Essentials
for students
PLASTIC SURGERY EDUCATIONAL FOUNDATION
plastic surgery
The American Society of Plastic Surgeons (ASPS) is the largest organization of board-certified plastic surgeons in the world. With over 6,000 members, the society is recognized as a leading authority and information source on cosmetic and reconstructive plastic surgery. ASPS comprises 94 percent of all board-certified plastic surgeons in the United States. Founded in 1931, the society represents physicians certified by The American Board of Plastic Surgery, Inc. or The Royal College of Physicians and Surgeons of Canada. ASPS is recognized as the voice of plastic surgery by the public, organized medicine, industry, and government and works to position its members for success in a highly competitive environment through educational forums and the development of guidelines and products to enhance the profession.
Essentials
for students
plastic surgery
YOUNG PLASTIC SURGEONS COMMITTEE Adam Lowenstein, Chair David H. Song, MD, Vice Chair Seventh Edition 2007 Essentials for Students Workgroup David H. Song, MD Ginard Henry, MD Russell R. Reid, MD, PhD Liza C. Wu, MD Garrett Wirth, MD Amir H. Dorafshar, MBChB UNDERGRADUATE EDUCAT ION COMMITTEE OF THE PLASTIC SURGERY EDUCAT IONAL FOUNDATION First Edition 1979 Ruedi P. Gingrass, MD, Chairman Martin C. Robson, MD Lewis W. Thompson, MD John E. Woods, MD Elvin G. Zook, MD
INTRODUCTION This book has been written primarily for medical students, with constant attention to the thought, Is this something a student should know when he or she finishes medical school? It is not designed to be a comprehensive text, but rather an outline that can be read in the limited time available in a burgeoning curriculum. It is designed to be read from beginning to end. Plastic surgery had its beginning thousands of years ago, when clever surgeons in India reconstructed the nose by transferring a flap of cheek and then forehead skin. It is a modern field, stimulated by the challenging reconstructive problems of the unfortunate victims of the World Wars. The advent of the operating microscope has thrust the plastic surgeon of today into the forefront of advances in small vessel and nerve repair, culminating in the successful replantation of amputated parts as small as distal fingers. Further, these techniques have been utilized to perform the first composite tissue transplantations of both hands and partial faces. The field is broad and varied and this book covers the many areas of involvement and training of todays plastic surgeons. The American Society of Plastic Surgeons is proud to provide complimentary copies of the Plastic Surgery Essentials for Students handbook to all third year medical students in the United States and Canada.
Copyright 2007 by the Plastic Surgery Educational Foundation 444 East Algonquin Road Arlington Heights, IL 60005 14th Printing 2007 All rights reserved. Printed in the United States of America
Continually updated information about various procedures in plastic surgery and other medical information of use to medical students and other physicians can be found at the ASPS/PSEF website at www.plasticsurgery.org.
TABLE OF CONTENTS
Preface: A Career in Plastic Surgery . . . . . . . . . . . . . . . . . . . . . . . . i
Chapter 1: Wounds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Chapter 2: Grafts and Flaps . . . . . . . . . . . . . . . . . . . . . . 10
Chapter 3: Skin and Subcutaneous Lesions. . . . . . . . . . 18
Chapter 4: Head and Neck . . . . . . . . . . . . . . . . . . . . . . 32
Chapter 5: Breast, Trunk and External Genitalia . . . . . . 53
Chapter 6: Upper Extremity . . . . . . . . . . . . . . . . . . . . . 68
Chapter 7: Lower Extremity . . . . . . . . . . . . . . . . . . . . . 81
Chapter 8: Thermal Injuries. . . . . . . . . . . . . . . . . . . . . . 89
Chapter 9: Aesthetic Surgery . . . . . . . . . . . . . . . . . . . . 107
Chapter 10: Body Contouring . . . . . . . . . . . . . . . . . . . 113
