Mang Manual of Aesthetic Surgery 2

Breast Augmentation; Brachioplasty; Abdominoplasty; Thigh and Buttock Lift; Liposuction; Hair Transplantation; Adjuvant Therapies including Space Lift
1. Auflage 2005
ISBN: 978-3-540-26384-5
Verlag: Springer-Verlag
Format: PDF
Kopierschutz: Adobe DRM (»Systemvoraussetzungen)

E-Book, Englisch, 272 Seiten

This operative manual - in two volumes focuses on the most important and frequent operative procedures in aesthetic plastic surgery. Techniques are displayed in a step-by-step manner with instructive drawings and pre- and post-operative photographs and only as much text as is absolutely necessary to support the illustrations.

Autoren/Hrsg.

Mang, Werner

Inhaltsverzeichnis

1;Addresses;6
2;Introduction;9
3;A General Remark;12
4;The Standard Procedures;14
4.1;Breast Augmentation;15
4.2;Brachioplasty;16
4.3;Abdominoplasty;16
4.4;Thigh and Buttock Lift;17
4.5;Liposuction – Removal of Fat with the Tumescence Technique (Mang’s Solution);19
4.6;Hair Transplantation;20
4.7;Spacelift;20
5;Acknowledgements;22
6;Foreword by M. P. Ceravolo;24
7;Foreword by D. L. Feinendegen;25
8;Foreword by P. F. Fournier;26
8.1;What is Beauty?;27
9;Foreword by M. S. Mackowski;34
10;Foreword by S. Malakhov;35
10.1;Plastic/Aesthetic Surgery in Russia – the Past and the Future;35
11;Foreword by D. Millesi;38
12;Foreword by I. Pitanguy;39
13;Foreword by H. U. Steinau;40
14;Contents;41
15;Breast Augmentation;43
15.1;Introduction;45
15.2;Breast Implants;47
15.3;Anatomical Overview;49
15.4;Instruments;50
15.5;Duplicate Patient Information;55
15.6;Preliminary Examinations;55
15.7;Photographic Documentation;55
15.8;Surgical Planning;56
15.9;Incision Line in the Case of Submammary Access;58
15.10;Definition of the Subsequent Breast or Implant Size by Establishing the Distance Between the Lower Margin of the Nipple and the Subsequent Inframammary Fold;59
15.11;Positioning of the Patient, Disinfection of the Operating Area;60
15.12;Tumescence;60
15.13;Submammary Incision;62
15.14;Preparation, Step 1;62
15.15;Preparation, Step 2: Precise Demonstration of the Caudal, Medial and Lateral Borders of Pectoralis Major;64
15.16;Deep, Blunt Dissection;65
15.17;Wound Revision and Hemostasis Using the Illuminated Retractor and Bipolar Tweezers;66
15.18;Determining the Size and Shape of the Implant;66
15.19;Fitting the Final Implant;68
15.20;Exact Positioning of the Implant;70
15.21;Insertion of the Redon Drain (size 10);70
15.22;Deep Wound Closure;72
15.23;Two-Layer, Atraumatic Wound Closure Using 4.0 Monocryl;72
15.24;Dressing;74
15.25;Aftercare;74
15.26;Appendix: Breast Augmentation - Submuscular Access;76
15.27;Results;80
15.28;Literature;86
16;Brachioplasty;90
16.1;Introduction;91
16.2;Upper-Arm Tightening;91
16.3;Anatomical Overview;93
16.4;Instruments;94
16.5;Duplicate Patient Information;98
16.6;Preliminary Examinations;98
16.7;Photographic Documentation;98
16.8;Surgical Planning;98
16.9;Preliminary Marking of Incision Lines;98
16.10;Mang’s Fish-Mouth Technique;100
16.11;Positioning, Disinfection;100
16.12;Tumescence;100
16.13;Incision;102
16.14;Superficial Preparation;102
16.15;Deep Preparation, Hemostasis;104
16.16;Incision of the Dissected Dermofat Flap in Stages;104
16.17;Fixing of the Skin Flap with 3.0 Monocryl Key Sutures;106
16.18;Resection in Stages;106
16.19;Two-Layer Skin Closure;108
