Surgery of the Skin E-Book , livre ebook

Surgery of the Skin
Procedural Dermatology
Third 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 or Otolaryngology, Head and Neck Surgery, Indiana University School of Medicine, Indianapolis, IN, USA
Daniel M Siegel MD MS
Clinical Professor of Dermatology, Department of Dermatology, SUNY Downstate Medical Center, College of Medicine, Brooklyn, NY, USA
Senior Surgeon, Long Island Skin Cancer and Dermatologic Surgery, a division of ProHEALTH Care Associates, Smithtown, NY, USA
Alina Fratila MD
Medical Director, Jungbrunnen-Klinik Dr. Fratila GmbH, Bonn, Germany
Associate Professor, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania
Video Editors
Ashish C Bhatia MD FAAD
Associate Professor of Clinical Dermatology, Department of Dermatology, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA
Medical Director for Dermatologic Research, DuPage Medical Group, Chairman, Department of Dermatology, DuPage Medical Group, Co-Director of Dermatologic, Laser & Cosmetic Surgery, The Dermatology Institute, Naperville, IL, USA
Thomas E Rohrer MD
Associate Clinical Professor of Dermatology, Brown University School of Medicine, Providence, RI, USA
Private Practice, SkinCare Physicians, Chestnut Hill, MA, USA

London, New York, Oxford, Philadelphia, St Louis, Sydney, Toronto 2015
Table of Contents
Cover image
Title page
Copyright
Video Table of Contents
Preface
List of Contributors
Dedication
Acknowledgments
Part 1 Basic Surgical Concepts
1 Anatomy for Procedural Dermatology
Introduction
Skin Structure and Functional Biomechanics
Summary
References
2 Aseptic Technique
Introduction
Principles of Aseptic Technique
Techniques and Optimizing Outcomes
Surgical Site Preparation
Summary
References
Abbreviations and Online Resources
3 Anesthesia and Analgesia
Introduction
Technical Aspects
Practical Applications
Summary
References
4 Instruments and Materials
Mechanical Properties of Materials
Instrument Material Selection
Surgical Instruments
Sutures
Summary
References
5 Patient Evaluation, Informed Consent, Preoperative Assessment, and Care
Introduction
Technical Aspects
References
6 Antibiotics
Introduction
Skin Pathogens and Resident Flora
Defining a Surgical Site Infection
Management of Postoperative Surgical Site Infections
Assessing Risk
Preoperative Preparation
Practical Applications
Endocarditis Prophylaxis
Prophylaxis for Indwelling Devices
Specific Procedures
Summary
References
7 Wound Healing
Introduction
Types of Wounds
Phases of Wound Healing
Factors Affecting Wound Healing
Optimizing Outcomes
Summary
References
8 Wound Healing and Its Impact on Dressings and Postoperative Care
Introduction
Functions of Dressings
Types of Dressings
Debridement
Postoperative Care and Wound Care
Practical Applications
Summary
References
Part 2 Essential Surgical Skills
9 Electrosurgery
Introduction
Preoperative Preparation
Techniques
Practical Applications
Postoperative Care
Pitfalls and Their Management
Summary
References
10 Cryosurgery
Introduction
Technical Aspects and Techniques
Practical Applications
Palliative Treatment
Postoperative Care
Summary
Pitfalls and Their Management
References
11 Skin Biopsy Techniques
Introduction
Technical Aspects
Preoperative Evaluation, Consent, and Anesthesia
Techniques
Aftercare
Summary
References
12 Incision, Draining, and Exteriorization Techniques
Introduction
History
Preoperative Preparation
Technical Aspects
Postoperative Care
Pitfalls and Their Management
Summary
References
13 Suturing Technique and Other Closure Materials
Introduction
Choosing a Closure Material
Suturing Techniques
Postoperative Care
Summary
References
14 Complex Layered Facial Closures
Introduction
Historical Vignette
Preoperative Preparation
Technical Aspects
Postoperative Care
Summary
References
15 Hemostasis
Introduction
Before Surgery
During Surgery
After Surgery
Summary
References
16 Ellipse, Ellipse Variations, and Dog-ear Repairs
Introduction
Preoperative Preparation
Technical Aspects
Postoperative Care
Pitfalls and Their Management
Summary
References
17 Random Pattern Cutaneous Flaps
Introduction
History
Preoperative Preparation
Physiology of Flap Perfusion
Techniques
Optimizing Outcomes
Postoperative Care
Pitfalls and Their Management
Summary
References
18 Axial Pattern Flaps
Introduction
The Forehead Flap
The Abbe Flap (Video 18.3)
Dorsal Nasal Flap (Video 18.4)
Summary
References
19 Skin Grafting
Introduction
Preoperative Preparation
Technical Aspects
Postoperative Care
