BOOK
Aesthetic Surgery Techniques E-Book
James D. Frame | Shahrokh C. Bagheri | David J Smith, Jr. | Husain Ali Khan
(2017)
Additional Information
Book Details
Abstract
Changing trends, ethnic and regional preferences, and a hands-on teaching method make cosmetic surgery uniquely challenging for novice and experienced surgeons alike. Aesthetic Surgery Techniques: A Case-Based Approach offers expert, real-world instruction by presenting chapters and patients in a classical fashion, providing a clinical perspective as you work through case after case, honing your knowledge and skills. A diverse, international group of highly reputable faculty takes you step by step through each case.
- Covers a wide range of the most common cosmetic procedures in a templated, atlas-style format, highlighting case presentations with superb illustrations and clinical photographs.
- Presents each case using easy-to-understand text that highlights potential risks and tips and tricks to avoid them.
- Conveys the real-world knowledge and expertise of a multidisciplinary team of editors including oral and maxillofacial surgeons and plastic surgeons.
- Uses a chapter format based on the 14 Cosmetic Surgery Competencies used to train Consultant Plastic Surgeons at the Anglia Ruskin University, UK.
- Offers global coverage of specific techniques to help you refine your skills and expand your surgical repertoire:
- Abdominoplasty (Modified Brazilian Technique in the UK and Middle East)
- Open Rhinoplasty (European approach)
- Surgical correction of the Neck (New Zealand and U.S.)
- Advanced Medical Aesthetics (UK and Dubai)
- Facelift Made Easy (U.S.)
- Asian Blepharolasty
- Ethics in Aesthetic Surgery (UK and U.S.)
- Breasts, Buttocks, and Thighs (Brazil)
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | cover | ||
| Inside Front Cover | ifc1 | ||
| Aesthetic Surgery Techniques | i | ||
| Copyright Page | iv | ||
| Table Of Contents | v | ||
| Video Contents | vii | ||
| Preface | ix | ||
| Acknowledgments | xi | ||
| List of Contributors | xiii | ||
| 1 Introduction | 1 | ||
| 1 Informed Consent | 3 | ||
| The Process of Informed Consent | 3 | ||
| Informed Consent: Protecting the Surgeon | 5 | ||
| The Legal Situation | 5 | ||
| Courtroom Scenario | 5 | ||
| Summary | 6 | ||
| Reference | 6 | ||
| 2 Aesthetic Medicine | 7 | ||
| Introduction | 7 | ||
| Multimodality Nonsurgical Rejuvenation With a Regional Approach | 7 | ||
| Botulinum Toxin (Botox) | 7 | ||
| Preprocedure Management of Neuromodulators | 7 | ||
| Postoperative Care for Neuromodulators | 8 | ||
| Hyaluronic Acid (Fillers) | 8 | ||
| Preprocedure Management | 8 | ||
| Postoperative Management | 8 | ||
| Upper Face | 8 | ||
| Forehead and Brow Rejuvenation (Fig. 2.2) | 8 | ||
| Assessment (Table 2.2) | 8 | ||
| Technique | 8 | ||
| Complications | 9 | ||
| Periocular Rejuvenation (see Table 2.3, Fig. 2.3, Video 2.2 and Video 2.5) | 11 | ||
| Hints and Tips | 11 | ||
| Temporal Area: Temple Augmentation (Fig. 2.4) | 11 | ||
