Mang Manual of Aesthetic Surgery

2. Auflage 2011
ISBN: 978-3-540-78795-2
Verlag: Springer-Verlag
Format: PDF
Kopierschutz: Adobe DRM (»Systemvoraussetzungen)

E-Book, Englisch, 656 Seiten

At the request of Springer-Verlag, Heidelberg, I have written with pride and pleasure the new edition of the Manual of Aesthetic Surgery. Volumes1(headand neckregion)and 2(body)havebeen integrated into one volume, which has been revised and extended with the addition of the topics 'Cosmetic Aesthetic Surgery,' 'Breast Surgery,' 'Mini Lift,' 'Mini Abdomen,' 'Buttock Lift,' and 'Tumescence Li- suction with the MicroAire® System.' The current trend is towards gentle surgical methods. The 'Mang School' has as its motto: Less is more! You should not see cosmetic s- gery. Aesthetic surgery is feel-good surgery and not altering surgery. That should be the philosophy of this book. The first editions of both volumes of the Manual of Aesthetic Surgery had high print runs and were translated into many languages, including Spanish, Russian, and Chinese. The new edition bridges a few gaps, namely breast lifting and breast reduction. These operations are described in detail using illustrations and videos, in order to provide also plastic and aesthetic surgeons with standards. Standards are of crucial importance in aesthetic surgery. Results must be reproducible. Every aesthetic surgeon will then be able to build on this manual and refine his or her methods.

Autoren/Hrsg.

Mang, Werner

Inhaltsverzeichnis

1;Addresses;6
2;Preface;9
3;Foreword by M. P. Ceravolo;11
4;Foreword by D. L. Feinendegen;12
5;Foreword by P. F. Fournier;13
5.1;What Is Beauty?;14
6;Foreword by R. Kaufmann;21
7;Foreword by S. Malakhov;22
8;Foreword by H. Massiha;25
9;Foreword by D. Millesi;26
10;Foreword by I. Pitanguy;27
11;Foreword by R. Schmelzle;28
12;Foreword by H. U. Steinau;29
13;Introduction;30
14;A General Remark;34
14.1;The Standard Procedures;35
14.2;Rhinoplasty;36
14.3;Rhytidectomy Using the Tumescence Technique – Mini Lift;36
14.4;Upper Eyelid Surgery;37
14.5;Lower Eyelid Surgery;37
14.6;Otoplasty;37
14.7;Breast Augmentation;38
14.8;Breast Lifting and Breast Reduction;39
14.9;Brachioplasty;39
14.10;Abdominoplasty – Mini Abdominoplasty;40
14.11;Thigh and Buttock Lift – New Methods;41
14.12;Liposuction – Removal of Fat with the Tumescence Technique (Mang’s Solution) – MicroAire® System;42
14.13;Hair Transplantation;44
14.14;Spacelift;44
14.15;Adjuvant Therapies;44
15;Acknowledgements;46
16;History – Vita;48
17;Ten Rules;51
18;Table of Contents;53
19;1 Photographic Documentation in Aestheticand Plastic Surgery;54
19.1;Examples in Photo Documentation;57
19.1.1;1. Breast Procedures;57
19.1.2;2. Facial Procedures;58
19.1.3;3. Body Contouring Procedures: Abdomen;59
20;2 Informed Consent in Aesthetic and Plastic Surgery;60
20.1;Guiding Principles in the Informed Consent Discussion;62
20.1.1;1. Persons Obliged to Obtain Informed Consent;62
20.1.2;2. Informed Consent in Non-medically Indicated Procedures(Cosmetic Procedures);63
20.1.3;3. Timing of the Informed Consent Discussion;63
