With the adoption of digital photography on a wide scale and advent of new technologies such as 3-D patient imaging, this is an area that is rapidly changing and of interest to both established and novice facial plastic surgeons. Most surgeons have limited experience with photography prior to starting a practice and need guidance in regard to selecting proper equipment, setting up a portrait studio, and obtaining high-quality standardized series of photos that can be used in presentations and publications. There are also a multitude of issues related to managing the vast amount of data that surgeons are now accumulating.

Topics in this publication include: Camera and lens selection; Setting up a medical portrait studio; Photography consent and related legal issues; Pre- and post-operative portrait photography/standardized photos for various procedures; Pitfalls of nonstandardized photography; Morphing images to demonstrate potential surgical outcomes; Photoshop tools and tricks every facial plastic surgeon should know; Intraoperative photography; Digital asset management; Objective facial photograph analysis using imaging software; Evaluating symmetry and facial motion using 3D videography; Research and clinical applications for 3D imaging.

The use of perforator flaps has heralded a new era in reconstructive surgery. Perforator flaps are less bulky than traditional flaps and do not use muscle tissue.? These characteristics allow reconstructions using these flaps to achieve the best functional and aesthetic results in both the reconstruction site and the donor site. This issue of Clinics in Plastic Surgery provides guidance to help plastic surgeons incorporate perforator flap techniques in their practices. Editor Peter Neligan, one of the world's leading experts in perforator flaps, has assembled highly experienced authors to share their expertise with Clinics readers.

It has by now been established that carpal ligamentary lesions may lead to instability and ultimately to carpal arthritis. However, the variety of anatomopathological classifications and the multiplicity of surgical repair techniques reflect the difficulty of grasping this ligamentary pathology. Clinical analysis and traditional investigation techniques must successfully address the complexity of the wrist, which is largely due to the number of synchronized bones involved in every movement of the hand. The clinical analysis of the wrist is insufficient to precisely measure the mobility of each carpal bone, making paraclinical examinations also significant for clinical diagnosis. The tools available today range from X-rays to arthroscopy, including arthroCTscans and soon MRI. As for repair techniques, their diversity must not hide the fact that a biomechanical and physiological principle is involved and must be identified. This book presents the findings of an expert group in the field of wrist pathology. It seeks to analyze, understand, explain and make comprehensible, if not obvious, the reflections that each practitioner should employ during the diagnosis and treatment of carpal ligamentary lesions. The focus is consciously not on degenerative carpal pathology, which usually enjoys more visibility. We hope that readers will benefit from the fact that fragmented pieces of knowledge are gathered in a single work, that they will find in this initial synthesis an inspiration to rethink a difficult and sometimes thankless surgery and to further the surgical advances of the 21st century.

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This publication deals with practice issues in Facial Plastic Surgery. Top consultants to cosmetic surgeons present topics of absolute value in the current economy. Topics include: Creating a Culture of Accountability in the Office; Office Managers' Forum; The Art of the Successful Consultation; Electronic Medical Record - Something to Consider; Establishing a Profitable Skin Care Practice in a Plastic Surgery Office; 9 Worst Advertising Mistakes; The Value of One Patient;? 5 Secrets to Leveraging Maximum Buying Power with Your Media Project; Auditing your practice: Non-financial variables to survive, or thrive; Showcase your service: ? Social Media and Marketing Basics in a Dynamic, Over-Populated, Mixed-Message, and Highly Competitive World; Retailicine, Somewhere Between Retail and Medicine; Shifts Happened - Time to Optimize your Practice; Essential Marketing Tips: Build Your Own Brand one Step at a Time;? Being a Responsible Leader;? Tips to Get You Busy; Internet Marketing

Rhinoplasty is a commmon procedure that may be performed by a plastic surgeon or an otolaryngologist specializing in facial plastic surgery.? This is the first issue of Clinics in Plastic Surgery to bring together authors who are both plastic surgeons and facial plastic surgeons to share their expertise in performing reconstructive and cosmetic rhinoplasty procedures.

Facial plastic surgeons and plastic surgeons increasingly receive requests for reconstructive and enhancement facial surgery to modify features characteristic of non-Caucasian patients. The goals of these surgeries are not to duplicate caucasian facial features but to modify, enhance, and correct the features within the racial features. Topics in this publication include: Cultural Preservation of the non-Caucasian Face; New Paradigm for Rejuvenating the Aging Non-Caucasian Face; Asian Blepharoplasty; Facial Implants in the Non-Caucasian Face; A New Skin Classification System; Laser Resurfacing for the Non-Caucasian Face; Chemical Peels for the Non-Caucasian Face; Lip Reduction Techniques in the Non-Caucasian Face; Hispanic/Mestizo Rhinoplasty; African Rhinoplasty; Middle Eastern Rhinoplasty; Hair Restoration in the Non-Caucasian Face; Lower Facial Rejuvenation in the Non-Caucasian Face; Upper & Midfacial Rejuvenation in the Non-Caucasian Face; Lower Facial Rejuvenation in the Non-Caucasian Face; Lower Facial Contouring with Botulinum Toxin & Micro-Botox; and Traumatic Rhinoplasty in the Non-Caucasian Nose.