| 2 Head and Neck | 31 | ||
| 1 Forehead and Brow | 33 | ||
| 4 Brow Lift | 33 | ||
| The Clinical Problem (Fig. 4.1) | 33 | ||
| Introduction | 33 | ||
| Patient Selection (Table 4.2) | 34 | ||
| Surgical Preparation and Technique | 34 | ||
| Transblepharoplasty Brow Lift (Fig. 4.3) | 34 | ||
| With Sutures | 35 | ||
| With Endotine | 35 | ||
| Direct Brow Lift (Fig. 4.4) | 35 | ||
| In Males | 35 | ||
| In Females | 35 | ||
| Postoperative Care | 36 | ||
| Minidirect Brow Lift | 36 | ||
| Midforehead Lift | 36 | ||
| Endoscopic Brow Lift | 36 | ||
| Requirements | 36 | ||
| Technique | 36 | ||
| Temporal Brow Lift | 36 | ||
| Coronal Brow Lift | 36 | ||
| Pretrichial Brow Lift (Fig. 4.5) | 36 | ||
| Problems | 36 | ||
| Summary | 36 | ||
| References | 37 | ||
| 5 Endoscopic Endotine Brow Lift Made Easy | 39 | ||
| The Clinical Problem | 39 | ||
| Surgical Preparation and Technique | 39 | ||
| Preoperative Assessment | 39 | ||
| Preparation for Surgery | 39 | ||
| Surgical Technique | 40 | ||
| 2 Eyes | 45 | ||
| 6 Upper Blepharoplasty | 45 | ||
| The Clinical Problem (Fig. 6.1) | 45 | ||
| Introduction | 45 | ||
| Anatomy and Aging | 45 | ||
| Surgical Preparation and Technique | 45 | ||
| Assessment | 45 | ||
| Preparation and Markings | 45 | ||
| Surgical Technique | 47 | ||
| Complications | 47 | ||
| Summary | 47 | ||
| References | 51 | ||
| 7 Asian Blepharoplasty | 53 | ||
| The Clinical Problem | 53 | ||
| Synopsis | 53 | ||
| The Aesthetic Problem | 53 | ||
| Indications and Counseling | 53 | ||
| Surgical Preparation and Technique | 53 | ||
| Buried Suture Method | 53 | ||
| Design | 54 | ||
| Procedure | 54 | ||
| Incision Method | 55 | ||
| Design | 56 | ||
| Procedure | 56 | ||
| Medial Epicanthoplasty | 56 | ||
| Complications | 59 | ||
| References | 59 | ||
| 8 Midface Descent and Malar Support | 61 | ||
| The Clinical Problem (Fig. 8.1) | 61 | ||
| The Aesthetic Problem | 61 | ||
| Management and Treatment Options | 61 | ||
| Surgical Preparation and Technique | 61 | ||
| Postoperative Considerations (Figs. 8.5 to 8.7) | 63 | ||
| Results | 63 | ||
| Complications | 63 | ||
| References | 66 | ||
| Further Reading | 66 | ||
| 9 Anatomic Relationship of SOOF and ROOF in Eyelid Rejuvenation | 67 | ||
| The Clinical Problem: Prominent Bulging Suborbicularis Oculi Fat Pad and Retro-Orbicularis Oculi Fat Pad (Fig. 9.1) | 67 | ||
| Anatomy | 67 | ||
| Upper and Lower Eyelids | 67 | ||
| Orbit | 67 | ||
| Infraorbital Region | 67 | ||
| Age-Related Changes | 68 | ||
| Case Study 1: Transconjunctival, Skin-Preserving, Suborbicularis Oculi Fat Pad Elevation (Figs. 9.5 to 9.9) | 69 | ||
| Case Study 2: Suborbicularis Oculi Fat Pad Elevation Via Subciliary Approach (Figs. 9.10 to 9.15) | 69 | ||
| Operative Technique: Suborbicularis Oculi Fat Pad Elevation | 70 | ||
| Postoperative Management | 71 | ||
| Complications | 71 | ||
| Further Reading | 71 | ||
| 10 Nonsurgical Rejuvenation of the Periorbital Area | 73 | ||
| The Clinical Problem | 73 | ||
| Synopsis | 73 | ||
