Procedural Dermatology PDF
Preview Procedural Dermatology
Pro e dur l De rm to lo g y MCGH322-FM_pi-xviii.indd 1 30/08/14 6:58 PM N Medicine is an ever-changing science. As new research and clinical experience broaden our knowledge, changes in treatment and drug therapy are required. T e authors and the publisher o this work have checked with sources believed to be reliable in their e orts to provide in ormation that is complete and generally in accord with the standards accepted at the time o publication. However, in view o the possibility o human error or changes in medical sciences, neither the authors nor the publisher nor any other party who has been involved in the preparation or publication o this work warrants that the in ormation contained herein is in every respect accurate or complete, and they disclaim all responsibility or any errors or omissions or or the results obtained rom use o the in ormation contained in this work. Readers are encouraged to con rm the in ormation contained herein with other sources. For example and in particular, readers are advised to check the product in ormation sheet included in the package o each drug they plan to administer to be certain that the in ormation contained in this work is accurate and that changes have not been made in the recommended dose or in the contraindications or administration. T is recommendation is o particular importance in connection with new or in requently used drugs. MCGH322-FM_pi-xviii.indd 2 30/08/14 6:58 PM Pro e dur l De rm to lo g y EDITORS Ma Rc R. av Ra M, MD Clinical Pro essor o Dermatology Weill Cornell Medical School New York, New York Private Practice New York, New York MaTh Ew M. av Ra M, MD, JD Director, MGH Dermatology Laser & Cosmetic Center, Massachusetts General Hospital Faculty Director or Dermatology Laser and Cosmetic Training, Harvard Medical School Assistant Pro essor o Dermatology, Harvard Medical School Af liate Faculty, Wellman Center or Photomedicine Boston, Massachusetts DéSIRéE RaTn ER, MD Director o Comprehensive Skin Cancer Program Continuum Cancer Centers o New York (CCCNY) Director, Dermatologic Surgery, Department o Dermatology Mount Sinai Beth Israel Medical Center and St. Luke’s and Roosevelt Hospitals New York, New York New York Chicago San Francisco Athens London Madrid Mexico City New Delhi San Juan Singapore Sydney Toronto MCGH322-FM_pi-xviii.indd 3 03/09/14 5:10 PM Copyright © 2015 by McGraw-Hill Education. All rights reserved. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form or by any means, or stored in a database or retrieval system, without the prior written permission of the publisher, with the exception that the program listings may be entered, stored, and executed in a computer system, but they may not be reproduced for publication. ISBN: 978-0-07-180252-9 MHID: 0-07-180252-5 The material in this eBook also appears in the print version of this title: ISBN: 978-0-07-179506-7, MHID: 0-07-179506-5. eBook conversion by codeMantra Version 1.0 All trademarks are trademarks of their respective owners. Rather than put a trademark symbol after every occurrence of a trademarked name, we use names in an editorial fashion only, and to the bene t of the trademark owner, with no intention of infringement of the trademark. 