By Paul J. Carniol, Gary D. Monheit
Each practitioner of aesthetic medication and surgical procedure will have already got a chain of textbooks teaching on easy methods to deal with the traditional sufferer. regrettably, each practitioner also will have sufferers who don't agree to the typical – who're of a unique age, or intercourse, or ethnicity, or clinical background, or who've distinct social standards. This e-book seems at these advanced components that have a tendency to be missed within the extra ordinary textbooks, yet are of excessive curiosity to these practitioners who're faced by way of a sufferer no longer conforming to the normal remedy; it swimming pools the services of most sensible aesthetic practitioners to assist indicate the components of specified problem that come up in scientific perform and the way to set approximately tackling and fixing them.
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Extra info for Aesthetic Rejuvenation Challenges and Solutions: A World Perspective (Series in Cosmetic and Laser Therapy)
In patients with insufficient volume, it is necessary to use injectables. There are a great number of fillers, artificial and endogenous, temporary and permanent. Discussion of injectables is beyond the scope of this chapter. Suffice it to say, they are an essential component of the facial plastic surgeon’s armamentarium, but conservative technique is necessary to maintain a natural appearance. Areas which are essential to recognize and treat include the nasojugal groove, the melolabial groove, and commissure-mandibular groove.
5 Patients who only want natural, nonoperated-appearing results Harry Mittelman and Gregory J Vipond introduction The desire of cosmetic surgery patients to maintain a natural, nonoperated appearance is extremely common. With increasing awareness of cosmetic surgery and rejuvenation procedures comes a heightened knowledge of their complications and telltale signs. Many patients are adamant about avoiding these stigmata and will stress this sentiment at the initial consultation. It is frequently stated that they desire a natural, “refreshed” look and consequently may want a less dramatic result.
Foreign bodies in the incision, such as hair, suture ends, and talc must also be avoided to minimize postoperative inflammation. Finally, incisional skin tension must be minimized so to allow optimal delivery of blood and oxygen. Careful postoperative wound care and the use of steroid injections, where necessary, also help achieve optimal healing. In the brow, it is important to avoid a “surprised” postoperative appearance. This is done through careful preoperative evaluation, thorough discussion with the patient, and preferential elevation of the lateral brow.