One of the most popular plastic surgical interventions both abroad and in Kazakhstan is blepharoplasty. Plastic surgeons continue to debate various methods for performing this operation; however, some of the methods used by plastic surgeons for preoperative marking of the upper eyelid skin may not be suited to the type of incision that should be used on the eyelids of individuals from Kazakhstan. For this reason, the surgery may not achieve the desired results. We conducted a study of patients from Kazakhstan who underwent upper blepharoplasty using a simplified technique for eyelid marking that we developed at our plastic surgery center. We used the Patient-Reported Outcome Measure Questionnaire (PROM-Q) to measure patient satisfaction and the Patient and Observer Scar Assessment Scale (POSAS) to measure scar quality. The results of our study showed that the majority of patients who underwent upper blepharoplasty performed by surgeons using our method of preoperative marking were extremely satisfied with the effect. The patients noted rapid tissue repair and minimal scarring. We concluded that the use of a simplified marking technique can significantly help aesthetic surgeons performing upper blepharoplasty by reducing the risk for negative postoperative effects.

Nasal defects are a common human pathology and are formed as a result of trauma, removal of neoplasms or congenital pathology. Elimination of a nose defect is a complex problem of reconstructive surgery. Historically, information about the restoration of the nose dates back to 3000 years BC. In the post-war years the F.M. Khitrov method (1) was widely used in the USSR, which has not lost its relevance at the present time. The advantage of the method is the possibility of harvesting a sufficient volume of tissues for both side, the outer cover and the inner lining and the creating conditions for forming the nose frame. The disadvantage of the method is multi-stage, the risk of violation of the trophic flap at the stages of treatment, inconsistency of texture and color to local tissues. The aim of the work is to improve methods for eliminating total nasal defects. On the example of one clinical case, a method for restoring the main anatomical structures of the nose is described. The use of autologous cartilage and a paramedian forehead flap is the optimal solution for the elimination of total nasal defects.

bstract Purpose. Our research explores the effect of the use of PRP therapy in accelerated recovery and wound healing after hemorrhoidectomy. Material and methods. A study based on the results of the treatment of patients with chronic hemorrhoids who were treated from January 2021 to January 2022 was conducted based on the surgical department of the RDC and MIPO Clinics LLP. The study included 100 patients aged 21 to 72 years with chronic hemorrhoids of stage II and III, in the treatment of which the method of hemorrhoidectomy with PRP therapy (main group) and open hemorrhoidectomy (control group) was used. In the analysis of clinical efficacy, the severity and duration of pain syndrome, manifestations of complications in the early postoperative period, cytomorphological analysis of fingerprint smears, the number of bed days spent, and the period of recovery were used. An analysis of the assessment of the quality of life of patients after surgery in the long-term period was also carried out. Results. The intensity of pain severity was estimated at an average of 3±0.2 points in the main group and 6.1±0.3 points in the control comparison group. The duration of pain continuation after surgery averaged 3.1±0.2 days in the main group and 4.4± 0.2 days in the control comparison group. The development of early postoperative complications in the main group – in 6 (12%), in the control group were diagnosed in 14 (28%) cases. When assessing the dynamics ofthe wound process according to the cytological picture, it was noted that the neutrophil reaction was more pronounced in the control group. In the main group, epithelization elements appeared faster (from the 10th day - in 35%). The average epithelialization time was 31.1±2.2 days in the control group compared to 20.3±3.9 days in the main group. In the main group, by day 15, 31 (62%) patients and by day 25, 50 (100.0%) all patients returned to work. In the control group, 32 (64%) patients started working by day 30 and 100% by day 40. Conclusion. Taking into account the results of the study, the use of an integrated approach with the use of PRP therapy in the treatment of chronic hemorrhoids is recommended. It is shown that the use of the proposed patented treatment regimen leads to a decrease in postoperative pain syndrome, accelerated wound healing, and a decrease in the number of complications.