"Function? is the focus of any hand surgery, a frequently performed procedure by reconstructive plastic surgeons. The topics in this volume of Clinics in Plastic Surgery work their way through soft tissue procedures of the fingers and hand through the upper arm. The more common conditions and commonly performed surgeries are presented here along with the more difficult and complicated procedures. Topics include: Current practice of soft tissue repair of fingertip; Microsurgical soft tissue and bone transfers in complex hand trauma; Full cosmetic reconstruction of the digits by composite tissue grafting; Methods, pitfalls, and common mistakes in treatment of fractures in the digits; Venous flap and freesytle free flap in hand surgery; Management of pain in peripheral nerves; Technical difficulties of surgical treatment and salvage of treatment failure in Dupuytren's disease; Surgical treatment of cubital tunnel syndrome; Distal radius fracture: indications, treatment, controversies; Repair, autografts, conduits, and allografts for digital and forearm nerves: current guidelines. Two experts renown in hand surgery lead this issue - Dr Michael Neumeister and Dr Jin Bo Tang.

Necklift is essentially the foundation of "facelift? or "rhyditectomy" in cosmetic surgery. The neck is a major anatomic area that surgeons address when a patient wants facial rejuvenation. This issue of Facial Plastic Surgery Clinics focuses solely on Necklift. Every facial platic surgeon and plastic surgeon, along with dermatologists and other cosmetic specialists who work in facial rejuvenation will benefit from the information presented on neck lift techniques, less invasive and minimally invasive procedures, and tips from expert surgeons who work on the aging face. Videos showing technique accompany many of the articles, topics of which include: Anatomy and Physiology of the Aging Neck; Pre-operative Evaluation of the Aging Neck Patient; A Systematic Approach to Neck Rejuvenation; Non-Surgical Neck Tightening Treatments; Neck Skin Rejuvenation; Minimally Invasive Approaches to Neck Rejuvenation; Techniques for Rejuvenation of the Neck Platysma; The Extended SMAS Approach to Neck Rejuvenation; The Deep Plane Approach to Neck Rejuvenation; Vertical Neck Rejuvenation; Adjunctive Procedures to Neck Rejuvenation; Complications and Sequelae of Neck Rejuvenation.

Surgeon are presented an in-depth view of current surgical management of the cleft lip and palate patient in this issue of Clinics in Plastic Surgery. Focusing on aspects most relevant to plastic surgeons, each article offers an evidence-based assessment of current management options along with detailed descriptions of the author's preferred surgical technique. Outcomes measures for each aspect of cleft care are discussed, along with an update on current inter-center outcomes studies in the US and abroad. This issue of The Clinic's brings the current state of the art in cleft treatment to the practicing plastic surgeon, highlighting the changes and ongoing developments in the field. Topics include the nuanced management of Pierre Robin Sequence and Velo-cardio-facial syndrome, the continued evolution of naso-alveolar molding, and new developments in orthognathic surgery.

Techniques in contemporary rhytidectomy are covered in a highly illustrated Atlas format. Articles will include surgical anatomy of the superficial musculo-aponeurotic system (SMAS), management of the SMAS, evaluation of the aging lower face and neck, rejuvenation of the anterior neck: the when and why, short scar rhytidectomy techniques, combined rhytidectomy and alloplastic facial implants, the opportunistic rhytidectomy, revision rhytidectomy, adjunctive techniques in contemporary rhytidectomy, and more.

