Table Of ContentSeied Omid Keyhan
Tirbod Fattahi
Shahrokh C. Bagheri
Behnam Bohluli
Mohammad Hosein Amirzade-Iranaq
Editors
Integrated Procedures
in Facial Cosmetic Surgery
Foreword by: James R. Hupp
123
Integrated Procedures in Facial Cosmetic Surgery
Seied Omid Keyhan • Tirbod Fattahi
Shahrokh C. Bagheri • Behnam Bohluli
Mohammad Hosein Amirzade-Iranaq
Editors
Integrated Procedures in
Facial Cosmetic Surgery
Foreword by: James R. Hupp
Editors
Seied Omid Keyhan Tirbod Fattahi
Co-investigator, Department of Oral Department of Oral and Maxillofacial Surgery
and Maxillofacial Surgery University of Florida
College of Medicine Jacksonville, FL
Jacksonville, FL USA
USA
Behnam Bohluli
Founder and Director of Maxillofacial
Department of Oral and Maxillofacial Surgery
Surgery and Implantology and Biomaterial
University of Toronto
Research Foundation
Toronto, ON
Isfahan, Tehran
Canada
Iran
Shahrokh C. Bagheri
Department of Surgery, Georgia Oral and Facial
Reconstructive Surgery
Northside Hospital
Atlanta, GA
USA
Mohammad Hosein Amirzade-Iranaq
Universal Network of Interdisciplinary Research
in Oral and Maxillofacial Surgery (UNIROMS)
Universal Scientific Education and Research
Network (USERN)
Tehran
Iran
ISBN 978-3-030-46992-4 ISBN 978-3-030-46993-1 (eBook)
https://doi.org/10.1007/978-3-030-46993-1
© Springer Nature Switzerland AG 2021
This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is
concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction
on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation,
computer software, or by similar or dissimilar methodology now known or hereafter developed.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not
imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and
regulations and therefore free for general use.
The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed
to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty,
expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been
made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
This Springer imprint is published by the registered company Springer Nature Switzerland AG
The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
Ultimately, this collection is dedicated to Ibn Sina, the great and privileged
polymath, philosopher, and physician. He is considered one of the greatest
and most influential philosophers and physicians in Iranian history and
civilization. The reputation of his specialty and his vision for various
sciences, as well as the translation of his exquisite books in various fields,
including modern medicine, philosophy, etc. in various languages and
teaching them in some of world’s best universities, testifies to this fact. The
book “The Canon of Medicine” is one of Abu Ali Sina’s most valuable
medical records that has been cited for centuries by doctors in the region.
The following sentence is part of his valuable quotations on medical science,
which today can be used by any medical practitioner: “The science of
medicine is the means by which one can become aware of the qualities of the
human body; the goal is to maintain health and restore it during illness.”
It would also be our honor to dedicate this book to Hugo L. Obwrgeser,
William H. Bell, and Larry J. Peterson, pioneers in the field of orthognathic
surgery, who are considered by oral and maxillofacial surgeons to have been
three fundamental contributors to the complex task of improving the facial
aesthetics in patients.
This book is also dedicated to Prof. Seyyed Mehdi Jafari from the bottom of
my heart. He was the master of masters of Oral & Maxillofacial Surgery in
Iran and left us in 2020.
Foreword
Maxillofacial surgery’s broad scope of practice provides a wide variety of impactful ways to
improve the lives of patients; these range from managing and curing diseases and disorders to
improving or restoring form and function. Although there is always room for improving the
ways surgeons diagnose and manage disease, major changes in those strategies evolve rela-
tively slowly. In contrast, the field of reconstructive maxillofacial surgery is brimming with
innovations and advances in preoperative planning, biomaterials, and surgical techniques. This
rapid evolution of knowledge places a duty upon the surgeon to regularly update their under-
standing of facial disorders, whether due to congenital or developmental deformities, trau-
matic injuries, prior surgical interventions, or the effects of aging.
Historically, at least in most parts of the world, procedures such as orthognathic surgery and
cleft lip repair were not categorized as cosmetic in nature. There are a variety of reasons for
this, often related to lack of third-party reimbursement for cosmetic surgery or due to the mis-
taken belief that cosmetic surgery was not to be done by surgeons focused on major surgical
interventions. Yet, even our patients realize that the outcomes of procedures performed to cor-
rect facial deformities almost also enhance facial appearance, and are therefore cosmetic in
nature.
Drs. Keyhan, Amirzade-Iranaq, Fattahi, Bagheri, and Bohluli, as senior editors, along with
a host of talented contributors, bring valuable new information related to facial cosmetic sur-
gery to the surgeon’s fingertips through their comprehensive and integrated approach to this
broad topic. The book created by these individuals, “Integrated Procedures in Facial Cosmetic
Surgery,” utilizes this realization of the innate appearance enhancing nature of most types of
reconstructive surgery to create a novel way to present various types of facial reconstructive
surgery, with more focus on the esthetic aspects of the procedures than is seen in prior texts
relating to the field of maxillofacial surgery.
