Table Of ContentAesthetic Facial
Surgery
Juarez M. Avelar
Editor
123
Aesthetic Facial Surgery
Juarez M. Avelar
Editor
Aesthetic Facial Surgery
Editor
Juarez M. Avelar
Jardim Europa
Clinica Avelar
Sao Paulo
Brazil
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Tribute to Prof. Pitanguy
I dedicate this book to the memory of Prof.
Ivo Pitanguy for his constant incentive for
scientific publications during all my
professional activities. Although he is not
among us anymore, I felt his presence all the
time during the last 2 years while preparing
each chapter of this book. I am happy to
conclude the scientific program, yet I am
very sad because during my 20 previous
books, Prof. Pitanguy was there, following
my hard work and waiting to hear my voice
informing to him that my book has been
completed. In fact, this is the first time I
cannot share with him the accomplishment of
one more important stage of my life. He is
vi
not physically in our world, but wherever he
is, I feel his presence around me, blessing me
for one more victory achieved due to my
personal effort and perseverance in
reproducing my imagination and knowledge
in words on the pages of this book.
In all my previous books, Prof. Pitanguy
used to always help me with his superb
participation. For some of my publications
he wrote the foreword, in another book he
contributed an outstanding chapter, and in
others he did both: writing the preface
and important chapters. About this book -
although it is physically. away from me - in
my mind and in my heart, its soul is always
listening me, pouring out its blessings with
continuous encouragement.
Besides giving me the unique opportunity
to learn and graduate as a plastic surgeon,
Prof. Pitanguy opened the world for my
professional future – he encouraged me to
visit, as fellow, his renowned friends and
outstanding professionals as well as
professors. I had the privilege to be Fellow of
Prof. Ralph Millard at Miami University;
Profs. Converse, Rees, and Roger at
New York University; Profs. Tessier (at the
Foch Hospital), Dufumentel, Mouly (at Saint
Louis Hospital), and Tubiana (at Victor
Hugo Clinic) in Paris; Prof. Mathews at
Children’s Hospital in London; and Prof.
Mustardé (at Cannisburn Hospital) in
Glasgow, Scotland. I was fortunate to meet
all those memorable professors who gave me
the chance to learn even more about the
techniques used in plastic surgery, and all of
them encouraged me to devote myself to
scientific publication. All of them were
vii
brilliant authors of important scientific
articles in several journals, as well as book
chapters and renowned conference papers
and most of them were editors of high-level
textbooks, who encouraged me to work on
scientific publications. I consider that most
of the merit of my publications should go to
Prof. Pitanguy and his colleagues as it is
they who initiated me to the scientific field.
Juarez M. Avelar, MD
Tribute to My Professors
It is my privilege to pay homage to some of
my professors who gave me a special chance
to learn more techniques in plastic surgery
after my postgraduation course with Prof.
Pitanguy. I am particularly grateful to the
following individuals.
1. Prof. Ralph Millard at Miami University
who besides giving me an opportunity to
learn his personal techniques encouraged me
to work on ear reconstruction field and on
scientific research. During our conversations,
he felt that I was already well prepared
professionally to start my work so he
stimulated me to write articles and even
books. At the end of my fellowship, he gave
me almost one hundred articles that he had
published and a copy of his book written
with Sir Harold Gillies. Once when I was
with him and his wife at his house, he
became very emotional when talking about
the preparation of their book. He showed me
the chair where Prof. Gillies used to sit and
work for long hours writing the chapters. He
also showed me several photos taken by Prof.
Gillies in order to select one of them for
illustrating the cover of their book. I keep
viii
their book as well as all reprints of Prof.
Millard’s publications with lots of affection
in my clinic’s library.
2. Profs. John M. Converse, Thomas Rees,
and Blair Rogers at New York University for
the memorable opportunity to absorb their
knowledge and their techniques, as well as to
follow activities at their superb private
practice in New York. I had the opportunity
to attend a few scientific sessions discussing
very complex deformities of the face and
skull and other kinds of clinical cases before
and after reconstructive surgery similar to
those I used to attend at Prof. Pitanguy’s unit
at Santa Casa da Misericordia in Rio de
Janeiro, Brazil. For me it was a useful
session spent together with outstanding
surgeons. Prof. Converse used to be the chief
of his large team of surgeons. Prof. Rees
used to perform his operations daily at a
private hospital, since his very charming
office that was located at a beautiful house in
the most sophisticated area in New York City
where I used to be besides him.
3. Prof. Paul Tessier for his kindness to allow
my presence at the Foch Hospital in Paris
and to share some of his immense knowledge
with me. I used to observe his hands’ ability
and creativity and was very impressed to see
him perform 14 hours of reconstructive
surgery as well as perform aesthetic
surgeries with the same proficiency. Before
his operations, he used to have a special
moment of concentration, thinking about the
surgical planning of the operation he was
about to perform. He was a very clever
surgeon, full of imagination, and a physically
strong man. Once his former residents
ix
founded the Prof. Tessier Association, he
kindly invited me to be part of it. I am deeply
thankful for all his affection toward me.
4. Prof. Jonh Mustardé at the Cannisburn
Hospital in Glasgow, Scotland, and his
superb group of professors: Ian Jackson,
McGregory, Gibson, and others. I attended
many surgeries performed by Prof. Mustardé
and from whom I learned from him his
personal technique for correction of
prominent ears. I also had the chance to
attend brilliant operations performed by the
other professors. They even allowed me, with
special permission, to attend and participate
at the first postgraduate course in
Cannisburn Hospital in Glasgow in
March 1973.
5. Prof. Ernesto Malbec (from Argentina) – It
is with immense happiness that I pay homage
to him for the opportunity to be his friend
during the last years of his life. I invited him
several times to give lectures at some
congresses that I had organized in Brazil. We
even published a book together with several
of his publications from 1920 until 1960 as a
product of his superb and outstanding work.
He died 1 year after our book was published.
6. Prof. Yves Gerard Illouz – I am thankful
for the opportunity to learn his technique
and have had the privilege to invite him
several times to Brazil to teach his new
method of liposuction to all plastic surgeons
in my country. We even had the opportunity
to publish one of the first books in medical
literature concerning his new technique. In
fact, our book Liposuction was printed with
all my effort by collecting his publications,
with outstanding participation from several
x
Brazilian colleagues taking part of the Table
of Contents.
7. Profs. Fernando Ortiz Monasterio, Mario
Gonzalles Ulloa, and Jose Guerrerosantos
(all from Mexico) – Although I was more
than 25 years younger than each of them, we
shared a warm relationship through so many
decades, since I met them during the Second
ISAPS International Congress held in
Jerusalem, Israel, in June 1973. Afterwards,
they invited me to give lectures in several
congresses in their country and even in
meetings of their services organized by their
former residents. They considered me as
their former resident due to our constant
friendship. Also, I invited them to make
memorable conferences in some congresses
here in Brazil. We even were partners in
some books that we published covering
several topics on plastic surgery.
Finally, I take this opportunity to thank all
of my professors for sharing their knowledge
with me, which were and still are very
important in my professional activities. I
confess that mostly of the merit of my
publications belong to them, since I just
prepared with so much care and affection the
scientific manuscripts to publish this book as
well as my previous twenty ones. For this
reason, I register here my gratitude to all of
them for giving me a solid foundation in
plastic surgery as well as for introducing me
to a select group of publishers, which opened
up my career to a wide field. Wherever they
are, I am sure that they are still blessing me
