Manual of Aesthetic Surgery

 

Description:

At the request of Springer-Verlag, Heidelberg, I have written with pride and pleasure the new edition of the Manual of Aesthetic Surgery. Volumes1(headand neckregion)and 2(body)havebeen integrated into one volume, which has been revised and extended with the addition of the topics “Cosmetic Aesthetic Surgery,” “Breast Surgery,” “Mini Lift,” “Mini Abdomen,” “Buttock Lift,” and “Tumescence Li- suction with the MicroAire® System.” The current trend is towards gentle surgical methods. The ‘Mang School’ has as its motto: Less is more! You should not see cosmetic s- gery. Aesthetic surgery is feel-good surgery and not altering surgery. That should be the philosophy of this book. The first editions of both volumes of the Manual of Aesthetic Surgery had high print runs and were translated into many languages, including Spanish, Russian, and Chinese. The new edition bridges a few gaps, namely breast lifting and breast reduction. These operations are described in detail using illustrations and videos, in order to provide also plastic and aesthetic surgeons with standards. Standards are of crucial importance in aesthetic surgery. Results must be reproducible. Every aesthetic surgeon will then be able to build on this manual and refine his or her methods.

 

Table of Contents:

 

A General Remark

The Standard Procedures

Rhinoplasty

Rhytidectomy Using the Tumescence Technique – Mini Lift

Upper Eyelid Surgery

Lower Eyelid Surgery

Otoplasty

Breast Augmentation

Breast Lifting and Breast Reduction

Brachioplasty

Abdominoplasty – Mini Abdominoplasty

Thigh and Buttock Lift – New Methods

Liposuction – Removal of Fat with the Tumescence Technique (Mang’s Solution) – MicroAire® Sys

Hair Transplantation

Spacelift

Adjuvant Therapies

Acknowledgements

History – Vita

Ten Rules

Table of Contents

1 Photographic Documentation in Aestheticand Plastic Surgery

Examples in Photo Documentation

1. Breast Procedures

2. Facial Procedures

3. Body Contouring Procedures: Abdomen

2 Informed Consent in Aesthetic and Plastic Surgery

Guiding Principles in the Informed Consent Discussion

1. Persons Obliged to Obtain Informed Consent

2. Informed Consent in Non-medically Indicated Procedures(Cosmetic Procedures)

3. Timing of the Informed Consent Discussion

4. Informed Consent for Foreign-Language Speakers

5. Extent of the Informed Consent Discussion

3 Rhinoplasty

Introduction

Anatomical Overview (Fig. 3.1)

Instruments and Medication (Fig. 3.2–3.4)

Duplicate Patient Instruction

Nasal Examination

Photographic Documentation

Surgical Planning

Tumescence Injection Technique

Disinfection

Suction and Surgical Planning

Incision Line

Decollement

Correction of the Nasal Tip with the Eversion Method (Fig. 3.15–3.18)

Nasal Shortening (Fig. 3.19, 3.20)

Bump Ablation (Fig. 3.21–3.25)

Reshaping of the Tip (Fig. 3.26, 3.27)

Suturing of the Mucosal Incisions

Resection of the “Mang Triangle” (Fig. 3.30)

Osteotomies (Fig. 3.32)

External Dressing

Postoperative Medication and Precautions

Results

Tips and Tricks

4 Rhytidectomy (Cervicobuccal Plasty)

Introduction

Anatomical Overview (Fig. 4.1)

Instruments and Medication (Fig. 4.3–4.5)

1. With local anesthesia

2. With endotracheal anesthesia

Duplicate Patient Instruction

Photographic Documentation

Surgical Planning

Premedication

Anesthesia with Hypotension

Tumescence of the Face and Neck

The Mang Method of Tumescence Rhytidectomy

Liposuction and Undermining with the Suction Instruments (Fig. 4.8, 4.9)

Endoscopic Brow Lift (Temporal Tightening) (Fig. 4.10)

Stage 1 Rhytidectomy (30 – 40 Age Group) (Fig. 4.11)

Stage 2 Rhytidectomy (40 – 45 Age Group) (Fig. 4.12)

Stage 3 Rhytidectomy (45 – 50 Age Group) (Fig. 4.13–4.14)

