<\/span><\/strong><\/h4>\n<\/span><\/strong><\/h4>\nDr. Jianu Dana Mihaela<\/span><\/strong>
\nClinica ProEstetica, Bucure\u0219ti, Rom\u00e2nia<\/span><\/strong><\/h4>\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”3.25″][et_pb_column type=”4_4″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.9.7″]<\/p>\n
Chirurgia plastic\u0103 regenerativ\u0103 aplicat\u0103 \u00een tratamentul unui caz de sclerodermie localizat\u0103 (morfee \u00een band\u0103) \u00een treimea inferioar\u0103 a fe\u021bei<\/span>
Autor: Dana Mihaela Jianu
Coautor: \u0218tefania Alexandra Stoica<\/span><\/p>\nIntroducere:
Morfeea \u00een band\u0103 este o patologie caracterizat\u0103 prin depozitarea colagenului tip I \u0219i III la nivelul grosimii dermului \u0219i \u021besutului subcutanat. Aceasta poate prezenta manifest\u0103ri extracutanate: febr\u0103, artralgii, limfadenopatii, fatigabilitate, afectarea sistemului nervos central \u0219i modific\u0103ri ale examenului paraclinic: eozinofilie, hipergamaglobulinemie, anticorpi antinucleari pozitivi. Lipofilling-ul sau grefa de \u021besut adipos autolog este o procedur\u0103 chirurgical\u0103 \u00eenchis\u0103 cu invazivitate redus\u0103. \u021aesutul adipos autolog aduce at\u00e2t o corec\u021bie de volum, dar \u0219i de structur\u0103 \u0219i calitate a pielii din zona \u00een care a fost tratat\u0103. Grefa are efect regenerator.
Prezentarea cazului:
Pacient\u0103 \u00een v\u00e2rst\u0103 de 32 de ani, f\u0103r\u0103 antecedente personale patologice semnificative, se prezint\u0103 \u00een clinic\u0103 pentru hiperpigmentarea \u0219i deprimarea intens\u0103 a zonei mentoniere drepte \u0219i a buzei albe inferioare drepte, modific\u0103ri ce au ap\u0103rut \u00een urm\u0103 cu 10 ani \u0219i s-au accentuat progresiv. Pacientei i se recomanda RMN \u0219i biopsie pentru diagnosticul de certitudine. Rezultatul examenului histopatologic: atrofie cutanata, ce se poate reg\u0103si \u00een etapele rezolutive ale unei morfei. Examen paraclinic: anticorpi anti SCL 70 \u0219i anticentromer pozitivi. Pacientei i se propune un protocol terapeutic regenerativ pe etape:
\u2022 Etapa 1: preg\u0103tirea zonei receptoare cu PRP \u0219i laser CO2 0,5 ms
\u2022 Etapa 2: interven\u021bia chirurgical\u0103 cara a constat \u00een recoltarea cu microcanule 80cc de lipoaspirat de la nivelul abdomenului inferior care s-a centrifugat \u0219i s-a preparat microfat\/nanofat. La nivelul mentonului \u0219i buzei albe inferioare se practic\u0103 lipotransfer cu microcanule \u00een multiple planuri: supraperiostic \u00een \u021besuturile cicatriceale fibrozate ( la nivelul mentonului \u0219i buzei albe inferioare \u00bd dreapt\u0103 cca 4,8 cc microfat \u0219i 5.00cc nanofat la nivelul dermului superficial).
\u2022 Etapa 3: retu\u0219 cu acid hialuronic
\u2022 Etapa 4: a doua \u0219edin\u021b\u0103 de PRP cu \u00eembun\u0103t\u0103\u021bire \u0219i ameliorare vizibil\u0103 a defectului.
\u2022 Etapa 5: este posibil a fi efectuat\u0103 \u00eenc\u0103 o grefare de \u021besut adipos \u0219i laser CO2 pentru un rezultat complet
Concluzie:
Am prezentat un caz de sclerodermie localizat\u0103 la care se remarc\u0103 necesitatea unei abord\u0103ri multidisciplinare (reumatologie, dermatologie, imunologie, chirurgie plastic\u0103 \u0219i estetic\u0103) \u0219i a unui protocol terapeutic avansat, etapizat ce conduce la corec\u021bia semnificativ\u0103 sau chiar complet\u0103 a leziunii cu implica\u021bii \u00een optimizarea calit\u0103\u021bii vie\u021bii. Propunem acest protocol terapeutic deoarece regenereaz\u0103 \u021besuturile cu redarea aspectului c\u00e2t mai aproape de normal, f\u0103r\u0103 interven\u021bii chirurgicale extensive \u0219i traumatizante, fiind \u0219i bine tolerat de c\u0103tre pacien\u021bi.<\/p>\n
Scurt CV<\/span><\/p>\nMedic primar chirurg plastician, Doctor \u00een \u0218tiin\u021be Medicale, Cercet\u0103tor \u0219tiin\u021bific
Dr. Dana Jianu s-a format ca specialist \u00een chirurgia plastic\u0103-estetic\u0103, reconstructiv\u0103 \u0219i arsuri \u00een cadrul sistemului de educa\u021bie medical\u0103 din Rom\u00e2nia, Spitalul Universitar de Chirurgie Plastic\u0103, Reconstructiv\u0103 \u0219i Arsuri, Bucure\u0219ti certificat de Ministerul S\u0103n\u0103t\u0103\u021bii din Rom\u00e2nia (1993). Este Pre\u0219edinte al Societ\u0103\u021bii Rom\u00e2ne de Chirurgie Estetic\u0103 (SRCE) \u0219i Vicepre\u0219edinte al Asocia\u021biei Chirurgilor Plasticieni din Rom\u00e2nia (ACPR) .