Pitfalls and Their Management
Summary
References
20 Acne Scar Revision
Introduction
Surgical Options
Classification of Acne Scarring by Burden of Disease
Grade I Scarring (Table 20.1)
Grade II Scarring (Table 20.2)
Grade III or Moderate Disease Scarring
Grade IV Post-Acne Scarring (Table 20.4, Fig. 20.13)
Discussion
Summary
References
21 Revision of Surgical Scars
Introduction
Preoperative Preparation
Technical Aspects
Postoperative Care
Summary
References
Part 3 Aesthetic Surgical Procedures
22 Psychosocial Issues and the Cosmetic Surgery Patient
Introduction
Technical Aspects
Optimizing Outcomes
Practical Applications
Pitfalls and Their Management
Adolescents and Cosmetic Surgery
Summary
References
23 Evaluation and Management of the Aging Face
Introduction
Technical Aspects
Pitfalls and Their Management
Optimizing Outcomes
Practical Applications
Summary
References
24 Soft-tissue Augmentation
Introduction
Historical Aspects
Indications
Preoperative Preparation
Technical Aspects and Overview of Commonly Used Products
Summary
References
25 Chemical Peels
Introduction
History
Consultation
Preoperative Preparation
Superficial Chemical Peels
Chemical Peels for Melasma
Combination Peels and Advanced Techniques for Medium-Depth Peels
Deep Chemical Peels (Phenol Peels)
Complications of Chemical Peels
Summary
References
26 Implants
Introduction
Preoperative Preparation
Technical Aspects
Optimizing Outcomes
Postoperative Care
Pitfalls and Their Management
Summary
References
27 Botulinum Toxins
Introduction
Pretreatment Preparation
Technical Aspects (see Video 27.1)
Pitfalls and Their Management
Summary
References
28 Liposuction
Introduction
Preoperative Preparation
Technical Aspects
Optimizing Outcomes
Postoperative Care
Pitfalls and Their Management
Summary
References
29 Autologous Fat Transfer: Evolving Concepts and Techniques
Introduction
New Trends
Technical Aspects
Optimizing Outcomes
Frontiers
Pitfalls and Their Management
Summary
References
30 Follicular Unit Hair Transplantation
Introduction
Preoperative Preparation
The Operating Room
Techniques
Optimizing Outcomes
Postoperative Care
Pitfalls and Their Management
Summary
References
31 Laser Hair Removal
Introduction
Preoperative Preparation for LASER Hair Removal
Techniques
Optimizing Outcomes
Postoperative Care
Pitfalls and Their Management
Summary
References
32 Laser Treatment of Tattoos and Pigmented Lesions
Introduction
History
Preoperative Preparation
Technical Aspects
Optimizing Outcomes
Postoperative Care and Complications
Summary
References
33 Photodynamic Therapy
Introduction
Treatment Protocol
Indications
Other Cancers
Infections
Summary
References
34 Laser-based Treatment of the Aging Face for Skin Resurfacing: Ablative and Non-ablative Lasers
Introduction
Ablative Laser Skin Resurfacing
Non-Ablative Laser Resurfacing (see Video 34.3)
Non-Ablative Fractional Resurfacing
References
35 Laser and Light Treatment of Acquired and Congenital Vascular Lesions
Introduction
Basic Principles
Light-Based Treatments in Vascular Lesions
Summary
References
36 Sclerotherapy of Varicose Veins
Introduction
Technical Aspects
Pitfalls and Their Management
Summary
References
37 Endovenous Thermal Ablation Techniques with Ambulatory Phlebectomy for Varicose Veins
Introduction
Indications and Contraindications for ETA Procedures
Materials and Equipment
Preoperative Preparation
Radiofrequency Segmental Ablation (RFSA)
Endovenous Laser Ablation (EVLA)
Ambulatory Phlebectomy
Postoperative Care
Pitfalls and Their Management
Summary
References
38 Lamellar High-SMAS Minimum Incision Face Lift
Introduction
Preoperative Preparation
Technical Aspects (see Video 38.1)
Optimizing Outcomes
Postoperative Care
Pitfalls and Their Management
Summary
References
39 Vertical Vector Face Lift with Local Anesthesia
Introduction
Technical Aspects (see Video 39.1)
Postoperative Care
Pitfalls and Their Management
Summary
References
40 Blepharoplasty and Brow-lift
Introduction
Surgical Techniques
Pitfalls and Their Management
Summary
References
41 Rejuvenation of the Neck Using Liposuction and Other Techniques
Introduction
Technical Aspects
Postoperative Care
Pitfalls and Their Management
Summary
References
42 Rejuvenation of the External Female Genitalia
Introduction
Anatomy of the External Female Genitalia
Aging Signs of External Female Genitalia
Summary
References
Part 4 Special Procedures
43 Keloid Management
Introduction
Technical Aspects
Summary
References
44 Vitiligo Surgery
Introduction
Technical Aspects
Summ