Medical Health Information

Definition of otoplasty
Otoplasty, or surgery of ears, is the intervention that aims to change the auricular cartilage in restoring shape and angle normal to the ears or too visible face.

Who is affected by otoplasty?

Children are most affected by otoplasty, because ears are visible quickly and thus cause an opinion aesthetic environment and the child itself can lead to a correction request.
At the age of 7 or 8 years ago, when the ear has reached its final size, we can proceed to surgery. It is preferable to operate before adolescence for optimal healing, and before adulthood to prevent postoperative pain greater.

Causes and origins of ears

Three defects are the cause of so-called ears:

• A lack of relief in the cartilage forming the auricle (or lack of kinking)
• An enlarged shell that projects the ear before
• An excessive angle between the auricle and the skull.

Conditions warranting surgery ears

The legitimacy of the intervention is based on a thorough examination of the morphology of the face.

As any act of surgery, otoplasty should be a patient's request, and not be a single wish of parents. An 8 year old child is in fact able to share his suffering face the ridicule which he may be a victim or discomfort he feels when he discovers his ears.

The motivation is evaluated before treatment.

Finally, the patient must not have any cons-indications to anesthesia.

How is the operation to pick up the ears?

As appropriate (age and patient tolerance), we use a local or general anesthesia. The operation can take place in a hospital or clinic approved. In general surgery, which lasts between half an hour and an hour is in day hospital: that is to say, the patient can go home the same evening when it comes to anesthesia Local.

The surgeon makes an incision above the crease behind the ear to access the cartilage. It is first shredded for more flexibility and redesigned (kinked) through son suture. The conch is then reinserted. Finally, the ear is repositioned according to the correct angle to the skull through suture son. If necessary, the second ear following the same treatment.

What is the postoperative care of otoplasty?

A large helmet-shaped bandage keeps the ears against the head for about three days. A lighter bandage for ten days then used to make a daily disinfection.

The son is removed about ten days later.

It is then advisable to wear a blindfold restraint (such as a tennis headband) for another 3-4 weeks, day and night.

Otoplasty is painful?

In the days after surgery, the operated area can be painful, and the ears look swollen or swollen.

Paracetamol helps to fight against pain and swollen appearance usually disappears quickly after removal of the dressing.

After a month or two, you can already enjoy the ultimate effect, the pink scars fading gradually.

What are the risks of otoplasty?

As with any surgery, otoplasty involves risks.
These, however, are exceptional: an infection antibiotic treatment or further surgery eradicate or bad scars (blister ...) we will evaluate after one year. Finally, the final imperfections (slight asymmetry, for example) are often due to the anatomy of departure and / or resistance of cartilage. If any, alterations can be made six months after the intervention.

Gaddafi. Plastic surgeon which operated: "The face is falling"

Qaddafi had 53 years in 1995, but he pretended to young Libyans, those faithful followers who today serve as human shields, to have 25 less. The only way was a facelift: which is why the Brazilian plastic surgeon Liacyr Ribeiro found himself in the heart of one night in January 1995 in the bunker of the Rais in Tripoli? However, today, watching on TV praising the dictator to resist and challenge NATO bombs, Ribeiro regretted: "It is not good publicity, guardategli his face, has completely collapsed." In an interview that has been around the web along with photos of before / after surgery, the luminary of Brazilian and silicone breasts redone in the buttocks recounts the night he took "at least 15 years" from the face of Gaddafi.

The operation took place in secret bunkers of Tripoli, after midnight. "There were two very well-equipped operating rooms, plus a gym and a swimming pool. The Rais did not want general anesthesia, but only locally, because he wanted to remain conscious, "the doctor recalled. And he did not want a traditional facelift: give too much attention, he said, and opted for a less radical procedure. He was then removed fat from the belly and injected into facial wrinkles to fill. However, the doctor warned him: "An operation like this, it only lasts a few years, after which they return is hanging skin that wrinkles." However, Gaddafi said that the appearance of future wrinkles would have called for a new 'retouched. And indeed, Ribeiro was called after five years, but could not fly to Libya for family reasons. The patient was very calm, remember the surgeon, but his' bizarre claims have not stopped even in the operating room: "The operation lasted four hours, and about half Gaddafi said to be hungry. He ordered burgers for everyone, and we took a break. "

The skeleton is the body's framework and also protects the internal organs. The hip joint carries most of the body weight. As a person's age, the bones become thinner and more fragile, increasing the risk of injury.

