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  • Facial Plastic and ReconstRuctive suRgeRy

    clinical ReFeRence guide

  • Facial Plastic and ReconstRuctive suRgeRy

    clinical ReFeRence guide

    Shaun C. Desai, MD

  • 5521 Ruffin Road San Diego, CA 92123

    e-mail: [email protected] Website: http://www.pluralpublishing.com

    Copyright © 2017 by Plural Publishing, Inc.

    Typeset in 9/11 Adobe Garamond by Flanagan’s Publishing Services, Inc. Printed in the United States of America by McNaughton & Gunn, Inc.

    All rights, including that of translation, reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, recording, or otherwise, including photocopying, recording, taping, Web distribution, or information storage and retrieval systems without the prior written consent of the publisher.

    For permission to use material from this text, contact us by Telephone: (866) 758-7251 Fax: (888) 758-7255 e-mail: [email protected]

    Every attempt has been made to contact the copyright holders for material originally printed in another source. If any have been inadvertently overlooked, the publishers will gladly make the necessary arrangements at the first opportunity.

    NOTICE TO THE READER Care has been taken to confirm the accuracy of the indications, procedures, drug dosages, and diagnosis and remediation protocols presented in this book and to ensure that they conform to the practices of the general medical and health services communities. However, the authors, editors, and publisher are not responsible for errors or omissions or for any consequences from application of the information in this book and make no warranty, expressed or implied, with respect to the currency, completeness, or accuracy of the contents of the publication. The diagnostic and remediation protocols and the medications described do not necessarily have specific approval by the Food and Drug administration for use in the disorders and/or diseases and dosages for which they are recommended. Application of this information in a particular situation remains the professional responsibility of the practitioner. Because standards of practice and usage change, it is the responsibility of the practitioner to keep abreast of revised recommendations, dosages, and procedures.

    Library of Congress Cataloging-in-Publication Data

    Names: Desai, Shaun C., editor. Title: Facial plastic and reconstructive surgery : clinical reference guide / [edited by] Shaun C. Desai. Other titles: Facial plastic and reconstructive surgery (Desai) Description: San Diego, CA : Plural, [2017] | Includes bibliographical references and index. Identifiers: LCCN 2016018358| ISBN 9781597569637 (alk. paper) | ISBN 1597569631 (alk. paper) Subjects: | MESH: Face — surgery | Reconstructive Surgical Procedures — methods | Cosmetic Techniques | Neck — surgery | Handbooks Classification: LCC RD119 | NLM WE 39 | DDC 617.9/52 — dc23 LC record available at https://lccn.loc.gov/2016018358

  • vv

    contents

    Foreword xi Preface xiii Acknowledgments xv Contributors xvii

    Part I Facial Plastics Essentials 1

    Chapter 1 Instrumentation and Tissue Handling 3 Matthew C. Gropler and Scott Walen

    Chapter 2 Skin Anatomy and Wound Healing 15 Sean Timothy Massa and Scott Walen

    Chapter 3 Facial Analysis 25 John J. Chi

    Chapter 4 Photography 35 Jeffrey D. Sharon

    Chapter 5 Alloplastic Implants and Genioplasty 41 Jennifer C. Fuller and David A. Shaye

    Chapter 6 Ethics in Facial Plastic Surgery 53 Sarah A. Saxon and Demetri Arnaoutakis

    Part II Facial Nerve 61

    Chapter 7 Facial Nerve Anatomy 63 Jeffrey D. Sharon

    Chapter 8 Evaluation and Management of Acute Facial 71 Nerve Paralysis Irene A. Kim and Amit Kochhar

    Chapter 9 Facial Reanimation 79 Jason C. Nellis, Leslie R. Kim, and Patrick J. Byrne

    Part III Oculoplastic Surgery 93

    Chapter 10 Brow Lift 95 Peter Papagiannopoulos and Peter C. Revenaugh

  • vi Facial Plastic and Reconstructive Surgery: Clinical Reference Guide

    Chapter 11 Upper Eyelid Blepharoplasty 105 Lindsey M. McDaniel and Steven M. Couch

    Chapter 12 Lower Eyelid Blepharoplasty 115 Michael G. Neimkin, John B. Holds, and Steven M. Couch

    Chapter 13 Asian Blepharoplasty 127 Chau Pham and Steven M. Couch

    Chapter 14 Ptosis 135 Suzanne W. van Landingham and Nicholas R. Mahoney

    Chapter 15 Mohs and Eyelid Reconstruction 141 Suzanne W. van Landingham and Nicholas R. Mahoney

    Part IV Aging Face 151

    Chapter 16 Anatomy and Physiology of Aging 153 Andrea M. Park, Samuel Hahn, and Gregory H. Branham

    Chapter 17 Rhytidectomy 163 Jordan P. Sand, Samuel Hahn, and Gregory H. Branham

    Chapter 18 Management of the Midface 175 Emily Spataro, Samuel Hahn, and Gregory H. Branham

    Chapter 19 Liposuction and Fat Transfer 181 Jennifer C. Fuller and David A. Shaye

    Chapter 20 Skin Rejuvenation: Lasers, Peels, and Dermabrasion 187 Zain Husain, Qasim Husain, and Tina S. Alster

