Table Of Content

iiii AAEESSTTHHEETTIICC PPLLAASSTTIICC SSUURRGGEERRYY IINN AASSIIAANNSS iiiii Principles & Techniques Lee L.Q. Pu, MD, PhD, FACS, FICS Professor of Plastic Surgery, Division of Plastic Surgery, University of California Davis Medical Center, Sacramento, California Co-editors Yu-Ray Chen, MD Professor, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung University Medical College, Taipei, Taiwan Qingfeng Li, MD, PhD Professor and Chairman, Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China David Daehwan Park, MD, PhD, FACS Professor, Department of Plastic Surgery, Daegu Catholic University Hospital, Daegu, South Korea Susumu Takayanagi, MD Clinical Professor, Department of Plastic and Reconstructive Surgery, Kyoto University, Kyoto; Director, Mega Clinic, Osaka, Japan Woffles T.L. Wu, MD, MBBS, FRCS, FAMS Medical Director, Woffles Wu Aesthetic Surgery and Laser Centre, Singapore City, Singapore Fu-Chan Wei, MD, FACS Distinguished Chair Professor, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung University Medical College, Taipei, Taiwan With illustrations and cover art by Bill Winn 9781498717151 iii CRC Press iv Taylor & Francis Group 6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 © 2015 by Taylor & Francis Group, LLC CRC Press is an imprint of Taylor & Francis Group, an Informa business No claim to original U.S. Government works Version Date: 20150406 International Standard Book Number-13: 978-1-4987-1715-1 (eBook - VitalBook) This book contains information obtained from authentic and highly regarded sources. While all reasonable efforts have been made to publish reliable data and information, neither the author[s] nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be made. The publishers wish to make clear that any views or opinions expressed in this book by individual editors, authors or contributors are personal to them and do not necessarily reflect the views/opinions of the publishers. The information or guidance contained in this book is intended for use by medical, scientific or health-care professionals and is provided strictly as a supplement to the medical or other professional's own judgement, their knowledge of the patient's medical history, relevant manufacturer's instructions and the appropriate best practice guidelines. Because of the rapid advances in medical science, any information or advice on dosages, procedures or diagnoses should be independently verified. The reader is strongly urged to consult the relevant national drug formulary and the drug companies' and device or material manufacturers' printed instructions, and their websites, before administering or utilizing any of the drugs, devices or materials mentioned in this book. This book does not indicate whether a particular treatment is appropriate or suitable for a particular individual. Ultimately it is the sole responsibility of the medical professional to make his or her own professional judgements, so as to advise and treat patients appropriately. The authors and publishers have also attempted to trace the copyright holders of all material reproduced in this publication and apologize to copyright holders if permission to publish in this form has not been obtained. If any copyright material has not been acknowledged please write and let us know so we may rectify in any future reprint. Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, transmitted, or utilized in any form by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying, microfilming, and recording, or in any information storage or retrieval system, without written permission from the publishers. For permission to photocopy or use material electronically from this work, please access wwwwww..ccooppyyrriigghhtt..ccoomm (hhttttpp::////wwwwww..ccooppyyrriigghhtt..ccoomm//) or contact the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400. CCC is a not-for-profit organization that provides licenses and registration for a variety of users. For organizations that have been granted a photocopy license by the CCC, a separate system of payment has been arranged. TTrraaddeemmaarrkk NNoottiiccee:: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. VViissiitt tthhee TTaayylloorr && FFrraanncciiss WWeebb ssiittee aatt hhttttpp::////wwwwww..ttaayylloorraannddffrraanncciiss..ccoomm aanndd tthhee CCRRCC PPrreessss WWeebb ssiittee aatt hhttttpp::////wwwwww..ccrrccpprreessss..ccoomm FFrroonntt MMaatttteerr VVOOLLUUMMEE II PPaarrtt II GGeenneerraall PPrriinncciipplleess GGeenneerraall PPrriinncciipplleess 11 EEvvaalluuaattiioonn ooff AAssiiaann CCoossmmeettiicc SSuurrggeerryy PPaattiieennttss 22 CCuullttuurraall aanndd SSoocciieettaall CCoonnssiiddeerraattiioonnss ffoorr AAssiiaann CCoossmmeettiicc SSuurrggeerryy PPaattiieennttss 33 PPssyycchhoollooggiiccaall aanndd PPssyycchhiiaattrriicc CCoonnssiiddeerraattiioonnss ffoorr AAssiiaann CCoossmmeettiicc SSuurrggeerryy PPaattiieennttss 44 SSccaarr MMaannaaggeemmeenntt ffoorr AAssiiaann CCoossmmeettiicc SSuurrggeerryy PPaattiieennttss 55 RReeooppeerraattiioonnss iinn CCoossmmeettiicc SSuurrggeerryy PPaarrtt IIII NNoonnssuurrggiiccaall oorr MMiinniimmaallllyy IInnvvaassiivvee PPrroocceedduurreess ffoorr FFaacciiaall RReejjuuvveennaattiioonn NNoonnssuurrggiiccaall oorr MMiinniimmaallllyy IInnvvaassiivvee PPrroocceedduurreess ffoorr FFaacciiaall RReejjuuvveennaattiioonn 66 SSkkiinn HHyyppeerrppiiggmmeennttaattiioonn iinn AAssiiaannss:: CCllaassssiiffiiccaattiioonn,, DDiiaaggnnoossiiss,, aanndd TTrreeaattmmeenntt 77 TTrreeaattmmeenntt ffoorr AAccnnee aanndd AAccnnee SSccaarrss 88 LLaasseerr SSkkiinn rreessuurrffaacciinngg 99 SSoofftt TTiissssuuee FFiilllleerrss ffoorr FFaacciiaall RReejjuuvveennaattiioonn 1100 FFaatt GGrraaffttiinngg ffoorr FFaacciiaall CCoonnttoouurriinngg 1111 TToottaall FFaacciiaall RReejjuuvveennaattiioonn WWiitthh MMiiccrrooaauuttoollooggoouuss FFaatt TTrraannssppllaannttaattiioonn 1122 BBoottuulliinnuumm TTooxxiinn aa IInnjjeeccttiioonnss ffoorr FFaacciiaall RReejjuuvveennaattiioonn aanndd RReesshhaappiinngg 1133 BBoottuulliinnuumm TTooxxiinn aa IInnjjeeccttiioonnss ffoorr FFaacciiaall ccoonnttoouurriinngg 1144 RRaaddiiooffrreeqquueennccyy ffoorr FFaacciiaall RReejjuuvveennaattiioonn 1155 FFaacciiaall RReejjuuvveennaattiioonn WWiitthh TThhrreeaadd LLiifftt PPaarrtt IIIIII RReejjuuvveennaattiioonn SSuurrggeerryy ooff tthhee FFaaccee RReejjuuvveennaattiioonn SSuurrggeerryy ooff tthhee FFaaccee 1166 SSppeecciiaall CCoonnssiiddeerraattiioonnss iinn RReejjuuvveennaattiioonn SSuurrggeerryy ooff tthhee AAssiiaann FFaaccee 1177 OOppeenn BBrrooww LLiifftt 1188 CCllaassssiicc ffaaccee lliifftt 1199 SShhoorrtt--RReeccoovveerryy FFaaccee LLiifftt 2200 MMuullttiimmooddaall