An ideal resource for both the novice and experienced surgeon, Practical Facial Reconstruction: Theory and Practice is a practical, step-by-step guide to facial repair, written by a highly experienced authority in the field. In this fully updated 2nd Edition, Dr. Andrew Kaufman walks you through decision making in repair design and execution, offering tips, pearls, and key points that make seemingly complicated flaps less complicated, and repairs more aesthetic and functionally successful. Abundant illustrations and numerous new videos provide real-world visual guidance on soft tissue facial reconstruction.
Key Features
- Covers cheek, forehead, nose, lip, ear, and eyelid reconstruction, with ample pearls, tips, and key points for each repair.
- Walks you through the thought process of evaluating a surgical defect, analyzing it, and designing and executing the repair to achieve optimal functional and cosmetic results.
- Shares Dr. Kaufman’s personal tips, tricks, and pearls for every repair, with the goal of simplifying and demystifying many useful reconstruction techniques.
- Features hundreds of high-quality, step-by-step photographs and line drawings throughout, plus more than 30 all-new procedural videos.
- Covers simpler as well as more complex repairs, including bilobed transposition flaps, helical rim advancement flaps, unilateral and bilateral rotation flaps, cartilage grafts on the nose, rhombic transposition flaps, melolabial transposition flaps, advancement flaps on the nose, lips, eyebrow, and forehead, island advancement flaps, and much more.
- Provides a unique theoretical and practical framework for identifying defects and developing a reconstructive plan that can be applied to a wide variety of situations beyond those covered in the book.
- An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud. Additional digital ancillary content may publish up to 6 weeks following the publication date.
Author Information
By Andrew Kaufman, M.D., F.A.C.P, Private Practice, Thousand Oaks and Santa Barbara, California, USA and Clinical Professor of Dermatology, Keck School of Medicine of USC, Los Angeles, CA, USA
Part I Theory
Chapter 1 Principles, Design, Completion
1.1. Principles of Reconstruction
1.2 Anatomical Considerations
1.3 Patient Considerations
1.4 Design Repair
1.5 Surgical Technique
1.6 Execution of Repair
1.7 Wound Care
Part II Practice
Chapter 2 Practical Aspects of Facial Reconstruction
2.1 Second Intention Healing
2.2 Side-to-Side Repair
2.3 Advancement Flaps
2.4 Rotation Flaps
2.5 Transposition Flaps
2.6 Island Advancement Flaps
2.7 Skin Grafts and Cartilage Grafts
2.8 Delayed or Staged Interpolation Flaps
Chapter 3 Cheek and Chin Reconstruction
3.1 Medial Cheek: Side-to-Side Repair
3.2 Medial Cheek: Advancement Flap
3.3 Medial Cheek: Island Advancement Flap
3.4 Nasomelal Fold: Island Advancement Flap
3.5 Infraorbital Cheek: Advancement Flap
3.6 Preauricular Cheek: Island Advancement Flap and Advancement Flap
3.7 Zygomatic Cheek: Rotation Flap
3.8 Inferior Cheek: Rhombic Transposition Flap and Bilobed Transposition Flap
3.9 Mid Chin: Unilateral and Bilateral Rotation Flap
Chapter 4 Forehead and Temple Reconstruction
