Librería Servicio Médico

Author:  G. Botti, M. Pelle Ceravolo

Language: English

Finishing: Hardcover , 520 pages

ISBN:978-8897438359

Edition: 2012

Description:

The first part of this volume deals with a simple approach to midface rejuvenation based on the use of implants and fat grafting techniques associated to other periocular manoeuvres. After several years experience with various midface lifting techniques, we have reached the conclusion that many of our patients with visible signs of ageing in the midface can also benefit from more simple techniques which are also less risky, have shorter recovery times than a classical midface lifting manoeuvre and longer lasting and more stable results over time. The chapter on prominent eyes explains how to treat this complex yet all too frequent condition during an aesthetic blepharoplasty; we provide useful tips and tricks to obtain satisfactory results with these patients who are true challenges for the surgeon. Stepby- step specimen dissections and surgical sequences render these techniques easier to understand also for the surgeon early on in the learning curve. The second part of this book deals with techniques for nek and mandibular contour rejuvenation. Both conservative and aggressive approaches are explained with the help of numerous intraoperative photographs and cadaver dissections. Indications, algorithms, practical suggestions and caveats are offered to help the surgeon obtain the best possible results. The less-experienced surgeon will find an easy-to-understand guide to safely perform even complicated manoeuvres with less risk for the patient. This book is intended to be a useful tool to help both the novice and the more experienced surgeon to perform facial aesthetic surgery as it describes both simple and very complex techniques such as the different approaches for an augmentation malarplasty, SMAS treatment, platysmal and subplatysmal manoeuvres, submandibular gland reduction and other more valuable surgical techniques commonly performed in facial rejuvenation treatment.

Table of Contents:

Chapter I – AGEING OF THE ORBITO -MALAR REGION

• The physiognomy of the malar region
• Our approach to ageing of the midface
• Midface = orbito-malar area
• Implants
• Smooth silicone Implantech implants
• A brief outline of practical anatomy
• Dissection of the malar region in an anatomical specimen
• Choosing the implant 
• Indications for the choice of different implants
• Surgical techniques
• Intraoral approach
• I - The limits of the pocket
• The infrapalpebral approach
• The preauricular approach
• Surgical techniques
• closing of the pocket without any manoeuvres on the SMAS
• closing the pocket with SMAS plication
• closing the pocket with SMAS imbrication
• A didactic-anatomical explanation

a) positioning the lateral part of the implant in the subcutaneous layer
b) increasing the volume of the area by creating a dog ear
c) lipofilling within the SMAS
d) lipofilling performed at a later stage

• Il - Lipofilling in the midface
• The orbital region
• Some examples of patients belonging to the first class 
• Some examples of patients belonging to the second class
• A midface lifting with an associated augmentation malarplasty with some surgical steps
• Clinical cases
• A midface lifting with an associated augmentation malarplasty: a step by step surgical sequence

Chapter II - SOME CONSIDERATIONS ON PROMINENT EYES

• Orbital prominence and malar prominence
• Measuring the malar prominence
• Some strategically important measurements
• Technical hints for the upper eyelid

Midface and Neck Aesthetic Plastic Surgery

Chapter Summary

• Technical hints for the lower eyelid
• The vertical dimensions of the eyelids in patients with prominent eyes
• Some clinical cases

Chapter III – SURGICAL TREATMENT OF AGEING IN THE NECK

• Criteria of beauty of the neck
• The various layers of the neck
• I - The skin
• Skin undermining
• 1st Class
• The extent of skin undermining in 1st class patients 
• 2nd Class
• The extent of skin undermining in 2nd class patients 
• 3rd Class
• The extent of skin undermining in 3nd class patients 
• The thickness of the flap
• Some considerations on the treatment of the deep strata
• A didactic-anatomical explication
• Some reflections on limited undermining techniques 
• II - The subcutaneous adipose tissue
• Infraauricular and submandibular lipectomy
• III - The superficial muscular stratum (the platysma muscle)

 1) The undermining

• Some practical anatomo-surgical points regarding the platysma
• Undermining of the platysma: surgical techniques
• Why undermine the platysma?

2) Traction vectors
3) The sections

A) Lateral section
B) Anterior section
C) Total section

• The level of muscular section
• Observations on neuro-muscular complications in the region
• Platysmal bands

4) Sutures

A) Anterior sutures, B) Lateral sutures, C) Central sutures

Midface and Neck Aesthetic Plastic Surgery
Chapter Summary

• Plication and Imbrication
• Central suspension by undermining and imbrication 
• The technique of central suspension by plication
• Plications and imbrications in particural cases

IV - The deep adipose tissue

• Dissection of the adipose layers of the anterior region of the neck
• Subplatysmal lipectomy

V - The submandibular gland
VI - The deep musculo-fascial layer

• The digastric muscles
• The mylohyoid muscles
• The perihyoid fascia
• The mandibular contour
• The anterior mandibular region
• A psychological parenthesis of the semantics of the body
• An implant versus an osteotomy
• The most commonly used prostheses for augmentation mentoplasty
• Ptosis of the chin
• The mid mandibular region
• Latero-mental depressions
• Latero-mental bulging
• The posterior mandibular region
• Surgical techniques
• A series of intraoperative photographs

Summary cards
Analytical Index