Fundamentals of cosmetic surgery:
Saved in:
| Format: | Book |
|---|---|
| Language: | English |
| Published: |
Philadelphia [u.a.]
Saunders
2001
|
| Series: | Dermatologic clinics
19,3 |
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | X, S. 401 - 582 zahlr. Ill. |
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MARC
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| 245 | 1 | 0 | |a Fundamentals of cosmetic surgery |c Gary D. Monheit, guest ed. |
| 264 | 1 | |a Philadelphia [u.a.] |b Saunders |c 2001 | |
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Record in the Search Index
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| adam_text | FUNDAMENTALS OF COSMETIC SURGERY
CONTENTS
Preface xi
Gary D. Monheit
Consultation for Photoaging Skin 401
Gary D. Monheit
Chemical peeling remains a valuable tool for the cosmetic surgeon to treat
photoaging skin. Choices available include superficial, medium, and deep
chemical peeling agents along with preparatory cosmoceutical agents to
prep the skin and maintain rejuvenation. This article will prepare the
cosmetic surgeon to include the latest agents in his practice and correctly
choose which treatment is best for patients with individual problems of
photoaging of the face and body, acne scars, and pigmentary problems.
These modalities will be compared with other treatment modalities, such
as laser and dermabrasion.
Dermal Peels 405
William P. Coleman III, MD
Dermal chemical peeling is a very satisfying procedure for patients and
physicians alike. Although not providing the ablation of deep wrinkles
and scars that dermabrasion and laser procedures may accomplish, trichlo
roacetic acid peels usually result in few complications and rapid recovery.
Patients can usually expect photographic improvement in their skin.
Medium Depth Chemical Peels 413
Gary D. Monheit
The combination medium depth chemical peel 0essner s solution +35%
TCA) has been accepted as a safe, reliable, and effective method for the
treatment of moderate photoaging skin. This article discusses the proce¬
dure in detail, including postoperative considerations.
Complications of Chemical Resurfacing 427
Harold J. Brody
Complications of chemical resurfacing may occur even though a controlled
chemical wound has been induced. The surgeon must be totally familiar
DERMATOLOGIC CLINICS
VOLUME 19 • NUMBER 3 • JULY 2001 V
with the types of peels and the management of postoperative wound care
based on the skin type of the patient. A thorough understanding of the
concepts involved will enable early treatment and avoidance of permanent
sequelae, such as pigmentary dyschromias, infection, or scarring.
Dermabrasion 439
Christopher B. Harmon
This article provides an overview of the resurfacing technique of derma¬
brasion. Preoperative consultation, perioperative medications, postopera¬
tive management, common complications, and reasonable outcome expec¬
tations are all described in detail. A description of proper technique,
intraoperative equipment, and an approach to full face procedures is also
described.
CO2 Laser Resurfacing 443
Richard E. Fitzpatrick
The CO2 Laser offers a variety of unique features in resurfacing facial
photodamage and acne scarring. These include hemostasis, efficient re¬
moval of the epidermis in a single pass, thermally induced tissue tight¬
ening, and safe, predictable tissue interaction. Knowledge of these mecha¬
nisms will result in the capability of using the CO2 laser effectively and
safely whether the goal is superficial or deep treatment.
Erbium:YAG Cutaneous Laser Resurfacing 453
Tina S. Alster and Jason R. Lupton
The short pulsed erbium:YAG (EnYAG) laser is an effective tool for facial
rejuvenation. Mild to moderate photoinduced facial rhytides and mild
atrophic facial scars can be significantly improved with this system. The
EnYAG laser is also an ideal treatment modality for darker skinned indi¬
viduals because it is associated with less intense postinflammatory hyper
pigmentation following treatment. More recently, longer pulsed Er:YAG
lasers have been introduced that provide for even greater clinical results
with enhanced tissue tightening and prolonged stimulation of neocollagen
esis.
Treatment of Leg Veins with Lasers and Intense Pulsed Light:
Preliminary Considerations and a Review of
Present Technology 467
Mitchel P. Goldman
Each laser system has different wavelengths, spot sizes, cooling mecha¬
nisms, and pulse durations. This article examines the advantages and
disadvantages of different lasers with the proposition that, in the end, the
best laser is the one that the practitioner can use best.
Small Vessel Sclerotherapy 475
Neil Sadick and Cindy Li
Small vessel telangiectasias are commonly seen in clinical dermatology.
This article focuses on the evaluation of these patients and treatment. The
types of sclerosing agents and the techniques of sclerotherapy are dis¬
cussed in detail.
I CONTENTS
Liposuction 483
Rhoda S. Narins
This is a basic overview of liposuction. Liposuction is the removal of fat
using cannulas (tubes) inserted through tiny incisions into the adipose
tissue. When done correctly, nice results can be safely achieved with a
very easy procedure.
Skin Filling: Collagen and Other Injectables of the Skin 491
Arnold William Klein
Minimally invasive soft tissue augmentation of the face with injectable
substances has been performed for more than a century. During this
period, many substances have been used to cosmetically improve soft
tissue defects and deficiencies. Some have lasted; most have not. These
procedures have become increasingly important as more patients seek
aesthetic improvement without major surgical procedures. This article
reviews the current status of these materials and techniques.