The hip joint is located in the pelvis. It connects the body (torso) with the legs and supports the weight of the body. The bones of the pelvis - the pubis, ischium and ileum - form a ball joint to the thigh bone, the femur, the body's longest legs. Injuries and age wear can damage the joint, which increases the risk of hip fractures and hip fractures. A hip fracture in most cases repaired with the insertion of an artificial hip joint.

During the operation, with the insertion of a new hip, hip socket cleaned of all cartilage and degenerative changes. A plastic cup sited in the inflated hip socket. The apex of the thigh bone is impassive, and a metal ball attached to the top of the leg. Metal ball attached to a short metal stem which is inserted into the marrow of the femur to make certain immovability to the prosthesis.

The patients and elderly patients with osteoporosis are at increased risk for hip fracture and may need hip replacement surgery. There are several potential complications associated with this procedure that should be discussed with your doctor before surgery.

Cosmetic Surgery for Stretch Marks

Stretch marks, also known as stretch marks occur due to cracks in the epidermis (skin). Here, the inner layers of skin are affected, which makes the fabric resulted in severe weight gain in short-term scars. The scars of the inner skin layers are covered by a thin layer of skin. The stretch marks indicate neither sweat nor sebaceous glands. There are also no hair follicles.

The strips are dark red at the beginning of its growth. Take over a longer period which may last from a few weeks and months, to a white color.

Serve Stretch marks

are mainly located on the belly and the breasts, also at the hips, thighs and more rarely on the upper arms.

The strips can be treated, in principle, on three levels: by micro-dermabrasion, in the context of an abdominoplasty and by cutting out.

As part of the micro-dermabrasion, the affected area to be abraded surface. This tiny skin particle is removed. Following this will be supplied without the aid of ultrasound of the skin enzymes. After several meetings, the skin undergoes a marked improvement. Completely remove the patrols but that did not. The red stripes to the start of treatment still are, the better the chance of success. If the strips are already weißnarbig, micro-dermabrasion, the skin improved only moderately.

The second variant, distance in an abdominoplasty is generally a by-product of a tummy tuck surgery, and usually not thought of as a separate operation for removing stretch marks. In abdominoplasty are removed after a weight loss of large flaps of skin and tightens the skin and the muscle and sutured. The disappearance of stretch marks in this context is a welcome byproduct.

It is the third version also possible to have the stretch marks surgically removed only by being cut out the skin and then sutured. This procedure is greatly controversial, because the scar formation through the sewn section is not necessarily less severe in appearance occurs when the initial stretch marks, and because it would make sense merely in very few stripes.

Saddlebags - A stubborn woman problem

In saddlebags means the fat in the hip and bum area, down to the inside of the knee. They mainly occur in women.

It is striking that women with saddle bags often have a more delicate upper body and that for many women an additional aesthetic problem is.

In addition to the problem of the uneven silhouette of the women suffer from a disturbed skin, which is in unsightly cellulite dimples or simply shows.

Saddlebags are investment holding; however, and almost every diet and sporting activities was. Nevertheless, you can also indicate a Liphödem - means that it is a congenital disorder of fat distribution. A symptom of a wide Liphodem is an increased tendency to bruise, touch and pain, but also spider veins. However, in saddle bags contrary to always Liphödem both legs and sometimes affects the upper arms.

For light riding breeches, a treatment to help with Endermologie. Endermologie is a special massage technique with a technique developed for this device. The massager relaxes the tissues and works deep in the tissue. As a result of treatment is firmer skin, a tempered cellulite picture and a mitigation of the classic problem areas of fat deposit's legs, abdomen, buttocks and hips.