The book is organized into chapters that initially concentrate on various aspects of facial
anatomy, providing concise discussions of contemporary surgical approaches to achieving cos-
metic improvements. Then, following each group of chapters dedicated to an aspect of facial
surgery, a discussion is presented to provide an expert summary. This is unique in surgical
book design and will further improve the reader’s understanding.
Integrated Procedures in Facial Cosmetic Surgery has introductory chapters that cover the
history of facial esthetic surgery, as well as chapters on facial anatomy and photography. Then,
the chapters appear in a top-down, outside-in organization that facilitate the reader’s ability to
quickly locate information they seek. The text is concisely written, valuing the busy surgeon’s
time, and is beautifully illustrated with high-resolution, well-oriented pre- and postoperative
patient photographs and well-composed intraoperative images. References are provided that
allow the reader to dive more deeply into topics and further investigate the evidence supporting
statements made in the book.
A wide variety of surgical disciplines will find this book useful, including oral- maxillofacial
surgeons, otolaryngologists, plastic surgeons, facial cosmetic surgeons, and all others who are
having an interest in enhancing patient lives by improving facial appearance. Residents and
vii
viii Foreword
fellows will also find the book highly instructive as they learn their craft. This text will be a
valuable addition to the library of any surgeon seeking a comprehensive, up-to-date resource
to help them learn all aspects of the very broad and exciting field of integrated facial cosmetic
surgery.
James R. Hupp
Washington State University
Elson S. Floyd College of Medicine
Washington, DC
USA
A Word About Our Talented Authors
Some of the most well-known and professional maxillofacial surgeons, plastic surgeons, and
otolaryngologists from all over the world have contributed to the compilation of this book.
Also, one of the most remarkable advantages of this book is its Q/A Discussion chapters. In
these chapters, the opinions, approaches, and experiences of current legendary pioneer sur-
geons in the field of facial cosmetic surgery regarding the present trending topics in this field
are discussed, which is certainly of considerable value.
The list of the internationally well-known authors that contributed to the composition of
this book includes and not limited to:
Bruce N. Epker, DDS, MSD, PhD
• Six textbooks that dealt with the management of facial and craniofacial deformities
• Contributed major chapters to other textbooks
• Published over 100 peer review articles
James R. Hupp, MD, DMD, JD, MBA
• Editor-in-Chief Journal of Oral and Maxillofacial Surgery
• Senior Editor Contemporary Oral and Maxillofacial Surgery, 7th edition
• Distinguished Alumni Award, Harvard School of Dental Medicine
Joe Niamtu, DMD
• Well-known international cosmetic facial surgeon
• Four textbooks as well as 22 chapters on other textbooks
• Hundreds of publications on various cosmetic facial surgery topics
• Fellow of The American Academy of Cosmetic Surgery and The American Society of
Lasers and Medicine in Surgery
• Voted as “Best Plastic Surgeon to Take You Back 20 Years” by “Richmond” magazine in
2010
• Honored as a “Top Doc” by “Plastic Surgery Practice” magazine and “Best Cosmetic
Surgeon” by “Style Weekly” magazine
Anthony P. Sclafani, MD, FACS
• Sir Harold Delf Gillies Award (1996), American Academy of Facial Plastic and
Reconstructive Surgery for excellence in facial plastic surgery research
• Ira Tresley Award (2002, 2004), American Academy of Facial Plastic and Reconstructive
Surgery for excellence in facial plastic surgery research
• Authored and edited several books, including Total Otolaryngology-Head and Neck
Surgery, Rhinoplasty—The Experts’ Reference and Surgical Atlas of Facial Plastic Surgery
ix
x A Word About Our Talented Authors
• Chairman, Continuing Medical Education Committee, American Academy of Facial Plastic
and Reconstructive Surgery
• Authored several textbooks and is Editor-In-Chief of Facial Plastic Surgery
Babak Azizzadeh, MD, FACS
• Chairman and Director of the CENTER for Advanced Facial Plastic Surgery
• Internationally recognized expert in facial plastic surgery
• Published numerous textbooks and peer-reviewed articles, received many honors and
awards
• Co-Director of the Facial Plastic & Reconstructive Surgery Fellowship Program at The
American Academy of Facial Plastic and Reconstructive Surgery
• Co-Chairman of Cedars-Sinai’s annual Advances in Multispecialty Aesthetic and
Reconstructive Surgery Symposium