S-a specializat \u00een chirurgie estetic\u0103 \u00een str\u0103in\u0103tate cu reputa\u021bi mae\u0219tri: Valeriu Popescu (Hamburg, Germania), David Sharp (UK), Giovanni Botti (Salo, Italia), Giorgio Fischer (Roma, Italia), Pierre Fournier, Benjamin Ascher (Paris , Franta) \u0219i Steven Hoefflin (Santa Monica, USA) .
Este preocupat\u0103 de medicina translational\u0103, de aspecte inovative \u0219i de cercetare, de leg\u0103tur\u0103 \u00eentre masa de opera\u021bie, patul pacientului \u0219i masa de laborator. Este cercet\u0103tor \u0219tiin\u021bific al Centrului de Cercetare \u00een Medicina \u0219i Chirurgie Regenerativ\u0103 al ProEstetica Hospital pe platforma Academiei de \u0218tiin\u021be Medicale din Rom\u00e2nia \u0219i ex. profesor asociat al UMF \u201eCarol Davila\u201d Bucure\u0219ti.
Este membru al Consiliului Colegiului Medicilor Bucure\u0219ti \u0219i \u00een Comisia de Specialitate \u00een cadrul Colegiului Medicilor din Rom\u00e2nia. Este membru al Board-ului Editorial al Jurnalului Oficial ISAPS \u201eAesthetic Plastic Surgery\u201d Journal.
Este pionier al chirurgiei estetice \u00een Romania (din 1994). A organizat multiple manifest\u0103ri \u0219tiin\u021bifice \u2013 cursuri, simpozioane ISAPS, Congrese Interna\u021bionale \u00een Romania \u0219i str\u0103in\u0103tate, dintre care amintim Congres SRCE 2007, 2009, Curs ISAPS 2013 Sinaia, Congres SRCE \u2013 ACPR 2016, Co-Director Curs ISAPS Belgrad 2015, Cairo 2016, Conferinta SRCE- \u0218coala de vara- Curs ISAPS 2017.
Este co-proprietar ProEstetica Group (www.proestetica.ro) \u0219i coordonatoarea Departamentului de Chirurgie Plastic\u0103-Estetica \u00een cadrul Centrului Medical ProEstetica.
Coordoneaz\u0103 activitatea Societ\u0103\u021bii Rom\u00e2ne de Chirurgie Estetic\u0103 (SRCE) \u00een calitate de Pre\u0219edinte. Are o contribu\u021bie importan\u021b\u0103 na\u021bional\u0103 \u0219i interna\u021bional\u0103 \u00een chirurgia plastic\u0103 regenerativ\u0103 at\u00e2t ca \u0219i chirurg practician c\u00e2t \u0219i \u00een calitate de Pre\u0219edinte al Societ\u0103\u021bii Interna\u021bionale de Medicin\u0103 \u0219i Chirurgie Regenerativ\u0103 (SIMCR). Este preocupat\u0103 de performan\u021bele chirurgiei LASER; este Pre\u0219edinte al Societ\u0103\u021bii Europene de Chirurgie Estetic\u0103 Laser (ESLAS).
