SAFETY WORKER,

SECURE COMPANIES
ARYA TJIPTA
PLASTIC RECONSTRUCTIVE SURGEON
 P L A S T I C S U R G E RY

RECONSTRUCTIVE AESTHETIC
 LASER IN PLASTIC SURGERY

MY PERSONAL OPINION :
EXPERIENCED SURGICAL HANDS IS BETTER THAN USING
ONLY LASER FOR CIRCUMCISION
Sdr.Banu, 24th

BEFORE 1X

3X 6X
Sdr.Aditya, 33th

BEFORE 3X 5X
LIP FILLER
LIP FILLER &
UNDER EYE

BEFORE AFTER
NOSE FILLER
NOSE FILLER

BEFORE AFTER
CHIN FILLER
CHIN FILLER

BEFORE AFTER
12
RECONSTRUCTIVE
FROM HAIR

TO TOE
LUKA NEKROTIK LUKA INFEKSI LUKA SLOUGHY

LUKA EPITEL
LUKA GRANULASI
LUKA FUNGATING

LUKA SAYAT LUKA BAKAR LUKA BAKAR

BURN RECONSTRUCTION
 Bilateral Thoracodorsal Artery Perforator flap in
Axilla Reconstruction ! Courtessy Arya Tjipta

A!29!yo!man!suffered!!
defect!at!axilla!bilateral!
due!to!!electrical!burn!

!
Axilla!dextra!

Axilla!sinistra!
Intraopera9ve!

Result!!
Bilateral Thoracodorsal Artery Perforator flap in
Axilla Reconstruction ! Courtessy Arya Tjipta
BURN INJURY (LUKA BAKAR)

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 GOALS…!!!
ALIVE S TA B I L I T Y R E C O V E RY
MENOLONG M E M P E R TA H A N K A N
PENANGANAN NYERI FUNGSI DAN ESTETIKA
HIDUP

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SERING TERJADI
Pasien-pasien yang
meninggalkan
rumah sakit
sangatlah
MENAKUTKAN

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Late Complication : CONTRACTURE

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KONTRAKTUR DAN SKIN GRAFT

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THE ONE, THE ONLY
BURN UNIT IN NORTH
SUMATERA
RS IMELDA
PASIEN LUKA BAKAR
MEMERLUKAN RUANG
YANG TERISOLASI,
STERIL DAN PRIVASI
 RUANGAN DISKUSI
DOKTER DAN PERAWAT
KAMAR CUCI LUKA
DAN MANDI PASIEN
RUANG ISOLASI PASIEN
LUKA BAKAR BERAT
 SEBELUM MASUK RUANGAN PASIEN, KELUARGA
WAJIB GANTI BAJU PELAPIS DAN BERSIHKAN DIRI
Free Vascularized
Fibula Flap!

Arya Tjipta!
CLEFT SURGERY Courtessy Arya Tjipta
MODA TRANSPORTASI
 @aryatjipta

safe bike??
IDENTITAS DAN SIM
1. HELM
2. SARUNG TANGAN
3. JAKET SAFETY
4. BOOTS
5. VISOR / KACAMATA
6. BUFF

SAFETY GEAR
1. HELM
52
 Case. Local Flaps

Scalp avulsion
C Sukasah 2011. Facial Soft Tissue Injury

Reconstruction:
Local flaps
54
 CASE. Loss of Mandibular Segment
C Sukasah 2011. Facial Soft Tissue Injury

Before After
SIDIK, GENTUR, CHAULA 56
C Sukasah 2011. Facial Soft Tissue Injury

Before
SIDIK, GENTUR, CHAULA
After
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2. GLOVES
3. JAKET SAFETY
4. BOOTS
FOOT RECONSTRUCTION Courtessy Arya Tjipta
 Foot Reconstruction using ALT free flap Courtessy
! Arya Tjipta

Case!1:!osteomyelis!Of!The!metaEEEtarsal!IVEEEV,!!

Case!1:!Diabe3c!ulcer!With!Calcaneal!Bone!exposed!
!

!
(!PRS!!VOL!119:! Case!3:!chronic!wound!!due!to!!trauma!
186,!2007.)!
Harves3ng!ALT!
free!flap!

Case!4:!skin!loss!due!to!trauma!!!

JPR!VOL1,!NO!1!
Foot Reconstruction using ALT free flap !
Courtessy Arya Tjipta
 Supercharged peroneal perforator propeller flap
in Achiles Reconstruction! Courtessy Arya Tjipta
The!supercharged!
propeller!flap!is!a!
modifica3on!of!the!
perforator!pedicled!
propeller!flap.!If!the!
perforator!vessel!is!not!
providing!a!sufficient!!
! nourish,!an!extra!pedicle!
can!be!added.!
5. VISOR /
KACAMATA
 Case. Avulsion of the Temporal Skin
C Sukasah 2011. Facial Soft Tissue Injury

Debridement, marginal excision, avulsion

returned, remaining surface approximated with tension

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C Sukasah 2011. Facial Soft Tissue Injury

Tension edges dehiscence.

Remaining defect FTSG-ed 10 days later.
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6. BUFF
 Misaligned Lacerations

Uncareful alignment of Scar revision and

lacerations resulting in reconstruction
C Sukasah 2011. Facial Soft Tissue Injury

bad scar and structure

disruptions
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 PASIEN PASCA TRAUMA
MULTIPEL, DILAKUKAN
REHABILITASI MEDIS DAN
PEMASANGAN PROTESA
KEEP RIDING AND STAY SAFE

@aryatjipta