Masters of Cosmetic Surgery - The Video Atlas: The Dallas Cosmetic Model

 

Description:

Quickly learn and master essential aesthetic surgical procedures from global experts!

The rapid growth in global demand for cosmetic surgery has led to an urgent need for aesthetic surgeons to learn an ever-growing menu of advanced procedures. Masters of Cosmetic Surgery–The Video Atlas: The Dallas Cosmetic Model edited by internationally renowned plastic surgeon Rod J. Rohrich and esteemed colleagues Sammy Sinno and Paul N. Afrooz presents an amazing new method of learning cosmetic surgery techniques. The didactic video guide features contributions from a Who's Who of superb surgeons and dermatologists that are committed to excellence in their own practices and educational endeavors.

Thirteen sections and 93 succinct chapters are brought to life through key video segments in each chapter that expound on how to perform procedures safely and efficiently to achieve optimal outcomes. This unique resource covers 90 procedures and includes more than 12 hours of video, providing clinicians with the ability to read, see, and hear from an impressive cadre of global experts. Procedural chapters cover the face and neck; nose; eyelids, brow, and forehead; ears; lips; chin and jaw; neuromodulators; fillers; facial resurfacing; breast augmentation and reduction; body contouring; vaginal rejuvenation; and non-surgical body contouring.

Key Highlights

Masters in cosmetic medicine and surgery share clinical pearls on how to flawlessly perform procedures and optimally handle practice management issues

Short videos provide an easy method for seeing, performing, and perfecting procedures, resulting in greater efficiency, skill, and safety

Well-illustrated high-yield text including key points, preoperative considerations, anatomical features, step-by-step operative guides, and algorithms enhance the ability to quickly learn key concepts for any procedure

This how and why guide is transformative in its teaching and learning methods, making it the quintessential reference for trainee and board-certified plastic surgeons, dermatologists, facial plastic surgeons, and oculoplastic surgeons.

 

Table of Contents:

 

Introduction: Addressing the Most Common Procedures in Cosmetic Surgery: Why This Book Is Different