Dr. Dana Jianu se concentreaz\u0103 pe chirurgia mamar\u0103, primar\u0103 \u0219i secundar\u0103 \u0219i regenerativ\u0103 – postmastectomie, corec\u021bia siluetei prin liposculptura, cu un interes special pentru reintinerirea fe\u021bei \u0219i g\u00e2tului prin metode regenerative chirurgicale f\u0103r\u0103 bisturiu, pe transplant de \u021besut adipos, lasere \u0219i PRP, concomitent. Un interes deosebit acord\u0103 interven\u021biilor f\u0103r\u0103 cicatrice vizibile: m\u0103riri de s\u00e2ni cu implante transareolar sau tratamentul regenerativ al cicatricelor.<\/p>\n
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Contacteaz\u0103 operatorul PDI 2021<\/p>\n
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Operatorul PDI 2021<\/p>\n
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![\"\"](\"https:\/\/pdi.ro\/2021\/wp-content\/uploads\/2020\/02\/eventer_logo_150px.png\")
<\/span><\/p>\n<\/span><\/p>\n<\/span><\/p>\nAdresa: Str. A. Panu nr. 13, Iasi<\/span>
Tel.: 0332.40.88.00-05<\/span>
E-mail: inscrieri@primaderma.ro<\/a>
<\/span>Website:\u00a0<\/span>www.eventernet.ro<\/a><\/p>\n[\/et_pb_text][et_pb_text disabled_on=”off|off|off” _builder_version=”4.0.11″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” header_font=”||||||||” background_layout=”dark” locked=”off”]<\/p>\n
Parteneri Media<\/p>\n
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Dr. Jianu Dana Mihaela Clinica ProEstetica, Bucure\u0219ti, Rom\u00e2niaChirurgia plastic\u0103 regenerativ\u0103 aplicat\u0103 \u00een tratamentul unui caz de sclerodermie localizat\u0103 (morfee \u00een band\u0103) \u00een treimea inferioar\u0103 a fe\u021beiAutor: Dana Mihaela JianuCoautor: \u0218tefania Alexandra Stoica Introducere:Morfeea \u00een band\u0103 este o patologie caracterizat\u0103 prin depozitarea colagenului tip I \u0219i III la nivelul grosimii dermului \u0219i \u021besutului subcutanat. Aceasta poate […]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-8374","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/pages\/8374","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/comments?post=8374"}],"version-history":[{"count":6,"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/pages\/8374\/revisions"}],"predecessor-version":[{"id":10340,"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/pages\/8374\/revisions\/10340"}],"wp:attachment":[{"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/media?parent=8374"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
Dr. Jianu Dana Mihaela<\/span><\/strong>
\nClinica ProEstetica, Bucure\u0219ti, Rom\u00e2nia<\/span><\/strong><\/h4>\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”3.25″][et_pb_column type=”4_4″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.9.7″]<\/p>\n
Chirurgia plastic\u0103 regenerativ\u0103 aplicat\u0103 \u00een tratamentul unui caz de sclerodermie localizat\u0103 (morfee \u00een band\u0103) \u00een treimea inferioar\u0103 a fe\u021bei<\/span>
Autor: Dana Mihaela Jianu
Coautor: \u0218tefania Alexandra Stoica<\/span><\/p>\nIntroducere:
Morfeea \u00een band\u0103 este o patologie caracterizat\u0103 prin depozitarea colagenului tip I \u0219i III la nivelul grosimii dermului \u0219i \u021besutului subcutanat. Aceasta poate prezenta manifest\u0103ri extracutanate: febr\u0103, artralgii, limfadenopatii, fatigabilitate, afectarea sistemului nervos central \u0219i modific\u0103ri ale examenului paraclinic: eozinofilie, hipergamaglobulinemie, anticorpi antinucleari pozitivi. Lipofilling-ul sau grefa de \u021besut adipos autolog este o procedur\u0103 chirurgical\u0103 \u00eenchis\u0103 cu invazivitate redus\u0103. \u021aesutul adipos autolog aduce at\u00e2t o corec\u021bie de volum, dar \u0219i de structur\u0103 \u0219i calitate a pielii din zona \u00een care a fost tratat\u0103. Grefa are efect regenerator.
Prezentarea cazului:
Pacient\u0103 \u00een v\u00e2rst\u0103 de 32 de ani, f\u0103r\u0103 antecedente personale patologice semnificative, se prezint\u0103 \u00een clinic\u0103 pentru hiperpigmentarea \u0219i deprimarea intens\u0103 a zonei mentoniere drepte \u0219i a buzei albe inferioare drepte, modific\u0103ri ce au ap\u0103rut \u00een urm\u0103 cu 10 ani \u0219i s-au accentuat progresiv. Pacientei i se recomanda RMN \u0219i biopsie pentru diagnosticul de certitudine. Rezultatul examenului histopatologic: atrofie cutanata, ce se poate reg\u0103si \u00een etapele rezolutive ale unei morfei. Examen paraclinic: anticorpi anti SCL 70 \u0219i anticentromer pozitivi. Pacientei i se propune un protocol terapeutic regenerativ pe etape:
\u2022 Etapa 1: preg\u0103tirea zonei receptoare cu PRP \u0219i laser CO2 0,5 ms
\u2022 Etapa 2: interven\u021bia chirurgical\u0103 cara a constat \u00een recoltarea cu microcanule 80cc de lipoaspirat de la nivelul abdomenului inferior care s-a centrifugat \u0219i s-a preparat microfat\/nanofat. La nivelul mentonului \u0219i buzei albe inferioare se practic\u0103 lipotransfer cu microcanule \u00een multiple planuri: supraperiostic \u00een \u021besuturile cicatriceale fibrozate ( la nivelul mentonului \u0219i buzei albe inferioare \u00bd dreapt\u0103 cca 4,8 cc microfat \u0219i 5.00cc nanofat la nivelul dermului superficial).