SSuurrggiiccaall AApppprrooaacchheess ttoo tthhee AAggiinngg ffaaccee 2211 EEnnddoossccooppiicc AApppprrooaacchh ttoo FFaacciiaall RReejjuuvveennaattiioonn 2222 NNeecckk RReejjuuvveennaattiioonn PPaarrtt IIVV CCoossmmeettiicc SSuurrggeerryy ooff tthhee EEyyeelliidd CCoossmmeettiicc SSuurrggeerryy ooff tthhee EEyyeelliidd 2233 SSppeecciiaall CCoonnssiiddeerraattiioonnss iinn CCoossmmeettiicc SSuurrggeerryy ooff tthhee AAssiiaann EEyyeelliidd 2244 UUppppeerr BBlleepphhaarrooppllaassttyy 2255 SSeeccoonnddaarryy UUppppeerr BBlleepphhaarrooppllaassttyy 2266 MMeeddiiaall EEppiiccaanntthhooppllaassttyy 2277 CCoorrrreeccttiioonn ooff BBlleepphhaarrooppttoossiiss 2288 CCoorrrreeccttiioonn ooff tteeaarr ttrroouugghh DDeeffoorrmmiittyy 2299 LLoowweerr BBlleepphhaarrooppllaassttyy 3300 LLoowweerr EEyyeelliidd SShhoorrtteenniinngg ffoorr VVeerrttiiccaall EEnnllaarrggeemmeenntt ooff tthhee ppaallppeebbrraall AAppeerrttuurree 3311 MMaannaaggeemmeenntt ooff SSuunnkkeenn EEyyeelliidd 3322 PPeerriioorrbbiittaall RReejjuuvveennaattiioonn PPaarrtt VV PPrriimmaarryy oorr SSeeccoonnddaarryy RRhhiinnooppllaassttyy PPrriimmaarryy oorr SSeeccoonnddaarryy RRhhiinnooppllaassttyy 3333 SSppeecciiaall CCoonnssiiddeerraattiioonnss iinn AAssiiaann CCoossmmeettiicc RRhhiinnooppllaassttyy 3344 AAllllooppllaassttiicc IImmppllaannttss ffoorr RRhhiinnooppllaassttyy 3355 aauuttoollooggoouuss CCaarrttiillaaggee GGrraaffttss ffoorr RRhhiinnooppllaassttyy 3366 PPrriimmaarryy CClloosseedd RRhhiinnooppllaassttyy 3377 PPrriimmaarryy aanndd SSeeccoonnddaarryy OOppeenn RRhhiinnooppllaassttyy 3388 SSeeccoonnddaarryy CClleefftt RRhhiinnooppllaassttyy PPaarrtt VVII CCoossmmeettiicc SSuurrggeerryy ooff tthhee EEaarr CCoossmmeettiicc SSuurrggeerryy ooff tthhee EEaarr 3399 SSppeecciiaall CCoonnssiiddeerraattiioonnss iinn CCoossmmeettiicc SSuurrggeerryy ooff tthhee AAssiiaann EEaarr 4400 OOttooppllaassttyy ffoorr PPrroommiinneenntt EEaarr 4411 CCoorrrreeccttiioonn ooff ootthheerr ccoonnggeenniittaall EEaarr DDeeffoorrmmiittiieess VVOOLLUUMMEE IIII PPaarrtt VVIIII CCoossmmeettiicc SSuurrggeerryy ooff tthhee FFaacciiaall SSkkeelleettoonn CCoossmmeettiicc SSuurrggeerryy ooff tthhee FFaacciiaall SSkkeelleettoonn 4422 SSppeecciiaall CCoonnssiiddeerraattiioonnss iinn CCoossmmeettiicc SSuurrggeerryy ooff tthhee AAssiiaann FFaacciiaall SSkkeelleettoonn 4433 AAeesstthheettiicc CCoorrrreeccttiioonnss ooff FFaacciiaall SSkkeelleettoonn:: FFoorreehheeaadd CCoonnttoouurriinngg 4444 AAeesstthheettiicc CCoorrrreeccttiioonnss ooff FFaacciiaall SSkkeelleettoonn:: MMiiddffaaccee CCoonnttoouurriinngg 4455 AAeesstthheettiicc CCoorrrreeccttiioonnss ooff FFaacciiaall SSkkeelleettoonn:: MMaannddiibbuullaarr CCoonnttoouurriinngg 4466 AAeesstthheettiicc OOsssseeoouuss GGeenniiooppllaassttyy 4477 AAeesstthheettiicc AAuuggmmeennttaattiioonn ooff tthhee FFaacciiaall SSkkeelleettoonn WWiitthh AAllllooppllaassttiicc IImmppllaannttss 4488 AAeesstthheettiicc OOrrtthhooggnnaatthhiicc SSuurrggeerryy PPaarrtt VVIIIIII PPllaassttiicc SSuurrggeerryy ooff tthhee BBrreeaasstt PPllaassttiicc SSuurrggeerryy ooff tthhee BBrreeaasstt 4499 SSppeecciiaall CCoonnssiiddeerraattiioonnss iinn PPllaassttiicc SSuurrggeerryy ooff tthhee AAssiiaann BBrreeaasstt 5500 BBrreeaasstt IImmppllaannttss 5511 BBrreeaasstt AAuuggmmeennttaattiioonn WWiitthh IImmppllaannttss:: TTrraannssaaxxiillllaarryy AApppprrooaacchh 