Facial Danger Zones: Staying safe with surgery, fillers, and non-invasive devices PDF
Preview Facial Danger Zones: Staying safe with surgery, fillers, and non-invasive devices
9 1 0 2 / 9 0 / 1 2 , y t i s r e v i n U e k u D : r e s U To access the additional media content available with this e-book via Thieme MedOne, please use the code and follow the instructions provided at the back of the e-book. Facial Danger Zones Staying Safe with Surgery, Fillers, and Non-Invasive Devices Rod J. Rohrich, MD, FACS Founding Professor and Chair Department of Plastic Surgery Distinguished Teaching Professor UT Southwestern Medical Center Founding Partner Dallas Plastic Surgery Institute Dallas, Texas James M. Stuzin, MD Plastic Surgeon Institute of Aesthetic Medicine Chair Baker-Gordon Cosmetic Surgery Meeting Professor of Plastic Surgery (Voluntary) University of Miami School of Medicine Miami, Florida Erez Dayan, MD Harvard Trained Plastic Surgeon Dallas Plastic Surgery Institute Dallas, Texas E. Victor Ross, MD Director Scripps Clinic Laser and Cosmetic Dermatology Center Scripps Clinic Carmel Valley San Diego, California Illustrations by Amanda Tomasikiewicz, CMI Thieme New York • Stuttgart • Delhi • Rio de Janeiro Executive Editor: Sue Hodgson Important note: Medicine is an ever-changing science undergoing Managing Editor: Nikole Y. Connors continual development. Research and clinical experience are continually Director, Editorial Services: Mary Jo Casey expanding our knowledge, in particular our knowledge of proper treatment Production Editor: Sean Woznicki and drug therapy. Insofar as this book mentions any dosage or appli- Illustrator: Amanda Tomasikiewicz cation, readers may rest assured that the authors, editors, and publishers International Production Director: Andreas Schabert have made every effort to ensure that such references are in accordance Editorial Director: Sue Hodgson with the state of knowledge at the time of production of the book. International Marketing Director: Fiona Henderson Nevertheless, this does not involve, imply, or express any guarantee or res- International Sales Director: Louisa Turrell ponsibility on the part of the publishers in respect to any dosage instructions Director of Institutional Sales: Adam Bernacki and forms of applications stated in the book. Every user is requested to ex- Senior Vice President and Chief Operating amine carefully the manufacturers’ leaflets accompanying each drug and to Officer: Sarah Vanderbilt check, if necessary in consultation with a physician or specialist, whether the President: Brian D. Scanlan dosage schedules mentioned therein or the contraindications stated by the ma- nufacturers differ from the statements made in the present book. Such exami- Library of Congress Cataloging-in-Publication Data nation is particularly important with drugs that are either rarely used or have Names: Rohrich, Rod J., author. been newly released on the market. Every dosage schedule or every form of ap- Title: Facial danger zones : staying safe with surgery, fillers, plication used is entirely at the user’s own risk and responsibility. The authors andnon-invasive devices / Rod J. Rohrich, MD, FACS, Founding and publishers request every user to report to the publishers any discrepan- Professor and Chair, Department of Plastic Surgery, cies or inaccuracies noticed. If errors in this work are found after publication, Distinguished Teaching Professor, UT Southwestern errata will be posted at www.thieme.com on the product description page. Medical Center, Founding Partner, Dallas Plastic Surgery Some of the product names, patents, and registered designs referred Institute, Dallas, Texas, James M. Stuzin, MD, Plastic Surgeon, to in this book are in fact registered trademarks or proprietary names even Institute of Aesthetic Medicine, Chair of the Baker-Gordon though specific reference to this fact is not always made in the text. Therefo- Cosmetic Surgery meeting, Professor of Plastic Surgery re, the appearance of a name without designation as proprietary is not to be (Voluntary), University