20.1.4;4. Informed Consent for Foreign-Language Speakers;63
20.1.5;5. Extent of the Informed Consent Discussion;63
21;3 Rhinoplasty;65
21.1;Introduction;66
21.2;Anatomical Overview (Fig. 3.1);68
21.3;Instruments and Medication (Fig. 3.2–3.4);69
21.4;Duplicate Patient Instruction;73
21.5;Nasal Examination;73
21.6;Photographic Documentation;74
21.7;Surgical Planning;74
21.8;Tumescence Injection Technique;77
21.9;Disinfection;79
21.10;Suction and Surgical Planning;79
21.11;Incision Line;81
21.12;Decollement;83
21.13;Correction of the Nasal Tip with the Eversion Method (Fig. 3.15–3.18);85
21.14;Nasal Shortening (Fig. 3.19, 3.20);89
21.15;Bump Ablation (Fig. 3.21–3.25);91
21.16;Reshaping of the Tip (Fig. 3.26, 3.27);97
21.17;Suturing of the Mucosal Incisions;99
21.18;Resection of the “Mang Triangle” (Fig. 3.30);101
21.19;Osteotomies (Fig. 3.32);103
21.20;External Dressing;107
21.21;Postoperative Medication and Precautions;109
21.22;Results;110
21.23;Tips and Tricks;114
22;4 Rhytidectomy (Cervicobuccal Plasty);116
22.1;Introduction;117
22.2;Anatomical Overview (Fig. 4.1);117
22.3;Instruments and Medication (Fig. 4.3–4.5);123
22.3.1;1. With local anesthesia;127
22.3.2;2. With endotracheal anesthesia;127
22.4;Duplicate Patient Instruction;128
22.5;Photographic Documentation;128
22.6;Surgical Planning;128
22.6.1;Premedication;128
22.6.2;Anesthesia with Hypotension;129
22.7;Tumescence of the Face and Neck;129
22.8;The Mang Method of Tumescence Rhytidectomy;133
22.9;Liposuction and Undermining with the Suction Instruments (Fig. 4.8, 4.9);135
22.9.1;Endoscopic Brow Lift (Temporal Tightening) (Fig. 4.10);137
22.9.2;Stage 1 Rhytidectomy (30 – 40 Age Group) (Fig. 4.11);139
22.9.3;Stage 2 Rhytidectomy (40 – 45 Age Group) (Fig. 4.12);141
22.9.4;Stage 3 Rhytidectomy (45 – 50 Age Group) (Fig. 4.13–4.14);143
22.9.5;Stage 4 Rhytidectomy (50-Plus Age Group) – Standard Facelift (ESP Lift)(Fig. 4.15–4.53);147
22.9.6;Incision Lines;147
22.9.7;Dissection of the Lipocutaneous Flap (Fig. 4.19–4.28);151
22.9.8;Dissection of the Cheeks and Neck (Fig. 4.25, 4.26);157
22.9.9;Deep Dissection and Exposure of the Platysma (Fig. 4.27);161
22.9.10;Wound Trimming andWound Sealing with Fibrin Adhesive (Fig. 4.31);165
22.9.11;Skin Tightening (Fig. 4.32, 4.33);167
22.9.12;Skin Incision and Placement of the Key Sutures (Fig. 4.34–4.43);169
22.9.13;Subcutaneous Wound Closure (Fig. 4.44, 4.45);179
22.9.14;Temporal Flap Resection and Sutures (Fig. 4.46–4.47);181
22.9.15;PeriauricularWound Closure;185
22.9.16;Retroauricular Skin Resection, Redon Drain, andWound Closure (Fig. 4.51–4.53);187
22.9.17;Identical Approach on the Contralateral Side;191
22.9.18;Special Bandaging Technique;191
22.10;Postoperative Care and Precautions;192
22.11;Results;193
22.12;Mini Lift;196
22.12.1;Disinfection;196
22.12.2;Premedication;196
22.12.3;Anesthesia (Fig. 4.60);196
22.13;Preliminary Marking of Incision Lines (Maximum Dissection) (Fig. 4.61);198
22.14;Incision (Fig. 4.62);200
22.15;Dissection (Fig. 4.63, 4.64);202
22.16;Resection (Fig. 4.65);204
22.17;Wound Revision, Hemostasis, Cutaneous Suturing (Fig. 4.66–4.68);206