5522 BBrreeaasstt AAuuggmmeennttaattiioonn WWiitthh IImmppllaannttss:: IInnffrraammaammmmaarryy AApppprrooaacchh 5533 EEnnddoossccooppiicc--AAssssiisstteedd TTrraannssaaxxiillllaarryy AApppprrooaacchh ffoorr TTrreeaattmmeenntt ooff CCaappssuullaarr CCoonnttrraaccttuurree aanndd IImmppllaanntt MMaallppoossiittiioonn 5544 BBrreeaasstt AAuuggmmeennttaattiioonn WWiitthh CCoonnvveennttiioonnaall FFaatt GGrraaffttiinngg 5555 BBrreeaasstt AAuuggmmeennttaattiioonn WWiitthh CCeellll--AAssssiisstteedd LLiippoottrraannssffeerr 5566 MMaassttooppeexxyy 5577 MMeeddiiaall PPeeddiiccllee BBrreeaasstt RReedduuccttiioonn 5588 CCoorrrreeccttiioonn ooff CCoommmmoonn NNiippppllee DDeeffoorrmmiittiieess 5599 BBrreeaasstt RReeccoonnssttrruuccttiioonn WWiitthh PPeeddiicclleedd ttrraamm FFllaapp 6600 bbrreeaasstt RReeccoonnssttrruuccttiioonn wwiitthh MMiiccrroossuurrggiiccaall FFllaapp 6611 BBrreeaasstt RReeccoonnssttrruuccttiioonn WWiitthh IImmppllaanntt 6622 NNiippppllee--AArreeoollaa CCoommpplleexx RReeccoonnssttrruuccttiioonn PPaarrtt IIXX CCoossmmeettiicc SSuurrggeerryy ooff tthhee BBooddyy aanndd EExxttrreemmiittiieess CCoossmmeettiicc SSuurrggeerryy ooff tthhee BBooddyy aanndd EExxttrreemmiittiieess 6633 SSppeecciiaall CCoonnssiiddeerraattiioonnss iinn AAssiiaann CCoossmmeettiicc BBooddyy CCoonnttoouurr SSuurrggeerryy 6644 AAbbddoommiinnooppllaassttyy 6655 LLiippoossuuccttiioonn ooff TTrruunnkk,, HHiippss,, aanndd EExxttrreemmiittiieess 6666 GGlluutteeaall AAuuggmmeennttaattiioonn iinn AAssiiaannss 6677 CCoossmmeettiicc CCaallff RReedduuccttiioonn PPaarrtt XX OOtthheerr CCoossmmeettiicc SSuurrggiiccaall PPrroocceedduurreess OOtthheerr CCoossmmeettiicc SSuurrggiiccaall PPrroocceedduurreess 6688 HHaaiirr TTrraannssppllaannttaattiioonn 6699 HHyymmeennoorrrrhhaapphhyy 7700 LLaabbiiaall RReedduuccttiioonn 7711 VVaaggiinnaall RReejjuuvveennaattiioonn 7722 PPeenniillee EEnnhhaanncceemmeenntt 7733 CCoorrrreeccttiioonn ooff vvaarriiccoossee vveeiinnss WWiitthh EEnnddoovvaassccuullaarr LLaasseerr 7744 CCoorrrreeccttiioonn ooff OOssmmiiddrroossiiss BBaacckk MMaatttteerr IInnddeexx v FFrroonntt MMaatttteerr DDeeddiiccaattiioonn To my wife, Yu-Shan (Emily), and my children, Felix, Dustin, and Adrian, whose love, sacrifices, understanding, and unselfish support have made editing and writing this book possible. To my parents and my younger brother, who have supported me for all these years and have trusted me to pursue my dream to become a successful surgeon through more than a decade's effort. To all my former professors and teachers of my surgical education, who have inspired me to set a higher standard in my career and to work harder to achieve it or to do even better. To my worldwide friends and colleagues in plastic surgery, who have made so many remarkable contributions to our specialty and have consistently encouraged me to do the same. LLeeee LL..QQ.. PPuu To my wife, Pauline, whose love, sacrifices, understanding, and unlimited support made my work possible. To all my colleagues in Chang Gung Memorial Hospital Department of Plastic and Reconstructive Surgery for their hard work—pursuing the best and always putting the patient first. And to my friends and colleagues in Asia and worldwide, who have taught me in conferences, meetings, and workshops, and encouraged me to be better and better. YYuu--RRaayy CChheenn With gratitude