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2006 Edition, November 2, 2006

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ISBN: 978-1-57444-816-0 * NO LONGER AVAILABLE
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Product Details:

  • Revision: 2006 Edition, November 2, 2006
  • Published Date: November 2, 2006
  • Status: Not Active, See comments below
  • Document Language:
  • Published By: CRC Press (CRC)
  • Page Count: 286
  • ANSI Approved: No
  • DoD Adopted: No

Description / Abstract:


Aesthetic surgery of the face has undergone a dramatic evolution since the early 1970s and 1980s. A transitional paradigm shift has occurred whereby aesthetic facial techniques have become more oriented towards sophisticated three-dimensional, restorative, and rejuvenative operations rather than the previous standard two-dimensional planar ‘‘elevate and tighten'' procedures.

In the 1970s and coming from my early life's interest and background in art, I became interested in exploring the limits and boundaries for using the alloplastic material silicone rubber to contour faces in three dimensions. Other surgeons soon adopted the three dimensional model also, so that today there are many different techniques for ‘‘sculpturing'' a face, which include an array of alloplastic materials as well as autologous tissues such as fat.

The alloplastic techniques are permanent due to the volume and mass dimensions in implants. Autologous techniques are not as predictably permanent. The degree of their persistence is still somewhat controversial and certainly variable from surgeon to surgeon and from one area of facial anatomy to another.

In order to change any face favorably by three-dimensional means, a philosophy of aesthetic facial balance and beauty must be embraced by the surgeon. My personal perception involves an evaluation and alteration of interrelating volume-mass units in the face, which results in ‘‘ideal facial form.'' The major aesthetic facial units are the forehead, nasal prominence, cheek-midface and chin-jaw line or mandible segments. There are a myriad of additional subunits, all of which, when increased or decreased by surgical manipulation, produce significant, although perhaps more subtle, effects.

The onset of subperiosteal upper and midfacial suspension techniques in the 1980s has also contributed significantly to the creation of faces with three-dimensional sculptural improvements and has encouraged the interest of plastic surgeons worldwide to explore this new emerging technology, which may well be the ‘‘final chapter'' in facial aesthetic surgery. Because there are now many unique and creative surgeons on various parts of the planet who are diligently working on the challenge of three-dimensional facial sculpting surgery, I thought it would be exciting to gather a select group of them who are experienced investigators in this field to be contributors to this book.

The book, therefore, is unique. Its purpose is to comprehensively cover the subject of sculpting faces in three-dimensions from an international perspective. It includes original works from pioneers in this field that can provide useful guidelines for all interested practitioners who wish to acquire the skills necessary to use these new tools for enhancing their own three-dimensional sculpturing of facial architecture.

I wish to dedicate this book to the numerous plastic surgery colleagues worldwide who over many years have asked for my advice and assistance regarding patient facial contour surgeries and the complications thereof, and who have consistently urged me to continue providing them with the latest information about innovative and new techniques to assist them on their own personal journey into this most intriguing subspecialty in plastic surgery.

It is my fondest desire that this book will prove invaluable to them.