Papers Published in International Journals
The aging process causes the loss of subcutaneous fat and dermal collagen resulting in depressions and grooves on the face. The demand for dermal fillers to refund volume has increased. The injectable fillers should be safe, effective, long lasting and low complication rate.
Retrospective study was conducted by reviewing the medical records of reference service in plastic surgery comprising the period from February 1999 to December 2007.
We analyzed the clinical presentations of procedures performed elsewhere and treatments for late complications occurred at the institution.
A total of 31 patients were evaluated, 28 females and 3 males, with ages ranging from third to sixth decades.
The most prevalent clinical presentation were: type allergic immune reactions, foreign body granulomas and deformities displacement.
Conservative treatment was the first choice therapy with systemic administration of corticosteroids and local infiltration of steroids.
Surgical resections were performed in selected cases.
The present study indicates that injections of permanent fillers can cause complications and deformities of varying degrees and should their use be cautious.
The following late complications shows that treatment is long and difficult, both for the patient and for the surgeon.
Sterodimas A, Vargas A, Radwanski HN, Pitanguy I.
The Use of Buflomedil Reduction mammaplasty is in the Previously Irradiated Breast: A Case Report.
Aesthetic Plast Surg. 2008, 32 (2): 283-5.
Mazzarone F, Pitanguy I, Vargas AF, Nunes D, Gabriele J.
Use of the Pitanguy flap demarcator in large thigh dermolipectomy medioanterior with a scar extension.
Aesthetic Plast Surg. 2007 Nov-Dec, 31 (6) :657-62.
Pitanguy I, Vaena M, Radwanski HN, Nunes D, Vargas AF.
Relative implant volume and sensibility Alterations after breast augmentation.
Aesthetic Plast Surg. 2007 May-Jun, 31 (3) :238-43.
Oliveira M, Nunes D, Beolchi M, Vargas AF, Pitanguy I.
Areola reconstruction with tissue site.
Plast Reconstr Surg. 2007 Jun; 119 (7) :2339-40.
Vaena LM, Pitanguy I, Radwanski HN, Nunes D, Vargas AF.
Correlation of Loss and Sensitivity Following Breast Augmentation Implant Size.
Annals of the 18th Congress of International Society for Aesthetic Plastic Surgery (ISAPS) 2006: 33.
Rios DL, Vargas AF, Ewald GM, MR Torres, AJ Zago, Callegari-Jacques SM, Hutz MH.
Common variants in the lipoprotein lipase gene in Brazil: association with lipids and angiographically avaliado coronary atherosclerosis.
Clin Chem Lab Med 2003 Oct, 41 (10) :1351-6.
Rios DL, Vargas AF, Torres MR, AJ Zago, Callegari-Jacques SM, Hutz MH.
Interaction between SREBP-1a and APOB polymorphisms influences Total and low-density lipoprotein cholesterol levels in pacientes with coronary artery disease.
Clin Genet. 2003 May, 63 (5) :380-5.
Kaufman L, Vargas AF, CE Coimbra Júnior, Santos RV, Salzano FM, Hutz MH.
Apolipoprotein B genetic variability in Brazilian Indians.
Hum Biol. 1999 Feb, 71 (1) :87-98.
Papers Published in National Journals
Surgical anatomy of the spinal accessory nerve: how to avoid injuries in surgical procedures in the posterior cervical trine
Vargas AF, Megali, R. RMP Alvarenga, Guedes Corrêa-JF. .
Journal of the Brazilian Plastic Surgery, 2009, 24 (4): 400-413.
Vargas AF, Gontijo de Amorim NF, Pitanguy I.
Late Complications of Permanent Fillers
Journal of the Brazilian Plastic Surgery 2009, 24 (1): 71-81.
Vargas AF, RMP Alvarenga, Guedes Corrêa-JF.
Surgical anatomy of the spinal accessory nerve and cervical plexus nerve transfer procedures
Journal of the Brazilian College of Surgeons (in press), 2010.
Silva DN, Coelho J, Frazilio FO, Odashiro AN, Carvalho PTC, Bridges ERJC, Vargas AF, Rossetto M, da Silva ABA.
End-to-side nerve repair using fibrin glue, experimental study in rats.
Surgical Brasileira Acta 2010, 25 (2): March to April (in press).
Silva MO, Beolchi M, Vargas AF, Nunes D.
Circular Local Skin Flap. A New Approach to Areola Reconsctruction.
Acta Cir Bras 2007, 22 (4): 321-325.
Vargas AF, Souza HP.
Endometriosis and its presentation in the form of abdominal wall hernia.
Scientia Medica 2004, 14 (3): 257-260.
Vargas AF, Breigeiron R, Souza HP.
The importance of screening for second primary tumors in patients with carcinoma of the aerodigestive tract.
Resident Magazine 2004.
Vargas AF, Gomes VF, RW Aguiar, RA Pinto.
Psychological Aspects in reduction mammaplasty.
ATM Magazine 2001, 21 (1): 59-62.
Vargas AF, Pesce GA, MC Gib, Rosito TE, Fraga RS, RM Rosat.
The Role of the Amygdala in Emotional Memory.
ATM Journal of Medicine 1998, 18 (2): 173-177.
Mazzarone F, Pitanguy I, Gabriele J, Nunes D, Vargas AF.
Dermolipectomia Crural with Extension Middle Previous Patient in Post-Obesity.
Journal of the Brazilian Society of Plastic Surgery 2005, 20 (3): 142-7.