Procedural Dermatology

700 Pages·2014·148.44 MB·English

by  Marc Avram

Pro e dur l
De rm to lo g y
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N
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MCGH322-FM_pi-xviii.indd 2 30/08/14 6:58 PM
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EDITORS
Ma Rc R. av Ra M, MD
Clinical Pro essor o Dermatology
Weill Cornell Medical School
New York, New York
Private Practice
New York, New York
MaTh Ew M. av Ra M, MD, JD
Director, MGH Dermatology Laser & Cosmetic Center, Massachusetts General Hospital
Faculty Director or Dermatology Laser and Cosmetic Training, Harvard Medical School
Assistant Pro essor o Dermatology, Harvard Medical School Af liate Faculty, Wellman Center or Photomedicine
Boston, Massachusetts
DéSIRéE RaTn ER, MD
Director o Comprehensive Skin Cancer Program
Continuum Cancer Centers o New York (CCCNY)
Director, Dermatologic Surgery, Department o Dermatology
Mount Sinai Beth Israel Medical Center and St. Luke’s and Roosevelt Hospitals
New York, New York
New York Chicago San Francisco Athens London Madrid Mexico City
New Delhi San Juan Singapore Sydney Toronto
MCGH322-FM_pi-xviii.indd 3 03/09/14 5:10 PM
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M r R. a r m, MD
I would like to dedicate this book to my loving parents Morrell and Maria Avram.
T ey have always given me and my amily unconditional support and love.
T ank you!
o my wi e Robin or all o her love and being my best riend. o my sons
Robert and Jacob, thank you or always bringing joy, love, and wonder to my li e.
I am very proud o you both.
M t ew M. a r m, MD, JD
I would like to dedicate this textbook to my parents, Morrell and Maria Avram,
who have provided me with their love and support my entire li e. o my beauti ul
wi e, Alison. T ank you or your love, understanding and support. o my
wonder ul children Rachel, Alexander and Noah. T ank you or inspiring me
with your love, joy and accomplishments.
Désirée R t er, MD
o my parents, Marion and Paul Ratner, or always being there,
to my children, Xanthe and Evan T omas, or their love and support, and
to Paul Heller, or his kindness, love, and understanding.
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Co n t e n t s
C i ix 13 Hemostasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134
Wilfred A. Lumbang, Meghan Scharf, &
P fac xv
T omas Stasko
Ack wl dgm xvii
14 Electrosurgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 148
Jo Martin & imothy S. Wang
Sec t io N 1 Su r g ic a l Pr iNc iPl eS
15 Cryosurgery. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157
James M. Spencer & Summer D. Moon
1 Super cial Head and Neck Anatomy . . . . . . . . . . . . . . 1
Hugh . Greenway, Vineet Mishra, Lee M. Miller, & 16 Suture Closure Materials and echniques . . . . . . . . 165
Salman Alsaad Ian A. Maher, James D. Russell, T uzar Shin,
Margaret Mann, & Jeremy Bordeaux
2 Preoperative Evaluation . . . . . . . . . . . . . . . . . . . . . . . . . .14
Bichchau M. Nguyen & Chrysalyne D. Schmults 17 T e Elliptical Excision and its Variations . . . . . . . . . 177
Joseph F. Sobanko & Christopher J. Miller
3 In ormed Consent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
anya Nino, Rachel Epstein, Andrea Smith, & 18 Random Pattern Flaps . . . . . . . . . . . . . . . . . . . . . . . . . . 193
Abel orres Margaret Mann, Jeremy Bordeaux, &
Roberta Sengelmann
4 Anesthesia and Analgesia . . . . . . . . . . . . . . . . . . . . . . . . 33
Nima M. Gharavi & Gary P. Lask 19 Axial Pattern and Interpolation Flaps . . . . . . . . . . . . 221
Christopher J. Miller, Joseph F. Sobanko, &
5 Aseptic echnique . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51 John G. Albertini
Jill Henley & Jerry D. Brewer