1 The Consult: What to Know, What to Do, and When to Say “No”

1.1 Before the Consultation

1.2 Listen to the Patient

1.3 Nasofacial Analysis

1.4 Setting Expectations

1.5 What to Do

1.6 When to Say No

1.7 Conclusion

2 How to Optimize Results and Minimize Complications in Cosmetic Surgery

2.1 Initial Patient Experience

2.2 Patient Selection

2.3 Setting Expectations

2.4 Right Surgical Plan

2.5 Safe Technique

2.6 Conclusion

3 How Social Media Has Changed All of Plastic Surgery

3.1 Deciding on Your Platform: Which Is Best for You and Why?

3.1.1 Instagram (established 2010)

3.1.2 Snapchat (established 2011)

3.1.3 Facebook (established 2004)

3.2 Ethics

3.3 Pearls

3.4 Planning and Delivering Your Content

3.4.1 Instagram: These Recommendations Are Based on Observations from Current Trends

3.5 Metrics for Success

3.6 Problems in SOME

3.7 Conclusion

4 Social Media; The Dos and Don’ts

4.1 Power of Social Media

4.2 General Tips

4.3 Social Media Platforms

4.3.1 Facebook

4.3.2 Twitter

4.3.3 Instagram

4.3.4 Snapchat

4.3.5 Pinterest

4.3.6 YouTube

4.4 Conclusion

Part I: Face and Neck Lift

5 The Facial Aging Face Consultation

5.1 Components of Aging

5.1.1 Fat

5.1.2 Skeletal

5.1.3 Muscle

5.1.4 Skin

5.2 Consultation

5.2.1 Medical History

5.2.2 Facial Analysis

5.3 Managing the Aging Face

5.3.1 Surgical

5.3.2 Nonsurgical

5.4 Case Example

5.5 Conclusion

6 Facelift and Necklift: Incision Planning

6.1 Preoperative Steps

6.1.1 Temporal Incision

6.1.2 Preauricular Incision

6.1.3 Retroauricular Incision

6.1.4 Occipital Incision

6.1.5 Submental Incision

6.2 Operative Steps

6.2.1 Incision

6.2.2 Closure

6.3 Postoperative Care

6.4 Conclusion

7 Extended Superficial Musculoaponeurotic System Technique

7.1 Preoperative Planning

7.1.1 Analysis

7.1.2 Standardized Photography and Digital Imaging

7.1.3 Managing Expectations

7.2 Anatomy

7.2.1 Facial Soft Tissue Layers

7.2.2 Superficial Musculoaponeurotic System

7.2.3 Retaining Ligaments

7.3 Staying Safe to Prevent Injury to the Facial Nerve during Subcutaneous Undermining

7.3.1 Frontal Branch

7.3.2 Zygomatic and Buccal Branches

7.3.3 Marginal Mandibular Branch

7.3.4 Cervical Branch

7.4 Staying Safe to Prevent Injury to the Facial Nerve during SMAS Elevation

7.5 Markings

7.6 Operative Details—Skin Flap Dissection

7.7 Operative Details—SMAS Dissection

7.8 Postoperative Protocol

7.9 Case Example

7.10 Conclusion

8 SMASectomy

8.1 Preoperative Steps

8.1.1 Instructions for Patients to Reduce the Incidence of Infection

8.1.2 Anesthesia

8.2 Operative Steps

8.2.1 Incisions

8.2.2 Skin Flap Elevation

8.2.3 Defatting the Neck and Jowls

8.2.4 Lateral SMASectomy Including Platysma Approximation

8.2.5 Vectors of SMASectomy Closure

8.2.6 Skin Closure; Temporal and Earlobe Dog-Ears

8.3 Case Example

8.4 Conclusion

9 The Lift and Fill Facelift: Autologous Fat Grafting

9.1 Preoperative Steps

9.1.1 Analysis

9.2 Operative Steps

9.2.1 Fat Harvest and Facial Fat Compartment Augmentation

9.2.2 Skin Elevation

9.2.3 Neck Contouring

9.2.4 Superficial Musculoaponeurotic System (SMAS)

9.3 Postoperative Care

9.4 Case Examples

9.4.1 Case 1

9.4.2 Case 2

9.5 Conclusion

10 Deep Plane Facelift

10.1 Preoperative Steps

10.1.1 Planning

10.2 Operative Steps

10.2.1 Markings and Incision

10.2.2 SMAS Elevation and Dissection

10.2.3 SMAS Fixation

10.2.4 Closure

10.2.5 Submental Liposuction

10.3 Postoperative Care

10.4 Case Example

10.5 Conclusion

11 SMAS Plication with Extended Platysma-SMAS Flap

11.1 Preoperative Steps

11.1.1 Planning

11.2 Operative Steps

11.2.1 Preparation

11.2.2 Open Neck Treatment

11.2.3 Lateral Approach

11.2.4 Flap Elevation

11.2.5 Lateral Platysma/SMAS Flap

11.2.6 SMAS Plication

11.2.7 Closure

11.3 Postoperative Care

11.4 Case Example

11.5 Conclusion

12 High SMAS Facelift and Necklift with Fat Grafting

12.1 Preoperative Steps

12.1.1 Analysis

12.2 Operative Steps

12.2.1 Fat Harvest and Facial Fat Grafting

12.2.2 Skin Elevation

