Most women who elect to have cosmetic surgery want a "natural" outcome-a discrete alteration of the body that appears unaltered. Under the Knife examines this theme in light of a cultural paradox. Whereas women are encouraged to improve their appearance, there is also a stigma associated with those who do so via surgery. Samantha Kwan and Jennifer Graves reveal how women negotiate their "unnatural"-but hopefully (in their view) natural-looking-surgically-altered bodies. Based on in-depth interviews with 46 women who underwent cosmetic surgery to enhance their appearance, the authors investigate motivations for surgery as well as women's thoughts about looking natural after the procedures. Under the Knife dissects the psychological and physical strategies these women use to manage the expectations, challenges, and disappointments of cosmetic surgery while also addressing issues of agency and empowerment. It shows how different cultural intersections can produce varied goals and values around body improvement. Under the Knife highlights the role of deep-seated yet contradictory gendered meanings about women's bodies, passing, and boundary work. The authors also consider traditional notions of femininity and normalcy that trouble women's struggle to preserve an authentic moral self.

Now thoroughly revised to reflect state-of-the-art advances in the field, Botulinum Toxin in Facial Rejuvenation, 2nd Edition, covers the entire range of the use of botulinum toxin for cosmetic purposes. Dr. Kate Coleman offers practical guidance for safe handling, selection and assessment of patients, potential complications and pitfalls, and aesthetic techniques, as well as comparative modalities and long-term management. This is an ideal resource for anyone who offers this sought-after procedure, including cosmetic surgeons, oculoplastic surgeons, dermatologists, physician's assistants, and registered nurses. Features new, unique coverage of long-term management, picturing the same original patients 15 years later, as well as observations on how treatments should be adjusted as the patient gets older in order to respond to natural changes in bone density and underlying support structures. Presents new knowledge on neuromodulation and how treatment can be used to 'retrain' expressions to provide fewer frowns lines and better facial symmetry. Offers comparative information on other modalities such as laser and hyaluronic acid, as well as potential risk factors, so you can choose the best procedure for each patient. Discusses the various forms of botulinum toxin currently available on the market, with an emphasis on Botox, Xeomin, and Dysport. Uses full-color clinical photos of pre-, peri-, and post-operative results to illustrate nuances of techniques as well as the effectiveness of botulinum toxin on wrinkles and scars for the major facial areas. Provides current guidelines on treatment methods and best practices for reconstitution and storage. Discusses which patients may be at risk for adverse effects?or "worsening results"?and offers suitable alternatives. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

With detailed, expert guidance on each essential topic, Plastic Surgery: Principles and Practice offers single-volume convenience without sacrificing complete coverage of this multi-faceted field. Written by global leading authorities, it provides concise, easy-to-follow instruction with the clinical details and supportive data needed to achieve optimal patient outcomes. Offers thorough coverage of facelift procedures, rhinoplasty, otoplasty and more, along with clinical pearls from masters in the field. Features hundreds of high-quality images including anatomical line art, case photos, and procedural operative photos. I Includes a superb selection of procedural videos of global experts performing key techniques within operating room and close-up clinical pearls. An ideal resource for residents, fellows, and practitioners in plastic surgery, as well as those in otolaryngology, vascular surgery, and cosmetic dermatology. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

These eight volumes, which developed out of the international congress "Update and Future Trends in Fibrin Sealing in Surgical and Nonsurgical Fields" held in November 1992, present the state of the art in fibrin sealing. Initially, fibrin sealant played an important role in surgery. During the past few years, it has been increasingly applied nonsurgically and we can now say that it has become an integral component of medical treatment. The doubts which have been raised by nonusers about the efficacy of fibrin sealant are no longer valid. The correct indication and technique continue to be basic prerequisites for effective treatment. Even today - 20 years after fibrin sealant was first used - the three most prominent effects of fibrin sealant are still hemostasis, sealing of the wound, and support of wound healing. The problems posed by the transmission of viral infections have gained sub stantially in importance because of the potential transmission of AIDS via fi brin sealant. Fortunately, this is so unlikely today that it no longer represents a cause for concern, which does not mean, however, that research in this field can be discontinued.

