Chapter

Chapter 7 Scar Revision in Plastic Surgery

Introduction Scars are the inevitable result of any surgical procedure.  The goal of the Plastic Surgeon is to generate a scar that does not impair form or function to any significant degree.  Attention to detail and precision in wound creation and closure maximize the opportunity for producing an excellent scar […]

Read More

Chapter 6 The Role of Dermal Matrices in Breast Augmentation

Breast Augmentation and particularly revision breast augmentation requires extremely specialized knowledge in the role of dermal matrices.  Dr. Hughes was a leading author in a recent peer-reviewed article along with colleagues including other professors at Harvard Medical School.  At Hughes Plastic Surgery in Los Angeles and Beverly Hills, Dr. Kenneth Hughes, MD has […]

Read More

Chapter 5 Fillers

General Filler Characteristics 1) Describe the ideal filler         Biocompatible, inexpensive, easily obtained, stored, and used, long-lasting and reversible, predictable with minimal migration, useful in multiple tissue planes, minimal side effects or complications 2) In what facial areas do fillers have greater longevity?        Relatively static areas, such as nasolabial […]

Read More

Chapter 4 Fat Grafting

Chapter 4: Fat Grafting Kenneth B. Hughes, M.D. Division of Plastic and Reconstructive Surgery Beth Israel Deaconess Medical Center Harvard Medical School Indications Structural fat grafting is used to enhance contour in virtually any area amenable to grafting and the indications are continually expanding. The first and most common indication […]

Read More

Chapter 3 Facelift

Facelift / Rhytidectomy Kenneth Hughes, MD Other Facial Aging Procedures brow lift upper and lower eyelid procedures facial fat grafting chin liposuction 1)What are the factors that result in the aging face? Referred to as elastosis, this process results in loss of collagen and elastin fibers due to: a) Extrinsic […]

Read More

Chapter 2 Photography in Plastic Surgery

Photography in Aesthetic Head and Neck Surgery Kenneth Hughes, MD Introduction Photography is essential to documenting results in all forms of facial plastic surgery: brow lift, upper and lower eyelid surgery, face and neck lift, facial fat grafting and stem cell rejuvenation, rhinoplasty, chin implants, chin liposuction, and ear correction […]

Read More

Chapter 1 Preoperative Workup in the Plastic Surgery Patient

Preoperative Evaluation in Aesthetic Head and Neck Surgery Kenneth Hughes, MD Anatomical Norms A general recognition of facial norms and proportions has great relevance for the plastic surgeon during the preoperative assessment. The face can be divided into roughly equal thirds consisting of the trichion to nasal root, the nasal […]

Read More