12.2.3 Neck Contouring

12.2.4 SMAS Elevation and Suspension

12.2.5 Skin Flap Repositioning, Trimming, and Closure

12.3 Postoperative Care

12.4 Case Example

12.5 Conclusion

13 Fat Grafting to the Face as an Isolated Procedure

13.1 Preoperative Steps

13.2 Operative Steps

13.2.1 Fat Harvest

13.2.2 Facial Fat Augmentation

13.3 Postoperative Care

13.4 Case Example

13.5 Conclusion

Part II: Rhinoplasty

14 The Rhinoplasty Consult

14.1 Preoperative Planning

14.1.1 Defining Rhinoplasty Goals

14.1.2 Focused Nasal History

14.1.3 Nasofacial Proportions and Systematic Nasal Analysis

14.1.4 Focused Nasal Examination

14.1.5 Standardized Photography and Digital Imaging

14.1.6 Managing Expectations

14.2 Perioperative Preparation

14.3 Conclusion

15 Open Rhinoplasty Finesse

15.1 Preoperative Steps

15.2 Operative Steps

15.3 Postoperative Care

15.4 Case Example

15.5 Conclusion

16 The Closed Rhinoplasty

16.1 Preoperative Steps

16.1.1 Analysis

16.2 Operative Steps

16.2.1 Opening the Nose

16.2.2 Dorsum

16.2.3 Septum

16.2.4 Midvault Reconstruction

16.2.5 Tip Delivery and Refinement

16.2.6 Osteotomies

16.2.7 Closure

16.3 Postoperative Care

16.4 Case Example

16.5 Conclusion

17 Graduated Approach to Tip Projection

17.1 Factors that Determine Tip Projection

17.2 Preoperative Planning

17.2.1 Nasofacial Proportions and Systematic Nasal Analysis: “10–7-5” Nasal Analysis

17.2.2 Nasal Tip Assessment

17.3 Intraoperative Assessment

17.4 Operative Technique

17.4.1 Reshaping of the Nasal Tip Proceeds Using a Bottom-up Approach

17.5 Postoperative Care

17.6 Case Example

17.7 Conclusion

18 The Bulbous versus Boxy Tip

18.1 Preoperative Steps

18.2 Operative Steps

18.2.1 Management

18.2.2 Algorithm Applied

18.3 Case Example

18.4 Conclusion

19 The Crooked Nose

19.1 Preoperative Steps

19.1.1 Analysis

19.2 Operative Steps

19.2.1 Correction of Deviated Nasal Bones

19.2.2 Correction of Deviated Septum

19.2.3 Correction of Deviated Caudal Dorsum

19.2.4 Correction of Deviated Nasal Base

19.2.5 Turbinectomy

19.3 Postoperative Care

19.4 Case Example

19.5 Conclusion

20 The Ethnic Nose

20.1 Preoperative Steps

20.2 Operative Steps

20.2.1 Opening the Nose

20.2.2 Component Dorsum via Anterior-Inferior Approach

20.2.3 Midvault Stabilization

20.2.4 Soft Tissue Debulking

20.2.5 Tip Projection and Shaping

20.2.6 Osteotomies

20.2.7 Alar Contour Grafts

20.2.8 Alar Base Reduction

20.2.9 Closure

20.3 Postoperative Care

20.4 Case Example

20.5 Conclusion

21 The Preservation Rhinoplasty

21.1 Preoperative Steps

21.2 Operative Steps

21.2.1 Soft Tissue Envelope Preservation

21.2.2 Dorsal Preservation (High Septal Strip)

21.2.3 Alar Preservation

21.2.4 Closure and Ligament Preservation

21.3 Postoperative Care

21.4 Case Example

21.5 Conclusion

22 Ancillary Maneuvers in Rhinoplasty: Spreader Grafts

22.1 Preoperative Steps

22.2 Operative Steps

22.3 Postoperative Care

22.4 Case Example

22.5 Conclusion

23 Ancillary Maneuvers in Rhinoplasty: Spreader Flaps

23.1 Preoperative Steps

23.2 Operative Steps

23.2.1 Pull-Twist-Turn

23.2.2 Horizontal Mattress Sutures

23.2.3 Low-to-Low Percutaneous Osteotomies

23.2.4 “The Texas Stitch”: Simple Interrupted Suturing

23.3 Postoperative Care

23.4 Case Example

23.5 Conclusion

24 Ancillary Maneuvers in Rhinoplasty: Columellar Strut

24.1 Preoperative Steps

24.2 Operative Steps

24.3 Postoperative Care

24.4 Case Example

24.5 Conclusion

25 Ancillary Maneuvers in Rhinoplasty: Alar Rim Grafts

25.1 Preoperative Steps

25.1.1 Initial Assessment of Need for Alar Rim Grafts

25.2 Operative Steps

25.2.1 Open Technique

25.2.2 Closed Technique

25.3 Postoperative Care

25.4 Case Example

25.5 Conclusion

26 Ancillary Maneuvers in Rhinoplasty: Septal Extension Grafts

26.1 Preoperative Steps

26.2 Operative Steps

26.2.1 Incisions and Dissection

26.2.2 Graft Selection and Placement

26.2.3 Closure

26.3 Postoperative Care

26.4 Case Example

26.5 Conclusion

27 Alar Base Surgery

27.1 Preoperative Steps