\u2022 Etapa 3: retu\u0219 cu acid hialuronic
\u2022 Etapa 4: a doua \u0219edin\u021b\u0103 de PRP cu \u00eembun\u0103t\u0103\u021bire \u0219i ameliorare vizibil\u0103 a defectului.
\u2022 Etapa 5: este posibil a fi efectuat\u0103 \u00eenc\u0103 o grefare de \u021besut adipos \u0219i laser CO2 pentru un rezultat complet
Concluzie:
Am prezentat un caz de sclerodermie localizat\u0103 la care se remarc\u0103 necesitatea unei abord\u0103ri multidisciplinare (reumatologie, dermatologie, imunologie, chirurgie plastic\u0103 \u0219i estetic\u0103) \u0219i a unui protocol terapeutic avansat, etapizat ce conduce la corec\u021bia semnificativ\u0103 sau chiar complet\u0103 a leziunii cu implica\u021bii \u00een optimizarea calit\u0103\u021bii vie\u021bii. Propunem acest protocol terapeutic deoarece regenereaz\u0103 \u021besuturile cu redarea aspectului c\u00e2t mai aproape de normal, f\u0103r\u0103 interven\u021bii chirurgicale extensive \u0219i traumatizante, fiind \u0219i bine tolerat de c\u0103tre pacien\u021bi.<\/p>\n
Scurt CV<\/span><\/p>\nMedic primar chirurg plastician, Doctor \u00een \u0218tiin\u021be Medicale, Cercet\u0103tor \u0219tiin\u021bific
Dr. Dana Jianu s-a format ca specialist \u00een chirurgia plastic\u0103-estetic\u0103, reconstructiv\u0103 \u0219i arsuri \u00een cadrul sistemului de educa\u021bie medical\u0103 din Rom\u00e2nia, Spitalul Universitar de Chirurgie Plastic\u0103, Reconstructiv\u0103 \u0219i Arsuri, Bucure\u0219ti certificat de Ministerul S\u0103n\u0103t\u0103\u021bii din Rom\u00e2nia (1993). Este Pre\u0219edinte al Societ\u0103\u021bii Rom\u00e2ne de Chirurgie Estetic\u0103 (SRCE) \u0219i Vicepre\u0219edinte al Asocia\u021biei Chirurgilor Plasticieni din Rom\u00e2nia (ACPR) .
S-a specializat \u00een chirurgie estetic\u0103 \u00een str\u0103in\u0103tate cu reputa\u021bi mae\u0219tri: Valeriu Popescu (Hamburg, Germania), David Sharp (UK), Giovanni Botti (Salo, Italia), Giorgio Fischer (Roma, Italia), Pierre Fournier, Benjamin Ascher (Paris , Franta) \u0219i Steven Hoefflin (Santa Monica, USA) .
Este preocupat\u0103 de medicina translational\u0103, de aspecte inovative \u0219i de cercetare, de leg\u0103tur\u0103 \u00eentre masa de opera\u021bie, patul pacientului \u0219i masa de laborator. Este cercet\u0103tor \u0219tiin\u021bific al Centrului de Cercetare \u00een Medicina \u0219i Chirurgie Regenerativ\u0103 al ProEstetica Hospital pe platforma Academiei de \u0218tiin\u021be Medicale din Rom\u00e2nia \u0219i ex. profesor asociat al UMF \u201eCarol Davila\u201d Bucure\u0219ti.
Este membru al Consiliului Colegiului Medicilor Bucure\u0219ti \u0219i \u00een Comisia de Specialitate \u00een cadrul Colegiului Medicilor din Rom\u00e2nia. Este membru al Board-ului Editorial al Jurnalului Oficial ISAPS \u201eAesthetic Plastic Surgery\u201d Journal.
Este pionier al chirurgiei estetice \u00een Romania (din 1994). A organizat multiple manifest\u0103ri \u0219tiin\u021bifice \u2013 cursuri, simpozioane ISAPS, Congrese Interna\u021bionale \u00een Romania \u0219i str\u0103in\u0103tate, dintre care amintim Congres SRCE 2007, 2009, Curs ISAPS 2013 Sinaia, Congres SRCE \u2013 ACPR 2016, Co-Director Curs ISAPS Belgrad 2015, Cairo 2016, Conferinta SRCE- \u0218coala de vara- Curs ISAPS 2017.
