Complications in Cutaneous Surgery

About this textbook

No other book currently available specifically addresses complications in cutaneous surgery
Lavishly illustrated with more than 230 figures
Relevant to a number of specialist disciplines from dermatology to otolaryngology

The demand for outpatient cutaneous surgery procedures has increased at a rapid rate over the last several decades. Cosmetic, oncology, and reconstructive procedures are being performed by primary care physicians and a variety of specialists in different disciplines such as dermatology, plastic surgery, ophthalmology, and otolaryngology. As the number of cutaneous surgery procedures rises, so will the rate of complications, which are inevitable and occur even with the most skilled and meticulous surgeons. This comprehensive text will enable the practicing physician to formulate a preoperative strategy to not only prevent complications before they occur but also to properly diagnose and manage complications when they arise, allowing the physician to provide optimal care to the patient.

Written for: Dermatologic surgeons, dermatology residents

Contents

Preface
Contributors

Section I Acute Surgical Complications

1 Preoperative Evaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Marcy Neuburg

2 Acute Emergencies in the Dermatology Offi ce . . . . . . . . . . . . . . . . . . . . 9
Darrell Fader

3 Nerve Injury . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Shawn Allen and Roberta Sengelmann

4 Hemorrhagic Complications in Cutaneous Surgery . . . . . . . . . . . . . . . . . 36
Hugh M. Gloster, Jr.

5 Wound Infections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Gregory J. Fulchiero, Jr., and Elizabeth M. Billingsley

6 Prophylaxis for Wound Infections and Endocarditis . . . . . . . . . . . . . . . . 62
Michelle Pipitone and Hugh M. Gloster, Jr.

7 Dehiscence and Necrosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
Ross M. Campbell and Raymond G. Dufresne, Jr.

Section II Chronic Surgical Complications

8 Hypertrophic Scars and Keloids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
A. Paul Kelly

9 Free Margin Distortion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95
Sumaira Z. Aasi and David Leffell

10 Scar Revision and Camoufl age . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115
Tri H. Nguyen

11 Miscellaneous Complications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139
Mary E. Maloney and Nathaniel J. Jellinek

Section III Complications of Cosmetic Procedures

12 Preoperative Cosmetic Consultation and Psychological Complications of Cosmetic Surgery . . 155
Evan C. Jones and Dee Anna Glaser

13 Complications of Ablative and Nonablative Lasers and Light Sources . . . . . . . . . . . . . . . . . . . 167
Elizabeth L. Tanzi and Tina S. Alster

14 Complications of Dermabrasion and Chemical Peeling Procedures . . . . . . . . . . . . . . . . . . . . . 183
Chris Harmon and Betty Davis

15 Complications of Liposuction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 192
J. Barton Sterling and C. William Hanke

16 Complications of Soft Tissue Fillers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 199
Steven C. Bernstein

17 Complications of Botulinum Toxin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 207
Deborshi Roy and Neil S. Sadick

18 Complications of Sclerotherapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 213
Girish S. Munavalli and Robert A. Weiss

19 Complications of Facelifting Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . 224
Greg S. Morganroth, Hayes B. Gladstone, and Isaac M. Neuhaus

Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 239