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Plastic Surgery
Volume 2: Aesthetic Surgery
- 5th Edition - November 1, 2023
- Authors: J. Peter Rubin, Peter C. Neligan
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 8 1 0 3 9 - 5
Comprehensive and fully up to date, the six-volume Plastic Surgery remains the gold standard text in this complex area of surgery. Completely revised to meet the demands of both… Read more
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New chapters cover local anesthesia, anatomic blocks of the face and neck, facelifts, neck rejuvenation, energy devices in aesthetic surgery, and aesthetic genital surgery; coverage throughout includes new, pioneering translational work shaping the future of aesthetic surgery.
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New digital video preface by Dr. Peter C. Neligan addresses the changes across all six volumes.
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New treatment and decision-making algorithms added to chapters where applicable.
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New video lectures and editor-narrated slide presentations offer a step-by-step audiovisual walkthrough of techniques and procedures.
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Evidence-based advice from an expanded roster of international experts allows you to apply the very latest advances in aesthetic surgery and ensure optimal outcomes.
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Purchase this volume individually or own the entire set, with the ability to search across all six volumes online!
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An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud.
- Instructions for online access
- Cover image
- Title page
- Table of Contents
- Any screen, Any time, Anywhere
- Copyright
- Video Contents
- Volume One
- Volume Two
- Volume Three
- Volume Four
- Volume Five
- Volume Six
- Lecture Video Contents
- Volume One
- Volume Two
- Volume Three
- Volume Four
- Volume Five
- Volume Six
- Preface to the Fifth Edition
- List of Editors
- List of Contributors
- Acknowledgments
- Dedication
- 1. Managing the aesthetic surgery patient
- Abstract
- Societal interest in cosmetic surgery
- Patient motivation for cosmetic surgery
- Special patient groups
- The initial consultation
- Second and subsequent consultations
- Saying “no” to a potential patient
- Saying “yes”: what is involved?
- Postoperative follow-up
- The unsatisfactory outcome
- Managing the unhappy patient
- Conclusion
- References
- 2. Principles of practice management and social media for cosmetic surgery
- Abstract
- Identifying your brand: a roadmap to your entire practice
- Staffing
- Physical space
- Digital marketing and website
- Reputation management
- Social media
- Conclusion
- References
- Section I: Aesthetic Anesthesia Techniques
- 3. Essential elements of patient safety in aesthetic plastic surgery
- Abstract
- Introduction
- Why do medical errors happen?
- The three pillars of patient safety
- Telemedicine
- Conclusions
- References
- 4. Pain management in plastic surgery
- Abstract
- Introduction
- Opioid epidemic
- Opioids
- Acetaminophen, nonsteroidal anti-inflammatory drugs, and selective COX-2 inhibitors
- Adjuvant multimodal medications
- Tumescent analgesia
- Regional anesthesia
- Epidural anesthesia
- Putting it all together: multimodal analgesia (MMA) regimen
- References
- 5. Anatomic blocks of the face and neck
- Abstract
- Introduction
- Anatomic blocks of the face
- Conclusion
- References
- 6. Local anesthesia
- Abstract
- Introduction
- Combining local anesthetic agents with oral analgesics and anxiolytic agents (benzodiazepines)
- Current practice
- Summary
- References
- Section II: Aesthetic Surgery of the Face
- 7. Non-surgical skin care and rejuvenation
- Abstract
- Introduction
- Cleansers
- Moisturizers
- Retinoids
- Sunscreens
- Summary
- References
- 8.1. Editors’ perspective: injectables and non-surgical resurfacing techniques
- 8.2. Injectables and resurfacing techniques: Soft-tissue fillers
- Abstract
- Introduction
- The pathophysiology of wrinkles
