DASAR-DASAR ILMU BEDAH

PLASTIK, REKONSTRUKSI DAN

ESTETIKA
Dr. Asrul SpB-KBD

 Bedah plastik merupakan tindakan

bedah dengan tujuan :
mengubah dan memperbaiki bentuk
( rekonstruksi bentuk )
Estetik atau bedah kosmetik

Kelainan bawaan, trauma, penyakit

infeksi dan keganasan

 Tujuan bedah rekonstruksi dan

kosmetik
Rekonstruksi cacat bawaan
Pengelolan cedera jaringan lunak wajah
Pengelolaan luka bakar dini dan lambat
Replantasi jari dan ektremitas
Bedah kosmetik sikatriks, payudara,
wajah, kelopak mata, dan hidung
liposuction

KELAINAN CONGENITAL

Cleft Lip and Cleft Palate

Syndactyly
Polydactyly
Hemangioma

TRAUMA
Thermal Injuries
Flame burn
Flash burn
Scald burn
Chemical burn
Electrical burn
Frosbite

 CRANIOFACIAL FRACTURES
Mandibular fractures
Maxilla fractures

INFEKSI

NEOPLASMA
Non-Malignant Lesions
KISTA : kista sebasea, kista dermoid, kista
pilonidal, kista epidermoid, ganglion
Veruka vulgaris
Nevus

Malignant Lesions

Karsinoma sel basal

Karsinoma sel skuamosa
Melanoma malignum
Tumor kaposi

 Tumor Premaligna
Morbus Bowen
Xeroderma pigmentosum
Kornu Kutaneus
Keratoakantoma

CANGKOK KULIT
Umumnya merupakn
autotransplantasi
Dapat dicapai dengan metode
Cangkok kulit lepas ( Skin grafting )
Flap
Cangkok jaringan lepas dengan cara
penyambungan pembuluh darah

Skin grafting

Full thickness and split thickness skin

grafts
survive
by
the
same
mechanisms
a. Plasmatic imbibition
b. Inosculation By day 3
c. Angiogenesis By day 5

FLAP
Single component
a.Skin flap i.e. Parascapular flap
b.Muscle flap i.e. Rectus muscle flap
or latissimus dorsi muscle flap
c.Bone flap i.e. Fibula flap
d.Fascia flap i.e. Serratus fascia flap

 Multiple components
a.Fasciocutaneous Radial forearm
flap or anterolateral thigh flap
b.Myocutaneous Transverse rectus
abdominis myocutaneous flap
c.Osseoseptocutaneous Fibula with
a skin paddle

AESTHETIC SURGERY
FACE
Hair transplants: with grafts or flaps
Blepharoplasty: removal of excess
eyelid skin +/ fat pads
Rhinoplasty: nose reconstruction
Rhytidectomy: "face lift"; lower face
and neck or forehead lift
Otoplasty: for "outstanding" ears

BREAST
Augmentation: with saline filled
implants (subglandular or
submuscular)
Mastopexy: raises nipple in ptotic
breasts
Reduction mammaplasty (see
Surgical Procedures section)

OTHER
Abdominoplasty: "tummy tuck"; removal
of abdominal pannus (drape of excess fat)
Liposuction: used for contouring, not
weight loss
Dermabrasion: for scars, irregular skin
surface
Chemical peel: usually perioral
Laser resurfacing: for scars, wrinkles