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Your right to use the work may be terminated if you fail to comply with these terms. THE WORK IS PROVIDED “AS IS.” McGRAW-HILL EDUCATION AND ITS LICENSORS MAKE NO GUARANTEES OR WARRANTIES AS TO THE ACCURACY, ADEQUACY OR COMPLETENESS OF OR RESULTS TO BE OBTAINED FROM USING THE WORK, INCLUDING ANY INFORMATION THAT CAN BE ACCESSED THROUGH THE WORK VIA HYPERLINK OR OTHERWISE, AND EXPRESSLY DISCLAIM ANY WARRANTY, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. McGraw-Hill Education and its licensors do not warrant or guarantee that the functions contained in the work will meet your requirements or that its operation will be uninterrupted or error free. Neither McGraw-Hill Education nor its licensors shall be liable to you or anyone else for any inaccuracy, error or omission, regardless of cause, in the work or for any damages resulting therefrom. McGraw-Hill Education has no responsibility for the content of any information accessed through the work. Under no circumstances shall McGraw-Hill Education and/or its licensors be liable for any indirect, incidental, special, punitive, consequential or similar damages that result from the use of or inability to use the work, even if any of them has been advised of the possibility of such damages. This limitation of liability shall apply to any claim or cause whatsoever whether such claim or cause arises in contract, tort or otherwise. M r R. a r m, MD I would like to dedicate this book to my loving parents Morrell and Maria Avram. T ey have always given me and my amily unconditional support and love. T ank you! o my wi e Robin or all o her love and being my best riend. o my sons Robert and Jacob, thank you or always bringing joy, love, and wonder to my li e. I am very proud o you both. M t ew M. a r m, MD, JD I would like to dedicate this textbook to my parents, Morrell and Maria Avram, who have provided me with their love and support my entire li e. o my beauti ul wi e, Alison. T ank you or your love, understanding and support. o my wonder ul children Rachel, Alexander and Noah. T ank you or inspiring me with your love, joy and accomplishments. Désirée R t er, MD o my parents, Marion and Paul Ratner, or always being there, to my children, Xanthe and Evan T omas, or their love and support, and to Paul Heller, or his kindness, love, and understanding. MCGH322-FM_pi-xviii.indd 5 30/08/14 6:58 PM This page intentionally left blank Co n t e n t s C i ix 13 Hemostasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134 Wilfred A. Lumbang, Meghan Scharf, & P fac xv T omas Stasko Ack wl dgm xvii 14 Electrosurgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 148 Jo Martin & imothy S. Wang Sec t io N 1 Su r g ic a l Pr iNc iPl eS 15 Cryosurgery. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157 James M. Spencer & Summer D. Moon 1 Super cial Head and Neck Anatomy . . . . . . . . . . . . . . 1 Hugh . Greenway, Vineet Mishra, Lee M. Miller, & 16 Suture Closure Materials and echniques . . . . . . . . 165 Salman Alsaad Ian A. Maher, James D. Russell, T uzar Shin, Margaret Mann, & Jeremy Bordeaux 2 Preoperative Evaluation . . . . . . . . . . . . . . . . . . . . . . . . . .14 Bichchau M. Nguyen & Chrysalyne D. Schmults 17 T e Elliptical Excision and its Variations . . . . . . . . . 177 Joseph F. Sobanko & Christopher J. Miller 3 In ormed Consent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 anya Nino, Rachel Epstein, Andrea Smith, & 18 Random Pattern Flaps . . . . . . . . . . . . . . . . . . . . . . . . . . 193 Abel orres Margaret Mann, Jeremy Bordeaux, & Roberta Sengelmann 4 Anesthesia and Analgesia . . . . . . . . . . . . . . . . . . . . . . . . 33 Nima M. Gharavi & Gary P. Lask 19 Axial Pattern and Interpolation Flaps . . . . . . . . . . . . 221 Christopher J. Miller, Joseph F. Sobanko, & 5 Aseptic echnique . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51 John G. Albertini Jill Henley & Jerry D. Brewer 20 Skin Gra ting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 243 6 Digital Imaging in Dermatologic Surgery . . . . . . . . . . 