Procedures in Cosmetic Dermatology: Soft Tissue Augmentation

5th Edition - January 10, 2023
Editors: Jean Carruthers, Alastair Carruthers, Jeffrey S. Dover, Murad Alam, Omer Ibrahim
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 8 3 0 7 5 - 1
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 8 3 0 7 6 - 8

Offering a step-by-step, practical approach to sought-after cosmetic procedures, Procedures in Cosmetic Dermatology: Soft Tissue Augmentation, 5th Edition, enables you to master… Read more

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Offering a step-by-step, practical approach to sought-after cosmetic procedures, Procedures in Cosmetic Dermatology: Soft Tissue Augmentation, 5th Edition, enables you to master the up-to-date cosmetic techniques that produce the superior results your patients expect. Edited by expert clinicians Drs. Jean Carruthers and Alastair Carruthers, along with Jeffrey S. Dover, Murad Alam, and Omar Ibrahim, it covers the different classes of fillers including how to choose a filler, treatment areas by location including different injection techniques, and reversals, as well as an entire section on complications—all abundantly illustrated and evidence based. A substantial video library helps you successfully incorporate the latest procedures into your practice.

Cover image
Title page
Table of Contents
Copyright
Video Contents
Series Preface
Series Preface First Edition
Preface
Contributors
Dedication
1: Introduction
Abstract
Further reading
2: Fillers: Paradigm Shifts Produce New Challenges
Abstract
Further reading
3: Facial Beauty and the Central Role of Volume
Abstract
Introduction
The very existence of beauty
The role of volume in the appreciation of facial beauty
Facial shapes
Symmetry
Ideal proportions of beauty
Maturity indicators
Facial volume, beauty, and ethnicity
So where do the differences lie?
Conclusions
Further reading
Part 1: Temporary Fillers
4: Introduction to Temporary Fillers: Pros and Cons
Abstract
Introduction
History of temporary fillers
Overall value of temporary fillers
Uses of temporary fillers
Properties of temporary fillers
Additional advantages of temporary fillers
Safety of temporary fillers
Disadvantages of temporary fillers
Conclusions
Further reading
5: Restylane Filler Product Family
Abstract
Introduction
Background
Basic science
Choosing the right Restylane filler product
Patient evaluation
Patient preparation
Physician preparation
Injection techniques
Site-specific treatment strategies
Posttreatment care and complication management
Conclusions
Further reading
6: Juvéderm Family
Abstract
Introduction
The Juvéderm Family of Fillers
Adverse Events: Identification, Management, and Avoidance
Conclusions
Further Reading
7: The Belotero Family
Abstract
Acknowledgment
Introduction
Differentiation of Hyaluronic Acid Fillers
Methods
The Belotero Family
Conclusions
Further Reading
8: Resilient Hyaluronic Acid (RHA®) Fillers
Abstract
RHA Basic Science and Manufacturing
RHA Gel Properties
Clinical Trial Experience
Clinical Experience
Further Reading
9: Calcium Hydroxylapatite Ultradilute, HA Dilution
Abstract
Introduction
CaHA as a Volumizer
CaHA as a Biostimulatory Agent
Safety Considerations
Further Reading
10: Poly-L-Lactic Acid
Abstract
Introduction
Patient Selection, Expectations, and Satisfaction
Pathophysiology of the Aging Face: Structural and Morphologic
Product and Mechanism of Action
Evolution of Methodology
Poly-L-Lactic Acid: Technical Considerations
Complications and Management
Conclusions
Further Reading
11: Emervel Family (Now as Restylane Optimal Balance Technology Line Part of the Restylane Family)
Abstract
Introduction
Physical Properties of the Emervel family (now Restylane Optimal Balance Technology Family)
Clinical Studies
Emervel/Restylane Optimal Balance Technology Products in Clinical Practice—use of the Different Types in Different Areas (i.e., Nasolabial Folds, Lips, Volume Filling)
How does it Compare With Other Hyaluronic Acid Fillers in Different Areas?
Conclusions
Further Reading
12: Autologous Fat
Abstract
Introduction
Preoperative Considerations and Patient Selection
Harvesting of Fat Grafts
Preparation of Grafts
Graft Placement
Postoperative Considerations
Complications
Conclusions
Further Reading
Part 2: Permanent Fillers
13: Introduction to Permanent Fillers: Pros and Cons
Abstract
Introduction
Polymethylmethacrylate
Liquid Injectable Silicone
Other Permanent Fillers
Imaging Patterns
Pros of Permanent Fillers
Cons of Permanent Fillers
Further Reading
14: Liquid Injectable Silicone
Abstract
Introduction
Basic Science
Mechanism of Action
Controversy
Indications and Patient Selection
Materials
Patient Preparation
Injection Technique
Side Effects and Managing Complications
Conclusion
Further reading
15: Bellafill
Abstract
Introduction
Product Overview and Mechanism Of Action
Technical Considerations
Off-label use of Polymethylmethacrylate
Pivotal Clinical Studies
Complications and Management
Conclusion
Further reading
Part 3: Volumizing Locations
16: Forehead Reflation
Abstract
Introduction
Patient Evaluation
Patient Consent
A Specific Note on Patient Preparation
