By Paul J. Carniol, Gary D. Monheit
Each practitioner of aesthetic medication and surgical procedure will have already got a sequence of textbooks educating on the right way to deal with the traditional sufferer. regrettably, each practitioner also will have sufferers who don't comply with the common – who're of a unique age, or intercourse, or ethnicity, or scientific background, or who've designated social necessities. This e-book seems to be at these complex components that have a tendency to be neglected within the extra regular textbooks, yet are of severe curiosity to these practitioners who're faced by means of a sufferer no longer conforming to the traditional therapy; it swimming pools the services of best aesthetic practitioners to assist indicate the parts of precise problem that come up in medical perform and the way to set approximately tackling and fixing them.
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Extra resources for Aesthetic Rejuvenation Challenges and Solutions: A World Perspective (Series in Cosmetic and Laser Therapy)
J Plast Reconstr Aesthet Surg 2009; 62(1): 11–8. 46. Kim KH, Geronemus RG. Laser lipolysis using a novel 1,064 nm Nd:YAG Laser. Dermatol Surg 2006; 32(2): 241–8. 47. Murray E. The use and mechanism of action of high-intensity focused ultrasound for adipose tissue removal and non-invasive body sculpting. (Abstract) ASPS Meeting Chicago, Illinois, September 2006. 48. Manstein, Laubach H, Watanabe K et al. Selective cryolysis: a novel method of non-invasive fat removal. Lasers Surg Med 2008; 40: 595–604.
46) A very small incision, usually 1 to 2 mm is made and the small catheter with the laser fiber is inserted into the fatty layer. The laser lipolysis is used both with and without concomitant liposuction. The benefits of laser lipolysis are theoretically a lessening of bleeding and bruising, and significant tissue tightening. Small areas can certainly be treated with minimal recovery time. Many wavelengths have been approved for laser lipolysis including 1064, 1320, and 980. Recently, devices are used with combinations of these wavelengths to maximize fat dissolution and dermal tightening.
A complete discussion of the preoperative patient evaluation may be found in chapter 1. However, several important aspects will be discussed here. Starting in a superior to inferior fashion, the first key area occurs at the brow-periorbital zone. With advancing age, the brow descends, especially in its temporal aspect. This is due to a combination of forehead dermatochalasis, fascial laxity, and hypertrophy of the brow depressor muscles. The accepted ideal brow configuration (1) varies with patient gender.