Comprehensive Facial Rejuvenation: A Practical and Systematic Guide to Surgical Management of the Aging Face - Hardcover

Williams, Edwin F., III, M.D.; Lam, Samuel M.

Hardcover

ISBN 10: 0781750938 ISBN 13: 9780781750936

Publisher: Lippincott Williams & Wilkins, 2003

Synopsis

This full-color, multimedia reference is a comprehensive "how-to" guide to the latest surgical procedures for rejuvenating the aging face. Chapters guide readers systematically through every step of preoperative evaluation, intraoperative management, surgical technique, and postoperative care and include lists of instrumentation and equipment and preoperative and postoperative patient instruction sheets. Coverage also includes practice management, adjunctive procedures, cutaneous resurfacing, basic skin care, and medical management of hair loss. The book contains 494 full-color illustrations, including step-by-step photography and large-size, computer-rendered drawings.

Two DVDs accompanying the book present over 6 hours of detailed, narrated video demonstrating 17 surgical and dermatological procedures.

About this title

About the Author

Edwin F. Williams, M.D.
Associate Clinical Professor,
Albany Medical College
Albany, New York

Samuel M. Lam, M.D.
Medical Director,
Willow Bend Wellness Institute
Plano, Texas

(Dr. Lam is also the illustrator of the textbook.)

From the Inside Flap

EXCERPT FROM INTRODUCTION:

Incisional-based surgery only constitutes one strategy for facial rejuvenation today. The surgeon need not brandish the scalpel as the only weapon in the fight against aging. Cutaneous resurfacing is integral to facial restoration for those patients who require this form of intervention either in combination or apart from incisional surgery. This book will cover the different treatment modalities separately laser, chemical, and mechanical and then address how to combine these techniques effectively in the apposite setting. Recently, the new technology of non-ablative resurfacing has arisen as an alternative method to efface mild to moderate rhytidosis, and results of research that the authors have conducted reveal remarkable histologic improvement. The chapter will endeavor to guide the reader in the selection of a suitable candidate who will benefit from non-ablative laser or light therapy. At the conclusion of this chapter, the topic of basic skin care will be reviewed, as every cosmetic surgeon should have at least a rudimentary knowledge of this subject so that he or she can reasonably respond to patients queries. Also, safe and effective skin care is a fundamental concern in the post-resurfacing period, and the physician should be able to navigate the patient through this often-trying time.

Myriad adjunctive procedures, including paralytic agents and soft-tissue fillers, have been introduced over the past decade that offer a wider range of options for facial rejuvenation. Quick fixes are the norm, and prolonged recovery, not tolerated. Patients are seeking incremental treatments to ward off ineluctable aging at an earlier age. Botulinum toxin and collagen offer the younger and older patient effective treatment without any notable downtime. In addition, permanent soft-tissue fillers such as acellular dermis and expanded polytetrafluoroethylene have entered the market to provide more enduring soft-tissue augmentation. The book will detail not only how to execute every step of these procedures but also how to select the right patient for a particular modality.

True to the title of this tome, the topics that will be covered are comprehensive in scope, including hair restoration surgery and rhinoplasty of the aging nose. The hair-restoration chapter will not only discuss in detail the technique of follicular grafting but also elaborate upon scalp rotation (the twice-delayed temporo-parieto-occipital, or Juri, flap) and reduction (with extender) procedures in the context of when these techniques are appropriate. A thorough review of medical hair management will also be undertaken with mention of both traditional techniques, e.g., finasteride and minoxidil, and newer, more experimental therapies. The chapter on rejuvenation of the aging nose will address both functional and aesthetic flaws that typify the aging nose. For instance, a reliable and straightforward method for correction of rhinophyma will be presented. The chapter on upper facial rejuvenation also covers another functional disorder, blepharoptosis, that impacts upon the cosmesis of the aging face. Although this book is primarily directed at aesthetic facial surgery, corrective functional surgery, as enumerated above, are included when appropriate.