| The Aesthetic Problem (Fig. 10.1) | 73 | ||
| Surgical Preparation and Technique | 73 | ||
| Neuromodulators | 73 | ||
| Case 1 (Fig. 10.2) | 74 | ||
| Case 2 (Fig. 10.3) | 74 | ||
| Chemical Peels | 74 | ||
| Nonablative and Ablative Lasers | 75 | ||
| Case 3 (Fig. 10.4) | 75 | ||
| Case 4 (Fig. 10.5) | 76 | ||
| Filler Augmentation | 76 | ||
| Case 5 (Fig. 10.6) | 76 | ||
| Case 6 (Fig. 10.7) | 76 | ||
| Bidirectional Thread Lifts | 76 | ||
| Case 7 (Fig. 10.8) | 78 | ||
| Autologous Platelet-Rich Plasma Injections | 78 | ||
| Red Light Phototherapy: Low-Level Laser (Light) Therapy (LLLT) | 78 | ||
| Collagen Induction Therapy | 78 | ||
| Case 8 (Fig. 10.9) | 78 | ||
| Radiofrequency and Infrared | 79 | ||
| Case 9 (Fig. 10.10) | 79 | ||
| Microfocused Ultrasound | 80 | ||
| References | 80 | ||
| Further Reading | 80 | ||
| 3 Face Lift | 81 | ||
| 11 High SMAS Face Lift | 81 | ||
| The Clinical Problem (Fig. 11.1) | 81 | ||
| Synopsis | 81 | ||
| The Aesthetic Problem | 81 | ||
| Surgical Preparation and Technique | 81 | ||
| Treatment and Operative Technique | 83 | ||
| Postoperative Considerations | 87 | ||
| Complications | 87 | ||
| 12 Management of the Neck | 91 | ||
| The Clinical Problem (Fig. 12.1) | 91 | ||
| Synopsis | 91 | ||
| The Aesthetic Problem | 91 | ||
| Surgical Preparation and Technique | 92 | ||
| Clinical Findings (Box 12.1) | 92 | ||
| Treatment and Operative Technique | 94 | ||
| Percutaneous Trampoline Platysmaplasty and Neck-Defining Suture | 94 | ||
| Case Study (Figs. 12.8 and 12.9) | 95 | ||
| Postoperative Considerations | 95 | ||
| Percutaneous Platysmaplasty and Neck-Defining Suture | 95 | ||
| Complications | 96 | ||
| Prevention of Complications | 96 | ||
| Management of Complications | 97 | ||
| References | 97 | ||
| Further Reading | 98 | ||
| 13 The Turkey Neck | 99 | ||
| The Clinical Problem | 99 | ||
| Case Study 1 | 99 | ||
| Clinical Examination and Planning | 99 | ||
| Surgical Procedure | 99 | ||
| Submental Platysmaplasty | 100 | ||
| Postoperative Management | 100 | ||
| Case Study 2 | 100 | ||
| Potential Complications | 100 | ||
| Additional Tips | 101 | ||
| Conclusion | 101 | ||
| References | 104 | ||
| 14 Platysma Bands | 105 | ||
| The Clinical Problem (Fig. 14.1) | 105 | ||
| Synopsis | 105 | ||
| Anatomy | 105 | ||
| Management Options | 106 | ||
| Nonsurgical Options | 106 | ||
| Surgical Options | 106 | ||
| The Aesthetic Problem | 107 | ||
| Surgical Preparation and Technique | 107 | ||
| Management and Treatment Options | 107 | ||
| Treatment and Operative Technique | 107 | ||
| Postoperative Considerations | 108 | ||
| Complications | 108 | ||
| References | 110 | ||
| 4 Rhinoplasty | 111 | ||
| 15 Prominent Nose | 111 | ||
| The Clinical Problem | 111 | ||
| Surgical Principles | 111 | ||
| Inadequate Deepening of the Nasofrontal Angle (Figs. 15.5 and 15.6) | 112 | ||
| Tip | 112 | ||
| Clinical Examples | 114 | ||
| Short Prominent Nose | 114 | ||
| Long Prominent Nose | 114 | ||
| Long Nose | 114 | ||
