Eur J Plast Surg (2003) 25:438 DOI 10.1007/s00238-002-0433-1 BOOK REVIEW M. M. Elahi Edward O. Terino, Robert S. Flowers: The art of alloplastic facial recontouring Mosby Inc., St. Louis, 2000, 333 pp (ISBN 0-8151-8731-9) Published online: 18 January 2003 © Springer-Verlag 2003 This textbook, as its title suggests, covers the field of al- and anatomical representations. This is complemented loplastic augmentation, contouring and refinement of the with equally detailed operative photos and accompany- facial structures. The authors, internationally acclaimed ing illustrations to clearly demonstrate the subtleties of experts in this area, have compiled a thorough review of the various procedures. A frank discussion of pitfalls and various alloplastic implants in current use in facial aes- pearls, including postoperative care instructions and thetic surgery and have detailed their techniques of anal- complications, follows each of the chapters. Soft tissue ysis, choice of implant, operative approach and both augmentation of the lips is covered in chapter 13, and the short- and long-term outcomes. They have drawn upon entire spectrum of the autologous and alloplastic tech- their own vast experience in the clinical use of alloplasts niques currently employed are discussed. The biochemi- as well as contributions from a multi-disciplinary group cal makeup and clinical application of fat injections and of surgeons with similar extensive experience with this various alloplasts, including Gore-Tex, silicone and hy- form of surgery. This text is divided into seven sections droxyapatite granules, are discussed in detail in the next and spans a total of 22 chapters. The first section covers few chapters. These chapters are insightful in presenting concepts of facial balance and architecture, underscoring an overview of the introduction of the substrates, their the importance of appreciating both desirable and unde- scientific basis, application and method of avoiding com- sirable facial proportions. The concept of systematic pre- plications. The remaining three chapters examine the operative facial evaluation and problem identification is roles of computer modeling and patient personality as- discussed in relation to anatomy, topography, ethnicity sessment as a guide to achieving greater patient satisfac- and facial type. The importance of performing facial tion. This section also includes a brief overview of the analysis in a sequential manner with open communica- craniomaxillofacial modalities commonly employed in tion between the patient and the physician is empha- facial aesthetic surgery as alternative approaches. sized. In summary, this text is a detailed review on the topic The next three sections divide the face into upper, of alloplastic augmentation and contouring of the face. It middle and lower thirds, detailing approaches and tech- is highly recommended as an excellent resource for those niques to alter, augment and refine these areas. These surgeons who utilize alloplastic techniques in facial skel- chapters are well written with highly detailed diagrams etal and soft tissue surgery. M.M. Elahi ( ) Southfield, Michigan, USA e-mail: firstname.lastname@example.org
European Journal of Plastic Surgery – Springer Journals
Published: Feb 18, 2003
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