22.18;Results;209
22.19;Tips and Tricks: Rhytidectomy;211
22.20;Tips and Tricks: M-Lifting;212
23;5 Eyelid Surgery – Blepharoplasty;214
23.1;Upper Eyelid Surgery – Blepharoplasty;216
23.1.1;Introduction;216
23.1.2;Anatomical Overview (Fig. 5.1);217
23.1.3;Instruments and Medication (Fig. 5.2);218
23.1.4;Duplicate Patient Instruction;220
23.1.5;Ophthalmological Status;220
23.1.6;Photographic Documentation;221
23.1.7;Surgical Planning;221
23.1.8;Preliminary Marking of Incision Lines (Fig. 5.3);222
23.1.9;Local Anesthesia (Fig. 5.4);222
23.1.10;Disinfection;222
23.1.11;Type of Incision (Fig. 5.5);224
23.1.12;Skin Resection Under Tension (Fig. 5.6, 5.7);226
23.1.13;Medial and Intermediate Lipectomy (Fig. 5.8–5.12);228
23.1.14;Removal of a Strip of Connective Tissue and Muscle (Fig. 5.13);232
23.1.15;Cutaneous Sutures (Fig. 5.15);234
23.1.16;Postoperative Treatment and Precautions;238
23.1.17;Results;239
23.2;Lower Eyelid Surgery – Blepharoplasty;240
23.2.1;Introduction;240
23.2.2;Anatomical Overview (Fig. 5.19);241
23.2.3;Instruments and Medication (Fig. 5.20);242
23.2.4;Duplicate Patient Instruction;244
23.2.5;Ophthalmological Status;244
23.2.6;Surgical Planning;245
23.2.7;Preliminary Marking of Incision Lines (Fig. 5.21);246
23.2.8;Local Anesthesia (Fig. 5.22);246
23.2.9;Disinfection;246
23.2.10;Type of Incision (Fig. 5.23);248
23.2.11;Excision of the Musculocutaneous Flap (Fig. 5.26);252
23.2.12;Medial, Intermediate, and Lateral Lipectomy (Fig. 5.29–5.32);256
23.2.13;Removal of a Muscular Strip From the Orbicular Muscle of the Eye;260
23.2.14;Skin Resection;262
23.2.15;Sutures and Dressing;264
23.2.16;Postoperative Treatment and Precautions;270
23.2.17;Results;271
23.2.18;Tips and Tricks;272
24;6 Otoplasty;274
24.1;Introduction;275
24.2;Anatomical Overview (Fig. 6.1);276
24.3;Instruments and Medication (Fig. 6.2);277
24.4;Photographic Documentation;279
24.5;Preliminary Examination of the Ear;279
24.6;Surgical Planning;280
24.7;Disinfection;280
24.8;Preliminary Marking of Incision Lines (Fig. 6.3);281
24.9;Local Anesthesia (Fig. 6.4);281
24.10;Incision (Fig. 6.5);283
24.11;Skin Resection (Fig. 6.6–6.7);285
24.12;Exposure of the Dorsal Surface of the Auricular Cartilage (Fig. 6.9);287
24.13;Preparation of the Auricular Concha;289
24.13.1;1. Marking with Fine Needles (Fig. 6.10);289
24.13.2;2. Marking of Incision Lines (Fig. 6.11);289
24.13.3;3. Incision of Conchal Cartilage (Fig. 6.12);291
24.13.4;4. Blunt Cartilage Dissection (Fig. 6.13);291
24.14;Resection of the Concha (Fig. 6.14);293
24.15;Reshaping the Anthelix (Fig. 6.15–6.22);295
24.16;Cartilage Sutures (Fig. 6.21, 6.22);301
24.17;Wound Closure (Fig. 6.23, 6.24);303
24.18;Identical Approach on the Contralateral Side;303
24.19;Dressing;305
24.20;Postoperative Treatment and Precautions;305
24.21;Results;306
24.22;Tips and Tricks;308
25;7 BreastSurgery;310
25.1;7.1 Breast Augmentation;312
25.1.1;Introduction;312
25.1.2;Breast Implants*;314
25.1.3;Anatomical Overview (Fig. 7.1);315
25.1.4;Instruments (Fig. 7.2–7.5);316
25.1.5;Duplicate Patient Information;322
