With the ever-increasing popularity of injectable toxins and fillers, all clinical practitioners in minimally invasive aesthetic procedures need to be experts in the anatomy of the face. This is a detailed and informative guide from international experts to all aspects of the facial anatomy of the presenting clinical patient - how it changes with age, how it differs in different patients, how it is layered, and what danger zones it may contain. An integral ebook contains videos demonstrating how injection can best be accomplished in each of the anatomical areas considered.
A Practical Guide to Dermal Filler Procedures is the second book in the new Cosmetic Procedures series especially designed for providers who would like to expand their practice to include minimally invasive cosmetic procedures. Residents or practitioners new to aesthetics and experienced providers alike can benefit from this series which focuses on current aesthetic treatments that can be readily incorporated into office practice. For the "hands on" providers, these commonly performed cosmetic procedures can make the practice of medicine more rewarding, improve patient satisfaction and increase reimbursement. This book provides thoroughly illustrated step-by-step instructions on dermal filler treatments and advice on managing common issues seen in follow up visits. Each chapter focuses on a single dermal filler procedure and reviews all relevant anatomy including target regions and areas to avoid. Injection sites are highlighted to help practitioners perform the procedures more effectively and minimize complication risks. The series foreword has be written by world renowned author, John. L. Pfenninger. Access to a companion website, http://solution.lww.com/practicalguidefillers is also included with video clips of every procedure! Look for additional titles in the series: A Practical Guide to Botulinum Toxin Procedures; A Practical Guide to Chemical Peels and Skin Care Products
This book, containing more than 200 cadaveric photos and 200 illustrations, aims to familiarize physicians practicing botulinum toxin type A (BoT-A) and filler injection with the anatomy of the facial mimetic muscles, vessels, and soft tissues in order to enable them to achieve optimum cosmetic results while avoiding possible adverse events. Anatomic considerations of importance when administering BoT-A and fillers are identified and in addition invaluable clinical guidelines are provided, highlighting, for example, the preferred injection points for BoT-A and the adequate depth of filler injection. Unique insights are also offered into the differences between Asians and Caucasians with regard to relevant anatomy. The contributing authors include an anatomist who offers distinctive anatomic perspectives on BoT-A and filler treatments and three expert physicians from different specialties, namely a dermatologist, a plastic surgeon, and a cosmetic physician, who share insights gained during extensive clinical experience in the use of BoT-A and fillers.
A Practical Guide to Botulinum Toxin Procedures is one of four books in the new Cosmetic Procedures for Primary Care series. This series offers guidance to primary care practitioners who wish to expand their practice to minimally invasive cosmetic procedures. Whether the physician is just getting started or well versed in aesthetic medicine, this series can be used as a routine quick reference for current aesthetic procedures that can be readily incorporated into office practice. The series will put these cosmetic treatments into the hands of the physician the patient knows and trusts the most, and will bring primary care practitioners increased autonomy, improved patient satisfaction, and added reimbursement. This book provides thoroughly illustrated step-by-step instructions on botulinum toxin injection procedures and advice on managing common issues seen in follow-up visits. Each chapter focuses on a single procedure and reviews all relevant anatomy, including target muscles and their functions and muscles to be avoided. Injection points and the injection Safety Zones are highlighted to help practitioners perform the procedures more effectively and minimize complication risks. Initial chapters cover treatment in the upper third of the face for frown lines, horizontal forehead lines, and crow's feet—procedures suited for practitioners who are getting started with cosmetic botulinum toxin treatments. Subsequent chapters cover more advanced face and neck procedures and treatment of axillary hyperhidrosis.
The injection of cosmetic neurotoxins and fillers is a multi-billion dollar industry in which facial plastic surgeons, plastic surgeons, dermatologists, oculoplastic surgeons, and paraprofessionals in the U.S. perform more than seven million injections annually. Cosmetic Injection Techniques and the videos that accompany it provide all medical professionals in the field (from beginners to experienced injectors) with practical information on how to properly administer neurotoxin and filler injections for conditions such as lower eyelid roll, nasal flare, platysmal banding, marionette lines, glabellar frown lines, and much more. Key Features: Full color, detailed illustrations describe key anatomical landmarks and identify exact injection locations Online access to videos narrated by Dr. Kontis that demonstrate multiple injection techniques A unique rating system for each procedure, enabling injectors to perform techniques appropriate to their skill level Every commonly performed cosmetic injection procedure is covered, giving readers a comprehensive guide on how to safely and effectively perform injections This easy-to-use manual gives facial plastic surgeons, plastic surgeons, dermatologists, oculoplastic surgeons and other medical professionals authoritative, concise information on the anatomy, techniques, precautions, complications, and post-treatment care involved in the administration of injections of cosmetic neurotoxins and fillers.
