Carniol, Paul J.
Complications in Minimally Invasive Facial Rejuvenation : Prevention and Management.
- 1st ed.
- 1 online resource (246 pages)
Complications in Minimally Invasive Facial Rejuvenation: Prevention and Management -- MedOne Information -- Title Page -- Copyright -- Dedication -- Contents -- Videos -- Foreword -- Preface -- Contributors -- Section I: Complications Prevention Essentials -- 1 General Approach: The Consultation-Patient Evaluation -- 1.1 Introduction -- 1.2 Assessment of Expectations -- 1.3 Assessment for Body Dysmorphic Disorder -- 1.4 Accurate History Taking -- 1.5 Preoperative Counseling -- 1.6 Conclusion -- 2 Anesthesia for Minimally Invasive Facial Aesthetic Surgery -- 2.1 The Office-Based Surgery Setting -- 2.2 Preprocedure Preparation -- 2.3 Local Anesthesia -- 2.3.1 Topical Local Anesthesia -- 2.3.2 Subcutaneous or Tissue Infiltration -- 2.3.3 Regional Nerve Blocks -- 2.3.4 Tumescent Anesthesia -- 2.3.5 Cryoanesthesia -- 2.3.6 Oral Sedation -- 2.3.7 Monitored Anesthesia Care -- 2.4 Laser-Anesthesia Complications -- 2.4.1 Fire -- 2.5 Recovery and Discharge -- 2.6 Conclusion -- 3 Anatomy -- 3.1 Introduction -- 3.2 Skin Anatomy -- 3.2.1 Epidermis -- 3.2.2 Dermis -- 3.3 Forehead Anatomy -- 3.3.1 Central Forehead and Glabella -- 3.3.2 Temporal Fossa -- 3.4 Periorbital Anatomy -- 3.4.1 Upper and Lower Eyelids -- 3.4.2 Eyebrows -- 3.5 Midface -- 3.5.1 Lid/Cheek Junction -- 3.5.2 Cheek -- 3.6 Nasal Anatomy -- 3.6.1 Skin-Soft Tissue Envelope -- 3.6.2 Deep -- 3.7 Facial Nerve Branches -- 3.7.1 Frontal Branch -- 3.7.2 Zygomatic Branch -- 3.7.3 Buccal Branch -- 3.7.4 Marginal Branch -- 3.7.5 Cervical Branch -- 4 Plumes, Laser/Cautery -- 4.1 Introduction -- 4.2 Inorganic Contents of the Plume -- 4.3 Organic Contents of the Plume -- 4.4 Protective Strategies -- Section II: Injectables: Avoiding and Managing Complications -- 5 Fillers -- 5.1 Introduction -- 5.2 General Principles -- 5.2.1 Patient-Related Factors -- 5.2.2 Product-Related Factors. 5.2.3 Technique-Related Factors -- 5.2.4 Pretreatment Prophylaxis -- 5.3 Adverse Reactions and Complications -- 5.4 Early Adverse Reactions and Management of Complications -- 5.4.1 Bruising -- 5.4.2 Edema -- 5.4.3 Placement Related: Inappropriate Placement and Depth, Overcorrection -- 5.4.4 A Tool for Management of Early Adverse Events: Use of Blunt-Tip Cannula -- 5.5 Inflammatory Reactions -- 5.5.1 Allergic Reactions and HA Hypersensitivity -- 5.5.2 Acute Infection -- 5.6 Vascular Events -- 5.6.1 Anatomic Considerations and Mechanisms -- 5.6.2 Technique -- 5.6.3 Identification -- 5.6.4 Treatment and Management of Vascular Compromise -- 5.7 Specific Considerations -- 5.7.1 Blindness -- 5.8 Delayed Adverse Reactions and Management of Complications -- 5.8.1 Noninflammatory Nodules -- 5.8.2 Inflammatory Reactions Including Infection and Granuloma Formation -- 6 Fat Transfers -- 6.1 Introduction -- 6.2 Risks and Complications -- 6.3 Vascular Occlusion -- 6.4 Atypical Infections -- 6.5 Fat Necrosis -- 6.6 Treatment of Facial Fat Necrosis -- 6.7 Conclusion -- 7 Neuromodulators for Muscle Induced Wrinkles -- 7.1 Introduction -- 7.2 Upper Face -- 7.3 Midface -- 7.4 Lower Face -- 7.5 Neck -- 8 Deoxycholic