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Centrofacial Rejuvenation. Volume III

Aly, Al, M.D.

Plastic and Reconstructive Surgery: May 2019 - Volume 143 - Issue 5 - p 1543–1544
doi: 10.1097/PRS.0000000000005593
Book and Media Reviews

Disclosure:The author has no financial interest to declare in relation to the content of this review.

As a service to our readers, Plastic and Reconstructive Surgery® reviews books, DVDs, practice management software, and electronic media items of educational interest to reconstructive and aesthetic surgeons. All items are copyrighted and available commercially. The Journal actively solicits information in digital format for review.

Reviewers are selected on the basis of relevant interest. Reviews are solely the opinion of the reviewer; they are usually published as submitted, with only copy editing. Plastic and Reconstructive Surgery® does not endorse or recommend any review so published. Send books, DVDs, and any other material for consideration to: Arun K. Gosain, M.D., Review Editor, Plastic and Reconstructive Surgery, Brookriver Executive Center, 8150 Brookriver Drive, Suite S-415, Dallas, Texas 75247.

Arun K. Gosain, M.D.

Review Editor



Tonnard and Verpaele have previously published two books dealing with facial rejuvenation: The MACS-Lift Short Scar Rhytidectomy (Volume I), and Short-Scar Face Lift: Operative Strategies and Techniques (Volume II). Whereas these two volumes addressed rejuvenating the “periphery” of the face and neck, in this third volume, they collaborate with Richard Bensimon to address the central aspect of the aging face, which encompasses the periorbital area, midface, and perioral region (i.e., what they call “centrofacial rejuvenation”). It is important to note that this volume is not a rehashing or revision of their previous books. It is intended to address what they initially thought of as “ancillary procedures” to their face-lift techniques but eventually evolved into what they feel is more important to the overall final rejuvenation of the aging face.

The book is divided into three parts. Part I is authored by Tonnard and Verpaele and covers the concepts they have developed in microfat and nanofat grafting of the central areas of the face. Seven chapters are dedicated to this subject and constitute the core of the book. They discuss the relevant anatomy, the deflation that occurs with aging, and where and how to revolumize and rejuvenate these areas in detail. The authors do an excellent job of presenting this information such that it is very easy to translate what they share into a reader’s practice.

Because not all patients or surgeons choose to use autologous fat injections, Tonnard and Verpaele wisely included Part II of the book, which addresses the use of nonautologous filler materials to augment the midface, temples, nose, and periorbital and brow regions. This segment of the book is authored by Beut, Jelks, Surek, Lamb, Lambros, and Wu, authors with extensive experience and authority in this arena. This part of the book also includes a chapter on a “microbotox” injection technique espoused by Woffles Wu, which reportedly paralyzes the superficial layer of facial muscles, reducing wrinkles in the skin, but leaving the deeper muscles to function, allowing for normal animation.

Part III of this book is written by Richard Bensimon, and it delves deeply into the science and practical application of croton oil peels dissolved in phenol. In this section, Bensimon does an excellent job of demystifying the peeling process and shares a great deal of detail to allow even the novice surgeon to pursue this treatment modality.

Accompanying the hard copy of the book are 51 video segments the reader is also able to access online. These videos are short, precise, and extremely helpful because they further crystalize the content of the book. On their own, they are very educational, even without the text of the book.

I believe this book is a seminal work in the area of facial rejuvenation and should be part of any plastic surgeon’s library who performs aesthetic surgery. I would also add that one does not need to ascribe to the minimal access cranial suspension–lift approach to use the contents of this book because the centrofacial area is something that has to be addressed regardless of the plastic surgeon’s face-lift approach.

To summarize, the book is very well written, easy to understand, well illustrated, and compartmentalized in a fashion that allows readers who do not have time to read the entire book to easily find what they choose to learn. I would highly recommend this book for any plastic surgeon seriously interested in facial rejuvenation.

©2019American Society of Plastic Surgeons