BOOK
Techniques in Facial Plastic Surgery: Discussion and Debate, An Issue of Facial Plastic Surgery Clinics - E-Book
Fred G. Fedok | Robert Kellman
(2012)
Additional Information
Book Details
Abstract
A panel of experts in facial plastic surgery procedures respond to questions regarding their approaches, techniques, outcomes, and overviews of specific procedures. Surgeons address cosmetic and reconstructive surgeries in Rhinoplasty, Revision Rhinoplasty, Facelift, Midface Lift, Chemical Peels, Laser Resurfacing, Lip Augmentation, Mandible Fractures, Subcondylar Fractures, Facial Reanimation, Injectables and Fillers, and Fat Grafting. This is one of a two-volume presentation that continues with topics addressing Neuromodulators, Hair Replacement, Upper Face Rejuvenation, Blepharoplasty, Le Fort Fractures, Implants, and Auricular Deformities.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Facial Plastic Surgery Clinics of North America: Techniques in Facial Plastic Surgery: Discussion and Debate | i | ||
| Copyright Page | ii | ||
| Table of Contents | v | ||
| Contributors | iii | ||
| Advisory Board to Facial Plastic Surgery Clinics 2012 | ix | ||
| Foreword: Facial Plastic Surgery Clinics “Debate” Issue | xv | ||
| Preface: Facial Plastic Surgery: Discussion and Debate | xvii | ||
| Chapter 1. Facial Fillers: Discussion and Debate | 245 | ||
| Are there different indications for the different fillers? | 245 | ||
| In your opinion, what are the durations of the various fillers? | 249 | ||
| Is there still a role for the use of collagen injections? | 251 | ||
| What complications concern you and what do you do in your practice to attempt to avoid or minimize these? | 252 | ||
| What type of anesthesia do you use, when, and why? | 256 | ||
| Analysis: Over the past 5 years, how have you modified your techniques or approach or what is the most important thing you have learned/observed in working with injectables and fillers? | 257 | ||
| SUPPLEMENTARY DATA | 261 | ||
| REFERENCES: DAYAN | 261 | ||
| SUGGESTED READINGS: ELLIS | 263 | ||
| Chapter 2. Fat Grafting: Discussion and Debate | 265 | ||
| With the increase in alloplastic injectables, is fat grafting dead? | 265 | ||
| Where do you think fat grafting fits in compared with the injectable implants? | 266 | ||
| Do you do grafting and injectables in some patients? If so, give examples | 268 | ||
| How do you harvest and prepare fat for injection? Do you think that the process chosen impacts longevity of the grafts, and how long does fat last in your experience? What percentage usually takes in each site, and does the source or the site injected make a difference in this regard? | 268 | ||
| What areas of the face are most amenable to fat grafting, and how much fat should ideally be injected into each site? | 271 | ||
| Analysis: Over the past 5 years, how has your perspective evolved or what is the most important thing you have learned/observed regarding fat grafting? | 272 | ||
| REFERENCES | 277 | ||
| Chapter 3. Facelift: Panel Discussion, Controversies, and Techniques | 279 | ||
| Who is not a candidate for facelift? | 279 | ||
| Of the various approaches to facelift, do any truly add advantages to an SMAS technique (ie, deep plane facelift)? | 282 | ||
| What techniques are most effective in managing the neckline in face-lifting and in what sequence should these be performed? | 283 | ||
| Which, if any, face-lifting techniques have been proved to provide the longest lasting result? | 286 | ||
| To start, develop, and maintain a busy face-lifting practice, is it necessary or even beneficial to offer some sort of minimalist facelift procedure (ie, short scar) or even a noninvasive substitute procedure? | 289 | ||
| Analysis: Over the past 5 years, how has your technique or approach changed or what is the most important thing you have learned in performing facelifts? | 296 | ||
| SUPPLEMENTARY DATA | 324 | ||
| SUGGESTED READINGS: MCCOLLOUGH | 324 | ||
| REFERENCES: THOMAS | 324 | ||
| REFERENCES: PERKINS | 324 | ||
| Chapter 4. Lip Augmentation: Discussion and Debate | 327 | ||
| Is surgery ever a better alternative than injectable fillers for enhancement of the lips? | 327 | ||
| What role do permanent lip implants play for today’s patients? | 330 | ||
| How do you manage the small-mouthed person seeking lip enlargement? | 331 | ||
| How do you handle down-turning corners of the mouth? | 332 | ||