Other studios are using the cupping method, special Lymphdragainagen, winding or manual massage techniques to reduce the saddlebags. Many of these methods help, but not pronounced saddle bags.

Stubborn saddlebags can often have a liposuction, liposuction or also get "Body Styling" under control. In a Heidelberg clinic in 1998 a study was conducted by over 50% of the liposuction was used against saddlebags. About 80% of patients have opted for purely aesthetic reasons for this procedure.

Over 90% of treated patients reported in this survey that they were so pleased with the surgery that they can recommend it. Liposuction is one of the most frequently performed Cosmetic Surgery in plastic surgery.

By a healthy and tight connective tissue remains your body slim fit.

The concepts of connective tissue disorder, cellulite and cellulite are lumped in idea from which everyone seems to operate as desired by: cosmetic industry, pharmacists, pharmaceutical companies, gyms and even medical practitioner's time for some plain speaking.

Increased wrinkles and cellulite in women - that is the connecting what most people with a connective tissue disorder, cellulite or orange peel.

Less well known is that, for example, a hernia in men, disc problems, joint problems and back problems are also related with this problem.

A weak connective tissue can play with all these "problems" a certain role. The good news: you can do something about it.

First, I consider it necessary, however, the concepts of connective tissue - cellulite - cellulite and orange peel apart.

First, we should concern ourselves with the connective tissue. The other terms are then almost automatically.

What is the connective tissue?

The connective tissue is made up of cells and intercellular substances, which may be liquid, semisolid or solid.

To understand the meaning, you ask yourself the following:

You know you have a stomach, an intestine, liver, heart, kidneys, muscles, bones, tendons, nerves, etc.

Have you ever wondered how these things fixed in your body are?

Probably not our organs and muscles are not simply in water or the like to the body. All our organs are surrounded by a matrix of connective tissue cells that support our bodies and keep.

This intermediate cell-embedded tissue, the individual organs in the environment on by it divided and wrapped. The connective tissue in an adult weighs about 12 kilograms. This binding encoder gives our body shape and ultimately stops.

A key aspect is the following:

You probably also know that her body must be supplied with nutrients and that these nutrients must be transported by the bloodstream. Similarly, the metabolic end products of the cells are again taken away.

Now comes the "problem" connective tissue into play:

The blood vessels will not extend into the cell. The blood vessels (capillaries) take place in the finest veins by connective tissue. There, "to wander" (= diffuse) to the cell and then the nutrients are absorbed by it. Waste products of the cell (which are generally referred to as "slag"), to walk back again. In this case, one would have " purification spoke. I am sure you have heard this term before.

The problem is in any case that does not "walk back" many of these waste products, but in the connective tissue located to stay!

In the picture below you see an image of a tissue section. The elongate connective tissue cells (including connective tissue) are the black "lines." The dark blue "dots" are mast cells.

If you are interested in the topic in more detail, you should also list the item for Pischinger room read. Dr. Pischinger has described this phenomenon in detail.

Why it comes to cellulite?

If these waste is no longer removed from the connective tissue, can make the cellulite wide. Such, there are these ugly bumps in the skin.

Therefore, the state of our connective tissue is crucial for our figure. Each has a strong overweight has become a more weakened connective tissue.

About the connective tissue, nutrients are delivered to our cells and metabolic waste products away.

The problem of our time is the extreme burden on our connective tissue due to poor diet and physical inactivity.

The result: We age faster and are more susceptible to a greater number of chronic diseases. There are also the harmful environmental effects caused by pollutants and oxidation.

I know that these considerations are for the vast majority of doctors no hearing. Furthermore, in the textbooks of physiology or, for example, dermatology find the cellulite is not described.

What many do not know: in the connective tissue are also special cells (leukocytes), to provide defense against pathogens that is. This means that our defenses (immune system) depend as well on the connective tissue.

