This issue of Clinics in Plastic Surgery offers the plastic surgeon (and facial plastic surgeon, reconstructive surgeon, burn surgeon, any surgeon working with face or body reconstruction or rejuvenation) an intensive review of all aspects of working with fat. The title succinctly sums it up that clinical applications, currently known concepts, and future expectations of working with fat for reconstructive or cosmetic surgery are presented here. The Editors and their selected are peerless in the field that focuses on biology of fat, adipose derived stem cells, and growth factors; harvesting, processing, and storage of harvested fat; how to maximize the results of fat grafting; and safety issues with fat grafting and growth factors. Practical clinical applications, currently known concepts, and future expectations of working with fat for reconstructive or cosmetic surgery are presented here. Because of the depth and comprehensiveness of the material presented by the experts in this field, this issues is presented in two parts; Part 1 topics include: Adipose Tissue and Stem/Progenitor Cells: Discovcery and Development; Cryopreservation of Adipose Tissue and Adipose Derived Stem Cells; Adipose Stem Cells: Biology, Safety, Regulation, and Regenerative Potential; History and Development of Fat Grafting: from Ram Fat to Stem Cells; Condensation of Tissue and Stem Cells for Fat Grafting; Can We STtandardize the Techniques for Fat Grafting; How Fat Survives and Remodels after Grafting; The Role of Fat Grafting in Facial Rejuvenation; Gluteal Augmentation with Fat Grafting-the "Brazilian Buttock Technique:" 30 Years' Experience; Fat Grafting for Treatment of Burns, Burn Scars, and other Difficult Wounds.

This issue of Clinics in Plastic Surgery offers the plastic surgeon (and facial plastic surgeon, reconstructive surgeon, burn surgeon, any surgeon working with face or body reconstruction or rejuvenation) an intensive review of all aspects of working with fat. The title succinctly sums it up that clinical applications, currently known concepts, and future expectations of working with fat for reconstructive or cosmetic surgery are presented here. The Editors and their selected are peerless in the field that focuses on biology of fat, adipose derived stem cells, and growth factors; harvesting, processing, and storage of harvested fat; how to maximize the results of fat grafting; and safety issues with fat grafting and growth factors. Practical clinical applications, currently known concepts, and future expectations of working with fat for reconstructive or cosmetic surgery are presented here. Because of the depth and comprehensiveness of the material presented by the experts in this field, this issues is presented in two parts; Part 2 topics include: Fat grafting for facial filling and regeneration; Fat grafting for treatment of craniofacial deformity; Role of fat grafting in breast reconstruction; Combined use of implant and fat grafting for breast augmentation; Breast reconstruction with fat grafting and Brava; Safety considerations of fat grafting to the breast. There is an entire section on Regenerative Approaches with Fat Grafting - Ulcers and scars; Dupytren's contracture, Scleroderma; abd Velopharyngeal insufficiency. Future use of fat graft is discussed, along with management of catastrophic complications following fat grafting.

With breast augmentation and tumor removal the #1 procedures in cosmetic surgery and reconstructive surgery, respectively, according to latest ASPS information, this issue on breast augmentation presents discussion of procedures for cosmetic enhancement and for breast reconstruction. The first section includes topics such as: Evolution and Future Development of Breast Implants; Standardization of the Bra Cup; Process of Breast Augmentation with Special Focus on Patient Education, Patient Selection and Implant Selection; Etiology & Prevention of Capsular Contracture; 3-D Imaging and Simulation in Breast Augmentation: What is the Current State of the Art?; Fresh Look at the Anatomy of the Chest Wall with Special Attention to the Pectoralis Major and Infra-Mammary Fold with Implications to Breast Surgery; Differences between Saline & Silicone Implants that Most Plastic Surgeons Don't Know; Shapes, Sizes, Shells and Surface and the Selection Process of Breast Implants; Shapes, Proportions and Variations in Breast Aesthetic Ideals - definition of breast beauty: analysis and surgical practice. The next section presents surgical approaches and techniques for breast implant surgery: Teaching Breast Augmentation What are the Critical Intra Operative Steps & Decision Making: Maximizing Results and Minimizing Revisions; Mastering the Nuances of Highly Cohesive Shaped Breast Implants; Strategies, Challenges and Solutions in Augmentation Mastopexy Patients: The Most Difficult Primary Breast Procedure; Use of Scaffold Support of the Breast in Primary Augmentation Mastopexy; Considerations and Improvement of Breast Asymmetry in Primary Augmentation; Surgical Strategies in the Correction of the Tuberous Breast; Subfascial Apprach to Breast Augmentation with Lipofilling of the Breast; Surgical Approaches to Breast Augmentation: Surgical Options for Incisions & Planes; Fat Grafting / Fat Transfer to the Breast; Use of Barbed Sutures in Primary Augmentation and Mastopexy. The final section presents special situations in surgical procedures: High Resolution Ultrasound and the Detection of Breast Implant Shell Failure; Breast Implant Associated ALCL.

