- Fills a gap in the field by bringing together material that is rarely gathered in one book.
- Includes expert hints and tips on avoiding common pitfalls in cosmetic and dermatologic surgery.
- Illustrates each pearl with line drawings and photographs to put it into clinical context.
Section 1: Assisting at Surgery
Pearl 1: Surgical Assistant: Counter-Traction and a Clear Visual Field Pearl 2: Placement of the Simple Interrupted Stitch Pearl 3: Surgical Assistant: Help with Surface Sutures Pearl 4: Surgical Assistant: Twisted Knot and Cutting Suture at Correct Length Pearl 5: Surgical Assistant: Help with the Subcuticular Stitch
Section 2: Suture Techniques
Pearl 6: How to Break the Memory of Suture Material without Breaking the Suture Pearl 7: Hemostasis: Suture Ligature Pearl 8: Proper Placement of the 3-Cornered Stitch Pearl 9: Delayed Closure of Buried Sutures When Closing Small Excisions Pearl 10: Percutaneous Buried Vertical Mattress Suture Pearl 11: The Running Locked Suture as an Aid for Hemostasis Pearl 12: Maximal Skin Edge Eversion with the Running Hybrid Mattress Suture Pearl 13: The Short String Tie Section 3: Closures and Procedures
Pearl 14: Circular Incisions as a Guide for Optimal Aesthetic Removal Pearl 15: The Crescentic Ellipse for Curving Relaxed Skin Tension Lines Pearl 16: Serial Excision Pearl 17: S-Plasty for Excision on Convex or Concave Pearl 18: Pruning the Proud Flesh Pearl 19: Hydro-Dissection (Hydroplaning) with Anesthetic Fluid Pearl 20: Second Intention Healing Over Bare Cartilage Pearl 21: A User-Friendly Surgical Dressing Pearl 22: Minimizing the Dogear Pearl 23: In Pursuit of the Perfect Punch Biopsy Pearl 24: The Split Punch Biopsy: The power of two Pearl 25: Saucerization Biopsy Pearl 26: “Off-Set Bias Suturing” to Favorably Alter the Tension Vector of Closure Pearl 27: Have I Cut the Temporal Nerve or Just Anesthetized It? Pearl 28: Electrodesiccation and Curettage for Warts Pearl 29: Cysts and Lipomas, Oh My Pearl 30: Drainage of Inflamed/Liquefied Cyst Pearl 31: Transection of Pigmented Lesion Pearl 32: The Retraction Suture for Cyst Removal
Section 4: Flaps
Pearl 33: Flap Components Pearl 34: The Tension Vector of Closure Pearl 35: Tension Vector of Rotation/Advancement Flaps Pearl 36: Determining the Final Scar Lines and Tension Vector of the Rhombic Flap Pearl 37: The Suspension Suture: Partial Closure of Defect Near Free Margin Pearl 38: Contour Maintenance with Suspension Sutures Pearl 39: Reconstruction of the Alar-Facial-Lip Sulcus Pearl 40: “Mercedes Flap”: Multiple Flap Closure of Large Defects
Section 5: Grafts
Pearl 41: Trimming Fat Off of Full-Thickness Skin Grafts Pearl 42: Free Hand Harvesting of a Small Split-Thickness Skin Graft Pearl 43: Basting Suture for FTSG under Direct Visualization Pearl 44: Continuous Tie-Over Bolster Dressings for Skin Grafts Pearl 45: M-Plasty FOR Dog Ear Pearl 46: Dog-Ear as Graft; Don’t Throw That Tissue Away Pearl 47: Dermabrasion for Surgical Scars and Grafts Pearl 48: Manual Dermabrasion of Full-Thickness Grafts Pearl 49: Post-surgical dermabrasion
Section 6: Safety
Pearl 50: Maintaining an Orderly Surgical Tray Pearl 51: Surgical Waste Disposal Pearl 52: Safety: The Medicine Cup: Behold the Lowly cup Pearl 53: Safety: Corneal Eyeshield Pearl 54: Safety: The Sheathed Syringe Pearl 55: Geometric Pattern Excision for Histological Margin Control of Tumors Pearl 56: Control of the Surgical Lamp: In the Best Light Pearl 57: Electrosurgical Unit Safety
Section 7: Instruments
Pearl 58: Instruments for Special Occasions: The Mini-Scalpel System Pearl 59: Razor Blade Surgery for Benign Lesions Pearl 60: Razor Blade Excision for Shallow Basal Cell Carcinomas of the Nose Pearl 61: Alternate Use of a Forceps: A Freeze With a Squeeze Pearl 62: Towel Clamp Assisted Closure for Wounds under Significant Tension Pearl 63: The Cotton-Tipped Applicator (CTA): The Ever-Ready, Multi-Purpose Superstar Pearl 64: The Tongue Depressor: More than say “Ah” (Sept pearls) Pearl 65: The Universal Paper Clip: There’s always one in the desk drawer Pearl 66: The Hyfrecator: Low-Tech, Yet Efficient Benign Lesions Pearl 67: The Punch Used as a Curette
Section 8: Nail
Pearl 68: Nail Matrix Exploration and Retraction Suture for Exposure of the Proximal Nail Groove. Pearl 69: Obtaining an Adequate Biopsy of the Nail Matrix/Bed Pearl 70: Compressive Dressing for the Nail Unit Pearl 71: Use of a Sterile Surgical Glove to Create a Sterile Field Pearl 72: The Proximal Nail Plate Avulsion Pearl 73: Post-phenol Matricectomy Injection to Prolong Anesthesia and Prevent Lymphangitis Pearl 74: Decompression of a Subungual Hematoma
Section 9: Regional Tips
Pearl 75: Pinwheel flap for the scalp vertex and direct galeotomy Pearl 76: Tips for Scalp Surgery: Keeping Hair Out of the Field Pearl 77: Tips for Scalp Surgery: Collodion Dressing Pearl 78: Pearls Around the Mouth Pearl 79: Suturing on the Lip to Minimize Patient Discomfort Pearl 80: Labial Mucocele Removal Pearl 81: Dental Roll for Nasal Packing Pearl 82: Cotton Plug in the Ear Canal Pearl 83: Testing Lower Eyelid Strength Pearl 84: Second Intention Healing of Ear Defects