Problems in Periorbital Surgery: A Repair Manual The field of periorbital surgery has expanded exponentially in recent decades. With its rise in popularity, however, comes a rise in complications. Finally there is a comprehensive guide to repairing the problems encountered in periorbital surgery, compiled by masters in the art of periorbital surgery! This unique resource for plastic, facial plastic and oculoplastic surgeons offers several key features: A thorough discussion on the history and examination for the evaluation of the eyelid Stepwise guidance for correcting a range of complications in periorbital surgery, including infection and bleeding, blindness and motility disorders, specific upper and lower eyelid problems including lid retraction, chemosis, and adverse results from fillers and resurfacing Several chapters, presenting different approaches, devoted to the challenging problem of lid retraction and its multifactorial etiology A case-report format that provides detailed discussions of all possible complications Expert techniques from renowned surgeons providing multiple perspectives on the same problems More than 300 color photographs and beautifully detailed surgical illustrations Multiple video clips showing details of eyelid evaluation and corrective techniques Both print and electronic formats for easy access everywhere To meet the ever-increasing patient demand for these youth-restoring procedures, all surgeons undertaking eyelid surgery and committed to prevent and treat complications of periorbital surgery should have this resource in their collection! This book includes complimentary access to a digital copy on https://medone.thieme.com.

Filled with take-away messages and valuable insights, Aesthetic Breast Surgery by Elizabeth Hall-Findlay, MD, is a masterful text that you will refer to time and again. It presents a personal and time-proven approach to all forms of aesthetic breast surgery. This book is a distillation of the author's extensive experience and provides her unique perspective on problem-solving and patient analysis. Dr. Hall-Findlay has spent years measuring and studying patient results to help other surgeons use "science" to improve the "art" of aesthetic breast surgery. She has developed an approach to analysis and surgery which is simple and consistent-with results that can be achieved by all surgeons. Prepare Yourself for a Master Class in Aesthetic Breast Surgery With personal insights and wisdom pervading every page, this book provides the reader with a master class in aesthetic breast surgery by one of the world's leading experts. Dr. Hall-Findlay is widely known for her popularization of the medial pedicle approach to vertical breast reduction and this is covered in depth. However, her accomplishments in breast surgery extend far beyond this technique. Her ongoing innovations continue to advance the field. In this semi-atlas work, she brings her considerable expertise to bear on the range of aesthetic breast surgery procedures as she describes her individual approach to patient evaluation, operative planning, clinical decision-making, and operative technique. Comprehensive Coverage Divided into nine comprehensive chapters, the book begins with key chapters on analysis, concepts, applied anatomy, and patient selection that lay the foundation for the technical descriptions that follow. These introductory chapters are not to be missed. They offer a unique approach to patient assessment and alert the reader to critical anatomic landmarks that strongly influence the success of operative procedures. Concepts such as the breast footprint (high-breasted and low-breasted patients) are examined to help readers understand the realistic possibilities for what can and cannot be achieved when planning breast surgery. The emphasis is on the decision-making process involved in choosing the right approach for each patient and then planning the procedure with these landmarks in mind. The next seven chapters are devoted to operative technique. A consistent format is used in each chapter with detailed information on patient evaluation, planning, technique, revisions, complications, and outcomes. These pages are liberally illustrated with step-by-step descriptions depicting breast augmentation, vertical breast reduction with the medial pedicle, liposuction-only breast reduction, mastopexy, mastopexy/augmentation, and surgery for breast asymmetries. Information on avoidance and treatment of problems and complications is also highlighted throughout the book. Of particular note is the comprehensive information on nipple necrosis in the reduction chapter; this provides essential information to help surgeons who are faced with decreased blood supply to the nipple. Beautifully Illustrated Beautiful and dramatic color illustrations and numerous preoperative, intraoperative, and postoperative images help the reader visualize the steps of each procedure and appreciate the excellent long-term results that can be achieved. Unique Features Throughout the technique chapters, artwork icons are paired with photographic images to better elucidate the surgical technique being described. Key points are highlighted, and a summary box outlining central issues concludes each chapter. Two DVDs contain operative video to complement the text.

