
Facial Scar Management, An Issue of Facial Plastic Surgery Clinics of North America
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Inhalt
- Front Cover
- Facial Scar Management
- Copyright
- Contributors
- CONSULTING EDITOR
- EDITOR
- AUTHORS
- Contents
- Preface: Facial Scar Management
- Treating Scars in Relation to Facial Regions
- Soft Tissue Principles to Minimize Scarring: An Overview
- Management of Forehead Scars
- Periorbital Scar Correction
- Treating Scars of the Cheek Region
- Unique Clinical Aspects of Nasal Scarring
- Treating Scars of the Chin and Perioral Region
- Treating Scars in the Auricle Region
- Treatment of Scalp Scars
- Treating Scars on the Oral Mucosa
- Treating Scars to the Neck
- Contemporary Topics Relevant to Facial Scarring
- Laser-Assisted Delivery to Treat Facial Scars
- Skin Color and Pigmentation in Ethnic Skin
- FACIAL PLASTIC SURGERY CLINICS OF NORTH AMERICA
- FORTHCOMING ISSUES
- May 2017
- August 2017
- November 2017
- RECENT ISSUES
- November 2016
- August 2016
- May 2016
- Preface: Facial Scar Management
- Soft Tissue Principles to Minimize Scarring
- Key points
- INTRODUCTION
- SCARRING IN RELATION TO WOUND HEALING
- RELEVANT ANATOMY
- Skin Structure and Skin Condition
- FACIAL AREAS PRONE TO SCARRING
- PATIENT FACTORS
- Medical Conditions
- Type of Skin Injury
- Ethnicity
- AGE
- PRETREATMENT OF TISSUE BEFORE SURGERY
- MINIMIZING FUTURE SCARRING DURING A PROCEDURE WITH PLANNED INCISIONS
- Suture Technique
- Surgical Choices for Scar Revision
- Managing patient expectations in scar revision
- POSTPROCEDURE INCISIONAL CARE
- Taping
- Moisture
- Silicone Ointments
- Sun Protection
- ADJUNCTIVE PROCEDURES
- Dermabrasion
- Laser
- POTENTIAL FUTURE SCAR TREATMENTS
- SUMMARY
- REFERENCES
- Management of Forehead Scars
- Key points
- INTRODUCTION
- MANAGEMENT AND TREATMENT
- Overview
- Facial Analysis
- Mid-Forehead
- Paramedian Forehead
- Temple Region
- Scar Management Specific to the Forehead
- Surgical techniques
- Hair transplantation
- Z-plasty
- W-plasty
- Geometric broken line closure
- Nonsurgical and adjunctive techniques
- Steroids
- Laser resurfacing
- Dermabrasion
- Intralesional fillers
- Botulinum toxin
- ACKNOWLEDGMENTS
- REFERENCES
- Periorbital Scar Correction
- Key points
- INTRODUCTION
- ANATOMY
- EVALUATION
- SURGICAL CORRECTION
- Cicatricial Retraction with Ectropion
- Cicatricial Retraction with Entropion
- Cicatricial Retraction with Entropion: Correction with Free Tarsal Graft
- Harvesting graft
- Retraction repair and preparation of implant site
- Horizontal Tightening of the Eyelid
- Lateral tarsal strip procedure
- Reconstruction of the medial canthal region
- Combining procedures
- Nonsurgical intervention
- SUMMARY
- REFERENCES
- Treating Scars of the Cheek Region
- Key points
- INTRODUCTION
- ANATOMIC CONSIDERATIONS
- EVALUATING A PATIENT CHEEK SCAR FOR REVISION
- TIMING OF SCAR REVISION
- CHEEK SCAR REVISION TECHNIQUES
- EXCISION
- SCAR IRREGULARIZATION
- RUNNING W-PLASTY
- GEOMETRIC BROKEN LINES CLOSURE
- SCAR REPOSITIONING
- SUBSCISION
- SCAR RESURFACING
- LASER SCAR RESURFACING
- NONSURGICAL TECHNIQUES
- Steroids and 5-Flourouracil
- Autologous Platelet-Rich Plasma
- Silicone Sheets and Gels
- Mechanical Force
- Cosmetics
- ACNE SCARS OF THE CHEEK
- SUMMARY
- REFERENCES
- Unique Clinical Aspects of Nasal Scarring
- Key points
- MANAGEMENT AND TREATMENT
- The Art of Doing Nothing
- Laser and Resurfacing
- Surgical Scar Revision
- Injectable Steroids and Fillers
- Total Subunit Reconstruction
- PEARLS AND PITFALLS
- REFERENCES
- Treating Scars of the Chin and Perioral Region
- Key points
- INTRODUCTION
- PERTINENT ANATOMY
- FUNCTIONAL ATTRIBUTES
- PATIENT EVALUATION
- SUBUNIT ORGANIZED APPROACH TO SCAR AND DEFORMITY MANAGEMENT
- Upper White Lip
- The Chin and Lower Lip
- The Vermilion or Red Lip
- The Vermilion Border
- The Oral Commissure
- SPECIFIC TECHNIQUES
- Z-plasty
- W-plasty