This issue discusses aesthetic reconstruction principles and techniques for the face that has been damaged by disease or trauma. It includes articles on reconstruction of scalp, forehead, eyelid, cheek, nose, and lip defects; endoscopic surgery for the lacrimal duct; prelamination and prefabrication applications; lipofilling; facial transplantation; surgical treatment and radiation therapy for facial skin cancer; and improving outcomes in aesthetic facial reconstruction.

An important review on obstructive sleep apnea for the oral and maxillofacial surgeon! Topics include epidemiology, pathophysiology and clinical features of obstructive sleep apnea; systematic evaluation of the OSA patient; upper airway imaging in the evaluation and surgical management of OSA; management of OSA by continuous positive airway pressure; oral appliances in the treatment of OSA; algorithms for surgical management of obstructive sleep apnea; surgery of the palate, tonsils and tongue; treatment of OSA by distraction osteogenesis; surgical management of OSA in the pediatric patient; anesthetic and postoperative management of the OSA patient, and much more!

In the 10 years since malignant melanoma was last covered in Clinics in Plastic Surgery, significant changes have occurred in the diagnosis and treatment of this disease.? Sentinel lymph node biopsy has now become the standard of care in melanoma. The staging system was totally revamped in 2002, taking into account the significance of ulceration and the information gained during sentinel node biopsy.? With more than 60,000 patients diagnosed each year with malignant melanoma, the plastic surgeon must continue to be pivotal in the management of patients with this disease, coordinating care among the specialists and being integral in all aspects of surgery and follow-up.

Topics include: Concomitant Resurfacing and Facial Implants in Facelift; Complications of Facelift; Anesthesia and Facility in Facelift; Concomitant Fillers in Facelift; Short Scar Vertical U Lift; Deep Plane Facelift; SMAS Facelift Technique; Neck Contouring; Facelift and the Heavy Face; Male Facelift; Pearls in Facelift Management.

Topics include: Evaluation and initial management of the patient with facial skin cancer; Nonmelanomatous skin cancer; Mohs, Malignant melanoma; Local flaps - bilobed, rhombic, forehead, melolabial; Options for the management of scalp defects; Defects of the nose; Eyelid defects; Ear defects; Defects of the lips; Cheek defects; Secondary procedures to improve flap appearance.

This issue covers all aspects of treatment of the burned patient, from closure and excision of the burn wound to management and reconstruction of the burn scar. Also included are articles on the hypermetabolic response to burn injury and interventions to modify this response; fluid resuscitation of acutely burned patients; airway management and smoke inhalation injury; antimicrobial agents and dressings for the burn wound, including skin substitutes and skin grafts; and rehabilitation from significant burn injury.

This issue of Clinics in Plastic Surgery takes a critical look at several new treatment methods. The aim of the issue is to view each technique from a factual, scientific point of view and to let surgeons know where each technique stands in regard to indications, contraindications, choosing a patient, how the technique is done, results, and complications. The techniques included are Lipodissolve, Surgisis, Smartlipo, Thermage, fat injection, Juvista, and Aptos thread.

Otorhinolaryngologists and Facial Plastic and Reconstructive Surgeons who have focused their energies on functional and cosmetic septorhinoplasty do offer a unique perspective and experience of the surgical management of nasal obstruction, and this perspective is highlighted in this edition. Many of the chapters focus on complex problems related to the septum: treating the caudal septum, a discussion of complications of septal surgery including their avoidance and their management, and when to consider the open rhinoplasty approach to septal surgery. Surgical pearls for septoplasty are also considered. Functional rhinoplasty also naturally receives significant attention in this edition, with consideration of the surgical treatment of the saddle nose, treatment of nasal obstruction in the traumatized nose, treatment of the dorsal deviation, and surgical and non-surgical treatment of the nasal valve. Piriform aperture stenosis, a less common form of nasal obstruction, is also considered. A number of facial plastic surgical case studies round out this edition.

Scalp and Forehead Reconstruction, Total Nasal Reconstruction, Lip Reconstruction, Mid Face and Maxilla, Orbital Exenteration, Maxillofacial Trauma, Lateral Temporal Bone Defects, Parotid Defects, Facial Transplantation, Massive Skin Cancers.

Current, important information for all oral and maxillofacial surgeons! Management topics include mandibular angle fractures, atrophic mandible fractures, comminuted mandibular fractures, condylar process fractures, mandibular fractures in children, nasal fractures, orbital fractures, naso-orbital-ethmoidal fractures, frontal sinus fractures, parotid gland and duct injuries, facial bite wounds, and much more!

Guest Editor Joseph Niamtu III presents a comprehensive look at cosmetic facial surgery complications for the oral and maxillofacial surgeon. The issue will cover complications in facelifts, skin resurfacing, botox and fillers, facial implants, blepharoplasty, rhinoplasty, fat injections, hair transplantation, and otoplasty. Other articles cover nerve injuries and treatment, and legal issues.

