Advertisement

Contents

        Editorial Board, iii
        Contributors, v

        Introduction,  xiii

        By Gregory H. Branham, Jeffrey S. Dover, Shilpi Khetarpal, Smita R. Ramanadham, and Allan E. Wulc

        Preface,  xv

        xxx

        Role of Platelet-Rich Plasma and the Science Behind Its Mechanism of Action: Its Many Uses Including Rejuvenation and Hair Growth,  1

        By Nina Semsarzadeh and Shilpi Khetarpal
         Introduction: nature of the problem,  1
         Platelet-rich plasma,  2
        Mechanism of Action,  2
        Preparation and Technique,  2
        Preprocedure Planning and Safety,  3
         Clinical outcomes in androgenetic alopecia,  4
         Clinical outcomes in alopecia areata,  6
         Other applications in cosmetic dermatology,  8
         Summary,  10
         Conflict of interest,  11
         Disclosure,  11

        Therapies for Acne Scarring,  15

        By Julia Stiegler and Mara Weinstein
         Background,  15
         Noninvasive therapies,  16
        Retinoids,  16
        Chemical Peels,  16
         Trichloroacetic acid chemical reconstruction of skin scars,  16
         Invasive therapies,  17
        Subcision,  17
        Dermal Fillers,  17
        Punch Techniques,  17
        Microneedling,  18
        Platelet-Rich plasma,  19
         Lasers and energy-based therapies,  19
        Ablative Lasers,  19
        Fractional Lasers,  20
        Hybrid Fractional Laser,  20
        Other Lasers,  20
        Radiofrequency Microneedling,  20
        Combination Techniques,  21
         Summary,  22
         Disclosure,  22

        Radiofrequency Microneedling,  25

        By Girish (Gilly) Munavalli, James Childs, and Edward Victor Ross
        Video content accompanies this article at http://www.advancesincosmeticsurgery.com.
         Radiofrequency background and introduction,  25
         Radiofrequency microneedling thermodynamics,  26
         The physics of microneedles,  27
         Use of microneedle tips,  28
         Insulated versus uninsulated needles,  28
         Microneedle injury profile and tip and needle design,  29
         Control of power delivery,  30
         Explanation of the resistance curve,  31
         Clinical applications,  31
        Patient Selection and Planning,  31
         Disclosure,  37

        Plasma Energy Skin Rejuvenation,  39

        By Richard D. Gentile
         Introduction,  39
         Energy-based skin rejuvenation,  40
         Methods of energy-based skin rejuvenation,  40
         Principles of laser and energy-based devices for skin rejuvenation,  41
         History and evolution of plasma-based skin rejuvenation,  42
         Comparison of energy load, pulsed with continuous,  44
         Fractionating Renuvion helium plasma energies,  44
         Helium plasma (Renuvion) skin rejuvenation continuous method—the procedure,  45
        Indications,  45
         Helium plasma (Renuvion) skin rejuvenation—pulsed technique,  47
         Helium plasma (Renuvion) skin rejuvenation—fractionated technique,  50
         Summary,  50
         Disclosure,  50

        Laser-Assisted Drug Delivery,  51

        By Omer Ibrahim, Sara Hogan, and Jeffrey S. Dover
        Video content accompanies this article at http://www.advancesincosmeticsurgery.com.
         Introduction: nature of the problem,  51
         Surgical technique,  52
        Preoperative Planning,  52
        Preparation and Patient Positioning,  53
        Procedural Approach: Step 1, Step 2, and so Forth (Including Video),  53
        Immediate Postprocedural Care,  53
         Clinical results in the literature,  54
        Dysplasia,  54
        Scars,  54
        Anesthetics,  54
        Aesthetics,  55
         Potential risks and complications,  55
        Local Cutaneous Reactions,  55
        Systemic Reactions and Toxicity,  56
         Summary,  56
         Disclosure,  56

        Nonsurgical Rhinoplasty,  61

        By Zachary Farhood, Haley N. Bray, Yusuf M. Agamawi, and Scott G. Walen
         Introduction,  61
         Anatomy,  61
         Patient selection,  62
         Injection materials,  62
         Techniques,  63
        Basic Principles,  63
        Nasal Subsites,  64
         Complications,  64
         Outcomes,  66
         Summary,  66
         Disclosure,  66

        Incisionless Otoplasty,  69

        By Andres Gantous
        Video content accompanies this article at http://www.advancesincosmeticsurgery.com.
         History,  69
         Incidence and etiology,  70
         Impact of prominent ears,  70
         Nonsurgical treatment of prominauris,  70
         Surgical technique,  70
         Postoperative care,  75
         Discussion,  75
         Disclosure,  75

