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//-->Fat removalFat removalInvasive and non-invasive body contouringMathew M. AvramDermatology Laser & Cosmetic CenterMassachusetts General HospitalBoston, MA, USAMD, JDThis edition first published 2015; © 2015 by John Wiley & Sons LtdRegistered office: John Wiley & Sons, Ltd, The Atrium, Southern Gate, Chichester, West Sussex,PO19 8SQ, UKEditorial offices: 9600 Garsington Road, Oxford, OX4 2DQ, UK111 River Street, Hoboken, NJ 07030-5774, USAFor details of our global editorial offices, for customer services and for information about how to apply forpermission to reuse the copyright material in this book please see our website atwww.wiley.com/wiley-blackwellThe right of the author to be identified as the author of this work has been asserted in accordance with theUK Copyright, Designs and Patents Act 1988.All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, ortransmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise,except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior permission of thepublisher.Designations used by companies to distinguish their products are often claimed as trademarks. All brandnames and product names used in this book are trade names, service marks, trademarks or registeredtrademarks of their respective owners. The publisher is not associated with any product or vendormentioned in this book. It is sold on the understanding that the publisher is not engaged in renderingprofessional services. If professional advice or other expert assistance is required, the services of a competentprofessional should be sought.The contents of this work are intended to further general scientific research, understanding, and discussiononly and are not intended and should not be relied upon as recommending or promoting a specific method,diagnosis, or treatment by health science practitioners for any particular patient. The publisher and theauthor make no representations or warranties with respect to the accuracy or completeness of the contentsof this work and specifically disclaim all warranties, including without limitation any implied warranties offitness for a particular purpose. In view of ongoing research, equipment modifications, changes ingovernmental regulations, and the constant flow of information relating to the use of medicines,equipment, and devices, the reader is urged to review and evaluate the information provided in the packageinsert or instructions for each medicine, equipment, or device for, among other things, any changes in theinstructions or indication of usage and for added warnings and precautions. Readers should consult with aspecialist where appropriate. The fact that an organization or Website is referred to in this work as a citationand/or a potential source of further information does not mean that the author or the publisher endorsesthe information the organization or Website may provide or recommendations it may make. Further,readers should be aware that Internet Websites listed in this work may have changed or disappearedbetween when this work was written and when it is read. No warranty may be created or extended by anypromotional statements for this work. Neither the publisher nor the author shall be liable for any damagesarising herefrom.Library of Congress Cataloging-in-Publication DataFat removal : invasive and non-invasive body contouring / [edited by] Mathew M. Avram.p. ; cm.Includes bibliographical references and index.ISBN 978-1-4443-3428-9 (cloth)I. Avram, Mathew M., editor.[DNLM: 1. Lipectomy–methods. 2. Adipose Tissue–surgery. WO 600]RD119.5.L55617.9′52–dc232014035664A catalogue record for this book is available from the British Library.Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may notbe available in electronic books.Typeset in 9.5/13pt MeridienLTStd by Laserwords Private Limited, Chennai, India1 2015ContentsList of contributors, viiAbbreviations, ix1Introduction, 1Hrak Ray Jalian, Alison Avram, and Mathew M. Avram2Facial fat: anatomy and implications for rejuvenation, 12Hrak Ray Jalian and Rebecca Fitzgerald3Histology and pathology of subcutaneous tissue, 23Selim M. Nasser and Zeina S. Tannous4Injectable treatments for fat and cellulite, 37Adam M. Rotunda5The architecture of cellulite, 59Arisa E. Ortiz and Mathew M. Avram6Cellulite treatment, 68Neil S. Sadick and Suveena Bhutani7Cooling for fat, 101Andrew A. Nelson8Laser lipolysis and laser-assisted liposuction, 120Robert A. Weiss9Soft tissue augmentation for facial lipoatrophy and volumization, 137Nazanin Saedi and Kenneth ArndtIndex, 147v
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