Cosmetic Surgery: Art and Techniques

1169 Pages·2013·113.49 MB·English

by  Melvin A. Shiffman (auth.)

Cosmetic Surgery

Melvin A. Shiffman (cid:129) Alberto Di Giuseppe
Editors
Cosmetic Surgery
Art and Techniques
Editors
Melvin A. Shiffman, M.D., J.D., FCLM Alberto Di Giuseppe, M.D.
Chair, Section of Surgery Institute of Plastic and Reconstructive
Newport Specialty Hospital Surgery, School of Medicine
Tustin, CA University of Ancona
USA Ancona
Italy
ISBN 978-3-642-21836-1 ISBN 978-3-642-21837-8 (eBook)
DOI 10.1007/978-3-642-21837-8
Springer Heidelberg New York Dordrecht London
Library of Congress Control Number: 2011941191
© Springer-Verlag Berlin Heidelberg 2013
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This book is dedicated to the memory of my parents, Albert and Eva
Shiffman, who made me what I am today with encouragement and
sacrifi ces to send me to college and medical school.
The book is dedicated to my sister, Vivian Sadin (now deceased),
and my brother-in-law, Stan Sadin, who have been my very dearest
friends. Also to my loving daughter-in-law, Kim Shiffman, R.N., who
is the epitome of excellence in nursing, being both caring and effi cient
in her work with newborn infants and who, at one time, was my
Recovery Room nurse. My wife, Pearl, has withstood constant
clattering on my computer and travels with me internationally while
I teach cosmetic surgery through lectures and workshops. She is my
constant companion. And to my compatriot and colleague,
Sid Mirrafati , M.D., with whom friendship is more like family.
My students, nationally and internationally, have been an
inspiration to me by their dedication to learning and enthusiasm to be
better physicians. But, most of all, their friendship.
I have to include those international surgeons who I have worked
with in lecturing at meetings who have become my dear friends and
who are colleagues of exceptional talent. To name a few, these include
Alberto Di Giuseppe, Anthony Erian, Afshin Fatemi, Julio Ferreira,
Giorgio Fischer, Pierre Fournier, Justin Hao, Enrique Hernandez-
Perez, Toma Mugea, Angelo Rebelo, Lina Valero, Fernando Pedrosa,
and Tetsuo Shu (now deceased). There are more but the list would be
endless. Books that I have edited, in Cosmetic Surgery, have resulted
in e-mail friendships with many surgeons who almost never say no to
my request for a chapter. These names run in the hundreds.
What more can I wish for in my 55 years as a physician and
36 years as a medical legal consultant?
Melvin A. Shiffman

Foreword
With this book, Cosmetic Surgery: Art and Techniques , published by Melvin A.
Shiffman M.D., J.D. and Alberto Di Giuseppe M.D., Cosmetic Surgeons now have a
complete encyclopedia in our fi eld: Human Beauty Surgery
Mel should be especially congratulated as he has accomplished what he decided
years ago: to give recognition to our specialty of pure Cosmetic Surgery thanks to the
publication of a large series of books about our daily work that is ours for many years.
In the numerous already published volumes, he gives the groundwork where our prac-
titioners, experienced or beginners, can fi nd teaching resulting from many years of
practice by experienced Cosmetic Surgeons coming from all around the world. This
book is very special among all the other ones already published as it is all encompassing
and is the fi rst one in the literature about General Cosmetic Surgery. In the present time
teaching is audiovisual. Words of course are indispensable but a visible representation
of what has been said is crucial. We all know how important a diagram or a slide is.
As Napoleon the First used to say when he had to summarize his tactic before a
battle to make his mind up: “ a little drawing is better than a long talk ”. An image
focuses, zooms our attention, and stimulates our mind. We know that it enhances our
understanding on the strategy of a future procedure. It is acting as an impact.
This book will satisfy the readers as in its 68 chapters they can fi nd carefully
described all the conventional reliable techniques as well as the most recent advances
offered today to our patients. The different procedures described are on the head and
neck, breasts, abdomen, limbs, liposuction, lipofi lling, peeling, and hair grafting.
Many other chapters are dedicated to the different lasers, radio frequency, facial
implants, fi llers, threads, and the use of stem cells and growth factors. Also included
are chapters on buttocks lift and implants, intimate surgery in women and men, anat-
omy, and the History of Cosmetic Surgery.
This important iconography explaining fully all the procedures will allow Cosmetic
Surgeons to obtain the best possible results, to avoid or decrease the number of com-
plications, major or minor, and to have a satisfi ed patient. Today, like before, one
should be conscious of the responsibilities that we have when modifying the face or
body of human beings and should be reminded always of the old surgical saying,
“Better prepare and prevent than repair and repent.” This underlines how important is
visual teaching.
As written by the highly talented and respected Richard Aronsohn, Founder of the
American Board of Cosmetic Surgery, “Psychiatry works from the inside out.
Cosmetic Surgery works from the outside in.” Both help people to enhance their self-
esteem and to feel good about themselves. As a matter of fact, Cosmetic Surgeons are
Surgical Psychiatrists. A good result makes patient and Surgeon happy. A complica-
tion or a poor result makes patient and Surgeon unhappy.
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viii Foreword
It is not possible to comment about all that is offered in this book, but the publishers
should feel happy to have included all the procedures or trends presently offered or
requested by our patients of the present time. It summarizes for the Surgeon in a very
short time the necessary different steps of an operation.
This book is an indispensable up-to-date tool needed by Cosmetic Surgeons as it
visualizes the present advances in our specialty allowing us to maintain and/or
enhance Human Beauty or to fi ght against the Aging process.
Paris, France Pierre F. Fournier, M.D.
Preface
Cosmetic (or aesthetic) surgery is a specialty of medical practice that has attracted
physicians from most countries around the world interested in improving the “beauty”
of the patient. Patients are fl ocking to cosmetic surgeons to improve their appearance
to meet the expectations of their own body image. Although cosmetic surgery is an
elective procedure, the medical indication for these procedures is to improve the
patient’s psychological needs. Since health care has improved and life span has been
prolonged, individuals are trying to preserve or return to their youthful appearance.
Technology and techniques have improved to make cosmetic surgery safer for the
patient and less invasive in some aspects so that patients can return to their normal
activities sooner and with shorter periods of discomfort.
This book on Cosmetic Surgery contains step-by-step descriptions of the proce-
dures (old, new, and modifi cations) with illustrations and/or color photos. The con-
tents include a history of cosmetic surgery, anatomy, anesthesia, head and neck
surgery, breast surgery, abdominal and thoracic surgery, and extremities and buttocks
procedures. Also described are labioplasty, total body lift following massive weight
loss, and penile enhancement. Dermatologic procedures are described including laser
rejuvenation, radiofrequency rejuvenation, and chemical peeling.
The international contributors are experts in their fi elds and have published exten-
sively in the medical literature. Some contributors are professors and many lecture at
international meetings and workshops on a regular basis. This book is comprehensive
and is an attempt to expose the student training in cosmetic surgery, the physician
starting in cosmetic surgery, and the experienced practitioner in cosmetic surgery to
the many aspects of aesthetic procedures that may improve their results and improve
patient safety.
The editors, in this book, are interested in producing a means of exposing all
surgeons to procedures commonly used to improve a patient’s appearance and satis-
faction. The learning mechanism used is step-by-step descriptions with illustrations
and color photos of the procedures. We hope that cosmetic surgeons will thus be able
to better understand a variety of the techniques.
Tustin, CA, USA Melvin A. Shiffman, M.D., J.D., FCLM

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