- Classification of fillers
- Historical perspective
- Injection technique
- Indications and applications
- Use and dosage of hyaluronidase
- Contraindications and considerations
- Complications and their treatment
- Special considerations for energy-based devices and facelift procedures
- Conclusion
- References
- 8.3. Injectables and resurfacing techniques: Botulinum toxin/neurotoxins
- Abstract
- Botulinum toxin types
- Upper face
- Midface
- Lower face
- References
- 8.4. Injectables and resurfacing techniques: Lasers in aesthetic surgery
- Abstract
- Introduction
- Basic science of resurfacing procedures
- Diagnosis and clinical evaluation
- Patient selection and treatment
- Contraindications
- Post-procedure care
- Complications
- Disclosures
- References
- 8.5. Injectables and resurfacing techniques: Chemical peels
- Abstract
- Medium-depth trichloroacetic acid (TCA) peels
- Deep chemical peels
- Patient evaluation
- Preoperative planning
- Preparation of the solution
- Intraoperative routine
- Factors determining the depth of the peel
- Judging the depth of the peel
- Full-face peel
- Aftercare
- Variation of peels
- Results
- Complications
- Conclusion
- References
- 8.6. Minimally invasive multimodal facial rejuvenation
- Abstract
- Introduction
- Rejuvenation: changing attitudes and new procedures
- Techniques
- Conclusion
- References
- 9.1. Editors’ perspective: surgical facial rejuvenation
- 9.2. Facial anatomy and aging
- Abstract
- Introduction
- Regions of the face
- Surgical anatomy of the face, layered anatomy, SMAS, facial spaces and retaining ligaments
- Anatomy over the cavities in the skeleton
- Facial spaces
- Retaining ligaments of the face
- Aging changes of the face
- Facial spaces and retaining ligaments
- Bone changes
- Regional changes observed with the aging face temple and forehead
- The midcheek
- Lower face
- Considerations for correcting aging changes of the face based on facial anatomy
- Placement of sutures
- Summary
- Acknowledgments
- References
- 9.3. Principles and surgical approaches of facelift
- Abstract
- Introduction
- Anatomy and patient presentation
- Historical perspective
- Patient selection
- Anatomic assessment
- Surgery
- Choice of procedure
- Ancillary techniques
- Dressings and drains
- Postoperative care
- Early complications
- Late complications
- Facial analysis, anthropometrics and concepts of facial shape
- References
- 9.4. Facelift: Facial rejuvenation with loop sutures: the MACS lift and its derivatives
- Abstract
- Introduction
- Considerations of the facial aging process
- Patient evaluation
- Matching the correct procedure to each deformity
- Surgical strategy and technique
- Postoperative care and complications
- References
- 9.5. Facelift: Platysma-SMAS plication
- Abstract
- Introduction
- Technique ( and )
- Evaluation
- Discussion
- Conclusion
- References
- 9.6. Facelift: Lateral SMASectomy facelift
- Abstract
- Senior author’s personal philosophy
- Historical perspective
- Surgical technique
- Postoperative care
- Complications
- Further reading
- 9.7. Facelift: The extended SMAS technique in facial rejuvenation
- Abstract
- Introduction
- Anatomic considerations
- Retaining ligaments
- Aesthetic analysis and treatment planning
- Radial expansion
- Surgical technique: extended SMAS dissection
- Variations in extended SMAS technique to affect a restoration in facial shape
- Vectors of fat elevation: facial asymmetry
- SMAS fixation
- Correction of platysma bands and cervical obliquity
- Summary
- References
- 9.8. High SMAS facelift: combined single flap lifting of the jawline, cheek, and midface
- Abstract
- Introduction
- Fundamental concepts in rejuvenation of the face
- Lamellar dissection and bidirectional tissue shifts
- Recognizing the components of the aging change of the face and employing logical solutions to improve them
- Preoperative planning
- Preoperative preparations
- Anesthesia
- Surgical technique
- Assessing completeness of SMAS flap dissection
- Neck lift
- SMAS suspension and proper SMAS vector
- SMAS suspension in the narrow face
- SMAS suspension when the temporal incision is along the temporal hairline