Este co-proprietar ProEstetica Group (www.proestetica.ro) \u0219i coordonatoarea Departamentului de Chirurgie Plastic\u0103-Estetica \u00een cadrul Centrului Medical ProEstetica.
Coordoneaz\u0103 activitatea Societ\u0103\u021bii Rom\u00e2ne de Chirurgie Estetic\u0103 (SRCE) \u00een calitate de Pre\u0219edinte. Are o contribu\u021bie importan\u021b\u0103 na\u021bional\u0103 \u0219i interna\u021bional\u0103 \u00een chirurgia plastic\u0103 regenerativ\u0103 at\u00e2t ca \u0219i chirurg practician c\u00e2t \u0219i \u00een calitate de Pre\u0219edinte al Societ\u0103\u021bii Interna\u021bionale de Medicin\u0103 \u0219i Chirurgie Regenerativ\u0103 (SIMCR). Este preocupat\u0103 de performan\u021bele chirurgiei LASER; este Pre\u0219edinte al Societ\u0103\u021bii Europene de Chirurgie Estetic\u0103 Laser (ESLAS).
Dr. Dana Jianu se concentreaz\u0103 pe chirurgia mamar\u0103, primar\u0103 \u0219i secundar\u0103 \u0219i regenerativ\u0103 – postmastectomie, corec\u021bia siluetei prin liposculptura, cu un interes special pentru reintinerirea fe\u021bei \u0219i g\u00e2tului prin metode regenerative chirurgicale f\u0103r\u0103 bisturiu, pe transplant de \u021besut adipos, lasere \u0219i PRP, concomitent. Un interes deosebit acord\u0103 interven\u021biilor f\u0103r\u0103 cicatrice vizibile: m\u0103riri de s\u00e2ni cu implante transareolar sau tratamentul regenerativ al cicatricelor.<\/p>\n
[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”3.22″ background_color=”rgba(117,194,33,0.23)” background_image=”https:\/\/pdi.ro\/2021\/wp-content\/uploads\/2020\/02\/back_justflowers_overlay1.png” background_blend=”luminosity” custom_padding=”54px|0px|0|0px|false|false” top_divider_style=”waves2″ top_divider_color=”#ffffff” top_divider_height=”155px” top_divider_height_tablet=”” top_divider_height_phone=”97px” top_divider_height_last_edited=”on|desktop” bottom_divider_style=”waves2″ bottom_divider_color=”#75c221″ bottom_divider_flip=”vertical” bottom_divider_height_tablet=”” bottom_divider_height_phone=”59px” bottom_divider_height_last_edited=”on|desktop”][et_pb_row column_structure=”3_5,2_5″ _builder_version=”3.25″ custom_padding=”61px|0px|69px|0px|false|false”][et_pb_column type=”3_5″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.9.4″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” text_line_height=”1.2em” header_font=”||||||||” background_layout=”dark” text_font_size_tablet=”” text_font_size_phone=”” text_font_size_last_edited=”on|desktop”]<\/p>\n
Contacteaz\u0103 operatorul PDI 2021<\/p>\n
[\/et_pb_text][et_pb_contact_form email=”contact@pdi.ro\/2021\/2019″ submit_button_text=”Trimite mesajul” _builder_version=”3.19.4″ title_font=”||||||||”][et_pb_contact_field field_id=”Name” field_title=”Nume” _builder_version=”3.18.9″ button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_contact_field][et_pb_contact_field field_id=”Email” field_title=”Adresa de e-mail” field_type=”email” _builder_version=”3.19.4″ button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_contact_field][et_pb_contact_field field_id=”Message” field_title=”Mesajul dvs.” field_type=”text” fullwidth_field=”on” _builder_version=”3.18.9″ button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_contact_field][\/et_pb_contact_form][\/et_pb_column][et_pb_column type=”2_5″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.9.4″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” header_font=”||||||||” background_layout=”dark”]<\/p>\n
Operatorul PDI 2021<\/p>\n
[\/et_pb_text][et_pb_text _builder_version=”4.0.11″ text_font=”||||||||”]<\/p>\n
<\/span><\/p>\n<\/span><\/p>\n<\/span><\/p>\nAdresa: Str. A. Panu nr. 13, Iasi<\/span>
Tel.: 0332.40.88.00-05<\/span>
E-mail: inscrieri@primaderma.ro<\/a>
<\/span>Website:\u00a0<\/span>www.eventernet.ro<\/a><\/p>\n[\/et_pb_text][et_pb_text disabled_on=”off|off|off” _builder_version=”4.0.11″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” header_font=”||||||||” background_layout=”dark” locked=”off”]<\/p>\n