While every facial plastic surgeon is trained in hair restoration, unless one does it frequently in practice, there are techniques, tips, and approaches to be learned from experts in this field who focus solely on hair transplantation and restoration. Techniques, Complications, Medical Treatment, and Medical Diagnosis are covered for Donor Harvesting and Management of the Donor Site; Hairline Design and Frontal Hairline Restoration; Management of Advanced Hair Loss Patterns; Repair of the Unsuccessful Hair Restoration; Tissue Expansion for Scalp Reconstruction; Imposters of Andogenetic Alopecia: Diagnostic Pearls for the Hair Restoration Surgeon; and more. This clinically focused information is intended for the facial plastic surgeon whose practice is not a majority of hair restoration and for surgeons who might want to grow their hair practice. Editors Raymond Konior and Steven Gabel lead this review in Facial Plastic Surgery Clinics. When asked why hair transplantation and restoration is of compelling interest, Dr Konior explains that he decided to limit his practice solely to hair restoration because it is a life altering procedure for patients: "People cannot believe the outcome - they come to me post-restoration and are so happy with their new appearance, telling me how much their lives are changed. Whether for job or career or personal reasons, this procedure has a positive outcome for them.?

The Year Book of Plastic and Aesthetic Surgery provides information valuable for the continued professional development of plastic surgeons at all levels of skill and knowledge. The Year Book of Plastic and Aesthetic Surgery presents abstracts of articles from journals worldwide that touch upon all aspects of plastic and reconstructive surgery. Commentaries from experienced surgeons evaluate the clinical importance of each article and discuss its application to clinical practice. Focused, fast, and insightful information for the busy surgeon.

A panel of experts in facial plastic surgery procedures respond to questions regarding their approaches, techniques, outcomes, and overviews of specific procedures. Surgeons address cosmetic and reconstructive surgeries in Neuromodulators, Hair Replacement, Upper Face Rejuvenation, Blepharoplasty, Le Fort Fractures, Implants, and Auricular Deformities.? This is the second of a two-volume presentation, the first volume presenting topics covering Rhinoplasty, Revision Rhinoplasty, Facelift, Midface Lift, Chemical Peels, Laser Resurfacing, Lip Augmentation, Mandible Fractures, Subcondylar Fractures, Facial Reanimation, Injectables and Fillers, and Fat Grafting.

Very focused reviews examine the relevant options in rejuvenating the aging neck. Options in treating the aging neck include non-invasive, minimally invasive, and open surgical approaches. The geometry of the neck, as a simple yet non-hollow cylinder, is examined anatomically and through procedures specific to this unique area. Topical treatments for the aging skin, advances in non-invasive and minimally invasive technologies using various injectables and energy sources, and a range of open procedures that consider all of the internal components of the aging neck are presented. A special Techniques section poses questions to an international group of surgeons who respond with their preferred techniques and approaches and outcomes for such situations as defatting the heavy neck, approach to young versus older neck, use of fibrin glue, and more.? Guest Editor Malcolm Paul, who works in academia, private practice, and with technologic companies, leads this review.

Complications in cosmetic surgery - no surgeon wants to admit to them, all surgeons dread them, and all have experienced them. This issue is devoted solely to complications in facial plastic surgery - the most common and the most feared - and discussion on best approaches to avoid them. Each article focuses on a specific procedure. Each article discusses: Surgical Complications, Pharmacologic or Interaction Complications, Nonpharmacologic Complications, Complication Avoidance, Procedural Approach (with video), Complication Management Perioperative, Complications Management Postoperative. Written by facial plastic surgeon experts, this information is essential for facial plastic surgeons, plastic surgeons, and to cosmetic adjunct professionals who perform injections and resurfacing. This publication is directed by two expert practitioners and academicians who are at the apex of their field, Dr Richard Goode and Dr Sam Most. Their substantive teaching and training experiences position them to provide comprehensive understanding and skills in performing cosmetic surgery.

An important review on trauma and reconstruction for the oral and maxillofacial surgeon! Topics include systematic assessment, imaging for diagnosis and management, helping anesthesiologists understand patients with facial fractures, management of fractures of the condyle, condylar neck and coronoid process, mandibular angle, body and symphysis, zygomatico-maxillary complex, naso-frontal complex, pan-facial complex, late reconstruction of condyle and condylar neck fractures, orbital and naso-orbital deformities, residual soft tissue deformities, and more!