63 Hillary Johnson-Jahangir & Kira Minkis Andrea M. Hui, Neil Brody, & Daniel M. Siegel 21 Surgical Scar Revision . . . . . . . . . . . . . . . . . . . . . . . . . . 261 7 T e Surgical Suite: Equipment and Accreditation . . .72 Lee M. Miller & Seaver L. Soon Riley McLean & Mary E. Maloney 22 Nail Surgery. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 273 8 Surgical Instruments . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82 Joshua W. rufant, John A. Carucci, Zena Pinnella, Kerri Robbins, & Aaron K. Joseph Nathaniel Jellinek, & Chris G. Adigun 9 Preoperative and Postoperative Antibiotics . . . . . . . . 89 23 Ear Piercing and Ear Lobe Repairs . . . . . . . . . . . . . . . 295 Michael M. Wolz & Christopher J. Arpey Steven S. Greenbaum, Charles H. Greenbaum, & Joshua M. Greenbaum 10 Wound Healing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100 Katherine A. Nolan, Liza Braun, & Robert S. Kirsner 24 Surgical Complications and T eir Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 313 11 Dressings and Postoperative Care . . . . . . . . . . . . . . . 110 Milène K. Crispin, Erik S. Cabral, & Sumaira Z. Aasi Daniel A. Davis Sec t io N 3 SkiN t u mo r S Sec t io N 2 Su r g ic a l Skil l S 25 Benign Subcutaneous umors . . . . . . . . . . . . . . . . . . 323 12 Biopsy echniques . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123 Paul X. Benedetto & Allison . Vidimos Anthony M. Rossi, Erica H. Lee, & Kishwer S. Nehal MCGH322-FM_pi-xviii.indd 7 30/08/14 6:58 PM 26 Mohs Micrographic Surgery: Indications 43 Special Considerations for Hair and echnique 329 Restoration Surgery 504 Nicholas B. Countryman & C. William Hanke Marc R. Avram & Meena Singh 27 Practical Management of Atypical Nevi 338 44 Sclerotherapy 520 June J. Park, Clara Curiel-Lewandrowski, & Karen L. Beasley & Robert A. Weiss Caroline C. Kim 45 Minimally Invasive reatment of Varicose Veins 527 28 Surgical Management of Melanoma 344 Karen L. Beasley & Robert A. Weiss Peter L. Mattei, Elizabeth K. Jones, & Hensin Tsao 46 Phototherapy and Photodynamic T erapy for 29 Management of Advanced the reatment of Acne Vulgaris 537 Nonmelanoma Skin Cancer 353 Michael H. Gold Catherine Lee Tran, Mark M. Tran, & Timothy S. Wang C 47 Acne Scarring 549 o n 30 Skin Cancer in the Organ ransplant Patient 370 Snehal Amin t e Sasha Jenkins, Maren Cotes, & Fiona Zwald n t s 48 Management of Dyschromias 563 Claire Marie Reyes-Habito & Molly Wanner Sec t io n 4 AeSt h et ic An d LASer 49 Laser and Light reatment of Pigmented Lesions 578 Pr o c ed u r eS Mussarrat Hussain, Suzanne L. Kilmer, & Omar A. Ibrahimi 31 Cosmeceuticals and opical Agents 381 Zoe Diana Draelos 32 Chemical Peels 388 Sec t io n 5 AeSt h et ic Pr o bLemS Christopher B. Harmon & Tarek M. Fakhouri 50 attoos 589 33 Photodynamic T erapy for Nonmelanoma Mussarrat Hussain, Suzanne L. Kilmer, & Skin Cancer and Precursor Lesions 398 Omar A. Ibrahimi Katrine Togsverd-Bo & Merete Haedersdal 51 Noninvasive Scar reatment 603 34 Noninvasive Skin ightening echnology 410 Anna Chacon, Katlein Franca, Jenni er Ledon, Andrew A. Nelson Jessica Savas, & Keyvan Nouri 35 Ablative and Fractional Ablative Resurfacing 419 52 Laser and Light-Based reatment Arisa E. Ortiz, Mitchel P. Goldman, & of Vascular Lesions 614 Richard E. Fitzpatrick Kathryn Serowka & Kristen M. Kelly 36 Nonablative Dermal Remodeling 429 53 Laser Hair Removal 627 Yoon-Soo Cindy Bae & David J. Goldberg Omar A. Ibrahimi & Suzanne L. Kilmer 37 Fillers 438 54 Eyelid Rejuvenation 640 Jason Emer & Heidi A. Waldor Robyn Sackeyf o, Robert Silich, & Henry M. Spinelli 38 Injectables 453 55 Facial Rejuvenation 654 Karen L. Connolly, David M. Ozog, & Joel L. Cohen Jenny C. Hu & Jenny