Table Of ContentPractical Dermatologic Surgery
Practical Dermatologic Surgery
Edited by
Richard G. Bennett, MD
Departments of Dermatology
University of California, Los Angeles
and
University of Southern California
Los Angeles, CA
USA
First edition published 2022
by CRC Press
2 Park Square, Milton Park, Abingdon, Oxon, OX14 4RN
and by CRC Press
6000 Broken Sound Parkway NW, Suite 300, Boca Raton, FL 33487-2742
© 2022 Taylor & Francis Group, LLC
CRC Press is an imprint of Taylor & Francis Group, LLC
This book contains information obtained from authentic and highly regarded sources. While all reasonable efforts have
been made to publish reliable data and information, neither the author[s] nor the publisher can accept any legal responsibil-
ity or liability for any errors or omissions that may be made. The publishers wish to make clear that any views or opinions
expressed in this book by individual editors, authors or contributors are personal to them and do not necessarily reflect
the views/opinions of the publishers. The information or guidance contained in this book is intended for use by medical,
scientific or health-care professionals and is provided strictly as a supplement to the medical or other professional’s own
judgement, their knowledge of the patient’s medical history, relevant manufacturer’s instructions and the appropriate best
practice guidelines. Because of the rapid advances in medical science, any information or advice on dosages, procedures
or diagnoses should be independently verified. The reader is strongly urged to consult the relevant national drug formulary
and the drug companies’ and device or material manufacturers’ printed instructions, and their websites, before admin-
istering or utilizing any of the drugs, devices or materials mentioned in this book. This book does not indicate whether
a particular treatment is appropriate or suitable for a particular individual. Ultimately it is the sole responsibility of the
medical professional to make his or her own professional judgements, so as to advise and treat patients appropriately. The
authors and publishers have also attempted to trace the copyright holders of all material reproduced in this publication and
apologize to copyright holders if permission to publish in this form has not been obtained. If any copyright material has not
been acknowledged please write and let us know so we may rectify in any future reprint.
Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, transmitted, or uti-
lized in any form by any electronic, mechanical, or other means, now known or hereafter invented, including photocopy-
ing, microfilming, and recording, or in any information storage or retrieval system, without written permission from the
publishers.
For permission to photocopy or use material electronically from this work, access www.copyright.com or contact the
Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400. For works that are not
available on CCC please contact [email protected]
Trademark notice: Product or corporate names may be trademarks or registered trademarks and are used only for identi-
fication and explanation without intent to infringe.
Library of Congress Cataloging-in-Publication Data
Names: Bennett, Richard G., editor.
Title: Practical dermatologic surgery / edited by Richard G. Bennett.
Description: First edition. | Boca Raton : CRC Press, 2021. | Includes bibliographical references
and index. | Summary: “Covering the full range of dermatologic surgery, this text will be essential
reading for residents in dermatology, family practice, and surgical specialties needing to review a topic
in detail. Each chapter is in brief, with tables, line drawings, and the essential references, offering an
authoritative and up-to-date guide”-- Provided by publisher.
Identifiers: LCCN 2021011682 (print) | LCCN 2021011683 (ebook) |
ISBN 9780367511050 (paperback) | ISBN 9780367511098 (hardback) |
ISBN 9781003052432 (ebook)
Subjects: MESH: Dermatologic Surgical Procedures
Classification: LCC RD520 (print) | LCC RD520 (ebook) | NLM WR 670 |
DDC 617.4/77059--dc23
LC record available at https://lccn.loc.gov/2021011682
LC ebook record available at https://lccn.loc.gov/2021011683
ISBN: 978-0-367-51109-8 (hbk)
ISBN: 978-0-367-51105-0 (pbk)
ISBN: 978-1-003-05243-2 (ebk)
Typeset in Times LT Std
by KnowledgeWorks Global Ltd.