The Rhinoplasty Consultation, Preoperative, Anesthetic and Postoperative Care for Rhinoplasty Patients, Nuances of Profile Management, Nasal Tip Dynamics, Endonasal Cartilage Techniques, New Concepts in Nasal Tip Contouring, Grafting in Rhinoplasty, Functional Rhinoplasty, Cleft Lip Rhinoplasty, Complications in Rhinoplasty, Tissue Engineering for Rhinoplasty.

Breast augmentation has become one of the most frequently performed operations in plastic surgery. It is estimated that more than 1% of the adult female population in the United States (between 1 and 2 million) has undergone breast augmentation. Surgeons have several different implants to choose from and a variety of implant techniques. The aim of this issue is to discuss the various implant methods and materials available and to provide surgeons with a framework for making the best evidence-based decision for each patient.

The starting point for the treatment of hip disease depends on how we can preserve the natural hip joint and on steps leading to regeneration of the diseased, injured, or destroyed joint. Preservation and regeneration treatments following traditional and theoretical methods do not need to use expensive materials such as the artificial joints used in arthroplasty. On the other hand, these treatments are difficult to perform and require a long rehabilitation period. The result has been a move away from traditional methods, denying the surgeon experience and knowledge of the benefits associated with the most biologically appropriate treatment. This book, a selection of the papers presented at the 32nd Japanese Hip Society (JHS) Congress, includes the latest knowledge on preservation and regeneration treatments as well as arthroplasty, and is an invaluable source of reference for all who work in the field of orthopedic surgery.

As a result to the recent significant developments, both in the field of cutaneous pathology and clinical dermatology, many cutaneous neural tumors s are now being diagnosed by specialists like dermatopathologists, and treated by dermatologists or dermatologic surgeons. Cutaneous Neural Neoplasms provides an essential aid in diagnosis by discussing the cardinal clinico-pathologic features of cutaneous tumors relevant to these specialists. It covers detailed pathologic features, and their differential diagnosis. Applicable special diagnostic techniques are extensively illustrated. Whenever relevant, key therapeutic recommendations are provided. Unique topics covered include; Discussion of plexiform neural tumors and their imitators, with special relevance to neurofibromatosis Neoplasms with atypical microscopic features, but benign clinical behavior, which are often misdiagnosed as malignant tumors New developments in cutaneous neural tumor diagnosis and recently described neural tumors The authors approach each entity by presenting clinical and/or gross photographs when relevant with discussion of the clinical features, followed by the tabulated list of key pathologic features with corresponding histopathologic illustrations. Therapeutic recommendations are summarized. This book is intended to fill a major gap in the currently available resources for practicing physicians, and will provide them with an appropriate knowledge base to handle these challenging tumors in the most up-to-date fashion.

This unique how-to atlas presents in-depth, detailed, richly illustrated coverage of cosmetic surgical procedures that apply specifically to the Asian patient. Dr. Park, a pioneer in this field, along with Dr. Toriumi and a host of global experts present procedures for and pitfalls of cosmetic surgery in the Asian population. Inside, you'll find coverage of techniques not typically found in other Asian cosmetic surgery texts, including the single suture technique and the debulking technique for double eyelid surgery . anatomy for maxillofacial surgery . premaxillary reduction . and more. Discusses the anatomic differences between people of European descent and the Asian patient. Covers potential problems specific to Asian patients, including asymmetric eyelid creases * undesirably shaped eyelid crease * hollowness * "Westernization" * overly high eyelid crease * multiple creases * eyelid ptosis * scarring after epicanthal fold surgery * and more. Features augmentation rhinoplasty-covering both the use of alloplastic material and biological grafts LDetails the single suture technique and the debulking technique for double eyelid surgery * anatomy for maxillofacial surgery * premaxillary reduction * mandibulogram * aesthetic facial skeletal surgery * cheek dimple creation * mandible angle reduction * and Botox injection for masseteric hypertrophy. Uses 750 illustrations-most in full color-that depict every nuance of every procedure so you can quickly grasp each concept. With 23 contributors.

Rapid prototyping is used to design and develop medical devices and instrumentation. This book details research in rapid prototyping of bio-materials for medical applications. It provides a wide variety of examples of medical applications using rapid prototyping, including tissue engineering, dental applications, and bone replacement. Coverage also discusses the emergence of computer aided design in the development of prosthetic devices.

Deciding on cometic surgery should not be like buying a used car. Magazines, television shows, and advertisements have bombarded the average person with unrealistic or totally wrong information. Reality TV shows such as Extreme Makeover, I Want a Famous Face, or Dr. 90210 create hype about cosmetic surgery, but do not always convey realistic expectations or realistic results. Dr. Christopher Saunders weeds through the misinformation and focuses on education and easy concepts: the "Real-Reality" of cosmetic surgery. In an easy to read, informative, and thorough manner Dr. Saunders presents cosmetic surgery topics that focus on realistic options, realistic recovery, and realistic results that he calls the "Real-Reality." From the consultation, to the actual cosmetic operation, and everything in between, Dr. Saunders filters out the used-car sales pitch and hype pushed by many doctors and companies. Dr. Saunders uses a concise and clear voice in his book to outline key concepts about the "Real-Reality" of cosmetic surgery. If you are considering cosmetic surgery or have questions about the topic, this is a must read and important educational source.