In this video, Dr. Fernando Amato, Plastic Surgeon at Instituto Amato, will talk about: Warm Compress and Cold Compress. A controversial topic worth discussing. Check out Dr. Fernando Amato's channel @DrAmato: https://www.youtube.com/channel/UCMKZ… Check out the exclusive playlist on the channel dedicated exclusively to Plastic Surgery: https://youtube.com/playlist?list=PLg… Follow Dr. Fernando on Instagram: @meu.plastico.pro Visit Dr. Fernando's Website: www.plastico.pro Watch the featured video on the CHANNEL right now: https://bio.amato.io/indicado Watch this video about how to care for the drain in the postoperative period: https://www.youtube.com/watch?v=mnGmQ… Also watch this video about Hematoma: https://www.youtube.com/watch?v=xY6sN… https://www.youtube.com/watch?v=56AaG… #institutoamato #Cirurgiaplastica #lipoaspiração #Protesedemama #abdominoplastia #explante #mamoplastia #mastopexia

Hello, I am Dr. Fernando

Amato, I am a plastic surgeon

here at Instituto Amato, and today

I'm going to talk about a very

interesting topic, right? Which we

have here on our channel

which is the topic about hot packs,

warm compresses, cold packs,

or even ice packs

on operated areas or even in

some place that has suffered trauma.

There is also a very

cool, very popular video here about

hematoma. So,

I would like to explain a

little about some risks

of warm compresses, right? Many

times people have an inflammatory process

and even an interesting

warm compress helps to

soften certain

areas that are harder,

that are sometimes with hematoma, and it

even helps with absorption, because

there is local vasodilation, and it

helps in this

inflammatory process, but there is a great

risk when we tell the

patient to use warm compresses. Do you

know what this risk is?

Well, patients sometimes

misunderstand and use

extremely hot compresses, and

these hot compresses can cause

burns, and unfortunately, this

happens, and we have to

warn the patient not to burn

themselves. But how can we

explain this risk to the patient,

right? So, sometimes there is

that understanding of a warm compress,

sometimes a hot water bottle is used, and

this hot water bottle comes

extremely hot. There are

some ways to check the

temperature of the compress, right?

You can put it on the back

of your hand, right? For mothers or fathers

who are going to warm a

baby bottle, a way to check if

it is at an adequate temperature

is to put the milk on the back of your

hand to offer to the

child. It's a way to

test this warm pack

or hot water bottle,

you place it on the back of your hand and see if

the temperature is adequate,

right? And it will be adequate up to

forty-two degrees. If it starts to

increase much more than that,

you will cause a burn

in the area, and this burn can

have a secondary infection.

So this happens,

unfortunately, I have had cases, and

that's why I'm recording

this video about burns

with hot water bottles. I asked the

patient to use warm compresses,

and they used a hot

compress. I even wrote "warm compress,"

and the patient

even tested it on their hand. They said:

"Oh, doctor, but I tested it on my

hand," but this patient had

a thicker hand, cooked, had a

habit with fire, so, they didn't

feel that temperature.

But in the operated area, and this

is the big warning. The

sensitivity decreases, and it decreases

a lot. The patient may not feel

anything, and it may be burning and

completely damaging the

surgery and completely losing the

surgery. So, before this

happens, never place something

potentially hot in an area

where you won't feel that

temperature. So, this is the

big warning I wanted to

bring to you, and I also

take the opportunity to talk about another

warning. In the feet, right? Many

times patients use

hot water on their feet. These

patients are diabetic. And the

diabetic patient has some

complications. I'll see if I can

put here some video by

Dr. Lorena about these

complications, and the patient with

diabetes also has

neuropathy, they lose

sensitivity, they can burn

their foot, and in the case of a diabetic,

they can even lose their foot,

because they can get an infection,

they don't feel it, they burn their foot,

the famous foot bath, and they can

burn their foot, and infection for

a diabetic with other

complications can even lead to

amputation. Similarly, cold compresses, which

help relieve pain,

should also be avoided in areas of

extremities because the vasoconstriction

that cold causes can be very

severe in areas further out,

right? Fingers, feet, and

especially in those who already have

circulatory disease, which can also

lead to amputation.

