Handbook of Dermatologic Surgery (eBook)

Dr. Elizabeth Hale is a board certified dermatologist and a Clinical Associate Professor of Dermatology at New York University Langone Medical Center. She specializes in Mohs micrographic surgery, dermatologic surgery, laser surgery and cosmetic dermatology. Dr. Hale practices in New York City and teaches advanced dermatologic surgery to the New York University dermatology residents.Dr. Hale has received the Surgical Attending of the Year Award from NYU's dermatology residents and serves as the co-director of the NYU Procedural Dermatology Fellowship. She was the co-director of NYU Advances in Dermatology symposium for eight years. Dr. Hale was selected to the New York Times Magazine list of New York “Super Doctors” and Castle Connolly "Top Doctors" for the third time in 2013 and was listed in New York Magazine Best Doctors for 2013. She has been featured on the Dr. Oz Show, the Today Show, and CBS This Morning and has been quoted in many online and print publications including Glamour, Elle, MORE, Allure, Vogue, ModernMedicine.com, Lucky and Fitness.Dr. Julie Karen is a board certified dermatologist who specializes in Mohs micrographic surgery, laser surgery, skin cancer, and the treatment of leg veins. She is a Clinical Assistant Professor of Dermatology at the New York University Langone Medical Center, where she teaches dermatologic surgery to the dermatology residents.In 2013, Dr. Karen was elected to New York Super Doctors Rising Stars 2013, which appears in the New York Times Magazine. Dr. Karen has received the Surgical Attending of the Year Award from NYU's dermatology residents. Dr. Karen has published numerous articles and chapters in the field of dermatology, including publications in the New England Journal of Medicine, Journal of the American Academy of Dermatology, and Archives of Dermatology. She has appeared on Fox & Friends and has been quoted in many print and online publications.Dr. Perry Robins is Professor Emeritus of Dermatology and was Chief of the Mohs Micrographic Surgery Unit at New York University Medical Center for more than forty years. A pioneer in Mohs Micrographic surgery, he has performed more than 40,000 Mohs surgical procedures. An accomplished educator in his field, Dr. Robins was the first to offer one-year fellowships in Mohs surgery and was also the first to train Mohs techniques to dermatologists from other countries.Dr. Robins has trained more than seventy doctors from around the world who are now leaders in dermatologic and skin cancer care. Approximately 40 percent of all doctors who specialize in Mohs surgery were either trained by Dr. Robins or doctors he trained and he is the founder and president of The Skin Cancer Foundation, a national and international organization dedicated to skin cancer research and public and medical education. In addition, Dr. Robins is the founder/president of the International Society of Dermatologic Surgery, founder/former president of the American College of Mohs Micrographic Surgery, and former president of the American Society of Dermatologic Surgery.Dr. Robins has published over sixty articles in leading medical journals and is the founder of the Journal of Dermatologic Surgery and Oncology and is known internationally for the advancement of his specialty, his commitment to his patients, and his contributions to education.

Chapter 1: Surgical AnatomyFigure 1: Anterior View of the Skull Figure 2: Lateral View of the Skull Figure 3: Lateral View of Muscles of the head and neck     Figure 4: Nerves of the Face Table 1: Trigeminal Nerve BranchesFigure 5: Branches of the Facial NerveFigure 6: Vascular supply to the face Figure 7: Anatomy of the Nose Figure 8: Subunits of the face/lips Figure 9: Anatomy of the external ear Figure 10: Anatomy of the Eye Figure 11: Anatomy of the Nail unitFigure 12: Skin Tension Lines (Face) Figure 13: Skin Tension Lines (Anterior) Figure 14: Skin Tension Lines (Posterior) Figure 15: Great saphenous vein and its tributariesFigure 16: Small saphenous vein and its tributariesChapter 2:  Excisional and Non-excisional SurgeryPreoperative HistoryRecommendations for management of anticoagulantsFigure 17: Guidelines for Prophylactic AntibioticsCommonly used Prophylactic Antibiotics (Table 2)Antiseptic Scrubs  (Table 3)Local Anesthetics  (Table 4)Anesthetics:  Key-FactsTumescent Anesthesia Solution (Table 5)Electrosurgery (Table 6)CryosurgeryRecommended Surgical Margins (Table 7) Melanoma Staging (Table 8)Main Indications for MOHs Micrographic SurgeryFigure 18: MOHs Micrographic Surgery TechniqueFigure 19: Elliptical Fusiform ExcisionFigure 20: Placement of Incisions and Excisions on the FaceFigure 21: Simple Interrupted StitchFigure 22: Buried Vertical Mattress StitchFigure 23: Vertical Mattress StitchFigure 24: Horizontal Mattress StitchFigure 25: Running Subcuticular StitchFigure 26: Pulley StitchFigured 27: Three Point Suture (AKA Tip stitch)Figure 28: Repair of Dog EarsFigure 29: “Leashing” of Dog EarsSuture Materials - Absorbable Sutures (Table 9)Suture Materials - Non-Absorbable Sutures (Table 10)Topical Antimicrobial Agents (Table 11)Wound Dressings (Table 12)Surgical Complications (Table 13) Suture Removal Timetable (Table 14)Chapter 3: Advanced RepairsFlap OverviewFigure 30: Single Advancement FlapFigure 31: Bilateral Advancement FlapFigure 32: Z-plastyFigures 33/34: M-plastyFigure 35: S-plastyFigure 36: Rotation FlapFigure 37: Double rotation AKA O-Z-plastyFigure 38: Rhomboid FlapFigure 39: Bilobed transposition flapSkin Grafts OverviewSkin Grafts Type (Table 15)Chapter 4:  Cosmetic Dermatology: neurotoxins, fillers and chemical peelsBotox dilutions (Table 16)Fillers (Table 17)Chemical Peels (Table 18)Chapter 5: Lasers and other technologyLaser OverviewLasers Used in Dermatology (Table 19)Fractionated Laser Devices (Table 20)Home and Low Energy Devices (Table 21)Tattoo Removal by Laser (Table 22) Photo-induced Eye Injury (Table 23) Novel Devices: Skin tightening and body sculptingChapter 6: Leg VeinsLeg vein treatment overviewLeg vein treatment algorithmLaser for Leg Veins (Table 24)Sclerotherapy Agents (Table 25)Index