Anatomy
Selecting the Right Filler
Materials, Injection Sites, and Injection Techniques
Safety Considerations and Adverse Events
Conclusions
Further reading
17: Soft Tissue Augmentation of the Temple
Abstract
Introduction
Aesthetic Procedures Used for Temple Augmentation
Scales to Assess Temple Hollows
Injection Technique for Placement of Hyaluronic Acid Fillers in the Temple
Avoiding and Treating Complications of Injecting Hyaluronic Acid Fillers
Conclusions
Further reading
18: Three-Dimensional Reflation of the Glabella and Adjacent Forehead
Abstract
Introduction
Fat Compartment Anatomy
Vascular Anatomy
Evaluation
Injection Techniques
Conclusion
Further reading
19: Volumetric Treatment of the Brows
Abstract
Introduction
The “Local Preview”
The Injection
Intraarterial Injection
Who is a Candidate for Brow Volume Treatments?
Further Reading
20: Infraorbital Hollow and Nasojugal Fold
Abstract
Introduction
Candidates for Augmentation of the Infraorbital Hollow
Appropriate Filling Agents
Augmentation Techniques
Complications
Adjunctive Therapy
Conclusions
Further reading
21: Midface
Abstract
Introduction
Anatomical Considerations
Aesthetic Goals
Treatment Areas
Conclusion
Further reading
22: The Anatomical Basis for Safe Injection Rhinoplasty
Abstract
Introduction
The Anatomical Basis for Safe Injections
Indications
Pain Relief
Injection Technique
10 Useful Tips for Good Injection Outcomes
Further Reading
23: Filler Injection of the Melolabial Folds and Marionette Lines
Abstract
Introduction
Underlying Anatomy and Key Concepts
Key Considerations and Practical Recommendations for Filler Injection
Conclusions
Further Reading
24: Soft Tissue Augmentation of the Chin and Jawline
Abstract
Introduction
Aging of the Lower Face
Ideals of Lower Face Beauty
Anatomy
Injection Planning and Technique
Conclusion
Further Reading
25: Lip Augmentation
Abstract
Introduction
The Aging Process on the Lips
An Approach to Patient Evaluation
Filler Products
Injection Techniques for Lip Rejuvenation
Potential Side Effects
Improved Safety Techniques/Prevention
Conclusions
Further Reading
26: Soft Tissue Augmentation of Lip Lines
Abstract
Background
Pathogenesis of Lip Lines
Lip Lines: Does the Patient’s Sex Matter?
Consultation
Planning
Soft Tissue Augmentation of Lip Line Injection Technique
Filler Selection
Pain Management/Treatment Considerations
Anticipated Side Effects
Complications
Complimentary Techniques for Improvement of Lip Lines
Laser Resurfacing and Laser-Assisted Drug Delivery of Poly-L-Lactic Acid
Conclusions
Further Reading
27: Soft Tissue Augmentation of the Hands
Abstract
Introduction
Soft Tissue Augmentation of the Hands
Combination Therapies
Further Reading
28: Soft Tissue Augmentation of the Neck and Chest
Abstract
Introduction
The Neck
The Chest (Décolletage)
Skin Laxity and Lightening
Conclusions
Further Reading
29: Soft Tissue Augmentation and Buttocks Contouring
Abstract
Gluteal Aesthetics
Aging
Gluteal Volumization Using Autologous Fat
Gluteal Rejuvenation With Biostimulators
Conclusions
Further Reading
30: Earlobe Rejuvenation
Abstract
Introduction
Anatomy and Classification of Earlobes
Fillers for Earlobe Rejuvenation
Conclusions
Further Reading
31: Hyaluronic Acid Microdroplet Injection for Skin Quality Enhancement
Abstract
Introduction
Skin Quality
Patient Selection, Expectations, and Satisfaction
Product and Mechanism of Action
Technical Considerations
Complications and Management
Conclusions
Further Reading
32: Filler Injection Techniques
Abstract
Introduction
General Injection Principles
Injection Techniques
Conclusions
Further Reading
33: Soft Tissue Filler for the Transgender Patient
Abstract
Introduction
Anatomy
Patient Selection and Injection Strategy
Conclusions
Summary and Key Features
Further Reading
34: Combinations
Abstract
Introduction
Combining Soft Tissue Fillers With Neurotoxins
Combining Soft Tissue Fillers With Light- And Energy-Based Devices
Combining Soft Tissue Fillers
Conclusions
Further Reading
35: Complications of Temporary Fillers
Abstract
Introduction
Immediate and Early-Onset Dermal Filler Complications
Delayed and Late-Onset Dermal Filler Complications
Acute, Potentially Catastrophic Dermal Filler Complications
Conclusions
Further Reading
36: Complications of Permanent Fillers
Abstract
Introduction
Liquid Injectable Silicone
Polyalkylimide Gel
Polyacrylamide Gels
Polymethylmethacrylate
Acrylic Hydrogel Plus Hyaluronic Acid
Treatment Sites
Complications
Evaluation Methods for Nodules
Treatment
Conclusions
References
Further Reading
37: Vascular Compromise
Abstract
Introduction
Anatomy
Prevention
Treatment (Video 37.1)
Conclusions
Further Reading
38: Reversers
Abstract
Introduction
Why do we Need Reversers?
Filler Complications and Reversibility
Reversers
Conclusions
Further Reading
39: Legal Considerations in Soft Tissue Fillers
Abstract
Introduction
Commonly used fillers
Adverse Effects and Complications Associated With Fillers
Treatment of Soft Tissue Filler Complications
Risk Management
Informed Consent
Medical Professional Liability Against Dermatologists
Legal Consequences
Further Reading
Index