Dermal Grafting 509
James M. Swinehart
Dermal Grafting is a surgical method utilizing a patient s own dermis to
augment and elevate depressed or sunken areas on the face and other
areas of the body. It has been used for most of the 20th century, but has
enjoyed a resurgence during the past decade because of the high cost and
transience of many synthetic fillers. Dermal grafts may be employed for
correction of acne scars, nasolabial folds, glabellar lines, perioral lines, and
other deep wrinkles and furrows. This article will discuss the indications,
surgical methods, results, and advantages and disadvantages of this proce¬
dure compared with other means of soft tissue augmentation.
Fat Grafting 523
James E. Fulton and Noushin Parastouk
Autologous adipose tissue has been used for tissue augmentation for over
a century. The technique still remains controversial and some investigators
have given up on fat transfer. The authors objective is to improve the
retention of the fat graft by using less traumatic methods to collect the fat,
to concentrate it, and to reinject it to obtain more reliable augmentations
for the cosmetic improvement of tissue defects. The fat is collected from
the donor site following tumescent infiltration of the tissue. A Mercedes
cannulae is used with a vented syringe. The fat is centrifuged to remove
excess tumescent fluid or demineralized bone powder is added if a more
dramatic, firmer augmentation is required. Small filaments of fat are placed
in multi layers throughout the area of the desired contour change. Residual
processed fat is frozen for second and third injection sessions, if needed.
These fat transfer methods yield retentions of 20% to 120% of the injected
volume. After 60 to 90 days the implant is stabilized and becomes perma¬
nent. Other than bruising, a rare case of bacterial infection, or an occasional
divot at the donor site, the autologous fat transfer has proved a useful
method to improve contour defects.
Brow Lifting and Blepharoplasty 531
Jean Carruthers
This article addresses how one decides whether to do a brow lift or a
blepharoplasty using the example of a woman who has paralysis of the
frontal branch of her left seventh cranial nerve and complete brow ptosis.
CONTENTS 1
Current Therapy
Repair of Large and Difficult to Close Wounds 535
Ron M. Shelton
Reconstruction of large defects and tight closures involves the consider¬
ation of multiple variables. Options for reconstruction include second
intent healing, partial closures, primary side to side closures with intraop
erative skin stretching, skin grafts, and flaps. The latter are discussed in
great detail in the literature and are not included in this article. Certain
easy to perform techniques, such as using pulley sutures and tying buried
sutures after the wound edges are approximated by surface stitches, enable
the dermatologic surgeon to facilitate closures. Mastering these concepts
will allow the dermatologist to minimize the number of referrals to other
practitioners.
Use of Skin Substitutes in Dermatology 555
Ysabel M. Bello and Anna F. Falabella
The use of skin substitutes to treat acute and chronic wounds should
continue to increase as newer products are developed. The goals for the
future are to eliminate the risk for transmission of disease, improve the
shelf life and simplify storage requirements, improve cosmetic outcomes,
and reduce cost. A number of researchers are also looking to incorporate
gene therapy into skin substitutes.
Surgical Tips 563
Harry L. Parlette III
A potpourri of practical surgical tips is presented in this article. Included
are the clues for diagnosis, ideas for wound management, intraoperative
tips, and assorted other items to enhance surgical practice.
Index 579
Subscription Information Inside back cover
CONTENTS
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| physical | X, S. 401 - 582 zahlr. Ill. |
| publishDate | 2001 |
| publishDateSearch | 2001 |
| publishDateSort | 2001 |
| publisher | Saunders |
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| series | Dermatologic clinics |
| series2 | Dermatologic clinics |
| spelling | Fundamentals of cosmetic surgery Gary D. Monheit, guest ed. Philadelphia [u.a.] Saunders 2001 X, S. 401 - 582 zahlr. Ill. txt rdacontent n rdamedia nc rdacarrier Dermatologic clinics 19,3 Skin surgery Surgery, Plastic Monheit, Gary D. Sonstige oth Dermatologic clinics 19,3 (DE-604)BV000004924 19,3 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009582049&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Fundamentals of cosmetic surgery Dermatologic clinics Skin surgery Surgery, Plastic |
| title | Fundamentals of cosmetic surgery |
| title_auth | Fundamentals of cosmetic surgery |
| title_exact_search | Fundamentals of cosmetic surgery |
| title_full | Fundamentals of cosmetic surgery Gary D. Monheit, guest ed. |
| title_fullStr | Fundamentals of cosmetic surgery Gary D. Monheit, guest ed. |
| title_full_unstemmed | Fundamentals of cosmetic surgery Gary D. Monheit, guest ed. |
| title_short | Fundamentals of cosmetic surgery |
| title_sort | fundamentals of cosmetic surgery |
| topic | Skin surgery Surgery, Plastic |
| topic_facet | Skin surgery Surgery, Plastic |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009582049&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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