Inhaltverzeichnis Botti Midface Volume II

Chapter I – AGEING OF THE ORBITO -MALAR REGION page 569
- The physiognomy of the malar region page 569
- Our approach to ageing of the midface page 574
- Midface = orbito-malar area page 577
- Implants page 586
- Smooth silicone Implantech implants page 588
- A brief outline of practical anatomy page 593
- Dissection of the malar region in an anatomical specimen page 594
- Choosing the implant page 596
- Indications for the choice of different implants page 607
- Surgical techniques page 611
- Intraoral approach page 611
- I - The limits of the pocket page 616
- The infrapalpebral approach page 625
- The preauricular approach page 633
- Surgical techniques page 634
• closing of the pocket without any manoeuvres on the SMAS page 641
• closing the pocket with SMAS plication page 641
• closing the pocket with SMAS imbrication page 643
- A didactic-anatomical explanation page 643
a) positioning the lateral part of the implant in the subcutaneous layer page 647
b) increasing the volume of the area by creating a dog ear page 649
c) lipofilling within the SMAS page 650
d) lipofilling performed at a later stage page 650
- Il - Lipofilling in the midface page 655
- The orbital region page 665
- Some examples of patients belonging to the first class page 667
- Some examples of patients belonging to the second class page 674
- A midface lifting with an associated augmentation malarplasty with some surgical steps
page 693
- Clinical cases page 699
- A midface lifting with an associated augmentation malarplasty: a step by step surgical
sequence page 708
Chapter ii - SOME CONSIDERATIONS ON PROMINENT EYES page 725
- Orbital prominence and malar prominence page 726
- Measuring the malar prominence page 730
- Some strategically important measurements page 739
- Technical hints for the upper eyelid page 745
Midface and Neck Aesthetic Plastic Surgery 575
CHAPTER SUMMARY
- Technical hints for the lower eyelid page 753
- The vertical dimensions of the eyelids in patients with prominent eyes page 753
- Some clinical cases page 766
Chapter III – SURGICAL TREATMENT OF AGEING IN THE NECK page 773
- Criteria of beauty of the neck page 773
- The various layers of the neck page 776
- I - The skin page 776
- Skin undermining page 777
- 1st Class page 778
- The extent of skin undermining in 1st class patients page 779
- 2nd Class page 780
- The extent of skin undermining in 2nd class patients page 781
- 3rd Class page 782
- The extent of skin undermining in 3nd class patients page 782
- The thickness of the flap page 785
- Some considerations on the treatment of the deep strata page 786
- A didactic-anatomical explication page 787
- Some reflections on limited undermining techniques page 788
- II - The subcutaneous adipose tissue page 793
- Infraauricular and submandibular lipectomy page 806
- III - The superficial muscular stratum (the platysma muscle) page 812
- 1) The undermining page 812
- Some practical anatomo-surgical points regarding the platysma page 813
- Undermining of the platysma: surgical techniques page 818
- Why undermine the platysma? page 821
2) Traction vectors page 825
3) The sections page 830
A) Lateral section page 830
B) Anterior section page 835
C) Total section page 843
- The level of muscular section page 849
- Observations on neuro-muscular complications in the region page 855
- Platysmal bands page 863
4) Sutures page 872
A) Anterior sutures page 873
B) Lateral sutures page 891
C) Central sutures page 895
576 Midface and Neck Aesthetic Plastic Surgery
CHAPTER SUMMARY
- Plication and Imbrication page 896
- Central suspension by undermining and imbrication page 897
- The technique of central suspension by plication page 900
- Plications and imbrications in particural cases page 908
- IV - The deep adipose tissue page 912
- Dissection of the adipose layers of the anterior region of the neck page 913
- Subplatysmal lipectomy page 918
- V - The submandibular gland page 924
- VI - The deep musculo-fascial layer page 946
- The digastric muscles page 946
- The mylohyoid muscles page 954
- The perihyoid fascia page 955
- The mandibular contour page 960
- The anterior mandibular region page 961
- A psychological parenthesis of the semantics of the body page 963
- An implant versus an osteotomy page 964
- The most commonly used prostheses for augmentation mentoplasty page 968
- Ptosis of the chin page 982
- The mid mandibular region page 986
- Latero-mental depressions page 986
- Latero-mental bulging page 990
- The posterior mandibular region page 997
- Surgical techniques page 1005
- A series of intraoperative photographs page 1009
- Summary cards page 1032
ANALYTICAL INDEX page 1047