Injections in Aesthetic Medicine: Atlas of Full-face and Full-body Treatment

298 Pages·2014·34.75 MB·English

by  Mario Goisis

Mario Goisis Editor
Injections in
Aesthetic Medicine
Atlas of Full-face and
Full-body Treatment
Injections in Aesthetic Medicine
Mario Goisis
Editor
Injections in Aesthetic
Medicine
Atlas of Full-face and Full-body Treatment
123
Editor
Mario Goisis
Maxillo-Facial andAesthetic Surgeon
Doctor’s Equipe
Milan
Italy
ISBN 978-88-470-5360-1 ISBN 978-88-470-5361-8 (eBook)
DOI 10.1007/978-88-470-5361-8
SpringerMilanHeidelbergNewYorkDordrechtLondon
LibraryofCongressControlNumber:2013953897
(cid:2)Springer-VerlagItalia2014
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Affectionately dedicated to my father Gianandrea
Preface
The Concept of Beauty
Beauty has a key role in human history. In ancient times Greeks held regularly beauty
contests for both male and female. Beauty was greatly admired and competitions were
serious. Annual contests were held at Lesbos, at Elis and in Arcadia.
But the first beauty contest in history was described in the Iliad. The marriage of
Peleus and Thetis was celebrated with a big banquet on Mount Olympus, home of the
gods. All the gods and goddesses were invited, except one, Eris, the Goddess of Strife
andDiscord,inordertoavoidproblems.Forthisoffense,Erisplacedonthetable,inthe
middle of the banqueting hall, a golden apple with the inscription ‘‘For the Fairest’’.
All the three most important goddesses, Hera, Athena and Aphrodite had their eyes
ontheapple,eachwantingitforherself.Theybegantoquarrel.Paris,thesonofPriam,
KingofTroy,wasaskedtojudge.Thethreegoddesseswereinvolvedinthefinalround
inwhatwouldbecomeknownastheWorld’sFirstEverBeautyContest!Herapromised
Paris dominions, wealth and power. Athena promised victory in battle. Aphrodite
promisedthemostbeautifulwomanintheworld,Helen.ParisgavetheGoldenAppleto
Aphrodite, and that was the initial cause of Trojan War.
Thebeautywas akeyconcept inhumanhistory.Inparticular,Piero della Francesca
was one of the most original men of Italian renaissance. Piero had two passions—art
andgeometry—andheintegratedthetwointhedefinitionofbeauty.Infact,renaissance
education placed exceptional value on mathematic rule of proportion.
Luca Bartolomeo Pacioli (c.1445–1517) was tutored in mathematics by Piero. Both
were born in Borgo San Sepolcro, and Luca even posed for Piero in the mid-1470s for
Madonna and Child with Saints and Angels.
He published the Summa de arithmetica, geometrica, proportioni et proportionalita
(1494) a summary of arithmetic, geometry, and algebra. Itcontains the first mention of
double-entry book-keeping, for which Luca is now known as the ‘‘Father of
Accounting.’’ Accounting has a great importance in management of the aesthetic medicine
office, but that’s not the reason of introducing Pacioli. In fact, in his De divina Pro-
portione published in 1509 he described the golden ratio ‘‘dal ciel mandata’’—heaven-
sent. He was inspired by the Platonic solids, and he related the Platonic solids to the
golden ratio:
AsGodcreatedthefoursolids...earth,air,water,andfire…sooursacredproportion
gave shape to heaven itself.
The concept of divine proportion and the concept of perfect beauty was one of the most
important concept in art, and it inspired Leonardo, Durer and many others artists.
The research ofideal proportion and ideal beautychangesovertime and in different
centuriespeoplehavedifferentoptionsforbecomingbeautiful.InShakespeareantimes,
a woman was considered ideally beautiful if she had pale skin, light hair, intense eyes,
and red lips and cheeks [1]. Women went to extreme measures to have these
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characteristics, plastering their faces with white cream and coloring their cheeks red.
Shakespeare criticises ‘‘ideal’’ beauty in one of his sonnets, Sonnet 130:
My mistress’ eyes are nothing like the sun;
Coral is far more red than her lips’ red:
If snow be white, why then her breasts are dun;
If hairs be wires, black wires grow on her head.
As creams at time of Shakespeare, aesthetic medicine and aesthetic surgery involves
techniques intended for the ‘‘enhancement’’ of beauty. In fact, the aim of aesthetic
medicine and surgery is to change a part of the face and body through surgical and
medical techniques in order to increase beauty. Beauty is the key concept: the use of
aestheticsurgeryandmedicinemustnotbeincontrastwiththisprinciple,alsoincaseof
restoringortomaintainingyouth.Infact,eventhoughbeautyisacomplexconcept,the
standards of attractiveness are similar across different genders and cultures [2, 3].
As described by Piero della Francesca and Pacioli, beauty is harmony of form and
proportions. Injecting an enormous amount of filler in the face of an old patient can
result in correction of wrinkles. But this correction is associated with an unnatural
result:infact,the‘‘pillow face’’thatwecanobtainhasprobablyayoungerappearance,
