plastic & reconstructive surgery

50
ttttt tt ::::: t t t t t tt tttt tttttt tt t :: : :: : ::: : : ::::: : : tt ttt ttttt tt ### #:## : #:###: ttt tt t ttt ttttttt t ttttt tt t tt t ttt t tttttt tt tt t t t t tt t ttttttttt tt ttt ttt t t tt t ttt tt tt t tttttt t t t tttt ttttt tt tt ttt ttt t t tttt tt ttt tttttt t ttt ttttt t t tt tt ttt ttt t ttt tttttt tt t tttt tt tt t t tt t tt t t tttt tt tt ttt t tttt ttt tt ttttt t t tttt tt t tt tt t t t ttt tt ttt tt tt t t tt t#tttt tttttt t t tttt t tttttt t tt t tt tttt tttt ttt tt tt t t tt tt ttt ttt tttt tttt tt ttttt tt t tttt tttt ttttt ttt tt tt tttt t t tt tttt t t tt tt ttt tttt tt tttttt %t t t ttt ttt ttt t tt t t tt t t ttt tt t ttttt t tt tt tt %t t t tt tt tt t t t t tt t tt tttt t tttt t tttt t tt ttttt ttt tt t t tt tt tt tt tt tttt t t tt t t tt t t t t t t t tttt t t t tt tt t tttt tt t tttt ttt tt ttt t ttttt t t t tt t ttttt t t tt tt ttt t ttt t tttttttt t t t tt t ttttt t tt t tt tttt t ttt tt t ttt tt t tttt t t t t tt tttt t tt tttt t t ttttt t ttttt tt t tt ttt tt t tt tt ttt t tt tttt tt tt t t tt tttt ttttttt t t tt t t t t tt tt tt t tt tt tt t t tttt tt t t t ttt tt t tt t tttt ttttt t tttt tttt ttt tt ttttt tt t t tt t t t ttt tt t %t tttttt t tt t tt tt t tttt ttt t t % t tttt ttt t t tttttt tt t ttt t ttt t t tttt tt t tt ttt t ttttttt ttt t ttt t t ttt t t t t tt t ttt tt ttttttt t tt tt tt t ttt t tt tt t tt tttt t t tt tt tttt tttt t tttt t ttttt t tt ttt tt t tttttt tt t ttttttt tttttt ttt t tt t t %tt tttt tttttt ttt t t tt t t t tttttt tt t t tt tt t tt t t t t tttttt t t tt ttt t ttttt t tt %t tttt tt tt t t t tt t t t tt t ttt t t tt tt tttt t tttt t t tt tt ttt tttttttt tttt tt t ttttt tt ttt t ttttt t ttttt tt ttt ttttt %t t tt ttttt t ttt tt tttttttt ttttt tt tt ttt tt ttttt ttttttt t t tt tt tttt tt tt t tt t tt ttt tt ttttt ttttt t tt tt ttttt ttt t ttttt tt tttt t ttt ttt tt t tttt tt t t t tt t t ttttttt t t ttt tttt tt .

Upload: dodakadeja

Post on 14-Dec-2015

271 views

Category:

Documents


1 download

DESCRIPTION

Plastic

TRANSCRIPT

Page 1: Plastic & Reconstructive Surgery

ttttt �������tt���

:::::���t���t�������t��t�������t�t�t�����������t�����tt�t���tttttt��tt���t������������

�:������:����:��������������:�����:������������:���:�:��:��

�����:������:�������:�:�:�::�����:������:�������t�t�����t���tt��������t�tt��tt�����t��t���

##��#�������#:����##���������:�#:�#���##:

t���tt����t��t�����t��������t�t��t�����t���tt�����tt�tt����t�����ttt��t�t�������t��t���t��tt�����t������t����������tt���t�����

����tt�tttt�����������tt����t���t���������t���t���t�t��������t�t�����t�������tt����t���t�tt��t��t��t�������t��t�������tt�t�����

��tt�t��t��������t�������t�t�����t��������t���tt����t���t�������t���t�����t����tt�tttt����t����t�������������t���

t��t��t�t���tt��t��t��t���������������t�t�����t��t����t���t�t���������tt�����t�����t��������t�t��t���t��t����t��t������ttt���

���tt�tttt���������t��t���tt���ttt��t�t���t������t���t��t���t�t�����������t��tt���ttt������t������t���t�t���tt�tttt��

�t��t���

�������t���ttt�t������������tt����t��t���t����t������t����t�����t�����t�t�����t���������t��������tttt������t�����t�����t��t���

t���tt������t���tt����tt����t��tt�����tt���������t�t�tt�t������t������t��tt�t���t������tt��t�������t�t���tt�������t��t���

���t������t��t�����t�����t��t�����t���tt����t��t������������tt��t��������t�������t�t�������t��#��ttt����t���t�����ttt�tt�

���t�����������t���������tttt�����t�t��t�tt�t��t����t�������tt�����t���tt�t���t�����t��t������tt�tt���t���tt����t��t��

������������tt��t���t������������tt�t���t���t���tt�������t�tt�����tt��tt���tt����tt����tt�����tt��tt�t��������tt����t���t��ttt��

����t�ttt�����t��t��t����tt�����t���tt����������tt�����t�t�����t�tt����t����t����t����t��t���������tt�tt�t���t�������

����tt����t��t�������t���tt�����ttt�t�����t�t����tt�tttt��

%t�t������t����tt�t���tt�t���tt�t�������t������������t�t�����t��t������������tt������t��t���t���tt�����������t����t�

����t�t���tt�tt����t����tt�����tt����t��t���%t�t��t����t��t�t��t�tt���t���t����t�������������������t�����tt�t����tt����

�ttt�t�������t������������tt�tt���t����t��t��tt�����������t����t��t���t��t�ttt����������������t�t��t�t��t���������t���

�����������t��������t�t�����tt���������������t��t���t�����t���t���t����tt�t���t������t����t���������tt������t����t���������

tt�������t�����������t�����t��t�����t������t�������t����t��t��tt������t���t��������t��tt�������tt�t���tt�t���t���tt��t���������

�t�t���t�t����t���tt���������������t�t������ttt���t�����tt�tt�t�������t�������t������������t����tt���t�����������������

tt�t���tt����t�����������t��t�t���������t��t������tt��t�����t����t���tt���������������������t��������tt�t����tt�tt�t���t����

����t�����t���tt�t���tt��t��tt���������t��t��t���t���t��t�������ttt��t������t�t���tt�����t�t����t����tt�t������t�����t����

��t������t�tt��t����t�����������t����������������t��t�����tt�����tttt�������t�����t���t������t��t�t�t����������t�����t��

��t��t�ttt���������t��t��ttt�t���t��t����������������t��������tt�������t��tt����tt��t�������t�t�����tt�������t�t��t����t���

��t���t����t��t���t�t����������������t��t�tt���t��t������t�t�������ttt�t��������t�tttt�tt�����������t�����t��������tt�t�������t�

�����t��t�����t��t��t��t��������tt�t�����t��t��

��������tt����t���t������������t����t����t�tt����t�����t�t����t�����t�������t���t���tt������t��t����t��������t�t����t��

��t�tt�t������t��t�t��tt������t����t��ttt�������t�ttt������t��t�t����t�t����ttt���t��t��������t��t�������������t����t���

��t���t���t��t��������t�������t���tt�����t�t�����t�����%��t������t��t�t�t�tt��������t����t��t���t����t�t�������������tt�

�t���t��t��tt��t���tt�������������t���������t����%���t����������t�t����t�t���t���tt���t�����t���t���t�tt��tt�����t���t�

t���������������������tt�t������t�t������tt��t�������t�����t�tt����t��������t�t����t������tt������t������tt���t�

t����ttt�ttt�������tt��t��������t����t�tt�������t��t����t�tt���t����t���������t��t�����t�t��������������������t���t�tt����

��t�t������t���t�tt��tt�t���t� ��t��t����������tt������t�t�������t����ttt���t�����tt����t���t������t���t��t���������

�tt��t�t����t�����t�tt���������tt���ttt���t���t��tt�t��t����ttt���t����t����������ttt�tt����t�t���t��������t�tt���

��t�t���������t���tt��t�tt����t�����t��t������t���tttt����tt�t�����t�tt��tt�t���t����t��t�����t�����tt�����t���t���%�t��t���

�ttt�t��������t�tt��tt�t������ttt������t�t�������tt�t�����t����t�����t�tt��tt�t�����t�t���t������t������t��t�tt������t���

����tt�����������������t�����t�����t��t���tt��t��tt�t�����t�������t�����t�t���t��t���t����t�tt�t���tt���t���tt�����������

%t��t�tt����t�����t��t���tt�t����t�������t����t����t�t�����t�t���t��t����t����������t�t��t������t�������������t�

�t��t������������t�t����

���ttt�t����t�������tt�������tt���t�t�������tt����t���t��tt�t������tt�t����tt�tt�t����ttt����t����tt��t���tt�t���tt��t����t����

��ttt�����t�������tt�t����tt�����t����t��tt�t�t�����tt���t���tt��t���t�����t���t�t��%t�t��������t��t�t���t�t���t�t����t���

�����������������t���tt��������tt��tt�t����tt�tt�t����t�t����ttt����t��t���tt�����ttt���������t��t���

t���t�����t���t�t���t�t����tt�tt�t����t�����t���tt���������tt���t�tt�t���t�����t��tt�������������������t���t��t���

���������������t��tt���t���tt������t��t���������t���t�����t���t�t�������tt�t����tt����������t���t��t�����tt�������ttttt���

��������������tt�t����t���tt�t����tt�������t��t����tt��t�t����t����t�t�t����������ttt��������tt����t���������������t�tt�t���

t�����t��t����t���������t�t���t������������t�������������t����tt��tt�t��tt���t����t�����t��tt�������ttt�t��������t����t����

� �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 2: Plastic & Reconstructive Surgery

�t�t����t�������tt��t���t��t�����t���t��tttt���t��t���t�����t���t�t�t���tt����tt��t�t�����tt�t�

�t������t�tt��ttt�������t�����ttt�������t��t�t���t���t��t�������t��tt��t����t�����t�����tt����t���t�����t�������t���t��tt�

����tt��tt���t����t����������t�t���tt���tt��t�t��t���t�����t��t���t�t��t���t�tt��t����������t�����t�tt�����t��t���t������t�

t�����t�t���t��t���t�������t�������ttt��������t��tt�t��

��t�����t��t����t�����t��t��t��t���t�����t���t�t��t�tt�t����t��t����t�t��t��������t����t��������tt����t���t��������t��t�����

tt�����t����tt��t�������ttt����t�����������t�����t�t�t�tt�t�����t����t�ttt���tt����t��t�����t����t����t��t�����t�t����

��tt�tt�����t��t��t��t��t��t��t��t�t��t���t�t��t�ttt����t�tt�t��tt�t���tt��������t����tt�t������tt�t���tt��t��tt��������t��t��

�t������t�����t�����������������t���t����tt���t������t���t�����t��t����t�t������t��t��t��

������������*��t���*��tt�t�����t�����������t��t*���t���t���tt����t��t���������*������t�%�*����������

��t�������t���*��������������t��tt�t����tt�tt�t���t�����t���������������t��t������t���t�t����tt����������t���������

��������*������t�%�*����������

���tt���������t����t�������tttt�����**��t�t����t�t������������tt��tt���������tt�t����tt�tt�t����t���tt�t����tt�tt�t��

t���t�����t�tt���t����������*�������t�%�*����������

��#:������

���t��t������tt���t��������t��t�t���t����t�tt������tt�������t�t���t���tt���������������tt�t����:�:����:���t��t���������tt�

��t������������������������t���t�����������t������t����t��:����:�:���:���������������tt��t��t���t�t�����t��t������t���tt�t�

����t����t�t����t�ttt�tt������tt���t���t����t��t�������t��t����t��t�ttt�t��t��t���t�t�����tt�������?��������t����t��t���t�����

t��������tt�����t���t�����������t�������t��t����tt������tt�t����t������t���t���tt����t��t���tt������t�����t����t��t���t�

��t�t�����t��t���������tttt����t�t��t�tt�t������t�t�����t�t��t����t��������������t���t��t�t�tt��t����t��t���tt�tt����tt

�t��ttt��t������t���������tt�������t������t������t��t���������ttt��t��������t���tt���tt�t�t��t�t��t���tt���t�������t��t��t��

����t��������t���t������tt��t����t��t�tt�����t����t��t���t����t�t���t�t�tt�����t������t�t��t���

�#���#����#:������

��tt��t��t����t�����tt��t����tt�t�t��t�����t������t�t��t�����t��t���t��t����?��������t������������tt������t���t�����tt�����

�t��t��tt�t��t����t���ttt�tt�t��t�����t��t���t�tt��tt���������t�����������?��

�����:���,��

���t�����������t�t��t�����t�����tt�t�t��t�����t��t��

��:���,��������:��:��������������:��:��:!�#���:�����:��:!���������!:��

��:�:!�

���!:

�����:��:� ��������:��:�

� �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 3: Plastic & Reconstructive Surgery

�###��#��:���������

��ttt�t����tt�t�t��t�����t��t������?������tt�����������������tt������t��t��t�����t����t�t���tt�t����tt�tt�t���t��

t��t��������t��t��t���tt�tt�tt��t��ttt���t������t��t�t�����t��t�t�tt��tt��������������tt��tt�t������t������tt���t��������t��

���t����������tt������t����������ttt��t�t����tt����������t������tt����t��t��t���t�t��tt����������t��t��t�����t����t���

t�������tt�tt���t���tt��������tt�tt����?��������tt��tttt����������������������t���tt��

%t���t�t����������t��t����t�����tt��������t�tt����tt�t�t��t�����t��t����t��t���t�������tt��������tt��t��t�����t�tt�t���

�t����t����t���������t�t��t���ttt��tt�t������t�t�������t�����tt����t��t�t�t���t����t�����tt�������t���t������t��t���t�t����

��tt�tt�t��t�t���������t�������t����tt�tt����tt��t��t����t���t��t����t��t�tt�tt������t����t�����t�������������t��tt������

�t�����t�����

��t���t����tt�t�t��t������tt��t��t����������tt�����ttt��t��������t����t��t��t�t�tt�t����t�����tt�������t���t����t���t�t��t�

t��t�t������tt�t��t��t��t�tt����tt�t�t��t�����t��t���������t����������t��tt��������t�������t�������t�t�t���������t�������

�����t�t��t�����t��t��

�����t�����tt��������t�t������tt�t�t��t�����t��t���t��t���tt�����������t���t�����t�tt�t��tt��������t����������t����������tt����

t��t�t�tt��t��t���t��t����t����t�tt�����t������������t��������t�������t������t��t�t�������t����������tt���t�t��tt����t��

�����t�t�������t���tttt����?���������t��������tt����t�����tttt��t��t���t�t��tt�����t�t�tt����tt�t�t��t�����t��t�#�����t�t�

t��t������t���tt�t��������t����t���

�:��:�����!:���t����������t�tt��t�ttt�t���t�t�����tt�t�t��t�����t��t��t��t���������t�t�������t��t�������t�����tttt������tt�

t���t��t�����������tt�tt����t�������t��t���tt��t�������t��t�tt�t����t��������t�����t�������t����tt����t��tt��tt�tt����t����

����t�t�t�t������tt����t����t��������t���t��t������t�����������������t��t���t������tt���������������t������t�����������

�t��t�ttt�����t������t������tt��tt�t������t�������t���t�����������t����������������t��tt�t����������t��t���t������t

���������������t����t���������t�t�����t����������tt�tt�������t�����tt����t�����t������t�t���������tt������tt��

���t��t�t��t��������

��t�t��tt�����t����tt�t�t��t�����t��t����������tt�t������������tt���t��t��tt�t����ttt��t�t���t���������tt���t����������t���t���

����t����t�����������������t�����t���tt�����t������t��t��t�t������t���t����t������t����t������t����t������%��t�����t�t���

�tt��t�t����t��t�t��t���tt����tt���t��t��tt�t��t���t�t�����t�

��##��#��:���������

�����t�t��t������tt��t��t��tt������t�����t��t�t���t������t�����t�t���������t��t������t����t��tt���������tt��������t����t���

�t��t����������t����tt������t����t����t�t����t������tt�����t����������tt����t��t���t�������t�����tt������ttt��t�t����t��

��������t��t�t���t�tt��t���tt��t�t��tt���������t���t������t����t�tttt�����t�t��tt�t���������������t�t��t�����t��t����tt���t��

��t��t���������tt��t���tt�t���t��������tt���t��t��tt�t�tt�t�����t�t��tt���tt����t������������tt��tt�����t�������t��t���t����t��

�����t����t��t����t�������t��������t�t��tt���t��t��t���t���t�tt������tt��t��t�����t�ttt�t���t�t���t��t�t�tt��tt�����t����

��tt����tt��t��t���t�tt�t����tt�tt�t�t����������������

�t�������t�tt���tt��t��t������t���t�t��tt�����t������t�t��t�����t��t������t�������t����t��t�����tt����t������t��tt����t��

���t�����t����t���tt����tt����tt��tt�����t����ttt����t�������������t���t��������t������tt�t��t�t���t���t��������

����������������t�t��t������t���%t��t��t��t�t���t�t��t����t��t��t����������tt����t���t����t�����tt�t����tt�tt�t��t�������

t��t�����������t��t�t������������t���������ttt��t��������������tt�t�

�#�##�#�������

��������tt���t��t�t����������t����t��t�t��t����t�t���t���t���tt���������������tt�t���t��t�t�tt��t����%t���t�t�t��������ttt��tt��

����t���tt��������t���t��t�����tt��������tt�������t�t�����tt��������ttt�������t��t��t�tt��������t������t��t��t�����tt�

tt�t����tt��t��t����t����tt��t����ttt������t��t���t���t�����t������ttt��t�t����t���t������t�������������tt���t��t�����t����

�������t��t�����t�t���tt�����t�tt��t���t���t���tt��t��t�t�tt��tt����tt���������tt��������ttt����������t��t���t����t�t����������tt�

t��������

��tt����tt�

t�t��t���

��t�t���tt�t����tt�tt�t����t����t������t�t��tt��������

���t�t��t����

�����t�����ttt������t�t������tt�����t����

��ttt��tt�t������t�t��t�t�t���t��tt��������t��tt�t�

���t�����t��tt���������t�

��t������tt�

t�t��t���

��t������ttt������t�t������tt���������ttt��tt�t����t�

t��t�t�tt�t��tt��������t��tt�t���tt�����t��tt�����

��t�������t�����

��t�t���tt�t����tt�tt�t��������������t�t��tt��������

�������

�����

t�t��t���

���t�����������ttt������t�t������tt���ttt����

��ttt��tt�t����t��t��t�t�tt�t��tt��������t��tt�t�

���������t��tt�����������

��t�t���tt�t����tt�tt�t�����t���������t�t��tt�����t����

���������t�t���������t�t��tt����t���t�tt���

� �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 4: Plastic & Reconstructive Surgery

��#������##��##�#��:�������#������

��tt���t�����������t��t��t����t�t���tt�������t������t���tt��ttt����t������������ttt��t�tt�����t��t��t���t���������t������t������

t�t��t�������t������t������t��������t�t�����tt���t�������t����t���tt�t������tt�t���tt��t��tt������tt���t���t����t�����

�������t��t��tt����t�t����������t�������t����������t���t��t����t���t��t��ttt�����t��t���tt�������������������t���t�tt���

�tt���ttt�t�t�����t�t�����t������t��������tt��t����t��tt�t�������t���t��������tt����t����t�t��t��������t����������t��t�tt�

�����������tt�t�t��t������tt��t��t�����t�t����t��t��t�t������t���ttt�t�t�����t�t��t��tt�t���tt������tt�������tt�t���tt��t��tt�

�����tt������t�t��tt�t�����t�t����t���t��������������t�����t���t��t�����t�������t�tt������t�����ttt����t���tt�t�����������

�ttt�t�t�����t�t��t���������t�������������t���ttt���t��������t�������t�t���ttt��tt�tt��

#:���������������!:�

%t�tt���tt���������t���t�tttt����tt��t��t��tt������t���t�����������tt��t��ttt���tt����*��tt����ttt����tt��������������t�t��

��t�����t�����t��t�����t����tt����������t������ttt���t��tt�����t�����t��t�����*t��t��t����tt���������t���t������

����ttt���t���tt�����t�����t��t������t��t������t��t���������������������t��tt�t��t��t�tt���t�������������t�tt�t����

��t���t�����t��tt���t����t�tt�������tt�t������t����������������t�tt�����t��������tt�t�t��t������tt��t��t����tt��t�������ttt�

��t��t�����

�:���������!:��:����:�:���:�

����t��t����t�t�������t����t��t��t��t�����t������������t���������ttt�����t���t��t�t�tt��������������t����tt��t���t���t�

t����t��t��t��t����������������t��t����t�t��tt�t����t����t��t������ttt���t����t���tt������������t�tt��tt�t���t��t�t�tt�

�t���

*���������t�t�������t����t��t�t������t��tt����t��t��t��������t���t�������ttt��t���t����t��t��t��������t����t��t���������ttt��

���t���t��t�t�tt��t���t������tt���t���tt�t������������t���t������t��t��t���t�t���t�t����������t��t����t��t���t��tt�������tt��

����t��t��t�tt�t�����������t�tt���������tt�������t���������t���t���ttt�������t����������tt��t�����t���tt���t�tt�����t��

t�t��t��t�t�t����tt���t�t��tt���t�t�t�t��t���ttt��tt����t�����tt��������t�t�������t�������������������������t����tt��

���t���t����������t�����t��t�����tt����������������t�t�t����t������t�t�tt��������t�t������t���tt�����t������t���������

�t����t����t�t���tt�t�tt��������t����t�������������������t�tt������tt��tt��t�t���tt�t�tt������t����t�t���t���t����%����t��

t�����������tt���t��������ttt��t������t�t������t�����t����������t���tt��t��������������t�����t�����t��tt��t���tt���t����

����������tt�t�t��t������tt��t��t���t��������t����%���t�������t���������t�������tt�t�����t��t�����t�t��t����t���t������

����ttt����tt��t�t�����������t�t��t���t�t�t�����t����������tt��t����tt����tt����tt��t���������������t����t�t�����tt�t��t���

��t�����t����

%t������t����tt��t���t���t�t����t��t��t��t���t��t�t�tt�������t��������������������tt�t�������������t�����t����������t��tt�

t����������t��tt�t����������t���t�t����t��t��t��t���������t�������tt����t����t��t��t�t�������

��t�t�t����t��t��������t�����t����tt��t���t��t����t���t���t��t�t�tt���t������tt������t�����t�t������t�t���tt��������t������

�t�����t�t�����t����������t���t�t������t�������t��tt��t����t�t�����tt����t����t��t�������������t�����t���t���tt�t���

t��t�t�tt��t����t���t��t�������t�t���ttt�����ttt�t��tt���t��t�����t����tt��������������t����t����t�t�t������tt�t�t��t�����t��t��

�t�������t�t��t�����t��t���t�����������t�t���t�t����tt���t����t����t���t���tt���%t��t������������t�����t���������������t��

��tt��ttt����������t��t����t�t��tt�t��t���t����t����t�����t��t��������tt����t��t���tt�����t�����t��t����t���t�tt��t���tt���

�t�����t��������t��t�������t������������t����t�t�tt��t����t����tt�t�����t��t��������t������t���t��t���t���tt�����t����

���t��������tt���tt�t�������t�������������t����tt�tt�t�t��������t���������tt�����������t�t�tt���tt�t���t���t�������

ttt�����t���tt��t����������t�����t����������t������t����t��tt�t���t�t����t�����t���t���t��tt������t��������������������������

��tt�t�������t�����t��t��t���tt�������t�tt����t��t����?��

�����:���,0�

� �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 5: Plastic & Reconstructive Surgery

�t��t������t���t���t�������t���t����t�t���tt���������t���t�������t����t�t�������t�t����t��t������ttt���������t���t�������tt��

�t����t������tt��������t����������t��t��t�t�t����t�tt��tt�������������t������t����tt��t������t�t����t��t��%����t�t�������t�

t�t���t�������������t���t�t��t������������t���������t�tt�t�������t���tt�tt����t����t��t���t�t������t�����t������������������t�

�t���tt���������������������tt�t�������t�����t��t��t���t�tt����tt����t��t��t��t�����t�������t���t��t���t���tt���������t��

t������t���tt�����t��t����t���t�tt��t���tt����t���t�tt�tt����t���tt��t��t����������t�t����t�tt��tt��������������t���t��

�t��t���������������t���tt����t����t���t���tt�����������������t�t����t���tt�������������������t�ttt�����t���tt��t��������

����t��t���t�tt���t�������������t���ttt���t������������ttt�tttt�����t��t���t��t�ttt�t������t����t�t�tt��t����t��t����t����

���tt�ttt����t���t��tt��������t����t������t�����t���ttt��t���������tt��tt�t�

%t���t���������tt�t����t�t��t���#�t������tt�������t��t���t����#t������������tt��t��t��tt�����t��tt��t���t���tt�����t��t��

��ttt����t���tt���tt���t��t���tt���t������t�������t��t����t��t��t�t��t������t�����tt�t�����t���tt��t����t����t����������t���

���t������������t����t�����t�tt��t����tt����������t��t�����t��t��t��t����t�tt����t���t�t����t��t��t��t������t��������t�

�������t�����t��������tt���t��t�t�t�tt��t����t��t����t��tt��t��tt���t����������������t�t�ttt���t������t���t��t��t������

�t��t����������tt������t�����t�������tt���t�tt������������t��������tt��t��t�����t�tt��t����tt�t��

%t�����t����t�����tt�tt�����������t������tt������t���tt������t��tt����t��t��t��t���t�����t�������t�t�����ttt�������t���

����t���������������tt�t�t��t������tt��t��t���t��t��t��������t�����t�t�t���t�t������tt��t������������������t���t��t����t��t�

t��t������t��t��t����t�t�����t������t��t����t���t�����������t�t��t����t���t����t����t��tt�����t�ttt�������t���tt������������

����t������������t��t�����������t�t������������t�����t���?������t��t���t���tt��t�t�������������t��tt���t������ttt�t�����

���t���tt����t�t��t���

��tt�����t����t�������t�����tt���ttt����t���t���������t�ttt��������t����tt�������t��t����t�t�����tt��t��t�����t��t�������t�����

�������tt�t���������t���t����t�tt��t�������t����t���tt��t���t��t���t��t������t�����

��tt��t��t��t���tt�������������t��t�t�t�t������t��?���������t�t��t��ttt��t��t����t��t������t�������t������tt���tt�t��t�

������t�������t��t��������t�tt����t�����t��������tt�t�t��t�t������t�����t��t��t����t�t��tt�t�t��������t���%���t���t�����t�����

��t�ttt�t��t��t�t���t��t����t���tt���������������t�����tt�tt���?������t���t��t����t��t�tt����t����%�����������t�����t�

��t���tt����t��������tt�t�t���t���tt��t���������tt�t�����������������t��#��������������tt����������tt�t�t�t�t�t�����t����t��t�

�tt�������������������t�������tt���t����t���tt����tt�t�tt���������t��t�t��������t����t���t���tt��t��t��t�t�����t����t��

���t������t������t��t�t����t��t���t��������tt����t�����t�����t���������tt�������t��

�:���������!:��:�:����:�

����t�������t�t��tt���������t��t������t��t�t��ttt����t��t�����tt���tt��t�tt��t����t���t������t��t����*���������tt���tt���

�t�����t��t�tt��t���tt��

� �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 6: Plastic & Reconstructive Surgery

aaaaaaaaaaaaaaaaaaaaaaaaaaaaa�aaaa�aaaaaa�a�aaaa�aa����aa���a�a�a��aaa�aaa��aa�a�a��aaaaaaa�aaaaaaa�aa�aaaa�aa�aa�aaaa

aaaaa��aaa����aa�a�aaaaaaa�a���aaaaaaaaa�aa���aaaa��aaaaaaa�aaaa��aaa�aaaaaaa��a��a���aaaaaaaaaaa�a�a�a�a�aa�a

a�aaaaaaaaaa�a�aaaa�a��aa�aa�aaa��a�aa�aaaaaaa�aa�aa��aa��aaaa�aaaaaaaaaaa�

RRRRR�����

�aaaaaaaaa�aa�aa�a�aaa����aaa�aaaaaaaa��a��aa�aa�aaa��aaaa�aaaaaaaaaaaa��aaa�aaaa�aa�aaaaaa�aaaa���aaaaaaaa�a�aaaaaaaa

aaa�aaaaaa��a�aaaa��aaaaaaaa�a��aaa�aaa���a�aaaaaa�aaa�aaaaaaa�aaaaaa�aa�aaaaaaaaa�a�aaa�aaaaa�aaaaaaa�aa�aa���aa��a�a�a�aa�a

a�aaaaa�aaaaaa���aaa�aa�aa�aaaaaaaaa�aa��aa�aa����aaaaaaaa�a��aa�a�aa�a�aaaaaaaaaaaaaa�aaaaaa�aaaa�aaaaaaaa���aa�aa�a

�aaa�aaaa����aa����aaaaaaa�aa�aaaaa�aaa�aaaa��aaaaa��aaaa�aaaaaa�aaaaaaaa��aa�aaaaaaa�aaaaa�aaaa�aaaaa�a�aaaaa�a

��aaa���aaaaa��a���a��aaaa�a�aaaaaaa��aaaaaaaa�aa�aaaaa��a�aa�aaaaaaa�a��aaa���aaaaa�aaa�a�aaaa�aa�aaaaaa�aaaa�aaaa��aaa���aa

�aa�a��a��aa��a�aaaaaaa��a�aaa�a���a�a�aaa�aaaaaaa�aaaa���a��aaa���aaaaaaaaaaaa�aaa��aa���aaa�aaaa�aaaa�aa

