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…
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…
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…
Chapter Summary Psychosocial factors are important in cosmetic surgery patient selection. An appropriate preoperative psychiatric examination is essential. By recognizing the key features of common personality and mental disorders, cosmetic surgeons can plan effective treatment for each individual patient. Body…
Chapter Summary Scar revision methodology includes intralesional steroids, lasers targeting superficial vasculature, non-ablative and ablative lasers – including fractional resurfacing devices, surgical excision, and dermabrasion, and is occasionally as simple as allowing more time for the original scar to mature.…
Chapter Summary Post-acne scarring remains a common entity despite advances in our understanding and treatment of acne. The management of post-acne scarring remains as much an ongoing challenge as ever, with improvement not eradication as the goal. This strategy or…
Chapter Summary A skin graft is a portion of skin that has been separated from its vascular supply. Full-thickness grafts (epidermis and dermis plus adnexal structures) generally give better results than split-thickness grafts (epidermis and partial-thickness dermis only) because there…
Chapter Summary Axial pattern flaps have a pedicle containing a named cutaneous artery, compared with random pattern flaps whose blood supply is based on the less robust subdermal plexus. As a result of their robust blood supply, axial pattern flaps…
Chapter Summary Random pattern flaps are ideal closures for surgical wounds that will neither predictably heal by second intention nor be easily repaired by direct linear closure. For each operative wound, several flaps may be suitable, but one will likely…
Chapter Summary The best results in ellipse excision are achieved by: designing the simplest repair that will achieve optimal cosmesis avoiding unnecessary flaps or grafts undermining only as needed. The repair type is selected according to patient characteristics and clinical…