27.2 Operative Steps

27.3 Postoperative Care

27.4 Case Example

27.5 Conclusion

28 Revision Rhinoplasty

28.1 Preoperative Planning

28.1.1 Nasal History and Physical Examination

28.1.2 Nasofacial Proportions and Systematic Nasal Analysis: “10–7-5” Nasal Analysis

28.2 Operative Steps

28.2.1 Nasal Dorsum and Midvault

28.2.2 Wound Healing

28.2.3 Structural Support

28.2.4 Dead Space Closure

28.3 Postoperative Care

28.4 Case Example

28.5 Conclusion

Part III: Periorbital Rejuvenation

29 Periorbital Rejuvenation Consultation

29.1 Preoperative Steps

29.2 Case Example

29.3 Conclusion

30 Eyelids: Upper Blepharoplasty

30.1 Preoperative Steps

30.2 Operative Steps

30.2.1 Incision

30.2.2 Excision

30.2.3 Lateral Retinacular Canthopexy

30.2.4 Closure

30.2.5 Volume Restoration

30.3 Postoperative Care

30.4 Case Example

30.5 Conclusion

31 Eyelids: Lower Blepharoplasty

31.1 Preoperative Planning

31.1.1 Focused Ophthalmic History

31.1.2 Focused Ophthalmic Examination

31.1.3 Standardized Photography and Digital Imaging

31.1.4 Preoperative Markings

31.2 Operative Approach

31.2.1 Five-Step Lower Blepharoplasty Technique

31.3 Postoperative Care

31.4 Case Example

31.5 Conclusion

32 Periorbital Fat Grafting

32.1 Preoperative Steps

32.1.1 Analysis

32.2 Operative Steps

32.2.1 Fat Harvest

32.2.2 Processing Harvested Fat

32.2.3 Upper Orbit Fat Grafting

32.2.4 Lower Orbit Fat Grafting

32.3 Postoperative Care

32.4 Case Example

32.5 Conclusion

33 Brow and Forehead: Forehead Lift

33.1 Preoperative Steps

33.1.1 Analysis

33.2 Operative Steps

33.2.1 Endoscopic Forehead Lift

33.2.2 Transpalpebral Corrugator Resection

33.3 Postoperative Care

33.4 Case Examples

33.4.1 Case Example 1

33.4.2 Case Example 2

33.5 Conclusion

34 Brow and Forehead: Endotemporal Brow Lift

34.1 Preoperative Steps

34.2 Operative Steps

34.2.1 Incision Placement

34.2.2 Temporal Brow Elevation

34.2.3 Medial Brow Elevation

34.2.4 Closure

34.3 Postoperative Care

34.4 Case Example

34.5 Conclusion

35 Brow and Forehead: Fat Grafting to the Brow, Temples, and Forehead

35.1 Preoperative Steps

35.2 Operative Steps

35.3 Postoperative Care

35.4 Case Example

35.5 Conclusion

36 Brow and Forehead: Lateral Brow Lift

36.1 Preoperative Steps

36.2 Operative Steps

36.2.1 Upper Blepharoplasty Access

36.2.2 Lateral Temporal Incision

36.2.3 Ligamentous Release

36.2.4 Fixation

36.2.5 Skin Removal

36.3 Postoperative Care

36.4 Case Example

36.5 Conclusion

37 Brow and Forehead: Subcutaneous Temporal Brow Lift

37.1 Preoperative Steps

37.1.1 Temporal Access and Dissection

37.1.2 Skin Redraping

37.1.3 Closure

37.2 Postoperative Care

37.3 Case Example

37.4 Conclusion

Part IV: Otoplasty

38 Otoplasty

38.1 Preoperative Steps

38.1.1 Incision and Exposure

38.1.2 Combination of Small Conchal Excision and Setback

38.1.3 Lobule Repositioning

38.1.4 Upper Third Setback and Creation of Antihelical Fold

38.1.5 Hatch-Hitch

38.1.6 Lateral Incision

38.2 Postoperative Care

38.3 Case Example

38.4 Conclusion

39 Otoplasty with Anterior Scoring

39.1 Anatomy

39.2 Anatomy of the Prominent Ear

39.3 Goals of Otoplasty

39.4 Preoperative Steps

39.5 Operative Steps

39.6 Case Example

39.7 Conclusion

Part V: Perioral Rejuvenation

40 Lip Lift

40.1 Preoperative Steps

40.1.1 Anatomy of the Youthful Lip

40.1.2 Characterizing the Aging Lip

40.1.3 Determination of Surgical Plan

40.2 Operative Approaches

40.2.1 Central Lip Lift

40.2.2 Adjunctive Procedures

40.3 Postoperative Care

40.4 Case Example

40.5 Conclusion

41 Lip Enhancement with Filler Injection

41.1 Preoperative Steps

41.1.1 Lip Anatomy

41.1.2 Treatment Plan with Patient

41.2 Operative Steps

41.2.1 Aseptic Technique

41.2.2 Anesthesia

41.2.3 Product Selection

41.2.4 Lip Injection Algorithm

41.2.5 Special Considerations

41.2.6 Adjunct Aesthetic Considerations

41.3 Postoperative Care

41.4 Case Example

41.5 Conclusion

42 Fat Grafting to the Perioral Region

42.1 Preoperative Steps

