Essentials of Plastic Surgery 000000__JJaanniiss__FFMM..iinndddd ii 0066//0066//2222 33::2211 PPMM 000000__JJaanniiss__FFMM..iinndddd iiii 0066//0066//2222 33::2211 PPMM Essentials of Plastic Surgery Third Edition Edited by JEFFREY E. JANIS, MD, FACS Professor Department of Plastic and Reconstructive Surgery; Chief of Plastic Surgery (University Hospital); Adjunct Professor, Departments of Neurosurgery, Neurology, and Surgery; Co-Director, Center for Abdominal Core Health The Ohio State University Wexner Medical Center; Past President, American Society of Plastic Surgeons, American Council of Academic Plastic Surgeons, and Migraine Surgery Society; President, American Hernia Society Columbus, Ohio, USA With Illustrations by Brenda L. Bunch, MA, MS; Amanda L. Tomasikiewicz, MA; Sarah J. Taylor, MS, BA; Jennifer N. Gentry, MA, CMI; and Graeme Chambers, BA (Hons.) 1395 illustrations New York • Stuttgart • Delhi • Rio de Janeiro 000000__JJaanniiss__FFMM..iinndddd iiiiii 0066//0066//2222 33::2211 PPMM Library of Congress Cataloging-in- Important note: Medicine is an ever-changing science Publication Data is available from the undergoing continual development. Research and publisher. clinical experience are continually expanding our knowledge, in particular our knowledge of proper treatment and drug therapy. Insofar as this book mentions any dosage or application, readers may rest assured that the authors, editors, and publishers have Illustrators: Brenda L. Bunch, MA, MS; made every eff ort to ensure that such references are in Amanda L. Tomasikiewicz, MA; Sarah J. accordance with the state of knowledge at the time Taylor, MS, BA; Jennifer N. Gentry, MA, of production of the book. CMI; and Graeme Chambers, BA (Hons.) Nevertheless, this does not involve, imply, or express any guarantee or responsibility on the part of the publishers in respect to any dosage instructions and forms of applications stated in the book. Every user is requested to examine carefully the manufacturers’ leafl ets accompanying each drug and to check, if necessary in consultation with a physician or specialist, whether the dosage schedules mentioned therein or the contraindications stated by the manufacturers diff er from the statements made in the present book. Such examination is particularly important with drugs that are either rarely used or have been newly released on the market. Every dosage schedule or every form of application used is entirely © 2023. Thieme. All rights reserved. at the user’s own risk and responsibility. The authors Thieme Medical Publishers, Inc. and publishers request every user to report to the 333 Seventh Avenue, 18th Floor publishers any discrepancies or inaccuracies noticed. New York, NY 10001, USA If errors in this work are found after publication, errata www.thieme.com will be posted at www.thieme.com on the product +1 800 782 3488 description page. [email protected] Some of the product names, patents, and registered designs referred to in this book are in fact registered Cover design: © Thieme trademarks or proprietary names even though Cover image source: Picasso, Pablo specifi c reference to this fact is not always made in (1881-1973) © Artist Rights Society the text. Therefore, the appearance of a name without (ARS), NY. Girl Before a Mirror. Boisgeloup, designation as proprietary is not to be construed as a March 1932. Oil on canvas, 64̋ x 51.