The scope of use of local anesthetics in procedures in plastic surgery is covered in this issue of Clinics in Plastic Surgery. Discussion centers on plastic surgeons in private practice in ambulatory facilities and those scheduling time for OR in hospital facilities using local anesthetics while accommodating patient comfort and absence of side-effects post general anesthesia. Presented in this publication are the most common plastic surgeries that can be done under local anesthesia, each with a discussion of the optimal anesthetic, method of administration, and dosage. Video of the procedure or portion of the procedure, as applicable, accompanies the techniques along with a surgical case. The goal of this issue is to provide a concise reference for surgeons’ planning surgeries to review and perhaps adapt currently used methods with this latest information on local anesthetics. Surgical Technique is provided in detail with full analysis of Patient Selection and Planning, Complications and Post-procedure Care. Contents include Complications; Basic Science of Locals; Skin Grafts and Flaps; Peripheral Nerve; Foot Surgery; Breast Surgery; Liposuction; Hand Trauma; Oculoplastic Surgery; Ear Surgery; Hair Transplantation; among others.

One major by-product of the aging baby-boom generation has been a surging interest in cosmetic surgery. Out-patient cosmetic surgery clinics have sprouted up in droves all over the U.S., and the number of cosmetic procedures performed in 2005 increased by over 95% from the previous year. Although procedures like facelifts and abdominoplasties (the 'tummy-tuck') are considered minimally invasive, the anesthetic protocols and regimens here are often overly complex and unnecessarily toxic. Major complications involving anesthesia in this (and any other) surgical milieu can range from severe post-operative nausea and vomiting (PONV) to neuromuscular spasticity to mortality. The mortality spectrum of things may be rare, but there have been many cases in which perfectly healthy cosmetic surgery patients require emergency intervention due to a severe complication involving anesthesia. In recent years, many new anesthetic protocols have been developed to reduce the incidence of PONV and other complications, while ensuring that effective pain management and level of 'un-awareness' during surgery is always maintained.

This method of local anaethesia, developed by a dermatologist and a pharmacologist, is presented to demonstrate its use in cosmetic liposuction and other procedures. Richly illustrated to show details of the technique and with serialphotographs of many clinical cases, the book explains the advantages of this new technique and provides practical instruction in how to perform it.

Plastic and reconstructive surgery has evolved over the last two decades, with advances in anesthesiology, pharmacology, perioperative medicine, and novel monitoring devices contributing significantly to these patients being able to recover and live safely. Patients with chronic pathologies such as diabetes, hypertension, heart disease, obesity, chronic obstructive pulmonary disease, congenital or trauma injuries, changes due to excessive weight loss and others, as well as patient-tourists who have traveled enormous distances are now able to receive cosmetic and reconstructive surgeries that in the past were rejected. The authors of this book also discuss various contemporary topics of anesthesia for plastic and reconstructive surgery that are especially interesting and controversial due to the latest developments on this subject.

This how-to-do-it text is on the administration of intravenous sedation & local anesthetic blocks for all procedures in facial plastic surgery - rhinoplasty, blepharoplasty, rhytidectomy & dermabrasion. The book also includes chapters on monitoring the patient while under anesthesia, as well as the recovery phase.

This issue of Clinics in Plastic Surgery, guest edited by Drs. Michael W. Neumeister and Reuben A. Bueno Jr., is devoted to Pain Management in Plastic Surgery. Articles in this important issue include: Pain Pathways and Management in Plastic Surgery; The Opioid Epidemic; Principles of Pain Management in Plastic Surgery; Epidemiology and Treatment of Chronic Generalized Musculoskeletal Pain; Pediatric Pain Management in Plastic Surgery; Enhanced Recovery After Surgery (ERAS); Imaging of Damaged Nerves; Ischemic Pain; Nerve Entrapments; Neuromas; Targeted Muscle Reinnervation; Migraine Surgery; Complex Regional Pain Syndrome; Regenerative Peripheral Nerve Interfaces; and Postoperative Pain Management in Hand and Upper Extremity Surgeries.

This book exposes the risks of general anesthesia in Cosmetic and Plastic Surgery and shows that local anesthesia is all that is needed.

This issue of Facial Plastic Surgery Clinics, guest edited by Dr. Andrew A. Jacono, is devoted to Facelift Surgical Techniques. This issue is one of four selected each year by the series Consulting Editor, Dr. J. Regan Thomas. Articles in this issue include: Extended Deep Plane Facelifting, Extended SMAS Flap Rhytidectomy, Vertical Platysma Advancement Deep Plane Facelifting, Incorporating Midline Platysmaplasty with Lateral SMAS Facelifting, Subunit, Approach to Facelifting and Facial Rejuvenation, Superficial and Deep Facial Anatomy and Its Implication for Rhytidectomy Surgery, Laser Assisted Facelifting and Energy-Based Rejuvenation Techniques During Rhyrtidectomy, Incorporating Fat Grafting with Facelift Surgery, Approaches to Reducing Risk in, Rhytidectomy Surgery, Nuances in SMAS Rhytidectomy, Less Invasive SMAS Approaches in Rhytidectomy, and Local Anesthesia Facelifting.