Closed Piezo Preservation Rhinoplasty.

Background: The application of piezoelectric instruments (PEIs), which made the work with the nasal pyramid a predictable and controlled stage of rhinoplasty, is still more often related to the open approach. The intranasal approach is constantly associated with standard methods of osteotomies, including percutaneous techniques, which represent certain limitations in working with the bony vault without managing the surface and thickness of its walls and the risk of uncontrolled fractures.

Objectives: The authors apply PEIs for osteotomies and reshaping of the nasal pyramid through the closed approach with preservation rhinoplasty and complete subperichondrial and subperiosteal dissection.

Lipoabdominoplasty.

This article describes extensive liposuction with minimal abdominoplasty, a technique developed by the author and colleagues at the Institut Vila-Rovira. The technique represents another step in the evolution of liposuction procedures. Especially for patients with a body mass index of 30 to 35, the procedure is a surgical alternative that preserves the safety of the traditional lipoabdominoplasties.