Download Cosmetic Medicine and Surgery by Pierre Andre, Eckart Haneke, Leonardo Marini, Christopher PDF

By Pierre Andre, Eckart Haneke, Leonardo Marini, Christopher Rowland Payne

Aesthetic rejuvenation now encompasses such a lot of themes that practitioners in a single sector could believe out of contact with advancements in different components within the similar box. With over 70 chapters, over 1200 figures (many in complete color), over eighty tables, and over 20 video clips, from a global record of individuals, below an eminent crew of editors, Cosmetic drugs & surgical procedure is a accomplished and authoritative source. It covers a large spectrum of themes together with the elemental elements, beauty facets, minimally invasive surgical procedure, the cultured facelift, and so on during this so much high-profile of scientific and surgical specialties.

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Sample text

Muscle aging is characterized by atrophy and slackening, as the muscles react with permanent compensatory hypertonicity. On the contrary, the skin loses its elasticity and becomes distended without any compensation. It is this differential response of the skin–muscle couple to aging that explains the formation of dynamic expression wrinkles. 14a through c). For example, five types of glabellar frown can be observed, requiring different doses and points of injection [17]. 14 Glabellar and frontal dynamic wrinkles should be analyzed not only at rest (a) but also during movement, at frown (b), and looking upward (c) to schedule their treatment with botulinum toxin.

B) Dynamic “bar code” wrinkles are deeper and oblique, because they are perpendicular to the direction of contraction of the orbicularis oris muscle. Textural changes also occur leading to progressive alteration of the biomechanical properties of the skin. The gradual loss of skin elasticity and its flaccidity, combined with fat ptosis, leads to sagging, with lowering of the eyebrows, upper eye skin excess (dermatochalasis), accentuation of the nasolabial folds, flabby cheeks, and loss of the oval shape of the face.

However, photoaging plays an important role. The vascular lasers are indicated for these lesions. Venous ectasia of the lower lip is frequent. Evaluation of the Degree of Photoaging Many classifications are available to classify the different grades of photoaging. The Glogau classification in four groups, namely, mild, moderate, advanced, and severe, is the most widely used [9]. The score of intrinsic and extrinsic skin aging proposed by Vierkötter gives a more global evaluation of chronological aging and photoaging [10].

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