Office-Based Cosmetic Procedures and Techniques

Half-title......Page 3
Title......Page 5
Copyright......Page 6
Contents......Page 7
Preface......Page 11
Contributors......Page 13
PART ONE ANATOMY AND THE AGING PROCESS......Page 19
ROLE OF BONE......Page 21
ROLE OF FAT......Page 22
Lower Eyelid and Nasolabial Fold......Page 23
Suggested Reading about Muscles......Page 24
PART TWO ANESTHESIA AND SEDATION FOR OFFICE COSMETIC PROCEDURES......Page 25
TECHNIQUES FOR PAINLESS ANESTHESIA......Page 27
Additives to Local Anesthetics......Page 28
Amides......Page 29
Risk of methemoglobinemia: (prilocaine >> lidocaine, procaine [Novocaine, benzocaine)......Page 30
Side Effects of Local Anesthetics......Page 31
SUGGESTED READING......Page 32
CHAPTER 3 The Concept of Tumescent Anesthesia......Page 33
SUGGESTED READING......Page 34
MINI-BLOCK TECHNIQUE FOR LIP ANESTHESIA......Page 35
UPPER FACIAL NERVE BLOCKS: SCALP AND FOREHEAD......Page 36
MIDFACE LOCAL ANESTHETIC BLOCKS......Page 37
LOWER FACIAL BLOCKS......Page 40
TYPES OF TOPICAL ANESTHETICS......Page 41
PRODUCTS......Page 42
UNAPPROVED PHARMACY COMPOUNDED TOPICAL ANESTHETICS......Page 43
SUGGESTED READING......Page 44
PART THREE FILLERS AND NEUROTOXINS......Page 45
HISTORICAL OVERVIEW......Page 47
CURRENT FILLERS......Page 48
FUTURE DIRECTIONS......Page 51
SUGGESTED READING......Page 52
BIOCHEMISTRY......Page 53
TYPES OF HA-BASED FILLERS......Page 54
CONSEQUENCES OF INJECTION TECHNIQUES......Page 56
EFFICACY AND LONGEVITY......Page 57
SUGGESTED READING......Page 58
CHAPTER 8 Restylane: General Concepts......Page 61
The Remington Fold-Crease Grading System......Page 63
Tear Trough and Lateral Orbital Hollowing......Page 64
Lip Enhancement......Page 65
CONCLUSION......Page 66
CHAPTER 10 The Juvéderm Family of Fillers......Page 67
CLINICAL APPLICATIONS OF JUVÉDERM PRODUCTS......Page 69
SUGGESTED READING......Page 70
CHAPTER 11 Puragen: A New Dermal Filler......Page 71
COMPLICATIONS......Page 72
SUGGESTED READING......Page 73
PATIENT SELECTION......Page 74
SUGGESTED READING......Page 75
CHAPTER 13 Review of Collagen Fillers......Page 77
XENOGENIC MATERIALS......Page 78
AUTOLOGOUS HUMAN COLLAGENS......Page 80
ALLOGENIC HUMAN COLLAGENS......Page 81
SUGGESTED READING......Page 82
HUMAN-BIOENGINEERED COLLAGEN......Page 83
ADVERSE EVENTS......Page 84
SUGGESTED READING......Page 85
TECHNIQUE......Page 86
SUGGESTED READING......Page 87
CHAPTER 16 Calcium Hydroxylapatite (Radiesse): A Facial Plastic Surgeon’s Approach......Page 89
SUGGESTED READING......Page 91
TECHNIQUE......Page 92
COMPLICATIONS......Page 93
SUGGESTED READING......Page 94
INJECTION TECHNIQUE......Page 95
SUGGESTED READING......Page 96
Phase 2: The Foreign Body Must Be Removed......Page 97
Size and Volume of Implant......Page 98
Particulate Implants: Biostimulators......Page 99
Morphology of Implant......Page 100
Implantation Site......Page 101
PATIENT SELECTION AND REALISTIC EXPECTATIONS......Page 102
HOW TO DO IT......Page 103
COMPLICATIONS AND PREVENTION AND MANAGEMENT OF COMPLICATIONS......Page 104
SUGGESTED READING......Page 105
POSTPROCEDURE......Page 106
SUGGESTED READING......Page 108
INJECTION TECHNIQUE......Page 109
SUGGESTED READING......Page 110
TECHNIQUE......Page 112
COSMETIC TREATMENTS......Page 113
SUGGESTED READING......Page 114
ADVANTAGES......Page 115
PHILOSOPHICAL CONSIDERATIONS......Page 116
Physical Properties of Dermal Defects......Page 117
Perioral Rhytids......Page 118
TECHNIQUE, PRINCIPLES, AND TRAINING......Page 119
INSTRUMENTATION AND PERSONAL PREFERENCES......Page 120
COMPLICATIONS......Page 121
PERSONAL CONSIDERATIONS......Page 122
SUGGESTED READING......Page 123
