Edited by
Bradford M. Towne, DMD
Clinical Associate Professor (retired)
Department of Oral and Maxillofacial Surgery
Boston University Henry M. Goldman School of Dental Medicine
Boston
MA, USA
Pushkar Mehra, BDS, DMD, MS, FACS
Professor and Chair
Department of Oral and Maxillofacial Surgery
Associate Dean, Hospital Affairs
Boston University Henry M. Goldman School of Dental Medicine
Boston
MA, USA
This edition first published 2019
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The right of Bradford M. Towne and Pushkar Mehra to be identified as the authors of the editorial material in this work has been asserted in accordance with law.
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The contents of this work are intended to further general scientific research, understanding, and discussion only and are not intended and should not be relied upon as recommending or promoting scientific method, diagnosis, or treatment by physicians for any particular patient. In view of ongoing research, equipment modifications, changes in governmental 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 package insert or instructions for each medicine, equipment, or device for, among other things, any changes in the instructions or indication of usage and for added warnings and precautions. While the publisher and authors have used their best efforts in preparing this work, they make no representations or warranties with respect to the accuracy or completeness of the contents of this work and specifically disclaim all warranties, including without limitation any implied warranties of merchantability or fitness for a particular purpose. No warranty may be created or extended by sales representatives, written sales materials or promotional statements for this work. The fact that an organization, website, or product is referred to in this work as a citation and/or potential source of further information does not mean that the publisher and authors endorse the information or services the organization, website, or product may provide or recommendations it may make. This work is sold with the understanding that the publisher is not engaged in rendering professional services. The advice and strategies contained herein may not be suitable for your situation. You should consult with a specialist where appropriate. Further, readers should be aware that websites listed in this work may have changed or disappeared between when this work was written and when it is read. Neither the publisher nor authors shall be liable for any loss of profit or any other commercial damages, including but not limited to special, incidental, consequential, or other damages.
Library of Congress Cataloging‐in‐Publication Data
Names: Towne, Bradford M., editor. | Mehra, Pushkar, editor.
Title: Neurotoxins and fillers in facial esthetic surgery / edited by Bradford M Towne, Pushkar Mehra.
Description: Hoboken, NJ : Wiley‐Blackwell, 2019. | Includes bibliographical references and index. |
Identifiers: LCCN 2018044565 (print) | LCCN 2018045695 (ebook) | ISBN 9781119294283 (Adobe PDF) | ISBN 9781119294290 (ePub) | ISBN 9781119294276 (paperback)
Subjects: | MESH: Face–surgery | Cosmetic Techniques | Botulinum Toxins, Type A–therapeutic use | Dermal Fillers–therapeutic use | Durapatite–therapeutic use | Injections–methods
Classification: LCC RD523 (ebook) | LCC RD523 (print) | NLM WE 705 | DDC 617.5/2059–dc23
LC record available at https://lccn.loc.gov/2018044565
Cover Design: Wiley
Cover Images: © Bradford M. Towne
This book is dedicated to the following individuals:
My wife, whose friendship, love, and support has allowed me to pursue my passion for Oral and Maxillofacial Surgery for so many years. My success would have not been possible without her at my side offering critiques when needed and encouragement always. She has always helped me balance my professional life with my home life and kept me grounded. To my very first oral surgery mentor, Dr. Gary Jeffrey. He was an outstanding teacher, surgeon, and role model. To my former partners in private practice for their support and encouragement throughout my career in private practice. To my colleagues, residents, and students at Boston University Henry M. Goldman School of Dental Medicine who have enriched my professional life. Finally, to my co‐editor and friend, Pushkar Mehra, who brought me into academia. These years have allowed me to complete the circle of my career from student to teacher. It has been such a pleasure to work with you and learn from you.
Bradford M. Towne
My father, Mahendra, and my mother, Sheila, for their unconditional love, constant encouragement, and for guiding me to do what is right. To my wife and best friend, Deepika, who has endured the life of an academic surgeon’s spouse—I am eternally grateful for the numerous sacrifices you have made to raise our daughter, your never‐ending support, and you are responsible for making me a better human being. To, my beautiful daughter, Zaara, who is the shining light of my life, for sharing her father with others. To all my residents, students, and colleagues—I have, and continue to learn so much from each one of you. To my fellow editor and friend, Brad Towne—thank you for your hard work, commitment, and dedication, all of which made this project possible.