| Rhinomegaly | 115 | ||
| Aging Nose | 115 | ||
| References | 119 | ||
| 16 Aesthetic Nasal Tip Surgery | 121 | ||
| The Clinical Problem (Fig. 16.1) | 121 | ||
| Synopsis | 121 | ||
| Surgical Preparation and Technique | 121 | ||
| Surgical Approaches: Open or Closed Rhinoplasty | 121 | ||
| Principles | 121 | ||
| Open Nasal Tip Approach | 121 | ||
| Closed Rhinoplasty Tip Technique | 122 | ||
| Case 16.1. Preoperative Evaluation (Fig. 16.7) | 122 | ||
| Nasal Tip. | 122 | ||
| Base of Nose. | 122 | ||
| Dorsal Profile. | 122 | ||
| Skin Envelope. | 122 | ||
| Preoperative Considerations | 122 | ||
| Basic Surgical Concepts | 122 | ||
| Management and Preferred Techniques for Framework | 122 | ||
| Outcome | 122 | ||
| Postoperative Considerations | 128 | ||
| Complications | 128 | ||
| References | 132 | ||
| 17 Crooked Nose | 133 | ||
| The Clinical Problem (Fig. 17.1) | 133 | ||
| Clinical Assessment | 133 | ||
| External Nose | 133 | ||
| Internal Nose | 133 | ||
| Nasal Septum | 133 | ||
| Dorsal Management and Osteotomies | 135 | ||
| Surgical Preparation and Technique | 135 | ||
| Open Rhinoplasty Approach | 135 | ||
| Case Study | 135 | ||
| Further Reading | 136 | ||
| References | 136 | ||
| 18 The Middle Eastern–Mediterranean Nose | 137 | ||
| The Clinical Problem (Fig. 18.1) | 137 | ||
| Synopsis | 137 | ||
| Surgical Preparation and Technique | 137 | ||
| Reduction of Dorsal Hump | 137 | ||
| Nasal Tip | 140 | ||
| Increasing Tip Projection and Adjustment of Tip Position | 140 | ||
| Elongation of Short Alar Cartilages | 142 | ||
| Alar Base | 143 | ||
| Case Study | 144 | ||
| References | 146 | ||
| 19 The Asian Rhinoplasty | 147 | ||
| The Clinical Problem | 147 | ||
| Surgical Preparation and Technique | 147 | ||
| Augmentation of Dorsum Nasi | 147 | ||
| Silicone Implant | 147 | ||
| Autografting the Dorsum of the Nose | 147 | ||
| Cartilage grafting | 147 | ||
| Costal cartilage grafting. | 147 | ||
| Ear cartilage grafting. | 147 | ||
| Dermofat grafting | 147 | ||
| Fascia grafting | 147 | ||
| Nasal Tip Surgery | 148 | ||
| Narrowing of the Nasal Tip to the Back of the Nose | 148 | ||
| Extension and Augmentation of the Nasal Tip | 148 | ||
| Enhancement of the Columella | 149 | ||
| AlaR Base Plasty | 149 | ||
| Complications | 150 | ||
| Complications Associated with Silicone Implants | 150 | ||
| Infection | 150 | ||
| Displacement | 150 | ||
| Mobility | 151 | ||
| Erosion, Implant Exposure, and Extrusion | 151 | ||
| Complications Associated with Cartilage Grafting | 151 | ||
| Warping | 151 | ||
| Waving | 151 | ||
| Reabsorption | 151 | ||
| Secondary Rhinoplasty | 151 | ||
| Further Reading | 152 | ||
| 20 Male Rhinoplasty | 153 | ||
| The Clinical Problem (Fig. 20.1) | 153 | ||
| Surgical Preparation and Technique | 153 | ||
| Preoperative Evaluation | 153 | ||
| Operative Plan | 153 | ||
| Nonoperative Technique | 153 | ||
| Operative Technique | 153 | ||
| Postoperative Care | 155 | ||
| Case 20.1 (Fig. 20.2) | 155 | ||
| Case 20.2 (Fig. 20.3) | 155 | ||