̋ Gift representation by the publisher that it is in the public of Mrs. Simon Guggenheim. (2.1938). The domain. Museum of Modern Art, New York, NY, USA. Thieme addresses people of all gender identities Digital Image © The Museum of Modern equally. We encourage our authors to use gender- Art/Licensed by SCALA/Art Resource, neutral or gender-equal expressions wherever the NY. © 2006 Estate of Pablo Picasso/ARS, context allows. New York. Typesetting by Thomson Digital, India Printed in Canada by Marquis Book Printing Inc. 5 4 3 2 1 This book, including all parts thereof, is legally protected by copyright. Any use, exploitation, or commercialization outside the narrow limits set by ISBN 978-1-62623-847-3 copyright legislation, without the publisher’s consent, is illegal and liable to prosecution. This applies Also available as an e-book: in particular to photostat reproduction, copying, eISBN (PDF): 978-1-62623-848-0 mimeographing, preparation of microfilms, and eISBN (epub): 978-1-63853-548-5 electronic data processing and storage. 000000__JJaanniiss__FFMM..iinndddd iivv 0066//0066//2222 33::2211 PPMM To my wonderful wife, Emily, and our three incredible children, Jackson, Brinkley, and Holden, who are both my inspiration and bedrock. Nothing is possible without your unconditional love and support. To my mother and father, who have shaped and molded me, and have provided the examples of how to live and love. To my mentors, who have guided, taught, infl uenced, and supported me more than they ever knew. And to all of plastic surgery, for your passionate dedication to our great specialty and your unwavering commitment to your patients. Jeff rey E. Janis, MD, FACS 000000__JJaanniiss__FFMM..iinndddd vv 0066//0066//2222 33::2211 PPMM 000000__JJaanniiss__FFMM..iinndddd vvii 0066//0066//2222 33::2211 PPMM Contents CONTRIBUTORS xv FOREWORD xxv PREFACE xxvii ACKNOWLEDGMENTS xxix PART I u FUNDAMENTALS AND BASICS 1. WOUND HEALING 3 Thornwell Hay Parker III, Jenny C. Barker, Bridget Harrison† 2. G ENERAL MANAGEMENT OF COMPLEX WOUNDS 12 Jeff rey E. Janis, Bridget Harrison†, Jenny C. Barker 3. SUTURES AND NEEDLES 21 Joseph M. Baylan, Huay-Zong Law 4. BASICS OF FLAPS 32 Deniz Basci, Amanda A. Gosman 5. PERFORATOR FLAPS 57 Brian P. Bradow 6. TISSUE EXPANSION 69 Janae L. Kittinger, Nellie V. Movtchan, Raman C. Mahabir, Joshua A. Lemmon 7. V ASCULARIZED COMPOSITE ALLOGRAFTS A ND TRANSPLANT IMMUNOLOGY 82 Thet Su Win, Bohdan Pomahac, Tae Chong 8. BASICS OF MICROSURGERY 88 Geoff roy C. Sisk, Patrick B. Garvey, Jeff rey E. Janis 9. BIOMATERIALS 105 Sumanas W. Jordan, Dinah Wan 10. NEGATIVE PRESSURE WOUND THERAPY 121 Chris M. Reid, Raman C. Mahabir, Jeff rey E. Janis 11. LASERS IN PLASTIC SURGERY 131 John E. Hoopman, Amanda K. Silva 12. ANESTHESIA 143 Babatunde Ogunnaike 13. PAIN MANAGEMENT IN PLASTIC SURGERY 159 Jenny C. Barker, Jeff rey E. Janis vii 000000__JJaanniiss__FFMM..iinndddd vviiii 0066//0066//2222 33::2211 PPMM viii Contents 14. PHOTOGRAPHY FOR THE PLASTIC SURGEON 170 Amanda Y. Behr 15. DECREASING COMPLICATIONS IN PLASTIC SURGERY 194 Edward Davidson, Brandon J. De Ruiter, Zoe Diana Draelos, Bridget Harrison†, Ibrahim Khansa, Jeff rey E. Janis PART II u SKIN AND SOFT TISSUE 16. THE BASICS OF SKIN 215 Brian P. Bradow 17. B ASICS OF PLASTIC SURGERY: WOUND CLOSURE 223 Shahryar Tork, Jeff rey E. Janis 18. SCARS AND SCAR MANAGEMENT 238 Ibrahim Khansa, Jeff rey E. Janis 19. SKIN GRAFTING 246 Jason D. Hehr 20. B ASAL CELL CARCINOMA, SQUAMOUS CELL CARCINOMA, AND MELANOMA 254 Smita R. Ramanadham, Danielle M. LeBlanc, Dawn D. Wells 21. BURNS 276 Mohammed Asif, C. Scott Hultman, Reza Kordestani 22. VASCULAR ANOMALIES 291 James R. Seaward, Samer Abouzeid, Christopher A. Derderian 23. CONGENITAL MELANOCYTIC NEVI 301 Geoff rey E. Hespe PART III u HEAD AND NECK 24. HEAD AND NECK EMBRYOLOGY 309 Thornwell Hay Parker III, Huay-Zong Law 25. S URGICAL TREATMENT OF MIGRAINE HEADACHES 315 Ibrahim Khansa, Jeff rey E. Janis CONGENITAL CONDITIONS 26. CRANIOSYNOSTOSIS 329 Abby Culver, Christopher A. Derderian 27. CRANIOFACIAL CLEFTS 346 Huay-Zong Law, Christopher A. Derderian 000000__JJaanniiss__FFMM..iinndddd vviiiiii 0066//0066//2222 33::2211 PPMM