Pushkar Mehra
Tirbod Fattahi, DDS, MD, FACS
Associate Professor and Chair
Department of Oral and Maxillofacial
Surgery
University of Florida
Jacksonville
FL, USA
Nikita Gupta, MD
Assistant Professor
Division of Facial Plastic and
Reconstructive Surgery
Department of Otolaryngology – Head
and Neck Surgery
University of Kentucky Medical Center
Lexington, KY, USA
Jay R. Levine
President
PBHS Inc.,
Santa Rosa
CA, USA
Pushkar Mehra, BDS, DMD, MS, FACS
Professor and Chair
Department of Oral and Maxillofacial
Surgery
Associate Dean for Hospital Affairs
Boston University Henry M. Goldman
School of Dental Medicine
Boston, MA, USA
Timothy Osborn, DDS, MD, FACS
Clinical Assistant Professor
Department of Oral and Maxillofacial
Surgery
Boston University, Henry M. Goldman
School of Dental Medicine
Boston, MA, USA
Private Practice, C.M.F.‐Cranio‐Maxillofacial Surgery Associates
Boston and Somerville
MA, USA
Jon D. Perenack, MD, DDS
Associate Clinical Professor
Oral and Maxillofacial Surgery
Louisiana State University
New Orleans, and
Surgical and Medical Director
Williamson Cosmetic Center/Perenack
Esthetic Surgery
Baton Rouge, LA, USA
Faisal A. Quereshy, MD, DDS, FACS
Professor
Residency Program Director
Oral and Maxillofacial Surgery
Case Western Reserve University
School of Dental Medicine
Cleveland, OH, USA
Alexandra Radu, DMD, MD
Chief Resident
Oral and Maxillofacial Surgery
Case Western Reserve University
School of Dental Medicine
Cleveland, OH, USA
Salam Salman, DDS, MD
Assistant Professor
Director of the Residency Program,
Department of Oral and Maxillofacial
Surgery
University of Florida
Jacksonville
FL, USA
Raffi Der Sarkissian, MD, FACS
Staff Physician
Boston Facial Plastic Surgery;
Assistant Clinical Professor
Division of Facial Plastic Surgery
Boston University School of Medicine
and
Staff Physician
Division of Facial Plastic Surgery
Massachusetts Eye and Ear Infirmary
Boston, MA, USA
Jeffrey H. Spiegel, MD, FACS
Professor
Chief, Facial Plastic and Reconstructive
Surgery
Boston University School of Medicine
and
The Spiegel Center
Advanced Facial Aesthetics
Newton, MA, USA
Onir L. Spiegel, DDS, PhD
The Spiegel Center
Advanced Facial Aesthetics
Newton, MA, USA
Bradford M. Towne, DMD
Clinical Associate Professor
Department of Oral and Maxillofacial
Surgery
Boston University Henry M. Goldman
School of Dental Medicine
Boston, MA, USA
Shelly Williamson‐Esnard, PA‐C
National certified Allergan Trainer
Clinical Director
Williamson Cosmetic Center/Perenack
Esthetic Surgery
Baton Rouge, LA, USA
Neurotoxins and Facial Fillers are some of the cosmetic procedures most commonly requested by consumers today. These services are provided by many different types of providers. This book is not an exhaustive review of all products and procedures but provides a review of what the authors consider to be the most commonly used products and techniques. Our text provides a review of applied facial anatomy related to neurotoxins and fillers, patient evaluation, the pharmacology of the products, the application of the products involved, and potential complications. Finally, we have included a chapter on how to effectively market your cosmetic services in the world of social media.
This text was the combined effort of many widely recognized authorities in minimally invasive cosmetic procedures. Dr. Mehra and I are most thankful for each of our authors’ contributions to this book. We hope that you find the information useful and applicable to your practice.
Don’t forget to visit the companion website for this book:
www.wiley.com/go/towne/neurotoxins
There you will find valuable material designed to enhance your learning, including:
Scan this QR code to visit the companion website