4.1 Medial, Lateral, and Supraorbital Forehead: Side-to-Side Repair
4.2 Forehead (Eyebrow): Advancement Flap
4.3 Lateral Forehead: Advancement Flap
4.4 Lateral Forehead (Eyebrow): Full-Thickness Skin Graft
4.5 Lateral Forehead: O-to-Z Rotation Flap
4.6 Midforehead: Bilateral Advancement Flap
4.7 Midsuperior Forehead: Bilateral Rotation Flap
4.8 Temple: Second-Intention Healing
4.9 Temple: Advancement Flap
4.10 Temple: Rotation Flap
4.11 Temple: Rhombic Transposition Flap
Chapter 5 Nose Reconstruction
5.1 Right Nasal Supratip, Rhombic Transposition Flap (and Nasal Dorsum/ Sidewall Defect Repaired With Rhombic Transposition Flap)
5.2 Nasal Dorsum, Mid: Bilateral Advancement Flap
5.3 Nasal Sidewall and Nasomelal Fold: Island Advancement Flap
5.4 Nasal Sidewall and Supratip: Bilobed Transposition Flap, Lateral Pedicle
5.5 Nasal Tip, Mid: Bilateral Rotation Flap
5.6 Alar Crease, Anterior: Full-Thickness Skin Graft, and Scarabrasion
5.7 Alar Crease, Anterior: Island Advancement Flap
5.8 Alar Crease and Posterior Nasal Ala: Rhombic Transposition Flap
5.9 Anterior Nasal Ala: Bilobed Transposition Flap, Medial Pedicle
5.10 Nasal Ala: Free Cartilage Grafting and Second-Intention Healing
5.11 Right Nasal Sidewall and Alar Crease: Melolabial Transposition Flap
5.12 Full-Thickness Defect of the Lateral Tip and Soft Triangle: Repair With Cheek-to-Nose Interpolation Flap (and Nasal Alar Defect Repaired With Island Variant of Cheek-to-Nose Interpolation Flap)
5.13 Larger Defects on the Nasal Tip or Distal Nose: Paramedian Forehead Flap
5.14 Nasal Tip, Supratip, and Dorsum: Dorsal Nasal Rotation Flap
Chapter 6 Lip Reconstruction
6.1 Left Upper Cutaneous Lip: Side-to-Side Repair
6.2 Right Upper Lip: Advancement Flap
6.3 Upper Lip: Rotation Flap
6.4 Alar Sill: Island Advancement Flap
6.5 Midupper Lip Vermilion and Midlower Lip Vermilion: Vermilionectomy and Mucosal Advancement Flap
6.6 Midlower Lip Vermilion: Bilateral Vermilion Rotation Flap
6.7 Midupper Lip Vermilion and Philtrum: Island Advancement Flap and Bilateral Vermilion Rotation Flap
6.8 Midupper Lip Vermilion and Philtrum: Island Advancement Pincer Flap and Mucosal Advancement Flap
6.9 Midupper Lip: Bilateral Advancement Flap
6.10 Lower Lip: Melolabial Transposition Flap (Inferior-Based Pedicle)
6.11 Lower Lip: Wedge Excision
6.12 Upper Lip: Abbe–Estlander (Lip-Switch) Flap
Chapter 7 Ear Reconstruction
7.1 Helical Rim: Side-to-Side Repair
7.2 Medial Pinna: Transposition Flaps (Rhombic and Bilobed)
7.3 Tragus (and Conchal Bowl): Preauricular Transposition Flap
7.4 Conchal Bowl (and Triangular Fossa): Second-Intention Healing
7.5 Conchal Bowl (and Triangular Fossa): Postauricular Pull-Through Flap
7.6 Antihelix: Full-Thickness Skin Graft
7.7 Helical Rim: Helical Rim Advancement Flap
7.8 Helical Rim: Wedge Excision Repair
7.9 Helical Rim: Staged Postauricular Transposition Flap
Chapter 8 Eyelid Reconstruction
8.1 Lower Eyelid: Side-to-Side Repair
8.2 Lower Eyelid: Wedge Excision Repair
8.3 Lower Eyelid: Advancement Flap (and Full-Thickness Skin Graft)
8.4 Medial Canthus (and Nasal Root): Rotation Flap
8.5 Lateral Canthus: Rhombic Transposition Flap (and Medial Canthus Repaired by Rhombic Transposition Flap)