• The lead investigator for a stem cell and nerve regeneration project at Cedars-Sinai’s
Regenerative Medical Institute
• Board-certified by two separate accreditation organizations; The American Board of Facial
Plastic & Reconstructive Surgery and The American Board of Otolaryngology-Head &
Neck Surgery
Nabil Fakih Gomez, MD
• Lebanon and Spain leading facial surgeons and a recognized worldwide expert in the field
of Facial Plastic and Reconstructive Surgery
• Vice-President of the Spanish Society of Facial Plastic Surgery
• Associate member of the European Academy of Facial Plastic Surgery and American
Academy of Facial Plastic and Reconstructive Surgery
• Specialized in Cranio-Maxillo-Facial Surgery and Facial Plastic Surgery from the most
prestigious Hospitals of Spain and the USA
• Authored or coauthored several papers and scientific manuscripts on facial plastic recon-
structive surgery
Lara Devgan, MD, MPH, FACS
• Medical expert for ABC News, an editorial consultant for The Lancet, a nationally and
internationally invited lecturer on surgical topics, and an advisor on plastic surgical issues
for Gerson Lehrman Group, Guidepoint Global, and Medefield
• Achieved board scores in the top 3% of all plastic surgeons nationwide
• Ranked “#1 female cosmetic surgeon” in New York by RateMDs, featured as a “Super
Doctors Rising Star” plastic surgeon in The New York Times Magazine, listed in “America’s
Top Plastic Surgeons” by Consumers’ Research Council, named the featured face specialist
in Haute MD’s “Nation’s Best Plastic Surgeons,” awarded the “Top Plastic Surgeon in
New York” designation by HealthTap, recognized with the “Patients’ Choice Award” by
Vitals.com, granted the “Top Doctor” designation by RealSelf, and given the “Excellence in
Customer Service Award” by Talk of the Town
• Research and writing published in the New York Times and on ABC News
• Recipient of federal surgical research grant from National Institutes of Health
• Editorial board of Aesthetic Surgery and Medicine
• Invited judge for resident and fellow abstract competition, Medical Society of the State of
New York
A Word About Our Talented Authors xi
Foad Nahai, MD, FACS
• Special Honor for Contributions to the Field of Plastic Surgery Through Education, Persian
American Society of Plastic Surgeons
• Jerome Klingbeil Award for Teaching Excellence, American Society for Aesthetic Plastic
Surgery
• Lifetime Achievement Award, Aesthetic Society Education and Research Foundation
• The Multi-Specialty Foundation for Aesthetic Surgical Excellence Honor Award
• Best Paper Award, Aesthetic Surgery Journal
• Clinician of the Year Award, American Association of Plastic Surgeons
Federico Hernandez Alfaro, MD, DDS, PhD, FEBOMS
• Head of the Department of Oral and Maxillofacial Surgery at Teknon Medical Center, the
largest private facility in Spain
• Professor and Chairman of Oral and Maxillofacial Surgery at Universitat Internacional de
Catalunya (Barcelona, Spain)
• Over 120 papers and 4 books with a focus on orthognathic surgery and preprosthetic
surgery
• More than 500 lectures in international conferences and congresses
Faisal A. Quereshy, MD, DDS, FACS
• Full Professor with Tenure, and the Residency Program Director of the Department of Oral
and Maxillofacial Surgery at the Case School of Dental Medicine and University Hospitals
Case Medical Center in Cleveland, Ohio
• Numerous continuing education seminars and presentations internationally and locally in
his specialized field
• Published a number of scientific and clinical papers, as well as textbook chapters
• Current chair for CE education for the American College of Surgeons ACOMS District IV
Trustee; and chair of the AAOMS Clinical Interest Group in Cosmetic Surgery
Angelo Cuzalina, MD, DDS
• The 2011 President of the American Academy of Cosmetic Surgery
• A leader in the field of cosmetic surgery, culminating in both the AACS and the ABCS
Presidential appointments
• Board certified by two surgical boards which include the American Board of Cosmetic
Surgery, for body, breast, and facial surgery, as well as the Board of Oral & Maxillofacial
Surgery
• Over 15 book chapters in the areas of Rhinoplasty, Face-lifting, Neck-lifting, Brow lifts,
Liposuction, Blepharoplasty, and Facial Implants
Mohan Thomas, MD, FACS
• Chief Surgeon and Medical Director of the Cosmetic Surgery Skin Institute Private Limited,
Mumbai, India, and Founder President of the Indian Society of Cosmetic Surgery and The
Academy of Anti-Ageing Medicine, Mumbai/New York
• Medical Director of the Cosmetic Institute and Founder President of the Asian Academy of
Cosmetic Surgery and the Academy of Anti-Ageing Medicine, Mumbai/New York
• Authored and contributed to several text books and articles in many scientific journals
