Facial Rejuvenation : Creams, Toxins, Scalpels and Surgery

by Spoor; Thomas C.

• ISBN13: 9781853177743
• ISBN10: 1853177741
• Edition: 1st
• Format: Hardcover
• Copyright: 2000-12-05
• Publisher: CRC Press

Summary

Owing to changes in technology and health care economics, many ophthalmic surgeons are diversifying from ocular and orbital surgery and moving into cosmetic oculoplastics and rejuvenation surgery. Dermatologic surgeons are diversifying into eyelid and facial surgery. Facial Rejuvenation: Creams, Toxins, Lasers, and Surgery provides comprehensive coverage of all aspects of this subject. It presents an array of techniques useful not only to the surgeon in training but also to the practicing specialist. Topics include: photoaging and topical treatment, Botulinum-A toxin, eyelid surgery, skin resurfacing, erbium-YAG resurfacing, CO2 laser resurfacing, and pulsed 532 nm laser therapy.

Table of Contents

Dedication	v
Preface	vii
Acknowledgments	viii
Photoaging and topical treatment	1	(12)
Introduction	1	(6)
Changes	1	(4)
Skin types/indications	5	(2)
Topical treatment	7	(4)
Tretinoin	7	(1)
Antioxidants	8	(1)
N6-furfuryladenine	9	(1)
Alpha hydroxy acids	10	(1)
Hydroquinones	10	(1)
References	11	(2)
Botulinum-A toxin	13	(20)
Indications	13	(2)
Action	15	(1)
Results	15	(1)
Recovery from treatment	15	(2)
Practical injection techniques	17	(9)
Lateral canthus	17	(1)
Mid-glabellar folds	17	(1)
Forehead creases	18	(4)
Perioral	22	(2)
Nasolabial folds	24	(1)
Neck	24	(1)
Concentration and dilution	25	(1)
Complications	26	(5)
Dosage	27	(1)
Ptosis	27	(1)
Medial brow ptosis	28	(1)
Eyes	29	(1)
Pain	30	(1)
Systemic side-effects	30	(1)
Summary	31	(1)
References	31	(2)
Eyelid surgery	33	(72)
Introduction	33	(2)
Anatomy	35	(8)
Preoperative preparation	43	(4)
Hemostasis	43	(1)
Hemorrhage	44	(2)
Decompression	46	(1)
Pain	47	(1)
Functional checks	47	(1)
Preoperative evaluation	47	(11)
Upper eyelid surgery	58	(25)
Preparation	58	(3)
Simple upper eyelid blepharoplasty	61	(1)
Technique	61	(7)
Complex upper eyelid surgery	68	(1)
Technique	68	(3)
Brow fixation	71	(3)
Lacrimal gland prolapse	74	(1)
Fixing contour and height	75	(3)
Fat removal	78	(4)
Closure	82	(1)
Lower eyelid surgery	83	(13)
Indications	83	(3)
Transconjunctival lower eyelid blepharoplasty	86	(1)
Preparation	86	(1)
Technique	87	(1)
Fat removal	87	(4)
Closure	91	(1)
Inverting the punctum	91	(2)
Tightening the eyelids	93	(2)
Transcutaneous lower eyelid blepharoplasty	95	(1)
Technique	95	(1)
Complications	96	(9)
Upper eyelid surgery	96	(1)
Visual loss	96	(2)
Overcorrection	98	(1)
Undercorrection	99	(2)
Webbing	101	(2)
Lower eyelid surgery	103	(2)
Skin resurfacing: an overview	105	(6)
Erbium-YAG laser versus CO2 laser	105	(1)
Chemical peels	106	(3)
Dermabrasion	108	(1)
Reference	109	(2)
Erbium-YAG laser resurfacing	111	(38)
Technical considerations	111	(2)
Basic principles	113	(1)
Pretreatment evaluation	113	(8)
Patients' expectations	113	(2)
Skin condition	115	(3)
Anesthesia	118	(3)
Cosmetic units	121	(19)
Upper eyelids	121	(1)
Lower eyelids	122	(4)
Lateral canthus	126	(2)
Perioral	128	(3)
Acne scars	131	(1)
Scars	131	(1)
Forehead	132	(4)
Full face	136	(3)
Neck	139	(1)
Recovery	140	(3)
Postoperative care	142	(1)
Complications	143	(4)
References	147	(2)
CO2 laser resurfacing	149	(12)
Technical considerations	149	(1)
Pretreatment evaluation	149	(1)
Patients' expectations	149	(1)
Anesthesia	149	(1)
Cosmetic units	149	(4)
Upper eyelids	149	(1)
Perioral	150	(1)
Lower eyelid and lateral canthus	151	(1)
Acne scars	152	(1)
Forehead	153	(1)
Full face	153	(1)
Neck	153	(1)
Recovery	153	(1)
Postoperative care	153	(1)
Complications	154	(1)
Companion cosmetic procedures	154	(7)
Blepharoplasty	154	(1)
Neck liposuction	154	(1)
Platysmal plication	155	(1)
Neck skin tightening	156	(1)
Neck suture suspension	157	(4)
Pulsed 532 nm laser therapy	161	(8)
Indications	161	(1)
Advantages	161	(1)
Complications	161	(2)
Purpura	162	(1)
Eyes	163	(1)
Results	163	(5)
References	168	(1)
Appendix	169	(12)
Index	181