Presented by the editors and more than ninety renowned experts on structural fat grafting, this extensively updated volume comprises their state-of-the-art experience and techniques on the use of autologous fat in many aspects of plastic surgery to correct, restore, and enhance patients' structural proportions and defects. Provides a strong foundation of the current Coleman technique of structural fat grafting, including available instrumentation, and the principles and basic concepts of fat injection. Comprehensive coverage on the biology underlying successful fat grafting, as well as excellent color illustrations of the step-by-step technique and descriptions of the effects of the aging process. This new edition contains the most current information on the regenerative potential of grafted fat as well as the long-term results of fat grafting, with updated cases demonstrating the staying power of transferred fat. A remarkable strength of this book is the purposeful inclusion of these worldwide contributors' many different approaches to harvesting, processing, and placing of lipoaspirate, with generous case examples of their results. Clinical applications for all parts of the body, from face and neck to breasts, and upper and lower extremities and genital areas reflect the wide utility of the procedure in reconstructive and aesthetic fields. A chapter on complications and the means to avoid them is given extensive coverage. An e-book and multiple clinical videos are included. This exciting new edition reflects the entire arc of the development of the revolutionary techniques of structural fat grafting, which have sprung from the growing awareness worldwide of the critical role of fat transplantation in aesthetic and reconstructive surgery.

This issue of Clinics in Plastic Surgery offers the surgeon information on the most recent approaches to body contouring, primarily focused on this procedure performed after massive weight loss. Gastric bypass surgery practically foretells abdominoplasty, with ~75% of patients undergoing plastic surgery following gastric bypass. A total of almost one-half million body contouring procedures are performed annually by plastic surgeons according to ASPS statistics. Topics in this issue include: Assessing outcomes in body contouring; Preoperative evaluation of the body contouring patient; What happens to the skin after weight loss; Effect of further weight loss following body contouring; Effect of weight gain following body contouring; Anesthesia considerations; Procedures for Brachioplasty; Bra line back lift; Breast contouring; Abdomen contouring; the Fleur Di Lis Abdominoplasty; Extended abdominoplasty; Medial thigh lift; Buttock contouring; Truncal contouring; Lower body lift; and Prevention and management of complications.

The third of a series of Multispecialty presentations in plastic surgery is this issue on Rhinoplasty, led by Dr. Babak Azzizadeh with plastic surgery section editor Dr. Ronald Gruber and facial plastic surgery section Editor Dr. Daniel Becker. This comprehensive publication on all aspects of Rhinoplasty and Revision Rhinoplasty presents clinical management from plastic surgeons and facial plastic surgeons on topics including: Anatomy/Analysis of the Nose in Rhinoplasty; External and Endonasal Rhinoplasty; Airway Obstruction; Surgical Treatment of Nasal Obstruction in Rhinoplasty; Cleft Lip Nose; Humpectomy/Spreader Flaps; Costal Cartilage Grafts in Rhinoplasty; Nasal Bones and Osteotomies; Dorsal Hump Osteotomies; Dorsal Augmentation; Short Nose Correction; Nasal Tip Deficiency; Projection and De-projection Techniques in Rhinoplasty; Projection and De-projection in Rhinoplasty; Use of Fillers in Rhinoplasty; Surgical Treatment of the Middle Nasal Vault; Bulbous and Broad Nasal Tip; The Crooked Nose; Surgical Treatment of the Twisted Nose; Nasal Base Deformities; Alar Rim Deformities; Rhinoplasty in the Asian Patient; Rhinoplasty in the African-American Patient; Rhinoplasty in the Latino Patient; Revision Rhinoplasty; Chin Advancement, Augmentation, and Reduction as an Adjunct to Rhinoplasty.

Injectables and Fillers become ever more prominent in the field of rejuvenative surgery as the trend is to minimally invasive and non-invasive techniques for rejuvenation. This publication, edited by pre-eminent leader in the field, Corey Maas, presents a useful approach for the practicing facial plastic surgeon, plastic surgeon, dermatologist, oculoplast, or cosmetic oral surgeon. The highlight of the issue is a section focusing on "Contemporary Approach to Cosmetic/Aesthetic Fillers" from Core Experts, who present how they plan for the specific patient and anatomic area, techniques used, and pearls for best outcomes, such as what they use, why they use them, how much they use, needles or cannulas, etc. Detailed anatomic depictions alongside clinical views are presented. In addition to the surgical "how I do it" are articles on Understanding the Tissue-Device Interface; Complications and Management of Aesthetic Injectable Fillers; Case for synthetic Injectables; and Perspective on the Current Filler Market.