20 Skin Gra ting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 243
6 Digital Imaging in Dermatologic Surgery . . . . . . . . . . 63 Hillary Johnson-Jahangir & Kira Minkis
Andrea M. Hui, Neil Brody, & Daniel M. Siegel
21 Surgical Scar Revision . . . . . . . . . . . . . . . . . . . . . . . . . . 261
7 T e Surgical Suite: Equipment and Accreditation . . .72 Lee M. Miller & Seaver L. Soon
Riley McLean & Mary E. Maloney
22 Nail Surgery. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 273
8 Surgical Instruments . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82 Joshua W. rufant, John A. Carucci,
Zena Pinnella, Kerri Robbins, & Aaron K. Joseph Nathaniel Jellinek, & Chris G. Adigun
9 Preoperative and Postoperative Antibiotics . . . . . . . . 89 23 Ear Piercing and Ear Lobe Repairs . . . . . . . . . . . . . . . 295
Michael M. Wolz & Christopher J. Arpey Steven S. Greenbaum, Charles H. Greenbaum, &
Joshua M. Greenbaum
10 Wound Healing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100
Katherine A. Nolan, Liza Braun, & Robert S. Kirsner 24 Surgical Complications and T eir
Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 313
11 Dressings and Postoperative Care . . . . . . . . . . . . . . . 110 Milène K. Crispin, Erik S. Cabral, & Sumaira Z. Aasi
Daniel A. Davis
Sec t io N 3 SkiN t u mo r S
Sec t io N 2 Su r g ic a l Skil l S
25 Benign Subcutaneous umors . . . . . . . . . . . . . . . . . . 323
12 Biopsy echniques . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123 Paul X. Benedetto & Allison . Vidimos
Anthony M. Rossi, Erica H. Lee, & Kishwer S. Nehal
MCGH322-FM_pi-xviii.indd 7 30/08/14 6:58 PM
26 Mohs Micrographic Surgery: Indications 43 Special Considerations for Hair
and echnique 329 Restoration Surgery 504
Nicholas B. Countryman & C. William Hanke Marc R. Avram & Meena Singh
27 Practical Management of Atypical Nevi 338 44 Sclerotherapy 520
June J. Park, Clara Curiel-Lewandrowski, & Karen L. Beasley & Robert A. Weiss
Caroline C. Kim
45 Minimally Invasive reatment of Varicose Veins 527
28 Surgical Management of Melanoma 344 Karen L. Beasley & Robert A. Weiss
Peter L. Mattei, Elizabeth K. Jones, & Hensin Tsao
46 Phototherapy and Photodynamic T erapy for
29 Management of Advanced the reatment of Acne Vulgaris 537
Nonmelanoma Skin Cancer 353 Michael H. Gold
Catherine Lee Tran, Mark M. Tran, & Timothy S. Wang
C 47 Acne Scarring 549
o
n 30 Skin Cancer in the Organ ransplant Patient 370 Snehal Amin
t
e
Sasha Jenkins, Maren Cotes, & Fiona Zwald
n
t
s 48 Management of Dyschromias 563
Claire Marie Reyes-Habito & Molly Wanner
Sec t io n 4 AeSt h et ic An d LASer 49 Laser and Light reatment of Pigmented
Lesions 578
Pr o c ed u r eS
Mussarrat Hussain, Suzanne L. Kilmer, &
Omar A. Ibrahimi
31 Cosmeceuticals and opical Agents 381
Zoe Diana Draelos
32 Chemical Peels 388
Sec t io n 5 AeSt h et ic Pr o bLemS
Christopher B. Harmon & Tarek M. Fakhouri
50 attoos 589
33 Photodynamic T erapy for Nonmelanoma
Mussarrat Hussain, Suzanne L. Kilmer, &
Skin Cancer and Precursor Lesions 398
Omar A. Ibrahimi
Katrine Togsverd-Bo & Merete Haedersdal
51 Noninvasive Scar reatment 603
34 Noninvasive Skin ightening echnology 410
Anna Chacon, Katlein Franca, Jenni er Ledon,
Andrew A. Nelson
Jessica Savas, & Keyvan Nouri
35 Ablative and Fractional Ablative Resurfacing 419
52 Laser and Light-Based reatment
Arisa E. Ortiz, Mitchel P. Goldman, &
of Vascular Lesions 614
Richard E. Fitzpatrick
Kathryn Serowka & Kristen M. Kelly
36 Nonablative Dermal Remodeling 429
53 Laser Hair Removal 627
Yoon-Soo Cindy Bae & David J. Goldberg
Omar A. Ibrahimi & Suzanne L. Kilmer
37 Fillers 438
54 Eyelid Rejuvenation 640
Jason Emer & Heidi A. Waldor
Robyn Sackeyf o, Robert Silich, & Henry M. Spinelli
38 Injectables 453