Parteneri Media<\/p>\n
[\/et_pb_text][et_pb_gallery gallery_ids=”7203,7204,7232,7231″ fullwidth=”on” _builder_version=”4.0.11″ transform_scale=”86%|86%” max_width=”63%” auto=”on” auto_speed=”3500″ hover_transition_duration=”100ms” hover_transition_delay=”50ms” hover_transition_speed_curve=”ease-in-out” locked=”off”][\/et_pb_gallery][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"
Dr. Jianu Dana Mihaela Clinica ProEstetica, Bucure\u0219ti, Rom\u00e2niaChirurgia plastic\u0103 regenerativ\u0103 aplicat\u0103 \u00een tratamentul unui caz de sclerodermie localizat\u0103 (morfee \u00een band\u0103) \u00een treimea inferioar\u0103 a fe\u021beiAutor: Dana Mihaela JianuCoautor: \u0218tefania Alexandra Stoica Introducere:Morfeea \u00een band\u0103 este o patologie caracterizat\u0103 prin depozitarea colagenului tip I \u0219i III la nivelul grosimii dermului \u0219i \u021besutului subcutanat. Aceasta poate […]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-8374","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/pages\/8374","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/comments?post=8374"}],"version-history":[{"count":6,"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/pages\/8374\/revisions"}],"predecessor-version":[{"id":10340,"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/pages\/8374\/revisions\/10340"}],"wp:attachment":[{"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/media?parent=8374"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
Autor: Dana Mihaela Jianu
Coautor: \u0218tefania Alexandra Stoica<\/span><\/p>\n
Introducere:
Morfeea \u00een band\u0103 este o patologie caracterizat\u0103 prin depozitarea colagenului tip I \u0219i III la nivelul grosimii dermului \u0219i \u021besutului subcutanat. Aceasta poate prezenta manifest\u0103ri extracutanate: febr\u0103, artralgii, limfadenopatii, fatigabilitate, afectarea sistemului nervos central \u0219i modific\u0103ri ale examenului paraclinic: eozinofilie, hipergamaglobulinemie, anticorpi antinucleari pozitivi. Lipofilling-ul sau grefa de \u021besut adipos autolog este o procedur\u0103 chirurgical\u0103 \u00eenchis\u0103 cu invazivitate redus\u0103. \u021aesutul adipos autolog aduce at\u00e2t o corec\u021bie de volum, dar \u0219i de structur\u0103 \u0219i calitate a pielii din zona \u00een care a fost tratat\u0103. Grefa are efect regenerator.
Prezentarea cazului:
Pacient\u0103 \u00een v\u00e2rst\u0103 de 32 de ani, f\u0103r\u0103 antecedente personale patologice semnificative, se prezint\u0103 \u00een clinic\u0103 pentru hiperpigmentarea \u0219i deprimarea intens\u0103 a zonei mentoniere drepte \u0219i a buzei albe inferioare drepte, modific\u0103ri ce au ap\u0103rut \u00een urm\u0103 cu 10 ani \u0219i s-au accentuat progresiv. Pacientei i se recomanda RMN \u0219i biopsie pentru diagnosticul de certitudine. Rezultatul examenului histopatologic: atrofie cutanata, ce se poate reg\u0103si \u00een etapele rezolutive ale unei morfei. Examen paraclinic: anticorpi anti SCL 70 \u0219i anticentromer pozitivi. Pacientei i se propune un protocol terapeutic regenerativ pe etape:
\u2022 Etapa 1: preg\u0103tirea zonei receptoare cu PRP \u0219i laser CO2 0,5 ms
\u2022 Etapa 2: interven\u021bia chirurgical\u0103 cara a constat \u00een recoltarea cu microcanule 80cc de lipoaspirat de la nivelul abdomenului inferior care s-a centrifugat \u0219i s-a preparat microfat\/nanofat. La nivelul mentonului \u0219i buzei albe inferioare se practic\u0103 lipotransfer cu microcanule \u00een multiple planuri: supraperiostic \u00een \u021besuturile cicatriceale fibrozate ( la nivelul mentonului \u0219i buzei albe inferioare \u00bd dreapt\u0103 cca 4,8 cc microfat \u0219i 5.00cc nanofat la nivelul dermului superficial).
\u2022 Etapa 3: retu\u0219 cu acid hialuronic
\u2022 Etapa 4: a doua \u0219edin\u021b\u0103 de PRP cu \u00eembun\u0103t\u0103\u021bire \u0219i ameliorare vizibil\u0103 a defectului.
