By Peter M. Prendergast (auth.), Anthony Erian, Melvin A. Shiffman (eds.)
This richly illustrated ebook covers all facets of aesthetic facial surgical procedure, from anatomy to the diversity of methods hired in facial surgical procedure, together with ancillary suggestions resembling chemical peel, laser, and facial fillers. either more moderen options and adaptations on older methods are conscientiously provided and mentioned. additionally, preoperative care is analyzed, and precise cognizance is dedicated to difficulties regarding HIV an infection, anesthesia, issues, and mental elements. The members are all the world over acclaimed specialists within the box. The publication might be a useful resource of knowledge for citizens and fellows, training aesthetic surgeons, and surgeons in numerous comparable fields.
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Additional info for Advanced Surgical Facial Rejuvenation: Art and Clinical Practice
4 Zone 4 This danger zone includes the supraorbital and supratrochlear nerves, branches of the ophthalmic division of the trigeminal nerve, and sensory nerves to the upper eyelid and forehead. M. 5 cm from the midline in women . The supratrochlear nerve appears from its foramen or notch about 1 cm medial to the supraorbital nerve. The supraorbital nerve has superﬁcial and deep branches that straddle the corrugator muscle. Sometimes, the deep branch arises from its own foramen lateral to the superﬁcial branch.
It is dense and thick over the parotid gland. Traced superiorly toward the zygomatic arch, it is termed temporoparietal fascia within the temporal region and galea within the scalp, both of which are substantial in terms of thickness . As it is traced medially into the cheek, overlying the masseter and buccal fat pad, it becomes thinner and less distinct. In the malar region, it is quite thin and comprises the epimysium of the elevators of upper lip . SMAS ensheathes the superﬁcial mimetic muscles, platysma, zygomaticus major and minor, and risorius; ﬁbrous septa connect the SMAS to the overlying dermis of skin.
Zone 3: Marginal mandibular branch of the facial nerve where it travels near the lower border of the mandible and passes superﬁcially at its anterior part near the corner of the mouth. In addition to the above motor nerves, four further danger zones are described that identify ﬁve sensory nerves. Although there are several other sensory nerves in the face, the ones highlighted here are regularly encountered during commonly performed surgical procedures, and are therefore more prone to injury. These procedures include coronal and endoscopic brow lift, subperiosteal midface lift, genioplasty, and SMAS-platysma rhytidectomy.