55 Facial Rejuvenation 654
Karen L. Connolly, David M. Ozog, & Joel L. Cohen
Jenny C. Hu & Jenny Kim
39 Non-Invasive Fat Removal 467
56 Hand Rejuvenation 672
H. Ray Jalian
Nils Krueger & Neil S. Sadick
40 Non-Invasive Body Contouring 472
57 Laser reatment of Asian Skin 676
Andrew A. Nelson & Mathew M. Avram
Samantha Yee Nam Shek & Henry Hin Lee Chan
41 Liposuction 479
58 African Skin 684
Daniel P. Friedmann, Kimberly J. Butterwick, &
Valerie D. Callender, Cherie M. Young, &
Arisa E. Ortiz
Susan C. Taylor
42 Hair ransplantation for Men and Women 495
Index 695
Nicole E. Rogers & Marc R. Avram
viii
MCGH322-FM_pi-xviii.indd 8 04/09/14 9:55 PM
Co n t r Ib u t o r s
Sum ir Z. a si, MD M r R. a r m, MD Kimberly J. Butterwi k, MD
Dermatologic Surgery Clinical Pro essor o Dermatology Private Practice
Stan ord Department o Dermatology Weill Cornell Medical School San Diego, Cali ornia
Redwood City, Cali ornia New York, New York
Private Practice Erik S. c br l, MD
c ris G. adigu , MD New York, New York Bennett Surgical Center
Clinical Instructor o Dermatology Santa Monica, Cali ornia
Ronald O. Perelman Department o K re L. Be sley, MD
Dermatology Clinical Assistant Pro essor o v lerie D. c lle der, MD
New York University School o Medicine Dermatology
Callender Dermatology and Cosmetic
New York, New York University o Maryland School o
Center
Medicine
Glenn Dale, Maryland
Jo G. alberti i, MD T e Maryland Laser Skin and Vein
Institute
Vice President and Laboratory Director Jo a . c ru i, MD, P D
Baltimore, Maryland
T e Skin Surgery Center
Associate Pro essor; Chie , Mohs
Winston Salem, North Carolina
Micrographic and Dermatologic
P ul X. Be edetto, MD
Surgery
S lm als d, MD Procedural Dermatology Fellow, Director, Procedural Dermatology
Department o Dermatology
Division o Mohs Surgery and Fellowship raining Program
Dermatology and Plastic Surgery
Procedural Dermatology Director o Dermatologic Surgery,
Institute
Scripps Clinic orrey Pines Ronald O. Perelman Department o
Cleveland Clinic Foundation
La Jolla, Cali ornia Dermatology
Cleveland, Ohio
New York University School o
S e l ami , MD Medicine
Jeremy Borde ux, MD, MPh New York, New York
Surgical Director
Assistant Pro essor, Director o
Manhattan Dermatology and
Cosmetic Surgery Dermatologic Surgery a c o , MD
Department o Dermatology
Clinical Assistant Pro essor o Post-Doctoral Clinical Research Fellow
University Hospitals
Dermatology Sylvester Comprehensive Cancer
Case Medical Center
Weill Cornell Medical College Center
Case Western Reserve University
Attending, Department o Mohs/Laser Unit
Cleveland, Ohio
Dermatology Miami, Florida
New York Presbyterian Hospital
New York, New York Liz Br u , Ba Yoo -Soo c i dy B e, MD
Department o Dermatology and
Department o Dermatology
c ristop er J. a rpey, MD Cutaneous Surgery Boston University Medical Center
University o Miami Miller School o
Mayo Clinic, Department o Boston, Massachusetts
Medicine
Dermatology
Miami, Florida
Rochester, Minnesota Joel L. co e , MD
AboutSkin Dermatology and
Jerry D. Brewer, MD
M t ew M. a r m, MD, JD DermSurgery
Division o Dermatologic Surgery
Director, MGH Dermatology Englewood, Colorado
Department o Dermatology
Laser and Cosmetic Center,
Mayo Clinic College o Medicine
Massachusetts General Hospital K re L. co olly, MD
Rochester, Minnesota
Faculty Director or Dermatology
Henry Ford Hospital Department o
Laser and Cosmetic raining,
Dermatology
Harvard Medical School neil Brody, MD, P D
Detroit, Michigan
Assistant Pro essor o Dermatology, Department o Dermatology
Harvard Medical School Af liate State University o New York
Faculty, Wellman Center or Downstate Medical Center
Photomedicine Brooklyn, New York
Boston, Massachusetts
MCGH322-FM_pi-xviii.indd 9 30/08/14 6:58 PM