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Body Shaping, Skin Fat and Cellulite E-Book

Body Shaping, Skin Fat and Cellulite E-Book

Jeffrey S. Orringer | Murad Alam | Jeffrey S. Dover

(2014)

Additional Information

Book Details

Abstract

Improve your technique, treat patients with confidence, and obtain optimal results using today’s most advanced body shaping treatments with guidance from Body Shaping: Skin, Fat and Cellulite, a volume in the Procedures in Cosmetic Dermatology Series. Renowned cosmetic dermatologists—Drs. Orringer, Alam, and Dover—provide you with  procedural how-to's and step-by-step advice on proper techniques, pitfalls, and tricks of the trade, equipping you to successfully incorporate the very latest for skin tightening, fat reduction, and sculpting procedures into your busy practice!

  • Consult this title on your favorite e-reader.
  • Stay on top of cutting-edge techniques and topics including laser and lights; high frequency ultrasound techniques; and minimally- and non-invasive cosmetic procedures such as Cryolipolysis, Laser Lipolysis and Chemical Lipoolysis which provide optimal results with little or no recovery period needed for the patient.
  • Offer your patients the best care and avoid pitfalls. Evidence-based findings and practical tips equip you with the knowledge you need to recommend and discuss the most effective treatment options with your patients.
  • Expand your repertoire and refine your skills with a wealth of full-color clinical case photographs, "Before and After" photographs, illustrations, and procedural videos depicting cases as they appear in practice.
  • Zero in on the practical clinical information you need to know with an easily accessible, highly templated format.
  • Browse the fully searchable text online at Expert Consult, along with expanded video content and
  • Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, references, and videos from the book on a variety of devices.

Table of Contents

Section Title Page Action Price
Front cover cover
Half title page i
Procedures in Cosmetic Dermatology ii
Body Shaping: Skin Fat Cellulite iii
Copyright page iv
Table of Contents v
Series Preface vii
Preface ix
Contributors xi
Dedications xiii
List of online videos xv
1 Skin Tightening 1
1 Skin Laxity: 1
Anatomy and pathophysiology 1
Epidermis 1
Dermis 2
Hypodermis 3
Smoking 3
Menopause 4
Weight gain 4
Treatment indications 4
References 5
2 Lasers and Lights: 7
Introduction 7
Proposed mechanism of action 7
Infrared devices 8
Patient selection 10
Treatment course 10
Titan 10
Lux-IR 11
SkinTyte II 12
VelaShape 12
Near infrared 12
Expected outcomes 13
Safety 14
Multi-modality procedures 14
References 15
3 Radiofrequency Treatment: 17
Introduction 17
Proposed mechanism(s) of action 17
Patient selection 18
Typical treatment course 19
Expected outcomes 22
Safety 23
Multi-modality approaches 24
Conclusion 24
References 25
4 Micro-focused Ultrasound: 27
Introduction 27
Proposed mechanism(s) of action 28
Patient selection 30
Typical treatment course 30
Expected outcomes including supporting data from prior studies 31
Safety 33
Multi-modality procedures 34
References 35
2 Fat Reduction 37
5 Subcutaneous Fat: 37
Introduction 37
Subcutaneous fat and gluteofemoral (cellulite) fat 37
White and brown adipocytes 38
Treatment indications for subcutaneous fat 40
Main body areas to be treated 41
Lipodystrophy 41
Breast liposuction 41
Gynecomastia 41
Axillary hyperhydrosis 41
Lipomas 41
Conclusion 41
References 42
6 Cryolipolysis: 43
Introduction 43
Pathophysiology/mechanism of action 43
Patient selection 44
Typical treatment course 45
Expected outcomes 47
Safety 48
References 49
7 Radiofrequency Treatment: 51
Introduction 51
Technology and mechanism of action 52
Patient selection 54
Typical treatment course 55
Expected results 57
Safety 58
Multimodality procedures 58
Conclusion 58
References 59
8 Ultrasound Treatment: 61
Introduction/proposed mechanism of action 61
Patient selection 62
Typical treatment course 63
Expected outcomes 65
Safety 66
Procedural discomfort 66
Ecchymoses 66
Tissue firmness 66
Defined location sensory nerves 66
Dysesthesias 66
Abnormal laboratory values 66
Thermal injury to skin 66
Deep layer injury 66
Lack of treatment efficacy 66
Repeat treatment 66
Tissue effect seen on DUS 66
Device-related adverse events 67
Operator error 67
Multi-modality procedures 67
References 67
9 Liposuction, Ultrasound-assisted and Powered: 69
The history of liposuction 69
Patient selection 69
Preoperative evaluation 69
Anesthesia 70
Operative technique 70
Complications 72
Safety studies 73
Ultrasound-assisted liposuction 74
Powered liposuction 75
References 78
10 Laser Lipolysis: 79
Introduction 79
Evolution and mechanism of action 79
Patient selection 80
Indications 80
Patient evaluation 80
Patient evaluation checklist 82
Physical exam 82
Baseline photography 83
Treatment course 84
Tumescent anesthesia 84
Laser application and method 85
Expected outcomes including supporting data from prior studies 86
Safety 87
Multi-modality procedures 88
Conclusion 89
References 90
11 Injectable Fat-reducing Therapies: 91
Introduction 91
Background and mechanism of action 91
Fat cell ablation 91
Fat cell lipolysis 94
LIPO-102 and LIPO-202 94
Patient selection 94
Treatment 95
Outcomes 95
LIPO-102 and LIPO-202 95
ATX-101 96
Complications and adverse events 96
Contraindications 97
Conclusion 97
References 97
3 Cellulite Reduction 99
12 Cellulite: 99
Introduction 99
Multifactorial etiologies of cellulite 99
Anatomy and etiology of cellulite 100
Connective tissue alterations in cellulite anatomy 100
Sexual dimorphism in cellulite skin architecture 101
Cellulite grading based on clinical severity 102
Treatment of cellulite 102
Pharmacological treatments 102
Catecholamines 102
Retinoic acid 102
Peroxisome proliferator-activated receptors agonists 102
Unipolar and bipolar radiofrequency devices 103
Surgical treatments 104
Liposuction and subcision 104
Laser lipolysis 104
Conclusion 105
References 105
13 Massage/Mechanical Techniques: 107
Endermologie® 107
Acoustic wave therapy 108
Combination therapy 108
VelaSmooth™ 108
Triactive™ 110
SmoothShapes™ 110
VelaShape™ 111
Vibro Light™ 112
Conclusions 112
References 114
14 Lasers and Lights: 115
Introduction 115
Treatment 115
VelaSmooth™ 115
TriActive™ 117
Verjú 117
SmoothShapes® 117
Cellulaze™ 118
Long-pulsed 1064 nm Nd:YAG laser 119
Combination therapy 120
Future research 120
Conclusion 120
References 121
15 Radiofrequency and Ultrasound: 123
Cellulite 123
Radiofrequency 124
Ultrasound 124
Patient selection 124
Side effects 125
Radiofrequency devices 125
Monopolar radiofrequency devices 125
Thermage® 125
Mechanism of action 125
Results 125
Exilis 125
Bipolar radiofrequency devices 126
VelaSmooth™ 126
Index 141
A 141
B 141
C 141
D 141
E 141
F 141
G 142
H 142
I 142
L 142
M 142
N 142
O 142
P 142
R 142
S 143
T 143
U 143
V 143
W 143
Z 143