Written by two renowned experts, this book surveys the use of botulinum toxin A in aesthetic medicine, including patient selection and evaluation, as well as rules and requirements. The book provides hands-on information for common indications, such as forehead and glabella, lateral brow lift, crow's feet and lower eyelid, bunny lines and marionette lines, nose and nasolabial folds, cheeks and "gummy smile," upper and lower lip, and the chin and neck. A section with tips and tricks makes this book an invaluable resource for the practicing dermatologist, plastic surgeons and all other physicians interested in the field of aesthetic medicine.

are g rowing among core specialists in the aesthetic field, aesthetic medicine is advancing exponentially. The two authors of this text have worked together to provide a knowled- able and practical approach to the male patient in aesthetic medicine. April 2009 Timothy Corcoran Flynn, M.D. Clinical Professor, University of North Carolina at Chapel Hill Medical Director, Cary Skin Center, Cary, NC 27608, USA Preface Men are different from women in many ways. Male aesthetics are different from female aesthetics. Most readers would agree with this statement. However, as the majority of our patients are still female, even cosmetic physicians may tend to treat their male patients like female patients. This can lead to dissatisfaction of the patient and consequently of the cosmetic physician. As the demand for aesthetic procedures in male patients is rising, there is a need for good textbooks on this subject. The aim of this book is to explain the specifities of the ageing process and facial aesthetics in men and to present the treatments available. In addition, common skin conditions and diseases that also influence the male aesthetic appearance will be discussed. The book written from the perspectives of a plastic surgeon and a dermatologist should enable us to treat our male patients better, and by that increase the satisfaction of our patients and, last not least, our satisfaction as the treating physicians.

Post-burn scar contractures are a commonly encountered problem in the field of plastic and reconstructive surgery. Nevertheless, many physicians still lack adequate knowledge on beneficial treatments. In this up-to-date atlas, leading specialists in post-burn treatment and the reconstruction of post-burn scar contractures depict in detail not only surgical techniques but also a variety of advantageous wound treatments. Many new methods invented by the authors are presented. Operative techniques are depicted in detail, and clear guidance is provided on selection of the most appropriate flap surgery. Advice is also given on how to prevent permanently disabling restriction of joint movement as a result of contractures and how to achieve good aesthetic reconstruction. This atlas is designed to appeal to a wide audience, from beginners to specialists. It will prove invaluable for doctors of every kind who deal with wound management.

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.

The demand for cosmetic procedures is increasing worldwide. This book presents all the potential side-effects and complications of the most frequently used procedures in aesthetic dermatology and provides sound practical advice on their management. It will be helpful not only to beginners but also to experienced dermatologists who want to start performing new procedures. The text is fully illustrated and very simple to consult. For each procedure, the book discusses both common and uncommon side-effects and complications, provides tips on how to avoid them, and explains clearly how they are best treated.

These congenital deformities, funnel or keel chest deformities, as well as Poland syndromes, affect a small group of patients who suffer from aesthetic rather than functional impairment. The wide variety of diagnoses and recommended therapies, mostly surgical procedures, can be very confusing for patients, their parents, physicians and surgeons. In recent years several techniques have been refined and developed to deal with these complex problems, and surgeons with different specialties have been operating on these deformities, mostly as lonely experts in their respective fields. This book should not be seen as an operation atlas but more as a compact survey of a small group of medical conditions and the need for flexible options for an individual therapeutic approach, based on the combined experience of different international specialists. Thus the book is designed for obstetricians, pediatricians, physicians and surgical specialists alike.

This volume compiles the perspectives of a multi-author team examining the entire spectrum of burn reconstruction and long-term treatment. Individual chapters cover basic aspects of wound healing and scarring, and those of plastic surgery relating to tissue rearrangement and the use of flaps, as well as the long-term use of skin and skin substitutes. Furthermore, topics such as rehabilitation and scar management are addressed in detail. This part provides detailed reconstruction guidelines divided by anatomic region (e.g. face, hands,...), as well as aspects of future trends and prospects in burn reconstruction, among which are e.g. allotransplantation and bionics.