| Case 20.3 (Fig. 20.4) | 155 | ||
| References | 159 | ||
| Further Reading | 159 | ||
| 21 Medical Rhinoplasty | 161 | ||
| The Clinical Problem (Fig. 21.1) | 161 | ||
| Botulinum Toxin | 161 | ||
| Multi-mini Botulinum Toxin | 161 | ||
| Nasal Muscle Function and Anatomy | 161 | ||
| Increasing the Nasofrontal Angle | 161 | ||
| Bunny Lines | 161 | ||
| Reducing Nostril Flare | 162 | ||
| Elevating the Nasal Tip | 164 | ||
| Fillers | 164 | ||
| Types of Filler | 164 | ||
| Retro Ala Nasi Injection | 165 | ||
| Saddle Nose Correction | 165 | ||
| Nasal Hump Reduction | 165 | ||
| Nasal Tip | 165 | ||
| Nasal Asymmetries | 166 | ||
| Nostril Free Edge | 166 | ||
| Nostril Sill | 166 | ||
| References | 166 | ||
| Further Reading | 166 | ||
| 3 Perioral Aesthetics and Dentistry | 167 | ||
| 22 Aesthetic Orthognathic Surgery | 169 | ||
| The Clinical Problem | 169 | ||
| The Aesthetic Problem | 169 | ||
| Surgical Preparation and Technique | 169 | ||
| Management and Treatment Options | 169 | ||
| Treatment and Operative Techniques | 169 | ||
| Maxillary Surgery: Le Fort I Osteotomy | 169 | ||
| Mandibular Surgery—Bilateral Sagittal Split Osteotomy | 172 | ||
| 4 Breast | 193 | ||
| 25 The Small Breast | 195 | ||
| The Clinical Problem (Fig. 25.1) | 195 | ||
| Surgical Preparation and Technique | 195 | ||
| Management and Treatment Options | 195 | ||
| Assessment of Problem: Anatomic Description | 195 | ||
| Implant Selection | 197 | ||
| Treatment and Operative Technique | 197 | ||
| Anesthesia | 197 | ||
| Incisions | 197 | ||
| Inframammary (Fig. 25.4) | 197 | ||
| Infra-areolar | 197 | ||
| Axillary | 197 | ||
| Plane of Dissection | 197 | ||
| Subglandular Plane | 197 | ||
| Subfascial Plane | 197 | ||
| Submuscular Plane | 197 | ||
| Tips and Tricks | 198 | ||
| Postoperative Care | 198 | ||
| Case Studies | 198 | ||
| Complications | 198 | ||
| Perioperative Complications | 198 | ||
| Delayed Complications | 198 | ||
| Chronic Seroma. | 198 | ||
| Capsular Contracture. | 198 | ||
| Rotation and Displacement. | 198 | ||
| Implant-Induced Ptosis. | 203 | ||
| Rippling and Waving. | 203 | ||
| Implant Extrusion. | 203 | ||
| Implant Rupture. | 203 | ||
| References | 203 | ||
| Further Reading | 203 | ||
| 26 Breast Reduction | 205 | ||
| The Clinical Problem | 205 | ||
| Surgical Preparation and Technique | 205 | ||
| Management and Treatment Options | 205 | ||
| Treatment and Operative Technique | 206 | ||
| Postoperative Plan | 207 | ||
| Complications | 209 | ||
| Partial Loss of Sensitivity in the Nipple | 209 | ||
| Dehiscence | 209 | ||
| Seroma | 209 | ||
| Nipple-Areola Complex Necrosis | 209 | ||
| Hematoma | 209 | ||
| Tips and Tricks | 209 | ||
| References | 211 | ||
| 27 Mastopexy With Mesh for Breast Ptosis | 213 | ||
| The Clinical Problem (Fig. 27.1) | 213 | ||
| Synopsis | 213 | ||
| The Aesthetic Problem | 213 | ||
| Surgical Preparation and Technique | 213 | ||
| Treatment Options | 213 | ||
| Correcting Breast Ptosis: Internal Breast Support Procedure | 213 | ||
