Rhytidoplasty Step by Step

Cutaneous Abscess Right Axilla

Volumetric sculpturing of the lower two thirds of the face and neck is the contemporary attempt to beautify the facial appearance which has been called for many decades classic facelift. Since the 1970s we have done it in two layers, including superficial musculo-apo-neurotic system SMAS manoeuvres, and since the early 1990s the third dimension has been included and we have started to think and act volumetrically. At home, before coming to the clinic or office, patients are advised to take...

Facelift Related Anatomy

Facial Nerve Frontal

Anatom a clavis et clavis medicinae, said Gabriele Fallopio, Italian pioneer of anatomy. It is the key and helm of the whole medicine. Profound knowledge of anatomic variations is the prerequisite for any physician who is thinking of becoming a surgeon. We will pay attention especially to the topographic anatomy of the face. Epidermis - the upper layer of the skin - renews itself. In babies this process is completed within 7 days in our 70s, it takes 4-6 weeks. Below is the corium, which is...

Anterior Nasal Spine Surgery

Before Nose Surgery For Nigeriod Nose

Ewaldo Bol var de Souza Pinto, Priscila C.S.P. Abdalla, Rodrigo P.M. de Souza, Eduardo Hentschel, Sergio Pita The study of the anatomy of the nasolabial region has been very important in the last few years because it has contributed to the aesthetic rhinoplasty concerning the search for harmony between the nose and the upper lip, and more importantly, the smile 1 . Inspired by other surgeons' experience in the treatment of Negroid nose, in which the substantial subperiosteal displacement for...

Forehead and Midface Videoendoscopic Surgery

Nasojugal Fold

Ruth Graf, Daniele Pace, Luiz Roberto de Araujo Since the introduction of endoscopic brow lifting in the mid-1990s, videoendoscopic surgery has become widely accepted as a method for rejuvenation of the upper third of the face, mainly to achieve eyebrow and forehead elevation. It has many indications and it is performed to correct eyebrow ptosis and to treat glabellar rhytids created by corrugators, and depressor supercilii and procerus muscles. Several factors, including natural aging, facial...

Autologous Fat Transfer

Fat Transfer Lips

Charles Conrad Miller from the USA described his method with infiltration of fatty tissue through hollow metal cannulas in 1926. He wrote The end-results in free fat transplantation depend, aside from various local and general factors, on the method and technique. As Miller was some kind of controversial physician and not a real surgeon, his work was soon forgotten. The reinventor of this method was Yves Gerard Illouz known as the father of liposuction from France, but the real breakthrough was...

The Importance of the Superficial Musculoaponeurotic System in Rejuvenation of the Face

High Smas Scar

Skin is elastic and accommodates changes in the shape of our faces during movement and expression. It cannot provide sustained support for sagging deeper facial tissues Fig. 38.1 . Skin is a covering, not a support. The superficial musculoaponeurotic system SMAS is closely connected to sagging facial tissues and is a logical vehicle to reposition them. The SMAS is elastic and can provide a strong and sustained support of the midface, cheek and jowl and periorbital area Figs. 38.2-38.4 . Pulling...

Liposuction in Face and Neck

Neck Liposuction Weeks Post

Since 1972 we have possessed a very simple and effective method of improving bodily contours through liposuction. The first person to attach a hollow can-nula to a vacuum machine was Ulrich Kesselring in Lausanne in 1972. The blunt tunnelling technique of liquid imbibed and anaesthetized fatty tissue was invented by Yves Gerard Illouz from France. The first cannulas were very robust, 1 cm in diameter. Now we have smaller-diameter cannulas - 5, 4, 3, 2, and even 1.6 mm - which allow us to do...