Stage 4 Rhytidectomy (50-Plus Age Group) – Standard Facelift (ESP Lift)(Fig. 4.15–4.53)

Incision Lines

Dissection of the Lipocutaneous Flap (Fig. 4.19–4.28)

Dissection of the Cheeks and Neck (Fig. 4.25, 4.26)

Deep Dissection and Exposure of the Platysma (Fig. 4.27)

Wound Trimming andWound Sealing with Fibrin Adhesive (Fig. 4.31)

Skin Tightening (Fig. 4.32, 4.33)

Skin Incision and Placement of the Key Sutures (Fig. 4.34–4.43)

Subcutaneous Wound Closure (Fig. 4.44, 4.45)

Temporal Flap Resection and Sutures (Fig. 4.46–4.47)

PeriauricularWound Closure

Retroauricular Skin Resection, Redon Drain, andWound Closure (Fig. 4.51–4.53)

Identical Approach on the Contralateral Side

Special Bandaging Technique

Postoperative Care and Precautions

Results

Mini Lift

Disinfection

Premedication

Anesthesia (Fig. 4.60)

Preliminary Marking of Incision Lines (Maximum Dissection) (Fig. 4.61)

Incision (Fig. 4.62)

Dissection (Fig. 4.63, 4.64)

Resection (Fig. 4.65)

Wound Revision, Hemostasis, Cutaneous Suturing (Fig. 4.66–4.68)

Results

Tips and Tricks: Rhytidectomy

Tips and Tricks: M-Lifting

5 Eyelid Surgery – Blepharoplasty

Upper Eyelid Surgery – Blepharoplasty

Introduction

Anatomical Overview (Fig. 5.1)

Instruments and Medication (Fig. 5.2)

Duplicate Patient Instruction

Ophthalmological Status

Photographic Documentation

Surgical Planning

Preliminary Marking of Incision Lines (Fig. 5.3)

Local Anesthesia (Fig. 5.4)

Disinfection

Type of Incision (Fig. 5.5)

Skin Resection Under Tension (Fig. 5.6, 5.7)

Medial and Intermediate Lipectomy (Fig. 5.8–5.12)

Removal of a Strip of Connective Tissue and Muscle (Fig. 5.13)

Cutaneous Sutures (Fig. 5.15)

Postoperative Treatment and Precautions

Results

Lower Eyelid Surgery – Blepharoplasty

Introduction

Anatomical Overview (Fig. 5.19)

Instruments and Medication (Fig. 5.20)

Duplicate Patient Instruction

Ophthalmological Status

Surgical Planning

Preliminary Marking of Incision Lines (Fig. 5.21)

Local Anesthesia (Fig. 5.22)

Disinfection

Type of Incision (Fig. 5.23)

Excision of the Musculocutaneous Flap (Fig. 5.26)

Medial, Intermediate, and Lateral Lipectomy (Fig. 5.29–5.32)

Removal of a Muscular Strip From the Orbicular Muscle of the Eye

Skin Resection

Sutures and Dressing

Postoperative Treatment and Precautions

Results

Tips and Tricks

6 Otoplasty

Introduction

Anatomical Overview (Fig. 6.1)

Instruments and Medication (Fig. 6.2)

Photographic Documentation

Preliminary Examination of the Ear

Surgical Planning

Disinfection

Preliminary Marking of Incision Lines (Fig. 6.3)

Local Anesthesia (Fig. 6.4)

Incision (Fig. 6.5)

Skin Resection (Fig. 6.6–6.7)

Exposure of the Dorsal Surface of the Auricular Cartilage (Fig. 6.9)

Preparation of the Auricular Concha

1. Marking with Fine Needles (Fig. 6.10)

2. Marking of Incision Lines (Fig. 6.11)

3. Incision of Conchal Cartilage (Fig. 6.12)

4. Blunt Cartilage Dissection (Fig. 6.13)

Resection of the Concha (Fig. 6.14)

Reshaping the Anthelix (Fig. 6.15–6.22)

Cartilage Sutures (Fig. 6.21, 6.22)

Wound Closure (Fig. 6.23, 6.24)