��aaa�a�aaaaa��aaa���a�

�#��:����#�����������:���#:#���#�����##:�

�aaaaa��aa�aaaa�a�a�a����aa��aaaaaa�a�aaaa�aaa�a�aa�aa��aa�aaaaaaaaa�aaa�a�aa�aaaaaaaaaa�aaaaa�a�aaa�aaa�aaaaaaa�a�a��aa

a��a�aaaaaaa�aaaaaaaaaaaaaaa�aaaaaaaa�aa�aaa��a�a�����a�aaaa�aaaa�aaaaa�aaa�a�aaaaaaa�a�aaaaaaaaa�aaa�aaa�a�aaaaa

aaaa�aaaaa�aaaaa��aaaaaaa�a��aaa�aaaa�aa����aaa��a��aaaa�aaaaaaaaaa�aaaaa�aaaaaa�aaa�a����aa��aaaaaa�aaaaaaa���aaa�����a

aa�aaaaa�a�aaaaaaa����aaaaaa�a�����aaa�aaaaaaaaaa�

�a�a��aaa�aaaa��aaaaaaaaaaaaaaaa��a�aa�aa�aaa�aaa�aaa����aa��aaaa���a�aaaaaa��aa�aaaaaa����aaaaaaaa�aa��aa�aa��a�aaa��a�aa�aa

aaaaa�aaaaaaa�aaa�aaa�aaa�aaaaa��a�aa�aaa�a�aaaaaaaaa�aa�aaaaa�aa�aaa��aaaaa�aa���aa��aa�����a�aaaaa��aa��a�aaaaa

a�aa��aaaaaaaaaaaaaaaa�a�aaa��aaaaa���aaa�aaa�aaaa�aaaa�aaaaaa�aa��a�aaaa�aa�aaa�a�aa�aa�a�a�a����aa��a�aaa�aaaaaaaaa

a�aaaaaaa�aaa�aa�a����aa��a�aaa�a�aaaa�aaa��aaa��aa�aaa�aaaaaaaaa��aaaa�aaa�a�a�aaaaaa��aaaaaa�aaa�a�aa�aaaaaaaaaa�a

aa�a��aaaaaaaa�aaa�aa�

��:�����:�#������#:#���#�

��aaaaaaa��aaa�a�aaaa�aaa�aa�aa��aaaaaa�aaaaaaaaa�a�aaa�aaa��aaa�aaaa�aaaaaaa��aa�a�aaaaa�a�a�aaa�aaa�aa����aa�aa�a�aa

��aaa�aaa�a�aaaaaaa�aa�aa�aaaaaa��#aaa��aaaa�aaaaaaa�aaa����aa��aaaaa�aa���aaaa�aa�a��aa�aa�aa��a�aa�aa�aaaa�aaaaa

a�aa�a�aa�aaa�aaaaa�aaa�aaa�aaa�aaa�aaaaa�aaaaaaaaaa�aaaaaaaa�a��aa�a�aa��a�aa�aa�aaaaaaaaa�aa��a��aaa�a�aaaaa

�aaaaaaaaa�a�a�a�aaa�a�aaaaaaa�aa�aa��

��aaaaaaa�aaaaaaaaa�aa��aa�aaaaaaaa�aaa��a���a�a��aaaaaaa��aaa��aaa��aa��a�aaaa���a�aaa�aaaa�aa�aa��aaaa

aaaa�aaaaaaaa��a�a�aaaaa�#a�a�a��aa�aaaaaaa��aa��a��aaaaa��aaa�aaaaaa�aaaaaaaa��aa��aaaaaaaaaa�aa�a�aaaaaaa�aa

aaaa�aaa�a�aaa�aaaaaaa�aaaaaa�aa�aaaaa�a�a��a�a��aaaaaaaaaaaa�aaaa��aaaaa��aaaaaaaaaaaaaaaaa�aaaaa�aa�aa�a�aa�aa��aa�aaa��a

�aaaaaaa�aaaaaaa��a����aaaa�aa�a�aa�aaa�aaaaaaaaaa��aaaaaa�aaaaaa�aaaa�aaa�aa�a�aa��aaa�

��aa�a�aaaaaa�aa��aa�aa�aa�aaaa��a�aaa��a���a�a�a��a�a�a�aaaaaa�aaaaaaa�aaaa�aaaaaaaaaaa�a�aa�aa��aa�aaa��a

aa�aa�aa�aaaaaa��aaaa��aaaaaaa�a�aa�aaaaa�aaaaaa�aaaaaaa��a���a�aa�aa�aaa�aaaa��aaaaa��aa�aaaaaaa�a�aaaa�a�a��a�aa�

aa��aaaa��aaaa���aa�aa�aaaaa���aaaaaa��aaaa�aaa�aaa�a�aa�aaaaaaaa�aa�aaaa�aaa�aaa�aa��aaaaaa�aa��a�aaa��aaaaa�aaa

aaa�aaaaa���aa�a�aaaaaa�aa�aaa�a����aaaaa�aa��aaa�a�aaa���aaaa��a�aaaaaaa�a���aaa�a��aaaaa�aaaa�aa�a�a�a

���a��aaaaaa�aa�aaaa��aaa�aaa�a�aaa�aaaaaa�a��aa�aaaa�a�aa�aaaaaa�aaaaaaa�aa�aa�aaaa�aaa�aaaaa�aaaaa�aaaa�a����a

�a�aaa�a�aa�aaa���aaaa�aaa�a�aa�aa�a��aaaaa�aaaa�aaaaa�aaaaa�aaa�a�a�aaa�aaaa��a��aaa���aa�aa�a�aaaaaa��aa�aaaaaaaa�aa

aaaaaa�aa�aa�a�aa�a�a�aa�aa�aaaa�a��aaaaaaaaaaaa�aaaaaaaaaaaaaaaa�aaa��a��aaaa�a�aaa�a�a�aaa�a�aaa��a�a�aaaaa�aa�aaa�a

�a�a�aa�a�a�a��aaaaaa��a��aaaaaaa��aaaaaaa�aa�a�aa�a�aaa�aaa�aa�a�a�aaaaa���aa�a��a�a��a�aa��aaaaaaaaa�aa�aaaaa

�a�aaa��aaa�aaa�aaaaaaa�a�aaa�aaa�aaaaa�aaa�aaaaaaaaaa�a�aaaa�aaa�aaaaaaaaa�a�aa�aa��aa�aa�a��a�aaa�aaa��aa�����aaaa

aaa�a��aa��aaaaaa��a��aaaaaa��aaaaa���aaa�aaaaa�a�aaaaa�a���aaaaaaaa��aa��

�aaa�aaa���a�a�aaa�a��a��aaaaaaaaaaaa�a�a�aa�aa��aa�aaaa�aa��aaa��aa���aaaaaaa�a��a�a�aaa�aa��a�aaa��aaaaaa��a�aa�a��aa�a

����������#�a������a���������

�aaa����aaaa��aaaaaa�a�aaaaa��a���aaaaaaaaaa�a��aaa��aaaaaaaaaa����a�a�a�aaa�aa��aa�aaaaaa�aa�aa��a��aa��aaaaaa�aaaaaaa�

�aaaaaaaaaa�aaaaaaa�a�aa�aa�a�aa�aaa��aaa�������������

�aaaa���a�aa���a�a��aa�aaaaaaaaaaaa����a�a�aaa�aaaaaa�aaaaaaaaa��aaaaaa�aaaaaaaaa�aaaaaa�a�aa�a�aa�a��a��aaa

�����������a������a�����#���

�#�#�

��aaaaaaa�aaa�aaaaaa�aaaaaaaaa����aa��aaaaaaaa�aa�aa��a�aaaaaa�a�aa�aa��aaaa�aaaaaaa�a�aaaaaaaaaaaaaaa�a�aaa�a�aaaa�aaaa

��aaaaaaaaaa�aaa����aa�a�a�aaaaaa��aaaaaaa�aaaaaaaaa�aaa�aa�aa�a��aaaaaaa�a�aaa�aaaa�aaaa�aa�a�a�����aa�aa�aaaa

��aaaaaaaa�aaaaa�a�a��aaaaaaaaaaaaa�aa�aaaaaa�a�a�aaaaa��aa�a��a�aaa�aaa���aaaaa��aaa�a�a�aaaaaa���aaaaa�����aaaaa��a

/ �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 7: Plastic & Reconstructive Surgery

a����aa��aaa��aaaaaaaaaaa��aaaaaaaa�aaaaaaaaaaa�aaaaaa�a��a�aa�aa�a�aaaaaa�a�aaaaaaa��aaaaa�a�aaa�a�aaaaaa�aa�aa�

aa�a�aaa�aa�aa���a�aaa��aa�aaaaaaa�aaaaaaaaaaaa�aaaa��aaaaaaa�aa���aa�aaaaaaaaaaaaaa�aaaaaaaaa�a aa�a�aaaa�aa�aaa

�aa�aa���a�aaa��aa�aaaaaaa�a�aaa����aa�aaaaaaa�aaaaa���aa�aa����aa��aaaaa���aaa���a��aaaaa���aaaaaa�aa��

����:��#�:::��������

�aaaaaaaaaaaaaaa�a�aa���aaaaa���aaaaa�����aaaaa��aa����aa��aaaaaaaaaaaaaaaaaaaa�aa�aaa�aaaaaaaa�aaaaa�aa�a��a�aaaa

��a�a�aaaaaaaaaaaaaaa���aaaaaaaaa�aaaaaaa�aa�aaaa��aaaaaaa�aa���aaaaaa�aaaaa�a����aaaa�aaa�a��aaa�a�aa�aaaa��aaaaaaa

�a��aa�a�aaa�aa���aaaaaaa����a�a�aa�a�a�a�aaaaaaaa��a�aa���a��aa�aaaaa�aaaaa�a�aaaaaaaaaaaaa�aaaaa�aaa��aaa��aaaaaa

aa��aaaaaa��aaa���a�aa�aaaaa�aaaaaaaaaa�aaaa��a�a�aaaaaa�aaaaaaa�aaa������a�a�a��aa��a�aa�aaa�a�a��a�a�aa�aaaaa�a�aaaaaa

aa�aa�aa��a��aaaaaaaa�aaaaa��a�aa��aaaaaaaa��a�a�aa�aaaaa�a��a�aaaaaaaaaa��aa�aaa�aaaa��aa�

������#�:::��������

��aaa�aaaaaaaaaaaaaa�a�aaa�aaa�aa�aaaaaaaa�a�aaa��a�a�aaaaa�aa�aaaaaaaaa�a�aaaaaaa���a�a�a��aaaaaaaaa�a���aaaa��aa�a

�aa�aaa�aaaaaa�aaaaaa��aaaaaaaaa�aaaaaaa�aaaaaa��a��a aaaaa�aaaaaaaaa�aaa�aaaaaa�aaaaaa�aaaaaaa�aaaaaaaaaa�aa

aaaa�aaaaaa��a�����aaaaa�a�aaaaaaaaaaaa�aaa�aaa��a�aaaaa�aa�aaaaaaaaaaaaaaaaaaaaaaaaaa��aaaa��aaaaaaa

��aaaaa��aaaaaaaa��aaa���aaaaaaaaaaa�a��aa��aaa�a�a��aaa�a�a�aaaa�aaaaaa�aaaaaa�aaaaa�aaaaa�a�a�aaaaaa�aa��aaa���aaa

��a��aaaaa�a�a�aaaaaaa�aa�aaaa�aa��aa��aaaa�a�a�aaaaaa�aaaaaaaaaaaaa�aa�aaaaaaaa�aa�aaaa�aaaaaaaaaaaaaa�aa�aa��a�aaaa

aaa�aa�aaaaaaaaaa�aaaaaaaaaa�aaaa�aa�a��a��aaaaaaaa�aaaaa��

�����:���������:��:��::��������

�����aa��aaaaa��aaaa�a�aa���aaaaa���aaaaa�aaaaa�aaaa���aa�a�����aaa��aaaaa�a�aaa�a�aaaaaa��a�a���aaaaaaaaaaaaaa�aa�a

��aa��aaaaaa����aa��aaaaa��a�a�a�a�a�aa�aaaaaa�a��aaaaa�a�a�aaaa�aaaaaaaa�aa�aaaaaaaaa�aa�aaa�aa�����a�aaaa��a

��a�aaaaaa�aa���a�a��aaaa��a���aa�a�aaa�aa�a�aa��aaaa�aa�aa��a��aa��aaaaa�

��aa���aaaaaaaa��aaaa�a��aa�aaaaaa�����a���aaaaa�aaa��aaa�a�aa�aaaa��aaa��aa�aaaaaaaaaa�aa�aaaa��a�aa�aaaaaaa

aaaa�a�aa���a�aaaaaaaaaa�aaa�a��aa�aaa���aaaaaaaa�aaaaa�aaaa���aa��a�aaaaa���aa�aaa�a��aaa�a�aa�aaaa��aaaaaaaaaa��aaaaa

a�aaa�a��aa�a��a�aaaaaaa�aaaa�aaaa���a�aa�aaaaaaaa�aaa�a�a�a�a �a�aaa#�����a��aa���aaa�aaaa�a�aaa���aa�a�aaa�aa

�aaaaaaaaa��a��a��a��aaaaaaaa�aaaa�aa�aaa�a��aaa��a�aa�aa�aaaaa�aaaa���aaa�aaaa�a�aaa�aaa�a���aaaaa��aa�a�aaa�aa

�a��aa�a�aaa�aaa��aaaaaaaaa�aa�a�aa�aa�a�aa�aaa�aaaa�aa�aa��aaaa��aaaa��aaaaaaaaa�aaaaa�aa�aaa���aaaaaaaaaaaaaaaaaa

aaaaaaa�aaaaaaa�a��a�aaa�a�aaaaaa�aa���aa��aaaaa�a�aaaaa�aaaaa�aaa���aa�a��aaaaaaa��aa�aaaa����aaaa�a�aaaaaaaaa�aa�aa�a

a�aaa�aa�

�aa�aaaaaaaaa�aaaaaaaaaaaaaa���aa�aaaaa�a�aaaaa�aaaaa�aaaa��aaa��aaa�a��aaaaaaaaa�aa����a��a�aaa��aaaaaa

a����aa��aaaaa��aaaa��a�aa�a�a�aaaaa�aaaaaa��aaaaaaaa���aaa�aaa�aa��a�aa���aa�a��a�aaaaa�aaaaaaaaaa�aaaa��aaaaaa

aaa�a�aaaaaaaaaa�aaa�a��aa�aaaaa�aa���aaaaaaaa�aa��aa�a�

�����:���,��

�aaaa�aaa��aaaaaa���aaaaaaaaa�aaaaaaaaa��aa�aaaa���aa��aa�aa���a�a�aaa����aa��aaaaa��aaaa��

0 �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 8: Plastic & Reconstructive Surgery

�aaa�a�aaaaaaa�a�aaaaa�a��a�aa�aa����aa��aaaaa��aaaa�a�aaaaa�aaa���aaaa��aa�aa�aaaaaaa�aa��aaa�aaaaa�aaaaa��a�a�a�aaa�aa

�aaaaaaa�aaa���aaaaa�aa�a����a��a��aaa���aa��aaaa�a�aaaaaa�aaaaaa�aa�a�aa��a��aaaaaa�a�aaaaaaaaa�a�a�a�a��aa�aa

aa�aa�aaaaaaa�aaaaaaa�a��aaaaa�a�aaa�aaa�a�aaaa��a�aaa�a��a�aaaaaa�aaa�a�aa�

��aaaa�aa�aaaaaaaa��aaa���aa�aaaaa����aa��aaaaa��aaaa�aaaaaa�aaaaa����a��aaa���aa�aaaaa��aaa�aa�aaaa�aaaaa���aaa

aaaaa�aaa�a��aaaaaa���aaa�a��aa�aa�a���aaaaa�����aaaaaaaa���a�aaaaa��aaaaaa�aa�aaa�aa��aaa�a���aaaa��a���aaaa

aa�aaa�aaa���aa���aa��

#�#��#�����#��#

��aaaaa����a��aaa��aa����aa��aaaaa��a�a�aa��a��a�aa�aaa�aaa�aaa�aaa�aaa�a��aa��a��aaaaaa���a�a�aa�a�a�aaaa��aaaa

aa�aa�aaa�aaaaa��aaaaaaa�aa�aa��a�aaaaaaa�aa�aaa�aaaaaaa��aaaaa��aaaaaaaa�a�aaaa��aaaaa�aa�aaaaa�aaa�a�a�aaaaaa