42.1.1 Analysis

42.2 Operative Steps

42.2.1 General Technique of Autologous Fat Harvest and Transfer

42.2.2 Injection Technique for Mental Region

42.3 Postoperative Care

42.4 Case Example

42.5 Conclusion

43 Neuromodulation for Perioral Rejuvenation

43.1 Anatomy

43.2 Perioral Injection Technique

43.2.1 Orbicularis Oris

43.2.2 Depressor Anguli Oris

43.3 Case Example

43.4 Conclusion

Part VI: Chin Augmentation and Jaw Rejuvenation

44 Jaw Fillers

44.1 Preoperative Steps

44.1.1 Background Knowledge

44.1.2 Preoperative Clinical Understanding

44.1.3 Day of Procedure

44.1.4 Filler Selection

44.1.5 Anatomy Assessment and Markings

44.1.6 Anatomical Danger Zones and Markings

44.2 Operative Steps

44.2.1 Choice of Filler

44.2.2 Syringe Preparation: Dr. Kay’s Recommended Calcium Hydroxyapatite Reconstitution

44.2.3 Needle Selection

44.2.4 Sterility

44.2.5 Injecting

44.3 Possible Side Effects and Complications

44.4 Postoperative Care

44.5 Case Example

44.6 Conclusion

45 Chin Implant

45.1 Preoperative Steps

45.2 Operative Steps

45.3 Postoperative Care

45.4 Case Example

45.5 Conclusion

46 Fat Grafting to the Chin

46.1 Preoperative Steps

46.1.1 Analysis

46.2 Operative Steps

46.2.1 General Technique of Autologous Fat Harvest and Transfer

46.2.2 Injection Technique for Mental Region

46.3 Postoperative Care

46.4 Case Example

46.5 Conclusion

47 Buccal Fat Pad Excision

47.1 Preoperative Steps

47.1.1 Anatomy and Analysis

47.1.2 Managing Expectations

47.2 Operative Steps

47.2.1 Markings and Anesthesia

47.2.2 Dissection and Excision

47.2.3 Closure and Postoperative Care

47.3 Complications

47.4 Case Example

47.5 Conclusion

Part VII: Neuromodulators Finesse

48 Neuromodulation of Glabella and Forehead

48.1 Neuromodulators

48.2 Preoperative Evaluation

48.2.1 Forehead Anatomy

48.2.2 Upper Facial General Assessment

48.3 Neuromodulation of the Upper Face

48.3.1 Storage and Preparation

48.3.2 Anesthesia

48.3.3 Planning

48.3.4 Frontalis Injection

48.3.5 Glabellar Complex Injection

48.3.6 Crow’s Feet and Other Effects with Orbicularis Muscle Injection

48.4 Case Examples

48.4.1 Case 1

48.4.2 Case 2

48.5 Conclusion

49 Botulinum Toxin Injection to Crow’s Feet

49.1 Preprocedural Steps

49.2 Procedural Steps

49.2.1 Botulinum Toxin Administration to the Crow’s Feet

49.3 Postprocedure Care

49.4 Case Example

49.5 Conclusion

50 Microbotox of the Face, Neck, and Scars

50.1 Underlying Principle and Concepts

50.2 Microbotox of the Facial Upper Third

50.3 Microbotox of the Facial Middle Third

50.4 Microbotox of the Lower Face and Neck

50.5 The Platysma Effect

50.6 Microbotox for Scars and Keloids

50.7 Case Example

50.8 Conclusion

51 Neck Bands

51.1 Preprocedural Steps

51.1.1 Facial Analysis

51.1.2 Criteria of a Youthful Neck (Ellenbogen and Karlin)

51.1.3 Stigmata of the Aging Neck

51.1.4 Platysmal Bands

51.2 Procedural Steps

51.2.1 Botulinum Toxin

51.3 Postprocedural Care

51.4 Case Example

51.5 Conclusion

52 Neurotoxins: Masseter Hypertrophy

52.1 Preoperative Steps

52.1.1 Analysis

52.2 Procedural Steps

52.2.1 Anatomical Considerations

52.2.2 Injection Technique

52.3 Postprocedural Care

52.4 Case Example

52.5 Conclusion

Part VIII: Filler Finesse

53 Filler Finesse: Forehead

53.1 Upper Facial Assessment

53.2 Upper Facial Filler

53.2.1 Preparation

53.2.2 Technical Aspects

53.2.3 Forehead Line Filling

53.2.4 Volumization of Temples

53.2.5 Safety Points

53.2.6 Eyebrow Filler

53.2.7 Forehead Filler

53.2.8 Safety Points

53.3 Complications

53.4 Case Example

53.5 Conclusion

54 Filler Finesse: Temples

54.1 Preoperative Steps

54.2 Operative Steps

54.3 Postoperative Care

54.4 Case Example

54.5 Conclusion

55 Part A: Filler Finesse: Cheeks

55A.1 Facial Aging

55A.2 Planning

55A.3 Injecting Secondary Valleys

55A.4 Aftercare Instructions

55A.5 Sequela/Complications

55A.6 Case Example

55A.7 Conclusion

55 Part B: Filler Finesse: Cheeks

55B.1 Preoperative Steps

55B.1.1 Background Knowledge

