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Minimally Invasive Aesthetic Procedures - A Guide for Dermatologists and Plastic Surgeons

Minimally Invasive Aesthetic Procedures - A Guide for Dermatologists and Plastic Surgeons

Adilson Da Costa

 

Verlag Springer-Verlag, 2020

ISBN 9783319782652 , 785 Seiten

Format PDF, OL

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Minimally Invasive Aesthetic Procedures - A Guide for Dermatologists and Plastic Surgeons


 

Foreword for Dermatoligist

6

Foreword for Plastic Surgeons

7

Preface

9

Contents

11

About the Author

19

Contributors

20

Part I: Peelings

29

1: Introduction: Classification of Peels

30

1.1 History/Background

30

1.2 Histological Outcome

30

1.3 Available Materials

31

1.4 Methods and Techniques

33

1.5 Clinical Outcome

34

1.6 Before and After (Figs. 1.12, 1.13, and 1.14)

37

1.7 Side Effects, Complications, and Their Management

38

References

39

2: Pearl Chapter: Basis of Photoaging and the Use of Chemical Peelings

41

2.1 Intrinsic Aging

41

2.1.1 Shortening of Telomeres

41

2.1.2 Free Radicals and Antioxidizing Ability

42

2.1.3 Cellular Senescence

42

2.2 Intrinsic Factors

42

2.2.1 Genetic Characteristics

42

2.2.2 Sexual Hormones

42

2.3 Extrinsic Aging

43

2.4 Extrinsic Factors

43

2.4.1 Air Pollution

43

2.4.2 Smoking

44

2.4.3 Ultraviolet Radiation and Photoaging

44

2.4.4 Receptor-Initiated Signaling Pathway

45

2.4.5 Mitochondrial Damage

45

2.4.6 DNA Damage

45

2.4.7 Arylhydrocarbon Receptor Signaling

46

2.4.8 Infrared Radiation

46

2.5 Conclusion

46

References

48

3: Tip Chapter: Peels for Ethnic Skin

52

3.1 History/Background

53

3.2 Genesis

53

3.3 Classification/Types

53

3.4 Available Materials

54

3.4.1 Glycolic Acid

54

3.4.2 Lactic Acid

55

3.4.3 Salicylic Acid

55

3.4.4 Tretinoin

56

3.4.5 Jessner’s Solution

56

3.4.6 Trichloroacetic Acid (TCA)

56

3.4.7 Other Agents

57

3.4.7.1 Thioglycolic Acid

57

3.4.7.2 Resorcin

57

3.4.7.3 Mandelic Acid

57

3.4.7.4 Pyruvic Acid

57

3.4.8 Salicylic-Mandelic Acid Combination

57

3.4.9 Medium Peelings

57

3.4.10 Fluor-hydroxy Pulse Peel

58

3.4.11 Deep Peelings

58

3.5 Phenol Peeling

58

3.5.1 Blepharopeeling

58

3.6 Before and After (Figs. 3.1, 3.2, and 3.3)

59

3.7 Side Effects, Complications, and How They May Be Handled/Managed

61

3.8 Conclusions/Findings

61

References

62

4: Blepharopeel

64

4.1 Materials

64

4.2 Methods and Techniques

65

4.2.1 The Prepeeling

65

4.2.2 The Peeling

66

4.3 Clinical Follow-Up

66

4.4 Before and After (Figs. 4.7, 4.8, 4.9, 4.10 and 4.11)

68

4.5 Side Effects, Complications, and Their Management

69

Bibliography

71

5: Cook Peel (70% Glycolic Acid + 70% Trichloroacetic Acid) for the Face

72

5.1 Materials

72

5.2 Methods and Techniques

72

5.2.1 The Peeling Itself

73

5.3 Clinical Follow-Up

74

5.4 Before and After (Figs. 5.8, 5.9, 5.10, and 5.11)

76

5.5 Side Effects, Complications, and Their Management

77

References

78

6: Cook Peel (70% Glycolic Acid +40% Trichloroacetic Acid) for Extra-Facial Areas

