Aesthetic Surgery of the Forehead and Upper Third of the Face

by Sclafani, Anthony P., M.D.

• ISBN13: 9781607951537
• ISBN10: 1607951533
• Edition: 1st
• Format: Hardcover
• Copyright: 2012-02-01
• Publisher: PMPH USA LTD

Summary

This series of texts provides a comprehensive reference guide to the practice of facial plastic surgery by a panel of experienced and recognized experts in their fields.

Table of Contents

Aesthetics of the Forehead and Brow	p. 1
Introduction	p. 1
General Facial Aesthetics	p. 1
Brow Facial Aesthetics	p. 3
Conclusion	p. 5
Surgical Anatomy and Physiology of the Forehead and Brow	p. 7
Introduction	p. 7
Bones	p. 7
Muscles	p. 11
Vascular Supply	p. 12
Nerves	p. 13
Fascial Layers	p. 17
Dynamic Theory of Brow Position and Form: The Four Dimensions	p. 24
Summary	p. 24
Brief History of Aesthetic Forehead Surgery	p. 27
Tissue Suspension	p. 27
Functional Browlifting	p. 29
Physiologic Browlifting	p. 29
Conclusion	p. 30
Preoperative Evaluation and Perioperative Management of the Forehead Rejuvenation Patient	p. 33
Introduction	p. 33
The Preconsultation	p. 33
The Consultation	p. 34
The Surgeon's Preparation	p. 45
Perioperative Considerations	p. 45
Conclusion	p. 47
Direct Browlift	p. 49
Introduction	p. 49
History	p. 49
Rationale and Scientific Basis	p. 49
Advantages, Disadvantages, and Alternatives	p. 50
Indications and Contraindication	p. 50
Range of Anesthesia	p. 50
Equipment	p. 51
Operating Room Setup	p. 51
Incisions	p. 51
Plane of Dissection	p. 52
Tissue Modifications	p. 53
Wound Closure	p. 54
Postoperative Management	p. 54
Results	p. 55
Complications: Incidence, Management, and Avoidance	p. 57
Conclusions	p. 57
Midforehead Lift	p. 59
Introduction	p. 59
History	p. 59
Rationale and Scientific Basis	p. 60
Indications and Contraindications	p. 61
Advantages, Disadvantages, and Alternatives	p. 61
Range of Anesthesia	p. 61
Equipment	p. 61
Operating Room Setup	p. 62
Incisions	p. 62
Planes of Dissection	p. 64
Tissue Modifications	p. 64
Wound Closure	p. 67
Postoperative Management	p. 67
Complications: Incidence, Management, and Avoidance	p. 68
Conclusion	p. 69
Coronal Forehead Lift	p. 71
Introduction	p. 71
History	p. 72
Rationale and Scientific Basis	p. 72
Advantages, Disadvantages, and Alternatives	p. 73
Indications and Contraindications	p. 74
Range of Anesthesia	p. 74
Equipment	p. 74
Operating Room Setup	p. 74
Incisions	p. 75
Plane of Dissection	p. 77
Tissue Modifications	p. 78
Wound Closure	p. 82
Postoperative Management	p. 82
Complications: Incidence, Management, and Avoidance	p. 84
Conclusion	p. 85
Addendum: Coronal Subcutaneous Forehead Lift	p. 85
Limited Incision Approaches for Brow and Forehead Rejuvenation Procedures	p. 89
Introduction	p. 89
History	p. 89
Rationale and Scientific Basis	p. 90
Advantages, Disadvantages, and Alternatives	p. 90
Indications and Contraindications	p. 91
Range of Anesthesia	p. 92
Equipment	p. 92
Operating Room Setup	p. 92
Techniques	p. 93
Postoperative Management	p. 104
Complications: Incidence, Management, and Avoidance	p. 104
Conclusions	p. 106
Endoscopic Forehead Lift	p. 109
Introduction	p. 109
History	p. 109
Rationale and Scientific Basis	p. 110
Advantages, Disadvantages, and Alternatives	p. 111
Indications and Contraindications	p. 111
Range of Anesthesia	p. 112
Equipment	p. 112
Operating Room Setup	p. 112
Incisions	p. 114
Plane(s) of Dissection	p. 115
Tissue Modifications	p. 120
Wound Closure	p. 126
Dressings	p. 126
Technique Modifications	p. 126
Postoperative Management	p. 126
Complications: Incidence, Management, and Avoidance	p. 128
Conclusions	p. 132
Nonsurgical Management of the Aging Forehead and Brow	p. 135
Introduction	p. 135
History	p. 135
Rationale and Scientific Basis	p. 136
Advantages, Disadvantages, and Alternatives	p. 137
Indications and Contraindications	p. 137
Range of Anesthesia	p. 137
Equipment	p. 137
Incisions	p. 138
Procedures	p. 138
Complications: Incidence, Management, and Avoidance	p. 144
Conclusion	p. 147
Index	p. 149
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