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Manual of Aesthetic Surgery PDF

713 Pages·2010·44.93 MB·English
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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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At the request of Springer-Verlag, Heidelberg, I have written with pride and pleasure the new edition of the Manual of Aesthetic Surgery. Volumes1(headand neckregion)and 2(body)havebeen integrated into one volume, which has been revised and extended with the addition of the topics “Cosmetic Aesthe
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