Hartstein / Wulc / Holck Midfacial Rejuvenation

1. Auflage 2011
ISBN: 978-1-4614-1007-2
Verlag: Springer
Format: PDF
Kopierschutz: 1 - PDF Watermark

E-Book, Englisch, 252 Seiten

Midfacial Rejuvenation is a comprehensive review of the majority of procedures and options for midfacial aesthetic and corrective surgery. Each contributor offers a unique approach to the midfacial area, with detailed specifics for every technique. Chapters on midfacial anatomy, complications and their management complete the comprehensive coverage of the subject matter, resulting in a reference text that will benefit every practitioner dealing with the midfacial region.   Features:·         One of the first books to focus exclusively on the midfacial area·         Highly illustrated and with clear, step-by-step instructions on performing a variety of midface lifts, implants, sutures, grafts, and fillers·         Over 300 full color images·         Includes in-depth chapters on midfacial anatomy and the anatomic basis of aging·         Multiple approaches to midfacial rejuvenation by well-known surgeons in fields such as oculoplastics, facial plastics, general plastics, and dermatologists 

Morris E. Hartstein, MD, FACS Clinical Associate ProfessorSaint Louis University School of MedicineDepartment Ophthalmology and Division of Plastic Surgery  St. Louis, MO 63105andChief, Ophthalmic Plastic and Reconstructive SurgeryAssaf Harofeh Medical CenterZerifin, [e-mail] Allan E. Wulc, MD, FACS Clinical Associate ProfessorScheie Eye InstituteUniversity of Pennsylvania; andDrexel University Dept. of Ophthalmology and Otolaryngology PA 19462email: [e-mail] EE Holck, MDAssistant Clinical ProfessorUniversity of Texas Health Science Center at San Antonio San Antonio, TX [e-mail] 

Autoren/Hrsg.

Hartstein, Morris E.

Wulc, Allan E.