What happens when a baby is born with "ambiguous" genitalia or a combination of "male" and "female" body parts? Clinicians and parents in these situations are confronted with complicated questions such as whether a girl can have XY chromosomes, or whether some penises are "too small" for a male sex assignment. Since the 1950s, standard treatment has involved determining a sex for these infants and performing surgery to normalize the infant's genitalia. Over the past decade intersex advocates have mounted unprecedented challenges to treatment, offering alternative perspectives about the meaning and appropriate medical response to intersexuality and driving the field of those who treat intersex conditions into a deep crisis. Katrina Karkazis offers a nuanced, compassionate picture of these charged issues in "Fixing Sex," the first book to examine contemporary controversies over the medical management of intersexuality in the United States from the multiple perspectives of those most intimately involved.

Drawing extensively on interviews with adults with intersex conditions, parents, and physicians, Karkazis moves beyond the heated rhetoric to reveal the complex reality of how intersexuality is understood, treated, and experienced today. As she unravels the historical, technological, social, and political forces that have culminated in debates surrounding intersexuality, Karkazis exposes the contentious disagreements among theorists, physicians, intersex adults, activists, and parents--and all that those debates imply about gender and the changing landscape of intersex management. She argues that by viewing intersexuality exclusively through a narrow medical lens we avoid much more difficult questions. Do gender atypical bodies require treatment? Should physicians intervene to control the "sex" of the body? As this illuminating book reveals, debates over treatment for intersexuality force reassessment of the seemingly natural connections between gender, biology, and the body.

Questo volume e una guida aggiornata alla diagnosi, alla terapia e alla gestione delle numerose malattie e alterazioni dei capelli e dei peli, e particolare attenzione e stata dedicata a quei disturbi che si e iniziato a studiare da pochi anni e tecniche diagnostiche di recente impiego. Negli ultimi anni la ricerca scientifica ha infatti compiuto notevoli progressi nel campo della tricologia e oggi sono disponibili nuove tecniche diagnostiche e terapie specifiche. Questo testo accompagnera il dermatologo, il chirurgo plastico e il medico generico nel riconoscimento e nella comprensione delle piu frequenti malattie dei capelli e dei peli, fornendo suggerimenti per la gestione corretta del paziente e per la terapia migliore.

This book provides a practical, step-by-step guidance on modern workhorse flaps for plastic and reconstructive surgeons in training or in their early career. The 50 chapters cover everything from surgical fundamentals to preconditions of microsurgical techniques, but also covers pre-operative planning, steps of microsurgical dissection and management of complications in a straightforward, explanatory style, and are supplemented by over 600 clinical illustrations and cadaveric images. Further videos demonstrations with pertinent steps in flap dissection, anatomical nomenclature and long-term outcomes are also demonstrated. For each flap a detailed discussion of key papers concerning its origin, pitfalls, technical refinements and tips for success are also included. Thanks to specific notes on common reconstructive challenges and complications, this book offers a valuable reference tool and would be unquestionably an integral reference guide for every surgeon interested in reconstructive microsurgical techniques, especially during their early microsurgical career.

This book provides a vividly illustrated description of a wide range of soft tissue injuries of the head and neck and their treatment, which forms part of the workload of both Plastic and Reconstructive Surgery and Cranio –Maxillofacial Surgery. Other medical and surgical disciplines are also involved, though to a lesser extent. It clarifies many topics, including the general principles of wound management, the treatment of various soft tissue injuries, burns, and wound healing disturbances.This book is intended for interns, residents and fellows of Plastic Surgery and Maxillofacial Surgery as well as surgeons and physicians of other disciplines dealing with soft tissue trauma of the head and neck. It may also prove useful to theatre and A & E nurses as well as medical students with interests in head and neck traumatology. 

