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The perception of an inadequate body shape is a cause of concern to many people, and new techniques for altering body shape are increasingly being developed and offered to patients. Of these, the removal and transfer of fat is fast growing in importance and availability. This practical guide offers a comprehensive overview of this rapidly-evolving field, and thorough coverage of the implementation of fat removal techniques, both invasive and non-invasive, in a cosmetic practice.
It begins with an overview of basic fat anatomy and physiology as an important introduction to this topic. The distinction between the physiology and treatment of cellulite and fat is also discussed. The next section of the book covers invasive treatments of fat such as traditional liposuction, laser-assisted liposuction, fat transfer procedures and mesotherapy. The latter half of the book largely focuses on non-invasive treatments for fat, including radiofrequency, ultrasound, cooling and laser technologies for fat removal. Throughout, potential complications and pitfalls of the various treatments are discussed.
Edited by Matthew Avram, with contributions from a group of clinical stars, this book will appeal to cosmetic dermatologists, plastic surgeons, aesthetic medical practitioners, and obstetricians/gynaecologists
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Seitenzahl: 262
Veröffentlichungsjahr: 2015
Title Page
Copyright
List of contributors
Abbreviations
Chapter 1: Introduction
Anatomy and physiology of adipose tissue
Adipogenesis: from stem cell to fat cell
Summary
References
Chapter 2: Facial fat: anatomy and implications for rejuvenation
Introduction
Aging changes in multiple structural tissues
Summary
Conclusions/future directions
References
Chapter 3: Histology and pathology of subcutaneous tissue
White adipose tissue
Brown adipose tissue
Tumors of fat
Panniculitis
References
Chapter 4: Injectable treatments for fat and cellulite
Introduction
Clarification of terms and history
Clarifying the roles of deoxycholate and phosphatidylcholine
Detergents and tissue interactions
The fate of adipolytic therapy
Injectables for cellulite
Conclusions
References
Chapter 5: The architecture of cellulite
Introduction
What defines cellulite?
Gender differences in lipid metabolism
What type of fat is cellulite made of?
Other factors
Conclusion
References
Chapter 6: Cellulite treatment
Brief overview of cellulite
Cellulite anatomy
Cellulite grading
Approach to a patient with cellulite
Recent advances and controversies in cellulite treatment
TriActive in the treatment of cellulite
Treatment protocol
VelaSmooth and VelaShape
Mechanism of action
Treatment protocol
SmoothShapes
Mechanism of action
Treatment protocol
Mechanism of action
Accent
Treatment protocol
Thermage
Treatment protocol
Other laser devices for the treatment of cellulite
Conclusion
References
Chapter 7: Cooling for fat
Introduction
Cryolipolysis
Clinical effects of cryolipolysis
Patient selection
Consultation
Preoperative procedures/considerations
Pearls
Complications: how to avoid them and how to treat them
Postoperative care/considerations
Summary
References
Chapter 8: Laser lipolysis and laser-assisted liposuction
Introduction
History of laser lipolysis
Wavelength and pulse duration
Indications and patient selection
Laser lipolysis procedure
Complications
Skin effects
Summary
References
Chapter 9: Soft tissue augmentation for facial lipoatrophy and volumization
Introduction
Hyaluronic acid derivatives
Calcium hydroxylapatite
Poly-
L
-lactic acid
Permanent filler – silicone for HIV lipoatrophy
Conclusion
References
Index
End User License Agreement
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Cover
Table of Contents