Cellulitis? Inflammation?

Now would be an opportunity to introduce the concept of cellulite. Cellulitis yes on end-it is, which means in medicine, almost always a kind of inflammation. Even if it uses the cellulite, and cellulite is the same.

In fact, an inflammatory cellulitis, a type of erysipelas, which is associated with a bacterial infection. The cosmetics industry and other providers come this "similarity" is an opportunity, because cellulite really sounds to disease.

I think that's why the concept of cellulitis in the language is wrong.

Why all women affected by cellulite are still special part of the connective tissue is the subcutaneous connective tissue in the upper arm, thigh and buttocks, depending on the constitution changes unattractive women can bring their A: Cellulite, also known as orange peel.

Cellulite and orange skin refer to the same phenomenon. Cellulite sounds (as well as cellulite) to only some medicines.

In women, the hypodermic tissue, a different structure than in men. The fat cells and collagen fibers in the subcutaneous tissue in men are woven together like a net. In women, these fibers are parallel to each other. The visible problem in women: growing fat cells squeeze between the collagen fibers through the skin surface. A kind of "knobby structure" emerges: the orange skin.

How to identify cellulite

Will we see the orange skin in the early stages? You have to push them together to the supposed sites of the skin with both hands?

In the advanced stage, you can see the already visible "dents" when the light falls mainly on the side to the skin area. (Example: walk in) Even under tension of the muscles, the cellulite becomes noticeable.

Unmistakably the dings are then in the third stage.

What helps connective tissue and cellulite?

In every magazine, there are creams, appliances and the like to eliminate, to a promise to the problems. Unfortunately, most agents are ineffective.

Furthermore, diets and diet pills are advertised in rows, which I strongly advise against, however. Read more about this in my articles about: Weight Loss and dieting.

A last chance to see women, in particular, in a cosmetic operation. The most common procedure is liposuction - known "as a vacuum grease. Problem of this method is that of the range is significantly reduced, but the problem remains of the orange skin and connective tissue. Therefore, one is usually still thigh or tummy tucked in the affected area is necessary.

Given the risks of surgery, I advise to those measures decreasing. Above all, nothing changes in the causes that led to your problem really.

A sport who is on the affected muscle groups always healthier and more effective. This brings us to the solutions that I can recommend, for example:

The 3-pronged program to connective tissue and cellulite by Dr. Müller Wohlfarth

The well-known Munich sports physicians and scientists, Dr. Hans-Wilhelm Mueller-Wohlfahrt has developed its own therapy to strengthen and rejuvenate the connective tissue that can support I just.

Dr Muller-Wohlfahrt emphasizes that we can influence this subcutaneous connective tissue, so that young and healthy. And I think all this is logical.

The first column against the connective tissue is the regular exercise. To strengthen the connective tissue are best suited to the endurance sports. It is important that all muscles are uniformly be charged. The training must be at least 30 minutes and should be repeated three times a week. The ideal sports for the connective tissue are swimming, water aerobics, cycling and jogging. However, steppers and cross trainers in gyms are good. The advantage is that you can train in the gym will also target the specific muscle groups to strengthen equipment.

The second pillar is the healthy diet. Very positive affects the connective tissue of a sugar, fat and salt diet on which is rich in protein. Coffee and alcohol should be avoided. Very helpful for connective tissue, are rich in fruits and vegetables, with plenty of vitamin C: potatoes, citrus fruits, cabbage, peppers. Very important are herbs and spices such as basil, chilli, curry, coriander, rosemary and sage. You see; it boils down a healthy diet also.

For the connective tissue, one should also take adequate fluids: water, diluted fruit juices, herbal teas or green tea. The whole is above all a basic diet that is against the acidity works! An excellent " retuning "can also be reached with fasting, when this is done correctly. How to do that I have described here the third pillar of the program by Dr. Müller-Wohlfarth, the Pro-collagen therapy. He recommends, as a dietary supplement, the amino acids' lysine, proline, methionine and arginine and vitamin C and the trace element zinc on. These are the subcutaneous connective tissues become firm. Due to the higher proportion of collagen, it will also stay longer young.

