The Male Patient in Aesthetic Medicine

by De Maio, Mauricio; Rzany, Berthold

• ISBN13: 9783540790457
• ISBN10: 3540790454
• Edition: 1st
• Format: Hardcover
• Copyright: 2009-07-01
• Publisher: Springer Verlag

Summary

The demand for cosmetic procedures by male patients has increased in recent years. With this trend has come the realization that male aesthetic needs are different from female aesthetic needs. This book is the first hands-on guide dedicated exclusively to the aesthetic treatment of the male patient, and provides cosmetic surgeons with important information on how to obtain a natural male look for such patients. It explains facial aesthetics and the aging process in men, as well as the current aesthetic medicine techniques available. It also offers valuable strategies for avoiding and treating undesired results.Written by internationally known experts in the field, this unique guide enables cosmetic surgeons to achieve the best possible treatment outcomes, as well as increased satisfaction in male patients.

Table of Contents

Factal Aesthetics in Male Patients	p. 1
Introduction	p. 1
Facial Landmarks	p. 1
Golden Proportion	p. 4
The Facial Aesthetic Units	p. 4
Men and Women	p. 6
Eyebrows	p. 6
Eyes	p. 6
Cheekbones and Mandible	p. 8
Nose	p. 9
Lip-Chin Complex	p. 9
Ageing	p. 10
A New Trend?	p. 13
The Goal of Cosmetic Procedures in Male Patients	p. 17
References	p. 18
The Ageing Process in Men	p. 19
The Genetic and Environmental Ageing Process in Men	p. 19
Intrmsic Ageing	p. 19
Genetics in Ageing	p. 19
The Phenotype of Intrinsic Skin	p. 20
Histology of Intrinsically Aged Skin	p. 20
Extrinsic Ageing	p. 21
Photoageing	p. 22
The Pathopysiology of Photoageing	p. 23
The Phenotype of Photoaged Skin	p. 23
The Histology of Photoaged Skin	p. 23
Other Factors Affecting Extrinsic Ageing	p. 26
Classification of Ageing and Wrinkles	p. 28
Classification of Ageing	p. 28
Classification of Wrinkles and Volume Loss	p. 28
Prevention of Ageing	p. 28
Avoidance of Excessive Sun Exposure	p. 28
Avoidance of Smoking	p. 32
Topical Substances	p. 32
Too Many or Less Calories	p. 33
Appendix	p. 35
Fitzpatrick Skin Types	p. 35
Glogau's Classification	p. 35
Fitzpatrick Classification of Facial Lines	p. 35
References	p. 35
Patient Selection	p. 39
Introduction	p. 39
The Male Cosmetic Business	p. 40
The US-Experience	p. 40
Ethnic Differences	p. 41
Adolescents and Cosmetic Procedures	p. 41
The Male Adult	p. 42
Men or Women?	p. 43
The Metrosexual Man and the Adonis Complex	p. 44
Western vs. Non-Western Men	p. 45
Men and Hair Loss	p. 45
Male Satisfaction with Cosmetic Procedures	p. 46
Body Dysmorphic Disorder	p. 47
Marketing for Male Patients	p. 48
The Other Side of the Media	p. 48
References	p. 49
Common Skin Problems	p. 51
Dry Skin	p. 51
Oily Skin	p. 51
Acneic Skin/Acne	p. 52
Comedonic Acne	p. 53
Papulopustular Acne	p. 53
Severe Acne (Nodular or Conglobate)	p. 53
Scarred Skin	p. 54
Atrophic Acne Scars	p. 54
Hypertrophic Scars and Keloids	p. 55
Sweaty Skin (Hyperhidrosis)	p. 56
References	p. 59
Common Hair Problems: Dandruff and Androgenetic Alopecia	p. 61
Dandruff	p. 61
Goals of Treatment	p. 61
Topical Treatment Options	p. 61
Systemic Treatment Options	p. 62
Andtogenetic Alopecia	p. 65
Background of Androgenetic Alopecia	p. 65
Goals in Treatment	p. 66
Topical Treatment Options	p. 66
Systemic Treatment Options	p. 66
Hair Transplantation	p. 67
References	p. 69
Chemical Peeling	p. 73
Introduction	p. 73
Indications for Chemical Peels	p. 74
Classifications of Chemical Peels	p. 76
Superficial Peels	p. 76
