About the Book

?Presented in a clear format.
?Presents recent and up-to-date information on Plastic and Reconstructive surgery.
?Provides unique ideas developed by experts plastic-surgeons to treat body deformities.
?Contains high resolution surgical images, clinical photographs and diagrams.
?Divided into six sections and 18 chapters.
?Focuses on subjects involving stem cells, liposuction, head and neck surgery, surgery of the breast, body and extremities.
?Contribution from 37 experts in the field.

About the Author

Alberto Di Giuseppe MD Melvin A Shiffman MD JD

Table of Contents:
Contents Section 1: Stem Cells 1. Tissue Engineering with Adipose-Derived Stem Cells (ADSCs) in Plastic and Reconstructive Surgery: Current and Future Applications 3 Aris Sterodimas • Technique 3 • Discussion 9 Section 2: Liposuction 2. Liposuction for Chronic Lymphedema of the Upper Limb 15 Mark V Schaverien, D Alex Munnoch • Background 15 • Preoperative Assessment and Inclusion Criteria 15 • Liposuction Technique 15 • Postoperative Care 16 • Patient Demographics 16 • Limb Volume Outcomes 16 • Psychological Outcomes 17 • Discussion 19 Section 3: Head and Neck 3. Vaser-Assisted Minimally Invasive Neck–Chin Lift 25 Alberto Di Giuseppe, George Commons • Guidelines for Vaser-Assisted Neck Contouring 25 • Technique 25 • Postoperative 27 • Procedure 27 • Clinical Cases 27 4. Endoscopically Assisted Temporalis Muscle Transfer Harvesting for Orbit Reconstruction 38 Riccardo Girotto, Marco Messi, Paolo Balercia • Anatomical Basis 38 • Surgical Technique 38 5. Augmentation Rhinoplasty 44 José Guerrerosantos • Cartilage Grafts in Rhinoplasty 44 • Clinical Cases 46 • Multiple Ways to use Fascia Graft in Aesthetic Rhinoplasty 48 • Rolled Fascia Graft 51 • Clinical Cases 52 • Cartilaginous Spreader Grafting 56 xvi New Frontiers in Plastic and Cosmetic Surgery • Fragmented Cartilage Graft Wrapped with Fascia in Primary Rhinoplasty 60 • Fragmented Cartilage Wrapped with Fascia in Secondary Rhinoplasty 68 • Case of Deformed Dorsum due to Application of Cartilage Graft in a Very Superficial Cavity 68 • Clinical Case 69 • Patients with Depressed Dorsum due to Excessive Resection in the Nose’s Back in Primary Aesthetic Rhinoplasty 70 • Clinical Cases 70 6. Total Resection of the Alar Cartilages and Temporal Fascia Technique in Rhinoplasty 77 Salvador Rodríguez-Camps Devís • Technique 83 • Results 92 • Discussion 92 7. Correction of Auricular Deformities after Failed Otoplasty 95 Alexander Berghaus • Analysis of Deformities after Otoplasty 95 • Undercorrection 95 • Overcorrection 96 • Distorted Proportions 97 • Formation of Edges 97 • Deformities with Skin Defects 98 • Deformities with Loss of Cartilage and Skin 100 8. Focal Nerve Lesions with a Monopolar Radiofrequency Device for Cosmetic Enhancement 102 Diane I Duncan, Doug McBurney, Brian Kinney • The Device 102 • Safety 102 • History 103 • History of Cosmetic Nerve Ablation 103 • Anatomy 104 • Potential Use for Brow Lifting 105 • Technique: Treatment Protocols on Label 105 • Case Studies 106 Section 4: Breast 9. Stem Cell Fat Transfer for Mastoplasty using Vaser Ultrasound and Office Devised Stem Cell 113 Alberto Di Giuseppe, Dennis Wolf • Stem Cell Niche Therapy using Adipose Tissue 114 • Patient Selection 116 • Patient Assessment 116 • Selection of Anesthesia 116 • Incisions for Infiltration 120 • Levels of Infiltration 120 • Method of Infiltration 120 • Volume Ranges 121 • Donor Areas for Fat Harvesting 121 • Technique 123 • Breast Fat Augmentation 124 • Limits of Technique 127 • Complications 129 Contents xvii 10. “Scarless” Mastopexy: Using Heat-Mediated Tissue Tightening to Lift the Breast 136 Diane I Duncan • Evolution of Technique 136 • Technique 136 • Results 137 • Asymmetry Treatment 139 • The Modest Result 139 • Discussion 140 • Complications 142 11. Inverted “T” Superior Pedicle Technique with Inferior-Based Dermal Adipose Flap for Reduction Mammaplasty 144 Paolo Persichetti, Pierfranco Simone, Carlo Carusi • Patient Selection 144 • Surgical Procedure 145 • Postoperative Care 148 • Complications 148 12. A Novel Approach in Male Breast Contouring after Massive Weight Loss: The Central Pedicled Breast Reduction Technique 152 Alexander Stoff, Fernando Velasco-Laguardia, Dirk F Richter • Preoperative Management 152 • Preoperative Marking 152 • Surgical Technique 154 • Discussion 157 Section 5: Body 13. Perforator Flaps for Pressure Sore Treatment 163 Luca Grassetti, Matteo Torresetti, Matteo Gioacchini, Manuela Bottoni, Alessandro Scalise, Giovanni Di Benedetto • Preoperative and Postoperative Management 164 • Superior Gluteal Artery Perforator Flap 164 • Inferior Gluteal Artery Perforator Flap 166 • Posterior Thigh Perforator Flaps 170 • First and Second Perforator of the Profunda Femoris Artery Perforator Flap 170 • First Medial Perforator of the Profunda Femoris Artery Perforator Flap or Adductor Flap 172 • Authors’ Procedure Technique and Results 176 • Results 179 • Discussion 180 14. Gluteal Perforator Flaps for Coverage of Pressure Sores 186 O Koray Coskunfirat, Ani Cinpolat • Gluteal Vascular Anatomy 187 • Superior Gluteal Artery Perforator 187 • Inferior Gluteal Artery Perforator 187 • Preoperative Preparation 188 • Surgical Technique 188 • Postoperative Care 190 15. Using Radiofrequency Energy for Heat-Mediated Tissue Tightening: Minimally Invasive and Noninvasive Modalities 191 Diane I Duncan, Anna Petropoulos, Brian Kinney, Karen S Harkaway, R Stephen Mullholland • RF Basics 191 • Technique 194 xviii New Frontiers in Plastic and Cosmetic Surgery • Noninvasive RF Devices 199 • Reaction Device by Viora 202 • Reaction Device and RF Energy Applicators 203 • Endymed RF Device 204 Section 6: Extremities 16. Carpal Tunnel Syndrome 213 Cristina Isac, Aurelia Isac, Florin Isac • Definition and Anatomy 213 • Symptoms 213 • Examination 213 • Types of Treatment 214 • Surgical Treatment 214 • Endoscopic Carpal Tunnel Release 216 • Postoperative Care 216 • Complications 216 • Prognosis 218 17. Improved Double Fusiform Resection Technique for Postbariatric Brachioplasty 219 Miguel L Modolin • Surgical Technique 219 • Complications 222 18. Body Dysmorphic Disorder 226 Melvin A Shiffman • Symptoms 226 • Consequences of BDD 226 • Associated Disorders 227 • Etiology 227 • Screening Tools for BDD 227 • Treatment 228 • Discussion 228 Index 231