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New Contur plasztikai sebészet New Contour Plastic Surgery New Contour Plastische Chirurgie
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Endoscopy in the plastic surgery and in our parctice


  The endoscope is a device that contains a small optical camera, a central unit processing the picture from the camera, a monitor to show the picture, a proper quality and strength light source and a storage medium to record the pictures. The sterile optic can be inserted into the cavities of the body and different operating areas through small, distant and hidden incisions. Similar, but somewhat less complicated devices are used to examine the stomach and the bowels or the urinary tract. This method became universal in the ’70s-’80s in the abdominal surgery, in the operations of the joints or ear-nose-throat interventions, but only later at the beginning and mid ’90s in the plastic surgery. Just like most of the new methods, this one originates also from the USA.

Advantages are the small incisions on hidden places, small and favorable scars, exceptional visibility due to the great magnification and the exact handling of very fine anatomical structures. Hereby, such fine structures were found and nominated among the deep tissue layers of the face, which had never been identified before at cadaver dissections or open procedures; these became the basis of certain new procedures and are generally known today, even by the colleagues who do not perform endoscopic procedures. Disadvantages of the method are the great and slowly recovering expenses of the device and its special accessories, also the difficult learning curve for long years to get the routine, since the surgeon can’t see his own hand directly, only controls his movements on the monitor, which requires an advanced perception of the three-dimensional space. The other team members also need a special routine and expertise to be able to cooperate properly.

Compared to the endoscopic interventions of the abdominal, urological, joint or ear-nose-throat surgery, there are additional special difficulties in the endoscopic plastic surgeries, because we have to work in artificially formed, usually very narrow tissue gaps and cavities (e.g. between the bone and the periosteum of the face). We can create and assure our operating space with exploring devices (retractors) attached to the camera, often we have an approach only from a single direction and inserting all our instruments through this, the direction of the working tunnel is nearly the same with the direction of the camera (e.g. transaxillary approach). Nowadays solving these tasks routinely gives us the beauty and safety of this work.

 
  
Endoscopic facelift


The head of the New Contour Plastic Surgery, Dr. Tibor Balajthy had the possibility to learn the basics of this new technique together with the German colleagues in 1994 in Germany, when it was brought to Europe from the USA for the very first time. Only 4-5 plastic surgeons had been performing these operations in Hungary, at most 3 surgeons perform endoscopic facelifts nowadays, and only Dr. Tibor Balajthy performs endoscopic transaxillary breast augmentations. Just like any other special operation technique, also this one can be carried out safe only if numerous procedures are performed. We have come a long way since the first cadaver operations in 1994; nowadays we already perform much more complex and extended procedures with reduced operation times and simplified methods every week. Meanwhile we have procured and developed several hand instruments and accessories which make the everyday work easier, provide great results and enhance the safety. In 1995 we had a 1.5 meter high, multiple unit endoscopic “tower” as our technical background; today it has become perfect as just a laptop size device.
 
 
 
Modern endoscopic instruments and accessories


With our endoscopic transaxillary breast augmentation method we can insert silicone gel-filled, textured implants either under the pectoral muscle, or under the gland or under the fascia of the muscle, using total endoscopic control all along the operation. This has been developed so far, that similar procedures are performed only at several places in the USA and at one place in North-Japan, on the island of Hokkaido, and nowhere else in Europe.
In 2007, Dr. Tibor Balajthy, the head of the New Contour Plastic Surgery had the privilege to teach these methods in Taiwan and Japan, and the MENTOR Company asked him to produce an educational DVD for the endoscopic transaxillary breast augmentations.

 
 
Endoscopic breast operation
 
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