:7/teJ?fuo/ BODY CONTOURING AL ALY • FABIO NAHAS 0 MediaCenter.thieme.com ~ Thieme plus e-content online Simply vfslt MedlaCenter.thfeme.com ;md, when prompted durfng the registration process, entEr the code below to get started today. J9A2-A43U-4YTT-4HV9 0 0 Connect with us on social media ~~, BODY CONTOURING A COMPREHENSIVE APPROACH ~~7 BODY CONTOURING A CoMPREHENSIVE APPROACH Edited by AI S. Aly, MD, FACS Professor of Plastic Surgerys Plastic Surgery Consultant Cleveland Clinic Abu Dhabi Abu Dhabi. United Arab Emirates Fabio X. Nahas, MD, PhD, MBA, FACS Adjunct Professors Division of Plastic Surgery Federal University of Sio Paulo Sao Paulo. Brazil Rlustrations by Sarah Taylor • Brenda Bunch Tiffany Slaybaugh Davanzo • Craig Durant I Thieme Executive Editor. Sue Hodgson Important note: Medicine is an ever-changing science undergo Managing Editor. Nikole Y. Connors ing continual development Research and clinical experience are Developmental Editors: jennifer Gann, Megan Fennell continually expanding our knowledge. in particular our knowl Project Manager: Glenn Floyd edge of proper treatment and drug therapy. Insofar as this book Director, Editorial Services: Macy jo Casey mentions any dosage or application. readers may rest assured that Production Editor: Sean Woznicki the authors, editors, and publishers have made every effort to International Production Director: Andreas Schabert ensure that such references are in accordance with the state of International Marketing Director: Fiona Henderson knO'Wiedge at the time of production oft he book. International Sales Director. Louisa 'IUrrelJ Nevertheless. this does not involve, imply, or express any gu Director of Sales, North Americ.1: Mike Roseman arantee or responsibility on the part of the publishers in respect Senior Vice President and Chief Operating Officer. to any dosage instructions and forms ofa pplications stated in the Sarah Vanderbilt book. Every user is requested to examine carefully the manufac President: Brian D. Scanlan turers' leaflets accompanying each drug and to check, if necessacy in consultation with a physician or specialist, whether the dosage schedules mentioned therein or the contraindications stated by Library of Congress Cataloging'-in-PUblication Data the manufacturers differ from the statements made in the present book. Such examination is particularly important with drugs that Names: Aly, AI S., editor. I Nahas, Fabio X., editor. are either rarely used or have been newly released on the market. Title: The art of body contouring : a comprehensive approach I [edited by) AI s. Aly, Fabio X. Nahas. Every dosage schedule or every form of application used is enti rely at the user's own risk and responsibility. The authors and pu Description: First edition. I New York: Thieme, [2017)11ncludes blishers request every user to report to the publishers any discre bibliographical references and index. pancies or inaccuracies noticed. If errors in this work are found Identifiers: LCCN 2017013062)1SBN 9781626236561 (hardcover after publication, errata will be posted at www.thieme.com on the :aile. paper) )ISBN 9781626238855 (eiSBN) Subjects: 1M ESH: Reconstructive Surgical Procedures-methods product description page. Some of the product names, patents, and registered designs Oassification: LCC RD119I NLM WO 600 I DDC 617 .9/52--dc23 referred to in this book are in fact registered trademarks or pro LC record available at https://lccn.loc.gov/2017013062 prietary names even though specific reference to this fact is not always made in the text. Therefore, the appearance of a name without designation as proprietary is not to be construed as a representation by the publisher that it is in the public domain. ~ 2017 Thieme Medical Publishers. Inc. Thieme Publishers New York 333 Seventh Avenue, New York, NY 10001 USA +1 800 782 3488, customerserviceOthieme.com Thieme Publishers Stuttgart Ri:idigerstrasse 14,70469 Stuttgart, Germany +49 [0)711 8931 421, [email protected] Thieme Publishers Delhi A-12, Second Floor, Sector-2, Noida-201301 Uttar Pradesh, India oo. +91120 45 566 [email protected] _ Thieme Publishers Rio, Thieme Publica~Oes Ltda. ~ Edificio Rodolpho de Paoli. 