Complications in facial plastic surgery prevention and management

206 Pages·2012·292.224 MB·English

by  Randolph B. Capone, Jonathan M. Sykes

Complications in
Facial Plastic Surgery

Complications in
Facial Plastic Surgery
Randolph B. Capone, MD, FACS
Director, The Baltimore Center for Facial Plastic Surgery
Assistant Professor of Otolaryngology/Head and Neck Surgery
Division of Facial Plastic and Reconstructive Surgery
The Johns Hopkins University School of Medicine
Baltimore, Maryland
Jonathan M. Sykes, MD, FACS
Immediate Past President, AAFPRS
Professor of Otolaryngology/Head and Neck Surgery
Director, Facial Plastic and Reconstructive Surgery
University of California–Davis Medical Center
Sacramento, California
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Cover Illustration: Shipwreck (1854) by Ivan K. Aivazovsky. Image courtesy of the State Russian Museum, Saint
Petersburg, Russia, whose collection includes this painting.
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Library of Congress Cataloging-in-Publication Data
Complications in facial plastic surgery / [edited by] Randolph B. Capone, Jonathan M. Sykes.
p. ; cm.
Includes bibliographical references.
ISBN 978-1-60406-026-3 (hardback)
I. Capone, Randolph B. II. Sykes, Jonathan M.
[DNLM: 1. Cosmetic Techniques—adverse eff ects. 2. Face—surgery. 3. Medical Errors—prevention & control.
4. Reconstructive Surgical Procedures—adverse eff ects. WE 705]
617.5’20592—dc23
2011052040
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Printed in China
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ISBN 978-1-60406-026-3
eISBN 978-1-60406-027-0
Complications are inescapable. This text is therefore dedicated to all who practice plastic surgery of the face,
regardless of experience or expertise. Special emphasis, however, is placed on individuals early in practice
so that they might learn from the adversity of others. While untoward outcomes are experienced as fellows,
residents, and medical students, these doctors will now encounter them singularly as the patient’s surgeon.
Although their preparation has been thorough, they will acquire additional experience in the more challenging,
yet more rewarding, school of experience.
Randolph B. Capone, MD, FACS
Jonathan M. Sykes, MD, FACS

Contents
Foreword by Wayne F. Larrabee Jr. ......................................................................................................................................ix
Preface ..........................................................................................................................................................................................x
Contributors ..............................................................................................................................................................................xi
1. Facial Plastic Surgery Complications: An Overview ...............................................................................................1
Randolph B. Capone
2. Management of the Dissatisfi ed Patient ...................................................................................................................5
Jonathan M. Sykes
3. Complications in the Cosmetic Offi ce Setting ........................................................................................................10
Corey S. Maas
4. Anesthesia Complications in Facial Plastic Surgery .............................................................................................17
John H. Eichhorn and Daniel T. Goulson
5. Complications Involving Locoregional Flap Reconstruction of Facial Defects .............................................29
David A. Sherris and Paul R. Young
6. Challenges in Skin Resurfacing ..................................................................................................................................39
Gary D. Monheit and Randolph B. Capone
7. Complications of Upper Eyelid Blepharoplasty .....................................................................................................49
Tom D. Wang and Andrew A. Winkler
8. Complications of Lower Eyelid Blepharoplasty .....................................................................................................58
Robert A. Goldberg
9. Prevention and Management of Adverse Outcomes in Brow Rejuvenation ..................................................68
Randolph B. Capone
10. Rhinoplasty Complications ........................................................................................................................................78
Jaimie DeRosa, Ryan M. Greene, and Dean M. Toriumi
11. Facelift Complications ..................................................................................................................................................90
Jonathan M. Sykes, Ji-Eon Kim, and Ira D. Papel
vii
viii Contents
12. Complications with Facial Implantation .................................................................................................................97
Edwin F. Williams III and Srinivasan Krishna
13. Complications of Facial Trauma Repair .................................................................................................................106
Sydney C. Butts and Robert M. Kellman
14. Complications of Facial Reanimation ....................................................................................................................125
Patrick J. Byrne and Christopher R. Cote
15. Surgical Correction of Congenital Anomalies and Associated Complications ............................................132
Sherard Austin Tatum III and Sven-Olrik Streubel
16. Complications in Orthognathic Surgery ...............................................................................................................151
Travis T. Tollefson, Shepherd G. Pryor V, and Nicholas W. Rotas
17. Overcoming Adversities in Hair Restoration ........................................................................................................166
John E. Frank
Index .........................................................................................................................................................................................175
Foreword
Randolph B. Capone and Jonathan M. Sykes have given us This book is well organized, with recognized ex-
a wise and important book, Complications in Facial Plastic perts discussing the major areas of facial plastic sur-
Surgery. Complications—and especially their prevention— gery. Tables provide a good summary of the cause,
are far too infrequent a focus in our scientifi c literature. prevention, and treatments of specifi c complications.
The importance of preventing complications rose to na- Complex subjects such as facial implants are explored
tional prominence with the publication in 1999 of the with a thorough review of the data and presented hon-
Institute of Medicine (IOM) report, To Err Is Human: Build- estly without oversimplifi cation. The pearls of wisdom
ing a Safer Health Care System. The IOM report stated that in each chapter highlight the authors’ experience and
“medical errors can be defi ned as the failure of a planned judgment and provide an easily accessible summary
action to be completed as intended or the use of a wrong for each topic. The major topics, from minimally inva-
plan to achieve an aim.” Its strong conclusion that “health sive procedures to reconstruction surgery to aesthetic
care in the United States is not as safe as it should be—and surgery, will be of interest to all facial plastic surgeons.
can be” became a stimulus for the now widely accepted Drs. Capone and Sykes are to be congratulated for a
quality movement in American medicine. work that will doubtless be widely read and improve
Dr. Capone’s own fi rst chapter is humanistic and em- outcomes for our patients. I hope to see many future
phasizes the unique nature of aesthetic surgery. This editions of this fi ne book.
book appropriately expands the usual defi nition of com-
plications as “an unfavorable outcome” to now include Wayne F. Larrabee Jr., MD
“patient dissatisfaction.” All those who work in the ex- Clinical Professor
citing, creative, and sometimes frustrating specialty of Department of Otolaryngology–
facial plastic surgery recognize that patient satisfaction Head and Neck Surgery
is a key outcome measure. Dr. Sykes provides thoughtful University of Washington
advice in his chapter “Management of the Dissatisfi ed Editor in Chief
Patient.” Their general recommendation—that surgeons The Archives of Facial Plastic Surgery
swiftly acknowledge and address complications —has Seattle, Washington
become almost universally recognized but is appropri-
ately emphasized here.
ix