        Deoxycholic Acid in Aesthetic Medicine,  77

        By Jacqueline Watchmaker, Daniel J. Callaghan III, and Jeffrey S. Dover
         Introduction,  77
         History of deoxycholic acid in aesthetic medicine,  77
         Mechanism of action of deoxycholic acid,  78
         Use of deoxycholic acid in submental fat contouring,  78
        Submental Fat and Quality of Life,  78
        REFINE-1 and REFINE-2,  78
        Best Practices for Use of Deoxycholic Acid in Submental Fat Reduction,  78
        Dosage, Frequency, Injection Technique, and Postprocedure Evaluation,  79
        Adverse Events and Safety Considerations,  79
        Patient Experience and Patient-Reported Outcomes,  80
         Off-label use of deoxycholic acid,  80
        Infraorbital Fat Pads,  80
        Xanthelasma,  80
        Jowls,  80
        Upper and Lateral Back Fat (Bra-Line Fat),  84
        Thighs and Lower Abdominal Fat,  84
        Piezogenic Pedal Papules,  84
        Lipomas,  84
        Involuted Hemangiomas (Fibrofatty Tissue),  84
        Paradoxic Adipose Hyperplasia Secondary to Cryolipolysis,  85
         Deoxycholic acid versus other fat reduction methods,  85
         Summary,  85
         Disclosure,  86

        Perioral Rejuvenation,  89

        By Farah Moustafa, Omer Ibrahim, and Jeffrey S. Dover
         Introduction: nature of the problem,  89
         Surgical technique,  90
        Preoperative Planning,  90
        Preparation and Patient Positioning,  90
         Procedural approach,  91
        Neuromodulators,  91
        Soft Tissue Filler,  92
        Lasers,  93
         Summary,  96

        Facial Contouring with Neuromodulators,  99

        By Kerry Heitmiller, Christina Ring, and Nazanin Saedi
         Masseter muscle hypertrophy,  99
        Introduction,  99
        Clinical Outcomes,  100
        Procedural Logistics: Injection Technique, Dose, Frequency, and Type of Botulinum Toxin,  100
        Patient Selection,  101
        Side Effects,  102
         Platysmal bands,  102
        Introduction,  102
        Clinical Outcomes,  103
        Procedural Logistics: Injection Technique, Dose, Frequency, and Type of Botulinum Toxin,  103
        Patient Selection,  105
        Side Effects,  105
         Summary,  105
         Disclosure,  106

        Forehead Rejuvenation: A Nonsurgical Approach,  109

        By Sara Hogan, Katie Beleznay, and Jean Carruthers
         Introduction,  109
         Anatomy,  110
         Patient evaluation,  112
         Neuromodulators,  112
         Soft tissue filler augmentation,  114
         Preprocedure,  114
         Procedure,  114
         Post-procedure,  114
         Complications,  114
         Laser,  119
         Energy devices,  119
         Thread lifts,  119
         Summary,  119
         Disclosure,  120

        New Toxins and Fillers on the Horizon: Implications for Both Patients and Practices,  123

        By Jessica G. Labadie, Jeffrey S. Dover, and Murad Alam
         Introduction,  123
         Neurotoxins,  123
        Neurotoxins: Background,  123
        Neurotoxins: The Market,  124
        US Food and Drug Administrationâ Approved Neurotoxins,  124
        New Neurotoxins on the Horizon (Clinical Trials Currently Under Way),  126
         Fillers,  128
        Dermal Fillers: Background,  128
        Dermal Fillers: The Market,  128
        New Fillers on the Horizon,  128
         New techniques and indications on the horizon,  130
        Botulinum Toxin and Dermal Fillers,  130
        Botulinum Toxin and Laser/Light Modalities,  130
        Microbotox,  132
        Filler and Melanoma,  132
         Summary,  132
         Disclosure,  132

        Body Dysmorphic Disorder and the Cosmetic Patient,  135

        By Sara Hogan, Neelam Vashi, Jeffrey S. Dover, and Kenneth A. Arnd
         Introduction,  135
         Defining body dysmorphic disorder,  136
         Evaluation of the patient with body dysmorphia,  136
         Treating the body dysmorphic patient,  138
         Body dysmorphic disorder in the cosmetic setting,  138
         Treatment,  138
         Summary,  140

