Breast reconstruction involves two major conditions: to be oncologically safe and to respect the aesthetic of the reconstructed breast. Moreover, every healthcare system in the world manifests a keen tendency to cut back on medical costs, which influences our surgical techniques and breast reconstruction procedures. The use of biological matrices like the acellular dermal matrix has become an acknowledged alternative in implant-based breast reconstruction, in spite of the many impediments and controversies that surround it. However, these matrices are costly and less attainable as compared to synthetic meshes that are conservative with resources and unyielding to the formation of biofilm bacteria. Accordingly, we decided to research the impact of synthetic meshes in implant-based breast reconstruction.

RezumatReconstrucţia de sân implică două decizii majore: alegerea momentului optim şi a tehnicii adecvate de reconstrucţie pentru fiecare pacientă, luând în considerare complicaţiile şi riscurile care pot rezulta în urma acestor decizii. Prin selectarea atentă a pacientelor şi individualizarea reconstrucţiei de sân, riscurile şi complicaţiile acestei proceduri pot fi minimizate, cu rezultat estetic bun şi satisfacţie ridicată în rândul pacientelor. Reconstrucţia de sân poate fi realizată prin 3 modalităţi distincte: reconstrucţia imediată -la momentul mastectomiei, reconstrucţia secundară -la finalizarea tratamentului adjuvant şi reconstrucţia imediat-întârziată care utilizează ambele metode precedente -include expansiunea tisulară la momentul mastectomiei şi reconstrucţia definitivă la finalizarea tratamentului adjuvant. Strategiile perfecţionate timp de decenii în chirurgia reconstructivă a sânului au făcut posibilă reconstrucţia imediată a sânului oferind pacientelor şansa de a se recupera după o intervenţie de mastectomie cu un nou sân reconstruit. Deşi nu toate pacientele aleg reconstrucţia sânului, procentele celor care optează pentru reconstrucţie sunt în continuă creştere, iar tehnici noi şi îmbunătăţite se dezvoltă rapid.Cuvinte cheie: cancer de sân, mastectomie, reconstrucţie de sân, conservarea ţesutului cutanat, implant mamar

This study intends to highlight the results of the product Teosyal Redensity II through the cumulative effects of its constituents, that have an antioxidant, hydrating, filling and facial restructuring role. The study was performed in the Arestetic Clinic, Galai, between 07.12.2015 and 07.12.2016 on a group of 49 patients, of which 43 women and 6 men. Teosyal Redensity 2 proved to be a safe product - as long as it is injected correctly, it does not cause complications. It�s easy to inject and has a very high efficiency. It�s a periorbital rejuvenation and restructuring product, with a filling, antioxidant, hydration and dermal redensification effect. In the case of persons that needed a second injection after 1 month, one could observe a major improvement in elasticity and firmness felt by the person performing the injection. The injection requires small quantities of the substance and is accompanied by only mild discomfort. The result is visible right away.

Obesity represents a global health problem. According to the latest studies released by the World Health Organisation (WHO), 1.7 billion currently in excess of normal weight individuals, of which approx. 75% are overweight (body mass index - BMI 25 to 30). The common form of excess adipose tissue manifestation in overweight individuals is localized fat deposits with high (abdominal) or low (buttocks and thighs) disposition. Although the overweight can be corrected relatively easy by changing behavioral habits or food, a constant physical exercises program or following a diet food are not accessible to all through the efforts of will, financial and time involved. Several methods have been studied and tested over time to eliminate more or less invasive fat deposits with varying efficacy and adverse effects. Chemical lipolysis using phosphatidylcholine as the basic substance was initially used in hypercholesterolemia and its complications and was rapidly adopted in mesotherapy techniques for the treatment of fat deposits. This study reveals the results obtained using Dermastabilon on a sample of 16 patients, the time allocated to treatment and discomfort being minimal, and rapid and notable results. There were no side effects.

This paper aims to present the benefits and results of using TCA of high concentration of 50%, in conjunction with the presentation of adverse reactions and complications. The study was conducted in Arestetic Clinic Galai during the period 10 Dec. 2015-1 Nov. 2016, on a group of 12 patients, of which 10 women and 2 men. The product used was Easy TCA 50% manufactured by SkinTech laboratories. Three coats of TCA were applied at intervals of 4 minutes each. The end result was assessed at 21 days, when the entire surface of the skin was peeled and re-epithelized. Patients were asked to assess the degree of satisfaction on a scale of 1 to 10, with 1 being the least satisfactory and 10 being the most satisfactory. As a result of this assessment, 10 patients rated the degree of satisfaction with 10 (83%) and 2 patients rated the degree of satisfaction with 9 (17%), with an average degree of satisfaction of 9.83. At 21 days, dyschromias and hyperpigmentations completely disappeared in 9 patients, while a female patient and 2 male patients still presented with barely noticeable spots. These three persons were subjected to the second peeling after 2 months, this time in two layers, and these hyperpigmentations disappeared at the end.