So when you are prescribed a warm

compress or a cold

compress, always ask the doctor

what temperature, what is the

correct way he understands

to prepare these

compresses, and always be suspicious

in areas where sensitivity is decreased

or in the extremities. So, if

you know anyone who might

be wanting to use a warm compress

or a hot water bottle,

or even take a foot bath, or even a

cold compress, share this

video, it might be very

interesting, and before the

person burns themselves, or even

has the misfortune of

compromising a limb. So

if you liked it, like, comment,

share this video.

Thank you very much!.

Mammary asymmetry is the difference between breasts in terms of size, shape, or position. Treatment varies in each case, and may include mammaplasty and mastopexy, with or without breast implants. Watch the video for more details with Dr. Fernando Amato (CRM 133826).

Mammary asymmetry is the difference in size
between breasts.

This difference can be very subtle and is
very frequent.

It can occur in almost all women,
at least with some asymmetry, which is

acceptable.

This asymmetry may even be associated with
a change in the patient's posture or

some spinal disease, such as scoliosis.

Small differences are acceptable, but
depending on the case, it can interfere with the patient's quality

of life or even lead to incorrect posture, causing back
pain, spinal pain.

This asymmetry can present in various
forms, with some classifications,

one of which is type 1, when only one side is
small.

There's type 2, when both sides are small,
but one is smaller than the other.

It can present with hypertrophy, meaning
one side is very large and, therefore, may need

to undergo breast reduction, which can
be unilateral hypertrophy, meaning only on

one side.

This hypertrophy can also occur on both
sides with a very significant difference.

Furthermore, there may be hypomastia, meaning
one undeveloped side and one very

developed side, and in rare cases, there may be
hypomastia, meaning a small breast

with some deformity of the chest wall.

Treatment will vary according to each
case.

So, in cases where the breast is small,
it can be done with only an implant, or it can be

done with fat grafting, and for large breasts,
breast reduction, or mamoplasty, can be performed,

and there are cases that require areola repositioning,
which is mastopexy.

And this mastopexy can be done with or without
a breast implant.

Current technology allows for the prediction
of a result or at least the prediction of a

volume through 3D simulations, and I believe
this is the future: to be able to use

technology to assist in this volume correction
between the breasts.

Did you like our video?

Follow us on our social media.

Dr. Alexandre Amato (CRM 108651) is a vascular surgeon at Instituto Amato and talks about superficial thrombophlebitis, a disease that is often confused with deep vein thrombosis.

Hello, I'm Dr.

Alexandre Amato, vascular surgeon at Instituto
Amato, and today we're going to talk about superficial

thrombophlebitis, a disease that is frequently
confused with deep vein thrombosis.

Superficial thrombophlebitis is still
a thrombosis; it's clotted blood inside

a vein.

However, this vein is not a deep vein,
as in venous thrombosis, but a superficial vein,

therefore, it causes hardening
of the vein, a red streak like a welt, and pain

along the path of this vein.

Often, when palpated, it feels like a hard
cord.

This superficial thrombophlebitis can occur
in both upper and lower limbs,

and may be associated with deep vein thrombosis,
pulmonary embolism, and varicose veins.

So superficial thrombophlebitis is not
as serious as deep vein thrombosis,

but it can be a precursor to deep vein
thrombosis and its serious consequence,

which is pulmonary embolism.

Therefore, treatment should be performed by a specialized
physician, who is a vascular surgeon,

and other causes of thrombophlebitis
should be investigated.

Very frequently we have thrombophilias,
which are diseases of the coagulation cascade,

that alter blood coagulation, predisposing
to clot formation, and this should be

investigated, but there is also another cause that
should be screened, which are neoplasms,

cancers.

So, neoplasia can be a triggering factor
for superficial thrombophlebitis.

Despite being a relatively benign disease,
it should be well diagnosed, well treated,

and this also triggers screening
for other diseases.

Did you like this video?

Access our other videos on our channel
and like.