to Dr. Lee L.Q. Pu as editor for his kind assistance with the writing of my contribution to this text. I wish to acknowledge all my colleagues in plastic and reconstructive surgery for their remarkable contributions to this book. I thank all my students for their efforts in collecting and collating medical materials. Finally, I would like to thank my parents, my wife, Wen Bei, and my daughter, ShiYu Li, for their support and understanding of my busy work for all these years. QQiinnggffeenngg LLii v I dedicate my contributions to this book to my son, plastic surgeon David Kisoo vi Park, who will be an excellent plastic surgeon after me, and my daughter, ophthalmologist Soyoung Park, who will also become a smart oculoplastic surgeon after me. To my wife, Heesuk Bae, who has patiently and without complaint held my hand through the long period of writing my chapters of this book. To my teachers, who taught me Asian aesthetic plastic surgery, and my students, to whom I taught the things I have learned. DDaavviidd DDaaeehhwwaann PPaarrkk To my wife, Misako, my son, Go, and my daughters, Ai, Emi, and Mari, for their support and understanding of my work as a plastic surgeon for many years. To my mother and father for giving me the opportunity to study hard to be a doctor and the freedom to enjoy many different things, such as tennis, basketball, dance, drawing, painting, and piano. To all of my good friends in ISAPS who work with me and have shared their high- level techniques and knowledge. The most important mission of that organization is “Aesthetic Education Worldwide.” As the President of ISAPS, I hope this book will propel surgeons toward this goal. I thank Lee Pu, my wonderful friend, for working with us. SSuussuummuu TTaakkaayyaannaaggii vi I would not be where I am today if not for the love and support of my long- vii suffering family, Kong (OCB), Gran (LKE), Mum (OBK), and Dad (WTH), who let me meander my way through life, making my own silly mistakes, but who were always there to pick me up when I fell down and provided me with good counsel. At an early age they allowed me the creative freedom to pursue my many interests in art and design, multiple sports, film-making, writing, and, of course, plastic surgery. To all my dear friends and colleagues (you know who you are!) around the world who have mentored me, guided me, and brainstormed with me through the years. Your influence has made me a better plastic surgeon, and I thank you for the countless hours of wonderful friendship and free-flowing ideas we have shared together. Apologies, thanks, and much love to my dear wife, Juay, and my children, Waverly and Wellington. I should have spent more time with you these past 15 years instead of trotting around the globe giving lectures and demonstrations. You are what I live and work for. WWoofffflleess TT..LL.. WWuu To my wife, Nancy, my son, William, my daughter, Shirley, and my son-in-law, Darren, for their love and unselfish support of my academic pursuits. To my grandson, Kyle, whose innocent admiration for the work of his grandfather has been an important incentive for me to publish more. FFuu--CChhaann WWeeii vii viii EXECUTIVE EDITOR Sue Hodgson SENIOR PROJECT EDITING MANAGER Carolyn Reich SENIOR DEVELOPMENTAL EDITOR Megan Fennell DEVELOPMENTAL EDITOR Kathleen Sartori GRAPHICS MANAGER Brett Stone