| Preoperative Markings (Fig. 27.4) | 214 | ||
| Surgical Technique | 214 | ||
| Results | 216 | ||
| Complications of the Polyester Mesh Mastopexy | 217 | ||
| Conclusion | 217 | ||
| References | 217 | ||
| 28 Simultaneous Augmentation and Periareolar Mastopexy | 219 | ||
| The Clinical Problem | 219 | ||
| Synopsis | 219 | ||
| Case 28.1 | 219 | ||
| Presentation and Outcome | 219 | ||
| Critical Decisions in Augmentation and Mastopexy | 219 | ||
| Deciding Augmentation or Simultaneous Augmentation and Mastopexy | 221 | ||
| Tips and Tricks in One-Stage Augmentation and Mastopexy | 221 | ||
| Considering Breast Ptosis | 222 | ||
| Periareolar Pattern | 222 | ||
| Pocket Location | 223 | ||
| Why Anatomic Implants? | 223 | ||
| Complications | 223 | ||
| Postoperative Care | 224 | ||
| References | 224 | ||
| 29 Asymmetric Breast | 225 | ||
| The Clinical Problem (Fig. 29.1) | 225 | ||
| Stepwise Approach | 225 | ||
| Understanding the Patient’s Requests | 225 | ||
| Examination of the Patient | 225 | ||
| Explaining Anatomy to the Patient | 225 | ||
| Formulating the Individualized Operative Plan | 225 | ||
| Spine | 226 | ||
| Rib Cage | 226 | ||
| The Breast Itself | 226 | ||
| Similar Volumes but Different Positions on the Chest Wall | 226 | ||
| Volume Reduction and Reshaping | 228 | ||
| Volume Replacement | 228 | ||
| Stages of Reconstruction | 228 | ||
| Silicone Implant. | 228 | ||
| Implant Volumes. | 228 | ||
| Shape of Implant. | 228 | ||
| Base Width of Implant. | 228 | ||
| Projection of Implant. | 228 | ||
| Nipple Areolar Complex | 228 | ||
| Tissue Quality and Additional Support | 228 | ||
| Complications | 228 | ||
| References | 230 | ||
| 30 Transaxillary Excision of Gynecomastia (Andromastia) | 231 | ||
| The Clinical Problem (Fig. 30.1) | 231 | ||
| Why is Gynecomastia Important? | 231 | ||
| Examples of Andromastia | 231 | ||
| Surgical Preparation and Technique | 231 | ||
| Preoperative Preparation | 231 | ||
| Procedure (Video 30.1) | 232 | ||
| Postoperative Care | 232 | ||
| Postoperative Instructions | 232 | ||
| Complications | 233 | ||
| Management of Complications | 233 | ||
| Tense, Expanded, Painful Hematoma | 233 | ||
| Localized Soft Hematoma | 234 | ||
| Dehiscence of Wound | 234 | ||
| Four Main Stages of Normal Healing | 234 | ||
| Closure of the Subcutaneous Cavity | 234 | ||
| Recovery of the Lymphatic Vessels | 234 | ||
| Formation and Maturation of Scar Tissue | 234 | ||
| Recovery of the Nipple-Areola Complex | 234 | ||
| Revision Surgery | 234 | ||
| Tips | 235 | ||
| Some Frequently Asked Questions | 235 | ||
| 5 Trunk and Abdominal Wall | 237 | ||
| 31 Improving the Waistline With the Modified Brazilian Abdominoplasty | 239 | ||
| The Clinical Problem (Fig. 31.1) | 239 | ||
| Surgical Technique | 239 | ||
| Incisions | 239 | ||
| Excess Tissue Excision | 240 | ||
| Mobilizing | 241 | ||
| Upper Abdominal Flap | 241 | ||
| Mons Pubis | 241 | ||
| Umbilicus | 241 | ||
| Improving the Waistline Definition | 241 | ||