Facial rejuvenation with fillers over the last twenty years, leading to the coming of a new era with hyaluronic acid. The first book in the Master Collection addressed indications and technique for the injection of botulinum toxin. This new work extends our work on facial rejuvenation to the field of volumising injections. The topic is of great importance given that the fight against aging is not just a trivial question of fashion but is essential to an individual’s well-being and social relationships. Major progress in the techniques of facial rejuvenation in the last decade This is an opportune moment for such a review insofar as there has been major progress in the techniques of facial rejuvenation in the last decade. The broad range of different resources available to us today means that we now often have extensive choice when making our therapeutic decisions. However, none of us would want to cross the ill-defined line between pleasing, natural, balanced rejuvenation and a radical change in facial equilibrium. Medicine and aesthetic surgery are complementary disciplines, both developing quickly but not in competition. The indications for one or the other must always be followed with utmost rigour. The road to excellent outcomes passes by combining the various different methods available to us and by acting together with other experts. All experts agree on the efficacy of hyaluronic acid From the first timid filling in of wrinkles barely twenty years ago, through focused filling treatments and ultimately global injection of the whole face, the journey has been long and sometimes difficult but always full of lessons. Many different products have been used. Some turned out of have a short lifetime and others had adverse effects, serious ones in some cases. Finally, one compound emerged from the pack and now all experts agree on its efficacy; that compound is hyaluronic acid. Philippe Garcia, MD Forewords FOREWORDS TO ANATOMY AND VOLUMISING INJECTIONS Presentation of our approach necessary to determine the relationships between various anatomical planes into which we inject fillers. The authors of this book have chosen to review the basic anatomy By performing serial dissections plane by plane, we have identified safe areas as well as potential hazards. This approach seemed necessary to determine the relationships between the various anatomical planes into which inject fillers. An essential part of this approach is detailed analysis of the different fat compartments which play such an important part in age-related changes to the face. Our work was completed by the dissection of muscles and septa, as well as the identification of their relationship with the fat compartments. These structures are particularly important when it comes to treatment of the infraorbital region and the mandibular line. Therefore, facial aging can no longer be exclusively attributed to the consequences of slippage of the various planes under the influence of gravity, as used to be believed. Process of facial aging is far more complex It is now obvious that the process of facial aging is far more complex. It is even generally accepted now that downward displacements of the fat compartments in the face are controlled by a series of different septa and other ligaments (both false and true) to which they are attached. Moreover, it is also likely that these fat compartments change with time by shrinking and expanding. In the same spirit, what used to be seen as distension of the tissue associated with the muscles of the face and neck could sometimes be a muscular contracture. Probing the exact mechanisms underlying facial aging brings us into a world rich in surprises. And experts from all fields have not finished surprising us with their imagination and enthusiasm. Philippe Garcia,
Highly Commended by the BMA Medical Book Awards for Surgery! The gliding nature and dynamic planes of the face present one of the great challenges in aesthetic surgery and volume replenishment is a key component of the treatment algorithm. Facial Volumization: An Anatomic Approach by Jerome Lamb and Christopher Surek masterfully bridges the gap between the anatomy lab and injection clinic. It synthesizes a large body of facial anatomy publications into a "one-stop shop" covering a wide array of facial procedures - from the chin and perioral - to the midface and temple. In addition to vascular injury, lymphatic disruption can play a critical role in suboptimal aesthetic facial volumization outcomes. Chapter 2, The Lymphatic Anatomy of the Lower Eyelid and the Malar Region of the Face discusses new state-of-the art facial lymphatic discoveries. Key Features Numerous beautiful, full-page color illustrations systematically reveal each layer of the face - from deep to superficial - taking readers on a unique journey through the 3-D architecture of complex facial anatomy. The left side of each page features a written synopsis of the vascular, muscular, ligament, and adipose components of specific layers paired with cadaveric dissection photographs. More than 20 high-definition live patient injection videos posted in the Thieme online Media Center include detailed injector commentary. Augmentation and enhancement techniques, the latest facial fillers and lip injections, and illustrated guidance on preferred volumization approaches. Identification of danger zones and technical pearls for injecting safely, avoiding problems, and obtaining the best results. This invaluable resource will help residents and seasoned plastic surgeons, facial plastic surgeons, dermatologists, otolaryngologists, and aestheticians perform facial injections safely and achieve optimized results.