Medium-Depth Peels	p. 79
Deep Peels	p. 79
Interaction of the Chemical Agent and the Skin	p. 80
Skin Pretreatment	p. 81
General Rules and Technique	p. 82
AHA Peels	p. 82
Jessner's Solution	p. 83
Superficial TCA Peels	p. 83
Medium-Depth Peels	p. 85
Deep Peels	p. 87
Wound Healing	p. 88
Complications	p. 89
Hyperpigmentation	p. 89
Hypopigmentation	p. 91
Scars	p. 91
Infections	p. 92
Persistent Erythema	p. 93
References	p. 94
Lasers	p. 97
Introduction	p. 97
Lasers	p. 97
Ablative Resurfacing	p. 97
Carbon Dioxide Laser	p. 98
Er: YAG Laser	p. 102
Nonablative Skin Rejuvenation	p. 103
Skin Tightening	p. 104
Wrinkles	p. 104
Fractional Technology	p. 105
Radiofrequency and Light	p. 107
Acne and Scars Treatment	p. 108
Hemoglobin and Melanin	p. 110
Vessels Removal	p. 110
Pigment Removal	p. 111
Tattoo Removal	p. 113
Q-Switched Lasers	p. 114
Q-Switched Ruby Laser	p. 114
Q-Switched Alexandrite Laser	p. 114
Q-Switched Nd: YAG Lasers	p. 115
Dye Laser	p. 115
Posttreatment	p. 115
Amateur × Professional Tattoos	p. 116
Traumatic Tattoos	p. 116
Complications	p. 116
Hair Removal	p. 120
The Human Hair	p. 121
Laser Lipoplasty	p. 123
References	p. 124
Botulinum Toxin in Men	p. 127
Dilution of the Two Main Products	p. 127
Estimating the Right Dosage	p. 127
Treatment Recommendation	p. 129
Forehead	p. 129
Complications of the Forehead Treatment in Men	p. 132
Glabella	p. 137
Complications of the Glabella Treatment in Men	p. 138
Crow's Feet	p. 139
Other Areas	p. 142
Topical Botulinum Toxin A	p. 142
References	p. 147
Fillers	p. 149
Introduction	p. 149
The Role of Injectable Fillers	p. 150
Hyaluronic Acid	p. 150
Collagen	p. 152
Calcium Hydroxylapatite	p. 154
Polymethylmetacrylate	p. 155
Poly-L-Lactic Acid	p. 157
Anesthesia for Injectable Fillers	p. 158
Forehead and Glabella	p. 159
Eyebrow	p. 160
Cheekbones	p. 160
Cheek	p. 161
Tear-Trough	p. 162
Nose	p. 163
Nasolabial Fold	p. 165
Lips	p. 167
Marionette Lines	p. 172
Mandible and Chin Reshape	p. 172
Adverse Reactions	p. 173
References	p. 174
Combination Therapy	p. 175
Ageing Signs	p. 175
BoNT-A and Fillers	p. 177
Glabella Lines	p. 179
Horizontal Forehead Lines and Brow Ptosis	p. 179
Tear-Trough and Crow's Feet	p. 180
Cheek Bones	p. 181
Nasolabial Fold	p. 181
Nose	p. 182
Perioral	p. 182
BoNT-A and Resurfacing	p. 185
BoNT-A and Sub-Ablative Systems	p. 188
BoNT-A and Chemical Peeling	p. 190
Fillers	p. 193
Fillers and Chemical Peels	p. 195
Fillers and Light Systems	p. 196
Fillers and Mini and Microlifts	p. 198
Ablative Lasers and Minilifting	p. 200
References	p. 203
The Male Microlift and Surgery in Male Patients	p. 205
Introduction	p. 205
The Male Microlift	p. 206
Technique	p. 208
Lipoplasty in Male Patients	p. 210
Fat Grafting	p. 211
Anaesthesia	p. 211
Fat Retrieval	p. 211
Neck Liposuction	p. 211
Fat Processing	p. 212
Fat Transfer	p. 213
Complications	p. 214
Eyebrow Lifting	p. 215
Eye Surgery	p. 217
Face Lifting	p. 220
Other Alternatives	p. 226
Percutaneously Placed Suspension Sutures	p. 226
References	p. 227
Complications: How to Avoid and Treat Undesired Results	p. 231
Undesirable Result	p. 231
Misunderstanding Between the Patient and the Aesthetic Physician	p. 231
Dysmorphia as a Base for Misunderstanding	p. 231
Avoidance of the Undesirable Result	p. 232
Patient Information and Informed Consent	p. 232
Adverse Event	p. 232
Overtreatment	p. 232
Real Adverse Events	p. 233
Avoidance of Adverse Events	p. 233
The Doctor as a Risk Factor	p. 234
Dealing with Undesirable or Adverse Events	p. 234
References	p. 236
Index	p. 237
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