This superbly illustrated book describes how techniques previously developed by Dr. Rollin Daniel for use in open rhinoplasty can be adapted for use in the closed approach. It is the author's opinion that this combination offers greater feedback during surgery, a shorter recovery period and absence of scar. Full explanation is provided of preoperative preparation, including evaluation of the nasal surface aesthetics using the concept of geometric polygons as aesthetic subunits to define both the existing deformity and the aesthetic goals. The surgical techniques developed and modified to achieve the desired surface appearance are then described step by step with the aid of a wealth of color photos. It is illustrated how the novel dissection and redrape control methods reduce the healing time and enhance outcome and an extensive series of case analyses is presented to document the benefits of the approach. The book is written in a "cookbook format" that will enable plastic surgeons quickly to learn how to utilize the closed approach to rhinoplasty to optimal aesthetic benefit.

Over the decades, research has demonstrated that in categories of life deemed to be important, beautiful people achieve more desirable outcomes, are judged more favorably, and receive preferential treatment. An understanding of the historical aspects, science, and implications of what the human mind finds aesthetically pleasing is quintessential for dermatologists, plastic surgeons, and others who practice aesthetic medicine as the importance of beauty in today's society is what brings patients into clinics. While an element of dissatisfaction with one's appearance is commonplace, clinicians should remain vigilant for individuals who seek cosmetic procedures to quell excessive body image concerns that are out of proportion to objective physical findings. Body dysmorphic disorder (BDD) is a disorder of self-perception; it is the impairing preoccupation with a nonexistent or minimal flaw in appearance. According to recent statistics, BDD occurs in 0.7-2.4% of the general population; however, multiple studies have suggested an incidence of 6-16% in patients seeking aesthetic medical treatments. Moreover, a vast majority will at some point seek dermatologic treatment and cosmetic surgery. Such patients are unlikely to be satisfied with corrective procedures, and only 15% of dermatologists surveyed thought that they could successfully treat BDD. Therefore, Beauty and Body Dysmor phic Disorder aims to assist dermatologists, plastic surgeons, and other aesthetic providers in recognizing key characteristics as well as providing treatment strategies to help in caring for those with BDD.

Georg von Bekesey was awarded the Nobel Prize for his seminal everyone all over the world. In other words it is directed toward work on hearing. It was, however, 43 years later in 2004 that evolving a common scientifc language that is spoken uniformly Linda Buck and Richard Axel were awarded the Nobel Prize for and consistently all over the world. Universality, so that norms, their work on olfaction. Tis is indicative of how the science of staging systems, etc., can be applied anywhere in the world with rhinology is only now coming into its own. For quite some time, equal validity. Tis can only be achieved through consensus. rhinology was thought to be limited in scope. It is now appreci- Tis book contains not only the genesis and pathogenesis of ated that the nose is not only an organ of aesthetic appeal, but rhinologic disease, but also what all surgeons want and that is one that carries out several important, complex functions. Te operative steps to bring about successful resolution of disease, tremendous surge in medical literature in recent times bears with the return of normal function.

As a result to the recent significant developments, both in the field of cutaneous pathology and clinical dermatology, many cutaneous neural tumors are now being diagnosed by specialists like dermatopathologists, and treated by dermatologists or dermatologic surgeons. Cutaneous Neural Neoplasms: A Practical Guide 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. 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. Cutaneous Neural Neoplasms: A Practical Guide is an important new volume that fills a major gap in the currently available resources for practicing physicians, and provides them with an appropriate knowledge base to handle these challenging tumors in the most up-to-date fashion.

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.

This book focuses on the use and significance of in vivo reflectance confocal microscopy (RCM) for non-invasive high-resolution imaging of the skin. All of the chapters in this hands-on guide are generously illustrated with numerous confocal images and structured in a reader-friendly way. The contents include detailed information on the most relevant and up-to-date aspects of RCM, schematic drawings summarizing and explaining the most important RCM criteria, and a chapter specifically devoted to bridging the gap between dermoscopy, RCM, and histopathology. At the end of each chapter, core messages recapitulate the most pertinent aspects. Reflectance Confocal Microscopy for Skin Diseases will be a valuable resource for all physicians involved in the diagnosis and treatment of neoplastic and inflammatory skin diseases.