In the field of orthopedic surgery, additional areas of application and new indications have been discovered for fibrin glue treatment, for example, hemostasis in pseudotumors in hemophilic patients or in torn ligaments, and in spongiosa transplantation, primarily when nonautologous bone material is being used, or to fill large defects. In maxillofacial surgery fibrin glue is mainly used for osseous contouring of the facial and frontal bones, for alveolar ridge augmentations in preprosthetic surgery, and for soft tissue reconstructions.

Fibrin plays a central role in wound healing. It has a hemostatic effect by forming a temporary wound closure and assists in neovascularization and fibroblast prolifera- tion. It therefore makes the repair of injured or severed parts of the human body by simple glueing possible, a notion that men have dreamed of since ancient times. The first modern attempts in this direction, using clotting substances derived from human blood to achieve hemostasis, were reported by Bergel (in 1909), Grey (in 1915), and Harvey (in 1916), who used fibrin powder or fibrin patches to control bleeding from parenchymatous organs. Two decades later Young and Medawar (1940) and Cronkite (1944) used blood plasma or fibrin solutions, adding thrombin to seal nerve anastomoses and to fix skin grafts in humans. Due to the poor adhesive strength of the fibrinogen the results were unsatisfactory. In 1972 a new era in fibrin sealing was initiated by Matras. By using highly concentrated fibrinogen in combination with factor XIII (fibrin-stabilizing factor) and by delaying fibrinolysis with a fibrinolysis inhibitor (aprotinin), a method was developed which after satisfactory results in animals, soon began to be applied in humans.

In the turmoil of everyday activity, when few surgeons have time or energy for bibliographic research, the wonderful history of human endeavor runs the risk of remaining buried in libraries. Several years ago, a small group of enthusiasts was gathered together by Mario Gonzalez-Ulloa to write the history of Aesthetic Plastic Surgery. There was the feeling among them that experience and knowledge should be shared by all those who practice this art and this science, and that its creation and progress would be alive and present with a chronicle of this surgical specialty. Their chapters have been written. These chapters have appeared in Aes thetic Plastic Surgery, but they are now collected in book form, and the individual style of each author has been preserved. It is a thrilling story. It is a compact information. Let it be our stepping-stone project in which past, present, and future are fused into one."

Es war stets ein Verdienst der Deutschen Gesellschaft fur Plastische und Wiederher- stellungschirurgie , die Erfahrungen aus dem weit gespannten Bogen aller chirurgischen Facher interdisziplinar gemeinsam zu diskutieren und die gewonnenen Erkenntnisse transparent und zuganglich zu machen. Transplantate und Implantate in der plastischen und wiederherstellenden Chirurgie; so lautete das Leitthema der 17. Jahrestagung der Deutschen Gesellschaft fur Pla- stische und Wiederherstellungschirurgie vom 1. bis 3. November 1979 in Heidelberg. Dieses Thema ist und bleibt ein Eckpfeiler der Wiederherstellungschirurgie und ist nach wie vor hoch aktuell. Einerseits haben sich auf diesem Gebiet in den letzten Jahren bahnbrechende neue Entwicklungen, wie die mikro chirurgische Technik sowie die verschiedenen Gewebe- kleber ergeben; andererseits wurden auch neue Implantatwerkstoffe wie Keramik, Silicon und Kollagenvlies entwickelt. Diese Werkstoffe wurden zum Teil bereits uber Jahre hinaus verwendet und haben eine kritische Betrachtung verdient. Diese Tagung war wieder ein neuer Schritt zu dem gemeinsamen Ziel der Ver- besserung und Wiederherstellung von Form und Funktion anatomischer Strukturen.

