Plastic Surgery: Volume 2: Aesthetic Surgery

Hair restoration

Access video and video lecture content for this chapter online at Elsevier eBooks+ Introduction This chapter represents a 28-year journey of hair transplantation practice, initially treating primarily cases of male pattern baldness and then expanding to other applications, such as…

Otoplasty and ear reduction

Synopsis ■ Analysis: analyze the problem in thirds. ■ Endpoint: know what normal looks like, so you know your surgical endpoint. ■ Do not be destructive. Do not do anything to the ear that cannot be reversed. ■ Skin is…

Secondary rhinoplasty

Synopsis ■ Secondary rhinoplasty may be done to correct a complication, to correct an untoward result, or simply to pursue further improvement. ■ Secondary rhinoplasty is more difficult than primary. All measures to help the surgeon should be used, including…

Airway issues and the deviated nose

Synopsis ■ A thorough history and physical examination are crucial. History of nasal trauma, prior surgery, airway complaints, and allergies are carefully recorded. ■ Three-dimensional evaluation, as well as cephalometric analysis of life-size photographs, is performed in order to evaluate…

Closed technique rhinoplasty

Synopsis ■ Secondary nasal deformities are not limitless but group into three patterns that can be anticipated in the primary nose – therefore their solutions follow patterns. ■ The most common motivation for secondary surgery is an iatrogenic deformity from…

Open technique rhinoplasty

Synopsis ■ Accurate preoperative analysis and clinical diagnosis set the foundation for successful primary open rhinoplasty. ■ Open rhinoplasty allows anatomic exposure, identification, and correction of nasal deformities. ■ Component dorsal hump reduction and reconstitution of the dorsum allow accurate…

Nasal analysis and anatomy

Synopsis ■ Surgery begins with a careful preoperative analysis utilizing standardized measurements. ■ All tissues including bone, cartilage, and soft tissue may contribute to any one measurement, e.g., nasal length. ■ Nasal anatomy is considered within the context of facial…

Facial fat grafting

Synopsis ■ Facial aging is characterized by fat atrophy and gravitational descent of facial soft tissue. ■ Careful facial analysis and planning are key for success. ■ Fat grafting offers a minimally invasive technique to improve facial aesthetic and skin…