Cover -- Half-title -- Title -- Copyright -- Contents -- Preface -- Contributors -- PART ONE ANATOMY AND THE AGING PROCESS -- CHAPTER 1 Anatomy and the Aging Changes of the Face and Neck -- ROLE OF BONE -- ROLE OF FAT -- ROLE OF MUSCLES -- CONSEQUENCES FOR EACH FACIAL AREA -- Forehead -- Upper and Lateral Orbit -- Lower Eyelid and Nasolabial Fold -- Lips and Perioral Region -- Jowls and Marionette Lines -- Lower Face and Neck -- SUGGESTED READING -- Suggested Reading about Fat -- Suggested Reading about Muscles -- PART TWO ANESTHESIA AND SEDATION FOR OFFICE COSMETIC PROCEDURES -- CHAPTER 2 Local Anesthetics -- BASICS OF LOCAL ANESTHESIA -- Mechanism of Action -- Order of Blockade -- Composition -- Chemical Structure -- Duration of Anesthesia -- Potency -- Speed of Onset -- TECHNIQUES FOR PAINLESS ANESTHESIA -- ADDITIVES TO LOCAL ANESTHETICS -- Additives to Local Anesthetics -- CLASSIFICATION OF ANESTHETICS -- Amides -- Esters -- Authors Tips -- Risk of methemoglobinemia: (prilocaine >> lidocaine, procaine [Novocaine, benzocaine) -- SIDE EFFECTS AND PRECAUTIONS -- Contraindications -- Maximal Safe Doses of Lidocaine -- Side Effects of Local Anesthetics -- Anesthetic Allergy -- SUGGESTED READING -- CHAPTER 3 The Concept of Tumescent Anesthesia -- SUGGESTED READING -- CHAPTER 4 Nerve Blocks -- LOCAL ANESTHETIC BLOCKS FOR FACIAL PROCEDURES -- MINI-BLOCK TECHNIQUE FOR LIP ANESTHESIA -- UPPER FACIAL NERVE BLOCKS: SCALP AND FOREHEAD -- MIDFACE LOCAL ANESTHETIC BLOCKS -- LOWER FACIAL BLOCKS -- CHAPTER 5 Topical Anesthesia -- PHARMACOLOGY, METABOLISM, AND ABSORPTION -- TYPES OF TOPICAL ANESTHETICS -- PRODUCTS -- UNAPPROVED PHARMACY COMPOUNDED TOPICAL ANESTHETICS -- CONCLUSION -- SUGGESTED READING -- PART THREE FILLERS AND NEUROTOXINS -- Section 1 INTRODUCTION -- CHAPTER 6 Fillers: Past, Present, and Future -- HISTORICAL OVERVIEW -- CURRENT FILLERS.

FUTURE DIRECTIONS -- SUGGESTED READING -- CHAPTER 7 Hyaluronic Acid Fillers: How Structure Affects Function -- HISTORY OF DERMAL FILLERS -- HISTORY OF HA-BASED BIOMATERIALS -- BIOCHEMISTRY -- BIODEGRADATION OF HA -- BIOLOGICAL FUNCTIONS OF HA -- TYPES OF HA-BASED FILLERS -- VISCOELASTIC PROPERTIES OF CROSS-LINKED HA GELS -- CONSEQUENCES OF INJECTION TECHNIQUES -- EFFICACY AND LONGEVITY -- SAFETY -- CONCLUSIONS -- SUGGESTED READING -- Section 2 RESTYLANE, JUVÉDERM, AND PURAGEN FAMILIES OF NONANIMAL STABILIZED HYALURONIC ACID FILLERS -- CHAPTER 8 Restylane: General Concepts -- CHAPTER 9 The Restylane Family of Fillers: Canadian Experience -- FILLERS FOR FACIAL ENHANCEMENT -- Filling Agent -- Treatment Zones -- The Remington Fold-Crease Grading System -- INJECTION TIPS AND TECHNIQUES -- Tear Trough and Lateral Orbital Hollowing -- The Aesthetic Nose -- Cheeks -- Marionette and Prejowl Sulcus Zones -- Lip Enhancement -- CONCLUSION -- CHAPTER 10 The Juvéderm Family of Fillers -- CLINICAL APPLICATIONS OF JUVÉDERM PRODUCTS2 -- SUGGESTED READING -- CHAPTER 11 Puragen: A New Dermal Filler -- PATIENT SELECTION -- HOW TO PERFORM THE PROCEDURE -- COMPLICATIONS -- SUGGESTED READING -- CHAPTER 12 Puragen: Asian Experience -- WHAT IS PURAGEN? -- PATIENT SELECTION -- INJECTION TECHNIQUE -- SUGGESTED READING -- Section 3 COLLAGEN FILLERS -- CHAPTER 13 Review of Collagen Fillers -- XENOGENIC MATERIALS -- BIOENGINEERED HUMAN COLLAGENS -- AUTOLOGOUS HUMAN COLLAGENS -- ALLOGENIC HUMAN COLLAGENS -- EVOLENCE AND EVOLENCE BREEZE -- SUGGESTED READING -- CHAPTER 14 Human and Bovine Collagen-Based Fillers -- BOVINE-DERIVED COLLAGEN IMPLANTS -- HUMAN-BIOENGINEERED COLLAGEN -- INJECTION TECHNIQUE -- ADVERSE EVENTS -- SUMMARY -- SUGGESTED READING -- CHAPTER 15 Porcine Collagen: Evolence -- TECHNIQUE -- SUGGESTED READING -- Section 4 CALCIUM HYDROXYLAPATITE (RADIESSE).