Female genital plastic surgery has become an increasingly sought-after option for women seeking improvement in genital appearance, relief from discomfort, and increased sexual pleasure. These surgeries are a combination of gynecologic, plastic, and cosmetic procedures. Every year sees a higher demand for physicians properly trained and able to perform them. This unique text from the acknowledged experts in the field covers; * the anatomy of the area * the specific surgical procedures and all their variations * patients' rationales for surgery * training guidelines and ethical issues * outcome statistics * sexual issues * patient selection * potential risks and complications. Examining the issues from individual patient's perspectives, it is written in an academic but easy-to-read style with understandable and unambiguous drawings and photographs. It contains a step-by-step surgical approach, how to best select the right surgical candidates, how to treat this select group of patients, the sexual issues involved, how to individualize techniques for each specific patient, how to deal with criticism from colleagues or journalists, psychosexual issues, and patient protection.

The perception of an inadequate body shape is a cause of concern to many people, and new techniques for altering body shape are increasingly being developed and offered to patients. Of these, the removal and transfer of fat is fast growing in importance and availability. This practical guide offers a comprehensive overview of this rapidly-evolving field, and thorough coverage of the implementation of fat removal techniques, both invasive and non-invasive, in a cosmetic practice. It begins with an overview of basic fat anatomy and physiology as an important introduction to this topic. The distinction between the physiology and treatment of cellulite and fat is also discussed. The next section of the book covers invasive treatments of fat such as traditional liposuction, laser-assisted liposuction, fat transfer procedures and mesotherapy. The latter half of the book largely focuses on non-invasive treatments for fat, including radiofrequency, ultrasound, cooling and laser technologies for fat removal. Throughout, potential complications and pitfalls of the various treatments are discussed. Edited by Matthew Avram, with contributions from a group of clinical stars, this book will appeal to cosmetic dermatologists, plastic surgeons, aesthetic medical practitioners, and obstetricians/gynaecologists

Developed in the United States in the 1980s, facial feminization surgery (FFS) is a set of bone and soft tissue reconstructive surgical procedures intended to feminize the faces of trans- women. While facial surgery was once considered auxiliary to genital surgery, many people now find that these procedures confer distinct benefits according to the different models of sex and gender in which they intervene. Surgeons advertise that FFS not only improves a trans- woman's appearance; it allows her to be recognized as a woman by those who see her. In The Look of a Woman Eric Plemons foregrounds the narratives of FFS patients and their surgeons as they move from consultation and the operating room to postsurgery recovery. He shows how the increasing popularity of FFS represents a shift away from genital-based conceptions of trans- selfhood in ways that mirror the evolving views of what is considered to be good trans- medicine. Outlining how conflicting models of trans- therapeutics play out in practice, Plemons demonstrates how FFS is changing the project of surgical sex reassignment by reconfiguring the kind of sex that surgery aims to change.

The Art of Skin Health Restoration and Rejuvenation, Second Edition presents a comprehensive review of Dr. Zein Obagi's renowned skin care regimens and his techniques for revitalizing skin. Fully demonstrated and explained are Dr. Obagi's skin peels and his approach to correcting sun damage, control of the pigmentary system, the stimulation of skin collagen, and how to restore skin elasticity. With more than 200 illustrations, a presentation of Dr. Obagi's skin classification system, and a special section on combining laser skin resurfacing with other techniques, this volume is a valuable resource for the plastic surgeon, dermatologist, and cosmetic facial surgeon.

The new edition of this outstanding reference textbook, in two volumes, offers comprehensive and authoritative coverage of the contemporary specialty of oral and maxillofacial surgery. The aim is to provide an all-encompassing, user-friendly source of information that will meet the needs of residents and experienced surgeons in clinical practice and will also serve as an ideal companion during preparation for board certification or recertification examinations. All of the authors, numbering some 100, are distinguished experts in the areas that they address. The new edition takes full account of the significant changes in clinical practice and guidelines that have occurred during recent years. Readers will find clear explanations of the practical application of surgical principles, with a wealth of supporting illustrative material, including atlas-type illustrations to complement the descriptions of specific procedures. The fourth edition of Peterson's Principles of Oral and Maxillofacial Surgery is a truly exceptional resource for clinicians and students alike.