\u2022 Etapa 5: este posibil a fi efectuat\u0103 \u00eenc\u0103 o grefare de \u021besut adipos \u0219i laser CO2 pentru un rezultat complet
Concluzie:
Am prezentat un caz de sclerodermie localizat\u0103 la care se remarc\u0103 necesitatea unei abord\u0103ri multidisciplinare (reumatologie, dermatologie, imunologie, chirurgie plastic\u0103 \u0219i estetic\u0103) \u0219i a unui protocol terapeutic avansat, etapizat ce conduce la corec\u021bia semnificativ\u0103 sau chiar complet\u0103 a leziunii cu implica\u021bii \u00een optimizarea calit\u0103\u021bii vie\u021bii. Propunem acest protocol terapeutic deoarece regenereaz\u0103 \u021besuturile cu redarea aspectului c\u00e2t mai aproape de normal, f\u0103r\u0103 interven\u021bii chirurgicale extensive \u0219i traumatizante, fiind \u0219i bine tolerat de c\u0103tre pacien\u021bi.<\/p>\n
Scurt CV<\/span><\/p>\n Medic primar chirurg plastician, Doctor \u00een \u0218tiin\u021be Medicale, Cercet\u0103tor \u0219tiin\u021bific [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”3.22″ background_color=”rgba(117,194,33,0.23)” background_image=”https:\/\/pdi.ro\/2021\/wp-content\/uploads\/2020\/02\/back_justflowers_overlay1.png” background_blend=”luminosity” custom_padding=”54px|0px|0|0px|false|false” top_divider_style=”waves2″ top_divider_color=”#ffffff” top_divider_height=”155px” top_divider_height_tablet=”” top_divider_height_phone=”97px” top_divider_height_last_edited=”on|desktop” bottom_divider_style=”waves2″ bottom_divider_color=”#75c221″ bottom_divider_flip=”vertical” bottom_divider_height_tablet=”” bottom_divider_height_phone=”59px” bottom_divider_height_last_edited=”on|desktop”][et_pb_row column_structure=”3_5,2_5″ _builder_version=”3.25″ custom_padding=”61px|0px|69px|0px|false|false”][et_pb_column type=”3_5″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.9.4″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” text_line_height=”1.2em” header_font=”||||||||” background_layout=”dark” text_font_size_tablet=”” text_font_size_phone=”” text_font_size_last_edited=”on|desktop”]<\/p>\n Contacteaz\u0103 operatorul PDI 2021<\/p>\n [\/et_pb_text][et_pb_contact_form email=”contact@pdi.ro\/2021\/2019″ submit_button_text=”Trimite mesajul” _builder_version=”3.19.4″ title_font=”||||||||”][et_pb_contact_field field_id=”Name” field_title=”Nume” _builder_version=”3.18.9″ button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” 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button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_contact_field][\/et_pb_contact_form][\/et_pb_column][et_pb_column type=”2_5″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.9.4″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” header_font=”||||||||” background_layout=”dark”]<\/p>\n Operatorul PDI 2021<\/p>\n [\/et_pb_text][et_pb_text _builder_version=”4.0.11″ text_font=”||||||||”]<\/p>\n <\/span><\/p>\n <\/span><\/p>\n Adresa: Str. A. Panu nr. 13, Iasi<\/span> [\/et_pb_text][et_pb_text disabled_on=”off|off|off” _builder_version=”4.0.11″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” header_font=”||||||||” background_layout=”dark” locked=”off”]<\/p>\n Parteneri Media<\/p>\n [\/et_pb_text][et_pb_gallery gallery_ids=”7203,7204,7232,7231″ fullwidth=”on” _builder_version=”4.0.11″ transform_scale=”86%|86%” max_width=”63%” auto=”on” auto_speed=”3500″ hover_transition_duration=”100ms” hover_transition_delay=”50ms” hover_transition_speed_curve=”ease-in-out” locked=”off”][\/et_pb_gallery][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":" Dr. Jianu Dana Mihaela Clinica ProEstetica, Bucure\u0219ti, Rom\u00e2niaChirurgia plastic\u0103 regenerativ\u0103 aplicat\u0103 \u00een tratamentul unui caz de sclerodermie localizat\u0103 (morfee \u00een band\u0103) \u00een treimea inferioar\u0103 a fe\u021beiAutor: Dana Mihaela JianuCoautor: \u0218tefania Alexandra Stoica Introducere:Morfeea \u00een band\u0103 este o patologie caracterizat\u0103 prin depozitarea colagenului tip I \u0219i III la nivelul grosimii dermului \u0219i \u021besutului subcutanat. Aceasta poate […]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-8374","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/pages\/8374","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/comments?post=8374"}],"version-history":[{"count":6,"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/pages\/8374\/revisions"}],"predecessor-version":[{"id":10340,"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/pages\/8374\/revisions\/10340"}],"wp:attachment":[{"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/media?parent=8374"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
Dr. Dana Jianu s-a format ca specialist \u00een chirurgia plastic\u0103-estetic\u0103, reconstructiv\u0103 \u0219i arsuri \u00een cadrul sistemului de educa\u021bie medical\u0103 din Rom\u00e2nia, Spitalul Universitar de Chirurgie Plastic\u0103, Reconstructiv\u0103 \u0219i Arsuri, Bucure\u0219ti certificat de Ministerul S\u0103n\u0103t\u0103\u021bii din Rom\u00e2nia (1993). Este Pre\u0219edinte al Societ\u0103\u021bii Rom\u00e2ne de Chirurgie Estetic\u0103 (SRCE) \u0219i Vicepre\u0219edinte al Asocia\u021biei Chirurgilor Plasticieni din Rom\u00e2nia (ACPR) .