of Miami School of Medicine, Miami, construed as a representation by the publisher that it is in the public domain. Florida, Erez Dayan, MD, Plastic Surgeon, Dallas Plastic Surgery Institute, Dallas, Texas, E. Victor Ross, MD, Director, Scripps Clinic Laser and Cosmetic Dermatology Center, Scripps Clinic Carmel Valley, San Diego, California. Description: First edition. | New York: Thieme, [2019] | Summary: “The goal of this book is three-fold: - Optimal knowledge of facial anatomy is germane to obtaining the best results and safe outcomes in facial aesthetic surgery. This is especially the case with the intricate anatomy of the facial nerve in facelift surgery as discussed by Dr. James Stuzin. - Refine and define your knowledge on the vascular anatomy of the face to stay safe when performing facial fillers to prevent dreaded complications including blindness and skin loss, as discussed by Dr. Rod R ohrich. - Define the limitations and safety areas for the use of laser and minimally invasive technology from laser to Radiofrequency to ultrasound technology to optimize results and maximize safety in the face and neck areas as discussed by Dr. Erez Dayan and Dr. Vic Ross”— Provided by publisher. Identifiers: LCCN 2019021417 (print) | LCCN 2019981257 (ebook) | ISBN 9781684200030 | ISBN 9781684200047 (ebook) Subjects: LCSH: Surgery, Plastic—Safety measures. | Face—Surgery. | Facial bones. | Lasers in surgery. | Face—Laser surgery. Classification: LCC RD119.5.F33 R64 2019 (print) | LCC RD119.5.F33 (ebook) | DDC 617.5/20592—dc23 LC record available at https:// lccn.loc.gov/2019021417 LC ebook record available at https:// lccn.loc.gov/2019981257 © 2020 Thieme Medical Publishers, Inc. Thieme Publishers New York 333 Seventh Avenue, New York, NY 10001 USA +1 800 782 3488, [email protected] Thieme Publishers Stuttgart Rüdigerstrasse 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 +91 120 45 566 00, [email protected] Thieme Publishers Rio de Janeiro, Thieme Publicações Ltda. Edifício Rodolpho de Paoli, 25º andar Av. Nilo Peçanha, 50 – Sala 2508, Rio de Janeiro 20020-906 Brasil +55 21 3172-2297 / +55 21 3172-1896 www.thiemerevinter.com.br Cover design: Thieme Publishing Group Typesetting by DiTech Process Solutions Printed in the United States of America by King Printing 5 4 3 2 1 This book, including all parts thereof, is legally protected by copyright. Any use, ISBN 978-1-68420-003-0 exploitation, or commercialization outside the narrow limits set by copyright legislation, without the publisher’s consent, is illegal and liable to prosecution. Also available as an e-book: This appliesin particular to photostat reproduction, copying, mimeographing, eISBN 978-1-68420-004-7 preparation of microfilms, and electronic data processing and storage. Contents Video Contents................................................................................................ vii Preface .......................................................................................................... ix Dedication/Acknowledgements........................................................................... xi Contributors ................................................................................................... xiii Part I: Facial Nerves 1 Overview of Facial Tissue Anatomy ....................................................................... 3 James M. Stuzin 2 Facial Fat Compartments .................................................................................... 16 James M. Stuzin 3 Overview: Facial Nerve Danger Zone ..................................................................... 25 James M. Stuzin 4 Frontal Branch of the Facial Nerve ......................................................................... 32 James M. Stuzin 5 Zygomatic and Buccal Branches ........................................................................... 40 James M. Stuzin 6 Protecting the Marginal and Cervical Branches of the Facial Nerve ................................ 47 James M. Stuzin 7 Great Auricular Nerve ........................................................................................ 