�a�a��a��aa�a����a��aaaaa�aaaaaa����a��aaa��aa���aaa�aaa�aaaaa��aaaaaaa�a�aaa�a�aaaaaaaaa�a�aaaaaa�aaaaaaa�aaa��a�a�a

�aa��aaaaaaa���aa�aaaaa�aa�aa�a�a�aa�aaa�aa�aaaaaaaaaa�aaa���aaaaaaaa�aaaaaa�aa���aaaa�aaaaaa�aaaaaaa�aaa��a�aa�aaa�a

�aa�aaaaaa�a�aaaa��a���aa�a�a��aaaaaaaaaa�a�aa���aaaaaa�aaaaaa�aa���aa��aaa�aa���aaaa��aaa�aaa�aaaaaaaaaaa�aaaaaa

�aaaa�aaa�aa�a�a�aaaaaa���aa�a����a�a�aa��aaa�aa��aa�aaaaaa�a�aaaaaaaaaaaa�a�aaaaa�aaaaaaa�aaa��a�a�a��a�aaa�a�aaaaaa

aa���aaaaa�aaaaaaaa�aaaaaaaaa�aaaaa�aaaaaaaaa�aaaaaaa�aaaa�a��a�aa��aaaa�aaaaa���aaaaaaaaaaaaa����aaaaaa�aaaa�a�a��aaaaa�a�a

aaaaaaaaaaaaa��aaaaaaaaaaaaaaaa�a�aaa�a���aaaaa��aa�

#��#��##����##�

��aaa�aaaaa��aaa�aaaa����aa��aaaaa��a�a�aaa�aa�a�a�a�a�a���aaaa��aaaaaaaaa�aaa�aaa�aa�aaa�aaaa��aaaaa�aa����aa��aaa

aaaaaaa���aaaa�aaaaaaa�aaaa�aaa�aaaaaaaaa�aaa�aaaaa��aa�aaa�a�aaaa��a�aaa�aaa�aaaa��aaaaaaaaaa�aaa�aaaa�a�aaaa

aaaaaaaaa�a�aaa���aaaaaaaaa�aa�aaaaaaaaaaaaaaaaaaaaaa�a��aaaaa�aaa�a�aaaaaa�aaaaaa�a�aaaa�aaaa�aa�a��aaaaaaaaaaa

���a�aaa�aaaaaaaaa�aa��aaa���aaaa�a�aaaaaa�a�aaaaa�aa�aaaa�a�aaa���aaaaaa�aaaaa�a�a�a�a�aaaa��aaaaaaa���aa�aaa�aa

a�aa�aaaaa�aaaaa�aa��a�aaaaaaaaaaaaaaa��a�aaaaaaaaaaaa�a�aaaaaa��aaa�aa�aaaa����aa�

��#�#��

��aaaaaa����aa����aa��aaaaa��a�a�a�a�a�aaaaaa�aaa��aa�aaa�aaa��aaaaa�aaaaaa��aa�aa�aa���aaaaaaaaa�a��a��aa�aaaaaa

�a�aa�aaaaaa�a�a�aaa�aaaa���aaa�a�aaaa��aa�a��aaa��aaaaaa��aaa�aaaa��aaa�aa�aaaaaa��aaaaaa��aa�aaaaaaaaa�aa�aa�a��aaa

�aa��a��aa�aa�aa��a�a�aaa��a�aaaaa��a���a�a�aa�aa�aaaaaa��aa�aa�aa���aaaaaaaaaaa��aa�aaaa�aa�a�a �a�a�aaaaaaa�aa�aa�aaaaaa

��a�aaaaaaa�aa�aaaaaaa�aaa��aaa���aa�aa�aaa�a��aaaa�aa�aaaa�aaaaaa��aa�a�a��aa�aaaa��aa�aaaaa�aaa���aa�

��##��##�

��aaaaaaaaa��aa���aaaaaaa�aaaaaaa�aaaaaaaaaaaa��aaaaaa�aa�aaaaa�aaa�a��aaaaa�aaaaa��aa�a�aa��a��a�aa�aaa�aaaaa

aaa��aaa���aaaaaaaaaaa�a�aaa��a�aa��a�aaaaaaaa��aaaaaa�aaaaa��aaaaaaa�a��a�a�a�aa�a�aa�aaa�a�aaaaa�a��aa�aaa�aaa�aa�a

aa�aaaaa�aaaaaaa�aaaa�aaaaaaaaaaaa�aa��

�:�#������#���#���

��aaaaa�aaaaa���aaaaaaaaaa����aaaa���aaa�a�aa��a��a�aa�aaa�aaaaaaaaaaaaaaaaaa��a��aaaaaaaaaaa�aaa�aaa��aaaaa�aaaaa�aa

aaaaa���a�aa�a�aaa��aaaa�aaaaaaaaa�aaaaaaaa�aaaaaaaaa�aaa�aaaa�a�aa��aaaa�aaaa��a�aa�aaaa���aaaaaaaaaaa���a�aaa�aa��aaaaa

aa�aa�aa��aaa�aaaa�aaaa�aa�aaaa�aaa�a�aa�a�a�aaaa��aaaaa�a�aaaaaa�a�aaaaaa��aaaa����aaaaaaa�aaaaa�aaa�aaa��a�a�aa�aaaa

a�aa����aaaaaaa�a�a�aa��aaa�aaa�aaaaa�aaaaa��a��aaaaaa�a�aaaaaaaaaaaaaaaaaaaa��aaaaa��aaa���aaa�a�aa��

���������#�#�

��aaaa�a��aaaaaa���aaaaaaaaaa���aaaaaaa�aaaa�aaaaa�aaaaa���aaaaaaaaa��a�aaa��aaaaaaaa�aaaaaaaaa�aa�a�a�a��aaaaaaa�aaaaaaaaa

aaaaaa�aa�aa��a�aaaaaaa�aaaa�aaaa�aa�aaaa�aaaaaaaaaaa�a�aaaaaaaaaa�aaa�aa�aaa�a�aa�a�aaa�aa����aaaaaaa�a�a�aa�a�aaa�aaa

�aaaa��aa�aaaa����aaaa�aaa��aaaaaaa�aaaaa�aaaaaaaa��aaaaaaaa�aaa�aaa��aaaaaaa�aa��aaa���aaaaaaaaaaaaaaaaaaaaaa�aa

a�aaaa�aaa���aaaaaaa���a�

���������#�#:#�

��aaaa�a��aa�aa�a��a��a��a�aa�aaa�aaaaa��aa�aaaaaa�aaaa�aaaa�aa�aa��a�a��aa�aa�aaaa�aa�aaa�aa�aaa��aaa�aaaaaa�aa

a���aaaaaaaaa�aaaa�aa��a�aa�aa�aaaaaaaaaaaaaaaaaaa�aaaa�a�aaaa�a��aa�aaaaaaaaaa�aaa�aa�aa��aaa�aa�a��a�aa�a��aa�a

