Color Atlas of Cosmetic Dermatology 2 Ed (McGraw-Hill 2011)[PDF] [tahir99] VRG

Color Atlas of • �osme -., c ��erma o o ZEINA TANNOUS SANDY TSAO I I MATHEW M AVRAM MARC R AVRAM _ Color Atlas of Cosmetic Dermatology This page intentionally left blank Color Atlas of Cosmetic Dermatology Second Edition Ze ina Tannous, M D Chief, Mohs/Dermatologi c Surgery, Boston VA Medical Center Massachusetts General Hospital, Dermatology Laser & Cosmetic Center Affiliate Faculty, Wellman Center for Photomedicine Faculty Director for Dermatopathology, Department of Dermatology, Harvard Medical School Assistant Professor in Dermatology, Harvard Medical School Boston, Massachusetts Mathew M Avram, M D, JD Director Massachusetts General Hospital, Dermatology Laser & Cosmetic Center Faculty Director for Procedural Dermatology Training, Department of Dermatology, Harvard Medical School Affiliate Faculty, Wellman Center for Photomedicine Boston, Massachusetts Sandy Tsao, M D Director of Procedural Dermatology Harvard Medical School Massachusetts General Hospital, Dermatology Laser & Cosmetic Center Boston, Massachusetts Marc R Avram, M D Clinical Professor of Dermatology Weill Cornell Medical School Private Practice-905 Fifth Avenue New York, New York B Medical New York Mexico City Milan Chicago San Francisco New Delhi San J uan Lisbon Seoul London Madrid Singapore Sydney Toronto The McGrow·H/11 Companies Copyright© 2011 - by The McGraw-Hill Companies, Inc All rights reserved Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form or by any means, or stored in a database or retrieval system, without the prior written permission of the publisher ISBN: 978-0-07-163975-0 MinD : 0-07-163975-6 The material in this eBook also appears in the print version of this title: ISBN: MinD : 0-07-163503-3 978-0-07-163503-5, All trademarks are trademarks of their respective owners Rather than put a trademark symbol after every occun·ence of a trademarked name, we use names in an editorial faslllon only, and to the benefit of the trademark owner, with no intention of infringement of the trademark Where such designations appear in this book, they have been printed with initial caps McGraw-Hill eBooks are available at special quantity discounts to use as premiums and sales promotions, or for use in corporate training programs To contact a representative please e-mail us at bulksales@mcgraw-lllll.com Notice Medicine is an ever-changing science As new research and clinical experience broaden our knowledge, changes in treatment and drug therapy are required The authors and the publisher of this work have checked with sources believed to be reliable in their efforts to provide information that is complete and generally in accord with the standards accepted at the time of publication However, in view of the possibility of human error or changes in medical sciences, neither the authors nor the publisher nor any other party who has been involved in the preparation or publication of this work warrants that the information contained herein is in every respect accurate or complete, and they clisclaim all responsibility for any errors or omissions or for the results obtained from use of the information contained in this work Readers are encouraged to confirm the information contained herein with other sources For example and in particular, readers are advised to check the product information sheet included in the package of each drug they plan to adntinister to be certain that the information contained in this work is accurate and that changes have not been made in the recommended dose or in the contraindications for administration This recommendation is of particular importance in connection with new or infrequently used drugs TERMS OF USE This is a copyrighted work and The McGraw-Hill Companies, Inc ("McGrawHill") and its licensors reserve all rights in and to the work Use of this work is subject to these terms Except as permitted under the Copyright Act of 1976 and the right to store and retrieve one copy of the work, you may not decompile, disassemble, reverse engineer, reproduce, moclify, create