25.1.6;Preliminary Examinations;322
25.1.7;Photographic Documentation;322
25.1.8;Surgical Planning (Fig. 7.6);323
25.1.9;Incision Line in the Case of Inframammary Access;326
25.1.10;Definition of the Subsequent Breast or Implant Size by Establishing the Distance Between the Lower Margin of the Nipple and the Subsequent Inframammary Fold;327
25.1.11;Positioning of the Patient, Disinfection of the Surgical Area;328
25.1.12;Tumescence (Fig. 7.9);328
25.1.13;Inframammary Incision (Fig. 7.10);330
25.1.14;7.1.1 Supramuscular Access;330
25.1.14.1;Dissection, Step 1 (Fig. 7.11);330
25.1.14.2;Dissection, Step 2: PreciseDemonstration of the Caudal,Medial, and Lateral Borders of Pectoralis Major;332
25.1.15;Deep, Blunt Dissection;333
25.1.16;Wound Revision and Hemostasis Using the Illuminated Retractor and Bipolar Tweezers (Fig. 7.14);334
25.1.17;Determining the Size and Shape of the Implant (Fig. 7.15);334
25.1.18;Fitting the Final Implant (Fig. 7.16);336
25.1.19;Exact Positioning of the Implant (Fig. 7.17);338
25.1.20;Insertion of the Redon Drain (Size 10) (Fig. 7.18);338
25.1.21;Deep Wound Closure (Fig. 7.19);340
25.1.22;Two-Layer, Atraumatic Wound Closure Using 4.0 Monocryl (Fig. 7.20);340
25.1.23;Dressing (Fig. 7.21);342
25.1.24;Aftercare;342
25.1.25;7.1.2 Submuscular Access (Fig. 7.22–7.27);344
25.1.26;Submuscular Implant;344
25.1.27;Dual Plane Dissection;350
25.1.28;Results;352
25.2;7.2 Breast Reduction/Breast Lifting;361
25.2.1;Tips and Tricks;388
25.2.2;Results;390
26;8 Brachioplasty;395
26.1;Introduction;396
26.2;Upper-Arm Tightening;396
26.3;Anatomical Overview (Fig. 8.1);398
26.4;Instruments (Fig. 8.2–8.4);399
26.5;Duplicate Patient Information;403
26.6;Preliminary Examinations;403
26.7;Photographic Documentation;403
26.8;Surgical Planning;403
26.9;Preliminary Marking of Incision Lines (Fig. 8.5);403
26.10;Mang’s Fish-Mouth Technique (Fig. 8.6);405
26.11;Positioning, Disinfection;405
26.12;Tumescence (Fig. 8.7);405
26.13;Incision (Fig. 8.8);407
26.14;Superficial Dissection (Fig. 8.9);407
26.15;Deep Dissection, Hemostasis (Fig. 8.10);409
26.16;Incision of the Dissected Dermofat Flap in Stages (Fig. 8.11);409
26.17;Fixing of the Skin Flap with 3.0 Monocryl Key Sutures (Fig. 8.12);411
26.18;Resection in Stages (Fig. 8.13);411
26.19;Two-Layer Skin Closure (Fig. 8.14);413
26.20;Cutaneous Sutures: Running or Intracutaneous 4.0 Monocryl (Fig. 8.15);413
26.21;Dressing (Fig. 8.16);415
26.22;Aftercare;415
26.23;Results;417
26.24;Tips and Tricks;422
27;9 Abdominoplasty;424
27.1;Introduction;426
27.2;Tightening of the Abdominal Wall;426
27.3;Anatomical Overview (Fig. 9.1);427
27.4;Instruments* (Fig. 9.2–9.4);429
27.5;Duplicate Patient Information;433
27.6;Preliminary Examinations;433
27.7;Photographic Documentation;434
27.8;Surgical Planning;434
27.9;Postoperative Treatment;435
27.10;Typical Findings: Indications for Tightening the Abdominal Wall;435
27.11;Positioning, Disinfection;439
27.12;Marking the Individual Incision Line (Fig. 9.6);437
27.13;Tumescence (Fig. 9.7);439
27.14;Incision (Fig. 9.8);439