16.20;Cutaneous Sutures: Running or Intracutaneous 4.0 Monocryl;108
16.21;Dressing;110
16.22;Aftercare;110
16.23;Results;112
16.24;Literature;116
17;Abdominoplasty;118
17.1;Introduction;119
17.2;Tightening of the Abdominal Wall;119
17.3;Anatomical Overview;121
17.4;Instruments ;123
17.5;Duplicate Patient Information;127
17.6;Preliminary Examinations;127
17.7;Photographic Documentation;127
17.8;Surgical Planning;128
17.9;Postoperative Treatment;129
17.10;Typical Findings: Indications for Tightening the Abdominal Wall;129
17.11;Marking the Individual Incision Line;131
17.12;Positioning, Disinfection;133
17.13;Tumescence;133
17.14;Incision;133
17.15;Preparation of the Lower Abdomen;135
17.16;Incision Around the Navel;135
17.17;Mobilization and Dissection of the Navel;137
17.18;Vertical Splitting of the Dermofat Flap as Far as the Base of the Navel;137
17.19;Complete Mobilization of the Umbilical Stalk;139
17.20;Dissection of the Upper Abdomen;139
17.21;Doubling of the Rectus Abdominis Fascia;141
17.22;Defining the Resection Boundaries with Upper Body Flexed at 30°;143
17.23;Repositioning of the Navel Using a V-shaped Incision;144
17.24;Pulling the Navel Out of the V-Shaped Incision with Curved Forceps;145
17.25;Positioning the Navel;145
17.26;Trimming of the Skin of the Navel and Adaptation to the V-shaped Incision;147
17.27;Closure of the Navel in Three Layers;147
17.28;Fixation of the Surplus Sections of Skin with 2.0 Monocryl Key Sutures;149
17.29;Resection of the Skin in Stages;150
17.30;Insertion of Redon Drains;151
17.31;Wound Closure in Three Layers;152
17.32;Dressing;153
17.33;Fitting the Abdominal Belt;153
17.34;Results;155
17.35;Literature;157
18;Thigh and Buttock Lift;160
18.1;Introduction;161
18.2;Anatomical Overview;163
18.3;Instruments;165
18.4;Duplicate Patient Information;169
18.5;Preliminary Examinations;169
18.6;Photographic Documentation;169
18.7;Surgical Planning;170
18.8;Positioning, Disinfection;171
18.9;Tumescence;171
18.10;Incision of the Skin;173
18.11;Preparation;173
18.12;Deep Dissection and Hemostasis;175
18.13;Definition of Resection Boundaries;175
18.14;Skin Resection;177
18.15;Fixation Suture on the Pubic Bone with 2.0 Monocryl;177
18.16;Second Fixation Suture on the Inguinal Ligament;179
18.17;Deep Wound Closure and Insertion of a Redon Drain (no. 10);179
18.18;Intracutaneous Skin Closure;181
18.19;Dressing;181
18.20;Buttock Lift: Positioning, Disinfection;183
18.21;Incision Line;183
18.22;Incision;183
18.23;Wedge-Shaped Dermolipectomy;185
18.24;Transverse Incision Through the Resected Area;187
18.25;Hemostasis, Deep Wound Closure, Insertion of a Redon Drain;187
18.26;Two-Layer, Tension-Free Wound Closure;189
18.27;Dressing;189
18.28;Postoperative Treatment: Course of Action After the Operation; Precautionary Measures;191
18.29;Results;191
18.30;Literature to Buttock Lift;193
18.31;Literature to Thigh Lift;194
19;Liposuction;196
19.1;Introduction;198
19.2;Instruments;199
19.3;Duplicate Patient Information;202
19.4;Preliminary Examination;202
19.5;Surgical Planning;203
19.6;Anatomy of Liposuction of the Abdomen, Hips, Thighs;203
19.6.1;Anatomical Overview;204
19.7;Anatomy of Liposuction of the Hips, Back, Thighs, Buttocks (Body Contouring);205
19.7.1;Anatomical Overview;206
19.8;Anatomy of Liposuction of the Axilla, Chest, Hips, Lateral Side of the Thighs;207
