Soft Tissue Augmentation E-Book , livre ebook

Soft Tissue Augmentation
Procedures in Cosmetic Dermatology Series (Expert Consult-Online and Print)
Third Edition

Jean Carruthers, MD, FRCSC, FRC (OPHTH), FASOPRS
Clinical Professor, Department of Ophthalmology and Visual Science, University of British Columbia, Vancouver, BC, Canada

Alastair Carruthers, MA, BM, BCh, FRCPC, FRCP(Lon)
Clinical Professor, Department of Dermatology and Skin Science, University of British Columbia, Vancouver, BC, Canada
Saunders
Table of Contents
Instructions for online access
Cover image
Title page
Copyright
SERIES PREFACE THIRD EDITION
Series Preface First edition
Preface
Contributors
Acknowledgements
Dedication
Chapter 1: Introduction
Chapter 2: Fillers: evolution, regression, and the future
Fat as a filling agent
Collagen (Zyderm®, Zyplast®, Cosmoderm®, Cosmoplast®, Evolence®)
Hyaluronic acids (Restylane®, Perlane®, Juvéderm® Ultra, and Ultra Plus)
Silicone
Poly-L-lactic acid (Sculptra®)
Calcium hydroxylapatite (Radiesse®)
Polymethylmethacrylate (Artefill®)
Conclusion
Chapter 3: NASHA™ family
Introduction
Background
Basic science
Choosing the right NASHA™
Patient evaluation
Patient preparation
Physician preparation
Treatment techniques
Site-specific treatment strategies
Postoperative care and complication management
Conclusion
Chapter 4: Juvéderm® family
Introduction
Juvéderm formulations
Contraindications and safety considerations
Using Juvéderm®
Clinical choices
Volumizing with Juvéderm® gels
Chapter 5: Non-permanent fillers: Belotero®/Esthélis® and Teosyal®
Introduction
Hyaluronic acid dermal fillers
Methods
Belotero®
Esthélis®
Teosyal®
Conclusion
Chapter 6: Radiesse® / Radiesse® with lidocaine
Introduction
Indications for calcium hydroxylapatite
Specific characteristics of calcium hydroxylapatite
Mechanism of action
Injection techniques
Adverse events
Comparative research studies
Outcomes in subjects with Fitzpatrick skin types IV–VI
Safety outcome of calcium hydroxylapatite
Large-particle calcium hydroxylapatite injection
Patient satisfaction
Acknowledgments
Chapter 7: Poly-L-lactic acid
Introduction
Product and mechanism of action
Poly-L-lactic acid: technical considerations
Prevention and treatment of adverse events
Patient selection, expectations, and satisfaction
Pathophysiology of the aging face: structural and morphologic
Conclusion
Chapter 8: Artefill®: a third-generation polymethylmethacrylate in collagen soft tissue filler
Introduction
Biocompatibility
Patient selection / treatment areas
Patient evaluation and injection technique
Pitfalls and how to correct them
Post-injection care
Clinical trials
Efficacy at 5 years compared with efficacy at 6 months
Conclusion
Acknowledgments
Chapter 9: New and novel fillers: highlighting elastin and soft tissue augmentation, platelet-rich plasma and a combination of carboxymethyl cellulose (CMC), and polyethylene oxide (PEO)
Introduction
Elastin and soft tissue augmentation
Platelet-rich plasma (PRP)
Carboxymethyl cellulose plus polyethylene oxide dermal filler (Laresse®)
Conclusion
Chapter 10: Liquid injectable silicone
Introduction
Basic science
Mechanism of action
Controversy
Indications and patient selection
Materials
Patient preparation
Injection technique
Side effects and managing complications
Conclusion
Chapter 11: Aquamid®
Product
Patient selection
Technique / treatment
Efficacy
Complications
Discussion
Chapter 12: Bio-Alcamid®
Introduction
Clinical use of Bio-Alcamid®
Complications of Bio-Alcamid®
Conclusion
Chapter 13: Forehead and temporal recontouring using calcium hydroxylapatite pre-mixed with lidocaine
Introduction
Patient evaluation
Anatomy
Selecting the right filler
Materials, injection sites, and injection techniques
Safety considerations and adverse events
Conclusion and discussion
Chapter 14: Glabella/central brow