- SMAS suspension with a trifurcated SMAS flap
- SMAS suspension when interzygomatic widening is not desired
- Trimming and management of the posterior margin of the SMAS flap
- Skin flap trimming and closure
- Dressings
- Postoperative care
- Summary
- References
- 9.9. The lift-and-fill facelift
- Abstract
- Introduction
- Basic science/disease process
- Anatomy
- Patient selection, evaluation and planning
- Treatment/surgical technique
- Postoperative care
- Outcome, prognosis, complications
- References
- 9.10. Neck rejuvenation
- Abstract
- Introduction
- Anatomy and the effect of aging
- Historical perspective
- Effects of aging/disease process
- Preoperative assessment
- Non-surgical options
- Surgical options
- Liposuction
- Anterior (submental) incision
- Direct excision of neck skin and Z-plasty
- Management of the submandibular glands
- Postoperative care
- Complications
- References
- 9.11. Male facelift
- Abstract
- Introduction
- Aging of the male face and male facial aesthetics
- Treatment strategies in the male patient
- Preoperative planning in the male facelift patient
- Preoperative preparations in the male patient
- Anesthesia in the male facelift patient
- Surgical technique
- Ancillary procedures and alternative strategies in the male patient
- Postoperative care of the male facelift patient
- Summary
- Case examples
- Declaration
- Acknowledgment and retention of rights
- References
- 9.12. Secondary facelift irregularities and the secondary facelift
- Abstract
- Introduction
- Strategy in treating the secondary facelift patient
- Patient considerations
- Technical considerations in secondary facelift
- Conclusion
- Case studies
- Declaration
- Acknowledgment
- References
- 9.13. Perioral rejuvenation, including chin and genioplasty
- Abstract
- Perioral anatomy and aesthetics
- Chin deformities and procedure selection
- Lip surgical corrections
- Conclusions
- References
- 9.14. Facial feminization
- Abstract
- Introduction
- Anatomy
- Historical perspective
- Diagnosis, indications, pre- and postoperative management
- Outcomes, complications and future directions
- Upper third and hair
- Middle third
- Lower third and neck
- References
- 10. Editors’ perspective: brow and eye
- 11. Forehead rejuvenation
- Abstract
- Introduction
- Anatomy
- Historical perspective
- Patient presentation
- Patient selection
- Surgical techniques
- Postoperative care
- Outcomes
- Complications
- Secondary procedures
- References
- 12. Endoscopic brow lift
- Abstract
- Introduction
- Anatomic considerations
- Brow considerations
- Patient selection
- Surgical technique
- Postoperative care
- Outcomes, prognosis and complications
- Final considerations
- Further reading
- 13. Blepharoplasty
- Abstract
- Introduction
- Basic science/disease process
- Historical perspective
- Diagnosis/patient presentation
- Patient selection
- Treatment/technique ( &)
- Postoperative care
- Complications
- Special considerations
- References
- 14. Secondary blepharoplasty
- Abstract
- Introduction
- Anatomy
- Corneal protection
- Pathophysiology and anatomical changes of the aging eyelid
- Patient evaluation
- Procedures/techniques
- Complications in blepharoplasty
- Conclusion
- References
- 15. Asian facial cosmetic surgery
- Abstract
- Introduction
- Asian blepharoplasty
- Asian rhinoplasty
- Historical perspective
- Asian facial bone surgery
- Asian facelift
- Historical perspective
- Acknowledgment
- References
- 16. Facial fat grafting
- Abstract
- Introduction
- Diagnosis/patient presentation
- Patient selection
- Surgical technique
- Postoperative care
- Outcomes, prognosis, and complications
- Nanofat, platelet-rich plasma, platelet-rich fibrin, and concentrated growth factors
- Conclusion
- References
- 17. Editors’ perspective: nose
- 18. Nasal analysis and anatomy
- Abstract
- Introduction
- Blood supply
- Nerve supply
- Intrinsic and extrinsic nasal musculature
- Nasal ligaments
- Nasal bones, cartilages, and septum
- References
- 19. Open technique rhinoplasty
- Abstract
- Introduction
- Basic science/disease process
- Diagnosis/patient presentation