Begin Reading
Figure 1.1
Figure 1.2
Figure 2.1
Figure 2.2
Figure 2.3
Figure 2.4
Figure 2.5
Figure 2.6
Figure 2.7
Figure 3.1
Figure 3.2
Figure 3.3
Figure 3.4
Figure 3.5
Figure 3.6
Figure 3.7
Figure 4.1
Figure 4.2
Figure 4.3
Figure 4.4
Figure 4.5
Figure 4.6
Figure 4.7
Figure 4.8
Figure 4.9
Figure 4.10
Figure 4.11
Figure 4.12
Figure 6.1
Figure 6.2
Figure 6.3
Figure 6.4
Figure 6.5
Figure 6.6
Figure 6.7
Figure 6.8
Figure 6.9
Figure 6.10
Figure 6.11
Figure 6.12
Figure 6.13
Figure 6.14
Figure 6.15
Figure 6.16
Figure 6.17
Figure 6.18
Figure 6.19
Figure 6.20
Figure 6.21
Figure 6.22
Figure 6.23
Figure 6.24
Figure 6.25
Figure 7.1
Figure 7.2
Figure 7.3
Figure 7.4
Figure 7.5
Figure 7.6
Figure 7.7
Figure 7.8
Figure 7.9
Figure 7.11
Figure 7.12
Figure 7.13
Figure 8.1
Figure 8.2
Figure 8.3
Figure 8.4
Figure 8.5
Figure 8.6
Figure 8.7
Figure 8.8
Table 4.1
Table 6.1
Table 6.2
Table 6.3
Table 8.1
Table 8.2
Table 8.3
Mathew M. Avram MD, JD
Dermatology Laser & Cosmetic CenterMassachusetts General HospitalBoston, MA, USA
This edition first published 2015; © 2015 by John Wiley & Sons Ltd
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Library of Congress Cataloging-in-Publication Data
Fat removal : invasive and non-invasive body contouring / [edited by] Mathew M. Avram.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-1-4443-3428-9 (cloth)
I. Avram, Mathew M., editor.
[DNLM: 1. Lipectomy–methods. 2. Adipose Tissue–surgery. WO 600]
RD119.5.L55
617.9′52–dc23
2014035664
A catalogue record for this book is available from the British Library.
Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books.
Kenneth Arndt MD
President, SkinCare Physicians, Chestnut Hill, MA, USA
Clinical Professor of Dermatology Emeritus, Harvard Medical School, Boston, MA, USA
Adjunct Professor of Dermatology, Brown University, Providence, RI, USA
Adjunct Professor, Department of Surgery, The Geisel School of Medicine at Dartmouth, Hanover, NH, USA
Alison Avram MD
Dermatology Laser & Cosmetic Center, Massachusetts General Hospital, Boston, MA, USA
Mathew M. Avram, MD
Dermatology Laser & Cosmetic Center, Massachusetts General Hospital, MA, USA
Suveena Bhutani MD
Sadick Dermatology and Research, NY, USA
Rebecca Fitzgerald MD
Division of Dermatology, David Geffen School of Medicine, University of California, Los Angeles (UCLA), Los Angeles, CA, USA
Private Practice, Los Angeles, CA, USA
Selim M. Nasser MD
Department of Pathology, Clemenceau Medical Center, Beirut, Lebanon
Andrew A. Nelson MD
Nelson Dermatology, Saint Petersburg, FL, USA
Assistant Clinical Professor, Department of Dermatology, Tufts University School of Medicine, Boston, MA, USA
Arisa E. Ortiz MD
Director, Laser and Cosmetic Surgery, Assistant Clinical Professor, Division of Dermatology, University of California, San Diego, USA
H. H. Ray Jalian MD
Division of Dermatology, David Geffen School of Medicine, University of California, Los Angeles (UCLA), Los Angeles, CA, USA
Adam M. Rotunda MD, FAAD, FACMS
Assistant Clinical Professor, Division of Dermatology, David Geffen School of Medicine, University of California Los Angeles (UCLA), Los Angeles, CA, USA
Neil S. Sadick MD, FAAD, FAACS, FACP, FACPh
Clinical Professor, Weill Cornell Medical College, Cornell University, New York, NY, USA
Nazanin Saedi MD
Assistant Professor, Director, Laser Surgery and Cosmetic Dermatology, Department of Dermatology and Cutaneous Biology, Thomas Jefferson University, Philadelphia, PA, USA
Zeina S. Tannous MD
Department of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
Robert A. Weiss MD
Clinical Associate Professor, Department of Dermatology, University of Maryland School of Medicine, Baltimore, MD, USA
Director, MD Laser Skin Vein Institute, Baltimore, MD, USA
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