Holck, David Ee

MD,

FACS,

Inhaltsverzeichnis

1;Midfacial Rejuvenation;3
1.1;Foreword;5
1.2;Preface;7
1.3;Acknowledgments;9
1.4;Contents;11
1.5;Contributors;13
1.6;1: Anatomy of the Midface;17
1.6.1;Introduction;17
1.6.2;Definition and Contour;17
1.6.3;Osteology;18
1.6.4;Musculature;20
1.6.4.1;Ocular Components;20
1.6.4.2;Lip Elevators;20
1.6.4.3;Muscles Around the Mouth;21
1.6.4.4;Muscles of the Nose;21
1.6.4.5;Muscles of Mastication;21
1.6.5;Connective Tissues;22
1.6.6;Subcutaneous Tissues of Midface;22
1.6.6.1;Malar Fat Pad;22
1.6.6.2;Superficial Musculoaponeurotic System;22
1.6.6.3;Loose Areolar Tissue and Retaining Ligaments;23
1.6.6.4;Orbitomalar Ligament;23
1.6.6.5;Zygomatico-Cutaneous Ligament;24
1.6.6.6;Masseteric Cutaneous Ligaments;24
1.6.7;Fat Pads;24
1.6.7.1;Suborbicularis Oculi Fat Pad;24
1.6.7.2;Sub-SMAS Fat Pad;25
1.6.7.3;Buccal Fat Pad;26
1.6.8;Innervation;26
1.6.9;Vasculature;27
1.6.9.1;Arterial Supply;27
1.6.9.2;Venous Drainage;28
1.6.10;Lymphatics;29
1.6.11;Nasal Cavity and Paranasal Sinuses;29
1.6.12;Conclusion;29
1.6.13;References;30
1.7;2: The Anatomic Basis of Midfacial Aging;31
1.7.1;Morphology;32
1.7.2;Periorbital Tissues;32
1.7.3;Midface Skeleton;34
1.7.4;Dentition;35
1.7.5;Musculature;35
1.7.6;Adipose Tissue;35
1.7.7;Superficial Muscular Aponeurotic System;37
1.7.8;Ligaments;37
1.7.9;Skin;38
1.7.10;The Volumetric Theory of Facial Aging;38
1.7.11;The Gravitational Theory of Facial Aging;39
1.7.12;Conclusions;42
1.7.13;References;42
1.8;3: Evaluation of the Lower Eyelids and Midface;45
1.8.1;Introduction;45
1.8.2;History;46
1.8.3;Examination;47
1.8.4;Standardized Photography;52
1.8.5;Surgical Decisions;53
1.8.6;Preoperative Discussion/Informed Consent/Post-consultative Follow-Up;54
1.8.7;Conclusion;54
1.8.8;References;54
1.9;4: The Transtemporal Subperiosteal Approach for Midface Lifting;55
1.9.1;Surgical Technique;56
1.9.2;Discussion;60
1.9.3;References;62
1.10;5: Cheek–Midface Lift;64
1.10.1;Preparation for Surgery;64
1.10.2;Surgical Technique;65
1.10.3;Dissection of Cheek Periosteum;66
1.10.4;Tarsal Strip Procedure;68
1.10.5;Repositioning of the Nasal and Central Lower Eyelid Fat Pads;69
1.10.6;Conjunctival Closure;69
1.10.7;Formation of the Orbicularis Flap;70
1.10.8;Skin Dissection;71
1.10.9;Skin Closure;71
1.10.10;Completion of Fat Repositioning;72
1.10.11;Modification of Cheek Midface Lift in the Treatment of Lower Eyelid Retraction and Cicatricial Ectropion;72
1.10.12;Preparation Before Surgery (with the Implementation of a Hard-Palate Graft);72
1.10.13;Obtaining the Hard-Palate Graft;73
1.10.14;Sizing of the Allogeneic Dermal Matrix Grafts;73
1.10.15;Suturing the Hard-Palate Graft to Lower Eyelid Retractors and Tarsus;73
1.10.15.1;Suturing the Tarsys to Lower Eyelid Retractors and Tarsus;74
1.10.16;Mouth Care;75
1.10.17;Postoperative Care;75
1.10.18;Complications;75
1.10.19;Results;76
1.10.20;References;79
1.11;6: Preperiosteal Midface Lift/Transtemporal Approach;80
1.11.1;Introduction;80
1.11.2;Rationale;80
1.11.3;Relevant Surgical Anatomy;81
1.11.3.1;Temporal Fossa;81
1.11.3.2;Bony Structures of the Midface;82
1.11.3.3;Soft-Tissue Layers;83
1.11.3.4;Midface SMAS and Fat Compartments;83
1.11.3.5;Retaining Ligaments;84
1.11.3.6;Prezygomatic Space;85
1.11.4;Indications and Techniques;86
1.11.5;Surgical Techniques;86
1.11.5.1;Anesthesia;86
1.11.5.2;Endoscopic Instrumentation;87
1.11.5.3;Surgical Markings;88
1.11.5.4;Endoscopic Brow Dissection;88
1.11.5.5;Endoscopic Midface Dissection;89
1.11.5.6;Midface Suspension;90
1.11.5.6.1;Perioculoplasty (Lateral Sling Elevation of the Orbicularis);90
1.11.5.6.2;Malarplasty;91
1.11.5.7;Brow Suspension;92
1.11.5.8;Adjunctive Procedures;92
1.11.6;Post-operative Course and Management of Complications;92
1.11.7;Results;93
1.11.8;Conclusion;93
1.11.9;References;95
1.12;7: Transeyelid Supraperiosteal (Preperiosteal) Midface Lifting;97
1.12.1;Introduction;97
1.12.2;Techniques of Midface Lifting;98
1.12.3;Surgical Technique;99
1.12.4;Conclusions;100
1.12.5;References;101
1.13;8: Midface Lifting with Expanded Polytetrafluoroethylene Orbital Rim Implants;102
1.13.1;Introduction;102
1.13.2;Anatomic Considerations;103
1.13.3;The ePTFE Orbital Rim Implant;105
1.13.4;Procedure;105
1.13.5;Recovery;112
1.13.6;Case Histories;113
1.13.6.1;Case 1;113
1.13.6.2;Case 2;113
1.13.7;Complications;114
1.13.8;Conclusions;115
1.13.9;References;116
1.14;9: Aesthetic Cheek Implants;118
1.14.1;Introduction;118
1.14.2;Types of Implants;119
1.14.3;Metal Implants;119
1.14.4;Silicone Implants;119
1.14.5;Polymethylmethacrylate Polymer;120
1.14.6;Expanded Polytetrafluoroethylene;120
1.14.7;Polyethylene Implants;120
1.14.8;Polyamide Mesh;120