27.15;Dissection of the Lower Abdomen (Fig. 9.9);441
27.16;Incision Around the Navel (Fig. 9.10);441
27.17;Mobilization and Dissection of the Navel (Fig. 9.11);443
27.18;Vertical Splitting of the Dermofat Flap as Far as the Base of the Navel (Fig. 9.12);443
27.19;Complete Mobilization of the Umbilical Stalk (Fig. 9.13);445
27.20;Dissection of the Upper Abdomen (Fig. 9.14);445
27.21;Doubling of the Rectus Abdominis Fascia (Fig. 9.15);447
27.22;Defining the Resection Boundaries with Upper Body Flexed at 30°;449
27.23;Repositioning of the Navel Using a V-Shaped Incision (Fig. 9.17);450
27.24;Pulling the Navel Out of the V-Shaped Incision with Curved Forceps (Fig. 9.18);451
27.25;Positioning the Navel (Fig. 9.19);451
27.26;Trimming of the Skin of the Navel and Adaptation to the V-Shaped Incision (Fig. 9.20);453
27.27;Closure of the Navel in Three Layers (Fig. 9.21);453
27.28;Fixation of the Surplus Sections of Skin with 2.0 Monocryl Key Sutures;455
27.29;Resection of the Skin in Stages;456
27.30;Insertion of Redon Drains;457
27.31;Wound Closure in Three Layers;458
27.32;Dressing;459
27.33;Fitting the Abdominal Belt;459
27.34;Results;461
27.35;Mini Abdominoplasty;463
27.36;Tips and Tricks;475
27.37;Results;476
28;10 Thigh and Buttock Lift;478
28.1;Introduction;479
28.2;Anatomical Overview (Fig. 10.2);482
28.3;Instruments (Fig. 10.3–10.5);483
28.4;Duplicate Patient Information;487
28.5;Preliminary Examinations;487
28.6;Photographic Documentation;487
28.7;Surgical Planning;488
28.8;Positioning, Disinfection;489
28.9;Tumescence (Fig. 10.7);489
28.10;Incision of the Skin (Fig. 10.8);491
28.11;Dissection (Fig. 10.9);491
28.12;Deep Dissection and Hemostasis (Fig. 10.10);493
28.13;Definition of Resection Boundaries (Fig. 10.11);493
28.14;Skin Resection (Fig. 10.12);495
28.15;Fixation Suture on the Pubic Bone with 2.0 Monocryl (Fig. 10.13);495
28.16;Second Fixation Suture on the Inguinal Ligament (Fig. 10.14);497
28.17;Deep Wound Closure and Insertion of a Redon Drain (No. 10) (Fig. 10.15);497
28.18;Intracutaneous Skin Closure (Fig. 10.16);499
28.19;Dressing (Fig. 10.17);499
28.20;Buttock Lift: Positioning, Disinfection;501
28.21;Tumescence (Fig. 10.18);501
28.22;Incision Line (Fig. 10.18);501
28.23;Incision (Fig. 10.19);501
28.24;Wedge-Shaped Dermolipectomy (Fig. 10.20, 10.21);503
28.25;Transverse Incision Through the Resected Area (Fig. 10.22);505
28.26;Hemostasis, Deep Wound Closure, Insertion of a Redon Drain (Fig. 10.23);505
28.27;Two-Layer, Tension-Free Wound Closure (Fig. 10.24);507
28.28;Dressing (Fig. 10.25);507
28.29;Postoperative Treatment: Course of Action After the Operation; Precautionary Measures;509
28.30;Results;516
28.31;NewProcedure for Buttock Lifting with Re-shaping of the Gluteal Fold (Fig. 10.27–10.30);511
28.31.1;Surgical Planning;511
28.31.2;Tumescence;511
28.31.3;Incision, De-epithelialization;512
28.31.4;Dissection;513
28.31.5;Fixation;514
28.31.6;Insertion of a Redon drain;515
28.31.7;Two-layer, tension-free wound closure;515
28.31.8;Dressing;515
28.31.9;Postoperative Treatment;515
28.32;Results;516
28.33;Tips and Tricks;517