- Historical perspective
- Patient selection
- Treatment surgical technique
- Correction of specific deformities
- Postoperative care
- Outcomes, prognosis, complications
- Secondary procedures
- References
- 20. Closed technique rhinoplasty
- Abstract
- Introduction
- The anatomy and science necessary for surgical success
- The structural nasal layers
- Patterns of secondary deformity
- The effect of rhinoplasty on the airway
- Patient selection
- Basic nasal aesthetics
- Parameters of rhinoplasty planning
- Surgical technique
- Turbinectomy
- Prioritizing the septal graft specimen for augmentation
- Routine postoperative care
- Selection and use of additional graft donor sites and other augmentation materials
- The postoperative course
- Variations on the standard
- Problems in the postoperative course
- Secondary rhinoplasty
- How to understand our most unhappy patients
- References
- 21. Airway issues and the deviated nose
- Abstract
- Introduction
- Anatomy
- Historical perspective
- Basic science/disease process
- Diagnosis/patient presentation
- Patient selection
- Treatment/surgical technique
- Postoperative care
- Outcomes/prognosis/complications
- Secondary procedures
- References
- 22. Secondary rhinoplasty
- Abstract
- Introduction
- Analysis
- Operative techniques
- Common secondary problems
- Postoperative care
- Complications and untoward results
- References
- 23. Otoplasty and ear reduction
- Abstract
- Introduction
- Basic science/disease process
- Diagnosis/patient presentation
- Historical perspective
- Patient selection
- Treatment/surgical technique
- Postoperative care
- Outcomes, prognosis, and complications
- Secondary procedures
- References
- 24. Hair restoration
- Abstract
- Introduction
- Patient selection
- Historical perspective
- Preoperative marking (Fig. 24.1)
- Technique–
- Postoperative care
- Case examples
- Conclusion and key summary points
- References
- Section III: General Aesthetic Surgery
- 25.1. Editors’ perspective: liposuction
- 25.2. Liposuction: a comprehensive review of techniques and safety
- Abstract
- Introduction
- Operative considerations
- Wetting solutions and perioperative fluid management
- Treatment options
- Postoperative care
- Complications
- Emerging technology
- Conclusion
- References
- 25.3. Correction of liposuction deformities with the SAFE liposuction technique
- Abstract
- Introduction
- Challenges of repeat liposuction
- The dose–response curve
- Adjunctive energy modalities
- Paradigms for the treatment of fat
- Indications and contraindications
- Patient evaluation
- Preoperative planning and preparation
- Surgical technique
- Preventing contour deformities
- Ancillary procedures
- Postoperative care
- Results and outcomes
- Problems and complications
- 26. Editors' perspective: abdominal contouring
- 27. Abdominoplasty
- Abstract
- Introduction
- Patient selection and screening
- Anatomy
- Preoperative planning and preparation
- Historical perspective
- Informed consent
- Perioperative management
- Contraindications to abdominoplasty
- Patient positioning and superwet local anesthesia
- Nuisances, untoward sequelae, and complications
- Combined procedures: abdominoplasty and breast surgery or intra-abdominal pelvic surgery with concomitant abdominal contouring
- Significance of operative procedure length
- Related considerations in abdominoplasty
- Abdominoplasty surgical markings
- Summary
- References
- 28. Lipoabdominoplasty with anatomical definition: a new concept in abdominal aesthetic surgery
- Introduction
- Principles of the lipoabdominoplasty with anatomical definition
- Patient selection
- Marking
- Surgical technique
- Suture, drainage, therapeutics, and postoperative care
- Special cases
- Results
- Comments
- Conclusion
- References
- 29. Editors’ perspective: truncal contouring
- 30. Bra-line back lift
- Abstract
- Introduction/overview
- Treatment goals and planned outcomes
- Preoperative planning and preparation
- Patient evaluation
- Preoperative markings
- Patient positioning
- Procedural approach
- Potential complications and management
- Postprocedural care
- Outcomes and evidence
- Summary