    Chapter 21 Injectables for Rejuvenation 197 Theda C. Kontis

    Part V Rhinoplasty 207

    Chapter 22 Nasal Anatomy, Analysis, and Approaches 209 Kristin Stevens and Sofia Lyford-Pike

    Chapter 23 Functional Nasal Airway 225 Andrew J. Thomas, Justin C. Sowder, and P. Daniel Ward

  • CONTENTS vii

    Chapter 24 Rhinoplasty: Upper Vault and Middle Vault 239 Leslie R. Kim and Ira D. Papel

    Chapter 25 Tip Rhinoplasty 247 Christian A. Paquet and Jon-Paul Pepper

    Chapter 26 Revision Rhinoplasty and Complications 263 Leslie R. Kim and Ira D. Papel

    Chapter 27 Non-Caucasian Rhinoplasty 273 Ryan M. Smith and Peter C. Revenaugh

    Part VI Hair Replacement 285

    Chapter 28 Alopecia 287 Lisa Ishii

    Chapter 29 Hair Transplantation 293 Lisa Ishii

    Chapter 30 Regional Scalp Flaps and Tissue Expansion in 297 Aesthetic Hair Surgery Sahar Nadimi and Sheldon S. Kabaker

    Part VII Trauma 307

    Chapter 31 Acute Soft Tissue Injury 309 Phong Le and Samuel L. Oyer

    Chapter 32 Principles of Plating and Bone Healing 323 Regina Rodman and Robert M. Kellman

    Chapter 33 Mandible Trauma 331 Regina Rodman and Robert M. Kellman

    Chapter 34 Midface and Pan-Facial Fractures 339 Regina Rodman and Robert M. Kellman

    Chapter 35 Orbit, Naso-Orbitoethmoid, and Nasal Fractures 347 Regina Rodman and Robert M. Kellman

    Chapter 36 Frontal Sinus Fractures 357 Regina Rodman and Robert M. Kellman

    Part VIII Scar Revision and Reconstructive Ladder 363

    Chapter 37 Scar Revision 365 Kenneth J. Andrews and J. Regan Thomas

  • viii Facial Plastic and Reconstructive Surgery: Clinical Reference Guide

    Chapter 38 Skin, Dermal, Cartilage, Composite, and 379 Bone Grafts Rahul Seth and P. Daniel Knott

    Chapter 39 Primary and Local Flaps 387 Natalie Justicz and Linda N. Lee

    Chapter 40 Regional Flaps 403 Andrew T. Day, Hamad Chaudhary, and Jeremy D. Richmon

    Chapter 41 Free Tissue Transfer 415 Neil S. Sachanandani and Shaun C. Desai

    Part IX Head and Neck Neoplasms 427

    Chapter 42 Benign Skin Lesions 429 Tzyy-Nong Liou, Wee Tin K. Kao, Samuel Hahn, and Gregory H. Branham

    Chapter 43 Cutaneous Squamous Cell and Basal Cell 437 Carcinoma Rebecca C. Hoesli and Chaz L. Stucken

    Chapter 44 Melanoma 449 Adeeb Derakhshan, Joseph Zenga, and Shaun C. Desai

    Chapter 45 Rare Skin Malignancies and Syndromes 459 Nancy P. Judd

    Part X Pediatric and Craniofacial Surgery 463

    Chapter 46 Cleft Lip 465 Zachary Farhood and Krishna G. Patel

    Chapter 47 Cleft Palate 481 Adrian A. Ong and Krishna G. Patel

    Chapter 48 Velopharyngeal Insufficiency 493 Janet Waimin Lee and Travis T. Tollefson

    Chapter 49 Cleft Rhinoplasty 507 Lauren B. Moneta, Myriam Loyo Li, and Tom D. Wang

    Chapter 50 Craniosynostosis 515 Sherard A. Tatum

  • CONTENTS ix

    Chapter 51 Microtia 525 Sachin S. Pawar

    Chapter 52 Otoplasty 541 Andrew W. Joseph and Shaun C. Desai

    Chapter 53 Congenital Vascular Lesions of the Head and Neck 551 Tara E. Brennan, Teresa O, and Milton Waner

    Chapter 54 Global Surgery 559 David A. Shaye

    Index 565

  • xixi

    FoRewoRd

    In today’s world of ever expanding medical knowledge, precise reference guides are in demand by practicing physicians, residents and fellows in training, and medical students. Even better is a book that provides both a comprehensive day-to-day clinical reference and board review source and can fit into the pocket of a white coat.

    This text is a concise clinical reference guide solely devoted to facial plastic and reconstructive surgery. No such portable guide has existed up until now. Dr Desai has gathered an “all-star” multidisciplinary group of authors who are true experts in their fields. Many are paired with coauthors who recently finished training to give a unique combined perspective on each topic. One could say that the chapters are written “by former train- ees for present trainees.” The result is an easily accessible reference guide organized to help the reader find vital information quickly and efficiently.

    Doctors in the specialties of facial plastic surgery, plastic surgery, oculoplastic surgery, oral and maxillofacial surgery, and dermatology will find this guide indispensable in preparing for surgery or patient care. Modeled after Dr Raza Pasha’s popular Otolaryngology Head and Neck Surgery Clinica