Identical Approach on the Contralateral Side

Dressing

Postoperative Treatment and Precautions

Results

Tips and Tricks

7 BreastSurgery

7.1 Breast Augmentation

Introduction

Breast Implants*

Anatomical Overview (Fig. 7.1)

Instruments (Fig. 7.2–7.5)

Duplicate Patient Information

Preliminary Examinations

Photographic Documentation

Surgical Planning (Fig. 7.6)

Incision Line in the Case of Inframammary Access

Definition of the Subsequent Breast or Implant Size by Establishing the Distance Between the Lower M

Positioning of the Patient, Disinfection of the Surgical Area

Tumescence (Fig. 7.9)

Inframammary Incision (Fig. 7.10)

7.1.1 Supramuscular Access

Dissection, Step 1 (Fig. 7.11)

Dissection, Step 2: PreciseDemonstration of the Caudal,Medial, and Lateral Borders of Pectoralis Maj

Deep, Blunt Dissection

Wound Revision and Hemostasis Using the Illuminated Retractor and Bipolar Tweezers (Fig. 7.14)

Determining the Size and Shape of the Implant (Fig. 7.15)

Fitting the Final Implant (Fig. 7.16)

Exact Positioning of the Implant (Fig. 7.17)

Insertion of the Redon Drain (Size 10) (Fig. 7.18)

Deep Wound Closure (Fig. 7.19)

Two-Layer, Atraumatic Wound Closure Using 4.0 Monocryl (Fig. 7.20)

Dressing (Fig. 7.21)

Aftercare

7.1.2 Submuscular Access (Fig. 7.22–7.27)

Submuscular Implant

Dual Plane Dissection

Results

7.2 Breast Reduction/Breast Lifting

Tips and Tricks

Results

8 Brachioplasty

Introduction

Upper-Arm Tightening

Anatomical Overview (Fig. 8.1)

Instruments (Fig. 8.2–8.4)

Duplicate Patient Information

Preliminary Examinations

Photographic Documentation

Surgical Planning

Preliminary Marking of Incision Lines (Fig. 8.5)

Mang’s Fish-Mouth Technique (Fig. 8.6)

Positioning, Disinfection

Tumescence (Fig. 8.7)

Incision (Fig. 8.8)

Superficial Dissection (Fig. 8.9)

Deep Dissection, Hemostasis (Fig. 8.10)

Incision of the Dissected Dermofat Flap in Stages (Fig. 8.11)

Fixing of the Skin Flap with 3.0 Monocryl Key Sutures (Fig. 8.12)

Resection in Stages (Fig. 8.13)

Two-Layer Skin Closure (Fig. 8.14)

Cutaneous Sutures: Running or Intracutaneous 4.0 Monocryl (Fig. 8.15)

Dressing (Fig. 8.16)

Aftercare

Results

Tips and Tricks

9 Abdominoplasty

Introduction

Tightening of the Abdominal Wall

Anatomical Overview (Fig. 9.1)

Instruments* (Fig. 9.2–9.4)

Duplicate Patient Information

Preliminary Examinations

Photographic Documentation

Surgical Planning

Postoperative Treatment

Typical Findings: Indications for Tightening the Abdominal Wall

Positioning, Disinfection

Marking the Individual Incision Line (Fig. 9.6)

Tumescence (Fig. 9.7)

Incision (Fig. 9.8)

Dissection of the Lower Abdomen (Fig. 9.9)

Incision Around the Navel (Fig. 9.10)

Mobilization and Dissection of the Navel (Fig. 9.11)

Vertical Splitting of the Dermofat Flap as Far as the Base of the Navel (Fig. 9.12)

Complete Mobilization of the Umbilical Stalk (Fig. 9.13)

Dissection of the Upper Abdomen (Fig. 9.14)

Doubling of the Rectus Abdominis Fascia (Fig. 9.15)

Defining the Resection Boundaries with Upper Body Flexed at 30°

Repositioning of the Navel Using a V-Shaped Incision (Fig. 9.17)

Pulling the Navel Out of the V-Shaped Incision with Curved Forceps (Fig. 9.18)

Positioning the Navel (Fig. 9.19)