The Pro-collagen therapy, take the form of capsules in which one pharmacy under the name "Pro Collagen Plus according to Müller-Wohlfarth," in order, each.

The uptake of amino acids (combined with vitamin C and zinc) provides the connective tissue structure important food for regeneration and renewal will be accomplished more effectively. Amino acids are protein building blocks. Every animal, every plant has a characteristic pattern of amino acids. Eight amino acids are essential for humans, meaning they cannot be synthesized and must be supplied with food.

Do you expect any miracles, just because you take the Kapslen? One thing that is important: sport and exercise (regular exercise) are essential for the reduction and regeneration of connective tissue, and weight reduction. Otherwise take the capsules is nothing, and you can save the money rather equal.

As you see, connective tissue disorder depends on the theme topic of health with the components of healthy nutrition and exercise.

However: significant weight reductions should be avoided because that can reinforce the cellulite yet. I recommend. Therefore, of crash diets that leave finger.

Further action against cellulite

The cellulite can also oppose targeted if the circulation of the skin and lymph encouraged to be excited. These douches are Kneipp (short-cold, warm longer - not for varicose veins, then just cold), but also vigorous massage in circular movements with a Luffahandschuh or brush.

What is a connective tissue still promoted?

What you should know yet, everything that causes circulation problems, also promotes cellulite: smoking, prolonged sitting, tight clothes, lack of exercise.

Another problem from the perspective of some environmental medicine is various heavy metals, especially lead and mercury. This massive metals damage the collagen structure, so that the excretion of collagen degradation products in urine (C-and N-terminal telopeptides) can be increased.

Fasting: effective aid in the fight against cellulite, and connective tissue disorders

Earlier, I mentioned briefly: In the area of "food," you can solve the problem with the fast start.

Fasting is no reason to as "Operation without a knife" does not, because it runs a full retuning your body into which most of the words: purify, detoxify and deacidify join. Fasting is therefore, the cause of the problems in the connective tissue.

Even if you currently cannot get used to the thought, but once you read what participants have written to me to fast. The statements, see the description of the fasting instructions.

The specialty of the manual is compiled by me, among other things, that these various methods of medicine, naturopathy and alternative medicine involves the problem of the "connective tissue" and the mobilization of "slag" tackles.

Against the unpopular arm surgery

An arm surgery is performed when the tissue is relaxed and thus depends on the upper arm. This can either be a result of the natural aging process, or it may be caused as a result of a large weight loss, when the skin has not produced sufficient returns.

The arm surgery will be performed by an aesthetic plastic surgeon, and therefore, belongs to the realm of so-called cosmetic surgery. The operation can take place either an outpatient under local anesthesia or general anesthesia in a hospital, connected to a one-to four-day stay. Usually it depends on how much tissue is removed and whether both upper arms should be operated simultaneously.

The operative procedure itself is removed by a cut on the inner arm side, the excess skin. In the tissue, drainage is spent, is to hold the wound fluids. Subsequently, the wound is sutured. The entire area is closed off a large area with a pressure bandage.

The association must remain for six to eight weeks on the arm, and the operated area are also regularly checked by a doctor. The drain is usually pulled in about two days. Heavy loads on the arm are to abstain for the first few weeks. Moderate sports, however, is recommended as a prevention of a possible hardening of the scar.


The result of an upper arm lift is usually very good. It should be remembered that the skin will sag again in subsequent years as part of aging. In that situation, it is possible, if desired, to have carried out another operation.

Possible side effects of surgery are mainly wound healing disturbances and infections. Occasionally, it can cause a jam of the lymph fluid. The tissue can produce a feeling of tension, or bleed in the case of excessive load on the arm if necessary.

To smoking should be avoided in the interest of healing until complete healing to the wound. An intensive skin care (cream) is recommended after removal of the association.