Cosmetic Surgery: Art and Techniques PDF
Preview Cosmetic Surgery: Art and Techniques
Cosmetic Surgery Melvin A. Shiffman (cid:129) Alberto Di Giuseppe Editors Cosmetic Surgery Art and Techniques Editors Melvin A. Shiffman, M.D., J.D., FCLM Alberto Di Giuseppe, M.D. Chair, Section of Surgery Institute of Plastic and Reconstructive Newport Specialty Hospital Surgery, School of Medicine Tustin, CA University of Ancona USA Ancona Italy ISBN 978-3-642-21836-1 ISBN 978-3-642-21837-8 (eBook) DOI 10.1007/978-3-642-21837-8 Springer Heidelberg New York Dordrecht London Library of Congress Control Number: 2011941191 © Springer-Verlag Berlin Heidelberg 2013 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifi cally the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfi lms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. Exempted from this legal reservation are brief excerpts in connection with reviews or scholarly analysis or material supplied specifi cally for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Duplication of this publica- tion or parts thereof is permitted only under the provisions of the Copyright Law of the Publisher’s loca- tion, in its current version, and permission for use must always be obtained from Springer. Permissions for use may be obtained through RightsLink at the Copyright Clearance Center. Violations are liable to pros- ecution under the respective Copyright Law. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specifi c statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. While the advice and information in this book are believed to be true and accurate at the date of publica- tion, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com) This book is dedicated to the memory of my parents, Albert and Eva Shiffman, who made me what I am today with encouragement and sacrifi ces to send me to college and medical school. The book is dedicated to my sister, Vivian Sadin (now deceased), and my brother-in-law, Stan Sadin, who have been my very dearest friends. Also to my loving daughter-in-law, Kim Shiffman, R.N., who is the epitome of excellence in nursing, being both caring and effi cient in her work with newborn infants and who, at one time, was my Recovery Room nurse. My wife, Pearl, has withstood constant clattering on my computer and travels with me internationally while I teach cosmetic surgery through lectures and workshops. She is my constant companion. And to my compatriot and colleague, Sid Mirrafati , M.D., with whom friendship is more like family. My students, nationally and internationally, have been an inspiration to me by their dedication to learning and enthusiasm to be better physicians. But, most of all, their friendship. I have to include those international surgeons who I have worked with in lecturing at meetings who have become my dear friends and who are colleagues of exceptional talent. To name a few, these include Alberto Di Giuseppe, Anthony Erian, Afshin Fatemi, Julio Ferreira, Giorgio Fischer, Pierre Fournier, Justin Hao, Enrique Hernandez- Perez, Toma Mugea, Angelo Rebelo, Lina Valero, Fernando Pedrosa, and Tetsuo Shu (now deceased). There are more but the list would be endless. Books that I have edited, in Cosmetic Surgery, have resulted in e-mail friendships with many surgeons who almost never say no to my request for a chapter. These names run in the hundreds. What more can I wish for in my 55 years as a physician and 36 years as a medical legal consultant? Melvin A. Shiffman Foreword With this book, Cosmetic Surgery: Art and Techniques , published by Melvin A. Shiffman M.D., J.D. and Alberto Di Giuseppe M.D., Cosmetic Surgeons now have a complete encyclopedia in our fi eld: Human Beauty Surgery Mel should be especially congratulated as he has accomplished what he decided years ago: to give recognition to our specialty of pure Cosmetic Surgery thanks to the publication of a large series of books about our daily work that is ours for many years. In the numerous already published volumes, he gives the groundwork where our prac- titioners, experienced or beginners, can fi nd teaching resulting from many years of practice by experienced Cosmetic Surgeons coming from all around the world. This book is very special among all the other ones already published as it is all encompassing and is the fi rst one in the literature about General Cosmetic Surgery. In the present time teaching is audiovisual. Words of course are indispensable but a visible representation of what has been said is crucial. We all know how important a diagram or a slide is. As Napoleon the First used to say when he had to summarize his tactic before a battle to make his mind up: “ a little drawing is better than a long talk ”. An image focuses, zooms our