In this issue of Facial Plastic Surgery Clinics, guest editors Drs. Kofi Boahene, Anthony E. Brissett, and Roxana Cobo bring their considerable expertise to the topic of Ethnic and Global Perspectives to Facial Plastic Surgery. Top experts in the field provide detailed coverage of the considerations that need to be made for ethnic patients seeking facial plastic surgery. A wide variety of key topics are presented, including separate articles on case-based, rhinoplasty considerations for African, Latino, Middle Eastern, and Asian patients. Contains 14 relevant, practice-oriented topics including nuances of ethnic skin and minimally invasive techniques; thread lifting techniques with PDO; volumization in patients of ethnic descent; hair restoration in the ethnic patient; face and neck lift options in patients of ethnic descent; and more. Provides in-depth clinical reviews on ethnic and global perspectives to facial plastic surgery, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

In this issue of Facial Plastic Surgery Clinics, guest editor Dr. Sebastian Cotofana brings his considerable expertise to the topic of Facial and Nasal Anatomy. Top experts in the field cover key topics such as facial transplantation, 3D imaging and virtual surgical planning in facial reconstruction, liquid rhinoplasty using the superficial approach, and many more. Contains 12 relevant, practice-oriented topics including updated biomechanical concepts of the face; the layered anatomy of the nose and its relation to nasal arterial vasculature (ultrasound-based); 3D surface scanning of the nose (whole body scanners vs. facial handheld devices); assessing the aesthetic perception of the nose in pre- vs. post-rhinoplasty individuals (eye-tracking based); and more. Provides in-depth clinical reviews on facial and nasal anatomy in plastic surgery, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

In this issue of Hand Clinics, guest editors Drs. Phillip Ross and Sarah E. Sasor bring their considerable expertise to the topic of the Thumb CMC Joint. Top experts in the field discuss different strategies for the management of problems with the thumb carpometacarpal (CMC) joint, as well as treatment options. Contains 14 relevant, practice-oriented topics including joint-preserving treatments for thumb CMC osteoarthritis; thumb CMC implant arthroplasty; revision CMC arthroplasty; diagnosis and treatment of CMC instability; and more. Provides in-depth clinical reviews on the thumb CMC joint, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

In this issue of Cardiac Electrophysiology Clinics, Guest Editors Eric N. Prystowsky and Benzy Padanilam bring their considerable expertise to the topic of Cardiac Conduction System Disorders. Top experts in the field cover key topics such as sinus node abnormalities, electrocardiography of AV block, AV conduction, pacemaker-induced cardiomyopathy, and more. Provides in-depth, clinical reviews on Cardiac Conduction System Disorders, providing actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field; Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews. Contains 16 relevant, practice-oriented topics including Anatomy and Pathology of the cardiac conduction system; Physiologic variants of cardiac conduction; Genetic abnormalities of SA node and AV conduction; Epidemiology of Prolonged PR interval; and more.

This reference volume conveys complete understanding and management of Androgenetic Alopecia and Female Pattern Hair Loss (AGA/FPHL). These are probably the most common adult (18-50 yrs.) health disorders besides dental caries, accounting for over 98% of hair loss cases in males and over 70% cases in females. The present volume, the first of three related volumes, is structured in 4 sections: 22 dedicated chapters, ranging from basic science (Biology, Anatomy, Physiology, Embryology), the etiology of adult, childhood & adolescent AGA/FPHL, diagnostic steps and evaluation, to related disorders and comorbidities. For the first time in the scientific literature, all pathogenic contributors of AGA/FPHL, including micro-inflammation, scalp vascularization, biochemical stress, aging, solar radiation, and the sebaceous gland, are examined in comprehensive, dedicated chapters. The effects of every hormone on AGA/FPHL, as well as the psychological impact of the condition, are explored in depth. An extensive chapter on childhood and adolescent AGA/FPHL, a more common than previously thought condition, is another unique feature. Finally, two extremely detailed sections are included on the pathogenic links of AGA/FPHL to life-threatening comorbidities: cardiovascular disease, metabolic syndrome, hypertension, insulin resistance, and prostatic disorders, with suggested guidelines on how to save lives of balding patients by adopting early screening strategies. In providing a fully updated, thorough guide to this popular topic, this richly illustrated volume (over 200 figures, tables, and algorithms) offers the latest, evidence-based information on every aspect of AGA/FPHL causing hair loss to countless patients. Each subject is addressed according to learning and clinical needs, and the presented information is supported by a wealth of peer-reviewed papers. Every aspect of this condition is considered, including biology, diagnosis, etiology, from drug treatment, the influence of nutrition, lifestyle and food supplements, to related disorders, surgical hair restoration, hair care, and future treatment options. This handbook will be an invaluable conveying best management standards to readers, whether experienced practitioners, clinicians, dermatologists, surgeons or researchers interested in hair restoration.

