Surgical Techniques: Reconstructive and Plastic Surgery 6.3.3.6 Surgery on the Labia and Clitoris

Author(s):  
Ahmed M Hashem ◽  
Rafael A Couto ◽  
Chris Surek ◽  
Marco Swanson ◽  
James E Zins

Abstract Although previous publications have reviewed face and neck-lift anatomy and technique from different perspectives, seldom were the most-relevant anatomical details and widely practiced techniques comprehensively summarized in a single work. As a result, the beginner is left with a plethora of varied publications that require sorting, re-arrangement, and critical reading. A recent survey of US plastic surgery residents and program directors disclosed less facility with facelift surgery when compared to aesthetic surgery of the breast and trunk. To this end four of the widely practiced facelift techniques (ie, MACS-lift, lateral-SMASectomy, extended-SMAS, and composite rhytidectomy) are described in an easy review format. The highlights of each are formatted followed by a summary of complications. Finally, the merits and limitations of these individual techniques are thoroughly compared and discussed.


The second edition of Operative Plastic Surgery is a fully updated, comprehensive text that discusses the most common plastic surgery procedures in great detail. It covers the classic techniques in plastic surgery, as well as the most recent technical advances while maintaining a systematic approach to patient care within each chapter. Traversing the entirety of the human body, each chapter addresses assessment of defects, preoperative factors, pathology, trauma, operative indications and procedures, and more. Also covered is the operative room setup, with special consideration given to the operative plan, patient positioning and markings, and technique for each type of surgery. Detailing more than 90 specific surgical techniques, this book covers both reconstructive and aesthetic plastic surgery. A new section addresses noninvasive techniques such as Botox, injectables, lasers, and skin care. New chapters throughout the book also include anterolateral thigh (ALT) flaps, nasal cleft deformities, zygomaticomaxillary complex (ZMC) fractures, augmentation mastoplexy, body contouring for the massive weight loss patient, and endoscopic carpal tunnel repair. Led by Gregory R. D. Evans, this volume assembles thought leaders in plastic surgery to present operative surgery in a clear, didactic, and comprehensive manner and lays the groundwork for ideas that we have just scratched the surface of, such as translational research, fat grafting, stem cells, and tissue engineering.


2019 ◽  
Vol 12 (1) ◽  
pp. 1-7 ◽  
Author(s):  
RobertLlewellyn Thomas ◽  
Anton Fries ◽  
Darryl Hodgkinson

Plastic surgical techniques were described in antiquity and the Middle Ages; however, the genesis of modern plastic surgery is in the early 20th century. The exigencies of trench warfare, combined with medical and technological advances at that time, enabled pioneers such as Sir Harold Gillies to establish what is now recognized as plastic and reconstructive surgery. The physicians of Germany, Russia, and the Ottoman Empire were faced with the same challenges; it is fascinating to consider parallel developments in these countries. A literature review was performed relating to the work of Esser, Lanz, Joseph, Morestin, and Filatov. Their original textbooks were reviewed. We describe the clinical, logistical, and psychological approaches to managing plastic surgical patients of these physicians and compare and contrast them to those of the Allies, identifying areas of influence such as Gillies’ adoption of Filatov's tube pedicle flap.


2019 ◽  
pp. 503-518
Author(s):  
Samuel Lance ◽  
Catherine Tsai ◽  
Amanda Gosman

Understanding the anatomy and surgical technique for repair of the unilateral and bilateral cleft lip remain essential to the practice of plastic surgery. This chapter summarizes the relevant anatomy, clinical evaluation, surgical technique, and postoperative care of the cleft lip patient. Step-by-step surgical descriptions and illustrations are provided along with commentary regarding common pitfalls encountered with these techniques. The surgical techniques described are a modified Millard rotation advancement technique for repair of the unilateral cleft lip and a modified Byrd repair for correction of the bilateral cleft lip.


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