25• andar mark of ra ns_lb_le_ .._ Av. Nilo ~ha, 50-Sala 2508 for Rio de janeiro 20020-906, Brasil +55 21 3172 2297 wwwfsc.org Cover design: Brenda Bunch 'IYPesetting by Susan Trail. Chris Lane. Debra Oark This book, including all parts thereat is legally protected by co- Printed in lndia by Replika Press Pvt Ltd. S 4 3 2 1 pyright. Any use, exploitation, or commercialization outside the narrow limits set by copyright legislation without the publisher's ISBN 9781626236561 consent Is lllegal and liable to prosecution. This applies in par ticular to photostat reproduction. copying-, mimeographing or Also available as an e-book: duplication of any kind, translating:. preparation of microfilms. eJSBN 9781626238855 and electronic data processing and storage. I would like to dedicate this book to Hana, Adam, Tracy, Essam, and my mother and father. AIS.Aly .... ~ I would like to dedicate this book to my mother Cledi, my beloved wife Roberta, my daughter Marcella Pia, and my son Gianlucca. Fabio X. Nahas ~Of\J l: RIBUT<V RS Jose Hor&cio Aboudi~ MD Antonio Roberto Bozol~ MD Plastic Surgeon, Dr. Jose Horacia IMAGEM Cirurgia Plastica, Professor, Aboudib Plastic Surgery; Member of Sao Jose do Rio Preto, Brazil the Brazilian Society of Plastic Surgery; President of the Brazilian Society of Andres Fernando canchica Cano, Plastic Surgery, 2012-2013; Coordinator MD of Plastic Surgery Department, Rio Resident, Department of Plastic and de Janeiro State University; Doctor Reconstructive Surgery, Servi~ de ofS ciences, Rio de Janeiro State Cirurgia Plastica Osvaldo Saldanha, University Santos, Sao Paulo, Brazil Jam.ll Ahmad, MD, FRCSC Mauro F.S. Deos, MD The Plastic Surgery Clinic, Plastic Surgeon; Full Member, Brazilian Mississauga, Ontario, Canada Society of Plastic Surgery; Past President, Brazilian Society of Plastic Gary J. Alter, MD Surgery, Rio Grande do Sul, Brazil Assistant Clinical Professor, Department of Plastic Surgery, UCLA Sabina Aparecida Alvarez de Paiv~ School of Medicine, Beverly Hills, MD California Chief Resident, Servi~o de Cirurgia PJ.a.stica, Dr. Ewaldo Bolivar de Souza AI S. Aly, MD, FACS Pinto, Santos, Sao Paulo, Brazil Professor of Plastic Surgery, Plastic Surgery Consultant, Cleveland Clinic Barry E. DiBernardo, MD Abu Dhabi, Abu Dhabi, United Arab Medical Director, New Jersey Plastic Emirates Surgery; Past President. New Jersey Society of Plastic Surgeons, 2005-2006; Ricardo Amt, MD Associate Clinical Professor in Plastic Plastic Surgeon, Private Practice, Porto and Reconstructive Surgery, University Alegre, Rio Grande do Sul, Brazil of Medicine and Dentistry of New Jersey Ricardo Baroudi, MD Clinica Dr. Ricardo Baroudi Cirurgia Gabriella DiBernardo, BS Plastica, Sao Paulo, Brazil Research Fellow, Department of Plastic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania vii viii CoNTRIBUTORS Lydia Masako Ferreira, MD, PhD Karnran Khoobehi, MD, FACS Head and Full Professor, Department Clinical Professor of Surgery, Director of Plastic Surgery, Federal University of Aesthetic Surgery Training, of Sao Paulo, Vila Clementino, Sao Louisiana State University, New Paulo, Brazil Orleans, Louisiana Osvaldo Saldanha Filho, MD Daniel Kushner Professor of Osvaldo Saldanha Medical Student, FAU Charles E. Plastic Surgery Service, accredited by Schmidt College of Medicine, Florida Brazilian Society of Plastic Surgery; Atlantic University, Boca Raton, Certified by the Board of Brazilian Florida Society of Plastic Surgery; Full Member of Brazilian Society of Plastic Michael R. Lee, MD Surgery Plastic Surgeon, Park Cities Cosmetic Surgery, Dallas, Texas Onelio Garcia, Jr., MD, FACS Vol. Assistant Professor, Division of Frank Lista, MD Plastic Surgery, University of Miami Assistant Professor, Department Leonard M. Miller School of Medicine, of Surgery, University of Toronto, Miami, Florida Toronto, Ontario, Canada Raul Gonzalez, MD Fabio X. Nahas, MD, PhD, MBA, Professor, Faculty of Medicine, FACS University ofRibeirao Preto, Ribeirao Adjunct Professor, Division of Plastic Preto, Sao Paulo, Brazil; Clinica Raul Surgery, Federal University of Sao Gonzalez, Ribeirao Preto, Sao Paulo, Paulo, Sao Paulo, Brazil Brazil Beatriz Nicaretta, MD David E. Guarin, MD Consultant, Department of Plastic Plastic Surgeon, Universidad del Valle, Surgery, IASO General Hospital, Cali, Colombia Athens, Greece Eduardo Gus, MD Luiz Haroldo Pereira, MD Fellow, Division of Plastic and Member, Brazilian Society of Plastic Reconstructive Surgery, University of Surgery, Copacabana, Rio de Janeiro, Toronto, Toronto, Ontario, Canada Brazil Alfredo E. Hoyos, MD Jason Pozner, MD, FACS Plastic Surgeon, International ASAPS Adjunct Clinical Faculty, Department Member, Private Practice, Bogota, of Plastic Surgery, Cleveland Clinic Colombia Florida, Weston, Florida