79

6.1 Materials

79

6.2 Methods and Techniques

79

6.3 Clinical Follow-Up

81

6.4 Before and After (Figs. 6.7, 6.8, 6.9, and 6.10)

82

6.5 Side Effects, Complications, and Their Management

84

7: Fluor-Hydroxy Pulse Peel for Face

85

7.1 Materials [1–5]

85

7.1.1 Reagents

85

7.1.2 Equipment (Fig. 7.1)

85

7.2 Methods and Techniques

85

7.2.1 Patient Selection

85

7.2.2 Technique Using Glycolic Acid Peel (Standard Fluor-hydroxy Pulse Peel for the Face)

85

7.2.3 Technique Using Jessner’s Solution (Alternative ­Fluor-hydroxy Pulse Peel for the Face)

86

7.3 Clinical Follow-Up

87

7.3.1 Prepeeling Preparation (Table 7.1)

87

7.4 Before and After: Illustrations (Fig. 7.3)

88

7.5 Side Effects, Complications, and Their Management

88

7.5.1 Post-Peeling Recommendations (Table 7.1) [1–7]

88

References

89

8: Fluor-Hydroxy Pulse Peel for Extra-Facial Areas

90

8.1 Materials

90

8.2 Methods and Techniques

90

8.3 Follow-Up at the Clinic (Figs. 8.1, 8.2, 8.3, and 8.4)

91

8.4 Before and After (Figs. 8.5, 8.6, 8.7, 8.8, 8.9, and 8.10)

92

8.5 Side Effects, Complications, and Their Management

93

References

93

9: Genital Bleaching Peel

94

9.1 Materials

94

9.2 Methods and Techniques [1–21]

95

9.3 Clinical Follow-Up [1–21]

95

9.4 Before and After

95

9.5 Side Effects, Complications, and Their Management [1–21]

96

References

97

10: Glycolic Acid Peel for the Face

98

10.1 Materials (Fig. 10.1)

98

10.1.1 Glycolic Acid

98

10.2 Methods and Techniques

99

10.2.1 Patient Selection

99

10.2.2 Priming of Skin and Preoperative Instructions

99

10.2.3 Steps of Glycolic Acid Peel Procedure

99

10.3 Clinical Follow-Up

100

10.4 Before and After

101

10.5 Side Effects, Complications, and Their Management

101

10.5.1 Technical Complications

101

10.5.2 Infection

101

10.5.3 Cosmetic Side Effects and Complications

101

10.5.4 Allergic Reactions and Contact Dermatitis

102

References

102

11: Glycolic Acid Peel for Extra-Facial Areas

103

11.1 Materials (Fig. 11.1)

103

11.2 Methods and Techniques

103

11.3 Clinical Follow-Up

104

11.4 Before and After

105

11.5 Side Effects, Complications, and Their Management

106

References

107

12: Jessner’s Peel for the Face

108

12.1 Materials (Fig. 12.1)

108

12.2 Methods and Techniques

108

12.2.1 Prepeeling

108

12.2.2 Peeling

109

12.2.3 Post-peeling

111

12.3 Before and After (Figs. 12.7, 12.8, 12.9, 12.10, 12.11, and 12.12)

112

12.4 Side Effects, Complications, and Their Management (Figs. 12.13, 12.14, and 12.15)

113

References

115

13: Jessner’s Peel for Extra-Facial Areas

116

13.1 Materials

116

13.2 Methods and Techniques [1, 2]

116

13.2.1 Indications

116

13.2.2 Procedures on a Step-by-step Way

117

13.3 Clinical Follow-Up

117

13.4 Before and After (Fig. 13.1)

117

13.5 Side Effects, Complications, and Their Management [6–9]

118

References

118

14: Phenol-Croton Oil Peels

119

14.1 Materials

119

14.2 Methods and Techniques

121

14.3 Clinical Follow-Up

122

14.4 Before and After (Figs. 14.8 and 14.9)

123

14.5 Side Effects, Complications, and Their Management

124

References

125

15: Pyruvic Acid Peel for Face and Extra-Facial Areas

126

15.1 Materials

126

15.2 Methods and Techniques

126

15.3 Clinical Follow-Up

128

15.4 Before and After (Figs. 15.7 and 15.8)

129

15.5 Side Effects, Complications, and Their Management

129

References

130

16: Resorcin Peel for Face

131

16.1 Materials

131

16.2 Methods and Techniques

131

16.3 Clinical Follow-Up

131

16.4 Before and After (Figs. 16.2 and 16.3)

132

16.5 Side Effects, Complications, and Their Management

133

References

133

17: Resorcin Peel for Extra-Facial Areas

134

17.1 Materials [1–5]

134

17.1.1 Reagents

134

17.1.2 Equipment (Fig. 17.1)

134

17.2 Methods and Techniques

134

17.2.1 Patient Selection

134

17.2.2 Technique Using Resorcinol 20% (Ethanol Solution)

135

17.3 Clinical Follow-Up

135

17.3.1 Pre-peeling Preparation (Table 17.1)

135

17.4 Before and After (Fig. 17.2)

135

17.5 Side Effects, Complications, and Their Management

136

17.5.1 Post-peeling Recommendations (Table 17.1) [1–6]

136

References

137

18: Salicylic Acid for Face (Facial Salicylic Acid Peel)

138

18.1 Materials

138

18.2 Methods and Techniques

138

18.2.1 Indications and Contraindications

138

18.2.2 Preparation Before Peeling

139

18.2.3 Peeling Techniques

139

18.2.4 Directions

140

18.3 Clinical Follow-Up

140

18.4 Before and After

141

18.5 Side Effects, Complications, and Their Management

142

References

143

19: Salicylic Acid Peeling for Extra-Facial Areas

144

19.1 Materials

144

19.2 Methods and Techniques

144

19.2.1 Pre-peeling

144

19.2.2 Peeling

145

19.2.3 Post-peeling

146

19.3 Clinical Follow-Up (Figs. 19.6, 19.7, 19.8, and 19.9)

147

19.4 Before and After

148

19.5 Side Effects, Complications, and Their Management

149

References

150

20: Tretinoin Peel for Face

151

20.1 Materials

151

20.2 Methods and Techniques

151

20.2.1 How to Apply

152

20.3 Before and After (Figs. 20.6, 20.7, 20.8, 20.9, 20.10, 20.11, 20.12, and 20.13)

153

20.4 Side Effects, Complications, and Their Management

155

References

156

21: Tretinoin Peel for Extra-Facial Areas

157

21.1 Materials

157

21.2 Methods and Techniques [1–7]

157

21.3 Clinical Follow-Up [1–7]

158

21.4 Before and After

158

21.5 Side Effects, Complications, and Their Management [1–7]

158

References

159

22: Trichloroacetic Acid Peel for Facial and Extra-Facial Areas

160

22.1 Materials

160

22.2 Methods and Techniques [1–10]

160

22.3 Clinical Follow-Up [1–10]

162

22.4 Before and After (Figs. 22.14, 22.15, 22.16, 22.17, 22.18, 22.19, 22.20, 22.21, 22.22, 22.23, and 22.24)

166

22.4.1 Side Effects, Complications, and Their Management [1–10] (Figs. 22.25, 22.26, 22.27, 22.28, 22.29, and 22.30)

169

References

171

23: Thioglycolic Acid Peel for Dark Circles Under Eyes

173

23.1 Materials

173

23.2 Methods and Techniques

174

23.3 Clinical Follow-Up

175

23.4 Before and After

176

23.5 Side Effects, Complications, and Their Management

176

References

177

24: Thioglycolic Acid Peeling for Hemosiderin and Post-inflammatory Hyperchromia

178

24.1 Materials (Fig. 24.1)

178

24.2 Methods and Techniques (Figs. 24.2 and 24.3)

178

24.3 Clinical Follow-up (Fig. 24.4)

179

24.4 Before and After (Figs. 24.5, 24.6, and 24.7)

180

24.5 Side Effects, Complications, and Their Management (Figs. 24.8 and 24.9)

180

References

181

Part II: Botulinum Toxin

182

25: Introduction: What Is Botulinum Toxin?