- Geometric Broken Line Closure
- ADJUNCTS TO SCAR REVISION
- Dermabrasion
- Laser
- Volume Restoration with Grafts or Filler
- Botulinum Toxin
- Intralesional Injections
- Topical Agents
- Silicone gel sheeting
- Camouflage
- SUMMARY
- REFERENCES
- Treating Scars in the Auricle Region
- Key points
- INTRODUCTION
- RELEVANT ANATOMY AND EMBRYOLOGY
- BASICS OF CUTANEOUS WOUND HEALING
- KELOIDS
- HYPERTROPHIC SCARRING
- AURICULAR HEMATOMA AND CAULIFLOWER EAR
- SCARS FROM RHYTIDECTOMIES
- MANAGEMENT AND TREATMENT
- General Principles of Scar Revision
- Surgical Repair Options
- Fusiform elliptical excision
- W-plasty scar revision
- Geometric line scar revision
- Z-plasty scar revision
- Wide scar excision
- Management for Keloids
- Surgical excision
- Adjunctive and nonsurgical therapies
- Management of the Cauliflower Ear
- SUMMARY
- REFERENCES
- Treatment of Scalp Scars
- Key points
- ANATOMY OF THE SCALP
- ANATOMY OF THE FOLLICLE
- SECONDARY INTENTION
- PRIMARY CLOSURE
- SKIN GRAFT
- LOCAL FLAPS
- REGIONAL FLAPS
- TISSUE EXPANSION
- FREE TISSUE TRANSFER
- FOLLICULAR UNIT TRANSPLANTS
- GENERAL CONSIDERATIONS FOR SCALP SCAR REVISION
- Location
- Size
- Hair or No Hair
- Exposed Bone
- Prior or Planned Future Radiation
- Direction of Incision Through Hair-bearing Skin
- Medical Comorbidities
- SUMMARY
- REFERENCES
- Treating Scars on the Oral Mucosa
- Key points
- INTRODUCTION
- ANATOMY AND FUNCTION
- Skin Versus Mucosa
- SCAR-PRODUCING DISEASE
- Lichen Planus
- Submucous Fibrosis
- Basement Membrane Diseases
- SCARS DUE TO INCISIONS/TRAUMA
- BUCCAL MUCOSA HARVEST
- EFFECTS OF RADIATION AND CHEMOTHERAPY
- SUMMARY
- REFERENCES
- Treating Scars to the Neck
- Key points
- INTRODUCTION
- CAUSES OF NECK SCARRING AND SCAR FORMATION
- CHARACTERIZATION OF UNFAVORABLE NECK SCARS
- TOPICAL AND INJECTABLE TREATMENT OF NECK SCARRING
- LASER AND RADIOFREQUENCY THERAPY FOR NECK SCARRING
- TREATMENT OF NECK SCARRING: SURGICAL
- ANCILLARY AND OTHER TREATMENTS OF NECK SCARRING
- CASE STUDIES
- SUMMARY
- REFERENCES
- Laser-Assisted Delivery to Treat Facial Scars
- Key points
- INTRODUCTION
- Facial Scars
- Current Treatments
- History of Laser-Assisted Delivery
- Laser-assisted drug delivery
- Clinical Applications of Laser-Assisted Delivery
- Which Laser Is the Best Laser-Assisted Delivery?
- Laser Dosimetry for Laser-Assisted Delivery
- Channel Density and Laser-Assisted Delivery
- Laser Channel Depth Effect on Laser-Assisted Delivery
- Coagulation Zone in Laser-Assisted Delivery
- Molecular Weight and Drug Diffusion in Laser-Assisted Delivery
- Laser-Assisted Delivery Facial Scar Technique
- Agents for Laser-Assisted Delivery Systems for Treatment of Facial Scars
- LASER-ASSISTED DELIVERY TREATMENT OF EXISTING FACIAL SCARS
- Hypertrophic Facial Scars: Laser-Assisted Delivery of Triamcinolone Acetonide and 5-Fluorouracil
- Atrophic Facial Scars and Laser-Assisted Delivery of Poly-l-Lactic Acid
- Hypopigmented Facial Scars: Bimatoprost
- Laser-assisted delivery synergistically acute injury or wound: Improve wound healing or prevent scarring
- Wound healing: laser-assisted delivery vitamins C and E and ferulic acid
- Atrophic and hypopigmented facial wounds: Laser-assisted delivery epidermal skin transplantation
- What is the best technique to enhance laser-assisted delivery?
- Topical application/topical application with occlusion/acoustic device/meretes article/gel matrix model
- Limitations of laser-assisted delivery
- Safety concerns
- SUMMARY
- REFERENCES
- Skin Color and Pigmentation in Ethnic Skin
- Key points
- INTRODUCTION
- COLOR PERCEPTION
- SKIN COLOR CLASSIFICATION
- Quantitation of Skin Color
- CAUSES OF SKIN COLOR VARIATION
- Physiology
- Mechanism of Constitutive Pigmentation Control
- GENETICS: EVOLUTIONARY ASPECTS OF SKIN PIGMENTATION
- ETHNIC SKIN: RESPONSE TO STRESS
- Implications for Treatment
- REFERENCES
- Index
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