Introduction
Epidemiology and patient selection
Anatomical considerations
Decision-making: selection and preparation of filler product, selection of injection plane
Pre-procedural consultation, assessing and preparing the patient
Injection technique
Post-procedural course and recovery
Avoidance and management of adverse events
Tips for maximizing patient satisfaction
Conclusion
Chapter 15: Volumetric treatment of the brows
Introduction
The ‘local preview’
The injection
Intra-arterial injection
Who is a candidate for brow volume treatments?
Chapter 16: Infraorbital hollow and nasojugal fold
Introduction
Candidates for augmentation of the infraorbital hollow
Appropriate filling agents
Augmentation techniques
Complications
Adjunctive therapy
Conclusion
Chapter 17: Nose
Introduction
The attractively proportioned nose and face
Ethnic differences
Vascular patterns of the nose (Fig. 17.3)
Types of filler
Anesthesia
Injection technique (Fig. 17.4)
Injection techniques by nasal region
Injection techniques by each type of nose
Adverse effects
Chapter 18: Cheeks
Introduction
Anatomical and technical considerations when filling the cheeks
Poly-L-lactic acid and hydroxylapatite
Volumizing hyaluronic acid
Chapter 19: Perioral filling
Introduction
Anatomical considerations
Ideal filling agents for perioral rejuvenation
Pain management
Injection techniques
Perioral complications
Conclusion
Chapter 20: Lip augmentation
Introduction
The aging process on the lips
An approach to achieving youthful lips
Filler products
Injection techniques for lip rejuvenation
Potential side effects
Conclusion
Chapter 21: Melomental folds
Introduction
Anesthesia
Basic principles for melomental fold correction
Injection strategies for melomental fold correction
Choosing the proper filler
Complications
Adjunctive treatments
Conclusion
Chapter 22: Hands and feet
Introduction
Soft tissue augmentation of the hands
Soft tissue augmentation of the feet
Chapter 23: Buttocks
Aesthetic characteristics of the buttocks
Gluteal augmentation with fat grafting
Correction of gluteal depressions with hyaluronic acid gels
Conclusion
Chapter 24: Earlobe rejuvenation
Introduction
Anatomy and classification of earlobes
Use of fillers for earlobe rejuvenation
Conclusion
Chapter 25: Tower technique of filler injection
Introduction
Anatomical considerations
Biological characteristics of filler materials
New concepts in injection techniques
Conclusion
Chapter 26: Complications of temporary fillers
Introduction
Injection site reactions
Pain
Edema and ecchymosis
Nodules and papules
Inflammation (hypersensitivity reactions)
Infection
Biofilms
Granulomas
Necrosis
Conclusion
Chapter 27: Complications of permanent fillers
Introduction
Products (Box 27.1, Table 27.1)
Treatment sites
Complications
Evaluation methods
Treatment
Conclusion
Chapter 28: Reversers
Introduction
Filler complications
Hyaluronidase
Other enzymatic reversers
Conservative ‘reversers’
Antibiotics, corticosteroids, and 5-fluorouracil
Invasive reversal techniques
Conclusion
Chapter 29: Consent for photography: legal issues
Introduction
Photography
Regulation
Fillers used in investigational studies
Medical education, teaching, or publicity
Media photography during filler injections
Telemedicine or internet
Policies
Maintenance of photographs and other images
Disclosure
Liability reduction
Conclusion
Chapter 30: Pre- and post-treatment photography
Introduction
Technical considerations
Consent
Viewing photographs at follow-up
Chapter 31: Conclusions
How will medical fillers change?
Index
Copyright

SAUNDERS is an imprint of Elsevier Inc.
© 2013, Elsevier Inc. All rights reserved.
Figures 4.1 – 4.3 © William P. Coleman III MD
First edition 2005
Second edition 2008
Third edition 2013
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies and our arrangements