This issue of Facial Plastic Surgery Clinics, Guest Edited by Dr. Yong Ju Jang, is dedicated to Facial Plastic Surgery Procedures in the Non-Caucasian Population. This issue is one of four selected each year by our series consulting editor, Dr. J. Regan Thomas. Articles in this issue include, but are not limited to: Facelift for East Asian, Facelift for African descendants, Forehead lift for Asian, Lower eyelid and midface rejuvenation, Blepharoplasty for Asian (Incisional technique), Non incisional blepharoplasty for Asian, Cosmetic bone contouring surgery for Asian, Two jaw surgery for Asian, Special considerations in facial reconstruction in the Non-Caucasian Patient, Rhinoplasty for African descendants, Cosmetic augmentation rhinoplasty for East Asians, and Special consideration in rhinoplasty for east Asian deformed noses. Provides in-depth, clinical reviews on the latest updates in Facial Plastic Surgery Procedures in the Non-Caucasian Population, providing actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field; Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews.

Hand fractures account for millions of emergency room visits annually. The extraordinary importance of the hand in so many activities of daily living necessitates inordinate surgical competence in repairing fractures, in order to preserve the vast range of motion and functionality of this highly complex structure. Key Features: General overview chapters covering anatomy, epidemiology, fixation types, role of arthroscopy, and strategies for compound hand injuries (soft tissue, flaps, etc.) Contributions from a large number of renowned subspecialists Hand fractures in special patient groups: athletes, musicians, patients with a paralytic extremity Specific chapters covering the full range of fracture types and locations, including diaphyseal and intra-articular fractures of the phalanges and metacarpals, bony avulsions, fracture dislocations, and carpal bone fractures Complications and their treatment: infection, malunion, hardware failures, and more Evidence-based treatment suggestions, with the goal of restoring anatomic alignment and functional range of motion Hundreds of high-quality radiographs and color photographs Ideal for all orthopaedic and plastic surgeons in training, and of benefit to experienced surgeons as well, Fractures of the Hand and Carpus is a complete introduction to evidence-based techniques in hand surgery.

The definitive one-stop reference on safely navigating highly complex facial anatomy The primary goal of Facial Danger Zones: Staying safe with surgery, fillers and non-invasive devices is to help surgeons achieve optimal results and maximize safe outcomes for a wide array of facial cosmetic procedures. Authored by internationally renowned plastic surgeon Rod Rohrich and distinguished co-authors James Stuzin, Erez Dayan, and E. Victor Ross, this user-friendly book provides multidisciplinary insights and expert knowledge on intricate facial anatomy, navigating safe and dangerous facial zones, and the use of minimally invasive technologies. The book is divided into three sections: Part one provides an overview of facial tissue anatomy and fat compartments, facial nerve danger zones, specific nerve branches, protective measures, and technical dissection considerations for safe facelift surgery. Part two covers fillers and neuromodulators with pearls and in-depth guidance on staying safe using six different facial danger zones. Part three details the safe use of energy-based devices such as ablative and non-ablative lasers, combination chemical peels, radiofrequency, and cryolipolysis. Key highlights Superb facial nerve dissection safety tips for cosmetic procedures such as facelifts Facial danger zones and the prevention and consequences of injury graphically described through cadaver dissections, illustrations, and patient case photographs Visually-rich text describes how to safely and efficaciously administer lasers, chemical peels, noninvasive fat removal, and skin tightening devices More than 20 succinct videos posted online enhance understanding of various safe approaches This remarkable resource is destined to be the trusted, go-to companion for trainee and veteran surgeons who specialize in plastic, facial plastic, dermatologic, oculoplastic, and head and neck surgery, as well as other practitioners who treat these patients. This book includes complimentary access to a digital copy on https://medone.thieme.com.

