By Mysore, M. D. Venkataram
Textbook on Cutaneous & Aesthetic surgical procedure is a whole consultant to the subspecialty. starting with an creation to the foundations of cutaneous surgical procedure - anatomy, working theatre, tools, anaesthesia, emergencies and antibiotics - the subsequent chapters learn either easy and complex cutaneous surgical concepts and aesthetic systems, with a separate part devoted to using lasers and lighting fixtures for surgical procedure. the ultimate part discusses issues reminiscent of sufferer delight, mental matters, medico-legal facets, images and teledermatology. With virtually a thousand color photographs and illustrations, this finished guide is the reliable textbook of the ACS(I) (Association of Cutaneous Surgeons India). Key positive aspects * complete consultant to cutaneous and aesthetic surgical procedure for dermatosurgeons * Discusses ideas, uncomplicated and complicated cutaneous surgical procedure and aesthetic tactics * part devoted to lasers, lighting fixtures and different applied sciences * Examines miscellaneous issues reminiscent of mental matters, medico0legal elements and teledermatology * approximately a thousand color pictures and illustrations
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Additional info for ACSI Textbook on Cutaneus and Aesthetic Surgery
The corrugator muscle has a transverse head and an oblique head. 20 The procerus is a flat muscle on the bridge of the nose. 21 Applied Anatomy It is important to assess the brow position to rule out preexisting asymmetries and ptosis. In women, consider SECTION 1 / Basic Principles of Cutaneous Surgery 22 whether the brows have been plucked or tattooed. Avoid injecting too low to the superior rim of the orbital bone, and use caution with lateral brow injections. Inject perpendicular to the muscle, when treating the procerus, and inject deep into the belly of the corrugators, reaching almost to the periosteum.
The forehead lines must always be treated in conjunction with the frown for harmonious results. A high lateral injection into the frontalis can modulate a severe lateral brow elevation. Muscles in the Glabellar Complex The primary muscles of the glabellar complex are the corrugator supercilii, the procerus and the depressor supercilii. In addition, the medial fibers of the orbicularis oculi and the frontalis also contribute, as fibers from these muscles may interdigitate with those of the corrugator.
The buccal fat pad may be used for free fat grafts, or can be removed incrementally to effect a change in cheek contour. The surgical approach may be external or through an intraoral approach. The buccal rami of the facial nerve are at risk in an external approach. Fat Compartments of the Neck There are two distinctly separate depots of fat in the submental region of the neck that must be taken into consideration when planning rejuvenation procedures for the ageing neck. The submental fat pad (or submandibular fat compartment) is the more superficial one, which lies directly anterior to the platysma in the subcutaneous plane.