        Nonsurgical Vaginal Treatment with Lasers and Energy-Based Devices,  143

        By Macrene Alexiades
         Introduction,  143
         Clinical signs and symptoms,  144
        Vaginal Atrophy,  144
        Vulvovaginal Laxity,  144
        Stress Urinary Incontinence,  144
        Genitourinary Syndrome of Menopause,  144
        Histopathology,  144
         Pathogenesis,  144
         Treatment,  144
        Lasers and Energy-Based Devices,  145
         Histologic results,  146
        Fractional Lasers,  146
        Radiofrequency Devices,  147
         Clinical studies,  147
        Fractional CO2 Laser,  147
        Fractional Er:YAG Laser,  149
        Hybrid Fractional Laser,  149
        Radiofrequency,  149
        At-home Devices,  150
         Safety,  150
         Summary,  150
         Disclosure,  151

        Hyperhidrosis: A Review and Treatment Options,  155

        By Kara Hoverson and Prasanthi Kandula
         Introduction,  155
         Topical agents,  155
        Antiperspirants,  155
        Topical Anticholinergics,  156
         Systemic agents,  156
        Systemic Agents: Anticholinergics and Clonidine,  156
         Procedures,  157
        Iontophoresis,  157
        Botulinum Toxin,  158
        Microwave Thermolysis,  158
        Suction Curettage,  159
        Sympathectomy,  160
         Emerging therapy,  160
         Disclosure,  160

        Update on Thread-Lifting,  165

        By Leah K. Spring and Daniel J. Callaghan III
         Introduction,  165
        Poly-L-Lactic Acid Threads (Silhouette Soft Sutures),  166
         Procedure and technique,  167
        Preoperative Planning and Patient Selection,  167
        Preparation and Patient Positioning,  168
        Procedural Approach,  168
        Immediate Postprocedural Care,  168
         Complications,  168
        Immediate Postprocedural Complications,  169
        Thread-Related Complications,  169
        Delayed Complications,  169
         Complication prevention,  169
         Complication treatment,  169
         Discussion,  170
        Commoditization of the Procedure,  170
        Lack of Evidence,  170
         Summary,  170
         Disclosure,  170

        Advances in Skin Tightening with Liposculpture: Plasma Technology Versus Radiofrequency,  173

        By Ryan Neinstein and Christopher D. Funderburk
        Video content accompanies this article at http://www.advancesincosmeticsurgery.com.
         Preoperative assessment,  174
         Medical history,  174
         Physical examination,  175
         Informed consent and photography,  175
         Wetting solutions,  175
         Operative considerations,  175
        Cannulas,  175
        Adjunctive Liposuction Technology/Techniques,  176
         Postoperative care,  177
         Complications,  177
        Local,  177
        Systemic Complications,  177
         A comparison of the BodyTite platform and the Renuvion/J-plasma system,  177
        BodyTite,  177
        Renuvion/J-Plasma,  183
         Summary,  185
         Disclosure,  186

        Deep Neck Lifting: An Introduction to Comprehensive Management of the Deep Fat, Perihyoid Fascia, Digastric Muscles, and Submandibular Glands,  189

        By Thomas Gerald O’Daniel and Swapnil D. Kachare
        Video content accompanies this article at http://www.advancesincosmeticsurgery.com.
         Introduction,  189
         Relevant anatomy,  191
         Platysma,  192
         Deep fat,  192
         Perihyoid fascia,  192
         Digastric muscle,  192
         Submandibular gland,  192
         Options for neck lifting,  193
        Isolated Neck Lift,  193
        Combined Neck Lift and Facelift,  193
         Evaluation and indications for managing deep neck structures,  193
        Submental Triangle,  193
         Perioperative considerations,  195
         Anesthesia,  195
         Intraoperative,  196
         Surgical planning,  196
        Incisions,  196
        Skin Flap Creation,  197
         Supraplatysmal fat management,  198
         Submental triangle exposure,  198
         Management of the deep fat,  200
         Management of perihyoid fascia,  201
         Management of the digastric muscles,  201
         Management of submandibular glands,  203
         Management of platysma,  205
         Postoperative management,  206
         Physical activity,  207
         Dietary restrictions,  207
         Summary,  208
         Disclosure,  208

        The Nanofat Method for Mechanical Stromal Vascular Fraction Isolation: Principle and Clinical Application,  209

        By Alexis Verpaele, Patrick Tonnard, and Mohammad Ghiasloo
        Video content accompanies this article at http://www.advancesincosmeticsurgery.com.
         Introduction,  209
         Indications,  210
         Surgical procedure,  210
         Clinical indications and cases,  211
         Discussion,  214
         Disclosure,  215