29;11 Liposuction;519
29.1;Introduction;521
29.2;Instruments (Fig. 11.1, 11.2);522
29.3;Duplicate Patient Information;525
29.4;Preliminary Examination;525
29.5;Surgical Planning;526
29.6;Anatomy of Liposuction of the Abdomen, Hips, Thighs (Fig. 11.3);526
29.7;Anatomical Overview (Fig. 11.3);527
29.8;Anatomy of Liposuction of the Hips, Back, Thighs, Buttocks (Body Contouring) (Fig. 11.4);528
29.9;Anatomical Overview (Fig. 11.4);529
29.10;Anatomy of Liposuction of the Axilla, Chest, Hips, Lateral Side of the Thighs (Fig. 11.5);530
29.11;Anatomical Overview (Fig. 11.5);531
29.12;Anatomy of Liposuction of the Medial/Lateral Side of the Thighs, Knee(Fig. 11.6);532
29.13;Anatomical Overview (Fig. 11.6);533
29.14;Anatomy of Liposuction of the Medial Part of the Thighs, Knees, Calves, Ankles;534
29.15;Anatomical Overview (Fig. 11.7a);534
29.16;Anatomy of Liposuction of the Calf and Ankles;534
29.17;Anatomical Overview (Fig. 11.7b);534
29.18;Anatomy of Liposuction of the Breast, Axilla, Upper Arms (Fig. 11.8);536
29.19;Anatomical Overview (Fig. 11.8);537
29.20;Anatomy of Liposuction of a Double Chin (Fig. 11.9);538
29.21;Anatomical Overview (Fig. 11.9);539
29.22;Mechanical and Manual Tumescence (Fig. 11.10);540
29.23;Location of the Incision Sites from the Rear (Fig. 11.11a);542
29.24;Location of the Incision Sites from the Front (Fig. 11.11b);542
29.25;Schematic Diagram of Mang’s Tumescent Liposuction Technique;544
29.26;Cross-Section of the Liposuction Technique (Fig. 11.14);546
29.27;Cross-Section of the Tissue 6 Months After Liposuction with Preservation of the Infrastructural Connective Tissue (ICT) (Fig. 11.15);546
29.28;Technique;550
29.29;Disinfection;550
29.30;Manual Liposuction;552
29.31;Mechanical Liposuction;552
29.32;Procedure;552
29.33;Dressing;553
29.34;Aftercare;554
29.35;Results;555
29.36;MicroAire System;559
30;12 Hair Transplantation;562
30.1;Introduction;563
30.2;Instruments;565
30.2.1;Basic Instrument Set (Sterilizable)* (Fig. 12.2);565
30.2.2;Instruments for Graft/Follicular Unit Preparation (Fig. 12.3);567
30.2.3;Instruments for Micropunch Technique (Fig. 12.4);569
30.2.4;Instruments for Microslit Technique (Fig. 12.5);569
30.3;Preparation of the Patient, Hairline Design (Fig. 12.6);571
30.4;Donor Area;571
30.5;Local Anesthesia, Tumescence (Fig. 12.7);571
30.6;Donor Strip Harvesting (Fig. 12.8);573
30.7;Skin Closure with Continuous Sutures (Fig. 12.9);573
30.8;Follicular Unit Dissection (Minigrafts, Micrografts, Single Hairs) (Fig. 12.10);575
30.9;Recipient Area, Holes, and Slits (Fig. 12.11);575
30.10;Transplantation Channels (Fig. 12.12);577
30.11;Transplantation (Fig. 12.13);577
30.12;Aftercare;579
30.12.1;Postoperative Precautions;579
30.13;Results;580
30.14;Tips and Tricks;582
31;13 Adjuvant Therapies, Including Laser Surgery;584
31.1;Introduction;586
31.2;Local Anesthesia;587
31.2.1;Nerve Exit Points, Supraorbital Nerve, Infraorbital Nerve, Mental Nerve;587
31.3;1. Biological Implants;588
31.3.1;Report – Technique;590
31.3.2;Collagen and Hyaluronic Acid;590
31.3.3;Results;591
31.3.4;Application and Absorption of Collagen;593