Our 360 degrees approach to lip enhancement Due to their complexity, the structure and function of the orbicularis oris muscle particularly caught our attention. This unusual circular muscle around the buccal opening, which is not attached to any bone, consists of intertwined fibres that simultaneously act as a dilator and a sphincter. Moreover, the peripheral fibres of this muscle are interlaced with the peribuccal muscles enabling the infinite variations of facial expressiveness. It is essential to understand all of these elements so that they are rigorously safeguarded when undergoing the various type of treatment we can offer. The second common thread in our book is based on highly practical aspects of the various procedures being proposed. From working environment and preparation of the equipment through well whether anaesthesia is indicated and what operating technique is recommended, the contributors have described their personal technical preferences in a context of consistency in this collective effort. Thus we have addressed lip rejuvenation and augmentation with the same balance. Although most of the authors routinely use hyaluronic acid in the course of treatment, it seems to us indispensable to pay special attention to techniques based on the grafting of adipose tissue. The use of adipose tissue, which demands mastery of surgical techniques, has shown itself to be efficient and holds yet more potential in many applications because of the way in which this type of tissue develops in situ after fat grafting. Physicians and surgeons involved in the lip enhancement are working to the same end. We should know all about the sites where we make our injections and to need to analyse with rigour the objective established together with the patient. We all have to take into account the natural balance of the various volumes when remodelling lips to ensure a pretty smile that brings pleasure all around. In this, as in other areas, modesty and caution are the watchwords. In writing and publishing this work Expert 2 Expert attempts to build a bridge between the anatomical knowledge essential to our praxis and the routine practice of lip enhancement procedures. Philippe Garcia, MD
Dermal fillers are substances injected into the face to fill lines and add volume to areas such as the lips and cheeks. They are not permanent and usually last between six and eighteen months. Similarly, Botulinum toxin (Botox) injections relax the facial muscles to smooth out line and wrinkles, such as frown lines and crow’s feet. Botox is not permanent and usually lasts for three to four months. This book is a comprehensive guide to the clinical use of fillers and Botox. Beginning with an overview of the history and basic science of cosmetic injectables, the book is then divided into two key sections. Section one examines fillers, discussing facial anatomy, patient selection, anaesthesia, and injection techniques for different areas of the face. Treatment plans, patient consent, and before and after instructions, are also discussed. The second section covers Botox and its use for treating different types of facial lines, and includes chapters on complications and their management, and Botox in men. The extensive text is enhanced by nearly 300 clinical photographs, illustrations and tables. Key points Comprehensive guide to clinical use of dermal fillers and Botox In depth discussion on injection techniques for different parts of the face Covers patient and treatment selection, patient consent and complications Includes nearly 300 clinical photographs, illustrations and tables
Injections of dermal fillers have shown tremendous year–on- year growth since their introduction. Although dermal necrosis has been reported with HA fillers, this adverse event is typically far less severe with HA fillers than with non –HA fillers (with prompt diagnosis and treatment). Anatomy and Filler Complications emphasizes on the importance in training and educatingphysicians. Prevention is the only recourse, as it will be discussed extensively in this book Injections of dermal fillers have shown tremendous year–on- year growth since their introduction. Although dermal necrosis has been reported with HA fillers, this adverse event is typically far less severe with HA fillers than with non –HA fillers (with prompt diagnosis and treatment). Anatomy and Filler Complications emphasizes on the importance in training and educating physicians. Prevention is the only recourse, as it will be discussed extensively in this book