Trimming of the Skin of the Navel and Adaptation to the V-Shaped Incision (Fig. 9.20)

Closure of the Navel in Three Layers (Fig. 9.21)

Fixation of the Surplus Sections of Skin with 2.0 Monocryl Key Sutures

Resection of the Skin in Stages

Insertion of Redon Drains

Wound Closure in Three Layers

Dressing

Fitting the Abdominal Belt

Results

Mini Abdominoplasty

Tips and Tricks

Results

10 Thigh and Buttock Lift

Introduction

Anatomical Overview (Fig. 10.2)

Instruments (Fig. 10.3–10.5)

Duplicate Patient Information

Preliminary Examinations

Photographic Documentation

Surgical Planning

Positioning, Disinfection

Tumescence (Fig. 10.7)

Incision of the Skin (Fig. 10.8)

Dissection (Fig. 10.9)

Deep Dissection and Hemostasis (Fig. 10.10)

Definition of Resection Boundaries (Fig. 10.11)

Skin Resection (Fig. 10.12)

Fixation Suture on the Pubic Bone with 2.0 Monocryl (Fig. 10.13)

Second Fixation Suture on the Inguinal Ligament (Fig. 10.14)

Deep Wound Closure and Insertion of a Redon Drain (No. 10) (Fig. 10.15)

Intracutaneous Skin Closure (Fig. 10.16)

Dressing (Fig. 10.17)

Buttock Lift: Positioning, Disinfection

Tumescence (Fig. 10.18)

Incision Line (Fig. 10.18)

Incision (Fig. 10.19)

Wedge-Shaped Dermolipectomy (Fig. 10.20, 10.21)

Transverse Incision Through the Resected Area (Fig. 10.22)

Hemostasis, Deep Wound Closure, Insertion of a Redon Drain (Fig. 10.23)

Two-Layer, Tension-Free Wound Closure (Fig. 10.24)

Dressing (Fig. 10.25)

Postoperative Treatment: Course of Action After the Operation; Precautionary Measures

Results

NewProcedure for Buttock Lifting with Re-shaping of the Gluteal Fold (Fig. 10.27–10.30)

Surgical Planning

Tumescence

Incision, De-epithelialization

Dissection

Fixation

Insertion of a Redon drain

Two-layer, tension-free wound closure

Dressing

Postoperative Treatment

Results

Tips and Tricks

11 Liposuction

Introduction

Instruments (Fig. 11.1, 11.2)

Duplicate Patient Information

Preliminary Examination

Surgical Planning

Anatomy of Liposuction of the Abdomen, Hips, Thighs (Fig. 11.3)

Anatomical Overview (Fig. 11.3)

Anatomy of Liposuction of the Hips, Back, Thighs, Buttocks (Body Contouring) (Fig. 11.4)

Anatomical Overview (Fig. 11.4)

Anatomy of Liposuction of the Axilla, Chest, Hips, Lateral Side of the Thighs (Fig. 11.5)

Anatomical Overview (Fig. 11.5)

Anatomy of Liposuction of the Medial/Lateral Side of the Thighs, Knee(Fig. 11.6)

Anatomical Overview (Fig. 11.6)

Anatomy of Liposuction of the Medial Part of the Thighs, Knees, Calves, Ankles

Anatomical Overview (Fig. 11.7a)

Anatomy of Liposuction of the Calf and Ankles

Anatomical Overview (Fig. 11.7b)

Anatomy of Liposuction of the Breast, Axilla, Upper Arms (Fig. 11.8)

Anatomical Overview (Fig. 11.8)

Anatomy of Liposuction of a Double Chin (Fig. 11.9)

Anatomical Overview (Fig. 11.9)

Mechanical and Manual Tumescence (Fig. 11.10)

Location of the Incision Sites from the Rear (Fig. 11.11a)

Location of the Incision Sites from the Front (Fig. 11.11b)

Schematic Diagram of Mang’s Tumescent Liposuction Technique

Cross-Section of the Liposuction Technique (Fig. 11.14)

Cross-Section of the Tissue 6 Months After Liposuction with Preservation of the Infrastructural Conn

