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Doody's Review ServiceReviewer: Thomas A. Mustoe, MD (Northwestern University Feinberg School of Medicine)
Description: In this book the focus is on tumescent liposuction under local anesthesia with additional information on the use of the laser for blepharoplasty and in treatment of the submental region.
Purpose: It is designed as a liposuction manual written by dermatologists for dermatologists with additional small sections on the use of laser. The book is succinct to the point of lacking detail. It appears to be designed for the beginning practitioner in this area.
Audience: The book does not have a clear focus, but appears to be designed for the resident or novice practitioner. The authors address the book to practitioners at all levels, but it is too rudimentary for the plastic surgeon practicing in this area. The principal author is a self-described authority; but the "weekend" facelift is misleading in its representation.
Features: All areas of liposuction are discussed, from office design and equipment, to patient consultation, anesthesia, and actual techniques utilized. Dosages of xylocaine are not supported by references. IV sedation is not used, so the book is oriented more towards the dermatologist with OR privileges, and with simple cookbook approaches including suggested volumes of infusion for each region. There are several limitations: a very brief non-analytical discussion of ultrasonic liposuction, photos of pre-op patients with their chins tucked in for facial patients, and inadequate discussion of complications and techniques.
Assessment: Although the preface suggests that this book is addressed to all practitioners of liposuction, its design as a manual with explicit instructions on routine pre-op and post-op evaluation, suggested volumes, and choice of sutures, indicates the book is really focused on the novice, and appears directed at dermatologists. Although not explicitly noted, this is a reasonable primer for the novice, but lacks sophistication for the more experienced surgeon. The "weekend" facelift results are carefully selected to patients benefiting from simultaneous chin implant and minimal skin laser. It is not clear the laser contributes to the results.