WernerL.Mang·ManualofAestheticSurgery,2ndEdition Prof.Dr.Dr.WernerL.Mang MedicalDirectorofthe Bodenseeklinik,Lindau ClinicforPlasticandAesthetic Surgery GrafLennartBernadotte-Straße1 88131Lindau Tel.:0049(0)8382-26018-0 Fax:0049(0)8382-26018-70 www.bodenseeklinik.de www.mangklinik.ch E-mail:[email protected] APL-ProfessoratKlinikumrechtsderIsar,MunichTechnicalUniversity, Ismaningerstraße22,81675Munich,Germany PresidentoftheInternationalSocietyforAestheticMedicine CEOoftheMangMedicalOneClinicGroup,ImTeelbruch55, 45219Essen,Germany Biography: – Consultantat32 – Post-doctoralqualificationat34 – MedicalDirectoroftheBodenseeklinikat40 – FoundingPresidentoftheGermanAssociationforAestheticSurgery andPresidentoftheInternationalSocietyforAestheticMedicine – HonoraryProfessoroftheUniversityofSt.Petersburg – AuthorofthemostsuccessfulHandbookofAestheticSurgery – Internationalrecognitionasasurgeonandguestspeaker – Personallycarriedoutmorethan30,000operations – NumerouscontributionsinprintandTVmedia – 2003Atthepeakofhissurgicalcareer,heachievedhisvision: heopenedEurope’slargestbeautyclinic:Bodenseeklinik – 2004DVDGuideonCosmeticSurgery – 2006Ground-breakingceremonyforMangKlinikSwiss – 2007CEOofMangMedicalOneClinicGroup(Berlin,Hamburg, Dortmund,Düsseldorf,Wiesbaden,Hannover,Stuttgart,München, Lindau) – 2008OpeningofMangKlinikSwiss(www.mangklinik.ch) – 2009HonoraryProfessoroftheUniversityofJasi(ROM) – 2010PublicationoftheneweditionoftheManualofAestheticSurgery – 2010ChairmanoftheInternationalCongressforAestheticSurgery – Honorarymemberofmanyinternationalsocieties Werner L. Mang MANUAL OF AESTHETIC SURGERY Second Edition (cid:2) Rhinoplasty (cid:2) Abdominoplasty (cid:2) PhotographicDocumentation (cid:2) Rhytidectomy (cid:2) ThighandButtockLift inAestheticandPlastic (cid:2) EyelidSurgery (cid:2) Liposuction Surgery (cid:2) Otoplasty (cid:2) HairTransplantation (cid:2) InformedConsentinAesthetic (cid:2) BreastSurgery (cid:2) AdjuvantTherapies, andPlasticSurgery (cid:2) Brachioplasty IncludingSpacelift Coauthors FrankNeidel·MarianStefanMackowski·AndreaBecker· Jan-ThorstenSchantz·UlrikeThen-Schlagau 337MedicalIllustrationsbyHansJörgSchütze 28PlatesofSurgicalInstrumentsand184Photographs ISBN978-3-540-78794-5 eISBN978-3-540-78795-2 DOI10.1007/978-3-540-78795-2 SpringerHeidelbergDordrechtLondonNewYork LibraryofCongressControlNumber2010929103 ˇ Springer-VerlagBerlinHeidelberg2010 Thisworkissubjecttocopyright.Allrightsarereserved,whetherthewholeorpartofthe materialisconcerned,specificallytherightsoftranslation,reprinting,reuseofillustra- tions,recitation,broadcasting,reproductiononmicrofilmorinanyotherway,andstor- ageindatabanks.Duplicationofthispublicationorpartsthereofispermittedonlyunder theprovisionsoftheGermanCopyrightLawofSeptember9,1965,initscurrentversion, andpermissionforusemustalwaysbeobtainedfromSpringer-Verlag.Violationsare liableforprosecutionundertheGermanCopyrightLaw. Theuseofgeneraldescriptivenames,registerednames,trademarks,etc.inthispublication doesnotimply,evenintheabsenceofaspecificstatement,thatsuchnamesareexempt fromtherelevantprotectivelawsandregulationsandthereforefreeforgeneraluse. Productliability:Thepublisherscannotguaranteetheaccuracyofanyinformationabout dosageandapplicationcontainedinthisbook.Ineveryindividualcasetheusermust checksuchinformationbyconsultingtherelevantliterature. Cover-Design:eStudioCalamar,Figueres/Berlin DVD-Video:Video-Transfer,Groß-Umstadt Printedonacid-freepaper SpringerisapartofSpringerScience+BusinessMedia(www.springer.com) Addresses ProfessorDr.med.Dr.habil.WernerL.Mang MedicalDirectoroftheBodenseeklinik,Lindau ClinicforPlasticandAestheticSurgery Graf-Lennart-Bernadotte-Straße1 88131Lindau/Germany Tel.