55B.2 Pretreatment Analysis

55B.2.1 Filler Selection

55B.2.2 Anatomy Assessment

55B.2.3 Facial Danger Zones

55B.2.4 Facial Markings

55B.3 Operative Steps

55B.3.1 Dr. Kay’s Recommended Dilutions

55B.3.2 Needle selection

55B.3.3 Sterility

55B.3.4 Injection Techniques

55B.4 Possible Side Effects and Complications

55B.5 Postoperative Care

55B.6 Case Example

55B.7 Conclusion

56 Filler Finesse: Tear Trough and Upper Eyelid

56.1 Assessment and Anatomy

56.1.1 Assessment

56.1.2 Anatomy

56.2 Injection Steps

56.2.1 Position, Drawing, Disinfection

56.2.2 Equipment

56.2.3 Technique

56.3 Postprocedural Care

56.4 Case Example

56.5 Conclusion

57 Part A: Filler Finesse: Nose

57A.1 Injection Planning

57A.1.1 Defining Goals

57A.1.2 Focused Nasal History

57A.2 Nasofacial Proportions and Systematic Nasal Analysis

57A.2.1 “10–7–5” Nasal Analysis

57A.3 Standardized Photography and Digital Imaging

57A.4 Managing Expectations

57A.5 Soft-Tissue Filler Indications

57A.6 Technical Pearls

57A.7 Site-Specific Injection Technique

57A.7.1 Nasal Dorsum

57A.7.2 Nasal Sidewall

57A.7.3 Nasal Tip and Ala

57A.8 Case Example

57A.9 Conclusion

57 Part B: Filler Finesse: Nose

57B.1 Preoperative Steps

57B.1.1 Analysis

57B.2 Operative Steps

57B.2.1 Preparation

57B.2.2 Injection Technique

57B.2.3 Dorsal Straightening

57B.2.4 Tip Refinement

57B.2.5 Correction of Asymmetry

57B.2.6 Correction of Postsurgical Nasal Deformities

57B.3 Postoperative Care

57B.4 Case Example

57B.5 Conclusion

58 Filler Finesse: Upper Eyelid Sulcus

58.1 Injection

58.2 Postoperative Care

58.3 Case Example

58.4 Conclusions

59 Filler Finesse: Hands—The Role of Hyaluronic Acid, Calcium Hydroxyapatite, and Autologous Fat

59.1 Pertinent Anatomy

59.2 Technique

59.2.1 Antiseptic Preparation

59.2.2 Anesthesia

59.2.3 Injection Technique

59.2.4 Filling Agent

59.3 Postinjection Instructions

59.4 Case Example

59.5 Conclusion

Part IX: Facial Resurfacing

60 Trichloroacetic Acid Peel

60.1 Preoperative Steps

60.2 Operative Steps

60.3 Postoperative Care

60.4 Case Example

60.5 Conclusion

61 Dermabrasion of the Face

61.1 Preoperative Steps

61.2 Operative Steps

61.2.1 Markings and Positioning

61.2.2 Mechanical Dermabrasion

61.3 Postoperative Care

61.4 Case Example

61.5 Conclusion

62 Laser Resurfacing

62.1 Indications

62.2 Device Selection

62.3 Preoperative Steps

62.4 Operative Steps

62.4.1 Marking the Treatment Zones

62.4.2 Selecting Treatment Parameters and Intraoperative Measures

62.5 Postoperative Care

62.5.1 NAFR

62.5.2 AFR

62.6 Case Example

62.7 Conclusion

63 Microneedling

63.1 Preoperative Steps

63.1.1 Microneedling Setup

63.1.2 Microneedling Key Points

63.2 Procedural Steps

63.3 Postprocedural Care

63.4 Additional Treatments

63.5 Cases Examples

63.5.1 Case Example 1

63.5.2 Case Example 2

63.5.3 Case Example 3

63.6 Conclusions

Part X: Breast

64 Breast Augmentation

64.1 Preoperative Steps

64.1.1 Patient Education and Informed Consent

64.1.2 Tissue-Based Planning

64.1.3 Breast Markings

64.2 Operative Steps

64.2.1 Skin Incision and Division of Inframammary Fold

64.2.2 Lateral Subpectoral Pocket Dissection

64.2.3 Superior Subpectoral Pocket Dissection

64.2.4 Medial Subpectoral Pocket Dissection

64.2.5 Dual-Plane Assessment and Adjustments

64.2.6 Pocket Preparation and Implant Insertion

64.2.7 IMF Fixation and Skin Closure

64.3 Postoperative Care

64.3.1 Wound Care

64.3.2 Bra

64.3.3 Activity

64.3.4 Exercise

64.4 Case Example

64.5 Conclusions

65 Subfascial Breast Augmentation

65.1 Preoperative Steps

65.1.1 Patient Selection

65.1.2 Preoperative Preparation

65.1.3 Surgical Markings

65.2 Operative Steps

65.3 Postoperative Steps

65.4 Case Example

65.5 Conclusion

66 Vertical Scar Mastopexy with Autoaugmentation Flap

66.1 Preoperative Steps

66.1.1 Surgical Markings

66.2 Operative Steps

66.2.1 Infiltration

66.2.2 Pedicle Selection

66.2.3 Autoaugmentation Flap

66.2.4 Glandular Reshaping

66.3 Postoperative Steps

66.4 Case Example

