By June K. Robinson MD, C. William Hanke MD MPH FACP, Daniel Mark Siegel MD MS(Management and Policy), Alina Fratila MD
The second one variation of surgical procedure of the outside: Procedural Dermatology, by way of Dr. June ok. Robinson, et al, may help you place the most recent clinical and beauty surgeries to paintings on your perform. Taking a surgeon's eye view, it discusses and illustrates new systems resembling botulinum toxin remedies and tumescent facelifts so that you gives you your sufferers with the simplest, state-of-the-art care. movies on-line and on an accompanying DVD enable you to practice those in-depth surgeries intimately. realize precisely how a process is played in addition to all approaches are narrated from the specialists themselves with an advantage DVD with over a hundred and twenty movies. enhance surgical results and keep away from pitfalls with specialist, evidence-based counsel. Visualize each approach and notion with greater than 1,000 full-color images and state of the art drawings. remain at the state of the art with in-depth step by step descriptions of the new new systems: Tumescent Vertical Vector Facelifts Blepharoplasty Composite Grafts Botox remedies smooth Tissue Augmentation administration of Dysplastic Nevi & cancer grasp the most recent surgical thoughts together with botulinum toxin remedies, blepharoplasty, tumescent facelifts, gentle tissue augmentation, composite grafts and the administration of dysplastic nevi and cancer. See the way to continue with surgical movies shot from the surgeons' eye view whereas the strategies are being played with over a hundred and twenty movies, overall working time 10 hours. Get entire on-line entry to the whole textual content, illustrations, and movies, plus BONUS photographs displaying replacement ideas or extra cures at expertconsult.com. Plus, extra movies could be to be had on expertconsult.com post-publication. grasp uncomplicated and hugely complicated aesthetic and reconstructive ideas into your perform with accomplished visible information
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Additional resources for Surgery of the Skin: Procedural Dermatology, Second Edition (Expert Consult - Online and Print)
In many instances, the branches of this nerve are superficial and vulnerable to trauma during surgery. When surgery is planned in these areas, patients need to be advised preoperatively of the risk of trauma to the facial nerve and the functional deficits that may result because of it. The facial nerve has five major branches: temporal, zygomatic, buccal, marginal mandibular, and cervical. In general, the branches of the facial nerve enter the muscles that they innervate at their posterior and deep surfaces.
Drawing one line from the earlobe to the lateral tip of the highest forehead crease and a second line from the earlobe to the lateral tip of the brow and then connecting these two end points can identify the course of this nerve. After leaving the upper pole of the parotid gland, the nerve, which may be singular or exist as multiple branches, courses upwards to innervate the frontalis muscle, upper portion of the orbicularis oculi muscle, and corrugator supercilii. The nerve is most vulnerable as it crosses the zygomatic arch and temple where it is protected only by skin, subcutaneous fat, and a thin layer of SMAS (Fig.
18 labii superioris alaeque nasi, zygomaticus major and minor, and levator anguli oris. These muscles originate from the upper maxilla in the infraorbital areas, insert into the upper lip and melolabial fold, and as they contract pull the mouth up and out. The levator anguli oris, which originates in the canine fossa of the maxilla, inserts into the angles of the mouth bilaterally, and is the deepest of the elevator muscles. The mentalis muscle is innervated by the marginal mandibular nerve. It interdigitates with the lip depressors above and platysma below, and contraction causes protrusion of the lip as well as ‘apple dumpling’ chin (fine pits in the skin where muscle fibers tug on overlying skin).