Evidence-Based Body Contouring Surgery and VTE Prevention

Intended as a companion to the recently published, Evidence-Based Cosmetic Breast Surgery (978-3-319-53957-7), Evidence-Based Body Contouring Surgery and VTE Prevention once again concentrates on the science, relying on data rather than expert opinion. In his familiar detail-oriented style, Eric Swanson critically evaluates popular body contouring procedures such as liposuction, abdominoplasty, arm lifts, thigh lifts, and buttock fat transfer. The source material is published in the major peer-reviewed plastic surgery journals. The conclusions frequently challenge conventional wisdom. 
Fat redistribution theory is dispelled. A unique chapter titled "The Metabolic Effect of Liposuction" reveals some surprising positive effects of liposuction. The limitations of alternative nonsurgical treatments are the subject of a chapter titled "Evaluating New Technologies." A novel chapter describes SAFE (Spontaneous breathing, Avoid gas, Face up, Extremities mobile) anesthesia as a replacement for traditional general endotracheal anesthesia - lowering risk, minimizing blood loss, and reducing recovery times. 

The last two chapters will have many readers reconsidering traditional methods of venous thromboembolism (VTE) prevention. Chapter 12 exposes the shortcomings of risk prediction methods and routine anticoagulation. The final chapter describes the use of ultrasound for VTE surveillance. These chapters will likely find an audience among surgeons from all specialties and anesthesiologists. For scientifically inclined readers, whether seasoned surgeons or residents, this unique resource may well lead to evidence-based changes in their practices.

List of contents

Preface.- 1. Evidence-Based Medicine.- 2. The Myth of Fat Redistribution.- 3. Liposuction.- 4. Metabolic Effect of Liposuction.- 5. SAFE Anesthesia and Minimizing Blood Loss.- 6. Abdominoplasty.- 7. Thigh Lift and Surgery after Massive Weight Loss.- 8. Brachioplasty and Hand Rejuvenation.- 9. Buttock Fat Transfer.- 10. Calf Augmentation.- 11. Nonsurgical Fat Reduction Methods.- 12. The Limitations of Risk Stratification and Chemoprophylaxis.- 13. Ultrasound in the Plastic Surgery Office, Patient Safety for VTE.

About the author

Dr. Eric Swanson is an outspoken advocate for the application of the scientific method to cosmetic surgery, an approach known as evidence-based medicine. Dr. Swanson is a frequent presenter, invited faculty member, and course instructor at the meetings of the American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery. He was invited as an international keynote speaker at the 2019 Australian Plastic Surgery Congress. In 2002, Dr. Swanson embarked on a multi-part clinical investigation of cosmetic surgery, using the tools of science to study cosmetic surgery –  patient outcome studies, prospective clinical studies, laboratory tests, and measurements using computer-assisted imaging and MRIs. In 2012, Dr. Swanson published a new system for measuring the results of cosmetic breast surgery. His landmark photometric studies reveal the limitations of breast “autoaugmentation” and traditional surgical methods. Dr. Swanson challenges conventional methods of VTE prevention using risk stratification and routine anticoagulation, recommending “SAFE” anesthesia and ultrasound surveillance instead. Dr. Swanson’s clinical work, measurements, and outcome studies have culminated in over 135 publications in the top peer-reviewed plastic surgery journals. In 2015, Dr. Swanson received the award for “Best North American Paper” from the Journal of Plastic and Reconstructive Surgery–Global Open.
Dr. Swanson is board-certified in plastic surgery by the American Board of Plastic Surgery and the Royal College of Surgeons of Canada, a member of the American Society of Plastic Surgeons, a member of the American Society for Aesthetic Plastic Surgery, a member of the American Association of Plastic Surgeons, a Fellow of the American College of Surgeons and a Fellow of the Royal College of Surgeons of Canada. He has practiced in Kansas City since 1989 and specializes exclusively in cosmetic surgery. He is also a member of thehospital staff of Shawnee Mission Medical Center.

Summary

• Challenges the status quo using recent high-level evidence
• Illustrates the operative details for liposuction, abdominoplasty, and buttock fat transfer
• Describes a safer method of general anesthesia and VTE prevention
• Discusses the limits of nonsurgical alternatives

Additional text

“The book is well written and filled with valuable information and thoughtful commentary. The graphs, tables, and artwork are of high quality, helping to provide clear understanding of the author’s approach. Each topic was sufficiently covered, and controversies between the author and the literature were reviewed in detail. … Overall, this is an excellent book. On a scale of 1-5 I would give it a 5 rating.” (Geoffrey R. Keyes, Aesthetic Surgery Journal, June, 2018)

“At the heart of Evidence-Based Body Contouring Surgery and VTE Prevention are the author’s numerous, self-financed studies that he has published in peer-reviewed journals. … He firmly supports his techniques and perioperative patient care based on these references and his studies. … Regardless of what readers ultimately decide to tease out from this book and incorporate, blanketly dismissing Swanson’s reasoning and concepts will be done at their own jeopardy.” (Alan Matarasso, Plastic and Reconstructive Surgery, Vol. 143 (3), March, 2019)

Report

"The book is well written and filled with valuable information and thoughtful commentary. The graphs, tables, and artwork are of high quality, helping to provide clear understanding of the author's approach. Each topic was sufficiently covered, and controversies between the author and the literature were reviewed in detail. ... Overall, this is an excellent book. On a scale of 1-5 I would give it a 5 rating." (Geoffrey R. Keyes, Aesthetic Surgery Journal, June, 2018)

"At the heart of Evidence-Based Body Contouring Surgery and VTE Prevention are the author's numerous, self-financed studies that he has published in peer-reviewed journals. ... He firmly supports his techniques and perioperative patient care based on these references and his studies. ... Regardless of what readers ultimately decide to tease out from this book and incorporate, blanketly dismissing Swanson's reasoning and concepts will be done at their own jeopardy." (Alan Matarasso, Plastic and Reconstructive Surgery, Vol. 143 (3), March, 2019)

Product details

• Authors: Eric Swanson
• Publisher: Springer, Berlin
• Languages: English
• Product format: Paperback / Softback
• Released: 01.01.2019
• EAN: 9783319890531
• ISBN: 978-3-31-989053-1
• No. of pages: 334
• Dimensions: 178 mm x 255 mm x 17 mm
• Weight: 734 g
• Illustrations: XIII, 334 p. 271 illus., 257 illus. in color.
• Subjects: Natural sciences, medicine, IT, technology > Medicine > Clinical medicine; B, Medicine, plastic surgery, Surgery, ULTRASOUND, Anesthesia, brachioplasty, nonsurgical fat reduction