| How do you handle a person who previously had full lips but now is losing volume, especially in the corners? | 334 | ||
| What qualities of the lip are important to preserve when considering various lip augmentation materials and techniques? | 335 | ||
| What are the best ways of reducing the length of the upper lip? | 336 | ||
| Analysis: Over the past 5 years, how has your technique or approach to lips changed, or what is the most important thing you have learned in performing lip augmentations? | 339 | ||
| SUPPLEMENTARY DATA | 345 | ||
| SUGGESTED READINGS: MALONEY | 345 | ||
| REFERENCES: TRUSWELL | 345 | ||
| REFERENCES: WALDMAN | 346 | ||
| Chapter 5. Mandible Fractures: Discussion and Debate | 347 | ||
| Is rigid fixation essential for the treatment of angle fractures, or is a single plate along the superior border sufficient? | 347 | ||
| Does the presence of teeth in the fracture line (particularly the third molar in angle fractures) contribute to stability of the fixation, or is it a nidus for infection? | 350 | ||
| What is the role of postoperative antibiotics? Are they always necessary? | 352 | ||
| There seems to be a recent trend toward repairing mandible fractures without applying MMF. Do you believe that applying MMF is an important part of mandibular fracture repair? If you do not use MMF in all cases, how do you decide which cases require intraoperative and/or postoperative MMF? Do you believe that the techniques/methods of applying MMF make a difference? | 354 | ||
| How do you manage edentulous mandible fractures? | 355 | ||
| REFERENCES: AROSARENA | 360 | ||
| REFERENCES: DUCIC | 361 | ||
| REFERENCES: TOLLEFSON: RIGID FIXATION | 361 | ||
| REFERENCES: TOLLEFSON: PRESENCE OF HEALTHY TEETH | 362 | ||
| REFERENCES: TOLLEFSON: POSTOPERATIVE ANTIBIOTICS | 362 | ||
| REFERENCE: TOLLEFSON: MMF | 362 | ||
| REFERENCES: TOLLEFSON: ANALYSIS OF TECHNIQUE | 362 | ||
| Chapter 6. Subcondylar Fractures | 365 | ||
| Are there specific indications for open versus closed treatment of subcondylar fractures? Are there any contraindications to open treatment, and do they supersede the indications for open treatment? | 365 | ||
| Does the presence of other fractures (mandible or midface) affect your choice of open versus closed treatment? (Is the selection of closed vs open treatment the same for unilateral vs bilateral fractures?) | 371 | ||
| If one chooses to perform closed treatment, how long a period of maxillomandibular fixation is required? | 372 | ||
| What are the most important factors for success when closed treatment is used? | 373 | ||
| What is the best surgical approach to open reduction internal fixation of subcondylar fractures? | 375 | ||
| Surgical techniques for subcondylar fracture | 377 | ||
| REFERENCES (ELLIS) | 381 | ||
| REFERENCES (VURAL) | 381 | ||
| REFERENCES (KELLMAN) | 382 | ||
| Chapter 7. Facial Reanimation: Discussion and Debate | 383 | ||
| What forms of nonsurgical therapy (physical therapy, electrical stimulation, and so forth) do you recommend to improve the outcome of facial paralysis and why? | 383 | ||
| Explain your preoperative assessment tool for deciding what to do (Eye reanimation? Who needs a medial canthoplasty? and so forth) | 386 | ||
| How do you assess the results of management of facial paralysis? | 393 | ||
| Discuss the use of end-to-side anastomosis (Viterbo concept of something for nothing). Should it be used; why or why not? | 393 | ||
| What is your preferred method for temporalis muscle transposition and why? Are there any tricks to improving the results? | 395 | ||
| Do you use cross-facial nerve jump grafts and use them for free muscle innervation? If so, what are the pearls you have learned from this technique and when do you use it? | 397 | ||
| Analysis: Over the past 5 years, how has your approach evolved or what have you learned/observed in working with reanimation? | 399 | ||
| KOFI BOAHENE OFFERS INSIGHTS OR PERSPECTIVES INTO FACIAL PARALYSIS | 400 | ||
| THE FACE WITH FACIAL NERVE IMPAIRMENT | 400 | ||
| RECOMMENDED READINGS (BOAHENE) | 401 | ||
| SCHAITKIN REFERENCES: NONSURGICAL THERAPY | 401 | ||
| PREOPERATIVE ASSESSMENT TOOLS | 402 | ||
| ASSESSMENT OF RESULTS OF FACIAL PARALYSIS | 402 | ||
| “DISCUSS THE USE OF END-TO-SIDE ANASTOMOSIS (VITERBO CONCEPT OF SOMETHING FOR NOTHING). SHOULD IT BE USED; WHY OR WHY NOT?” | 402 | ||
| “WHAT IS YOUR PREFERRED METHOD FOR TEMPORALIS MUSCLE TRANSPOSITION AND WHY? ARE THERE ANY TRICKS TO IMPROVING THE RESULTS?” | 402 | ||
| Index | 403 |