183

25.1 History

183

25.2 Botulinum Toxin Types

183

25.2.1 Commercial Preparations

184

25.3 Before and After

185

25.4 Side Effects, Complications, and How They May Be Managed

186

25.4.1 Non-cosmetic Side Effects

186

25.4.2 Cosmetic Side Effects

187

25.5 Conclusions

188

References

189

26: Tip Chapter: Histology and Physiology of the Skin

191

26.1 Epidermis

191

26.2 Keratinocytes

191

26.2.1 Basal Layer

192

26.2.2 Squamous Cell Layer

192

26.2.3 Granular Layer

192

26.2.4 Cornified Layer

193

26.3 Melanocytes

193

26.4 Langerhans Cells

194

26.5 Merkel Cells

194

26.6 Dermoepidermal Interface

194

26.7 Hair Follicles

195

26.8 Sebaceous Glands

196

26.9 Eccrine Glands

197

26.10 Apocrine Glands

197

26.11 Cutaneous Nerve System

199

26.12 Cutaneous Vascular and Lymphatic System

200

26.13 Collagen and Elastic Fibers

201

26.14 Subcutaneous Fat

202

References

203

27: Botulinum Toxin for Craniofacial Hyperhidrosis

205

27.1 Materials (Fig. 27.1)

205

27.2 Methods and Technique

205

27.3 Clinical Follow-Up

206

27.4 Before and After (Figs. 27.6, 27.7, 27.8, and 27.9)

206

27.5 Side Effects, Complications, and Their Management

207

References

208

28: Botulinum Toxin for Superior Third of the Face

209

28.1 Materials

209

28.2 Methods and Techniques [1–8]

209

28.2.1 Solution preparation:

209

28.2.2 Injection techniques:

211

28.2.3 Direct

211

28.2.4 Subdermal Bubble

211

28.2.5 Directed Injection

211

28.3 Clinical Follow-Up [1–8]

212

28.4 Before and After (Figs. 28.9, 28.10, 28.11, and 28.12)

214

28.5 Side Effects, Complications, and Their Management [1–8]

215

References

216

29: Botulinum Toxin for Middle Third of the Face

217

29.1 Materials (Fig. 29.1)

217

29.2 Methods and Techniques

217

29.2.1 Example #1 (Fig. 29.2)

218

29.2.2 Example #2 (Fig. 29.3)

218

29.3 Clinical Follow-up

218

29.4 Before and After

219

29.4.1 Example #1 (Fig. 29.4)

219

29.4.2 Example #2 (Fig. 29.5)

219

29.5 Side Effects, Complications, and Their Management

219

30: Botulinum Toxin for Inferior Third of the Face

221

30.1 Materials

221

30.2 Methods and Techniques

221

30.2.1 Gummy Smile

221

30.2.2 Perioral Area (Upper and Lower Lips)

222

30.2.3 Elevation of the Corner of the Mouth “Marionette Lines”

222

30.2.4 Hyperactive Mentalis Muscle

224

30.3 Clinical Follow-Up [5–9]

224

30.4 Before and After (Figs. 30.8 and 30.9)

225

30.5 Side Effects, Complications, and Their Management [5–9]

227

References

227

31: Botulinum Toxin for the Neck

228

31.1 Materials (Fig. 31.1)

228

31.2 Methods and Techniques

229

31.3 Clinical Follow-Up

230

31.4 Before and After (Figs. 31.6, 31.7, 31.8, 31.9, and 31.10)

230

31.5 Side Effects, Complications, and Their Management

232

References

233

32: Botulinum Toxin for Axillary Hyperhidrosis

234

32.1 Materials (Fig. 32.1)

234

32.2 Methods and Techniques

235

32.3 Clinical Follow-Up

236

32.4 Before and After (Fig. 32.6)

237

32.5 Side Effects, Complications, and Their Management

238

References

238

33: Botulinum Toxin for Palmar and Plantar Hyperhidrosis

239

33.1 Materials

239

33.1.1 For Botulinum Toxin Application

239

33.2 Methods and Techniques

239

33.2.1 Demarcating Injection Sites

239

33.2.2 Product Reconstitution

240

33.2.3 Injection Technique

240

33.2.3.1 Palmar

240

33.2.4 Palmar Hyperhidrosis

241

33.2.5 Plantar Hyperhidrosis

241

33.3 Clinical Follow-up

242

33.4 Before and After

242

33.4.1 Palmar Hyperhidrosis (Fig. 33.7)

242

33.4.2 Plantar Hyperhidrosis (Fig. 33.8)

243

33.5 Side Effects, Complications, and Their Management

243

References

243

34: Botulinum Toxin for Special Conditions: Chemical Rhinoplasty

244

34.1 Materials

244

34.2 Methods and Techniques

245

34.2.1 Bunny Lines

245

34.2.2 Elevation of Nasal Tip

245

34.3 Clinical Follow-up

245

34.4 Side Effects, Complications, and Their Management

246

References

246

35: Botulinum Toxin for Special Conditions: Facial Mesotherapy

247

35.1 Materials (Fig. 35.1) [1]

247

35.2 Methods and Techniques [1]

247

35.3 Clinical Follow-Up

248

35.4 Before and After (Figs. 35.3, 35.4, 35.5, 35.6 and 35.7)

249

35.5 Side Effects, Complications, and Their Management [2–3]

251

References

251

36: Botulinum Toxin for Special Conditions: Gummy Smile – Advanced Points and Indications

252

36.1 Materials

252

36.2 Methods and Techniques

252

36.3 Clinical Follow-Up

253

36.4 Before and After (Fig. 36.3)

254

36.5 Side Effects, Complications, and Their Management

254

References

255

37: Botulinum Toxin for Special Conditions: Masseter Hypertrophy

256

37.1 Materials

256

37.2 Methods and Technique

256

37.3 Clinical Follow-Up

257

37.4 Before and After (Figs. 37.2, 37.3, and 37.4)

257

37.5 Side Effect, Complications, and Their Management

259

References

259

38: Botulinum Toxin for Special Conditions: Myomodulation to Body Contour

260

38.1 Materials (Fig. 38.1)

260

38.2 Methods and Techniques [1–8]

260

38.3 Clinical Follow-up [1–8]

263

38.4 Before and After (Figs. 38.4a, b and 38.5a, b)

264

38.5 Side Effects, Complications, and Their Management [1–8]

264

References

265

Part III: Hyaluronic Acid Filler

266

39: Introduction: What Is Hyaluronic Acid Filler?