Besides in-depth review of surgical techniques for the aging face, this book also covers the topic of practice management that may be instructive to both the junior and the more seasoned surgeon. Chapter 2 addresses how to develop an effective business strategy and media presence as well as how to select and retain the physician s most valuable asset, the staff. Another chapter is dedicated to the development of an effective strategy for patient care, including how to enlist the services of a patient-care coordinator, how to use digital imaging effectively, and how to conduct a rewarding preoperative consultation. The surgeon should always make a concerted effort to develop his or her practice by diligent review of current tactics and creative thinking for future strategies. This book will serve as a framework with which the surgeon and the office team can build an effective business and marketing plan.

The entire book is structured in a format that the surgeon can readily appreciate, i.e., each chapter is partitioned into preoperative, operative, and postoperative sections. The reader is guided through the pearls and pitfalls of each stage and is trained to think in a logical, systematic fashion so that he or she can decide when a particular surgical procedure is appropriate (preoperative), how to perform the procedure (operative), and how to manage the patient after surgery as well as how to avoid and to handle any complications that should arise (postoperative). This book is strictly a practical manual that will benefit both the novice and the more experienced surgeon who is unfamiliar with any of the many procedures enumerated in the text. In accordance with the objective for relaying as much useful information as possible, the principal chapters also contain a detailed list of all surgical instrumentation and equipment necessary to perform a procedure; a review of all the salient technical points that are described within the body of the text; and full copies of all patient instructions, both preoperative and postoperative.

Besides step-by-step photography; informative, computer-rendered illustrations; and lucid text, the authors realize that the amount of practical knowledge that can be conveyed in a book format is still limited. Therefore, this project is as much a video manual as it is a printed textbook. Two high-quality double-density DVDs have been included that illuminate each procedure in detail. Being surgeons, the authors realize that text and photographs alone cannot present the amount of information that even a short video can. The video sequences inform the reader about every conceivable aspect of surgery including, for instance, how to reconstitute and use botulinum toxin properly, what instrumentation is required for hair transplantation, how to inject collagen correctly, how to perform a scalp reduction, how to perform a tricholoroacetic acid (TCA) peel and how to manage that patient during the intensive 10-day postoperative period, and numerous other videos. The total video length included equals 6 hours and covers all the major aspects in this book.

Excerpt. © Reprinted by permission. All rights reserved.

Chapter 2 (opening paragraph)

This chapter will strive to offer the readership a very practical and informative guide that reflects the ten-year experience of a busy facial plastic surgical practice. Oftentimes medical texts neglect the very important aspect of practice management, partly due to the limitations of scope and ambition and partly due to the lack of authoritative information on the subject. After completion of years of professional training, many physicians find themselves ill equipped to handle the exigencies of daily business affairs that are integral to a medical or surgical practice and thereby fail to succeed. Constant and ongoing ambition to achieve excellence in business and marketing should be a fundamental part of every plastic surgical practice. Unlike other sectors of medical care, plastic surgery caters exclusively to an elective patient base that can easily go elsewhere for their care if every nuance of the practice has not been properly attended. In this endeavor, the surgeon should also not overstep his or her budgetary limitations in the shortsighted effort to attract patients without the long-term foresight for continued financial viability. Although certain sections of this chapter are targeted at the junior surgeon, the practical advice contained herein should benefit even the seasoned veteran. A flourishing plastic surgical practice demands constant nurturing through the use of resourceful and informed business and marketing tactics. This chapter will address the following topics: how to start a practice, developing and maintaining an effective business strategy, hiring and retaining a first-rate office staff, designing a successful marketing plan, and integrating profitable aesthetic skin-care services as part of the practice.

Edition details

• Publisher: Lippincott Williams & Wilkins
• Publication date: 2003
• Language: English
• ISBN 10: 0781750938
• ISBN 13: 9780781750936
• Binding: Hardcover
• Edition number: 1
• Number of pages: 314