derivative works based upon, transntit, distribute, clisseminate, sell, publish or sublicense the work or any part of it without McGraw-Hill's prior consent You may use the work for your own noncommercial and personal use; any other use of the work is strictly prolllbited Your right to use the work may be terminated if you fail to comply with these terms THE WORK IS PROVIDED "AS IS." McGRAW-HILL AND ITS LICENSORS MAKE NO GUARANTEES OR WARRANTIES AS TO THE ACCURACY, ADEQUACY OR COMPLETENESS OF OR RESULTS TO BE OBTAINED FROM USING THE WORK, INCLUDING ANY INFORMATION THAT CAN BE ACCESSED THROUGH THE WORK VIA HYPERLINK OR OTHERWISE, AND EXPRESSLY DISCLAIM ANY WARRANTY, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE McGraw-Hill and its licensors not warrant or guarantee that the functions contained in the work will meet your requirements or that its operation will be uninterrupted or en·or free Neither McGraw-Hill nor its licensors shall be liable to you or anyone else for any inaccuracy, error or omission, regardless of cause, in the work or for any damages resulting therefrom McGraw-Hill has no responsibility for the content of any information accessed through the work Under no circumstances shall McGraw-Hill and/ or its licensors be liable for any indirect, incidental, special, punitive, consequential or s.irnilar damages that result from the use of or inability to use the work, even if any of them has been advised of the possibility of such damages This limitation of liability shall apply to any claim or cause whatsoever whether such claim or cause arises in contract, tort or otherwise D E D I CATI O N I wou ld l i ke t o ded icate this book t o the memory of m y beloved father, who a l ways gave me h is u lti mate love a n d s u p port Zeina Tannous, MD I wou ld l i ke to ded icate this book to my wonderfu l pa rents, Morre l l a n d M a ria Avra m You have provided me u ncond itional love a n d end less s u p po rt s i n ce the day I was born I love yo u Mathew M Avram, MD, JD To my h us ba n d , Hensi n You a re my stre ngth a n d i n s p i ration You r l ove, wisd o m a n d encou ragement h e l p m e rea l ize a nyth i n g is poss i b l e You a re a wo n d e rfu l h us ba n d , father a n d best fri e n d I wi l l love y o u a lways To my sons, Se basti a n a n d H u nter You r u nconditional love, enthusiasm a n d sense o f adventure h e l p me remem ber what is truly i m porta nt Yo u brighten my days a n d fi l l my l ife with h a p p i n ess and love Sandy Tsao, MD T h i s book is ded icated to my wife R o b i n a n d my two sons Robert a n d J a c o b I tha n k t h e m f o r the love a n d s u p port t h a t they give me every day Marc R Avram, MD This page intentionally left blank CONTENTS ix Preface SECTION THREE: DISORDERS OF ECCRINE GLANDS Chapter 16: Hyperhidrosis 86 SECTION ONE: PHO TOAGING Chapter 1: Analysis of the Aging Face and Non-Facial Regions SECTION FOUR: DISORDERS OF HAIR FOLLICLES Chapter 17: Hirsutism Chapter 2: Topical Treatment Options 92 99 Chapter 18: Pseudofolliculitis Chapter 3: Soft Tissue Augmentation 14 Chapter 19: Male Pattern Hair Loss 103 Chapter 4: Botulinum Toxin 21 Chapter 20: Female Pattern Hair Loss 126 Chapter 5: Chemical Peels 29 Chapter 6: Nonablative Laser Resurfacing Chapter 7: Ablative Laser Resurfacing 39 43 Chapter 21: Low Level Light Therapy (LLLT) and Hair Loss 133 SECTION FIVE: DISORDERS OF PIGMENTATION Chapter 22: Cafe Au Lait Macule 136 Chapter 8: Nonablative Fractional Laser Resurfacing 52 Chapter 23: Ephelides Chapter 9: Ablative Fractional Laser Resurfacing Chapter 10: Tissue Tightening 57 Chapter 24: Lentigines 62 Chapter 25: Melasma Chapter 11: Dermatochalasis Chapter 26: Nevus of Ota Chapter 12: Poikiloderma of Civatte 64 67 139 144 149 154 Chapter 27: Postinflammatory hyperpigmentation 158 Chapter 28: Vitiligo SECTION TWO: DISORDERS OF SEBACEOUS 163 GLANDS Chapter 13: Acne Vulgaris 72 SECTION SIX: VASCULAR ALTERATIONS Chapter 14: Rosacea 76 Chapter 29: Angiokeratoma Chapter 15: Sebaceous Hyperplasia 81 Chapter 30: Cherry and Spider Angiomas vi i 168 170 Chapter 