267

39.1 History: Background

267

39.2 Physical and Chemical Features

268

39.2.1 Molecular Weight and Concentration

268

39.2.2 Reticulation

268

39.2.3 Viscoelasticity

269

39.2.4 Turgidity

269

39.2.5 Size of Particles and Extrusion Force

269

39.3 Classification: Types

269

39.4 Choosing the Product

270

39.5 Biological Effect

270

39.6 Available Materials

270

39.7 Side Effects, Complications, and How They May Be Handled/Managed

270

39.8 Conclusion

270

References

275

40: Tip Chapter: Anatomy of the Face, Neck, Hands and Genital Areas

276

40.1 The Face

276

40.2 The Neck

279

40.3 Hands

280

40.3.1 Muscles

284

40.3.1.1 Dorsal Face

284

40.3.1.2 Palmar Face

284

40.3.1.3 Intrinsic Muscles of the Hand

285

40.3.1.4 Fascia and Tendinous Sheaths

285

40.3.1.5 Irrigation

286

40.3.1.6 Venous Drainage

287

40.3.1.7 Lymphatic Drainage

288

40.3.1.8 Innervation

288

40.4 The Genital Area

289

40.4.1 Pelvis and Perineum

289

40.4.2 Female Anatomy

291

40.4.3 Male Anatomy

293

References

295

41: Hyaluronic Acid for Dermic Hydration

297

41.1 Materials (Fig. 41.1)

297

41.2 Methods and Techniques (Figs. 41.2, 41.3, and 41.4)

297

41.3 Clinical Follow-Up (Fig. 41.6)

299

41.4 Before and After (Figs. 41.7 and 41.8)

300

41.5 Side Effects, Complications, and Their Management

301

References

301

42: Hyaluronic Acid for Frontal and Glabella Areas

302

42.1 Materials

302

42.1.1 Restylane® [1]

302

42.1.2 Belotero Balance® [2]

302

42.2 Methods and Techniques

303

42.2.1 Pre-procedure Evaluation [2]

303

42.2.2 Techniques

303

42.3 Clinical Follow-up

304

42.4 Before and After (Figs. 42.7 and 42.8)

304

42.5 Side Effects, Complications, and Their Manangement

305

42.5.1 Discomfort, Erythema, and Edema [4]

305

42.5.2 Ecchymosis

305

42.5.3 Irregularities and Nodules

305

42.5.4 Infections

306

42.5.5 Hypersensitivity Reactions [4]

306

42.5.6 Necrosis

306

References

307

43: Filling Temporal and Eyebrow Areas

308

43.1 Materials

308

43.2 Methods and Techniques

309

43.2.1 Temporal Fossa

309

43.2.1.1 Anatomical Considerations

309

43.2.1.2 Temporal Fossa Augmentation

309

43.2.2 Eyebrow Area

309

43.2.2.1 Anatomic Considerations

309

43.2.2.2 Eyebrow Area Augmentation

310

43.3 Clinical Follow-Up

310

43.4 Before and After (Figs. 43.3, 43.4, 43.5, and 43.6)

311

43.5 Side Effects, Complications, and Their Management

313

References

314

44: Hyaluronic Acid for Periocular Area

315

44.1 Materials (Fig. 44.1)

315

44.2 Methods and Techniques (Fig. 44.2)

315

44.3 Clinical Follow-Up

317

44.4 Before and After (Fig. 44.3)

317

44.5 Side Effects, Complications, and Their Management

321

References

321

45: Hyaluronic Acid for Malar Area and Zygomatic Arch

322

45.1 Materials

322

45.1.1 Hyaluronic Acid Fillers

322

45.2 Methods and Techniques

322

45.2.1 Practical Procedural Tips

323

45.2.2 Areas of Injection

323

45.2.3 Malar Area

323

45.2.4 Zygomatic Area

324

45.3 Clinical Follow-up

324

45.4 Before and After (Figs. 45.2, 45.3, 45.4, and 45.5)

325

45.5 Side Effects, Complications, and Their Management

327

References

327

46: Hyaluronic Acid for Pre-auricular Area

329

46.1 Materials

329

46.2 Methods and Techniques

330

46.2.1 Methods

330

46.2.2 Techniques (see Fig. 46.2)

331

46.3 Clinical Follow-Up

333

46.4 Before and After (Figs. 46.3 and 46.4)

333

46.5 Side Effects, Complications, and Their Management

334

References

335

47: Hyaluronic Acid for Ear Lobe

336

47.1 Materials (Fig. 47.1)

336

47.2 Methods and Techniques

336

47.2.1 Preparing the Filler

336

47.3 Clinical Follow-Up

338

47.4 Before and After (Fig. 47.9)

339

47.5 Side Effects, Complications, and Their Management

339

References

339

48: Hyaluronic Acid for the Nose

340

48.1 Materials

340

48.2 Methods and Techniques

340

48.3 Clinical Follow-up

341

48.4 Before and After (Figs. 48.4, 48.5, and 48.6)

343

48.5 Side Effects, Complications, and Their Management

344

Reference

345

49: Hyaluronic Acid for Nasolabial Folds

346

49.1 Materials

346

49.1.1 Hyaluronic Acid

346

49.2 Methods and Techniques

346

49.2.1 Preparation

346

49.2.2 Materials

347

49.2.3 Application

347

49.2.4 Care Following the Procedure

348

49.3 Clinical Follow-Ups

348

49.4 Before and After (Figs. 49.6 and 49.7)

349

49.5 Side Effects and Complications

349

49.5.1 Erythema and Edema

349

49.5.2 Bruising in Tissue or Dermis

349

49.5.3 Allergic/Anaphylactic reactions [1, 2]

349

49.5.4 Nodulations

349

49.5.5 Hypocorrection or Overfilling

349

49.5.6 Infection

350

49.5.7 Foreign Body Granulomas

350

49.5.8 Ischemia and Necrosis [1–3]

350

References

351

50: Hyaluronic Acid for Lips and Perioral Fine Lines and Wrinkles

352

50.1 Materials

352

50.2 Methods and Techniques

352

50.2.1 Lip Enhancement and Contour Definition

352

50.2.2 Perioral Finishes

353

50.3 Clinical Follow-up

353

50.4 Before and After (Figs. 50.6 and 50.7)

354

50.5 Side Effects, Complications, and Their Management

355

References

356

51: Hyaluronic Acid Fillers for Treating Temporal Area Volume Loss

357

51.1 Materials

357

51.2 Methods and Techniques [1–8]

357

51.2.1 Superficial to the Temporalis Muscle (Fig. 51.2)

358

51.2.2 Deep Temporal Plane

359

51.3 Clinical Follow-Up [1–8]

361

51.4 Before and After (Figs. 51.5, 51.6, and 51.7)

362

51.5 Side Effects, Complications, and Their Management [1–8]

363

References

364

52: Hyaluronic Acid for Chin

365

52.1 Materials

365

52.1.1 Physical properties of a filler required for chin augmentation

365

52.2 Methods and Techniques

365

52.2.1 Physical examination and facial analysis

365

52.2.2 Evaluation of the chin

366

52.2.3 Design

367

52.2.4 Anesthesia

367

52.2.5 Injection

367

52.2.6 Adjunctive procedures

369

52.3 Clinical Follow-Up (Fig. 52.5)

369

52.4 Before and After (Figs. 52.6 and 52.7)

370

52.5 Side Effects, Complications, and Their Management

