Fellowship Guide

Dear Colleague,
We would like to welcome you in Dr Fausto Viterbo’s clinic. It is our pleasure to host you and help you as much as we can. We hope you gain great advantages for yourself as well as enjoying your time. Whatever, wherever and however you need something we will be very happy to help and guide you. For this purpose we introduce to you a brief guide for yourself while staying in Botucatu. Again we wish to have a pleasant stay with us.
This guide includes these items:
I – Residence
II – Period of stay
III – Surgery
IV – Laboratory
V – Projects
VI – University
VII – Transportation
VIII – Food
IX – Entertainment
X – Weather
XI – Vacations
XII – Friends
XIII – Legality

I – Residence
Your residence will be at Dr Fausto’s clinic. There are two rooms; each is prepared for two fellows. The room is air conditioned, with TV, internet access and common restroom. You will have an access to the laundry room and kitchen. Each fellow will have its own keys for the room, kitchen and the gate of the clinic. After the end of the day, the clinic will be closed and the alarm is turned on, so do not open the kitchen’s window, otherwise the alarm will fire. There is an exception for that when there are inpatients and night shift nurse.
The address of the clinic is:
Clinica de Cirurgia Plástica
Rua Dr. Domingos Minicucci Filho, 587
CEP 18.607-030
Vila Sonia
Botucatu/São Paulo
Tel. 55 14 3882-5414
Fax 55 14 3815-5497

II – Period of stay
The minimum period of stay is 6 months and the maximum is one year. To extend more than one year, it depends on your performance and achievements.

III – Surgeries
You should be ready and prepare yourself for a condensed course, including many topics in plastic and reconstructive surgery; in particularly aesthetic surgery, facial palsy, and reconstructive surgery. The surgeries are held whether in the clinic or the university.
1 – Breast Surgery:
A) Breast augmentation: according to each case the plane are chosen, either subglandular or supectoral. Usually polyurethane implant is used, through an inframammary incision.
B) Breast reduction: usually is used an inferior pedicle parenquimal flap under a pectoralis muscle flap, with inverted T closure. This technique was created by a Brazilian surgeon, Dr. Milton Daniel.
C) Mastopexy: with or without augmentation
D) Correction of inverted nipples
E) Fat injection in the breast
F) Gynecomastia
2 – Toro:
A) Liposuction
B) Abdominoplasty
C) Belt lipectomy
D) Buttock augmentation with fat injection
3 – Facial rejuvenation:
A) Brow lift
B) Forehead lifting
C) Mid face lifting: Tounard and Labbe’s techniques
D) Blepheroplasty
E) Fat injection
F) Myectomies (orbicularis occuli and corregator) for correction of wrinkles
G) Dermabrasion
H) Neck lift
I) Subcision of platysmal bands
4 – Rhinoplasty: Open or closed rhinoplasty, sometimes accompanied with mentopexy
5 – Otoplasy: Musterde
6 – Surgery for facial palsy: it is a unique subject here that you should stress on it to achieve and gain maximum experience during your stay. The etiology of the facial paralysis is very broad so, you will see cases with unresolved Bell’s palsy and other cases with bilateral facial paralysis (Mobius Syndrome).

A) Temporalis muscle transfer: in an orthodromic fachion the temoralis tendon is detached from the coronoid process and lenghthend with a strip of facia lata (17×3 cm), sutured to the upper and lower lips.
B) Ancillary procedures: Tarsal strip excision to correct the lower lid ectropion. Levator palpeberea superioris lenghthening to correct the Lagophthalmos. Myectomy of the contralateral depressor angli oris and zygomaticus major. In Block neurotomy to denervate the frontalis muscle.
C) If the patient is less than 2 years, end to side cross face nerve graft will be done.
7 – Free Tissue transfer: TRAM, Radial forearm, Latissmus Dorsi muscle and free vascularized fibular bone graft.
8 – Brachial Plexus Injuries

IV – Laboratory
Here you will have the opportunity to go the lab in the university (UNESP). It is a well equipped lab with all the instruments, machines, and devices. In the lab you will meet and work with trained technicians, who are very friendly. You will be allowed to go two days per week and whenever Dr Fausto is travelling. Microsurgical training is an important target to achieve during your stay.

V – Projects
During your stay Dr Fausto will incorporate you in many projects whether in the lab or in the clinic. This will give you a chance to publish in international journals. The projects are concerned mainly with peripheral nerve surgeries, end to side neurorrahphy, facial palsy studies, and fat transfer.

VI – University (UNESP)
Dr Fausto used to perform surgeries on Monday weekly, of course you will be invited to observe. On Tuesday, a morning seminar with the plastic surgery professors and residents is held on, while in the afternoon Dr Fausto check the patients in the ambulatory.

VII – Transportations:
1 – Within Botucatu:

A) Bus to UNESP: 7:45 am, 8:15, 9:15 and 10:15 in the morning
B) Bus from UNESP: your destination is Praca Brasil- Japao, any bus going downtown you can take e.g. 211, 214 and 216
C) Some friends can give you a ride
D) You can buy a used bicycle, it will cost you 100 USD. The distance from your residence to UNESP is around 5 km.
E) Hitchhike
F) Taxi (tel. 3815-5757)
2 – From and to Botucatu: Well connected to most of the cities

VIII – Food
1- Restaurants: Garden grill, Mão na Roda, Japanese, Subway, Habib’s and McDonalds. The first three open from 11 am to 3:00 pm for the lunch time and then open again in dinner time from 7 pm (the fast food restaurants open all the day till 10 pm).
2- Supermarkets: Jau and Pão de Açucar
3- You can buy your stuff and cook in the kitchen, but be careful to keep it always clean.
4- For the breakfast, the clinic’s maid prepares coffee, bread, cheese and butter for all. If you would like something more you can buy it by yourself.

IX – Entertainment:
We would recommend if you do not lose your time here as much as you can. Many waterfalls (Cataract) you can visit. Travel to near cities on the river e.g. Avare. Many other places you can check online.

X – Weather:
1- Summer: Raining too much and the temperature is high.
2- Winter: Cold, raining infrequently
3- Fall and Spring: Perfect weather

XI – Vacations………………….

XII – Friends:
Students that work with Dr Fausto, will help and assist you
1- Eduardo Fonseca: tel. (14) 98137-8161, fonseca.eduardo10@gmail.com
2- Marcos Storion: tel. (14) 99798-6202 or (14) 98155-1519, marcosstorion@hotmail.com

XIII – Legality:
This depends on the type of your visa. If you have a student visa (Temp IV), the Brazilian embassy in your country will give you a paper you should deliver to the Federal Police within 30 days of you arrival Brazil. The aim of this is to receive an ID for foreigners. If you would like to extend this visa, you have to start preparing the required papers to present to Federal police at least 30 days before your visa expiry; otherwise you may pay as a penalty for this delay. The closest Federal police office is in Bauru (90 Km far from Botucatu) Federal Police web site http://www.dpf.gov.br/ and Ministry of Justice web site http://portal.mj.gov.br.