Surgery of the Skin E-Book , livre ebook

Surgery of the Skin
Procedural Dermatology
Second Edition

June K Robinson, MD
Professor of Clinical Dermatology, Department of Dermatology, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA

C William Hanke, MD, MPH, FACP
Visiting Professor of Dermatology, University of Iowa, Carver College of Medicine, Iowa City, Iowa; Clinical Professor of Otolaryngology, Head and Neck Surgery, Indiana University School of Medicine, Indianapolis, IN, USA

Daniel Mark Siegel, MD, MS (Management and Policy)
Clinical Professor of Dermatology, Director, Procedural Dermatology Fellowship, State University of New York Downstate Medical Center, College of Medicine, Brooklyn, NY; Senior Surgeon, Long Island Skin Cancer and Dermatologic Surgery, Smithtown, New York, NY, USA

Alina Fratila, MD
Assistant Professor, Department of Dermatology, Carol Davila University, Bucharest, Romania; Medical Director, Jungbrunnen-Klinik Dr Fratila GmbH, Bonn, Germany
Mosby
Copyright

MOSBY an imprint of Elsevier Inc.
First Edition 2005
Second Edition 2010
© 2010, Elsevier Inc. All rights reserved.
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 with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions .
This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).
Naomi Lawrence and Shari Nemeth have retained copyright of their figures and tables in Chapter 27 , Liposuction.
ISBN : 978–0-323–06575-7
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
Surgery of the skin: procedural dermatology. – 2nd ed.
1. Skin – Surgery.
I. Robinson, June K.
617.4′77 – dc22
Library of Congress Cataloging in Publication Data
A catalog record for this book is available from the Library of Congress
Notices
Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary. Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.

Printed in China
Last digit is the print number: 9 8 7 6 5 4 3 2
Preface
The first edition of Surgery of the Skin: Procedural Dermatology became known as the “Hand Book” because of the cover image of the editor’s hands. We are delighted that the text became the handbook of procedural dermatology. It is our hope that the second edition will be regarded by our readers as their preferred concise ready reference, thus, earning the sobriquet of handbook. The book cover of each edition is created especially for that edition; therefore, we needed to retire the image of the editor’s hands. We thought it fitting to continue the theme of the first edition with images of our author’s hands performing procedures in this the second edition. The still photograph cannot capture the ephemeral movement of the surgeon’s hand as well as video. Our film crew, Drs Bhatia and Rohrer, provide the surgeon’s eye view for many of the new videos. Now the viewer can see the same area that the surgeon did when performing the surgery. This is about as close to hands on training as the reader can get. The DVD of the video material has a printed table of contents showing the huge breadth of procedures demonstrated in the videos.
Dermatologic Surgery has significantly evolved over the last five years and each of the chapters has been expanded to reflect this. In order to limit the size of the book to a single volume that can be lifted and carried with ease, the editors carefully selected portions of each chapter to be offered online as a part of the website called “Expert Consult.” This can be accessed via a PIN code printed in each book under a scratch-off panel. The edited online content provides additional examples of surgical cases with variations on the material presented in the textbook. Dermatologic surgeons frequently make choices between a variety of treatment options, e.g. medical vs. surgical treatment, chemical peeling vs. laser resurfacing, or flap vs. graft reconstruction. There are even some regional and generational differences in the execution of commonly performed techniques. This may be due in part to the large role mentoring plays in dermatologic residencies and fellowships. Selecting among the variety of treatment options and their execution is part of the art of procedural dermatology. Each of our authors is an accomplished artist and we are indebted to them.

June K. Robinson, MD, C William Hanke, MD, MPH, FACP, Daniel Mark Siegel, MD, MS (Management and Policy), Alina Fratila, MD
DVD Editors

Ashish C. Bhatia, MD, FAAD, Thomas E. Rohrer, MD
List of Contributors

Sumaira Z. Aasi, MD
Assistant Professor Department of Dermatology Yale School of Medicine New Haven, CT, USA

Andrew G. Affleck, BSc(Hons), MBChB, MRCP
Consultant Dermatologist Department of Dermatology Ninewells Hospital and Medical School Dundee, UK

Christie T. Ammirati, MD FICS FAAD FACMS
Assistant Professor of Dermatology Department of Dermatology Penn State Hershey Medical Center Hershey, PA, USA

Kenneth A. Arndt, MD
Clinical Professor of Dermatologic Surgery and Cutaneous Oncology, Yale Medical School Adjunct Professor of Medicine (Dermatology), Dartmouth Medical School Emeritus Clinical Professor of Dermatology, Harvard Medical School President SkinCare Physicians of Chestnut Hill Chestnut Hill, MA, USA

Christopher J. Arpey, MD
Professor of Dermatology The C William Hanke Endowed Professor of Dermatologic Surgery Department of Dermatology University of Iowa, Carver College of Medicine Iowa City, IA, USA

Hilary Baldwin, MD
Associate Professor of Clinical Dermatology Department of Dermatology State University of New York Brooklyn, NY, USA

Ysabel Bello, MD
Volunteer Faculty Department of Dermatology University of Miami Miller School of Medicine Miami, FL, USA

Robert M. Bernstein, MD MBA FAAD
Clinical Professor of Dermatology College of Physicians and Surgeons Columbia University New York, NY, USA

David P. Beynet, MD
Clinical Instructor, Department of Dermatology, UCLA Associate Director of Dermatologic Surgery West Los Angeles Veteran’s Administration Los Angeles, CA, USA

Melissa A. Bogle, MD
Clinical Assistant Professor of Dermatology The University of Texas MD Anderson Cancer Center Director The Laser and Cosmetic Surgery Center of Houston Houston, TX, USA

Zuleika L. Bonilla-Martinez, MD
Wound Healing Fellow Department of Dermatology and Cutaneous Surgery University of Miami, Miller School of Medicine Miami, FL, USA

Samuel E. Book, MD FAAD
Clinical Assistant Professor Department of Dermatology Yale University, School of Medicine New Haven, CT, USA

Franz X. Breu, MD
Private Practice Rottach-Egern, Tegernsee Germany

Katherine L. Brown, MD MPH
Dermatology Resident and Research Fellow Boston University/Tufts University Combined Dermatology Residency and Clinical Research Fellowship Program Department of Dermatology Boston University Boston, MA, USA

Kimberly J. Butterwick, MD FAAD
Private Practice Dermatology Cosmetic Laser Associates, Inc San Diego, CA, USA

J Michael Carney, MD
Private Practice, Advancements in Dermatology, Edina, MN Assistant Clinical Professor Department of Dermatology University of Arkansas for Medical Sciences Little Rock, AR, USA

Anne M. Chapas, MD FAAD
Dermatologist Laser and Skin Surgery Center of New York Assistant Clinical Professor, New York University School of Medicine New York, NY, USA

Carlos A. Charles, MD FAAD
Clinical Instructor in Dermatology Department of Dermatology Weill Cornell Medical College New York, NY, USA

Graham Colver, BMBCh DM FRCP FRCPE
Consultant Dermatologist Division of Dermatology Chesterfield Royal Hospital Chesterfield, UK

Jonathan L. Cook, MD
Professor