Comprehensive Body Contouring: Theory and Practice

Description:

This up-to-date discourse on body contouring surgery is based on the experience of a plastic surgeon who is renowned as an innovator and repeatedly reports excellent results. Patient selection, preparation, surgical procedures, and aftercare are presented for those desiring body contouring after massive weight loss, pregnancy, and/or aging. The emphasis is on technique, which is precisely described and filmed, and the videos are full length and divided into brief segments. Comprehensive Body Contouring is a thorough discussion of the surgical principles presented and referred to throughout the text. Brachioplasty, mastopexy, breast augmentation, upper and lower body lifts, buttockplasty, thighplasty, the full gamut of lipoplasties, and the coordination of these procedures are described in detail. Technique and decision making are contrasted with the writings of other well-known authors. Standardized images and analysis of evaluations and reported complications support the conclusions.

Table of Contents:

1: Introduction

References

2: Aesthetics, Examination, and Care

2.1 Aesthetic Surgical Anatomy

2.2 Relevant Female Aesthetics

2.3 Relevant Male Aesthetics

2.4 Evaluating Disordered Female Anatomy

2.5 Evaluating Distorted Male Anatomy

2.6 Safety Measures in  Body Contouring: Perioperative Care

2.6.1 Preoperative Assessment

2.6.1.1 Medical Evaluation

2.6.1.2 Nutritional Evaluation

2.6.1.3 Psychological and Behavioral Evaluation

2.6.2 Intraoperative Assessment

2.6.3 Postoperative Care

References

3: Principles and Basic Techniques

3.1 Coordination of Multiple Procedures

3.2 Principles of Treatment

3.2.1 Analysis of Deformity and Patient Preparation

3.2.2 Efficiency in Design, Organization, and Execution

3.2.3 Optimal Horizontal, Vertical, or Oblique Tissue Excision

3.2.4 Accurate Preoperative Incision Planning

3.2.5 Focus on Contour and Shape

3.2.6 Contour with Autologous Tissues

3.2.7 Integration of Liposuction with Excisional Surgery

3.2.8 Preservation of Dermis, Subcutaneous Fascia, and Neurovascular

3.2.9 Secure High-Tension Wound Closure

3.2.10 Anticipatory Perioperative Management

3.2.11 Long-Term Analysis of Patient Outcomes

Appendix 1: Consent

CONSENT FOR SURGERY

References

4: Body Contouring Surgery for Women

4.1 Background: Enhancing Female Features

4.1.1 Case 4.1 Androgynous to Feminine Form

4.1.2 Case 4.2 Feminizing an older MWL Patient

4.2 Integrating Central High-�Tension Lipoabdominoplasty

4.2.1 Case 4.3 High Central Tension Lipoabdominoplasty with VASERlipo of the Back and Upper Thi

4.2.2 Case 4.4 Central High-Tension Lipoabdominoplasty with TBL

4.3 Lower Body Lift Combined with Spiral Thighplasty

4.3.1 Case 4.5 Severe Skin Laxity for LBL, Spiral Thighplasty

4.3.2 Case 4.6 LBL and Spiral Thighplasty with Minimal Skin Laxity

4.3.3 Case 4.7 with Severe Skin Laxity in Older Patient

4.3.4 Case 4.8 Obese Lower Body and Thighs

4.3.5 Case 4.9 Twice Recurrent Saddlebag Deformity

4.3.6 Refinements in Lower Torso and Thighplasty

4.4 Upper Body Lift Simultaneous with Spiral Flap Reshaping of the Breast and L-Brachioplasty

4.4.1 Case 4.10 Severe Back Rolls in an Overweight Patient with Transverse Back Scar

4.4.2 Case 4.11 Spiral Flap with Secondary Breast Implants

4.4.3 Case 4.12 Two-Stage TBL with Spiral Flap, Transverse Incomplete UBL

4.4.4 Case 4.13 Spiral Reshaping in Overweight with a Supine Single-Stage TBL

4.4.5 Case 4.14 Spiral Breast Reshaping with Thin Donor Site in Single-Stage TBL

4.4.6 Case 4.15 Single-Stage TBL, Spiral Breast Reshaping in Overweight Patient

4.4.7 Keystone Role of Abdominoplasty

4.4.8 Total Body Lift with Spiral Flap and J-Torsoplasty

4.4.9 Case 4.16 Singe-Stage TBL with J-Torsoplasty Spiral Flap

4.4.10 Case 4.17 Two-Stage TBL in Overweight Patient, Secondary VASERlipo

4.4.11 Case 4.18 Staged TBL: Spiral Thighs Then Spiral Breast/J-Torsoplasty with Low BMI

4.4.12 Case 4.19 L Brachioplasty with Excision Site Liposuction, LBL, Abdominoplasty, and Spiral

4.5 J-Torsoplasty Combined with L-Brachioplasty

4.5.1 Case 4.20 L-Brachioplasty with Liposuction Followed by Secondary VASERlipo

4.6 Mommy Makeovers with Spiral Flap Reshaping and Barbed Suture Suspension Mastopexies

4.6.1 Case 4.21 Spiral Flap Breast with J-Torsoplasty Mommy Makeover

4.6.2 Case 4.22 Quill Suspension Mastopexy and Secondary VASERlipo

4.6.3 Case 4.23 Quill Suspension Mastopexy

4.7 Summary of Comprehensive Body Contouring in Women

References

5: Body Contouring Surgery for Men

5.1 Background

5.2 VASERlipo to Enhance Muscular Show in Case 5.1

5.2.1 Case 5.1 VASERlipo of Torso

5.3 Goals, Analysis, and Planning

5.4 Boomerang Pattern Correction of Gynecomastia

5.4.1 Case 5.2 Boomerang/Transverse UBL with UAL

5.4.2 Case 5.3 Boomerang Gynecomastia with J-Torsoplasty

5.4.3 Case 5.4 Delayed Boomerang/J-Torsoplasty in Mild Deformity

5.4.4 Case 5.5 Boomerang/J-Torso for Secondary Correction

5.5 TBL Surgery Including Boomerang Correction

5.5.1 Case 5.6. TBL, Boomerang/Transverse UBL, Abdominoplasty/LBL

5.5.2 Case 5.7 Boomerang/ J-Torsoplasty, Abdominoplasty/Flank Excision

5.5.3 Case 5.8 Boomerang/ J-Torsoplasty, Abdominoplasty/Flank Excision

5.5.4 Case 5.9 Boomerang/ J-Torsoplasty, Abdominoplasty/Flank, Thick Scars

5.6 Summary

References

6: Facelift in the Body Contouring Patient

6.1 Background

6.2 Vertical Facelift

6.2.1 Case 6.1 Vertical Facelift in a Thin-Weight-Loss Patient

6.3 Extended Vertical Facelift

6.3.1 Case 6.2 Extended Vertical in a Heavy-Weight-Loss Face

6.3.2 Case 6.3 Extended Vertical in a Thin-Weight-Loss Face

6.3.3 Case 6.4 Vertical Facelift with Sculpturing

6.4 Summary

References

Facelift References

Index