Practical Procedures in Aesthetic Plastic Surgery: Tips and Traps

502 Pages·1994·62.9 MB·English

by  Tolbert S. Wilkinson

HNO PRAXIS HEUTE 21
Springer
Berlin
Heidelberg
New York
Barcelona
Hongkong
London
Mailand
Paris
Tokio
Practical Procedures in
Aesthetic
Plastic Surgery
Practical Procedures
in
Ae thetie
lastie urgery
Tips and Traps
oreword by S YEN M. HO LIN
With 510 Illustrations and 46 Color Plates
Springer-Verlag
New York Berlin Heidelberg London Paris
Tokyo Hong Kong Barcelona Budapest
Tolbert S. Wilkinson, M.D., F.A.C.S.
Institute for Aesthetic Plastic Surgery
One Oak Hills Place
1901 Babcock, Suite 200
San Antonio, TX 78229
USA
Library of Congress Cataloging-in-Publication Data
Wilkinson, Tolbert S., 1937-
Practical procedures in aesthetic plastic surgery / Tolbert S.
Wilkinson.
p. em.
Includes bibliographical references and index.
ISBN -13:978-1-4612-7598-5
1. Surgery, Plastic. I. Title.
[DNLM: 1. Surgery, Plastic-methods. 2. Face-surgery.
3. Breast-surgery. 4. Abdomen--surgery. WO 600 W687p 1994]
RD1l9W535 1994
617.9'~c20
DNLMIDLC
for Library of Congress 93-41835
Printed on acid-free paper.
© 1994 Springer-Verlag New York, Inc.
Soft cover reprint of the hardcover 1s t edition 1994
All rights reserved. This work may not be translated or copied in whole or in part without the written
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While the advice and information in this book are believed to be true and accurate at the date of going to press,
neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or
omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material
contained herein.
Production coordinated by Publishing Network and managed by Karen Phillips; manufacturing supervised by
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Typeset by ATLIS Graphics, Mechanicsburg, PA.
Color separations and printing by New England Book Components, Hingham, MA.
9 8 7 6 5 432 1
ISBN-13: 978-1-4612-7598-5 c-ISBN-13:978-1-4612-2594-2
DOl: 10.1007/978-1-4612-2594-2
Foreword
T
HOSE WHO KNOW DR. 'T" WILKINSON ARE NOT SURPRISED BY HIS
individualistic, creative thinking and "straight Texas style shooting" approach to
teaching. His long-term editorship of Technical Forum has allowed him to draw
upon the innovative contributions of plastic surgical experts and the free flow of
important procedural commentaries.
Describing the intricate art and science of plastic surgery in writing is a
formidable challenge. My congratulations to him for meeting this challenge. The
importance of exchanging critical commentaries from plastic surgery experts
cannot be overemphasized. The text departs somewhat from traditional writing
by frequently draWing upon the critical but subtle capsule comments and
anecdotes of others. Characteristically, small personal pearls of wisdom and
helpful tips are often exchanged at meetings, but many are seldom published.
The importance of their publication here is its obvious wider exposure. This is
certainly well done in this text, which applies a wealth of special emphasis on the
practical technical detail of standard and new procedures. This is especially
helpful when new, innovative procedures or modification of old procedures may
lack wide-spread evaluation and rapid feedback
The chapters on facial procedures, fat grafting, and adjunctive procedures
are especially instructionaL Good results can be obtained by combining small,
multiple procedures, i.e., cheek augmentation, fat grafting, liposuction, and
combined peeling with a standard rhytidectomy. You will find that the consistent
v
VI Foreword
attention to detail allows the surgeon to easily follow step-by-step through
various procedures. The very innovative footnote-style commentaries of many
experienced plastic surgery experts add tremendously to understanding the true
value of various procedures.
It is obvious in his writing that Dr. "T" places special emphasis on searching
for the truth in evaluating new procedures, attempting to avoid the inaccuracies
and exaggerations that often accompany such techniques. This fine text is an
excellent guide to performing both standard and new aesthetic procedures. My
congratulations to Dr. Tolbert Wilkinson for a very important and useful
contribution.
STEVEN M. HOEFFLIN, M.D., F.A.C.S.
Contents
Foreword v
Color plates follow frontmatter
Introduction 1
The Face
PAR TON E
Introduction to the Face 7
1
Facial Rejuvenation 11
2
Fat Grafting 47
3
Submental Triangle 69
4
Cheek 81
vii
viii Contents
5
Chin 103
6 Lip Enhancement 117
7
Blepharoplasty 145
8 Rhinoplasty 173
9
Rhytidectomy 207
10
Secondary Rhytidectomy 249
11
Midface Rhytidectomy 265
The Body
PART TWO
Introduction to the Body 279
12
Breast Augmentation 281
13
Breast Reduction and Mastoplexy 345
14
Abdominoplasty 391
15
Suction Lipectomy 427
16
Miscellaneous Plastic Surgery Topics 455
Index 477
Color Plates