This volume covers the entire spectrum of acute burn treatment. Individual chapters deal with basic aspects of different burn mechanisms as well as the acute care of burn patients. Pre-hospital management, critical care and basic concepts of burn surgery related to the acute phase, as well as the use of skin and skin substitutes in early stages of therapy are addressed in this volume. Chapters on supportive therapies such as optimizing nutrition and fluid homeostasis, infection control and treatment, respiratory support and pain management complete the comprehensive approach to the patient in this early stage of treatment, while chapters on epidemiology, prevention and disaster management enable the reader to evaluate the given information in a broader context.

Computer-assisted techniques in the surgery of the facial skeleton including the skull base are depicted for the very first time in this atlas of navigational surgery. Experienced surgeons as well as trainees will benefit from the detailed and well-illustrated information on the use of computer technology in clinical routine, accompanied by the experimental basis of intraoperative accuracy. New methods of non-invasive referencing and the use of virtual models in the field of oral and cranio-maxillofacial surgery are demonstrated. Clinical cases illustrate the practical use of this new technique.

This reader-friendly and unique compendium on all aspects of non-invasive facial rejuvenation shows the current approach to the issue. It describes when and how to use laser and laser-like technology, the variety of superficial and deep peels which can be used by themselves or in conjunction with lasers. Last but not least, it also covers the variety of dermal fillers and skin volume enhancement agents and the increasing cosmetic uses of botulinum toxin. Novices as well as experts will benefit from the wealth of experience and expert practical information of the authors who are world-renowned experts in their field.

Facial Plastic and Reconstructive Surgery: Clinical Reference Guide is a portable reference guide that fills the void of an easy to read, concise, but comprehensive book encompassing all aspects of facial plastic and reconstructive surgery, both in the clinical setting as well as in preparing for board exams. Each chapter follows a uniform outline to facilitate quick review of a topic, and the comprehensive nature of each chapter provides the depth required for written and oral standardized tests. Chapters incorporate authors from all specialties -- Facial Plastic and Reconstructive Surgery, General Plastic and Reconstructive Surgery, Oculoplastic Surgery, and Dermatology -- as well as encompass all aspects of Facial Plastic and Reconstructive Surgery, from cosmetic to reconstructive to craniofacial.Formatted like the bestselling "Pasha" (Otolaryngology-Head and Neck Surgery) pocket guide, this text provides a condensed amount of high-yield information with a multidisciplinary approach to bring a broader range of insight into complex clinical challenges.Combining key insights from senior and junior authors, each chapter provides a unique perspective on the relevant information needed by those getting themselves established within the field.

Since the first successful digit replantation in Japan in 1965, the field of microvascular surgery has rapidly progressed throughout Japan and the world. Experimental and Clinical Reconstructive Microsurgery draws on the experience of a large number of experts in the areas of experimental microsurgery, limb and digit replantation, and composite tissue transplantation. The result is an extensive monograph covering the history and future prospects of microsurgery, essential microsurgical techniques for laboratory research, and the fundamental methods of harvesting tissues and their grafting techniques. Because the field of microsurgery includes a broad range of clinical disciplines, this book is a valuable resource to all orthopedic, traumatic, and plastic surgeons with an interest in microsurgery.

This atlas gives careful step-by-step guidance for endoscopic sinus surgery. In doing so, it provides exciting firsthand accounts of modern advanced endoscopic sinus procedures. In the first part of the book the surgical anatomy of the nose and sinuses and the basic surgical techniques are described. The second part deals with advanced techniques and postoperative care. The detailed, step by step narratives - integrated with many intraoperative photographs - accurately convey both surgical fundamentals and nuances. For each procedure the authors give a piece of advice ("golden rules"), making it ideal for those who want to implement well-coordinated surgical approaches to sinus disease.

Secondary Rhinoplasty begins with the basic anatomy of the nose that often predetermines which technique is possible and which is realistic. Each region of the nose and its particular anatomy is analyzed and explained as a specific unit and as part of the total aspect of management. Reconstruction of the nose, biologic deteriorations, tumors, the effects of aging, and associated congenital abnormalities are also dealt with. Nothing of substance has been left out, and yet the primary value of this text is the presentation of the most optimal surgical methods of correction.

