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.

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.

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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.

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.

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.

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 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.

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.

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.

This comprehensive guide covers all aspects of mastopexy and breast reduction, ranging from anatomy to the variety of procedures in mastopexy, mastopexy/breast reduction, and breast reduction, preoperative care, complications, breast tumors (benign and malignant), and medicolegal aspects.

Omnidirectional Inductive Powering for Biomedical Implants investigates the feasibility of inductive powering for capsule endoscopy and freely moving systems in general. The main challenge is the random position and orientation of the power receiving system with respect to the emitting magnetic field. Where classic inductive powering assumes a predictable or fixed alignment of the respective coils, the remote system is now free to adopt just any orientation while still maintaining full power capabilities. Before elaborating on different approaches towards omnidirectional powering, the design and optimisation of a general inductive power link is discussed in all its aspects. Special attention is paid to the interaction of the inductive power link with the patient 's body. Putting theory into practice, the implementation of an inductive power link for a capsule endoscope is included in a separate chapter.

This second volume of the highly practical and informative work continues the fine tradition of this exceptional series. It details the latest concepts and management techniques in oculofacial plastic surgery. It contains in-depth reviews of orbital disorders such as capillary hemangiomas and venolymphatic malformations, offering new strategies in diagnosis and management. Coverage also includes recent developments in the diagnosis and management of lacrimal disorders, including salivary gland transposition for severe dry eye and lacrimal stenosis. It will prove to be a valuable resource for both the comprehensive ophthalmologist as well as subspecialists with a particular interest in disorders of the orbit, eyelids, lacrimal system, and other facial structures.

This book is a comprehensive guide to facial plastic and reconstructive surgery for surgeons and trainees. Divided into five sections, the text begins with an overview of basic techniques, analgesia and conscious sedation, and legal and psychosocial issues. The next section covers rhinoplasty, both aesthetic and medical, and section three discusses various aesthetic facial surgery procedures including browplasty, liposuction and scar revision. The following section examines non-surgical procedures such as chemical peels, Botox and fillers, and the book concludes with a section on reconstructive surgery including Mohs surgery, local flaps and grafts, cleft lip and palate, and craniomaxillofacial trauma. A question bank of more than 1000 questions and answers is included to assist revision and exam preparation. Authored by recognised experts from Canada and the USA, chapters feature multiple images and diagrams, as well as key points boxes for quick reference. Key points Comprehensive guide to facial plastic and reconstructive surgery Covers basic techniques, rhinoplasty, aesthetic facial surgery, non-surgical procedures, and reconstructive surgery Features a question bank of more than 1000 questions and answers Recognised author team from Canada and USA

Being in the field of medicine and plastic surgery, I have realised just having knowledge and skills are not enough to be a successful plastic surgeon; you need to be a general surgeon, a doctor, and most importantly, a compassionate human being to be successful. You also need to be a good administrator, leader, businessman, and politician. You need to be a good teacher to continue the legacy. This is what I am striving to accomplish. My wish is that I will be able to follow my profession with dignity, sincerity, ethically and legally, and to teach the youngsters to do the same. This book is about a great discipline that is called plastic surgery. It is an intensely personal subject that causes a great deal of debate, often very emotional. More than any other branch of medicine, it is also surrounded by a dense, almost impenetrable fog of rumor, myths, and misconceptions. This book will educate you to understand what goes behind the scene. Not only that, but everything you need to know about the plastic and cosmetic surgery from choosing the right surgeon to avoiding disasters and getting the treatment you really need is here in the book.

Hair transplantation is in demand worldwide, but because Asian hair tends to be more sparse and coarse than Caucasian hair, transplantation procedures need to be adapted to Asian patients. This book, exclusively devoted to Asian hair, is a complete and comprehensive text written by a group of authors sharing their experience in their specialized fields of hair restoration. Included are many practical tips as well as chapters on regional transplantation such as eyebrows, eyelashes, sideburns, beards, and mustaches, in addition to the usual scalp hair restoration. With its many illustrations, the book gives readers a complete knowledge of hair restoration surgery and provides a quick, easy-to-use reference on Asian hair and the differences in patients' demands. With an influx of new physicians in this challenging field of medicine, further education and training are imperative and must be available to provide a high standard of medical practice. This compilation meets that objective and ultimately makes the valuable contribution of restoring patients' self-confidence.

A definitive summary of novel techniques, this 1st volume in the New Technologies Series details the most current and multidisciplinary approach to new technologies used in general plastic, hand, peripheral nerve, microsurgery, breast, esthetic, and trauma surgery and provides an overview of the most important and clinically relevant plastic surgery research.

New surgical images of new surgical approaches are all accompanied with anatomical descriptions. In a novel way it contains endoscopic images from minimally invasive procedures and provides the most current overview of the leading trends in plastic surgery research.

Presenting newly developing clinically relevant techniques and technologies, this book aims to stimulate the reader to look at future advances and applications of research and their relevance to daily clinical practice.

Appropriate for different sub-specialties not only in plastic surgery but also in orthopedics and neurosurgery, this book will also be of great interest to trainee surgeons.

Strong body odor is a condition for which, until now, there have been few treatment methods. The Japanese authors, encouraged by the willingness of Oriental patients to undergo radical treatment, have developed the subcutaneous tissue shaving method, which eliminates the condition in a very short period of time without ugly scarring. The book Human Body Odor not only introduces the completely new subcutaneous tissue shaving method, it also questions conventional theories on the hair cycle itself and throws a new hypothesis about the process of hair generation and regeneration into the scientific arena. This could even lead in the future to a formula for retarding hair loss! Developed over the past twenty years, the authors' new surgical method for the radical treatment of bromidrosis represents a landmark in cosmetic surgery and dermatology!

Eye Plastic Surgery is a very unique and highly specialized field of medicine. This question and answer guide explores the problems frequently encountered by eyelid plastic surgeons in an easy to understand format. Multiple topics including cosmetic eyelid surgery (eyelid lift), growths of the eyelid (are they benign or cancerous?), tearing disorders, and thyroid associated eye disease are some of the topics discussed. This eyelid plastic surgery guide will allow anyone who suffers from an eyelid related problem to better understand their condition. In addition there is an extensive discussion on how to treat wrinkles around the eye. Eye Plastic Surgeons are trained initially as eye surgeons and then plastic surgeons. Therefore they are uniquely qualified to operate on the fine tissues of the eyelid and understand the eye anatomy. Who better to perform eyelid plastic surgery than an eye surgeon trained in plastic surgery? Part of maintaining healthy eyelid tissue is a healthy lifestyle. Anything you can do to maintain your overall general health has to be good for your eyes. In this book, Dr. Kristan also explores his common sense approach to achieving balance in your life through traditional and non-traditional means.