Cosmetic surgery di giuseppe download pdf

Capacitive Radiofrequency Skin Rejuvenation. Mesotherapy in Aesthetic Medicine. Upper Blepharoplasty. Lower Blepharoplasty. Blepharoptosis: The Check Ligament Technique. Page 1 Navigate to page number of 4. About this book Introduction Cosmetic Surgery: Art and Techniques is an atlas of general cosmetic surgery that provides precise step-by-step descriptions of the full range of techniques, supported by photographs and illustrations of the highest standard.

Editors and affiliations. Melvin A. Shiffman 1 Alberto Di Giuseppe 2 1. Tustin USA 2. About the editors Melvin A. Cervicodorsal lipodystrophy associated with Cushing syndrome and use of HIV medications Gynecomastia in men and macromastia in women, in conjunction with mammoplasty.

Additionally, liposuction can be used to:. Collect harvested fat to "lipofill" in breast reconstruction, burns, and scars because adult adipose-derived stem cells are contained therein.

Although no absolute contraindications exist for liposuction, relative contraindications should be considered during the patient evaluation. Further, reasonable expectations must be established, and patients with body dysmorphic disorder may require a psychiatric consultation before surgery. Patients with diabetes mellitus, cardiac disease, and liver disease may need medical clearance before surgery at the discretion of both the surgeon and the facility where the procedure is to take place.

Lastly, as has been discussed elsewhere in the surgical literature, poorly controlled diabetes increases the risk of infection. The most common technique remains the traditional suction-assisted lipectomy Table 1. Although there is no maximum volume of fat that can be removed in a single setting, the risk for seroma and fluid imbalance increases along with the volume of fat that is removed.

Large-volume liposuction procedures should be performed with general anesthesia. The advantages of liposuction are short surgery time typically under 3 hours, depending on the extent of fat removal and concomitant procedures. In addition, patients undergoing liposuction have a short recovery period, unobtrusive scars, permanent results, low complication rates, and low morbidity and mortality rates relative to other surgical procedures.

Because adipocytes are removed, further storage of fat in those areas is limited, leading to high patient satisfaction with long-term results. More research is needed to determine the degree of fat reaccumulation in the treated area and redistribution to nontreated areas. Patients with cardiovascular disease, pulmonary disease, diabetes, and vascular disease face a greater risk with this procedure.

Tobacco use is a risk factor for surgical complications. Previous venous thromboembolism, eg, pulmonary embolism, may also increase the risk of surgical complications. Complications are relatively uncommon in liposuction and of low risk relative to other procedures.

The most common complication of liposuction is contour deformity. Seroma and hematoma are also rare complications of liposuction. Facial Recontouring with Liposuction more.

Advanced Aesthetic Rhinoplasty more. Liposuction more. Ultrasonically Assisted Liposculpturing more. Page 3. Breast Reduction with Vaser more. Propeller flap reconstruction of abdominal defects: Review of the literature and case report more. The abdominal wall is perfused anteriorly by the superior and deep epigastric vessels with a smaller contribution from the superficial system.

The lateral abdominal wall is perfused predominantly from perforators arising from the The lateral abdominal wall is perfused predominantly from perforators arising from the intercostal vessels.

Reconstruction of soft tissue defects involving the abdomen presents a difficult challenge for reconstructive surgeons. Pedicle perforator propeller flaps can be used to reconstruct defects of the abdomen, and here we present a thorough review of the literature as well as a case illustrating the perforasome propeller flap concept.

A patient underwent resection for dermatofibrosarcoma protuberans resulting in a large defect of the epigastric soft tissue. The patient healed uneventfully and was without recurrent disease 37 months following reconstruction. Perforator propeller flaps can be used successfully in reconstruction of abdominal defects and should be incorporated into the armamentarium of reconstructive microsurgeons already facile with perforator dissections.

Microsurgery , Open Rhinoplasty in Secondary Cases more. Log in with Facebook Log in with Google. Remember me on this computer. This will also be available in a PDF format for you to download and read if you wish. Shiffman and Dr.

Di Giuseppe saw this need and sought to address the needs of plastic surgeons faced with the complexities of body contouring surgery.