CHAPTER 25 Autologous Fat Transfer: An Introduction......Page 125
SUGGESTED READING......Page 127
PLANNING......Page 128
POSTOPERATIVE CARE......Page 129
REPEAT AUGMENTATION......Page 130
SUGGESTED READING......Page 131
CHAPTER 27 Larger-Volume Fat Transfer......Page 132
SUGGESTED READING......Page 135
PATIENT ANALYSIS......Page 136
TECHNIQUE......Page 137
COMPLICATIONS......Page 139
Technique......Page 140
SUGGESTED READING......Page 141
CHAPTER 29 Adding Volume to the Aging Face: Fat Grafting versus Fillers and Implants in Europe......Page 142
Fat Injection......Page 144
SUGGESTED READING......Page 145
MATERIALS AND MECHANISMS OF ACTION......Page 147
Midface......Page 148
Material Related......Page 149
CONCLUSION......Page 150
UPPER EYELIDS......Page 151
THE LIPS, NASOLABIAL FOLD, AND PERIORAL AREA......Page 152
THE USE OF NERVE BLOCKS......Page 154
SUGGESTED READING......Page 155
GENERAL COMPLICATIONS OF SOFT TISSUE–AUGMENTING FILLERS......Page 156
COLLAGEN......Page 158
POLY-L-LACTIC ACID......Page 159
POLYMETHYLMETHACRYLATE......Page 160
SUGGESTED READING......Page 161
CHAPTER 33 Neurotoxins: Past, Present, and Future......Page 163
NEUROTOXINS......Page 164
DIFFERENCES AMONG NEUROTOXINS......Page 165
AVAILABLE PRODUCTS......Page 166
SUGGESTED READING......Page 168
Dynamic Rhytids of the Midface......Page 169
Dynamic Rhytids of the Lower Face......Page 170
INJECTION TECHNIQUE FOR THE FACE......Page 171
Technique Related......Page 173
SUGGESTED READING......Page 174
CHAPTER 35 Cosmetic BOTOX: How We Do It......Page 175
SUGGESTED READING......Page 177
The Lateral Brow......Page 178
THE PERIORBITAL AREA......Page 179
PATTERNS OF NT USE......Page 180
AXILLARY HYPERHIDROSIS......Page 181
SUGGESTED READING......Page 182
CHAPTER 38 Dysport......Page 184
TREATMENT TECHNIQUE......Page 185
The Crows Feet Area......Page 186
THE NECK......Page 187
SUGGESTED READING......Page 188
PROCEDURE......Page 189
DISCUSSION......Page 190
SUGGESTED READING......Page 191
PATIENT SELECTION: DIFFERENCES AND SIMILARITIES FROM CAUCASIANS TO ASIANS......Page 193
FILLERS AND NEUROTOXINS IN ASIA......Page 195
SUGGESTED READING......Page 196
FILLERS......Page 197
NEUROTOXINS......Page 199
Orbicularis Oculi......Page 201
Neck......Page 202
Neurotoxins......Page 203
PART FOUR COSMETIC APPLICATIONS OF LIGHT, RADIOFREQUENCY, AND ULTRASOUND ENERGY......Page 205
CHAPTER 42 Treatment of Telangiectasia, Poikiloderma, and Face and Leg Veins......Page 207
IPL System......Page 209
VASCULAR LESION TELANGIECTASIAS......Page 210
Treatment Technique......Page 211
Laser Treatment......Page 213
Choose Sclerosant......Page 214
Treatment Interval......Page 216
Treatment Technique......Page 217
SUGGESTED READING......Page 218
CHAPTER 43 Vascular Lasers......Page 219
SUGGESTED READING......Page 220
CHAPTER 44 Overview of CO2 and Er:YAG Lasers and Plasma Devices......Page 221
ABLATIVE RESURFACING: LASER-TISSUE INTERACTIONS......Page 222
CARBON DIOXIDE (CO2) LASER......Page 223
TREATMENT PROTOCOL......Page 224
E:YAG LASER......Page 226
PLASMA SKIN RESURFACING......Page 227
TREATMENT PROTOCOLS......Page 228
SUGGESTED READING......Page 229
CHAPTER 45 Contemporary CO2 Laser Resurfacing......Page 230
SUGGESTED READING......Page 232
CLINICAL BENEFIT......Page 233
ADJUNCTIVE TOPICAL AGENTS......Page 234
SUGGESTED READING......Page 235
CLINICAL RESULTS......Page 236
SUGGESTED READING......Page 238
CHAPTER 48 Nonablative Laser Tissue Remodeling: 1,064-, 1,320-, 1,450-, and 1,540-nm Laser Systems......Page 239
CHAPTER 49 Overview of Broadband Light Devices......Page 243
SUGGESTED READING......Page 246
TITAN: CLINICAL USES AND TECHNIQUE......Page 248
SUGGESTED READING......Page 249