1.14.9;Facial Analysis;121
1.14.10;Surgical Approaches;121
1.14.11;Transoral Technique in Detail;123
1.14.12;Complications;125
1.14.13;Conclusions;127
1.14.14;References;127
1.15;10: Minimally Invasive Midface Elevation Using a Percutaneous Suspension Suture Sling Technique;129
1.15.1;Introduction;129
1.15.2;Release of the Midface;129
1.15.3;Elevation of the Midface Using a Percutaneous Suture Sling Technique;131
1.15.4;Results;137
1.15.5;Complications;141
1.15.5.1;Infection;141
1.15.5.2;Exposure;141
1.15.5.3;Overcorrection;141
1.15.6;Conclusions;141
1.15.7;References;141
1.16;11: Fat Grafting: A Volumetric Approach to Midfacial Rejuvenation;142
1.16.1;Introduction;142
1.16.2;How the Midface Ages;143
1.16.3;Preoperative Considerations;143
1.16.4;The Evolution of Aging Through Old Photographs and Facial Shape;144
1.16.5;Fat Transfer as Part of a Larger Rejuvenative Strategy;144
1.16.6;Establishing Patient Expectations Preoperatively;145
1.16.7;Technique;146
1.16.7.1;Preoperative Planning;146
1.16.7.2;Anesthesia;147
1.16.7.3;Harvesting;147
1.16.7.4;Processing;149
1.16.7.5;Injection;150
1.16.7.6;Inferior Orbital Rim;150
1.16.7.7;Anterior Cheek;151
1.16.7.8;Lateral Cheek;152
1.16.7.9;Buccal Area;152
1.16.7.10;Anterior Chin and Prejowl Sulcus;152
1.16.7.11;Nasolabial Groove;152
1.16.8;Postoperative Care;153
1.16.9;Management of Complications;153
1.16.10;Conclusions;153
1.16.11;References;154
1.17;12: Synthetic Fillers;155
1.17.1;Introduction;155
1.17.2;Fillers for Midface Rejuvenation;156
1.17.2.1;How to Choose a Filler;156
1.17.2.1.1;CaHA (Radiesse);156
1.17.2.1.2;Hyaluronic Acid;157
1.17.2.1.2.1;Restylane;157
1.17.2.1.2.2;Perlane;157
1.17.2.1.2.3;Juvederm;157
1.17.2.1.2.4;Prevelle Silk;158
1.17.2.1.2.5;Hydrelle;158
1.17.2.1.2.6;Puragen;158
1.17.2.1.3;Poly- l -Lactic Acid;158
1.17.2.1.3.1;Sculptra;158
1.17.2.1.4;Polymethylmethacrylate;159
1.17.2.1.4.1;ArteFill;159
1.17.2.1.5;Liquid Injectable Silicone;159
1.17.2.1.5.1;Adatosil 5000, Silikon 1000;159
1.17.2.2;Technique;160
1.17.2.2.1;Pain Control;160
1.17.2.2.1.1;Cold Application;160
1.17.2.2.1.2;Topical Anesthetics;160
1.17.2.2.1.3;Nerve Blocks;160
1.17.2.2.1.4;Lidocaine Solution Mixed into Filler;160
1.17.2.2.2;General Considerations;160
1.17.2.2.3;Technique for Fillers by Site;162
1.17.2.2.3.1;Tear Trough;162
1.17.2.2.3.2;Lateral Orbit and Brow;163
1.17.2.2.3.3;Malar and Submalar Cheek;164
1.17.2.2.3.4;Zygoma and Preauricular Area;165
1.17.2.2.3.5;Temporal Fossa;165
1.17.2.2.3.6;Perialar Cheek and Nasolabial Fold;166
1.17.2.2.3.7;Nose;167
1.17.2.2.3.8;Lips;167
1.17.2.2.3.9;Mandible and Chin;169
1.17.3;Conclusion;171
1.17.4;References;174
1.18;13: Midface Lifting for the Repair of Lower Lid Retraction;176
1.18.1;Anatomy and Approach to the Patient;177
1.18.2;Procedure: General Observations;179
1.18.3;Surgical Approach;179
1.18.4;Conclusion;184
1.18.5;References;186
1.19;14: Rhytidectomy and Transtemporal Subperiosteal Midface Lifting;187
1.19.1;Technique;188
1.19.2;References;194
1.20;15: Lower Eyelid Blepharoplasty with Fat Repositioning;195
1.20.1;Introduction;195
1.20.2;Anatomy;196
1.20.3;Evolution of Surgical Approaches to the Lower Eyelid;197
1.20.4;Surgical Approach;197
1.20.5;Adjunctive Therapies;200
1.20.6;Complications;200
1.20.7;Conclusions;201
1.20.8;References;202
1.21;16: Canthal Surgery;203
1.21.1;Anatomy;203
1.21.2;General Considerations;204
1.21.3;Surgical Techniques;205
1.21.4;Surgical Technique;205
1.21.4.1;Canthoplasty–Lateral Tarsal Strip;205
1.21.4.2;Canthopexy;206
1.21.4.3;Orbicularis Hitch;206
1.21.5;Complications;209
1.21.6;Conclusion;210
1.21.7;References;211
1.22;17: The “Ogee” of the Midface: Aesthetic and Technical Considerations;212
1.22.1;Introduction;212
1.22.2;The Ideal Contour of the Midface;212
1.22.2.1;Patient Selection;213
1.22.2.2;Indications;214
1.22.2.3;Technique;214
1.22.2.4;Lower Eyelid Blepharoplasty;220
1.22.2.5;Fat Grafting;221
1.22.2.6;Drains, Closure, Taping, and Dressing;222
1.22.3;Summary;222
1.22.4;References;225
1.23;18: The Trans-oral Vertical Midface Lift;226
1.23.1;Preparation for Surgery;226
1.23.2;Surgical Technique;227
1.23.2.1;Exposure;227
1.23.2.2;Drilling the Bone Tunnel;228
1.23.2.3;Passing the Fixation Suture;230
1.23.2.4;Engaging and Suspending the Malar Fat Pad;230
1.23.2.5;Closure;232
1.23.3;Post-operative Care;232
1.23.4;Post-operative Complications and Results;233
1.23.5;Alternative Techniques of Fixation;235
1.23.6;Conclusions;235
1.23.7;References;235
1.24;19: Festoons;236
1.24.1;Conclusion;239
1.24.2;References;240
1.25;20: Complications of Midfacelifting;241
1.25.1;General Complications;242
1.25.2;Aesthetic Complications;247
1.25.3;Conclusion;248
1.25.4;References;248
1.26;Index;250