The book addresses both the psychological and social effects of disfigurement. Key aspects of the book include developing a helping skillsa , building relationships, identifying problems and working together to meet aims.

Male genital disorders represent a common issue in medical practice, especially in the dermatological setting. Correct clinical evaluation of these disorders is essential when addressing the diagnosis, which in some cases may require histopathological confirmation. Depending on the disease, early diagnosis may be not only lifesaving, but also of fundamental importance to the planning of successful treatment. This atlas introduces the most common penile diseases, along with more rarely encountered ones. It provides invaluable guidance on clinical diagnosis by highlighting prominent clinical features and presenting particular videodermatoscopy findings when these are indicative of the diagnosis. In addition, for each condition the most appropriate treatment is proposed, taking into account recent therapeutic advances of proven benefit.

Der renommierte Facharzt fur plastische und asthetische Chirurgie stellt das Gebiet der Abdominoplastik umfassend dar: Angefangen von der historischen Entwicklung bis hin zu den neuesten Verfahren. Eigens angefertigte farbige Zeichnungen vermitteln Konzeption und Planung der verschiedenen Verfahren zur Abdominoplastik und stellen das operative Vorgehen Schritt fur Schritt dar.

The definitive multimedia resource on wide awake hand surgery from renowned experts WALANT (Wide Awake Local Anesthesia No Tourniquet) eliminates the need for preoperative testing, sedation, intravenous insertion, and monitoring in upper and lower limb surgery. Coupled with minimal pain injection techniques using pure local anesthesia with lidocaine and epinephrine, this technique has significantly improved hand surgery for patients and surgeons in many ways. Wide Awake Hand Surgery and Therapy Tips, Second Edition, provides readers with the best and latest WALANT advances from Donald H. Lalonde and an impressive group of hand surgeons from 15 countries that have incorporated this groundbreaking technique into practice to benefit their patients. Each richly illustrated chapter encompasses evidence-based benefits, step-by-step guidance, patient education tips, detailed injection directions, surgery and therapy tips and tricks, postsurgical management, and related videos. WALANT produces better outcomes in flexor and extensor tendon repair, tendon transfer, tenolysis, tendon grafts, and finger fracture surgery because unsedated patients can easily move reconstructed parts during surgery. This allows surgeons to make required adjustments and teach patients uninterrupted while they are awake. Eliminating sedation also decreases risks, increases patient safety, and reduces pain associated with intravenous insertion. Simple surgeries such as trigger finger and carpal tunnel release no longer require costly main operating rooms. Instead, they can be performed in minor procedure rooms with evidence-based sterility, resulting in lower costs and reduced waste. New Features A three times larger video library with more than 500 videos, most of which are new New chapters on upper and lower limb fracture plating of the wrist, forearm, elbow, acromion, clavicle, tibia, fibula, ankle, and fo

Since the publication of the first edition of "Urethral Reconstructive Surgery," important refinements have been added to the urologic surgical armamentarium. Extensively revised and updated, "Advanced Male Urethral and Genital Reconstructive Surgery, Second Edition "guides urologists in a practical manner on how to evaluate and manage complex urethral and male genital reconstructive challenges. Chapters have been added on wound healing, synchronous urethral strictures, non-transecting anastomotic urethroplasty (including muscle and vessel sparing), overlapping buccal grafts, male urethral slings, genital skin grafting, Peyronie s surgery, priapism, pediatric strictures and prosthetics. Such chapters greatly strengthen the overall appeal of the book. The volume closes with a new comprehensive appendix of preferred instruments.