The definitive resource on cutting-edge oculoplastic surgery of the upper face, eyelids, and eyebrows While an estimated 1.5 million brow and upper eyelid surgery procedures are performed worldwide each year, this book is the first published ophthalmologic text with detailed coverage focused solely on this topic. Ophthalmic Plastic Surgery of the Upper Face: Eyelid Ptosis, Dermatochalasis, and Eyebrow Ptosis by distinguished oculofacial plastic surgeons and educators Michael A. Burnstine, Steven C. Dresner, David B. Samimi, Helen A. Merritt, and an impressive group of international experts fills a void in the literature. The succinct, richly illustrated text covers classification, anatomy, evaluation, and a wide spectrum of surgical approaches for each condition. Surgical videos are included. Organized by 7 sections and 39 chapters, the book begins with clinical assessment of patients who present with upper eyelid and eyebrow conditions, followed by evidenced-based treatment protocols. All procedural chapters follow a consistent format, enabling readers to classify problems, review surgical steps, and consider key issues associated with each condition and corrective procedure. Mechanical, involutional, neurogenic, myogenic, and syndromic blepharoptoses detailed in Sections 2 to 6 include etiology, diagnosis, management, and diverse state-of-the-art resection, repair, lift, fill, and augmentation techniques. Key Features Each procedural chapter includes an introduction, risks, benefits, informed consent, indications, relative contraindications, a preoperative checklist, required instrumentation, a step-by-step approach for surgeons beginning their career, and refined tips for more experienced surgeons. High quality full-color operative photographs enhance knowledge of the most salient operative steps, while before and after photos demonstrate the evidence-based efficacy of each surgery. Chapters focused on brow surgery detail a full range of surgical and nonsurgical approaches-from contouring options and direct elevation to fillers and neuromodulators. This is a must-have surgical resource for ophthalmology, otolaryngology, and plastic surgery residents and practitioners. The highly practical, reader-friendly text facilitates greater understanding of the clinical implications of each ophthalmic surgery approach, thereby helping surgeons achieve improved cosmetic results. This book includes complimentary access to a digital copy on https://medone.thieme.com.

Highly Commended by the BMA Medical Book Awards for Surgery! Reconstructive surgery of the upper extremity has progressed significantly due to advances in microsurgical techniques, which include the increased popularity of perforator flaps, refinements in functional free muscle transfer, the application of nerve conduits and nerve allografts, motor nerve transfers, and hand transplantation. These innovations have helped surgeons achieve functional reconstruction goals and enabled patients' return to normal functioning earlier than previously possible. Reconstructive Surgery of the Hand and Upper Extremity presents a unique, color-coded roadmap for managing the complex upper extremity patient, based on a logical approach to surgical decision-making. Authors Gunter Germann, Randolph Sherman, and L. Scott Levin deliver seven systematically organized sections and 69 chapters with versatile, evidence-based guidelines and techniques. Strategic approaches and a video chapter covering patient examination reflect the collective wisdom gleaned from the authors' experience in the care of the upper extremity patient. Key Highlights Insightful guidance provided in 115 treatment-specific algorithms Patient histories and photos offer practical clinical information on a full continuum of cases-from gunshot wounds to tumors Over 500 high quality illustrations and graphics, many redrawn for this edition, delineate injuries and reconstruction techniques Richly illustrated atlas of flaps with nearly 140 new color photos details diverse approaches, including pearls and pitfalls Handy tables clearly outline rehabilitation protocols, classification, and zones of injury Includes bonus e-book version The text provides an invaluable framework to help both surgical residents and veteran upper extremity surgeons achieve optimal outcomes in their patients.

