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Atlas of Minimally Invasive Facelift: Facial Rejuvenation with Volumetric Lipofilling 1st ed. 2016 Edition PDF
by Jose Maria Serra-Renom (Author), José Maria Serra-Mestre (Author)

This atlas provides a concise overview of the principle of fat grafting and its clinical applications to treat aging in the central areas of the face in a minimally invasive manner. The authors start with a short description of the anatomical basis of facial aging and by presenting current facial rejuvenation techniques. Here the emphasis is on the process of harvesting and preparing macro-, micro-, intradermal and nano-fat for injection. Thanks to the book’s numerous illustrations and short descriptions, readers will find valuable information on where and how to inject the fat combined with the authors’ individual techniques and refinements. Aging is a major issue in today’s society. Facial rejuvenation procedures seek to enhance the final outcome and durability of surgery and to minimize drawbacks. The current trend is to use less invasive methods requiring fewer incisions, which produce more natural-looking results. This atlas shows the authors’ personal techniques to help achieve that goal.

Our body image is the dynamic perception we have of our body. Alterations to our body image, either congenital or acquired over a lifetime, can cause significant distress. Like the disproportionate development of the nose or ears during puberty, the changes in tissues during aging can  cause considerable suffering for some people, even though aging in itself is a good thing. 
In the facial region, our improved understanding of the volumetric changes in fat and bone  tissue that occur with the passage of time has revolutionized our conception of facial rejuvenation. The aim today is not just to correct sagging facial tissue but also to restore the volume lost  in particular areas in order to reconstruct a rejuvenated facial contour and to improve tissue quality. In many cases, fat and its stromal vascular fraction are key components of treatment. 
The clinical applications of adipose tissue have undergone a remarkable expansion in recent years. Although liposuction had been in use for some time, its development in the 1980s and the systematization of the atraumatic protocol developed by Dr. Coleman in the 1990s vastly improved the results obtained, especially in terms of fat graft survival. In recent years, there has been a growing trend toward the use of cannulas of ever-smaller diameter, and even needles at the more superficial level, which have allowed notable improvements in cases of fine remodeling. The range of sizes of fat grafts is particularly important in the facial region in order to prevent irregularities. 
For their part, facelift techniques have evolved significantly and are now able to avoid the signs associated with the classical approaches. They now involve moderate dissection of tissues to allow fat grafting in the central areas of the face. There is also a growing tendency toward a combination of techniques, making it possible to achieve results that are both more natural and more complete. 
The  Atlas of Minimally Invasive Facelift: Facial Rejuvenation with Volumetric Lipofi lling is a comprehensive description of all the current techniques and applications of facial fat grafting and facelift. 
The  first section presents the different theories of aging and the effect of the passing of time on different tissues of the facial region. We also discuss the current state of knowledge on fat injection and the possible complications. 
The second section, which is organized topographically, provides surgeons with the information needed to successfully accomplish volumetric rejuvenation in the various areas in which we use fat in the facial region, as well as a step-by-step description of the main minimally invasive facelift techniques. This section has been written as clearly and straightforwardly as possible and is supported by a set of very precise illustrations. We hope that this atlas, with its detailed depictions of all the stages involved, will show surgeons the mode and the plane of the injections in each area and will also indicate when superfi cial and deep injections should be combined

Atlas of Minimally Invasive Facelift: Facial Rejuvenation with Volumetric Lipofilling 1st ed. 2016 Edition PDF

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