CHAPTER 16 Calcium Hydroxylapatite (Radiesse): A Facial Plastic Surgeon's Approach -- SUGGESTED READING -- CHAPTER 17 Calcium Hydroxylapatite (Radiesse): A Dermasurgeon's Approach -- THE PRODUCT -- PATIENT INDICATIONS -- TECHNIQUE -- COMPLICATIONS -- WHERE CALCIUM HYDROXYLAPATITE FITS IN OUR PRACTICE -- SUGGESTED READING -- CHAPTER 18 Calcium Hydroxylapatite for Hand Volume Restoration -- GENERAL CONSIDERATIONS -- INJECTION TECHNIQUE -- AFTERCARE -- COMPLICATIONS -- CONCLUSION -- SUGGESTED READING -- Section 5 LONG-LASTING FILLERS -- CHAPTER 19 Long-Lasting Fillers: How Structure Affects Function -- FOREIGN BODY REACTION: THE INFLAMMATORY PROCESS -- Phase 1: The Foreign Body Must Be Identified -- Adhesion -- Recognition -- Phase 2: The Foreign Body Must Be Removed -- Phase 3: The Foreign Body Must Be Isolated -- HOW STRUCTURE OF THE IMPLANT INFLUENCES THESE REACTIONS -- Size and Volume of Implant -- Morphology of Implant -- Surface Area -- Chemical Composition -- Electric Charge -- Implantation Site -- THE QUEST FOR THE IDEAL LONG-LASTING, PERMANENT FILLER -- Particulate Implants: Biostimulators -- Fluid Implant: Volumizer -- CONCLUSION -- SUGGESTED READING -- Size and Volume of Implant -- Morphology of Implant -- Surface Area -- Chemical Composition -- Electric Charge -- Implantation Site -- CHAPTER 20 Acrylic Particle-Based Fillers: ArteFill -- ARTEFILL HISTORY AND PATHOPHYSIOLOGY -- PATIENT SELECTION AND REALISTIC EXPECTATIONS -- HOW TO DO IT -- AFTERCARE -- INDICATIONS VERSUS OTHER MODALITIES -- COMPLICATIONS AND PREVENTION AND MANAGEMENT OF COMPLICATIONS -- SUGGESTED READING -- CHAPTER 21 Poly-L-Lactic Acid Fillers -- INTRODUCTION -- PATIENT SELECTION -- MATERIAL RECONSTITUTION -- PREPROCEDURE -- TECHNIQUE -- POSTPROCEDURE -- RESULTS -- COMPLICATIONS -- PLLA COMPARED TO FAT TRANSFER -- SUMMARY -- SUGGESTED READING.