Kim 39 Non-Invasive Fat Removal 467 56 Hand Rejuvenation 672 H. Ray Jalian Nils Krueger & Neil S. Sadick 40 Non-Invasive Body Contouring 472 57 Laser reatment of Asian Skin 676 Andrew A. Nelson & Mathew M. Avram Samantha Yee Nam Shek & Henry Hin Lee Chan 41 Liposuction 479 58 African Skin 684 Daniel P. Friedmann, Kimberly J. Butterwick, & Valerie D. Callender, Cherie M. Young, & Arisa E. Ortiz Susan C. Taylor 42 Hair ransplantation for Men and Women 495 Index 695 Nicole E. Rogers & Marc R. Avram viii MCGH322-FM_pi-xviii.indd 8 04/09/14 9:55 PM Co n t r Ib u t o r s Sum ir Z. a si, MD M r R. a r m, MD Kimberly J. Butterwi k, MD Dermatologic Surgery Clinical Pro essor o Dermatology Private Practice Stan ord Department o Dermatology Weill Cornell Medical School San Diego, Cali ornia Redwood City, Cali ornia New York, New York Private Practice Erik S. c br l, MD c ris G. adigu , MD New York, New York Bennett Surgical Center Clinical Instructor o Dermatology Santa Monica, Cali ornia Ronald O. Perelman Department o K re L. Be sley, MD Dermatology Clinical Assistant Pro essor o v lerie D. c lle der, MD New York University School o Medicine Dermatology Callender Dermatology and Cosmetic New York, New York University o Maryland School o Center Medicine Glenn Dale, Maryland Jo G. alberti i, MD T e Maryland Laser Skin and Vein Institute Vice President and Laboratory Director Jo a . c ru i, MD, P D Baltimore, Maryland T e Skin Surgery Center Associate Pro essor; Chie , Mohs Winston Salem, North Carolina Micrographic and Dermatologic P ul X. Be edetto, MD Surgery S lm als d, MD Procedural Dermatology Fellow, Director, Procedural Dermatology Department o Dermatology Division o Mohs Surgery and Fellowship raining Program Dermatology and Plastic Surgery Procedural Dermatology Director o Dermatologic Surgery, Institute Scripps Clinic orrey Pines Ronald O. Perelman Department o Cleveland Clinic Foundation La Jolla, Cali ornia Dermatology Cleveland, Ohio New York University School o S e l ami , MD Medicine Jeremy Borde ux, MD, MPh New York, New York Surgical Director Assistant Pro essor, Director o Manhattan Dermatology and Cosmetic Surgery Dermatologic Surgery a c o , MD Department o Dermatology Clinical Assistant Pro essor o Post-Doctoral Clinical Research Fellow University Hospitals Dermatology Sylvester Comprehensive Cancer Case Medical Center Weill Cornell Medical College Center Case Western Reserve University Attending, Department o Mohs/Laser Unit Cleveland, Ohio Dermatology Miami, Florida New York Presbyterian Hospital New York, New York Liz Br u , Ba Yoo -Soo c i dy B e, MD Department o Dermatology and Department o Dermatology c ristop er J. a rpey, MD Cutaneous Surgery Boston University Medical Center University o Miami Miller School o Mayo Clinic, Department o Boston, Massachusetts Medicine Dermatology Miami, Florida Rochester, Minnesota Joel L. co e , MD AboutSkin Dermatology and Jerry D. Brewer, MD M t ew M. a r m, MD, JD DermSurgery Division o Dermatologic Surgery Director, MGH Dermatology Englewood, Colorado Department o Dermatology Laser and Cosmetic Center, Mayo Clinic College o Medicine Massachusetts General Hospital K re L. co olly, MD Rochester, Minnesota Faculty Director or Dermatology Henry Ford Hospital Department o Laser and Cosmetic raining, Dermatology Harvard Medical School neil Brody, MD, P D Detroit, Michigan Assistant Pro essor o Dermatology, Department o Dermatology Harvard Medical School Af liate State University o New York Faculty, Wellman Center or Downstate Medical Center Photomedicine Brooklyn, New York Boston, Massachusetts MCGH322-FM_pi-xviii.indd 9 30/08/14 6:58 PM
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