but at the end there is not beauty in our result.
Inthisbookaredescribedmanytechniques:thesetechniquesmustbetheinstrument
to obtain a natural result. Avoiding excess is the key to success in aesthetic medicine.
Mario Goisis
References
1.Barroll JL (1984) Shakespearean tragedy: genre, tradition, and change in Antony and Cleopatra. Folger
Books,WashingtonD.C
2.RhodesG(2006)Theevolutionarypsychologyoffacialbeauty.AnnuRevPsychol57:199–226
3.ZecchiS(2007)Lepromessedellabellezza.OscarMondadori
Contents
Part I General Aspects
1 Fillers in Aesthetic Medicine. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Mario Goisis, Alessandro Di Petrillo, Claudio Rinna,
Chiara Brillante, Magda Guareschi, and Doris Ali Youssef
2 Aesthetic Analysis of the Face: The Maxillofacial Deformity . . . . . . . . . . . 25
Giada Anna Beltramini, Francesco Laganà, Alessandro Baj,
Michele Romano, Antonio Russillo, and Aldo Bruno Giannì
3 Standard Evaluation of the Patient: The Merz Scale . . . . . . . . . . . . . . . . . 33
Enrica Stella and Alessandro Di Petrillo
Part II Face and Body Treatments
4 Temporal Fossa . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Mario Goisis and Alessandro Di Petrillo
5 Forehead, Glabella, and Crow’s-Feet . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Alessandro Di Petrillo and Magda Guareschi
6 Malar Area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Mario Goisis, Enrica Stella, and Alessandro Di Petrillo
7 Tear Trough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
Mario Goisis and Enrica Stella
8 Nasolabial Folds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95
Enrica Stella and Magda Guareschi
9 Medical Rhinoplasty. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
Mario Goisis
10 Marionette Lines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113
Enrica Stella, Alessandro Di Petrillo, and Mario Goisis
11 Lips. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125
Magda Guareschi and Enrica Stella
12 Chin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137
Magda Guareschi and Mario Goisis
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13 Neck and Décolleté. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145
Enrica Stella and Mario Goisis
14 Arms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155
Enrica Stella and Alessandro Di Petrillo
15 Hands . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159
Mario Goisis and Alessandro Di Petrillo
16 Breast Augmentation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169
Mario Goisis
17 Gluteal Augmentation and Remodeling. . . . . . . . . . . . . . . . . . . . . . . . . . . 185
Mario Goisis and Magda Guareschi
18 Calf Augmentation and Remodeling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 193
Mario Goisis and Enrica Stella
19 Scar Revision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203
Mario Goisis and Magda Guareschi
20 Full-body and Full-face Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 209
Mario Goisis
21 Complications in Aesthetic Medicine. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 223
Enrica Stella, Mario Goisis, and Mariangela Giarda
Part III Miscellany
22 Quality Standards in Aesthetic Medicine. . . . . . . . . . . . . . . . . . . . . . . . . . 253
Mario Goisis and Andrea Goisis
23 Complementary Treatments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 261
Mario Goisis
24 Products . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 263
Magda Guareschi
Contributors
Editor
Mario Goisis
Maxillo-facial and Aesthetic Surgeon, Doctor’s Equipe, Milan, Italy
Authors
Alessandro Di Petrillo, Maxillo-facial Surgeon, Doctor’s Equipe, Bologna, Italy
Bruno Giannì, Maxillo-facial Surgeon, University of Milan, Italy
Magda Guareschi, Ophthalmologist and Aesthetic Doctor, Doctor’s Equipe, Milan, Italy
Claudio Rinna, Maxillo-facial Surgeon, Doctor’s Equipe, Rome, Italy
Enrica Stella, Aesthetic Doctor, Doctor’s Equipe, Genova, Italy
Contributors
Alessandro Baj Maxillo-facial Surgeon, University of Milan, Italy
Giulia Beltrami Aesthetic Doctor, Doctor’s Equipe, Asti, Italy
Giada Anna Beltramini Maxillo-facial Surgeon, University of Milan, Italy
Gina Bianco Aesthetic Doctor, Doctor’s Equipe, Bologna, Italy
Chiara Brillante Ophthalmologist, Sapienza University, Rome, Italy
Doris Ali Youssef Maxillo-facial Surgeon, University of Milan, Italy
Andrea Goisis Software manager, Milan, Italy
Francesco Goisis Lawyer, University of Milan, Italy
Valentina Isgro` Aesthetic Doctor, Doctor’s Equipe, Rome, Italy
Francesco Lagana` Maxillo-facial Surgeon, University of Milan, Italy
Chiara Lumini Aesthetic Doctor, Doctor’s Equipe, Torino, Italy
Giorgio Persichetti Aesthetic Doctor, Doctor’s Equipe, Rome, Italy
Michele Romano Maxillo-facial Surgeon, University of Milan, Italy
Antonio Russillo Maxillo-facial Surgeon, University of Milan, Italy
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