CHAPTER 22 Poly-L-Lactic Acid (Sculptra) for Hand Volume Restoration -- INTRODUCTION -- POLY-L-LACTIC ACID -- PATIENT SELECTION -- GENERAL CONSIDERATIONS -- INJECTION TECHNIQUE -- AFTERCARE -- COMPLICATIONS -- CONCLUSION -- SUGGESTED READING -- CHAPTER 23 Bioalkamide -- TECHNIQUE -- COSMETIC TREATMENTS -- COMPLICATIONS -- SUGGESTED READING -- CHAPTER 24 Silicone -- HOW DOES SILICONE FIT IN TODAY? -- LEGAL TO USE SILICONES -- ADVANTAGES -- LABORATORY INVESTIGATIONS -- SILICONE IMMUNOLOGY AND TOXICOLOGY -- IS SILICONE RELEVANT? -- PHILOSOPHICAL CONSIDERATIONS -- INCORPORATING SILICONE INTO YOUR PRACTICE -- ASSESSING PATIENT SUITABILITY -- PRINCIPLES -- Depth Sensitivity -- Volume Sensitivity -- Physical Properties of Dermal Defects -- FACIAL AUGMENTATION -- Facial Augmentation and Patient Selection -- Rhytid Orientation -- Glabella -- Periocular, Rhytids, and Scars -- Nasolabial Folds -- Melolabial Folds (Marionette Lines) and Oral Commissures -- Centrofacial and Malar Augmentation -- The Lips -- Perioral Rhytids -- CONTRAINDICATIONS AND EXCLUSIONARY CRITERIA -- TECHNIQUE, PRINCIPLES, AND TRAINING -- INSTRUMENTATION AND PERSONAL PREFERENCES -- COMPLICATIONS -- DISPLACEMENT PHENOMENA -- Migration and Drift -- TREATING COMPLICATIONS -- NEW TREATMENTS ON THE HORIZON -- PERSONAL CONSIDERATIONS -- SUMMARY -- SUGGESTED READING -- Section 6 AUTOLOGOUS FAT TRANSFER -- CHAPTER 25 Autologous Fat Transfer: An Introduction -- SUGGESTED READING -- CHAPTER 26 Small-Volume Fat Transfer -- PLANNING -- HARVESTING -- INJECTION -- POSTOPERATIVE CARE -- REPEAT AUGMENTATION -- FINAL THOUGHTS -- SUGGESTED READING -- CHAPTER 27 Larger-Volume Fat Transfer -- SUGGESTED READING -- CHAPTER 28 FAMI Technique and Fat Transfer for Hand Rejuvenation -- PATIENT ANALYSIS -- SETUP -- PREPARATION FOR FAMI -- HARVESTING AND PROCESSING FAT -- TECHNIQUE -- POSTOPERATIVE COURSE -- LONGEVITY.

COMPLICATIONS -- FAT TRANSFER TO THE HANDS -- Technique -- CONCLUSION -- SUGGESTED READING -- CHAPTER 29 Adding Volume to the Aging Face: Fat Grafting versus Fillers and Implants in Europe -- FAT TRANSFER TECHNIQUE -- Fat Harvesting -- Fat Injection -- SUGGESTED READING -- Section 7 CHOOSING A FILLER -- CHAPTER 30 Fillers: How We Do It -- MATERIALS AND MECHANISMS OF ACTION -- INJECTION TECHNIQUES -- AREAS OF USE -- Upper Face -- Midface -- Lower Face -- Off-Face Use -- COMPLICATIONS -- Technique Related -- Material Related -- CONCLUSION -- CHAPTER 31 Choosing a Filler -- THE FOREHEAD -- UPPER EYELIDS -- LOWER LIDS AND CROWS FEET -- INFERIOR ORBITAL RIM AND TEAR-TROUGH DEFORMITY -- THE CHEEKS -- THE NOSE -- THE LIPS, NASOLABIAL FOLD, AND PERIORAL AREA -- THE CHIN -- THE PREJOWL AREA -- SCARS -- THE USE OF NERVE BLOCKS -- SUGGESTED READING -- CHAPTER 32 Filler Complications -- GENERAL COMPLICATIONS OF SOFT TISSUE-AUGMENTING FILLERS -- COLLAGEN -- HYALURONIC ACID COMPLICATIONS -- RADIESSE -- POLY-L-LACTIC ACID -- POLYMETHYLMETHACRYLATE -- POLYTETRAFLUOROETHYLENE -- SILICONE -- CONCLUSION -- SUGGESTED READING -- Section 8 NEUROTOXINS -- CHAPTER 33 Neurotoxins: Past, Present, and Future -- NEUROTOXINS -- DIFFERENCES AMONG NEUROTOXINS -- AVAILABLE PRODUCTS -- SUGGESTED READING -- CHAPTER 34 BOTOX: How We Do It -- MECHANISMS OF ACTION -- COSMETIC USE -- Dynamic Rhytids of the Upper Face -- Dynamic Rhytids of the Midface -- Dynamic Rhytids of the Lower Face -- Treatment of Neck Rhytids -- Other Cosmetic Uses -- INJECTION TECHNIQUE FOR THE FACE -- INJECTION EFFECT -- COMPLICATIONS -- Technique Related -- Toxin Related -- CONCLUSION -- SUGGESTED READING -- CHAPTER 35 Cosmetic BOTOX: How We Do It -- SUGGESTED READING -- CHAPTER 36 BOTOX: Beyond the Basics -- THE FOREHEAD -- The Lateral Brow -- The Medial Brow -- Flat Brows -- THE PERIORBITAL AREA.

THE PROXIMAL NOSE.