With broad contributions by international authorities in reconstructiveurologic surgery, "Advanced Male Urethral and Genital Reconstructive Surgery, Second Edition" is a valuable resource for all urologists, from residents to reconstructive surgeons."

Neuroendovascular and neurointerventional therapy is a specialty where disseminating personal knowledge and expert opinion is extremely important, owing to the lack of large-scale clinical trials. The management of complications that occur during or immediately after therapeutic interventions is particularly challenging because these can significantly affect patient outcomes. This book presents how various complication scenarios are handled by well-qualified authorities in the field of neurointervention from three disciplines: neurology, neurosurgery, and neuroradiology. Contributors describe their management of these complications, focusing on the common principles that all the specialists agree on, and give tips and tricks for 'bailout' procedures to help get the practitioner out of trouble. The book is well illustrated and covers the full range of neuroendovascular and neurointerventional procedures. The book will appeal to neurointerventionists, neuroradiologists, stroke physicians, neurosurgeons and vascular surgeons for its practical approach to managing these commonly encountered problems.

Art of Abdominal Contouring is a concise, richly illustrated collection of abdomen contouring procedures, edited by Sanjay Parashar, Plastic and Reconstructive Surgeon at the Cocoona Centre for Aesthetic Transformation, Dubai. Divided into fourteen chapters, topics range from the anatomy of the abdominal wall to three dimensional liposculpturing, and complications of liposuction. The book also covers non-invasive and comprehensive weight reduction methods for patients with medical conditions which make them unsuitable for invasive procedures. Art of Abdominal Contouring is enhanced by 240 full colour images and illustrations, and includes an interactive DVD with eight instructional videos. This is an excellent visual guide for plastic, lipoplastic and aesthetic surgeons. Key Points Richly illustrated guide to abdomen contouring procedures Includes non-invasive procedures and weight loss reduction methods 240 full colour images and illustrations Interactive DVD containing 8 videos

Challenging Concepts in Oral and Maxillofacial Surgery details over 25 challenging and complex scenarios matched to the OMFS syllabus including frontal sinus fractures, reconstructive challenges following blast injuries to the facial soft tissue and skeleton, and reratocystic odontogenic tumours. This case-based learning book is designed to be used by trainees and speciality registrars. Each case is supported by the commentary of a renowned expert in the field, allowing readers to improve their own management of these patients. As the reader works through each case there are 'Clinical Tips', 'Learning Points' and 'Evidence Base' boxes to enhance the learning process along with the 'Expert Commentary', providing an inside track on how the experts approach challenging cases. The range of topics discussed including three complex battlefield cases will be essential reading for trainees in oral and maxillofacial surgery and related specialties, such as otolaryngology, oral surgery, orthodontics, and dentistry.

A renowned rhinoplasty reference, this two-volume set presents the work of recognized pioneers in the field who provide comprehensive coverage of primary and secondary rhinoplasty. From basic fundamentals and anatomy to the latest refinements and advances in technique, the book includes comprehensive case analyses to facilitate clinical decision making-supplying rhinoplasty surgeons with all the tools needed for achieving superb results. Featuring: 18 new chapters and numerous color images, this third edition is supplemented with DVDs containing videos of operative procedures. Dallas Rhinoplasty, Nasal Surgery by the Masters is now available with a bundled e-book for the first time. Readers can download photos, videos, text, and much more. Presents the work of recognized pioneers in the field Provides comprehensive coverage of primary and secondary rhinoplasty Covers basic fundamentals and anatomy Presents the latest refinements and advances in technique for safer, more consistent results Includes new innovations for achieving a smooth dorsum, avoiding alar notching, and improving tip refinement Supplies comprehensive case analyses to facilitate clinical decision making Features 18 new chapters with numerous color images and 4 DVDs with 14 full-length operative videos eBook version is included with purchase of the print book.