+49(0)8382–260180 Fax+49(0)8382–2601870 email:[email protected] Internet:www.Bodenseeklinik.de APL-ProfessoratKlinikumrechtsderIsar MunichTechnicalUniversity IsmaningerStraße22 81675München/Germany Dr.med.AndreaBecker PlasticandAestheticSurgeon BodenseeklinikLindau Graf-Lennart-Bernadotte-Straße1 88131Lindau/Germany Dr.med.MarianStefanMackowski PlasticandAestheticSurgeon,GeneralSurgeon BodenseeklinikLindau Graf-Lennart-Bernadotte-Straße1 88131Lindau/Germany Dr.med.Jan-ThorstenSchantz BodenseeklinikLindau Graf-Lennart-Bernadotte-Straße1 88131Lindau/Germany Dr.med.UlrikeThen-Schlagau PlasticandAestheticSurgeon,GeneralSurgeon BodenseeklinikLindau Graf-Lennart-Bernadotte-Straße1 88131Lindau/Germany Thisbookisdedicatedtomyparents, Dr.KarlMang(†)andMrsLuiseMang Mythanksgotomywife,Sybille,andmychildren,GloriaandThomas. Withoutmywife’sstrengthoverthelast30years,Iwouldnothavebeen abletoachieveclinicalandscientificprominenceinthefieldofaesthetic andplasticsurgeryinEurope.Onlyherunderstandingformyworkgave methestrength,ina12-hourdaywithlittleholiday,toreachmygoals. e Preface c a f e r P AttherequestofSpringer-Verlag,Heidelberg,Ihavewrittenwithpride andpleasuretheneweditionoftheManualofAestheticSurgery. Volumes1(headandneckregion)and2(body)havebeenintegrated intoonevolume,whichhasbeenrevisedandextendedwiththe additionofthetopics“CosmeticAestheticSurgery,”“BreastSurgery,” “MiniLift,”“MiniAbdomen,”“ButtockLift,”and“TumescenceLipo- suctionwiththeMicroAire®System.” Thecurrenttrendistowardsgentlesurgicalmethods.The‘Mang School’hasasitsmotto:Lessismore!Youshouldnotseecosmeticsur- gery.Aestheticsurgeryisfeel-goodsurgeryandnotalteringsurgery. Thatshouldbethephilosophyofthisbook.Thefirsteditionsofboth volumesoftheManualofAestheticSurgeryhadhighprintrunsand weretranslatedintomanylanguages,includingSpanish,Russian,and Chinese. Theneweditionbridgesafewgaps,namelybreastliftingandbreast reduction.Theseoperationsaredescribedindetailusingillustrations andvideos,inordertoprovidealsoplasticandaestheticsurgeonswith standards. Standardsareofcrucialimportanceinaestheticsurgery.Resultsmust bereproducible.Everyaestheticsurgeonwillthenbeabletobuildon thismanualandrefinehisorhermethods. Alothasbeengoingoninrecentyearsandmyzestforactionhasnot waned.AsCEOoftheMangMedicalOneClinicGroup,Iamrespon- siblefor20plasticsurgeonsperformingexpertaestheticsurgeryinGer- manyeveryday.AsapioneerandvisionaryinthisareainGermany,I seeitasmylife’sworktotrainmanyyoungaestheticsurgeons,togive lecturesworldwideandtooffergoodaestheticsurgeryinEuropeat acceptableprices. Ihopethattheneweditionofthisbookwithitsexcitingadditions meetswithsuccessandIwishhappyreadingtoalloftheinterested doctors.Thenewhandbookisacomprehensiveworkonaesthetic surgeryandcoversallproceduresintheareaofbreastsurgery,suchas supramuscularorsubmuscularimplantation,lifting,andreduction. Adjuvanttreatmentshavealsobeenbroughtuptodate,evenifnotall dermatosurgicalmethodscouldbementionedintheirentirety. Thebookcontainsmanynewtipsandtricks,allcollectedduringmy 20yearsofexperienceasanaestheticsurgeon. IX
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