Synopsis ■ The skin/fat envelope is tethered to the underlying musculoskeletal anatomy in zones of adherence. These include the spine, the sternum, the linea alba of the abdomen, the inguinal area, the suprapubic area, and the area between the hip…
Synopsis ▪ Assessment of the abdominal region includes a detailed medical and physical history, including pregnancies; prior surgeries, especially in the lower truncal area; and weight changes. Preoperative identification of any existing ventral hernia, including diastasis recti, is imperative. ▪…
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…
Synopsis Open rhino ■ 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 allows accurate and incremental reduction…
Synopsis ▪ Detailed knowledge of forehead anatomy is the basis for rejuvenation strategies of the forehead region. ▪ Eyebrow position is the net result of forces that depress the brow, forces that raise the brow, and the structures that tether…
Synopsis ▪ Age-related changes occur in all layers of the face, including skin, superficial fat, SMAS, deep fat, and bone. ▪ Patients presenting for facial rejuvenation surgery are usually middle-aged or older, thus increasing the chance of co-morbidities. Risk factors…
Synopsis ▪ Blepharoplasty is a vital part of facial rejuvenation. The traditional removal of tissue may or may not be the preferred approach when assessed in relation to modern cosmetic goals. ▪ A thorough understanding of orbital and eyelid anatomy…
Introduction Six separate procedures will be described in this chapter. Each demonstrates the value of computer-assisted planning and the interaction between the craniofacial surgeon and other members of the prosthetics and design team. In each case, the definitive outcome is…
Introduction Critical-sized craniofacial defects (defects that cannot heal spontaneously within a patient’s lifetime without surgical intervention) occur due to trauma, craniotomy (surgical removal of part of the craniofacial bone to expose the brain for tumor resection), and congenital malformations. They…
Introduction Surgical approaches in craniofacial surgery follow specific principles due to the complex anatomy of the head and neck and the aesthetic sensitivity of the region. The approaches can be categorized into two domains as a result of these factors,…