371

52.5.1 Visible nodules, unnatural results

371

52.5.2 Vascular complications

371

52.5.3 Immunologic problems

371

References

372

53: Hyaluronic Acid for Neck Wrinkles

373

53.1 Materials (Fig. 53.1)

373

53.2 Methods and Techniques

373

53.3 Clinical Follow-Up

373

53.4 Before and After: Fig. 53.3

374

53.5 Side Effects, Complications, and Their Management

374

53.5.1 Swelling and Redness

374

53.5.2 Bumping Irregularity (Fig. 53.4)

374

53.5.3 Hypersensitivity Reaction

375

53.5.4 Bruising

375

53.5.5 Grayish, Bumped Accentuation of the Neck Lines (Tyndall Effect)

375

Reference

375

54: Hyaluronic Acid for Hands

376

54.1 Materials

376

54.1.1 Hyaluronic Acid

376

54.2 Methods and Techniques

376

54.3 Clinical Follow-up

378

54.4 Results Pre-Post (Figs. 54.6, 54.7, and 54.8)

379

54.5 Side Effects, Complications, and tTheir Management

379

References

380

55: Hyaluronic Acid for Genital Area

381

55.1 Materials (Fig. 55.1)

381

55.2 Methods and Techniques

381

55.3 Clinical Follow-Up

382

55.4 Before and After (Figs. 55.7 and 55.8)

384

55.5 Side Effects, Complications, and Their Management

385

References

386

Part IV: Threads in Cosmetic Procedures

387

56: Introduction: Threads in Cosmetic Procedures

388

56.1 History/Background

388

56.2 Genesis

388

56.3 Classifications/Types

389

56.4 Available Materials

389

56.4.1 Polypropylene

389

56.4.1.1 APTOS® Technique

389

56.4.1.2 Woffles Lift

391

56.4.1.3 Isse

391

56.4.1.4 MIZ Lift

391

56.4.1.5 Micro-shuttle Lifting

391

56.4.1.6 Beramendi Threads

392

56.4.1.7 REEBORN

392

56.4.1.8 Silhouette Threads

393

56.4.2 Happy Lift Threads

394

56.4.3 Polydioxanone Threads

394

56.5 Selection of the Ideal Candidate

395

56.6 Side Effects, Complications, and How They May Be Handled/Managed

396

56.7 Conclusions

396

References

396

57: Tip Chapter: Anesthesia in Cosmetic Procedures

398

57.1 Topical/Noninvasive Anesthesia

398

57.2 Invasive Anesthesia

399

57.3 Infiltrative Anesthesia and Nerve Blocks

399

57.4 Sedation, Monitored Anesthesia Care, General Anesthesia

400

57.5 Summary

401

References

401

58: Eyebrow Thread Lifting

402

58.1 Materials (Fig. 58.1)

402

58.1.1 Anesthesia

402

58.1.2 Needle for Entry Point

402

58.1.3 Thread Types

402

58.2 Methods and Techniques

403

58.3 Clinical Follow-Up

406

58.4 Before and After (Fig. 58.9)

407

58.5 Side Effects, Complications, and Their Management

408

References

408

59: Threads for the Middle Third of the Face

409

59.1 Materials

409

59.1.1 Silhouette Soft

409

59.2 Methods and Techniques [1–10]

409

59.3 Clinical Follow-up [1–10]

410

59.4 Before and After (Figs. 59.4, 59.5, and 59.6)

412

59.5 Side Effects, Complications, and Their Management [1–10]

413

References

414

60: Threads for the Inferior Third of the Face

415

60.1 Materials (Fig. 60.1)

415

60.2 Methods and Techniques

415

60.2.1 Authors’ Personal Technique: Double Z Technique (Fig. 60.3)

416

60.3 Clinical Follow-Up

417

60.4 Before and After (Figs. 60.4, 60.5, 60.6, and 60.7)

417

60.5 Side Effects, Complications, and Their Management

420

References

420

61: Threads for Chin Lifting

421

61.1 Materials

421

61.2 Methods and Techniques [1–3]

421

61.3 Clinical Follow-Up [1–3]

423

61.4 Before and After

424

61.5 Side Effects, Complications, and Their Management [1–3]

425

References

425

62: Threads for the Neck

426

62.1 Materials

426

62.2 Methods and Techniques

427

62.2.1 Lateral Sagging

427

62.2.2 Central Sagging

428

62.3 Before and After

430

62.4 Clinical Follow-Up

433

62.5 Side Effects, Complications, and Management Thereof

433

References

437

63: Threads for Corporal Areas: Upper and Inferior Limbs

438

63.1 Materials

438

63.1.1 Silhouette Soft

438

63.1.2 Materials (Fig. 63.1)

438

63.2 Methods and Techniques

439

63.2.1 Pretreatment Process

439

63.2.2 Patient Preparation (Fig. 63.3)

439

63.2.3 Technique (Fig. 63.4)

439

63.2.4 Posttreatment Recommendations

442

63.3 Clinical Follow-Up

442

63.4 Before and After (Figs. 63.7, 63.8, 63.9, and 63.10)

444

63.5 Side Effects, Complications, and Their Management

446

63.5.1 Pain

446

63.5.2 Bruises

446

63.5.3 Skin Depression at the Entry Points

446

63.5.4 Foreign Body Granuloma

446

References

447

64: Threads for Abdomen

448

64.1 Materials

448

64.2 Methods and Techniques

448

64.3 Clinical Follow-up

450

64.4 Before and After (Figs. 64.9, 64.10, 64.11, and 64.12)

450

64.5 Side Effects, Complications, and Their Management

451

References

451

65: Threads for Special Conditions: Buttocks

453

65.1 Materials

453

65.2 Methods and Techniques

454

65.2.1 Inverted U technique

454

65.2.2 Straight technique

455

65.3 Clinical Follow-Up

455

65.4 Before and After (Figs. 65.1 and 65.2)

455

65.5 Side Effects, Complications, and Their Management

456

References

456

Part V: Chemical Substances for Injectable Cosmetic Neocollagenesis

457

66: Introduction: Chemical Substances for Injectable Cosmetic Neocollagenesis

458

66.1 History [1]

458

66.2 Classification

459

66.3 Materials Available

459

66.3.1 Hyaluronic Acid (HA) [4–7] (Figs. 66.1 and 66.2)

459

66.3.2 Calcium Hydroxyapatite [8, 9]

461

66.3.3 L-Polylactic Acid [10, 11]

461

66.3.4 Polymethylmethacrylate (PMMA) [12]

461

66.3.5 Polyethylene Glycol [13, 14]

462

66.3.6 Autologous Fibroblasts [15–18]

462

66.3.7 Fat Graft [19] (Figs. 66.3 and 66.4)

462

66.3.8 Platelet-Rich Plasma (PRP) [20–26]

462

66.4 Collateral Effects, Complications, and Management [27]

464

References

465

67: Tip Chapter: Improving Healing in Cosmetic Procedures

466

67.1 History/Background

466

67.2 Genesis

466

67.3 Classification/Types

468

67.4 Available Materials

469

67.5 Side Effects and Complications

474

67.6 Conclusions/Findings

475

References

476

68: Calcium Hydroxyapatite for Face

477

68.1 Materials

477