| Closure | 241 | ||
| Postoperative Course and Results | 241 | ||
| Lower Complication Rate | 241 | ||
| High Patient Satisfaction | 242 | ||
| Conclusion | 242 | ||
| References | 246 | ||
| Further Reading | 246 | ||
| 32 Postbariatric Abdominoplasty | 247 | ||
| The Clinical Problem | 247 | ||
| Synopsis | 247 | ||
| The Aesthetic Problem | 247 | ||
| Patient Perspective | 247 | ||
| Surgical Perspective | 247 | ||
| Surgical Preparation and Technique | 247 | ||
| Surgical Options | 247 | ||
| Abdominoplasty Techniques | 248 | ||
| Traditional Abdominoplasty | 248 | ||
| Lipoabdominoplasty | 248 | ||
| Fleur De Lis Abdominoplasty | 248 | ||
| Circumferential Abdominoplasty (Belt Lipectomy) | 248 | ||
| Two-Stage Procedure | 248 | ||
| Corset Body Lift | 248 | ||
| Preoperative Markings (Fig. 32.2) | 248 | ||
| Resection and Plication | 248 | ||
| Vertical Resection (Fig. 32.3) | 248 | ||
| Abdominal Wall Plication and Vertical Closure | 249 | ||
| Inframammary Fold Resection (Fig. 32.4) | 249 | ||
| Groin Resection (Fig. 32.5A,B) | 250 | ||
| Postoperative Care | 251 | ||
| Case 32.1 | 251 | ||
| Preoperative Photographs | 251 | ||
| Postoperative Result at 6 Months (Fig. 32.7A–D) | 251 | ||
| Case 32.2: Corset Abdominoplasty With Bilateral Breast Reduction (Fig. 32.8A,B) | 251 | ||
| Postoperative Result at 8 Weeks | 251 | ||
| Complications | 251 | ||
| Inframammary Fold Distortion | 253 | ||
| Seroma and Hematoma | 253 | ||
| Keloid or Hypertrophic Scarring | 253 | ||
| Wound-Healing Problems | 253 | ||
| References | 253 | ||
| 33 Nonexcisional Management of the Anterior Abdominal Wall | 255 | ||
| The Clinical Problem | 255 | ||
| The Aesthetic Problem | 255 | ||
| Surgical Preparation and Technique | 255 | ||
| Management and Treatment Options | 255 | ||
| Treatment and Operative Technique | 256 | ||
| Patient Selection | 256 | ||
| Technique | 256 | ||
| Postoperative Considerations | 256 | ||
| Complications | 256 | ||
| Redness and Radiating Heat | 256 | ||
| Panniculitis | 259 | ||
| Skin Blisters | 259 | ||
| Further Reading | 259 | ||
| 34 Body Contouring Following Massive Weight Loss | 261 | ||
| The Clinical Problem (Fig. 34.1) | 261 | ||
| Surgical Preparation and Technique | 261 | ||
| Body-Contouring Surgery | 261 | ||
| Patient Selection | 261 | ||
| Preoperative Planning | 261 | ||
| Operative Steps (Table 34.1) | 262 | ||
| Lower Body Lift (Video 34.1; Figs. 34.2 to 34.4) | 262 | ||
| Early Postoperative Care | 264 | ||
| Upper Body Lift (Figs. 34.6 to 34.8) | 264 | ||
| Post–Massive Weight Loss Gynecomastia Correction (Fig. 34.9) | 264 | ||
| Mastopexy and Augmented Mastopexy | 266 | ||
| Brachioplasty (Fig. 34.10) | 266 | ||
| Follow-Up | 266 | ||
| Complications | 267 | ||
| References | 268 | ||
| Further Reading | 268 | ||
| 35 Gluteal Augmentation | 269 | ||
| The Clinical Problem (Figs. 35.1 and 35.2) | 269 | ||
| Indications for Buttock Augmentation | 269 | ||
| Surgical Preparation and Technique | 269 | ||
| Therapeutic Plan | 269 | ||