8.6 Lower Eyelid and cheek (and Lateral Canthus in Second Patient): Complex Linear Repair and Adjacent-Tissue Full-Thickness Skin Graft
Videos:
Chapter 2 Practical Aspects of Facial Reconstruction
Video 2-1 Complex Repair on the Cheek—Andrew J. Kaufman
Video 2-2 Complex Repair—Andrew J. Kaufman
Chapter 3 Cheek Reconstruction
Video 3-1 Advancement Flap on Infraorbital Cheek—Andrew J. Kaufman
Video 3-2 Advancement Flap on Preauricular Cheek—Andrew J. Kaufman
Video 3-3 Advancement Flap on Preauricular Cheek in Younger Patient—Andrew J. Kaufman
Video 3-4 Advancement Flap on Preauricular Cheek—Andrew J. Kaufman
Video 3-5 Rotation Flap for Chin Repair—Andrew J. Kaufman
Video 3-6 Bilateral Rotation Flap on Chin—Andrew J. Kaufman
Chapter 4 Forehead and Temple Reconstruction
Video 4-1 Advancement Flap for Surgical Defect on the Mid Eyebrow—Andrew J. Kaufman
Video 4-2 Advancement Flap on the Lateral Forehead—Andrew J. Kaufman
Video 4-3 Advancement Flap on Supraorbital Forehead—Andrew J. Kaufman
Video 4-4 Advancement Flap on Posterior Temple—Andrew J. Kaufman
Chapter 5 Nose Reconstruction
Video 5-1 Rhombic Transposition Flap on Nasal Sidewall Defect—Andrew J. Kaufman
Video 5-2 Bilateral Advancement Flap on Mid Nasal Dorsum—Andrew J. Kaufman
Video 5-3 Bilateral Advancement Flap on the Nasal Dorsum—Andrew J. Kaufman
Video 5-4 Island Advancement Flap for Repair of Inferior Medial Canthal and Nasal Sidewall Defect—Andrew J. Kaufman
Video 5-5 Design and Execution Bilobed Transposition Flap on the Left Nasal Supratip—Andrew J. Kaufman
Video 5-6 Lateral-Based Bilobed Transposition Flap—Andrew J. Kaufman
Video 5-7 Bilateral Rotation Flap on the Nasal Tip—Andrew J. Kaufman
Video 5-8 Island Advancement Flap on Anterior Alar Crease—Andrew J. Kaufman
Video 5-9 Island Advancement Flap for Anterior Alar Crease Defect—Andrew J. Kaufman
Video 5-10 Rhombic Transposition Flap on Nasal Ala—Andrew J. Kaufman
Video 5-11 Cartilage Graft and Rhombic Transposition Flap on Posterior Nasal Ala—Andrew J. Kaufman
Video 5-12 Medial-Based Bilobed Transposition Flap on the Nasal Ala—Andrew J. Kaufman
Video 5-13 Bilobed Transposition Flap, Medial Pedicle—Andrew J. Kaufman
Video 5-14 Cartilage Graft for Anterior Alar Crease—Andrew J. Kaufman
Video 5-15 Cartilage Graft and Rotation Flap on Nasal Infratip—Andrew J. Kaufman
Video 5-16 Paramedial Forehead Flap in Patient on Apixaban—Andrew J. Kaufman
Video 5-17 Cheek Advancement Flap, Cartilage Graft and Paramedian Forehead Flap for Defect on the Nasal Ala and Nasomelal Sulcus—Andrew J. Kaufman
Video 5-18 Dorsal Nasal Rotation Flap on Nasal Supratip—Andrew J. Kaufman
Chapter 6 Lip Reconstruction
Video 6-1 Advancement Flaps on the Upper Lip—Andrew J. Kaufman
Video 6-2 Island Advancement Flap on Alar Sill in Patient on Apixaban—Andrew J. Kaufman
Video 6-3 Island Advancement Flap for Philtral Reconstruction—Andrew J. Kaufman
Chapter 7 Ear Reconstruction
Video 7-1 Postauricular Transposition Flap for Repair on the Superior Helical Crux—Andrew J. Kaufman
Video 7-2 Postauricular Pull-Through Flap—Andrew J. Kaufman
Video 7-3 Full-Thickness Skin Graft on Ear—Andrew J. Kaufman
Video 7-4 Helical Rim Advancement Flap—Andrew J. Kaufman
Video 7-5 Postauricular Interpolation Flap for Repair of Helical Rim—Andrew J. Kaufman