For beautiful Lisa
&
our wonderful daughters
Didi & Amelie
Contents
Preface ......................................................................................................................................................ix
Acknowledgments .....................................................................................................................................xi
List of Contributors .................................................................................................................................xiii
Section I Dermatologic Surgery Background
1. History of Dermatologic Surgery ...................................................................................................3
Richard G. Bennett and Danielle Urman
2. Preoperative Evaluation and Avoiding Surgical Problems .........................................................11
Elisabeth K. Shim
3. Benign Skin Lesions ......................................................................................................................21
Hina Ahmad
4. Pre-malignant and Malignant Skin Lesions ...............................................................................29
Steven Chow
5. Skin Biopsy Techniques ..................................................................................................................41
Silvina Pugliese, Tanya Nino, and Abel Torres
Section II Dermatologic Surgery Basics
6. Wound Healing ...............................................................................................................................49
Teresa Soriano
7. Anatomy ..........................................................................................................................................57
Allison Hanlon
8. Electrosurgery ................................................................................................................................71
Austin Liu and Naomi Lawrence
9. Dressings and Their Effects on Wound Healing .........................................................................79
Ronald G. Wheeland
10. Basic Suturing and Excision Techniques .....................................................................................89
Kapila V. Paghdal and Murad Alam
11. Nail Unit Surgery .........................................................................................................................107
Michael Xiong and Richard G. Bennett
vii
viii Contents
Section III Reconstructive Dermatologic Surgery
12. Skin Grafts ....................................................................................................................................127
Ken K. Lee
13. Cutaneous Flaps ............................................................................................................................135
Jonathan L. Cook
14. Mohs Micrographic Surgery ........................................................................................................143
Manish Gharia and Brittany Ahuja
Section IV Cosmetic Dermatologic Surgery
15. Neurotoxins ....................................................................................................................................153
Alastair Carruthers and Jean Carruthers
16. Soft Tissue Fillers .........................................................................................................................159
Jeanette M. Black and Derek H. Jones
17. Chemical Peeling ...........................................................................................................................169
Gary D. Monheit
18. Lasers..............................................................................................................................................175
Lisa Y. Xu and Mathew M. Avram
19. Sclerotherapy and Endovenous Ablation ....................................................................................187
Mitchel P. Goldman
20. Tumescent Liposuction ................................................................................................................193
William P. Coleman III and Kyle Coleman
21. Hair Transplantation ...................................................................................................................199
Paul McAndrews
22. Miscellaneous Procedures: Intense Pulsed Light, Photodynamic Therapy,
Cryotherapy, Cryolipolysis, Microdermabrasion, Salabrasion, Dermabrasion,
Microneedling, Radiofrequency, and Ultrasound.....................................................................207
Jennifer A. Ledon and Richard G. Bennett
Index .......................................................................................................................................................215
Preface
During the latter 20th century, a renaissance of dermatologic surgery occurred. Although dermatolo-
gists were initially at the forefront of skin surgical techniques in the early days of their specialty around
1900, a lag (1920–1975) ensued during which surgery became dormant in dermatology; at that time
dermatology evolved into a medical rather than a surgical specialty. Fortunately in 1975, the first surgical
journal in dermatology, the Journal of Dermatologic Surgery, appeared and has been published continu-
ously ever since. There are now over 80 fellowships in Mohs Micrographic Surgery and Dermatologic
Oncology overseen by the Accreditation Council for Graduate Medical Education (ACGME) and over
20 cosmetic dermatology fellowships overseen by the American Society for Dermatologic Surgery. Thus,
almost one-quarter of dermatology residents take a 1-year surgical specialty fellowship after residency.
Many of the innovations in skin surgery that are now widely accepted were pioneered by dermatolo-
gists. For instance, hair transplantation, dermabrasion, and laser surgery were all first used by derma-
tologists. Perhaps the greatest contribution to skin surgery has been the development and expansion of
Mohs micrographic surgery, which is a surgical/pathological technique for removing skin cancer. Many
unique reconstructive techniques have been developed by dermatologic surgeons to close wounds after
skin cancer removal. In addition, because dermatologists are required to have extensive pathology train-
ing during residency, they have been in a unique position to develop and advance this technique.
In the realm of cosmetic and aesthetic dermatology, dermatologists also have been at the forefront
researching skin rejuvenation and expanding use of skin fillers, botox, and laser surgery. Because of
extensive training in skin biology, dermatologists have a unique and expansive background to research
cutaneous surgery.
The purpose of this book is to provide medical students and residents a practical summary of core
knowledge in dermatologic surgery. The chapters are written by experts in each topic and presented in
outline form that focuses on important facts and “pearls”. Heavy emphasis is placed on historic develop-
ment of dermatologic surgery as we feel it is important to understand where dermatologic surgery came
from and where it is headed in the future.
Richard G. Bennett, MD
Los Angeles, CA
ix