The scope of use of local anesthetics in procedures in plastic surgery is covered in this issue of Clinics in Plastic Surgery. Discussion centers on plastic surgeons in private practice in ambulatory facilities and those scheduling time for OR in hospital facilities using local anesthetics while accommodating patient comfort and absence of side-effects post general anesthesia. Presented in this publication are the most common plastic surgeries that can be done under local anesthesia, each with a discussion of the optimal anesthetic, method of administration, and dosage. Video of the procedure or portion of the procedure, as applicable, accompanies the techniques along with a surgical case. The goal of this issue is to provide a concise reference for surgeons' planning surgeries to review and perhaps adapt currently used methods with this latest information on local anesthetics. Surgical Technique is provided in detail with full analysis of Patient Selection and Planning, Complications and Post-procedure Care. Contents include Complications; Basic Science of Locals; Skin Grafts and Flaps; Peripheral Nerve; Foot Surgery; Breast Surgery; Liposuction; Hand Trauma; Oculoplastic Surgery; Ear Surgery; Hair Transplantation; among others.

With approximately 13.8 million minimally-invasive cosmetic surgeries performed in the United States, and approximately 12.2 million minimally invasive cosmetic treatments performed in 2011, most of these are undertaken in surgeons group practice or surgery center locations. The most common as well as the most dreaded complications are presented along with articles presenting best practice for cosmetic surgery centers. Each topic presents Anesthesia, Infection control, Complication avoidance and management, along with technique video. Some of the topics include: Patient Selection in Outpatient Surgery; Airway Management in the Outpatient Setting; Deep Venous Thrombosis - Prevention and Management; Intravenous Sedation from the Surgeon s Perspective; Postoperative Nausea and Vomiting; among other relevant issues to the surgeon. Guest Editors are Geoffrey Keyes and Robert Singer, both involved with the Association for Accreditation of Ambulatory Surgery and fervent about certified surgeons running ambulatory facilities for best outcomes and avoidance of mortalities and severe morbidities. "Outpatient Plastic Surgery is a clear, handy reference not only for the young plastic surgeon but also as a resource for those well established in practice." Reviewed by Aesthetic Surgery Journal., May 2015

A collection of minimally invasive facial rejuvenation techniques are examined to answer the question: Are they replacing more traditional/aggressive surgical procedures This clinical and surgical information in Facial Plastic Surgery Clinics examines the increasing use of less invasive procedures and addresses how these are changing the surgeon's traditional approaches. . . 15-minute rhinoplasty, 1-hour facelift, lunchtime laser treatment, 5-minute Botox . .all are very much in the public consciousness and facial plastic surgeons address minimally invasive procedures with the question: Do they work? What is the evidence in terms of outcomes for each of the procedures addressed? What are the challenges?Authors compare a minimally invasive technique with its more invasive procedure counterpart in facial rejuvenation and provide their own experience and sense of ultimate long-term results, technique, complications, contraindications, recovery, patient selection. Endoscopic brow lift is compared with coronal brow lift; Necklifts are compared with cervical skin tightening devices; Facial fillers are compared with facial implants; Fractional and ablative CO2 resurfacing are compared; Rhinoplasty versus fillers; and more. . .Guest Editor Theda Kontis leads this presentation intended for facial plastic surgeons, plastic surgeons, and other specialists who are certified to practice cosmetic surgery.

This issue will include 16 articles, which will provide an overview of the biomechanics of the procedure, several surgical options (including how to perform the operation on a fully-awake patient), as well as some novel approaches and a review of one doctor's patient outcomes over the past 30 years.

Beyond the skin as protective barrier, surgeons and dermatologists explore the science of skin as they work with it every day on patients and clients with aging skin, facial scars, deformities, skin cancer, sun damage, vascular lesions, and traumatic injuries. This compilation of topics in Facial Plastic Surgery Clinics provides a primer on the basic science of skin, wound healing, exploration of genes, stem cells, and molecular science, along with direct clinical information related to surgery and medicine applicable in skin disorders, cosmetic procedures, and reconstructive procedures. Guest Editors David Hom and Adam Ingraffea lead a group of facial plastic surgeons and dermatologists who present an Overview of a specific skin problem, Therapeutic options, Clinical outcomes, Complications and sequela, along with a review of the most current literature to date on the subject of skin as is clinically and surgically relevant for dermatologists, facial plastic surgeons, plastic surgeons, and general practitioners.

