Editors: Foad Nahai, MD, and Renato Saltz, MD
Illustrators: Brenda L. Bunch, MAMS, and Amanda Yarberry Behr, MA, CMI
Publisher: Thieme – 603 pages
Book Review by: Nano Khilnani

Endoscopic plastic surgery is a relatively new minimally-invasive subspecialty of plastic surgery. It was introduced in the mid-1990s, and the first edition of this book released in 1995 was the first book published on this subspecialty.

This second edition published in 2008 reflects not only the successful acceptance of, but also enthusiasm for it by patients of this approach, and demonstrates the growth of this procedure and the ability by practitioners “to more clearly identify its appropriate applications while delineating associated advantages and disadvantages,” writes Dr. Luis O. Vasconez in the Foreword.

Increased experience and understanding of the role of endoscopy in plastic surgery, and an exploration of the numerous changes in this field are also demonstrated in this excellent text.

Twenty-one endoscopic plastic surgeons including the two editors named above authored the chapters of this book. Twelve contributors are from all over the United States, six from Brazil, two from Canada, and one with a private practice in Singapore and France. Below is a listing of the chapter titles that serves as an overview of the contents for you, the reader:

  1. Part I. Basics
  2. Fundamentals of Endoscopic Plastic Surgery
  3. Part II. Face
  4. Applied Anatomy of the Face and Midface
    1. Brow
      1. Evaluation and Treatment Options in Brow Rejuvenation
      2. Endoscopic Brow Lift: Three-Portal Approach
      3. Endoscopic Brow Lift: Five-Portal Approach
      4. Lateral and Transpalpebral Approach to Brow Lift
    2. Midface
      1. Rejuvenation of the Midface
      2. Midface Lift With Barbed Sutures
      3. Closed Lower Eyelid Midface Lift
  5. Ancillary Nonsurgical Cosmetic Treatments
  6. Ancillary Treatments for Enhanced Facial Rejuvenation
  7. Lasers in Aesthetic Surgery
  8. Soft Tissue Fillers in Aesthetic Facial Surgery
  9. Part III. Breast
  10. Axillary Approach for Endoscopically-Assisted Breast Augmentation
  11. Submuscular Breast Augmentation
  12. Subfacial Transaxillary Breast Augmentation
  13. Part IV. Abdomen
  14. Video-endoscopic Subcutaneous Abdominoplasty

Fueled by consumer demand for less risk, downtime, quick recovery, and shorter scars at less expense, minimally invasive endoscopic plastic surgery procedures continue to grown in popularity, write the editors, Drs. Foad Nahai, MD, and Renato Saltz in the Preface.

“It is our responsibility as surgeons that only established technologies and operative techniques be available to our patients,” they add. In addition to minimally invasive procedures, micro-invasive and even non invasive rejuvenation modalities for the face, breast and abdomen are shown and discussed in this highly useful book with a large range of graphics.

Among them are: full-color photos of equipment, instruments, and tools; fine line drawings of the procedures, sketches of the anatomy with step-by-step instructions on the techniques; numerous actual photos of patients with markers on what is to be done on them; and before-and-after photos.

Let’s take a look at a sample chapter to see what outlines, headings, and other content you will find in this book. Chapter 3, Evaluation and Treatment Options in Brow Rejuvenation by Foad Nahai contains the following headings:

  1. Evaluation
  2. Anatomic Features
  3. Aging Forehead and Brow
  4. Brow Position (with various full-color sketches and photos)
  5. Rhytids, Crow’s Feet, and Lateral Orbital Area
  6. Skin
  7. Treatment Options
  8. Options for Surgical Forehead Rejuvenation
  9. Options for Brow Rejuvenation
  10. Choosing the Best Option
  11. Bibliography

This large-sized, amply-illustrated book on endoscopic plastic surgery is an ideal resource for prospective entrants into this fast-growing field, as well as for established practitioners who want to learn additional techniques



Foad Nahai, MD, FACS is with Paces Plastic Surgery, and is Clinical Professor of Plastic Surgery in the Department of Plastic Surgery at Emory University in Atlanta, Georgia.

Renato Saltz, MD, FACS is with Saltz Plastic Surgery in Salt Lake City and Park City in Utah. He is former Associate Professor of Plastic Surgery in the Department of Surgery at the University of Utah in Salt Lake City, Utah.