19.8.1;Anatomical Overview;207
19.9;Anatomy of Liposuction of the Medial/Lateral Side of the Thighs, Knee;209
19.9.1;Anatomical Overview;209
19.10;Anatomy of Liposuction of the Medial Part of the Thighs, the Knees, Calves, Ankles;211
19.10.1;Anatomical Overview;211
19.11;Anatomy of Liposuction of the Calf and Ankles;211
19.11.1;Anatomical Overview;211
19.12;Anatomy of Liposuction of the Breast, Axilla, Upper Arms;213
19.12.1;Anatomical Overview;214
19.13;Anatomy of Liposuction of a Double Chin;215
19.13.1;Anatomical Overview;216
19.14;Mechanical and Manual Tumescence;217
19.15;Location of the Incision Sites from the Rear;219
19.16;Location of the Incision Sites from the Front;219
19.17;Schematic Diagram of Mang’s Tumescent Liposuction Technique;221
19.18;Cross-Section of the Skin Before Tumescence;221
19.19;Cross-Section of the Skin Following Tumescence;221
19.20;Cross-Section of the Liposuction Technique;223
19.21;Cross-Section of the Tissue 6 Months After Liposuction with Preservation of the Infrastructural Connective Tissue (ICT);223
19.21.1;Technique;227
19.21.2;Disinfection;227
19.22;Manual Liposuction;229
19.23;Mechanical Liposuction;229
19.24;Procedure;229
19.25;Dressing;230
19.26;Aftercare;231
19.27;Results;232
19.28;Literature;237
20;Hair Transplantation;241
20.1;Introduction;242
20.2;Norwood Classification of Types of Hair Loss;244
20.3;Instruments;244
20.3.1;Basic Instrument Set (Sterilizable);244
20.3.2;Instruments for Graft/Follicular Unit Preparation;246
20.3.3;Instruments for Micropunch Technique;248
20.3.4;Instruments for Microslit Technique;248
20.4;Preparation of the Patient, Hairline Design;250
20.5;Donor Area;250
20.6;Local Anesthesia, Tumescence;250
20.7;Donor Strip Harvesting;252
20.8;Skin Closure with Continuous Sutures;252
20.9;Follicular Unit Preparation (Minigrafts, Micrografts, Single Hairs);254
20.10;Recipient Area, Holes and Slits;254
20.11;Transplantation Channels: Micropunches (a), Microdrills (b) and Erbium YAG-Laser (c);256
20.12;Transplantation;256
20.13;Aftercare;258
20.14;Postoperative Precautions;258
20.15;Result;258
20.16;Literature;260
21;Adjuvant Therapies Including Spacelift;263
21.1;Introduction;265
21.2;Local Anesthesia;266
21.2.1;Nerve Exit Points, Supraorbital Nerve, Infraorbital Nerve, Mental Nerve;266
21.3;Biological Implants;267
21.3.1;Injection Technique;268
21.3.2;Collagen and Hyaluronic Acid;269
21.3.3;Crystalline Polylactic Acid;272
21.3.4;Contouring Using the Mang Method;274
21.4;Botulinum Toxin;276
21.4.1;Report – Technique;277
21.5;Mang’s Spacelift;282
21.5.1;Introduction;282
21.5.2;Indications;282
21.5.3;Instruments;284
21.5.4;Technique;284
21.5.5;Injection Technique;284
21.5.6;Diagram of the Fat Injection;290
21.5.7;Three-Dimensional Diagram of Fat Injection into Subcutaneous Tissue;290
21.5.8;Increasing the Density of the Connective Tissue Following Breakdown of Fat Droplets;292
21.6;Dermabrasion;294
21.6.1;Introduction;294
21.6.2;Report – Technique;294
21.7;Chemical Peeling;297
21.7.1;Introduction;297
21.7.2;Report – Technique;298
21.8;Erbium-YAG Laser;300
21.8.1;Introduction;300
21.8.2;Report – Technique;300
21.9;Hyal System;302
21.9.1;Introduction;302
21.9.2;Report – Technique;303
21.10;Follow-up Treatment;306
21.11;Literature;307
21.12;Prospects – What Is the Future of Aesthetic Surgery?;309