Outcomes . . .familiar in medicine fields, but only in recent decades becoming more of an issue for surgeons . . .the highly subspecialized nature of the surgical profession and breadth of procedures along with variance in patient population creates a challenge in achieving useful, informative outcomes. Here, in this issue of Clinics in Plastic Surgery, the focus is on evidence-based practice and outcomes in plastic surgery, spanning the major areas of cosmetic and reconstructive surgery. Outcomes as guidance for the surgeon's decision regarding approaches and techniques for procedures is the approach. Some of the topics covered are: Measuring Outcomes in Aesthetic Surgery; Measuring Outcomes in Craniofacial and Pediatric Surgery; Measuring Outcomes in Hand Surgery; How to Link Outcomes Data to Quality Initiatives in Plastic Surgery; along with How to Use the Outcomes Questionnaire, Pearls and Pitfalls; among others. Guest Editors Kevin Chung and Andrea Pusic lead this review. Dr. Chung is involved with structuring evidence-based practice and research in hand surgery to derive the best evidence to guide treatment for upper extremity conditions and he developed the Michigan Hand Outcomes Questionnaire. Dr Pusic developed the BREAST-Q, which measures satisfaction and quality-of-life outcomes among breast reconstruction patients. Out of the BREAST-Q has come the FACE-Q, which provides a clinically useful patient-reported outcome measure of satisfaction and quality of life following elective surgical and non-surgical facial rejuvenation.

Traditionally, professional medical and surgical society meetings, journals, and texts are single-specialty driven to accommodate specific specialists with information most important to them. A consequence of this structure is that it can create an unintentional and artificial barrier to sharing knowledge that can benefit patient outcomes. Cosmetic and reconstructive surgeons, more than ever, are seeking to know what other specialists are doing. This publication, the first of a series, focuses on the brow and upper eyelid rejuvenation and presents varied and complementary techniques from the core specialties of Plastic surgery, Oculoplastic surgery, Facial plastic surgery, and Dermatology to address all aspects of rejuvenation procedures of the upper face. Surgical and non-invasive techniques are presented concisely, focusing on time-tested as well as novel procedures. The most talented and accomplished subspecialists in their respective fields provide insights into such topics as Preoperative Evaluation for the Upper Eyelid and Brow; Aesthetic Enhancements in Upper Blepharoplasty; Asian Upper Lid Blepharoplasty; Prevention and Intraoperative Management of Blepharoplasty Complications; Ptosis Repair in Aesthetic Blepharoplasty; Adjunctive Fat Grafting of the Brow/Upper Lid; The Open Brow Lift; Adjunctive Skin Care of the Brow and Upper Lid; among many others. Specific techniques, Patient perspective and goals, and clear anatomic descriptions are presented with each procedure, with several offering technique videos. Guest editors Babak Azizzadeh and Guy Massry strongly believe that, with more and varied practitioners with different training taking on cosmetic and reconstructive surgeries or procedures, transparency of information is essential in order to expose the best information to all practitioners of this art and science.

An important review on the orbit for the oral and maxillofacial surgeon! Topics include anatomy, imaging and radiology, growth and development of the orbit, surgical ophthalmology exam, surgical approaches and navigation technology, biomaterials in orbital surgery, orbital trauma, late correction of orbital deformities, orbital tumors, esthetic surgery of the orbits and eyelids, correction of the orbit in craniofacial deformities, prosthetic reconstruction of the orbit/globe, and more!