66.5 Conclusion

67 Inverted-T Mastopexy

67.1 Preoperative Steps

67.1.1 History

67.1.2 Analysis

67.2 Operative Steps

67.2.1 Top-Down Approach—Setting the Nipple Height

67.2.2 Setting the Vertical Pillars

67.2.3 Removing the Vertical Excess

67.2.4 Check for Symmetry

67.2.5 Excision of Tissue

67.2.6 Closure

67.2.7 Adjunctive Procedures

67.3 Postoperative Care

67.4 Case Example

67.5 Conclusion

68 Safe Augmentation Mastopexy

68.1 Preoperative Steps

68.1.1 Tissue-Based Triad

68.1.2 Implant Selection

68.2 Operative Steps

68.2.1 Markings

68.2.2 Augmentation

68.2.3 Mastopexy

68.3 Postoperative Care

68.4 Case Example

68.5 Conclusion

69 Refining Augmentation Mastopexy

69.1 Preoperative Steps

69.2 Operative Steps

69.3 Postoperative Care

69.4 Case Example

69.5 Conclusion

70 Augmentation Mastopexy with and without Fat Grafting

70.1 Preoperative Steps

70.1.1 Analysis

70.2 Operative Steps

70.2.1 Markings

70.2.2 Isolate Inferior Pedicle/Central Mound

70.2.3 Elevate Skin Flaps

70.2.4 Create Subpectoral Pocket

70.2.5 Place Sizer/Implant

70.2.6 Closure and Areolar Inset

70.2.7 Fat Grafting (if indicated)

70.3 Postoperative Care

70.4 Case Example

70.5 Conclusion

70.6 Acknowledgments

71 Vertical Scar Breast Reduction

71.1 Preoperative Steps

71.1.1 Patient Selection

71.1.2 Surgical Markings

71.2 Operative Steps

71.2.1 Infiltration

71.2.2 Pedicle Selection

71.2.3 Glandular Resection

71.2.4 Liposuction

71.2.5 Glandular Reshaping

71.3 Postoperative Steps

71.4 Case Example

71.5 Conclusion

72 Wise Pattern Breast Reduction

72.1 Preoperative Steps

72.1.1 Analysis

72.1.2 Markings

72.2 Operative Steps

72.2.1 NAC and Pedicle Delineation

72.2.2 Medial Dissection

72.2.3 Lateral Dissection

72.2.4 Superior Dissection

72.2.5 Contralateral Breast Reduction

72.2.6 Refinements

72.2.7 Closure and Dressings

72.2.8 Pearls

72.3 Postoperative Care

72.4 Case Example

72.5 Conclusion

73 Tuberous/Constricted Breasts

73.1 Preoperative Steps

73.1.1 Patient Education and Informed Consent

73.1.2 Tissue-Based Planning

73.1.3 Marking the Breasts

73.2 Operative Steps

73.2.1 Subpectoral Pocket Dissection

73.2.2 Dual-Plane Assessment and Adjustment

73.2.3 Breast Parenchyma Scoring

73.2.4 Pocket Preparation and Implant Insertion

73.2.5 IMF Fixation and Skin Closure

73.2.6 Management of Nipple-Areolar Complex (NAC)

73.3 Postoperative Care

73.4 Case Example

73.5 Conclusions

Part XI: Body Contouring

74 SAFE Liposuction

74.1 Preoperative Steps

74.2 Operative Steps

74.2.1 Positioning

74.2.2 Infiltration

74.2.3 Separation

74.2.4 Aspiration

74.2.5 Equalization

74.3 Postoperative Care

74.4 Case Example

74.5 Conclusion

75 High-Definition Abdominal Liposculpture with BodyBanking

75.1 Preoperative Panning

75.1.1 Analysis

75.2 Operative Steps

75.2.1 Access Incisions and Fat Harvest

75.2.2 Fat Preparation and BodyBanking

75.2.3 Tissue Molding

75.3 Postoperative Care

75.4 Case Example

75.5 Conclusion

76 High-Definition Liposculpture

76.1 Preoperative Steps

76.1.1 Patient Criteria

76.1.2 Markings

76.2 Operative Steps

76.2.1 Stealth Incisions

76.2.2 Liposuction

76.2.3 Fat Grafting

76.3 Postoperative Care

76.4 Complications

76.5 Case Example

76.6 Conclusion

77 Male High-Definition Liposculpture

77.1 Preoperative Analysis

77.1.1 Patient Criteria

77.1.2 Markings

77.2 Operative Steps

77.2.1 Stealth Incisions

77.2.2 Liposuction

77.2.3 Fat Grafting

77.3 Postoperative Care

77.4 Complications

77.5 Case Example

77.6 Conclusion

78 Gynecomastia Excision with BodyBanking

78.1 Preoperative Steps

78.1.1 Analysis

78.2 Operative Steps

78.2.1 Direct Excision, Access Incisions, and Suction Lipectomy

78.2.2 Fat Harvest, Preparation, and BodyBanking

78.2.3 Tissue Molding

78.3 Postoperative Management

78.4 Case Example

78.5 Conclusion

79 Mommy Makeover Finesse

79.1 Defining a “Mommy Makeover”

79.2 Most Common Procedures

79.3 Preoperative Considerations

79.3.1 Patient Selection

