difficult to incorporate them into surgical practice. We applied this modified technique to five patients with good aesthetic and functional results.

Keywords: Scalp; Surgical flaps; Plastic surgery procedures; Skin transplantation; Skin neoplasms