68.1.1 Product Description

477

68.1.2 Dilution

478

68.2 Methods and Techniques

479

68.2.1 Indications

479

68.2.2 Techniques

479

68.2.3 Injection Techniques for Radiesse®

480

68.2.3.1 Lifting Treatment

481

68.2.3.2 Treatment of the Contour of the Mandible

482

68.2.3.3 Treatment of the Nasolabial Folds

482

68.2.3.4 Prejowl Sulcus and Chin

483

68.2.3.5 Biostimulation Face Treatment

483

68.2.4 Contraindications

484

68.3 Clinical Follow-Up

484

68.4 Before and After (Figs. 68.1, 68.2, 68.3, and 68.4)

485

68.5 Side Effects, Complications, and Their Management

486

References

487

69: Calcium Hydroxylapatite for Hands

488

69.1 Materials

488

69.1.1 Calcium Hydroxylapatite

488

69.1.2 The Procedure

489

69.2 Methods and Techniques

490

69.3 Follow-Up

491

69.4 Before and After (Figs. 69.9 and 69.10)

492

69.5 Side Effects, Complications, and Their Management

492

References

493

70: Calcium Hydroxyapatite For Unusual Body Areas

494

70.1 Materials: (Fig. 70.1)

494

70.2 Methods and Techniques

494

70.2.1 Dilution

494

70.2.2 Technique

494

70.3 Clinical Follow-Up

494

70.3.1 Stretch Marks (Fig. 70.2)

494

70.3.2 All Other Indications

495

70.4 Before and After (Figs. 70.3a, b; 70.4a, b; 70.5a, b)

495

70.5 Side Effects, Complications, and Their Management

497

70.5.1 Early Complications (<15 days) (Table 70.1)

497

70.5.2 Delayed Adverse Events (>15 days) (Table 70.1)

497

References

501

71: Platelet-Enriched Plasma

502

71.1 Materials (Figs. 71.1, 71.2, and 71.3)

502

71.2 Methods and Techniques [1–8]

503

71.3 Clinical Follow-Up [1–8]

505

71.4 Before and After (Figs. 71.17, 71.18, 71.19, 71.20, and 71.21)

506

71.5 Side Effects, Complications, and Their Management [1–8]

507

References

508

72: Poly-L-Lactic Acid for the Face

509

72.1 Materials: (Fig. 72.1)

509

72.2 Methods and Techniques

509

72.2.1 Pre-op Evaluation

509

72.2.2 Preparation and Anesthesia

510

72.2.3 Reconstitution and Hydration

510

72.2.4 Injection Techniques

510

72.2.4.1 Bone Support

510

72.2.4.2 Fat Compartment Replacement

511

72.2.4.3 Skin Sagging

511

72.3 Clinical Follow-Up

511

72.4 Before and After (Figs. 72.5, 72.6, and 72.7)

512

72.5 Side Effects, Complications, and How They May Be Managed

514

References

516

73: Poly-L-Lactic Acid for the Neck

517

73.1 Materials

517

73.2 Methods and Techniques [1–6]

517

73.3 Clinical Follow-Up [1–6]

518

73.4 Before and After (Figs. 73.6 and 73.7)

519

73.5 Side Effects, Complications, and Their Management [1–6]

519

References

520

74: Poly-L-Lactic Acid for Arms

521

74.1 Materials

521

74.2 Methods and Techniques

521

74.2.1 Methods

521

74.2.2 Techniques

521

74.3 Clinical Follow-Up

522

74.4 Before and After (Fig. 74.4, 74.5, 74.6, and 74.7)

523

74.5 Side Effects, Complications, and Their Management

524

References

525

75: Poly-L-Lactic Acid for Hands

526

75.1 Materials

526

75.2 Methods and Techniques

526

75.3 Clinical Follow-Up

528

75.4 Before and After (Figs. 75.1 and 75.2)

528

75.5 Side Effects, Complications, and Their Management

528

References

529

76: Poly-L-Lactic Acid for the Gluteal Area

530

76.1 Materials [1–10]

530

76.2 Methods and Techniques [1–10]

530

76.2.1 Preparing the Patient

530

76.2.2 Preparing the Product

530

76.2.3 Techniques

531

76.3 Clinical Follow-Up

532

76.4 Before and After (Figs. 76.5, 76.6, and 76.7)

532

76.5 Side Effects, Complications, and Their Management [1–10]

533

References

534

77: Polyacrylamide for the Face

535

77.1 Materials

535

77.2 Methods and Techniques

535

77.3 Clinical Follow-up

536

77.4 Before and After (Figs. 77.4, 77.5, and 77.6)

538

77.5 Side Effects, Complications, and Their Management

539

References

540

78: Polycaprolactone for the Face

541

78.1 Materials

541

78.2 Methods and Techniques

541

78.2.1 Product’s injection

542

78.3 Clinical Follow-Up

544

78.4 Before and After (Figs. 78.6, 78.7, 78.8, 78.9, and 78.10)

545

78.5 Side Effects, Complications, and Their Management

549

References

550

79: Polycaprolactone for Extrafacial Areas

551

79.1 Materials

551

79.2 Methods and Techniques

551

79.3 Clinical Follow-up

554

79.4 Before and After (Figs. 79.6, 79.7, 79.8, 79.9, 79.10, and 79.11)

555

79.5 Side Effects, Complications, and Their Management

558

References

559

80: Polyethylene Glycol for the Hands and Face

560

80.1 Materials

560

80.2 Methods and Techniques

560

80.2.1 Facial Treatment

560

80.2.2 Soft Tissue Augmentation of the Hands

560

80.3 Clinical Follow-Up

563

80.4 Before and After (Figs. 80.5, 80.6, 80.7, 80.8, 80.9, and 80.10)

563

80.5 Side Effects, Complications, and Their Management

564

References

565

81: Polymethylmethacrylate Microsphere Injections in the Face

566

81.1 Materials

566

81.2 Methods and Techniques

566

81.2.1 Indications

567

81.3 Clinical Follow-Up

571

81.4 Before and After

571

81.5 Side Effects and Complications, and Their Management

571

81.5.1 Nodules

571

81.5.2 Foreign Body Granulomas

571

References

573

82: Polymethyl Methacrylate for the Body

574

82.1 Material

574

82.2 Methods and Techniques

574

82.3 Clinical Follow-Up

575

82.4 Before and After (Figs. 82.4, 82.5, 82.6, 82.7, 82.8, and 82.9)

575

82.5 Side Effects, Complications, and Their Management

576

References

577

Part VI: Micro-aesthetic Surgery and Others

578

83: Introduction: Dressings to Improve Healing in Cosmetic Procedures

579

83.1 History/Background

579

83.2 Genesis

579

83.3 Classification/Types

580

83.4 Available Materials

581

83.4.1 Impregnated Gauzes

581

83.4.2 Semipermeable Films

582

83.4.3 Hydrogels

582

83.5 Complications in Aesthetic Procedures and the Use of Wound Dressings

584

83.6 Side Effects and Complications, and Their Management

585

83.7 Conclusions

586

References

587

84: Tip Chapter: How Might Cosmeuticals Improve Skin Aesthetic Procedures Outcome?

