Emerging tools and trends in facial plastic surgery

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Veröffentlicht: Philadelphia, Pa. [u.a.] Saunders 2012
Schriftenreihe:Facial plastic surgery clinics of North America 20,2
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adam_text Emerging Tools and Trends in Facial Plastic Surgery Contents Latest Innovations in Facial Plastic Surgery: Procedures and Technology xv PaulJ. Carniol Latest Chemical Peel Innovations 119 Phillip R. Langsdon, David W. Rodwell III, Parker A. Velargo, Carol H. Langsdon, and Amanda Guydon For decades, chemical peels have remained a trusted option for treatment of aging facial skin. However, emerging technologies are being adopted by many practi¬ tioners who may not have had sufficient opportunity to learn the art of chemical peel¬ ing. Properly performed peels can improve the condition of the skin, are less expensive than light-based machines, and exfoliate the skin without the thermal damage associated with light-based machines. This article presents a new variation of a trusted method, using a series of low-strength trichloroacetic acid peels and proper skin preparation that is cost-effective and produces excellent results in selected patients. Latest Innovations for Tattoo and Permanent Makeup Removal 125 Johnny C. Mao and Louis M. DeJoseph The goal of this article is to reveal the latest techniques and advances in laser re¬ moval of both amateur and professional tattoos, as well as cosmetic tattoos and per¬ manent makeup. Each pose different challenges to the removing physician, but the goal is always the same: removal without sequelae. The authors technique is de¬ tailed, and discussion of basic principles of light reflection, ink properties, effects of laser energy and heat, and outcomes and complications of tattoo removal are presented. Combined Fractionated CO2 and Low-Power Erbium: YAG Laser Treatments 135 Harry Mittelman, Maxwell Furr, and P. Chase Lay This article addresses the use of fractionated CO2 laser and erbium:YAG laser for facial rejuvenation. Outcomes and limitations of these techniques are discussed, along with a stepwise summary of techniques as they are used in clinical practice. An evaluation of patient satisfaction is presented for a group of patients who under¬ went combined fractional CO2 and erbium:YAG facial resurfacing. Plasma Skin Resurfacing: Personal Experience and Long-Term Results 145 Stuart H. Bentkover This article presents a comprehensive clinical approach to plasma resurfacing for skin regeneration. Plasma technology, preoperative protocols, resurfacing tech¬ nique, postoperative care, clinical outcomes, evidence-based results, and appropri¬ ate candidates for this procedure are discussed. Specific penetration depth and specific laser energy measurements are provided. Nitrogen plasma skin regenera¬ tion is a skin-resurfacing technique that offers excellent improvement of mild to moderate skin wrinkles and overall skin rejuvenation. It also provides excellent Contents improvement in uniformity of skin color and texture in patients with hyperpigmenta- tion with Fitzpatrick skin types 1 through 4. Ulthera: Initial and Six Month Results 163 Robert W. Brobst, Maria Ferguson, and Stephen W. Perkins The Ulthera system is a facial application of intense focused ultrasound developed for improving noninvasive rejuvenation results. This article describes the Ulthera de¬ vice, its mechanism of action, the indications and limitations of the device, and the details of treatment. We also review the literature and our personal results, discuss future trends, and conclude with advice for the early user. Platelet-Rich Fibrin Matrix for Facial Plastic Surgery 177 Anthony P. Sclafani and Masoud Saman Platelets are known primarily for their role in hemostasis, but there is increasing in¬ terest in the effect of platelets on wound healing. Platelet isolates such as platelet- rich plasma have been advocated to enhance and accelerate wound healing. This article describes the use of a novel preparation, platelet-rich fibrin matrix (PRFM), for facial plastic surgery applications such as volume augmentation, fat transfer sup¬ plementation, and as an adjunct to open surgical procedures. Combined Laser Treatment of Actinic Sun Damage and Acne Scarring 187 Richard D. Gentile Since its approval for use in 2007, many surgeons have been using the laser for sub¬ cutaneous use, primarily for lipolysis, facial neck and body contouring, and skin tightening. Techniques have recently evolved to enable use of the subcutaneous la¬ ser with concurrent skin resurfacing techniques for improvement of photoaging and acne or facial scarring. The technique shows great promise in patients with facial ag¬ ing and photodamage who are not deemed candidates for rhytidectomy surgery. With strict patient-selection criteria of mild to moderate facial laxity and mild to mod¬ erate photoaging, the procedure can be gratifying for the surgeon and patient alike. Combining Fractional Carbon-Dioxide Laser Resurfacing with Face-Lift Surgery 201 William H. Truswell IV The human face ages in three different ways: tissues descend; the skin develops rhy- tides, dyschromia, and numerous lesions; and facial volume is lost. Face-lift surgery and skin resurfacing are two of the mainstays of facial rejuvenation. Today, carbon- dioxide laser resurfacing is, arguably, the gold standard for resurfacing the skin. This article describes the rationale and application of simultaneous fractional laser resurfacing with face-lift surgery. The discussion includes the author s technique, preoperative and postoperative regimens, and experience. Cannulas for Facial Filler Placement 215 Louis M. DeJoseph With more physicians performing injections to the face in increasingly sophisticated ways, techniques must evolve accordingly. Injectables are no longer mere wrinkle fillers but true panfacial volumizers that are placed in many different planes and Contents tissues of the face, in contrast to fillers of the past used for the dermis. This devel¬ opment is providing better results previously not achievable with off-the-shelf fillers. Microcannulas represent a step forward in enhancing surgeons ability to fill the face with less discomfort, edema, and ecchymosis, with faster recovery. Microcannulas will probably play a role in volume replacement for many years to come. Combining Laser Therapies for Optimal Outcomes in Treating the Aging Face and Acne Scars 221 Elizabeth F. Rostan Aging and sun damage of the skin results in skin laxity, rhytides, texture irregularities, dyspigmentation, and vascular changes. Many different laser devices are frequently used to correct these changes from age and photodamage. This article describes the author s experience in combining laser technologies (different wavelengths and applications) in one treatment session to achieve better outcomes with fewer visits for the patient. Adipocyte-Derived Stem Cells for the Face 231 Cynthia A. Boxrud This review gives a basic overview of the current state of fat transplantation in view of adipose-derived stem cells. Current technologies regarding facial rejuvenation are presented, with a brief review of the procedures. Index 235
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publishDate 2012
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series Facial plastic surgery clinics of North America
series2 Facial plastic surgery clinics of North America
spellingShingle Emerging tools and trends in facial plastic surgery
Facial plastic surgery clinics of North America
Gesichtschirurgie (DE-588)4020688-9 gnd
Operationstechnik (DE-588)4215428-5 gnd
subject_GND (DE-588)4020688-9
(DE-588)4215428-5
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title Emerging tools and trends in facial plastic surgery
title_auth Emerging tools and trends in facial plastic surgery
title_exact_search Emerging tools and trends in facial plastic surgery
title_full Emerging tools and trends in facial plastic surgery guest ed.: Paul J. Carniol
title_fullStr Emerging tools and trends in facial plastic surgery guest ed.: Paul J. Carniol
title_full_unstemmed Emerging tools and trends in facial plastic surgery guest ed.: Paul J. Carniol
title_short Emerging tools and trends in facial plastic surgery
title_sort emerging tools and trends in facial plastic surgery
topic Gesichtschirurgie (DE-588)4020688-9 gnd
Operationstechnik (DE-588)4215428-5 gnd
topic_facet Gesichtschirurgie
Operationstechnik
Aufsatzsammlung
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