This book is the most up-to-date publication on fluorescence diagnostic (FDAP) and photodynamic therapy (PDT) methods used in dermatology. Both techniques are presently world wide introduced as standards for the delineation and the treatment of cutaneous precancerous stages and tumors, which show steadily increasing numbers due to e.g. more frequent sun exposure. Summarizing experiences on more than 5.000 treated patients, it offers a comprehensive information on every aspect of skin tumor detection and treatment. The main part of the book focuses on the clinical aspects giving detailed descriptions on skin tumor detection as well as photodynamic treatment of selected diseases (solar keratoses, basal cell carcinomas, squamous cell carcinomas, Bowen's disease, psoriasis lesions, etc.). The clinically oriented chapters are supplemented by practical guidelines for PDT and FDAP. The included atlas is comprised of 270 high quality color figures allowing daily use as a handbook.

Thermal harm is one of the most traumatizing assaults on man and his environment. Whether suffered by living beings as burn injury, or sustained by societal structures as fire damage, the resulting physical pain and material loss can be extremely distressing both to the person and to society. The health professions and in particular burn specialists have been continually developing effective means of combating burn disease and promoting rehabili tation of the victims, especially in mass casualty situations. In parallel, various levels of the community have been mobilizing fire prevention and fire-fighting mechanisms that protect society and the environment from the ever-increasing hazards of fire disasters. It is therefore surprising that, while aiming at the same objective, the two sectors have rarely come together; doctor has rarely worked with fire chief. Yet both disciplines have so much to learn from and contribute to each other's efforts. The Mediterranean Burns Club is a professional organization that brings together persons concerned with burn therapy and fire safety in all forms, especially in the countries of the Mediterranean basin. It is honoured to have been identified by the United Nations as a premier scientific body in its field within the programme of the International Decade for Natural Disaster Reduction. It is therefore natural that it should have initiated an international gathering of specialists engaged in burns as a surgical, clinical problem, and of counterparts dealing with fires as a societal, disaster management problem."

The distinguished authors have perfected the most frequently performed oculoplastic surgical techniques. The Atlas is designed to instruct all ophthalmologists who wish to learn these techniques. Mastery of these procedures is made easy by numerous superbly illustrated step-by-step instructions. The study of the supporting anatomy, followed by clear-cut guidelines with heavily illustrated techniques, offers a format that allows the learner to gain the necessary understanding for achieving a more favourable result.

This volume summarizes the proceedings of the Reisensburg workshop which took place at Reisensburg Castle in November 1997". The castle is built on the site of an - cient Roman compound and situated in the south of Germany at the Danube river. Sci- tists from Australia, Austria, Belgium, Estonia, Germany, Italy, Netherlands, South Africa, Switzerland, and the United States participated in the workshop. Like the 1996 workshop, the proceedings of which will be published in Medicine and Science in Sports and Ex- cise in 1998, the 1997 workshop also focused on the topic of overtraining in its widest sense to deepen our knowledge in this particularly sensitive field of sports science and sports practice. The authors see the present volume in a context with the proceedings p- sented by Guten (ed. ) "Running Injuries"; Saunders, Philadelphia (1997) and Kxeider, Fry, and O'Toole (eds. ) "Overtraining in Sport"; Human Kinetics, Champaign IL (1997). Overtraining, that is, too much stress combined with too little time for regeneration, can be seen as a crucial and threatening problem within the modern athletic community, of which significance can already be recognized reading daily newspapers: ". . . During the 1996 European championships, a gymnast shook his head almost imperceptibly, closed his eyes briefly and left the arena without looking up. He was fatigue personified. 'Suddenly, I just couldn't do any more. I just wanted to rest'". A look at his schedule showed why.

Guidelines, operative techniques, and postoperative management for rhinoplasty of the non-Caucasian nose. Starting with the basics of Black, Hispanic, and Asian nasal anatomy, the book goes on to encompass preoperative nasal evaluation and surgical planning. The author demonstrates his renowned techniques, including those for nasal septum and turbinates, nasal dorsum and bridge, alar rim and nasal base reduction, and the nasal tip. Close to 200 clinical and operative illustrations - 50 in full colour - are backed by important protocols for revision rhinoplasty as well as for the management of risks and complications. A must for all plastic surgeons wishing to add the latest in non-Caucasian nasal refinement techniques to their office practice.