Jean Carruthers

Dr. Jean Carruthers is a Cosmetic Surgeon and a Clinical Professor of Ophthalmology with the Faculty of Medicine at the University of British Columbia (UBC). Dr. Carruthers has lectured worldwide on a variety of subjects pertaining to cosmetic ophthalmology, including the cosmetic use of the BOTOX® procedure, which she co-founded with her husband, Dr. Alastair Carruthers, in 1987. Since this time, they have remained at the forefront of BOTOX® research, development and education, publishing numerous articles using their data. Dr. Carruthers has published more than eighty peer reviewed scientific articles and twenty-eight scientific book chapters on a variety of topics, including the use of botulinum toxin and soft tissue augmenting agents, aesthetic lasers and cosmetic laser blepharoplasty. She is an International Editor for such publications as Dermatologic Surgery, the Journal of Cosmetic Laser Surgery and the American Journal of Cosmetic Surgery.

Affiliations and expertise

Cosmetic Surgeon and Clinical Professor of Ophthalmology, Faculty of Medicine, University of British Columbia (UBC), Vancouver, British Columbia, Canada

Alastair Carruthers

Dr. Alastair Carruthers is a Cosmetic Dermatologic surgeon, and Clinical Professor of Dermatology with the Faculty of Medicine at the University of British Columbia (UBC). During his 20 years of practice, Dr. Carruthers has made several major contributions to the field of dermatology. Foremost among these was the use of the BOTOX® procedure in cosmetic applications, a discovery he made with his wife, Dr. Jean Carruthers, in 1987. Since this time, they have been at the forefront of BOTOX® research, development and education, publishing numerous articles using their data. Dr. Carruthers has also made significant advances in the area of Tissue Augmentation. These materials, both temporary and permanent, are used to lift and support the structures beneath the skin. In 1998 Dr. Carruthers was the first dermatologist in North America to begin injecting Artecoll. Dr. Carruthers has over 100 published articles to his credit and has also contributed extensively to studies about the relationship between skin cancer and sun exposure.

Affiliations and expertise

Cosmetic Dermatologic Surgeon and Clinical Professor of Dermatology, Faculty of Medicine, University of British Columbia (UBC), Vancouver, British Columbia, Canada

Jeffrey S. Dover

Dr. Jeffrey S. Dover is the co-director of SkinCare Physicians of Chestnut Hill, a comprehensive facility specializing in dermatology, laser and cosmetic surgery, and he is Associate Professor of Clinical Dermatology at Yale University School of Medicine, and Associate Professor of Dermatology at Brown Medical School. Dr. Dover’s research interests are Photomedicine, lasers in medicine, cosmetic laser surgery, and medical education. He is the author of over 400 scientific publications. He has co-authored and edited over 45 textbooks, many of which have been translated into French, Italian, Spanish, Russian, Polish and Chinese and are sold to physicians all over the world. Dr. Dover is the founding editor of Journal Watch for Dermatology, produced by the publishers of the New England Journal of Medicine. He is also a Past President of both the American Society of Dermatologic Surgery and the American Society for Lasers in Medicine and Surgery.

Affiliations and expertise

Director, SkinCare Physicians, Chestnut Hill, Massachusetts; Associate Clinical Professor of Dermatology at Yale University School of Medicine, and Adjunct Associate Professor of Dermatology at Brown Medical School, Providence, Rhode Island

Murad Alam

Dr. Murad Alam is an author of over 250 scientific publications and is the Editor of Archives of Dermatological Research. He is the Associate Editor of JAAD; Lasers in Medical Science; Journal of Cosmetic Dermatology; the International Journal of Women’s Dermatology, and he is the Assistant Editor of Dermatologic Surgery. Dr. Alam is series co-editor of the Procedures in Cosmetic Dermatology books and has overall edited 20 books. Dr. Alam is current President of the American Society for Dermatologic Surgery, and an incoming member of the Board of the American Academy of Dermatology. He is also the vice-president of the Blade and Light Society, an organization of volunteer dermatologic surgeons who perform charitable mission work to treat skin cancers and train surgical dermatologists in underserved countries. Dr. Alam’s clinical practice includes the treatment of skin cancer, as well as cosmetic dermatology, and laser surgery.

Affiliations and expertise

Professor and Vice Chair, Department of Dermatology; Professor, Departments of Surgery, Otolaryngology, and Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL