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Complementary Fat Grafting, 1ed
This book set is a thoroughly illustrated “how-to” guide to facial fat transfer, a new facial rejuvenation procedure that allows the surgeon to sculpt the face and restore it to its natural beauty. Fat is harvested from fattier areas of the body through a suction technique and injected into the face with a small cannula. The fat transferred becomes incorporated as living tissue and the results are extremely long lasting. The book guides readers through this procedure with easy-to-follow instructions and more than 200 full-color step-by-step illustrations.
- Very practical approach
- Step-by-step illustrations, including line drawings done by one of the authors
- Two accompanying DVDs contain videos demonstrating the procedure and pitfalls
Author
Samuel M. Lam MD
Mark J. Glasgold MD
Robert A. Glasgold MD
Contents
PREOPERATIVE EVALUATION
Preoperative Consultation
Preoperative Analysis
Upper Face
Brow
Upper Eyelid
Temple
Midface
Inferior Orbital Rim
Tear Trough
Lateral Cheek
Anterior Cheek
Buccal
Precanine Fossa/Nasolabial Fold
Lower Face
Prejowl Sulcus
Lateral Mandible
Labiomental Sulcus
Labiomandibular Fold (Marionette Line)
Anterior Chin
Concluding Remarks
OPERATIVE TECHNIQUE
Preoperative Assessment
Marking the Face
Selection of Donor Site
Operative Technique
General Principles of Anesthesia
Donor-site Anesthesia
Recipient-site Anesthesia
Recipient-site Anesthesia Phase 1: Injectionwith a Sharp Needle
Recipient-site Anesthesia Phase 2: Injection witha Blunt Cannula
Harvesting the Fat
Instrumentation
General Considerations
Site-specific Technique
Processing the Fat
Fat Injection
General Principles
Volumetric Foundation
Refinements
Advanced Techniques
Complementary Fat Grafting:
Combining Fat Grafting with Traditional
Facial Rejuvenation Procedures
Timing
Technique
Immediate Postoperative Care
Technical Pearls & Tips
THE POSTOPERATIVE PERIOD AND MANAGEMENT OF COMPLICATIONS
The Postoperative Period
Postoperative Care
Postoperative Course
Management of Complications
Identification of the Complication
Contour Irregularities
Persistent Malar Edema
Overcorrection
Undercorrection
Divoting at the Cannula Entry Site
Treatment Options for a Complication 95
Steroid Injection
Microliposuction
Excision
CASE STUDIES
CASE STUDY 2: FRAMING A NEGATIVE-VECOTR EYE AND COMBINED USE OF ALLOPLASTIC IMPLANTS
CASE STUDY 3: COMBINING FAT GRAFTING WITH A FACELIFT
CASE STUDY 4: FAT GRAFTING AND A SMAS RHYTIDECTOMY FOR THE GAUNT, ATHLETIC INDIVIDUAL
CASE STUDY 5: FAT GRAFTING FOR FACIAL RECONSTRUCTION