Technique

Disinfection

Manual Liposuction

Mechanical Liposuction

Procedure

Dressing

Aftercare

Results

MicroAire System

12 Hair Transplantation

Introduction

Instruments

Basic Instrument Set (Sterilizable)* (Fig. 12.2)

Instruments for Graft/Follicular Unit Preparation (Fig. 12.3)

Instruments for Micropunch Technique (Fig. 12.4)

Instruments for Microslit Technique (Fig. 12.5)

Preparation of the Patient, Hairline Design (Fig. 12.6)

Donor Area

Local Anesthesia, Tumescence (Fig. 12.7)

Donor Strip Harvesting (Fig. 12.8)

Skin Closure with Continuous Sutures (Fig. 12.9)

Follicular Unit Dissection (Minigrafts, Micrografts, Single Hairs) (Fig. 12.10)

Recipient Area, Holes, and Slits (Fig. 12.11)

Transplantation Channels (Fig. 12.12)

Transplantation (Fig. 12.13)

Aftercare

Postoperative Precautions

Results

Tips and Tricks

13 Adjuvant Therapies, Including Laser Surgery

Introduction

Local Anesthesia

Nerve Exit Points, Supraorbital Nerve, Infraorbital Nerve, Mental Nerve

1. Biological Implants

Report – Technique

Collagen and Hyaluronic Acid

Results

Application and Absorption of Collagen

Application Examples (Fig. 13.10)

Glabella Wrinkles

Eye Wrinkles

Nasolabial Folds (Fig. 13.11)

Lip Augmentation (Fig. 13.12)

Results

Acne Scars

Liquid Lifting

Contouring Using the Mang Method

Results

Liquid Lift According to Mang (Polylactic Acid + Juv´ederm)

Sculptra®: Crystalline polylactic acid

Usage

Hyal System

Introduction

1. Dermal filler

2. Hyal System

Report – Technique

Follow-Up Treatment

2. Mang’s Spacelift (Autologous Fat Injection)

Introduction

History

Indications

Instruments (Fig. 13.21)

Technique

Injection Technique

Possible Complications

Advantages of Lipotransfer

Diagram of the Fat Injection (Fig. 13.24)

Three-Dimensional Diagram of Fat Injection into Subcutaneous Tissue (Fig. 13.25)

Increasing the Density of the Connective Tissue Following Breakdown of Fat Droplets

Results

3. Botulinum Toxin*

Report – Technique

Indications

Results

Anger Wrinkles

Horizontal Forehead Wrinkles (Fig. 13.32)

Neck

Upper Lip Wrinkles

Drooping Corner of the Mouth

4. Dermabrasion

Indications

Technique (Fig. 13.35, 13.36)

Dressing and Follow-Up Treatment

Results

5. Chemical Peeling

Stage 1

Method

Effect

Preparation

Procedure

Follow-Up Treatment

Stage 2

Method

Effect

Preparation

Procedure

Follow-Up Treatment

Risks

Effect

Stage 3

Method

Effect

Results

6. Ultrapulse CO2 Laser Surgery*

Indications

Pretreatment

Anesthesia

Surgical Steps

Follow-Up Treatment

Results

7. Erbium:YAG Laser

Introduction

Report – Technique

Results

14 Aesthetic Surgery: Quo Vadis?

Prospects

15 Bibliography

Further Reading

Chapter 1: Photodocumentation in Aesthetic Plastic Surgery

Chapter 2: Informed Consent in Aesthetic Plastic Surgery

Chapter 3: Rhinoplasty

Chapter 4: Rhytidectomy

Chapter 5: Eylid Surgery

Chapter 6: Otoplasty

Chapter 7: Breast Surgery

Chapter 8: Brachioplasty

Chapter 9: Abdominoplasty

Chapter 10: Thigh and Buttock Lift

Buttock Lift

Thigh Lift

Chapter 11: Liposuction

Chapter 12: Hair Transplantation

Chapter 13: Adjuvant Therapies Including Laser Surgery

16 Subject Index

17 List of Suppliers

 

An aparitie	5 May 2017
Autor	Werner Mang
Dimensiuni	19.3 x 26.92 cm
Editura	Springer
Format	Paperback
ISBN	9783662517413
Limba	Engleza
Nr pag	710