S-a specializat \u00een chirurgie estetic\u0103 \u00een str\u0103in\u0103tate cu reputa\u021bi mae\u0219tri: Valeriu Popescu (Hamburg, Germania), David Sharp (UK), Giovanni Botti (Salo, Italia), Giorgio Fischer (Roma, Italia), Pierre Fournier, Benjamin Ascher (Paris , Franta) \u0219i Steven Hoefflin (Santa Monica, USA) .
Este preocupat\u0103 de medicina translational\u0103, de aspecte inovative \u0219i de cercetare, de leg\u0103tur\u0103 \u00eentre masa de opera\u021bie, patul pacientului \u0219i masa de laborator. Este cercet\u0103tor \u0219tiin\u021bific al Centrului de Cercetare \u00een Medicina \u0219i Chirurgie Regenerativ\u0103 al ProEstetica Hospital pe platforma Academiei de \u0218tiin\u021be Medicale din Rom\u00e2nia \u0219i ex. profesor asociat al UMF \u201eCarol Davila\u201d Bucure\u0219ti.
Este membru al Consiliului Colegiului Medicilor Bucure\u0219ti \u0219i \u00een Comisia de Specialitate \u00een cadrul Colegiului Medicilor din Rom\u00e2nia. Este membru al Board-ului Editorial al Jurnalului Oficial ISAPS \u201eAesthetic Plastic Surgery\u201d Journal.
Este pionier al chirurgiei estetice \u00een Romania (din 1994). A organizat multiple manifest\u0103ri \u0219tiin\u021bifice \u2013 cursuri, simpozioane ISAPS, Congrese Interna\u021bionale \u00een Romania \u0219i str\u0103in\u0103tate, dintre care amintim Congres SRCE 2007, 2009, Curs ISAPS 2013 Sinaia, Congres SRCE \u2013 ACPR 2016, Co-Director Curs ISAPS Belgrad 2015, Cairo 2016, Conferinta SRCE- \u0218coala de vara- Curs ISAPS 2017.
Este co-proprietar ProEstetica Group (www.proestetica.ro) \u0219i coordonatoarea Departamentului de Chirurgie Plastic\u0103-Estetica \u00een cadrul Centrului Medical ProEstetica.
Coordoneaz\u0103 activitatea Societ\u0103\u021bii Rom\u00e2ne de Chirurgie Estetic\u0103 (SRCE) \u00een calitate de Pre\u0219edinte. Are o contribu\u021bie importan\u021b\u0103 na\u021bional\u0103 \u0219i interna\u021bional\u0103 \u00een chirurgia plastic\u0103 regenerativ\u0103 at\u00e2t ca \u0219i chirurg practician c\u00e2t \u0219i \u00een calitate de Pre\u0219edinte al Societ\u0103\u021bii Interna\u021bionale de Medicin\u0103 \u0219i Chirurgie Regenerativ\u0103 (SIMCR). Este preocupat\u0103 de performan\u021bele chirurgiei LASER; este Pre\u0219edinte al Societ\u0103\u021bii Europene de Chirurgie Estetic\u0103 Laser (ESLAS).
Dr. Dana Jianu se concentreaz\u0103 pe chirurgia mamar\u0103, primar\u0103 \u0219i secundar\u0103 \u0219i regenerativ\u0103 – postmastectomie, corec\u021bia siluetei prin liposculptura, cu un interes special pentru reintinerirea fe\u021bei \u0219i g\u00e2tului prin metode regenerative chirurgicale f\u0103r\u0103 bisturiu, pe transplant de \u021besut adipos, lasere \u0219i PRP, concomitent. Un interes deosebit acord\u0103 interven\u021biilor f\u0103r\u0103 cicatrice vizibile: m\u0103riri de s\u00e2ni cu implante transareolar sau tratamentul regenerativ al cicatricelor.<\/p>\n<\/span><\/p>\n
Tel.: 0332.40.88.00-05<\/span>
E-mail: inscrieri@primaderma.ro<\/a>
<\/span>Website:\u00a0<\/span>www.eventernet.ro<\/a><\/p>\n