No abstract

Background: The reconstruction of the upper eyelid and the periorbital region is a challenge for the surgeon. The aims of this reconstruction are to guarantee protection to the eyeball, maintain the visual field, and restore the function of the eyelid without damaging other anatomical structures. In this study, the authors describe the use of a propeller myocutaneous flap based on the small vertical branches of marginal, peripheral ed superficial arcade, for the reconstruction of the upper eyelid or periorbital region. Materials and Methods: The authors enrolled 3 patients (Caucasian), between 2018 and 2019, and subjected to reconstructive surgery with the propeller myocutaneous flap of the periorbital region at the Plastic Surgery Unit of the University of Messina. The vascularization of the flap was demonstrated through an anatomical study conducted on cadavers at the dissection laboratories of the University of Bordeaux 2. Results: The authors have shown that the myocutaneous flap represents a valid alternative for loss of substance coverage and reconstruction of the upper eyelid or periorbital region, allowing the achievement of a good aesthetic and functional result. Follow up: Patients were followed up at 3–6–12 months. No complications were reported (flap retraction, periocular region deformity, donor site morbidity). Furthermore, at the last visit, the scars were almost invisible. Conclusions: The use of the propeller myocutaneous flap of the upper eyelid is a valid reconstructive alternative to the standard techniques described so far for the reconstruction of the periorbital region.

Chemical peeling for skin arose in ancient culture: Egypt, Mesopotamia and Africa. Medical knowledge regarding chemical peeling is a result of centuries of experience and research. Many substances used in peeling have been described, with more or less marked action. In this work we describe the effectiveness of the 3 Phasic System, a system consisting of a peeling (containing various substances) associated with a topical homebased protocol. This protocol also favors the correction of incorrect eating habits also thanks to the integration with vitamins and probiotics. In this protocol a superficial peeling is used and the indications are: skin resurfacing of the face or body even in dark phototypes, outcomes of acne vulgaris, post-inflammatory hyperpigmentation, melasma, scars and photodamage. 3 Phasic System consists of many agents in reduced concentrations, promoting the efficacy of individual agents and reducing adverse effects. However, familiarity with the properties of peels is very important to avoid adverse effects. The possibility of administering 3 Phasic System according to a monthly schedule together with the correction of incorrect eating habits, the integration of deficient factors, the administration of probiotics and the application of correct home cosmetics has proven effective and safe in patients. The evaluation of the efficacy of the 3 Phasic System was evaluated through ANTERA 3D and VISIA in 450 patients.

Chemical peeling for skin originated in ancient culture: Egypt, Mesopotamia and Africa. Medical knowledge relating to chemical peels is the result of centuries of experience and research. Many substances used in peeling have been described, with a more or less marked action. Objective. In this work we aim to describe the concept of biocomplementation through the use of a needle-free system called 3Phasic System ® . Methods. The 3Phasic System ® consists of a peeling (containing various exfoliating substances) associated with a topical home protocol consisting of topicals and probiotics. This protocol also favors the correction of incorrect eating habits also thanks to the integration with vitamins and probiotics. In this protocol a superficial peeling is used and the indications are: skin resurfacing of the face or body even in dark phototypes, acne vulgaris results, postinflammatory hyperpigmentation, melasma, scars and photodamage. The 3Phasic System ® consists of many agents in reduced concentrations, promoting the efficacy of individual agents and reducing adverse effects. However, familiarity with the properties of peels is very important to avoid negative effects. The possibility of administering 3Phasic System ® on a monthly basis together with the correction of incorrect eating habits, the integration of deficient factors, the administration of probiotics and the application of correct home cosmetics has proven to be effective and safe in patients. The evaluation of the efficacy of the 3Phasic System ® was evaluated through ANTERA 3D ® and VISIA ® in 450 patients in 18 th months. Results. No adverse effects were found in any of the patients. All patients reported positive feedback to the physician in the follow-up session. Evaluation with Antera 3D and Visian highlighted the efficacy of the treatment expressed in percentile points (from +20 to +80). There is no difference in the effectiveness of the 3Phasic System ® between men and women as the results are comparable. Conclusions. The concept introduced with the 3Phasic System ® is one of biostimulation and biocomplementation and not of rejuvenation as the duration of the treatment begins with the first application and continues with topical and oral home treatments, inserting the patient in an aesthetic journey that goes beyond the individual medical treatment.