55 James M. Stuzin 8 Technical Considerations: Extended SMAS Dissection and Lateral SMASectomy/Platysma Window .......................................................................... 61 James M. Stuzin Part II: Fillers and Neuromodulators 9 Introduction .................................................................................................... 73 Rod J. Rohrich and Dinah Wan 10 Facial Danger Zone 1 — Glabellar Region ................................................................ 75 Rod J. Rohrich and Dinah Wan 11 Facial Danger Zone 2 — Temporal Region ................................................................ 82 Rod J. Rohrich and Dinah Wan 12 Facial Danger Zone 3 — Perioral Region .................................................................. 87 Rod J. Rohrich and Dinah Wan 13 Facial Danger Zone 4 — Nasolabial Region ............................................................... 93 Rod J. Rohrich and Raja Mohan 14 Facial Danger Zone 5 — Nasal Region ..................................................................... 99 Rod J. Rohrich and Raja Mohan 15 Facial Danger Zone 6 — Infraorbital Region ............................................................. 107 Rod J. Rohrich and Raja Mohan v Contents Part III: Energy-Based Devices 16 Maximizing Safety with Ablative Lasers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115 E. Victor Ross, Erez Dayan, and Rod J. Rohrich 17 Maximizing Safety with Nonablative Lasers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120 E. Victor Ross, Erez Dayan, and Rod J. Rohrich 18 Trichloroacetic Acid Combined with Jessner’s Chemical Peel Safety ............................... 122 Erez Dayan and Rod J. Rohrich 19 Maximizing Safety with Radiofrequency-Based Devices ............................................. 125 Erez Dayan and Rod J. Rohrich 20 Maximizing Safety with Cryolipolysis .................................................................... 130 Erez Dayan and Rod J. Rohrich 21 Maximizing Safety with Microneedling .................................................................. 133 Erez Dayan, David Dwayne Weir, Rod J. Rohrich, and E. Victor Ross Index............................................................................................................. 136 vi Video Contents Video 1.1 Overview – Relationship of Facial Nerve to Superficial and Deep Fascia James M. Stuzin Video 2.1 Facial Fat Compartments James M. Stuzin Video 3.1 Overview Danger Zones: Facial Nerve James M. Stuzin Video 4.1 Danger Zone Frontal Branch James M. Stuzin Video 5.1 Danger Zone Buccal and Zygomatic Branch James M. Stuzin Video 6.1 Danger Zone Marginal and Cervical Branch James M. Stuzin Video 7.1 Danger Zone Great Auricular Nerve James M. Stuzin Video 8.1 Facelift Techniques James M. Stuzin Video 8.2 Extended SMA Dissection James M. Stuzin Video 8.3 SMAS Fixation Vertical Vector James M. Stuzin Video 8.4 Lateral SMASectomy SMAS Stacking Rod J. Rohrich Video 8.5 Neck Lift: Lateral Platysmal Window Rod J. Rohrich Video 10.1 Danger Zone 1: Brow and Glabella Rod J. Rohrich Video 10.2 Filler Injection in the Glabellar Region Rod J. Rohrich Video 11.1 Danger Zone 2: Temporal Region Rod J. Rohrich Video 11.2 Filler Injection in the Temporal Region Rod J. Rohrich Video 12.1 Facial Danger Zone 3: Oral Commissure and Lips Rod J. Rohrich Video 12.2 Filler Injection: Lips Rod J. Rohrich vii Video Contents Video 12.3 Filler Injection: Oral Commissure Rod J. Rohrich Video 13.1 Facial Danger Zone 4: Nasolabial Fold Rod J. Rohrich Video 13.2 Filler Injection: Nasolabial Fold Rod J. Rohrich Video 14.1 Filler Injection: Nose Rod J. Rohrich Video 14.2 Facial Danger Zone 5: Nose Rod J. Rohrich Video 15.1 Filler Injection: Infraorbital region Rod J. Rohrich Video 15.2 Facial Danger Zone 6: Infraorbital Region Rod J. Rohrich Video 18.1 TCA Peel Rod J. Rohrich Video 19.1 Radiofrequency: Microneedling with Bipolar Radiofrequency Erez Dayan Video 21.1 Microneedling Erez Dayan viii
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