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

Masters of Cosmetic Surgery The Video Atlas: The Dallas Cosmetic Model
MedOne Access Information
Title
Copyright
Contents
Videos
Preface
Acknowledgments
Contributors
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 YourContent
			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 C
		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 Youthfu lNeck (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 Malar Contouring
		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 Pearl
		57A.7 Site-Specific InjectionTechnique
			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 Case 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 Conclusion
	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 InformedConsent
			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 Examples
		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 Examples
			87.5.1 Case 1
			87.5.2 Case 2
		87.6 Conclusion
Part XII Vaginal Rejuvenation
	88 Extended Wedge 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