Technique and Agents in Chemical Peeling

479 Pages·2002·22.78 MB·English

MANAGEMENT OF FACIAL
LINES AND WRINKLES
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Library of Congress Cataloging-in-Publication Data
Management of facial lines and wrinkles / edited by Andrew Blitzer ...
[ et al.].
p. cm.
Includes bibliographical references and index.
ISBN 0-7817-1551-2. - ISBN 0-7817-1551
1. Facelift. 2. Chemical peel. 3. Skin-Wrinkles-Surgery.
1. Blitzer. Andrew.
[DNLM: 1. Rhytidoplasty. 2. Botulinum Toxins-therapeutic use.
3. Chemexfoliation. 4. Facial Muscles-drug effects. 5. Laser
Surgery. 6. Skin Aging. WE 705 M2676 1999]
RD I 19.5.F33M26 1999
617.5'20592-dc21
DNLM/DLC for Library of Congress 99-35334
CIP

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of the publication. Application of this information in a particular situation remains the professional
responsibility of the practitioner.
The authors, editors, and publisher have exerted every effort to ensure that drug sele ction and
dosage set forth in this text are in accordance with current recommendations and practice at the time of
publication. However, in view of ongoing research. changes in government regulations, and the constant
flow of information relating to drug therapy and drug reactions. the reader is urged to check the package
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This is particularly important when the recommended agent is a new or infrequently employed drug.

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(FDA) clearance for limited use in restricted research settings. It is the responsibility of the health care

provider to ascertain the FDA status of each drug or device planned for use in their clinical practice.
10987654321
MANAGEMENT OF FACIAL
LINES AND WRINKLES

Edited by
Andrew Blitzer, M.D., D.D.S.
Professor of Clinical Otolaryngology
Columbia University
New York, New York

William J. Binder, M.D., F.A.C.S.
Assistant Clinical Professor
Department of Head and Neck Surgery
UCLA School of Medicine
Los Angeles; California

J. Brian Boyd, M.D., F.A.C.S.
Chairman of Plastic Surgery
Cleveland Clinic Florida
Fort Lauderdale, Florida

Alastair Carruthers, M.D.
Clinical Professor
Division of Dermatology
University of British Columbia
Vancouver, British Columbia

LIPPIMCOTT WILLAMS & WILKINS

A Wolters Kluwer Company
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CONTENTS

CONTRIBUTING AUTHORS xi

PREFACE XV

ACKNOWLEDGMENTS xvii

1. ANATOMY OF FACIAL LINES AND WRINKLES 1
Janet H. Prystowsky and Daniel Mark Siegel

2. USE OF RETINOIDS, SUPERFICIAL PEELS,
α-HYDROXY ACIDS, AND OTHER TOPICAL AGENTS 9

Natalie L. Semchyshyn and Janet H. Prystowsky

3. CHEMICAL PEELING WITH PHENOL AND TCA 25

Walter Peters

4. COMPARISON OF CHEMICAL AND LASER PEELS 45
Lenora I. Felderman

5. DERMABRASION 55
A.F. Connell and J. Brian Boyd

6. FACIAL SKIN RESURFACING WITH THE ERBIUM:
YAG LASER: A HISTOLOGIC PERSPECTIVE 73
Maritza I. Perez, David E. Bank, and David Silvers

vii
Viii Contents
7. LASER SKIN RESURFACING 81
Steven J. Pearlman, W. Gregory Chernoff, and M. Sean Freeman

8. FACIAL CONTOURING: THE EFFECTIVE USE
OF FACIAL IMPLANTS 101

William J. Binder

9. DERMAL ALLOGRAFT USE FOR SOFT-TISSUE
AUGMENTATION 123
Jonathan M. Sykes

10. FACIAL IMPLANT GOR-TEX 135
Maurice M. Khosh

11. INJECTABLE AUGMENTATION (FAT, COLLAGEN) 145
Arnold William Klein

12. DIRECT EXCISION OF FACIAL LINES
AND WRINKLES 177
William Lawson, Anthony J. Reino, and Daniel Leeman

13. SURGICAL CORRECTION OF THE SKELETAL FRAME 197

Geoffrey M. W. McKellar and Ann P. Collins

14. ENDOSCOPic BROW-LIFT 211
Ira D. Papel

15. OPEN BROW-LIFT 221
Mark A. Smith and Harry K. Moon

16. FACE LIFTING 233
J. Brian Boyd

17. BLEPHAROPLASTY 255
Norman J. Pastorek

18. BOTULINUM TOXIN THERAPY: BASIC SCIENCE AND
OVERVIEW OF OTHER THERAPEUTIC APPLICATIONS 279

Mitchell F. Brin

19. BOTULINUM TOXIN INJECTIONS FOR FACIAL LINES
AND WRINKLES: TECHNIQUE 303

Andrew Blitzer, William J. Binder, and Mitchell F. Brin
Contents ix

20. BOTULINUM TOXIN AND LASER RESURFACING
FOR LINES AROUND THE EYES 315

Jean D.A. Carruthers and Alastair Carruthers

21. PHOTODOCUMENTATION AND COMPUTER IMAGING 333
Larry D. Schoenrock and J. Todd Andrews

22. SIMPLE SOLUTIONS TO COMMON FACIAL
SKIN PROBLEMS 351

Janice Pastorek

SUBJECT INDEX 361
xi

CONTRIBUTING

AUTHORS

J. Todd Andrews, M.D. Kingwood Medical Plaza, 22999 US Highway 59, Suite 246,
Kingwood, Texas 77339

David E. Bank, M.D. Director, The Center for Dermatology, Cosmetic and Laser
Surgery, 359 East Main Street, Suite 4G/E Mount Kisco, New York 10549;
Attending, Department of Dermatology, Columbia-Presbyterian Medical
Center, 638 West 168th Street, New York, New York 10032

William J. Binder, M.D., F.A.C.S. Assistant Clinical Professor and Attending Surgeon,
Department of Head and Neck Surgery, UCLA School of Medicine, Los
Angeles, California 90067

Andrew Blitzer, M.D., D.D.S. Professor of Clinical Otolaryngology Columbia
University, 630 West 168th Street, New York, New York 10032; Director,
New York Center for Voice and Swallowing Disorders, St. Luke’s-Roosevelt
Hospital Center, 1000 Tenth Avenue, New York, New York 10019

J. Brian Boyd, M.D., F.A.C.S. Professor of Surgery, Ohio State University;
Director and Chairman, Department of Plastic Surgery, Cleveland Clinic Florida, 3000
W. Cypress Creek Road, Fort Lauderdale, FL 33309

Mitchell F. Brin, M.D. Associate Professor of Neurology, Director, Movement
Disorders Program, Mount Sinai Medical School; Attending, Department of
Neurology, Mount Sinai-NYU Medical Center, One Gustave L. Levy Place
Box 1052, New York, New York 10029-6574

Alastair Carruthers, M.D. Clinical Professor, Division of Dermatology, Head,
Dermatology Surgery, The Skin Care Center, 835 West Tenth Avenue,
Vancouver, British Columbia V5Z 4E8