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Minimally Invasive

Techniques of Oculofacial

Rejuvenation

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Minimally Invasive

Techniques of Oculofacial

Rejuvenation

Stephen Bosniak, M.D.

Attending Oculofacial Surgeon

Manhattan Eye, Ear & Throat Hospital

New York, New York

Marian Cantisano-Zilkha, M.D., Ph.D.

Director of Ophthalmic Plastic Surgery

Center for Clinical Studies

Botafogo Ophthalmology Clinic

Rio de Janeiro.

Brazil

Thieme

New York • Stuttgart

Thieme Medical Publishers, Inc.

333 Seventh Ave.

New York, NY 10001

Associate Editor: Owen Zurhellen

Consulting Editor: Esther Gumpert

Vice-President, Production and Electronic Publishing: Anne Vinnicombe

Production Editor: Becky Dille

Marketing Director: Phyllis Gold

Sales Director: Ross Lumpkin

Chief Financial Officer: Peter van Woerden

President: Brian D. Scanlan

Compositor: Thomson Press International

Printer: Four Colour Imports, Inc.

Library of Congress Cataloging-in-Publication Data

Bosniak, Stephen L.

Minimally invasive techniques of oculofacial rejuvenation / Stephen Bosniak, Marian Cantisano-Zilkha. p. ; cm.

Includes bibliographical references and index.

ISBN 1-58890-231-5 (alk. paper) — ISBN 3-13-138321-6 (alk. paper) 1. Facelift. 2. Face—Surgery. 3. Ophthalmic plastic surgery. 4. Endoscopic surgery. 5. Surgery, Plastic.

[DNLM: 1. Face—surgery. 2. Orbit—surgery. 3. Reconstructive Surgical Procedures—methods.

4. Surgical Procedures, Minimally Invasive—methods. WE 705 B743m 2005] I. Cantisano-Zilkha, Marian. II. Title.

RD119.5.F33B67 2005 617.5'20592—dc22

2004026298

Copyright ©2005 by Thieme Medical Publishers, Inc. This book, including all parts thereof, is legally protected by copyright. Any use, exploitation or commercialization outside the narrow limits set by copyright legislation without the publisher’s consent is illegal and liable to prosecution. This applies in particular to Photostat reproduction, copying, mimeographing or duplication of any kind, translating, preparation of microfilms, and electronic data processing and storage.

Important note: Medical knowledge is ever-changing. As new research and clinical experience broaden our knowledge, changes in treatment and drug therapy may be required. The authors and editors of the material herein have consulted sources believed to be reliable in their efforts to provide information that is complete and in accord with the standards accepted at the time of publication. However, in the view of the possibility of human error by the authors, editors, or publisher of the work herein or changes in medical knowledge, neither the authors, editors, nor publisher, nor any other party who has been involved in the preparation of this work, warrants that the information contained herein is in every respect accurate or complete, and they are not responsible for any errors or omissions or for the results obtained from use of such information. Readers are encouraged to confirm the information contained herein with other sources. For example, readers are advised to check the product information sheet included in the package of each drug they plan to administer to be certain that the information contained in this publication is accurate and that changes have not been made in the recommended dose or in the contraindications for administration. This recommendation is of particular importance in connection with new or infrequently used drugs.

Some of the product names, patents, and registered designs referred to in this book are in fact registered trademarks or proprietary names even though specific reference to this fact is not always made in the text. Therefore, the appearance of a name without designation as proprietary is not to be construed as a representation by the publisher that it is in the public domain.

Printed in China

5 4 3 2 1

TMP ISBN 1-58890-231-5

GTV ISBN 3 13 138321 6

Dedication

To my mother Thelma who would have loved to see this book.

To my father Samuel who has always treasured the written word.

To Kevyn Aucoin who continues to inspire us.

SB

To Stephen Bosniak, my mentor and source of inspiration.

To my parents, Dr. Luiz and D. Duca for showing me the nuances between strength and tenderness.

To my brother Luiz Eduardo and his children Raiane and João Pedro Cantisano, my eternal sources of joy.

MCZ

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Contents

Foreword

ix

Preface

xi

Section I Noninvasive Approaches

 

1. Introduction to Alternative Techniques of Oculofacial Rejuvenation

3

 

Stephen Bosniak

 

2.

Intense Pulsed Light for Full Facial Rejuvenation

9

 

Girish S. Munavalli, Margaret A.Weiss,

 

 

and Robert A.Weiss

 

3.

Radiofrequency Technology

14

 

Neil Scott Sadick

 

4.

Chemical Peels: Superficial and Medium Depth

24

 

Marian Cantisano-Zilkha and Stephen Bosniak

 

5.

Neuromodulation and Management of Facial Rhytidosis

32

 

Stephen Bosniak

 

6.

Injectable Fillers

43

 

Stephen Bosniak, Marian Cantisano-Zilkha,

 

 

and Ioannis P. Glavas

 

7. Facial Rejuvenation with Autologous Fat Injections

56

 

Roxanne Stambuk Panicacci and Karyn Grossman

 

8.

Noninvasive Neck Rejuvenation

65

 

Ioannis P. Glavas and Stephen Bosniak

 

Section II Less Invasive Surgical Options

 

9.

Minimally Invasive Eyelid Rejuvenation

75

 

Stephen Bosniak

 

10.

Endoscopic Forehead Rejuvenation

90

 

Thomas Romo III, Haresh Yalamanchili,

 

 

and Kyle Seung Choe

 

11. Transconjunctival Subperiosteal Cheek Lift with and without Malar Augmentation

103

 

Mark Duffy

 

vii

viii

Contents

 

12.

Midface Restoration with Hand-Carved e-PTFE Orbital Rim Implants

112

 

Kenneth D. Steinsapir

 

13.

The S-Lift Rhytidectomy

120

 

Steven B. Hopping and Ziya Saylan

 

Section III

Perioral Rejuvenation

 

14.

Defining the Principles of Perioral Rejuvenation

127

 

Stephen Bosniak

 

15.

Dental and Bony Architecture in Perioral Rejuvenation

134

 

Tracey J. Rosenberg

 

16.

Teeth and the Perioral Area in Facial Aesthetics

142

 

Peter Rinaldi and Jon B. Marashi

 

Section IV

Complementary Treatment Modalities

 

17. Photodynamic Therapy for Scarless Removal of Multiple Facial Precanceroses

 

 

and Superficial Carcinomas

149

 

Eckart Haneke

 

18.

Traditional Chinese Medicine: Its Approach to Facial Beauty

158

 

Steven Schram

 

Appendix

 

 

 

Rejuvenating the Skin from the Inside Out

165

 

Gary Null

 

Index

 

000