attention, and stimulates our mind. We know that it enhances our understanding on the strategy of a future procedure. It is acting as an impact. This book will satisfy the readers as in its 68 chapters they can fi nd carefully described all the conventional reliable techniques as well as the most recent advances offered today to our patients. The different procedures described are on the head and neck, breasts, abdomen, limbs, liposuction, lipofi lling, peeling, and hair grafting. Many other chapters are dedicated to the different lasers, radio frequency, facial implants, fi llers, threads, and the use of stem cells and growth factors. Also included are chapters on buttocks lift and implants, intimate surgery in women and men, anat- omy, and the History of Cosmetic Surgery. This important iconography explaining fully all the procedures will allow Cosmetic Surgeons to obtain the best possible results, to avoid or decrease the number of com- plications, major or minor, and to have a satisfi ed patient. Today, like before, one should be conscious of the responsibilities that we have when modifying the face or body of human beings and should be reminded always of the old surgical saying, “Better prepare and prevent than repair and repent.” This underlines how important is visual teaching. As written by the highly talented and respected Richard Aronsohn, Founder of the American Board of Cosmetic Surgery, “Psychiatry works from the inside out. Cosmetic Surgery works from the outside in.” Both help people to enhance their self- esteem and to feel good about themselves. As a matter of fact, Cosmetic Surgeons are Surgical Psychiatrists. A good result makes patient and Surgeon happy. A complica- tion or a poor result makes patient and Surgeon unhappy. vii viii Foreword It is not possible to comment about all that is offered in this book, but the publishers should feel happy to have included all the procedures or trends presently offered or requested by our patients of the present time. It summarizes for the Surgeon in a very short time the necessary different steps of an operation. This book is an indispensable up-to-date tool needed by Cosmetic Surgeons as it visualizes the present advances in our specialty allowing us to maintain and/or enhance Human Beauty or to fi ght against the Aging process. Paris, France Pierre F. Fournier, M.D. Preface Cosmetic (or aesthetic) surgery is a specialty of medical practice that has attracted physicians from most countries around the world interested in improving the “beauty” of the patient. Patients are fl ocking to cosmetic surgeons to improve their appearance to meet the expectations of their own body image. Although cosmetic surgery is an elective procedure, the medical indication for these procedures is to improve the patient’s psychological needs. Since health care has improved and life span has been prolonged, individuals are trying to preserve or return to their youthful appearance. Technology and techniques have improved to make cosmetic surgery safer for the patient and less invasive in some aspects so that patients can return to their normal activities sooner and with shorter periods of discomfort. This book on Cosmetic Surgery contains step-by-step descriptions of the proce- dures (old, new, and modifi cations) with illustrations and/or color photos. The con- tents include a history of cosmetic surgery, anatomy, anesthesia, head and neck surgery, breast surgery, abdominal and thoracic surgery, and extremities and buttocks procedures. Also described are labioplasty, total body lift following massive weight loss, and penile enhancement. Dermatologic procedures are described including laser rejuvenation, radiofrequency rejuvenation, and chemical peeling. The international contributors are experts in their fi elds and have published exten- sively in the medical literature. Some contributors are professors and many lecture at international meetings and workshops on a regular basis. This book is comprehensive and is an attempt to expose the student training in cosmetic surgery, the physician starting in cosmetic surgery, and the experienced practitioner in cosmetic surgery to the many aspects of aesthetic procedures that may improve their results and improve patient safety. The editors, in this book, are interested in producing a means of exposing all surgeons to procedures commonly used to improve a patient’s appearance and satis- faction. The learning mechanism used is step-by-step descriptions with illustrations and color photos of the procedures. We hope that cosmetic surgeons will thus be able to better understand a variety of the techniques. Tustin, CA, USA Melvin A. Shiffman, M.D., J.D., FCLM ix
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