- References
- 31. Belt lipectomy
- Abstract
- Introduction
- Basic science and disease process
- Historical perspective
- Diagnosis and patient presentation
- Treatment/surgical techniques
- Postoperative care
- Outcomes/prognosis/complications
- References
- 32. Circumferential approaches to truncal contouring in massive weight loss patients: the lower lipo-bodylift
- Abstract
- Introduction
- Patient selection and screening
- Treatment goals and planned outcomes
- Preoperative planning and preparation
- Markings
- Patient positioning
- Procedural approach
- Potential complications and management
- Postoperative care
- Outcomes
- Conclusions
- References
- 33. Circumferential approaches to truncal contouring: autologous buttocks augmentation with purse-string gluteoplasty
- Abstract
- Introduction
- Patient selection
- Surgical technique
- Postoperative care
- Outcomes and complications
- References
- 34. Circumferential approaches to truncal contouring: Lower bodylift with autologous gluteal flaps for augmentation and preservation of gluteal contour
- Abstract
- Introduction
- Gluteal hypoplasia in the massive weight loss and aesthetic patient
- Development of techniques
- Aesthetic analysis
- BMI and procedural indications
- Gluteal flap selection
- Clinical anatomy
- Operative markings
- Operative technique
- Complications
- Perioperative care and safety
- Summary
- References
- 35.1. Editors’ perspective: buttock augmentations
- 35.2. Buttock augmentation with implants
- Abstract
- Gluteal aesthetic ideals
- Topographical anatomy
- Aesthetic analysis
- Diagnosis/patient presentation
- Ethnic considerations
- Patient selection
- Aesthetic goals
- Buttock implants ( )
- Implant placement and selection
- Anatomic planes of dissection for implant placement
- Implant shape selection
- Implant size selection
- Intramuscular implant surgical technique
- Subfascial implant surgical technique
- Postoperative care
- Complications
- Conclusion
- References
- Further reading
- 35.3. Buttock shaping with fat grafting and liposuction
- Abstract
- Expert commentary on gluteal fat grafting
- Introduction
- Gluteal aesthetic ideals
- Diagnosis/patient presentation
- Patient selection
- Fat grafting surgical technique
- Historical perspective
- Postoperative care
- Outcomes, prognosis, and complications
- Secondary procedures
- Expert commentary on gluteal fat grafting*Daniel A. Del Vecchio* Dedicated to D. Ralph Millard, MD
- What’s in a name?
- GFG patient subtypes and preoperative considerations
- The staged versus the revision GFG patient
- Comorbidities
- Author’s current technique
- Concluding comments
- 36. Upper limb contouring
- Abstract
- Introduction
- Basic science/disease process
- Diagnosis/patient presentation
- Historical perspective
- Patient selection
- Treatment/surgical technique
- Postoperative care
- Outcomes, prognosis, and complications
- References
- 37. Medial thigh
- Abstract
- Introduction
- Anatomy
- Patient selection and pre-surgical assessment
- Pre-thighplasty liposuction
- Surgical considerations
- Preoperative markings
- Intra-operative approach
- Complications
- Conclusions
- References
- 38. Post-bariatric reconstruction
- Abstract
- Obesity
- Methods of weight reduction
- Incidence and decision-making for body contouring post-bariatric surgery
- Diagnosis/presentation/evaluation
- Patient selection/timing of surgery
- Surgical techniques by anatomic region
- Staging and combination procedures
- Complications/secondary procedures
- Body contouring centers of excellence
- References
- 39. Energy devices in aesthetic surgery
- Abstract
- Introduction
- Background
- Ultrasound-assisted liposuction
- Historical perspective
- Laser-assisted liposuction
- Energy-based skin tightening
- Historical perspective
- Summary
- References
- 40. Aesthetic genital surgery
- Abstract
- Introduction
- Male genital aesthetic surgery
- Female genital aesthetic surgery
- Conclusion
- References
- Index
- Confidence is ClinicalKey
- No. of pages: 1032
- Language: English
- Edition: 5
- Published: November 1, 2023
- Imprint: Elsevier
- Hardback ISBN: 9780323810395
JR
J. Peter Rubin
PN