588

84.1 Background

588

84.2 Classification

588

84.3 Procedure Types

589

84.3.1 Skin Surgery

589

84.3.1.1 Presurgery Skin Care and Supplements (Table 84.3)

589

84.3.1.2 Ingredients and Activities to Avoid Presurgery (Table 84.3)

594

84.3.1.3 Postsurgery Skin Care and Supplements (Tables 84.4, 84.5, and 84.6)

594

84.3.1.4 Ingredients to Avoid Postsurgery (Table 84.4)

596

84.3.2 Injectables (Fillers, Toxins, and Fat Reductor), Microneedling, and Ablative Lasers

596

84.3.2.1 Pretreatment Skin Care and Supplements

596

84.3.2.2 Ingredients and Activities to Avoid Pretreatments

596

84.3.2.3 Ingredients and Cosmetc Skin Care Post Filler Injections

596

84.3.2.4 Ingredients and Cosmetc Skin Care Post Microneedling

597

84.3.3 Nonablative Laser, IPL (Intense Pulsed Light), and Tightening Devices

597

84.3.4 Chemical Peels

597

84.3.4.1 Prepeeling Preparation (Table 84.7)

598

84.3.4.2 Postpeeling Recommendations (Table 84.7)

599

84.4 Conclusions

599

References

600

85: Chemical Liposculpture of the Chin

601

85.1 Materials (Fig. 85.1)

601

85.2 Methods and Techniques

601

85.3 Clinical Follow-Up

603

85.4 Before and After (Fig. 85.5)

604

85.5 Side Effects, Complications, and Their Management

604

References

605

86: Microneedling for Neocollagenesis of the Face

606

86.1 Materials

606

86.2 Methods and Techniques

606

86.3 Clinical Follow-Up

607

86.4 Before and After (Figs. 86.3, and 86.4)

608

86.5 Side Effects, Complications, and Their Management

609

References

611

87: Acne Scar: Shaving and Electrosurgery

612

87.1 Materials

612

87.2 Methods and Techniques

613

87.2.1 Shaving

613

87.2.2 “CROSS” (Chemical Recontruction of Skin Scars) Technique, Modified

613

87.2.3 Electrodissection for Papular Scars

614

87.2.4 Vaporization with Radiofrequency

614

87.3 Clinical Follow-Up

614

87.4 Before and After (Figs. 87.11, 87.12, 87.13, 87.14, and 87.15)

615

87.5 Side Effects, Complications, and Their Management

615

References

616

88: Acne Scars: 5-Fluorouracil (MMP® Technique)

617

88.1 Materials

617

88.2 Methods and Techniques [1-10]

617

88.3 Clinical Follow-Up [1-10]

619

88.4 Before and After (Figs. 88.7, 88.8, 88.9, and 88.10)

619

88.5 Side Effects, Complications, and Their Management [1-10]

620

References

622

89: Acne Scars: Bleomycin Plus Triamcinolone Injection (MMP® Technique)

623

89.1 Materials

623

89.2 Methods and Techniques

624

89.3 Clinical Follow-Up

625

89.4 Before and After (Figs. 89.6, 89.7, 89.8, 89.9, and 89.10)

625

89.5 Side Effects, Complications, and Their Management

628

References

628

90: Acne Scar: CROSS (Chemical Reconstruction of Skin Scar)

