Surgery of the Skin

Laser Treatment of Tattoos and Pigmented Lesions

Chapter Summary Various lasers and light sources effectively treat pigmented lesions and tattoos with minimal downtime and superior cosmetic outcomes. Q-switched and picosecond lasers with extremely short pulse durations are best suited for the selective destruction of commonly encountered pigmented…

Laser Hair Removal

Chapter Summary Lasers and light sources can provide temporary hair reduction for all individuals. At present, permanent hair reduction is possible only in individuals with pigmented terminal hairs. Proper patient selection is vital to ensure effective treatment with minimal side…

Follicular Unit Hair Transplantation

Chapter Summary Follicular unit hair transplantation (FUHT) is a method of hair restoration surgery that relocates permanent donor hair to balding areas in naturally occurring follicular unit hair groupings. The small size of the units allows for tremendous versatility in…

Liposuction

Chapter Summary Tumescent local anesthesia using lidocaine and epinephrine allows the removal of large volumes of fat with minimal blood loss and low postoperative morbidity. A preconsultation questionnaire standardizes the medical history and focuses the consultation on issues that are…

Botulinum Toxins

Chapter Summary Botulinum toxin (BoNT) is a neurotoxin produced by Clostridium botulinum , a Gram-positive anaerobic bacterium. It blocks acetylcholine release after binding to the presynaptic cholinergic receptors, thus preventing muscular contraction of the affected muscles. BoNT type A (BoNT-A)…

Implants

Chapter Summary The chin plays a key role in contributing to facial balance and harmony, from ancient history through contemporary culture. Proper head positioning in the Frankfort horizontal plane is essential for preoperative assessment. Proper implant material selection and design…

Chemical Peels

Chapter Summary Indications for chemical peels Understanding the different depths achieved by the various agents used in chemical peeling Patient selection criteria Techniques for predictable outcomes with a variety of chemical peels Identification and treatment of potential complications Introduction Chemical…

Soft-tissue Augmentation

Chapter Summary The ideal soft-tissue filler would be characterized by the following properties: safety, efficacy, reproducibility, ease of administration, non-carcinogenicity, non-teratogenicity, non-migratory, cost-effective, physiologic, semi- or non-permanent, and government sanctioned. The available fillers have varying levels of particle size, desired…

Evaluation and Management of the Aging Face

Chapter Summary Evaluation of the aging face must take into account changes that occur in all levels of tissue. Young faces are characterized by arcs and fullness, not merely by the absence of wrinkles. The morphologic changes that occur in…