79.3.2 Selecting Procedure Combinations

79.3.3 Surgical Markings

79.4 Operative Steps

79.4.1 In Presurgical Holding Area

79.4.2 Sequence of Procedures

79.4.3 Patient Positioning

79.5 Minimizing Operative Time

79.5.1 Staff Communication

79.5.2 Efficiency in Patient Repositioning

79.6 Postoperative Care

79.7 Consistency of Results

79.8 Case Example

79.9 Conclusion

80 Brachioplasty

80.1 Preoperative Steps

80.2 Operative Steps

80.2.1 Liposuction Alone

80.2.2 Limited-Incision Brachioplasty

80.2.3 Extended Brachioplasty

80.3 Postoperative Care

80.4 Conclusion

81 Medial Thighplasty

81.1 Preoperative Steps

81.2 Operative Steps

81.3 Postoperative Care

81.4 Case Example

81.5 Conclusion

82 Postbariatric Body Contouring: Brachioplasty

82.1 Preoperative Steps

82.1.1 Analysis

82.1.2 Markings

82.2 Operative Steps

82.2.1 Positioning and Prepping

82.2.2 Superior and Anterior Axillary Line Incision, and Flap Elevation

82.2.3 Axillary Tissue and Arm Excess Tissue Resection

82.2.4 Closure and Dressings

82.3 Postoperative Care

82.4 Case Example

82.5 Conclusion

83 Postbariatric Body Contouring: Lower Body Lift

83.1 Preoperative Steps

83.1.1 Preoperative Evaluation

83.1.2 Markings

83.2 Operative Steps

83.3 Postoperative Care

83.4 Case Example

83.5 Conclusion

84 Postbariatric Body Contouring: Vertical Thigh Lift

84.1 Preoperative Steps

84.2 Operative Steps

84.2.1 Markings

84.2.2 Intraoperative Details

84.3 Postoperative Care

84.4 Case Example

84.5 Conclusion

85 Postbariatric Body Contouring: Upper Back Contouring—The Bra-Line Back Lift

85.1 Preoperative Steps

85.1.1 Counseling

85.1.2 Analysis and Marking

85.2 Operative Steps

85.3 Postoperative Care

85.4 Case Example

85.5 Conclusion

86 Buttock Augmentation: S-Curve®

86.1 Preoperative Steps

86.1.1 Patient Selection

86.1.2 Understand the Patient’s Anatomy

86.1.3 Markings

86.2 Operative Steps

86.2.1 Liposuction

86.2.2 Fat Preparation

86.2.3 Buttock Fat Transfer

86.3 Postoperative Care

86.4 Case Example

86.5 Conclusion

87 Safe Subcutaneous Buttock Augmentation

87.1 Background

87.2 Setup

87.3 Simultaneous Separation Tumescence

87.4 Expansion Vibration Lipofilling (EVL)

87.5 Case Example

87.5.1 Case 1

87.5.2 Case 2

87.6 Conclusion

Part XII: Vaginal Rejuvenation

88 ExtendedWedge Labiaplasty with Bipolar Radiofrequency Labia Majora Reduction (AVIVA)

88.1 Preoperative Steps

88.2 Intraoperative Steps

88.3 AVIVA Radiofrequency Labia Majora Rejuvenation

88.3.1 Indication

88.4 Postoperative Care

88.5 Follow-up

88.6 Case Example

88.7 Conclusion

89 Radiofrequency-Assisted Vulvovaginal Rejuvenation

89.1 Preoperative Steps

89.2 Operative Steps

89.3 Postoperative Care

89.4 Case Example

89.5 Conclusion

Part XIII: Non-Surgical Body Contouring

90 Cryolipolysis

90.1 Preoperative Steps

90.2 Operative Steps

90.3 Postoperative Care

90.4 Case Example

90.5 Conclusion

91 Facial Radiofrequency Skin Tightening and Fractional Radiofrequency Technology

91.1 Preoperative Steps

91.2 Operative Steps

91.3 Postoperative Care

91.4 Case Example

91.5 Conclusion

92 Body Radiofrequency Fat Removal/Skin Tightening

92.1 Preoperative Steps

92.1.1 Analysis

92.2 Operative Steps

92.2.1 Tumescent Infiltration

92.2.2 Application of Radiofrequency Energy

92.2.3 Liposuction Contouring

92.3 Postoperative Care

92.4 Case Example

92.5 Conclusion

93 Deoxycholic Acid Role in Fat Reduction

93.1 Preoperative Steps

93.1.1 Analysis

93.1.2 Expanded Safe Zone (ESZ) System: Submental Markings

93.1.3 Treatment Area and Injection Pattern

93.1.4 Pretreatment Considerations

93.2 Operative Steps

93.2.1 Local Anesthetic Administration

93.2.2 Deoxycholic Acid Dosage and Administration

93.2.3 Deoxycholic Acid Injection Technique

93.3 Postoperative Care

93.4 Case Example

93.5 Conclusion

Index

Appendices

Additional MedOne Access Information

 

An aparitie	27 May 2021
Autor	Rod J. Rohrich
Dimensiuni	28.02 x 21.54 cm
Editura	Thieme
Format	Hardcover
ISBN	9781684202171
Limba	Engleza
Nr pag	448