Nonmelanoma skin cancer (NMSC) is one of the most important causes of morbidity and therapeutic costs especially in Western countries such as Australia, Europe and United States of America. The overall NMSC rates have risen precipitously in the last three decades, leading to an increase in patients seeking treatment from dermatologists, facial plastic surgeons, plastic surgeons, and related disciplines. The head and neck is a region in which anatomical, functional and aesthetic problems may occur; therefore, clinicians, surgeons and researchers are working to find new diagnostic techniques and therapeutic modalities. This issue of Facial Plastic Surgery Clinics reviews different topics in NMSC in-depth with discussion, figures, tables, clinical, histopathological and surgical photographs, and provides an up-to-date information source for the clinicians and surgeons. Guest Editor Cemal Cingi, an expert clinician and researcher in cancers of the head and neck, leads an international panel of authors on this subject.

Information and updates on surgical techniques and equipment in the face of continued, rapid growth of plastic surgery are presented. The majority of this surgical information presents a blend of the newest data with a description of current and potential future clinical/surgical applications of new concepts, tools and techniques. Unique innovations in the field of breast reconstruction, treatment of lymphedema, and genitourinary function rehabilitation are addressed. Burns, extremity salvage, muscle flaps, biomaterials, reconstructive transplantation are among the topics presented. Information contained in Impact of Advances in breast Cancer Management on Reconstructive and Aesthetic Breast Surgery provides a practicing plastic surgeon an update of what is new in breast oncology and how it is or should be linked with the plastic surgeon's approach to breast surgery and reconstruction. Compilations of outcomes data are provided from ongoing clinical trials testing new concepts and techniques on the near horizon. A conclusion pertains to the details of ongoing acquisition of new skills, transferrance of existing skills, and maintenance of old skills, along with safety in plastic surgery in the context of surgical and technological advances presented by leaders representing diverse generations of practitioners.

A panel of experts in facial plastic surgery procedures respond to questions regarding their approaches, techniques, outcomes, and overviews of specific procedures. Surgeons address cosmetic and reconstructive surgeries in Rhinoplasty, Revision Rhinoplasty, Facelift, Midface Lift, Chemical Peels, Laser Resurfacing, Lip Augmentation, Mandible Fractures, Subcondylar Fractures, Facial Reanimation, Injectables and Fillers, and Fat Grafting. This is one of a two-volume presentation that continues with topics addressing Neuromodulators, Hair Replacement, Upper Face Rejuvenation, Blepharoplasty, Le Fort Fractures, Implants, and Auricular Deformities.

Plastic Surgery's pre-eminence in the field of surgical wound management is enhanced with clinical information in this publication. A surgeon involved with an international team training surgeons throughout the world in wound technology leads this issue, presenting advances in wound technology. Wound technology has enabled plastic surgeons to treat a wide variety of wounds successfully and has transformed wound surgery to a thriving, cutting edge specialty. Topics include: Debridement; Microbial Barrier Protection; Harnessing Growth Factors to Influence Wound Healing; Regenerative Materials that Facilitate Wound Healing; Compression and Venous surgery to treat VLUs; Early Experience with Stem Cells in treating Chronic Wounds; Hyperbaric Oxygen, Topical Oxygen and Nasal Oxygen in Wound Management; Negative Pressure Wound Therapy: An Algorithm; Sophisticated Surgical Solutions for Complex Wound Problems; An Algorithm for Limb Salvage for Chronic Ulcers; Outcome Assessment for Chronic Wound Management with Serial Debridement, and Topical Surface Manipulation.

Imaging and Anatomy of the Cochlea; Genetics of Hearing Loss, Testing, and Relevance to Cochlear Implantation; Candidacy Evaluation, Medical and Surgical Considerations for Cochlear Implantation, Expanding Criteria in Children; Surgical Technique for Cochlear Implantation and Accepted Variations in Children; Bilateral Cochlear Implantation; Implanting Obstructed and Malformed Cochleae; Device Programming NRT, NRI, Streamlined Programming; Cochlear Implants and Music; Rehabilitation and Educational Considerations in Cochlear Implantation; Outcomes and Variables Affecting Outcomes in Cochlear Implantation; Language Development and Cochlear Implantation; New Frontiers in Cochlear Implantation: electroacoustic, hearing preservation; Revision Cochlear Implantation in Children; Current and Future Device Options for Cochlear Implantation