| Liposuction With Autologous Fat Grafting | 269 | ||
| Gluteal Implants | 269 | ||
| Selection of Implants | 270 | ||
| Preoperative Markings | 271 | ||
| Surgical Technique (Video 35.1) | 271 | ||
| Postoperative Care | 271 | ||
| Complications | 271 | ||
| Tips and Tricks | 272 | ||
| References | 274 | ||
| 6 Upper and Lower Extremity | 275 | ||
| 36 Upper Arms | 277 | ||
| The Clinical Problem (Fig. 36.1) | 277 | ||
| Synopsis | 277 | ||
| The Aesthetic Problem | 277 | ||
| General Considerations | 277 | ||
| Surgical Preparation and Technique | 277 | ||
| Management and Treatment Options (Table 36.1) | 277 | ||
| Nonsurgical Treatment Options | 277 | ||
| Liposuction | 278 | ||
| Excisional Techniques | 278 | ||
| Case 36.1 | 279 | ||
| Treatment and Operative Technique | 279 | ||
| Preoperative Markings | 279 | ||
| Operative Sequence | 280 | ||
| Postoperative Program | 281 | ||
| Complications | 281 | ||
| References | 282 | ||
| 37 Aesthetic Management of the Aging Hand | 283 | ||
| The Clinical Problem (Fig. 37.1) | 283 | ||
| Surgical Preparation and Technique | 283 | ||
| Management of the Aging Hand | 283 | ||
| Nonsurgical Management | 283 | ||
| Surgical Management | 284 | ||
| References | 286 | ||
| 38 Inner Thigh Lift | 287 | ||
| The Clinical Problem (Fig. 38.1) | 287 | ||
| Surgical Preparation and Technique | 287 | ||
| Indications and Classification | 287 | ||
| Massive Weight Loss Patients | 287 | ||
| Deflated | 287 | ||
| Nondeflated | 287 | ||
| Non–Massive Weight Loss Patients or Patients With an Aging Thigh | 287 | ||
| Preoperative Care | 288 | ||
| Marking and Surgical Technique | 288 | ||
| Postoperative Care | 289 | ||
| Complications | 290 | ||
| References | 290 | ||
| 39 Inner Thigh Reduction | 291 | ||
| The Clinical Problem (Fig. 39.1) | 291 | ||
| Surgical Preparation and Technique | 291 | ||
| Objectives in Inner Thigh Reduction | 291 | ||
| Preoperative Evaluation | 291 | ||
| Planning Inner Thigh Reduction | 291 | ||
| Technique | 291 | ||
| Skin Laxity | 291 | ||
| Scar Placement | 291 | ||
| Use of Liposuction | 292 | ||
| Factors to Consider in Inner Thigh Reduction | 292 | ||
| Case 39.1 | 292 | ||
| Clinical Approach | 292 | ||
| Considerations | 292 | ||
| Marking (Video 39.1) | 293 | ||
| Operative Technique and Postoperative Management (Video 39.2) | 293 | ||
| Results | 293 | ||
| Superficial Fascia Anchoring and Vertical Resection: Two-Way Vector Technique | 295 | ||
| Tips for the Inguinal Anchoring | 295 | ||
| Tips for Vertical Resection | 295 | ||
| Possible Complications | 295 | ||
| Summary | 295 | ||
| Conclusions | 295 | ||
| Further Reading | 295 | ||
| Index | 297 | ||
| A | 297 | ||
| B | 297 | ||
| C | 298 | ||
| D | 298 | ||
| E | 299 | ||
| F | 299 | ||
| G | 299 | ||
| H | 299 | ||
| I | 299 | ||
| K | 300 | ||
| L | 300 | ||
| M | 300 | ||
| N | 300 | ||
| O | 301 | ||
| P | 301 | ||
| R | 302 | ||
| S | 302 | ||
| T | 303 | ||
| U | 303 | ||
| V | 303 | ||
| W | 303 | ||
| Z | 303 | ||
| Inside Back Cover | ibc1 |