629

90.1 Materials

629

90.1.1 Brushes

629

90.1.2 Trichloroacetic Acid (TCA)

629

90.2 Methods and Techniques

630

90.2.1 Global Assessment Before the Procedure

630

90.2.2 Discuss with the Patient

630

90.2.3 The Day of the Procedure

631

90.2.4 Description of the Procedure

631

90.2.5 Immediately After and up to 24 h After the Procedure

631

90.3 Clinical Follow-Up

634

90.4 Before and After (Figs. 90.6, 90.7, 90.8, and 90.9)

634

90.5 Side Effects, Complications, and Their Management

636

90.5.1 Side Effects

636

90.5.2 Complications

636

References

638

91: Acne Scar: Dermal Graft

639

91.1 Materials

639

91.2 Methods and Techniques [1–7]

639

91.2.1 Donor area

639

91.2.2 Receptor area

641

91.3 Clinical Follow-Up [1–7]

641

91.4 Before and After (Figs. 91.8, 91.9, and 91.10)

643

91.5 Side Effects, Complications, and Their Management [1–7]

644

References

645

92: Acne Scars: Dermabrasion

646

92.1 Materials (Fig. 92.1)

646

92.2 Methods and Techniques

646

92.3 Clinical Follow-Up

648

92.4 Before and After (Figs. 92.7, 92.8, 92.9, and 92.10)

648

92.5 Side Effects, Complications, and Their Management

649

References

650

93: Acne Scar: Hyaluronic Acid Filler

651

93.1 Materials

651

93.2 Methods and Techniques

652

93.2.1 Identifying the Correct Acne Scar Type

652

93.2.2 Treatment

652

93.2.3 Injection Technique

653

93.3 Clinical Follow-Up

653

93.4 Before and After (Figs. 93.5 and 93.6)

654

93.5 Side Effects, Complications, and Their Management

654

References

654

94: Acne Scar: Microneedling

655

94.1 Materials

655

94.2 Methods and Techniques

655

94.3 Clinical Follow-Up

657

94.4 Before and After (Figs. 94.3 and 94.4a–d)

658

94.5 Side Effects, Complications, and Their Management

659

References

659

95: Acne Scar: Punch Elevation

661

95.1 Materials

661

95.2 Methods and Technique

662

95.3 Clinical Follow-Up

663

95.4 Before and After (Figs. 95.9, 95.10, 95.11, and 95.12)

664

95.5 Side Effects, Complications, and Their Management

665

References

666

96: Acne Scars: Subcision

667

96.1 Material and Methods

667

96.2 Methods and Techniques

667

96.3 Clinical Follow-Up

668

96.4 Before and After (Figs. 96.3 and 96.4)

669

96.5 Side Effects, Complications and Their Management

670

References

670

97: Aspiration Curettage for Axillary Hyperhidrosis

671

97.1 Materials (Figs. 97.1 and 97.2)

671

97.2 Methods and Technique

672

97.3 Clinical Follow-Up

673

97.4 Before and After

673

97.5 Side Effects, Complications, and Their Management

674

References

676

98: Autologous Fat Grafting

677

98.1 Materials

677

98.2 Methods and Techniques

677

98.3 Clinical Follow-Up

679

98.4 Before and After (Figs. 98.6, 98.7, 98.8, and 98.9)

680

98.5 Side Effects, Complications, and Management

681

References

682

99: Autologous Fibroblasts Injections in Face

683

99.1 Materials

683

99.2 Methods and Techniques

683

99.2.1 Indications

683

99.3 Clinical Follow-Up

685

99.4 Before and After (Figs. 99.4, 99.5, 99.6, 99.7, 99.8, and 99.9)

685

99.5 Side Effects, Complications, and Their Management

687

References

688

100: Cellulite: Subcision

689

100.1 Materials (Fig. 100.1)

689

100.2 Methods and Techniques

690

100.2.1 Preop Evaluation

690

100.2.2 Procedure

690

100.2.3 Postop Care

691

100.3 Clinical Follow-Up

692

100.4 Before and After (Figs. 100.7, 100.8, 100.9, and 100.10)

692

100.5 Side Effects, Complications, and Their Management

693

References

695

101: Chemical Lipolysis of the Infraorbital Fat Pads

696

101.1 Material

696

101.2 Methods and Techniques

696

101.3 Clinical Follow-Up

696

101.4 Before and After (Figs. 101.1, 101.2, and 101.3)

696

101.5 Side Effects, Complications, and their Management

697

References

698

102: Electro-blepharoplasty

699

102.1 Materials

699

102.2 Methods and Techniques

699

102.3 Clinical Follow-Up

700

102.4 Before and After (Figs. 102.5 and 102.6)

701

102.5 Side Effects, Complications, and Their Management

702

References

702

103: Submental Liposuction

703

103.1 Materials

703

103.2 Methods and Techniques

704

103.3 Clinical Follow-Up

705

103.4 Before and After (Figs. 103.10 and 103.11)

706

103.5 Side Effects, Complications, and Their Management

707

References

708

104: Stretch Marks: Microdermabrasion and Superficial Localized Dermabrasion

709

104.1 Materials (Figs. 104.1 and 104.2)

709

104.1.1 Microdermabrasion

709

104.1.2 Superficial Localized Dermabrasion

710

104.2 Methods and Techniques

710

104.2.1 Microdermabrasion

710

104.2.2 Superficial Localized Dermabrasion

710

104.3 Clinical Follow-Up

711

104.3.1 Microdermabrasion

711

104.3.2 Superficial Localized Dermabrasion

712

104.4 Before and After: Four Illustrations (Figs. 104.11, 104.12, 104.14, 104.16, and 104.18)

712

104.5 Side Effects, Complications, and Their Management

714

104.5.1 Microdermabrasion

714

104.5.2 Superficial Localized Dermabrasion

715

References

716

105: Strech Marks: Transdermal Divulsion

717

105.1 Materials (Fig. 105.1)

717

105.2 Methods and Techniques

718

105.3 Clinical Follow-Up

718

105.4 Before and After (Fig. 105.2)

718

105.5 Side Effects, Complications, and Their Management [1]

719

Reference

720

106: Upper Blepharoplasty

721

106.1 Materials (Fig. 106.1)

721

106.2 Methods and Techniques

721

106.3 Clinical Follow-Up

725

106.4 Before and After (Figs. 106.9, 106.10, and 106.11)

725

106.5 Side Effects, Complications, and Their Management

726

References

727

Part VII: Aesthetic Approach of Scalp

728

107: Introduction: Clinical Emergency During Aesthetic Procedures

729

107.1 The Emergency Plan

729

107.2 Dyspnea

731

107.3 Epilepsy and Seizure

732

107.4 Anaphylaxis

732

107.5 Syncope

733

107.6 Hypoglycemia

734

107.7 Hypertension

735

107.8 Chest Pain

736

107.9 Cardiac Arrhythmia

736

107.10 Management of Anticoagulation

737

107.10.1 Antiplatelet Therapy

737

107.10.2 Anticoagulants

738

107.11 Pacemakers and Implantable Cardiac Defibrillators

739

References

740

108: Pearl Chapter: Methods and Tips for a Better Scar Quality

742

108.1 The Stages of Wound Healing

742

108.2 Preoperative Planning

742

108.2.1 Controlling Systemic Diseases

743

108.2.2 Medications

743

108.2.3 Smoking

744

108.2.4 Cancer

744

108.2.5 Nutrition

744

108.3 Operative Planning [7]

744

108.3.1 Incising

744

108.3.2 Excising

744

108.3.3 Undermining

745

108.3.4 Placing Buried Sutures

745

108.3.5 Placing Superficial Sutures

746

108.3.6 Hematomas

746

108.3.7 Antibiotics

746

108.4 Postoperative Care

747

108.5 Conclusion

747

References

747

109: Tip Chapter: Low-Level Light Therapy and High-Energy Lasers in Trichology

749

109.1 Mechanism of Action and Outcomes

749

109.2 High-Power Laser Therapy

750

109.3 Differences Between Laser and LED

751

References

751

110: Low-Level Light Therapy (LLLT) in Alopecia

752

110.1 Materials

752

110.2 Methods and Techniques [1–12]

752

110.3 Clinical Follow-Up [1–12]

752

110.4 Before and After (Figs. 110.1, 110.2, and 110.3)

753

110.5 Side Effects, Complications, and Their Management [1–12]

754

References

754

111: Scalp Mesotherapy

755

111.1 Materials

755

111.2 Methods and Techniques

755

111.3 Clinical Follow-Up

755

111.4 Before and After (Figs. 111.3, 111.4, and 111.5)

757

111.5 Side Effects, Complications, and Management

758

References

759

112: Microneedling of the Scalp

760

112.1 Materials

760

112.2 Methods and Techniques

761

112.3 Clinical Follow-Up

761

112.4 Before and After (Fig. 112.6)

761

112.5 Side Effects, Complications, and Their Management

762

References

762

113: Tricopigmentation of the Scalp

763

113.1 Materials

763

113.2 Methods and Techniques

763

113.3 Clinical Follow-Up

765

113.4 Before and After (Figs. 113.7 and 113.8)

765

113.5 Side Effects, Complications, and Their Management

766

References

767

Correction to: Minimally Invasive Aesthetic Procedures

768

Index

769