Acid -- 8.1 Description of Technology/Procedures -- 8.1.1 Introduction -- 8.1.2 Mechanism of Action -- 8.2 Optimizing Use and Avoiding Complications -- 8.2.1 Clinical Trials -- 8.2.2 Determination of Ideal Patient -- 8.2.3 Assessing Preplatysmal Fat -- 8.2.4 Proper Injection Technique -- 8.2.5 Common Complications -- 8.2.6 Complications: Nerve Injury -- 8.2.7 Complications: Skin Ulceration and Necrosis -- 8.2.8 Complications: Dysphagia -- 8.2.9 Complications: Alopecia -- 8.3 Early Identification of Complications -- 8.4 Managing Complications -- 8.5 Conclusion -- Section III: High Energy Devices: Avoiding and Managing Complications -- 9 Laser Resurfacing. 9.1 Introduction -- 9.2 Key Points for Maximizing Safety with Lasers and Other Energy Devices -- 9.3 Key Points for Maximizing Safety with Shallower-Penetrating Lasers and Energy Devices -- 9.4 Fractional Laser Systems -- 9.4.1 Nonablative Fractional Laser Systems -- 9.4.2 Microneedling and RF Pins/Needles -- 9.5 Nonfractional Ablative Treatment -- 9.6 Key Points for Maximizing Safety in the Eye Area -- 9.7 Key Points for Maximizing Safety in the Perioral/Cheek Area -- 9.8 Key Points for Maximizing Safety in Different Skin Types -- 9.9 Ethnic Skin -- 9.10 Tanned/Solar-Damaged Skin -- 9.11 X-Irradiated Skin -- 10 Chemical Peels -- 10.1 Background -- 10.2 Patient Selection -- 10.3 Preoperative Guidelines -- 10.4 Complication Prevention -- 10.5 Infection Prophylaxis -- 10.6 Complication Management -- 10.6.1 Delayed Reepithelialization -- 10.7 Scarring -- 10.7.1 Infection -- 10.7.2 Erythema and Hyperpigmentation -- 10.7.3 Hypopigmentation -- 10.7.4 Cardiac Arrhythmia -- 10.8 Conclusion -- 11 Vascular and Pigment Laser and Light Sources -- 11.1 Vascular and Pigment Laser and Light Sources -- 11.1.1 Laser Treatment of Vascular Lesions -- 11.1.2 Choice of Device-Wavelength and Pulse Duration -- 11.1.3 Enhancing Outcomes in the Treatment of Vascular Lesions -- 11.2 Laser Treatment of Pigmented Lesions -- 11.2.1 Nanosecond and Picosecond Lasers (1,064 nm, 755 nm, 532 nm) -- 11.2.2 Long-Pulsed Lasers (532 nm, 595 nm, 755 nm, 800-890 nm, 1,064 nm) -- 11.2.3 Light Sources -- 11.2.4 Pigment Nonspecific Lasers -- 11.2.5 Combination of Lasers -- 11.3 Managing Complications from Laser Treatment of Vascular and Pigmented Lesions -- 11.4 Conclusion -- 12 Radiofrequency and Microneedle Radiofrequency -- 12.1 Introduction -- 12.2 Science of RF -- 12.3 Neocollagenesis -- 12.4 Methods of RF Delivery -- 12.5 Safety Measures -- 12.6 Patient Selection -- 12.7 Complications. 12.7.1 Prolonged Swelling, Erythema, Discomfort -- 12.7.2 Postinflammatory Hyperpigmentation (PIH) -- 12.7.3 Second-Degree Burn -- 12.7.4 Fat Loss -- 12.7.5 Textural Abnormalities -- 12.7.6 Acne Flair/Infection -- 12.7.7 Dysesthesia/Neuropraxia -- 12.7.8 Seroma/Cyst -- 12.8 Conclusion -- 13 Complications of Platelet-Rich Plasma and Microneedling -- 13.1 Platelet-Rich Plasma-An Introduction -- 13.2 Platelet-Rich Plasma-Avoiding, Identifying, and Managing Complications -- 13.3 Microneedling-An Introduction -- 13.4 Microneedling-Avoiding, Identifying, and Managing Complications -- Section IV: Lipo Reduction: Avoiding and Managing Complications -- 14 Liposuction -- 14.1 Background -- 14.2 Preoperative Evaluation -- 14.2.1 Physical Examination and Laboratory Evaluation -- 14.2.2 Anesthetic Planning -- 14.2.3 Selecting the Right Tools to Optimize Aesthetic Results -- 14.3 Procedure -- 14.3.1 Cannulas -- 14.3.2 General Principles of Surgical Technique -- 14.3.3 Malar Fat Pad and Cheek Contouring -- 14.3.4 Treatment of the Nasolabial Fold and Pretragal Sulcus -- 14.3.5 Treatment of the Jowl -- 14.3.6 Submental Liposuction -- 14.3.7 Facial and Periorbital Autologous Fat Transfer -- 14.3.8 Liposuction of Other Body Sites -- 14.4 Postoperative Considerations -- 14.5 Minimizing Risks -- 14.6 Management of Complications -- 14.6.1 Pain and Edema -- 14.6.2 Vascular Complications -- 14.6.3 Suboptimal Aesthetic Outcomes -- 14.6.4 Perforation Injury -- 14.6.5 Intravascular Volume Redistribution -- 14.6.6 Nerve Injury -- 14.6.7 Infection -- 14.6.8 Seroma -- 14.6.9 Delayed Improvement -- 14.6.10 Lidocaine Toxicity -- 14.7 Conclusions -- 15 Cryolipolysis -- 15.1 Introduction -- 15.2 Cryolipolysis Mechanism of Action -- 15.3 Safety Profile of Cryolipolysis -- 15.4 Paradoxical Adipose Hyperplasia in Cryolipolysis -- 15.5 Delayed Post-treatment Pain in Cryolipolysis. 15.6 Miscellaneous Complications in Cryolipolysis -- 15.7 Introduction to ATX-101 -- 15.8 Safety Profile of ATX-101 -- 15.9 Marginal Mandibular Nerve Injury with ATX-101 -- 15.10 Vascular Complications in ATX-101 -- 15.11 Conclusion -- Section V: Minimally Invasive Surgery: Avoiding and Managing Complications -- 16 Thread Lift -- 16.1 Introduction -- 16.2 Complications -- 16.3 PDO Threads -- 16.4 Prevention of Complications Utilizing PDO Threads -- 16.4.1 Patient Selection -- 16.4.2 Patient Informed Consent -- 16.4.3 Treatment Protocols -- 16.4.4 Posttreatment Instructions and Protocols -- 16.5 Management of Complications -- 16.5.1 Bruising -- 16.5.2 Mild-to-Moderate Puckering/Irregularity -- 16.5.3 Severe Puckering/Irregularity of Superficial Placement of Threads -- 16.5.4 Infection -- 16.6 Conclusion -- 17 SMAS Lift -- 17.1 Introduction -- 17.2 Indications and Patient Selection -- 17.3 Surgical Technique -- 17.3.1 Procedure Details -- 17.3.2 Optimizing Results -- 17.4 Complications -- 17.4.1 Minimizing Risk and Complications -- 17.4.2 Early Identification of Complications -- 17.4.3 Management of Complications -- 18 Hair Transplantation -- 18.1 Introduction -- 18.2 Current Hair Transplantation Technique -- 18.3 Unfavorable Results in Hair Transplantation -- 18.3.1 Hairline that is Too Low and/or Too Straight. -- 18.3.2 Grafts Too Large (Too Many Hairs Per Graft) Giving a Clumpy (Pluggy) Appearance -- 18.3.3 Scarring Alopecia of the Donor Site -- 18.3.4 Poor Hair Growth After Hair Transplantation -- 18.4 Conclusion -- 19 Blepharoplasty -- 19.1 Introduction -- 19.2 Patient Evaluation -- 19.3 Common Postoperative Problems: Their Avoidance and Correction -- 19.3.1 Upper Eyelid Blepharoplasty Complications -- 19.3.2 Lower Eyelid Blepharoplasty Complications -- 19.3.3 Uncommon/Catastrophic Blepharoplasty Complications -- 19.4 Conclusion -- Index. Additional MedOne Information.
9781684200146
Face-Surgery.
Surgery, Plastic.
Face.
Electronic books.
RD119.5.F33 .C376 2021
617.9/52