PROCEDURE......Page 250
SIDE EFFECTS......Page 251
SUGGESTED READING......Page 252
PHOTOREJUVENATION......Page 253
ACNE......Page 254
PATIENT EDUCATION......Page 255
CLINICAL TECHNIQUE......Page 256
SUGGESTED READING......Page 258
INITIAL CONSULTATION......Page 259
EIGHT-STEP TREATMENT ALGORITHM (EIGHT PS OF THERMAGE)......Page 260
POTENTIAL COMPLICATIONS......Page 261
COMPARATIVE SKIN TIGHTENING THERAPIES......Page 262
SUGGESTED READING......Page 263
CHAPTER 54 Lumenis Aluma Skin Tightening System......Page 264
COMPLICATIONS......Page 266
SUGGESTED READING......Page 267
CHAPTER 55 Ellman Radiofrequency Device for Skin Tightening......Page 268
SUGGESTED READING......Page 269
CHAPTER 56 Alma Accent Dual Radiofrequency Device for Tissue Contouring......Page 270
SUGGESTED READING......Page 272
CHAPTER 57 Combined Light and Bipolar Radiofrequency......Page 273
TYPE II......Page 274
SUGGESTED READING......Page 275
CHAPTER 58 Fractional Lasers: General Concepts......Page 277
FRACTIONAL 1,550-NM LASERS......Page 278
SELECTING A FRACTIONAL CO2 LASER......Page 282
LUX 1,540-NM LASER......Page 283
SUGGESTED READING......Page 285
CHAPTER 60 Fraxel 1,550-nm Laser (Fraxel Re:store)......Page 286
SUGGESTED READING......Page 287
CHAPTER 61 1,440-nm Fractional Laser: Cynosure Affirm......Page 288
SUGGESTED READING......Page 289
CHAPTER 62 Sciton Er:YAG 2,940-nm Fractional Laser......Page 291
SUGGESTED READING......Page 292
CHAPTER 63 Alma Pixel Er:YAG Fractional Laser......Page 294
SUGGESTED READING......Page 296
CHAPTER 64 Fractionated CO2 Laser......Page 297
Lasering Mixto SX......Page 298
Palomar Lux2940 Fractional......Page 299
SUGGESTED READING......Page 300
CHAPTER 65 LED Photorejuvenation Devices......Page 301
SUGGESTED READING......Page 302
SUGGESTED READING......Page 303
PATIENT SELECTION......Page 305
Six Weeks before Treatment......Page 306
Alexandrite (755 nm)......Page 307
Diode Laser (800–810 nm)......Page 309
IPL......Page 310
Postoperative Care......Page 311
AVOIDING PITFALLS......Page 312
SUGGESTED READING......Page 313
ACNE......Page 314
Low-Fluence PDL......Page 316
Photopneumatic Therapy......Page 317
Photo Dynamic Therapy (PDT)......Page 318
1,064-nm Laser......Page 319
Excimer Laser......Page 320
Conclusions......Page 321
TECHNIQUES......Page 322
SUGGESTED READING......Page 326
LASER- AND LIGHT-BASED THERAPY FOR FAT REMOVAL AND CELLULITE......Page 327
REMOVAL OF ADIPOSE TISSUE......Page 328
SUGGESTED READING......Page 329
ULTRASHAPE CONTOUR I TECHNOLOGY......Page 331
HISTOLOGIC STUDIES ON TISSUE EFFECTS OF ULTRASHAPE......Page 332
CURRENT PATIENT PREPARATION AND TREATMENT PROTOCOL......Page 333
CLINICAL RESULTS, EFFICACY, AND SIDE EFFECTS......Page 334
SUGGESTED READING......Page 335
RESULTS......Page 336
LIMITATIONS......Page 337
SUGGESTED READING......Page 338
PART FIVE OTHER PROCEDURES......Page 339
CHAPTER 72 Suture Suspension Lifts: An Overview......Page 341
SUGGESTED READING......Page 344
Access Incision......Page 346
Suture Deployment......Page 347
SUGGESTED READING......Page 349
PATIENT EVALUATION......Page 351
EVALUATING SKIN TYPE......Page 352
SKIN CONDITIONING......Page 353
Keratolytics......Page 354
Phenol Peels......Page 355
TCA Peels......Page 356
Obagis TCA–Blue Peel......Page 357
COMPLICATIONS OF SKIN RESURFACING......Page 358
SUGGESTED READING......Page 361
CHAPTER 75 Peeling Techniques from Europe......Page 363
FREQUENTLY ASKED QUESTIONS ABOUT PEELING TECHNIQUE......Page 364
CONCLUSION......Page 365
PC......Page 367
Indications......Page 368
Selection Demographics......Page 369
TREATMENT PROTOCOL......Page 370
Weeks 2–4 and Beyond......Page 371
SUGGESTED READING......Page 372
Index......Page 375