Handbook of Dermatologic Surgery, 2014

The Handbook of Dermatologic Surgery incorporates the most cutting edge technology applicable to dermatologists and dermatologic surgeons today. Designed as a reference guide for dermatologic surgery and aesthetic procedures, it disseminates key scientific information in an easy-to-use pocket book.

This handbook is designed to be readily transportable for dermatologists and dermatologic surgeons, as well as those in training, dermatology residents and fellows, and medical students rotating through dermatology.

Chapter 1: Surgical Anatomy

Figure 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 Branches

Figure 5: Branches of the Facial Nerve

Figure 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 unit

Figure 12: Skin Tension Lines (Face)

Figure 13: Skin Tension Lines (Anterior)

Figure 14: Skin Tension Lines (Posterior)

Figure 15: Great saphenous vein and its tributaries

Figure 16: Small saphenous vein and its tributaries

Chapter 2:  Excisional and Non-excisional Surgery

Preoperative History

Recommendations for management of anticoagulants

Figure 17: Guidelines for Prophylactic Antibiotics

Commonly used Prophylactic Antibiotics (Table 2)

Local Anesthetics  (Table 4)

Anesthetics:  Key-Facts

Tumescent Anesthesia Solution (Table 5)

Electrosurgery (Table 6)

Cryosurgery

Recommended Surgical Margins (Table 7)

Melanoma Staging (Table 8)

Main Indications for MOHs Micrographic Surgery

Figure 18: MOHs Micrographic Surgery Technique

Figure 19: Elliptical Fusiform Excision

Figure 20: Placement of Incisions and Excisions on the Face

Figure 21: Simple Interrupted Stitch

Figure 22: Buried Vertical Mattress Stitch

Figure 23: Vertical Mattress Stitch

Figure 24: Horizontal Mattress Stitch

Figure 25: Running Subcuticular Stitch

Figure 26: Pulley Stitch

Figured 27: Three Point Suture (AKA Tip stitch)

Figure 28: Repair of Dog Ears

Figure 29: “Leashing” of Dog Ears

Suture 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 Repairs

Flap Overview

Figure 30: Single Advancement Flap

Figure 31: Bilateral Advancement Flap

Figure 32: Z-plasty

Figures 33/34: M-plasty

Figure 35: S-plasty

Figure 36: Rotation Flap

Figure 37: Double rotation AKA O-Z-plasty

Figure 38: Rhomboid Flap

Figure 39: Bilobed transposition flap

Skin Grafts Overview

Skin Grafts Type (Table 15)

Chapter 4:  Cosmetic Dermatology: neurotoxins, fillers and chemical peels

Fillers (Table 17)

Chemical Peels (Table 18)

Chapter 5: Lasers and other technology

Laser Overview

Lasers 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 sculpting

Chapter 6: Leg Veins

Leg vein treatment overview

Leg vein treatment algorithm

Sclerotherapy Agents (Table 25)

Index

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.

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