31: Granuloma Faciale Chapter 32: Infantile Hemangioma Chapter 33: Keratosis Pilaris Atrophicans Chapter 34: Port-wine Stains Chapter 35: Pyogenic Granuloma 177 183 188 192 Chapter 39: Warts Chapter 41: Becker's Nevus 203 206 Chapter 42: Epidermal Inclusion Cyst Chapter 43: Epidermal Nevus 248 252 256 Chapter 54: Lichen Planus Chapter 55: Morphea Chapter 56: Psoriasis 262 265 267 272 276 Chapter 59: HIV Lipodystrophy/Facial Lipoatrophy Chapter 60: Striae Distensae SECTION TEN: ADIPOSE TISSUE ALTERATIONS SECTION NINE: INFLAMMATORY DISORDERS Chapter 58: Cellulite 198 Chapter 53: Squamous Cell Carcinoma SECTION SEVEN: BENIGN GROWTHS Chapter 52: Basal Cell Carcinoma Chapter 57: Gynecomastia Chapter 40: Angiofibroma Chapter 38: Venous Lakes Chapter 51: Actinic Keratosis 181 Chapter 37: Lower Extremity Telangiectasias, Reticular and Varicose Veins SECTION EIGHT: CUTANEOUS CARCINOMAS Chapter 36: Facial Telangiectasias 174 212 216 219 222 280 285 SECTION ELEVEN: WOUND HEALING ALTERATIONS Chapter 44: Lipoma Chapter 61: Hypertrophic Scars, Keloids, and Acne Scars 226 290 298 Chapter 63: Tattoo Removal 300 Chapter 64: Torn Earlobe 308 Index 311 Chapter 45: Milium Chapter 47: Seborrheic Keratosis Chapter 48: Syringoma Chapter 49: Dermatosis Papulosa Nigra Chapter 50: Xanthelasma Chapter 46: Neurofibroma 229 231 234 SECTION TWELVE EXOGENOUS CUTANEOUS ALTERATIONS Chapter 62: Ear Piercing 238 241 243 viii PREFACE There has been a revol ution in the treatment of med ical a n d cos­ go these proced u res The decision as to when not to treat a patient m etic d isord ers of the s ki n I n la rge part, this is d u e to the ava i l ­ is perha ps the m ost i m porta nt i n this fie l d a b i l ity o f procedu res a n d tec h nologies t h a t prod uce clear, cosmet­ With t h i s i n m i n d , Color Atlas o f Cosmetic Dermatology, Second ic benefit with few side effects a n d l ittle downti m e With the advent Edition seeks to provide a succ i n ct yet broad overview of cosmetic of lasers and l ight sou rces over the past 20 yea rs, cosmetic thera py There a re a plethora i l l ustrations and gra phs to e l u c i date i m prove ment is a m atter of q u ic k , relatively pa i n less proced u res consu ltati o n , management, treatment and side effects of n u m e r­ N on-laser treatments such as soft tissue fi l l ers, botu l i n u m tox i n ous cos metic proced u res Its pra ctica l format is gea red to the busy i njections, sclerothera py, h a i r tra ns p l a n tation a n d others have a lso practitioner or tra i nee who seeks a q u ic k , comprehensive refer­ d matica l ly expa nded the scope of this field These procedu res ence fo r a pproa c h i n g the cosmetic patient It a lso e m p h asizes coincide with the busy l ifestyle of many patients who seek a n pitfa l l s of treatment in ord e r to ed ucate the reader as to potenti a l i m prove ment i n a p pea nce that does n ot interfere with t h e i r pro­ p r o b l e m s w i t h certa i n treatments It serves as a n i nva l ua ble fessiona l , soc i a l or perso n a l obl igati o n s resource to both the experienced a n d novice These proced u res, however, a re n ot without potentia l side effects o r co m p l icati o n s Physicians who perform these treatments Zeina Ta n nous, M D in the a bsence of tra i n i ng or ed u cation a re certa i n to encou nter M athew M Avra m , M D , J D poor resu lts , c o m p l ications and i rate patie nts Beca use patients Sandy Tsao, M D a re p u rs u i ng el ective treatments fo r cosmetic benefit, a ny worsen ­ M a rc R Avra m , M D i ng o f a p pea n c e wi l l u n d e rsta n d a bly a nger patients who u n d e r- ix .. .Color Atlas of Cosmetic Dermatology This page intentionally left blank Color Atlas of Cosmetic Dermatology Second Edition Ze ina Tannous, M D Chief, Mohs/Dermatologi c Surgery, Boston VA Medical... 24 8 25 2 25 6 Chapter 54: Lichen Planus Chapter 55: Morphea Chapter 56: Psoriasis 26 2 26 5 26 7 27 2 27 6 Chapter 59: HIV... Chapter 36: Facial Telangiectasias 174 21 2 21 6 21 9 22 2 28 0 28 5 SECTION ELEVEN: WOUND HEALING ALTERATIONS Chapter 44: Lipoma