31.3.5;Application Examples (Fig. 13.10);597
31.3.6;Glabella Wrinkles;597
31.3.7;Eye Wrinkles;597
31.3.8;Nasolabial Folds (Fig. 13.11);599
31.3.9;Lip Augmentation (Fig. 13.12);601
31.3.10;Results;605
31.3.11;Acne Scars;606
31.3.12;Liquid Lifting;607
31.3.13;Contouring Using the Mang Method;607
31.3.14;Results;608
31.3.15;Liquid Lift According to Mang (Polylactic Acid + Juv´ederm);609
31.3.16;Sculptra®: Crystalline polylactic acid;609
31.3.17;Usage;610
31.3.18;Hyal System;611
31.3.18.1;Introduction;611
31.3.18.2;1. Dermal filler;612
31.3.18.3;2. Hyal System;612
31.3.18.4;Report – Technique;612
31.3.18.5;Follow-Up Treatment;613
31.4;2. Mang’s Spacelift (Autologous Fat Injection);615
31.4.1;Introduction;615
31.4.2;History;615
31.4.3;Indications;616
31.4.4;Instruments (Fig. 13.21);617
31.4.5;Technique;617
31.4.6;Injection Technique;617
31.4.7;Possible Complications;620
31.4.8;Advantages of Lipotransfer;620
31.4.9;Diagram of the Fat Injection (Fig. 13.24);623
31.4.10;Three-Dimensional Diagram of Fat Injection into Subcutaneous Tissue (Fig. 13.25);623
31.4.11;Increasing the Density of the Connective Tissue Following Breakdown of Fat Droplets;625
31.4.12;Results;627
31.5;3. Botulinum Toxin*;629
31.5.1;Report – Technique;630
31.5.2;Indications;633
31.5.3;Results;634
31.5.4;Anger Wrinkles;635
31.5.5;Horizontal Forehead Wrinkles (Fig. 13.32);637
31.5.6;Neck;639
31.5.7;Upper Lip Wrinkles;639
31.5.8;Drooping Corner of the Mouth;639
31.6;4. Dermabrasion;640
31.6.1;Indications;641
31.6.2;Technique (Fig. 13.35, 13.36);643
31.6.3;Dressing and Follow-Up Treatment;645
31.6.4;Results;646
31.7;5. Chemical Peeling;650
31.7.1;Stage 1;650
31.7.1.1;Method;650
31.7.1.2;Effect;650
31.7.1.3;Preparation;650
31.7.1.4;Procedure;650
31.7.1.5;Follow-Up Treatment;650
31.7.2;Stage 2;651
31.7.2.1;Method;651
31.7.2.2;Effect;651
31.7.2.3;Preparation;651
31.7.2.4;Procedure;651
31.7.2.5;Follow-Up Treatment;651
31.7.2.6;Risks;652
31.7.2.7;Effect;652
31.7.3;Stage 3;652
31.7.3.1;Method;652
31.7.3.2;Effect;653
31.7.4;Results;654
31.8;6. Ultrapulse CO2 Laser Surgery*;655
31.8.1;Indications;656
31.8.2;Pretreatment;656
31.8.3;Anesthesia;657
31.8.4;Surgical Steps;657
31.8.5;Follow-Up Treatment;662
31.8.6;Results;665
31.9;7. Erbium:YAG Laser;667
31.9.1;Introduction;667
31.9.2;Report – Technique;667
31.9.3;Results;668
32;14 Aesthetic Surgery: Quo Vadis?;671
32.1;Prospects;671
33;15 Bibliography;673
33.1;Further Reading;673
33.2;Chapter 1: Photodocumentation in Aesthetic Plastic Surgery;673
33.3;Chapter 2: Informed Consent in Aesthetic Plastic Surgery;673
33.4;Chapter 3: Rhinoplasty;673
33.5;Chapter 4: Rhytidectomy;677
33.6;Chapter 5: Eylid Surgery;679
33.7;Chapter 6: Otoplasty;679
33.8;Chapter 7: Breast Surgery;680
33.9;Chapter 8: Brachioplasty;682
33.10;Chapter 9: Abdominoplasty;683
33.11;Chapter 10: Thigh and Buttock Lift;685
33.11.1;Buttock Lift;685
33.11.2;Thigh Lift;685
33.12;Chapter 11: Liposuction;686
33.13;Chapter 12: Hair Transplantation;688
33.14;Chapter 13: Adjuvant Therapies Including Laser Surgery;689
34;16 Subject Index;691
35;17 List of Suppliers;698