Unique resource from master facial plastic surgeon uncovers the secrets to a successful practice Written by internationally renowned facial plastic surgeon and prolific author E. Gaylon McCollough, The Elite Facial Surgery Practice: Development and Management offers 40 years of wisdom, all in one remarkable book. Instead of describing step-by-step techniques like traditional facial surgery textbooks, this exemplary guide covers issues rarely discussed in clinical literature. From preparing for a career in facial plastic surgery to everything it takes to achieve long-term excellence in clinical practice, readers will learn hard-earned trade secrets from this legend of facial plastic surgery. Much of the focus is on the enduring doctor/patient relationship, with discussion on how to attain and maintain patient confidence, deliver personalized post-operative care, and manage dissatisfied patients. Key Features Part I provides all the necessary steps for building a thriving facial surgery practice including selecting the right training, the golden rule of facial surgery, creating the ideal environment to deliver extraordinary care, the image of an elite facial surgeon, and leveraging social media. Part II and III cover core facial surgery procedures including minimally invasive and noninvasive methods. Enhanced with before and after photos, these chapters focus on indications for surgery, the aging process, facts versus myths, selecting the right approach, and lessons learned. Part IV reveals invaluable insights on topics most clinicians keep close to the vest such as how to create and maintain best practice models, dealing with unfortunate outcomes, managing and minimizing the risk of legal proceedings, and defending oneself in court. Aspiring and veteran facial surgeons alike will benefit from the invaluable pearls bestowed by an elite master who built a great foundation for next generations. Read this book cover to cover to enhance your surgical and business acumen - and ultimately - become a more compassionate, effective practitioner.

This issue of Clinics in Plastic Surgery, guest edited by Dr. Roberto L. Flores, is devoted to Craniofacial Distraction. Topics in this issue include: Robin Sequence: Neonatal Mandibular Distraction, Craniofacial Microsomia: Early Distraction, Cleft lip and palate: LeFort I Distraction with Halo, Cleft lip and palate: LeFort I Distraction with internal device, Cleft lip and palate: Alveolar Distraction, Treacher Collins: Mandibular distraction, Treacher Collins: Counter Clockwise Craniofacial DO, Craniosynostosis: Posterior Cranial Vault Remodeling, Craniosynostosis: LeFort III Distraction Osteogenesis, Craniosynostosis: LeFort II distraction with Zygoma repositioning, Frontofacial monobloc with internal distraction and its variant with combined external traction in severe faciocraniosynostostic infants, Craniosynostosis: Monobloc Distraction and Facial Bipartition Distraction with External Device, Facial Bipartition with Distraction, and Craniofacial Distraction - Orthodontic Considerations.

A unique resource for passing the rigorous American Board of Plastic Surgery oral board exam Passing the plastic surgery board examinations necessitates meeting extremely demanding criteria. Certification from the ABPS is the gold standard – a significant milestone requiring intensive study, passing the written exam, and the highly challenging two-day oral board component. Acing the plastic surgery boards means a plastic surgeon has already demonstrated a high level of training and education, essential elements for achieving optimal results and patient satisfaction. Plastic Surgery Oral Board Exam: Management Q&A by Devra Becker restructures core plastic surgery knowledge into the conceptual framework needed for mastery of the plastic surgery oral board exam. It fills a gap in the literature, exploring levels of knowledge such as analysis, synthesis, and evaluation, as well as practical applications including fluid management, intraoperative and postoperative challenges, and ethical considerations. Questions and answers on key reconstructive, aesthetic, and elective procedures are encompassed throughout 22 chapters, enabling readers to synthesize knowledge and articulate it efficiently and effectively. Key Highlights Nearly 400 Q&A mirror the type and sequencing of questions on the oral board exam Reconstruction topics include skin cancer, facial defects and trauma, back and trunk, traumatic hand injuries, lower extremity wounds, cleft lip and palate, and craniosynostosis syndromes Aesthetic and elective surgery chapters cover the aging face, breast, body and trunk, and hand Current recommendations for management of coexisting medical conditions such as thromboembolism prophylaxis and perioperative management of cardiac disease This is an invaluable board study resource for plastic surgery residents and surgeons preparing for the oral board exam. Its comprehensive