�aaaaaaaaaa�aaa�aaa��a�aa�aa�a�a�aaa�aaaaaaa�aaaaa�aaa���aa�aaaaaaaa�aaaa�aaaaaaa�aaaaa�a��a��aaa�aaaa��aa�aaaa�a

a�aaaa�aaa���a�a��aaaaaa��aa�aaaa�a��aa�aa�a��aaaa��aaaaa��a�����aaaa�a��aaa�a�aaaaaa�aa��aa�aaaa�aa�aa��a�a��aaa

aaa�a�a��aaaa�aa�aaaa�a��a��aaa���a�a�a�a�a�aaaaaa�aa��aa�aaaaaaa�aaaaaa��aa����aa�aaa�aaaa�aa�aa��a�aa�a�aa��a�aa�aa�aaa

aaa�aaaaaaa�aa�a����aa�aaaaa��aaaaa�aa�aaaaaa��a��aaaa��a�aaa�aa�aaaa�aaaaaaaaaa��a��aa�aa�aaaa��aaaaa�

aa�aa�aa��a�aaaaaaa�aa�aaa�aa�aaa�aaa��aaa���aaaaa�a�aaa��a�a�aaaa�a��a��aaa���aaaaaa�a�aaa����aa�a�aaaaa�aa�aaa�a��

a���aa��a����a��aa�aaaaa�a�aa����aaaaa�a�aa�a�aaaaa�aa�aaaa�aaaa�a�aaaaa�aaa�aa�aa��a�aaaaaaa�aa�aaa�a�a�aa��aaa

aa��a��aaaaaaaaa�aaaaaaaa�aaa��aaa��a�aaa�aaaa�aa��aa�aaaaa��aa�a��aaa�a�aaaaaa�aaaaa�aaaa�aaaa�aa�aa��a�a��aaaaa

���aaaa�aa��aa�a��a��aaa���aaa�aa�aaaa�aaaa��aa�aaaaaa�aaa�a�aaaaaa�a�aaaaa�aaa�aa�aaaa�aaa�aaaaa��aaaa�a�aaaaa��a��

���aaaa�aa�aaaa�aaaa�aa�aa��a�a��aa�aaaaaaaa�aaaaa�aa���aaaaaa�a�aaa����aa�aaaaaa�aaaaa��aa�a���aaaa��aaaaaa�aa

1 �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 9: Plastic & Reconstructive Surgery

�a�a�aaaaaa aaaa aa��a�a�a�a�aaaaaaa�aaaaaaa�aaaaa�aaa�aaaa�aa�aa��a�aa�a�a�aaaaaaaa�aaaaaaa�aaaa�a��aa���aaaaaa���aaa

aa�aaaaaaaaaaaa�a��aaaa�aaa��a�a�aa�aaa�aaaa�aaaaaaaaaa���aa��aaa�aa�a����aaaaa��a�aa�aaa�aa�aaaaa�aaaa�aaaa�aa�aa��a

aaaaaaaaaaaaa�aaaa����aaaaa�aaa�a�a�aaaaaa�aaaaaaaaaa aa���

�#��������#���

��aaaa�aa��aaa�a��a��a��aa�aaa�aaaa���aaaaaaa����aa��aaaaa��a�a�aaaaaa�a�aa�aaaaa���aaa�aaa�aaaaaaa�aaa��aaaa�a�aa�aaa

a�aa�a�a�aaaaa������a�a��aaa���aaa�a�aaaa��aaa�aaaa��aaaaaaaaa�aa��aa�aaaaaa�aaaa�aaaaa�aaaaaaaaaa�a�aaaaa�aa

aa�a�a��aa�aa�a�aaaaa�aaa���aa�a�aaaa��aaaaaaaaa�aaa��a�aa��aa���a�aaaaaaaaaaaaaaaa�a�a�aa�aa�aa��aaaaaaaa�aaa�aa

a�aa��aaaa�aaa���aaaaa�aaaaaaaaaa�aa��aaa�a�a�a�aaa�aaaaaaaaaaaa�

����###�

��aaaaa��a��aa���aaaaa�a��a�a�a�aaa�aaaaa�aaaa��aaaaa�aaaaaaaaaaaa�aaaa�aaaaaaaaaaa��a��aaaaaaaaaaa�a�a�aaa�aaaa

aaaaa�aaaaa�a�a�aaaaaa�aaaaaaa�a�a�aaaaa�a�aaaaaaaaaa�����aaaaa���aaa�aaa�aaaa�aa�aaaaaa�aa�aa��a�aa�a�a�aaaaa�aaaa��a�a

�a�aa�a�a�aaaaaa�aaaaa�aaaaaaa�aaa���aaaaaaaaaaaaaaaa�aaaaaaaaa���aaaaaaa�aaaaa��a��aaaaaa��aaaa�aa�aaa�aa�aaaaa

aa�a�a�aa�

����#�:��#��

��aaaa�aaa�aaa���aa����aa��aaaaa��a�a�aa��a�a�aaaaaa�a�aaaa�aaaa�aaaaaaaaaaaaaa�aaaaaaa�aaa���aa�a�a��a�aaa��a

��a�aa�aaaa��aaaaaaaaaa�aaa�aaa��aaaaa�aaaa�aaaaaaaaaaaaa�aaaaaaaa�aa�aaa���aaaaaa�a�aaa�aaaa�aaaaa��aaaaaaa�a�aaa�a�a�a

��aaaaaa��aaa�aa��aa�aaaaa�a�aaaaaa�a�aaaaa�aa�aaaaaaaaa�aaaaaaaaa�aaaa���a�a�a�aaaaaaaaaaa�aa�aaaa�aaa�aaa�aaa

aaaaa�aaaaaa�a��aaaaa���a�a�aa�aaaaaaaaa���a�aaa�aaa��aaa���aa�aa��aaaaaaa�aaaa���aaaaaa�a����aa�aa�aa�aaa���a�aaaaa

�aaaaaaa�aaaaa����aa�a��a�a�aaaaa�aaa�aaaaaaaa�aaaaaaaaaaaaa���aaaaa�aa�aa��a�aaa��a�aaaaaaa���aaaaaa��

�����:��:��::��������

�aaa��aaaa�a��aa�a��aaa�aaaaaaaaaaaaaa�aaa����aaaaaa���aaaaa��a��a�aaaaaaa�a��aa�aa�aaaa�aa��a��aaa�aa�aaaaa����aaaa

�aaa�a��a�aa�a��aa�aaaaaaaaa�aaa�aaaaaaaaaaaa�aaaa���a�a�aa�aaaaaaaaaaaa�aaaaa�aa���aaaaa�aaaa�aa��a aa�a�aaa�aaa��aaa

a�aaaaaaa�aaaaaa�aaaaaaaaaaaa�aaaaa�aaaaaaaaaaa�aaaa�aaaaaaaa�aaaa���aaa�a�aaaaaaa�a�aaaaaa�aaa�a �aa�aaaaaa�a�aa��

a����aaaaaaaa�aaaa���a��aaaaa��aaaa�aaa��aaaaa��aaaa�aa�aaa�aaaaaaa�aaaa�aaaaa�a�aaaaaa�a�a�aaaaaa�����aaaa�aa�aa�aaa

aaaaa�aaaa��a��a�aaaa�aaaaaa���a��aaaaa��aaaa�aaaaaa�a�aaa�aaaa�aaaa�aaaa�aaa�aaa����a��aa��a��aaaaaa�a��a

a�aa�a��aa���aa��a�a�aaa�aaaaaaaa��aaaaa�aaaaaa�aaaa�aaaaaaaaaa�aaaaaaaaaaaa�a��a�aaa�aaaaaaaaa�aaaaaaaaa��

::��:��:��::��������

�aaaaa��a�a��a�a�a�aa�aaa�aaaaa�aaaa�aa�aaaaaaaaaaaaa�aaaa��aaaa��aaaaa�aaaaa�aa�aaaaaaa�aa����aa�aa�aa��aaaa

aaa�a�a�aa�a��aaaaa�aaaaaaaaa�aaa�aaaaaaa�aa�aaaaa���aaaaaa�aaaaaa�aaaa�aaaaa�a�aaaaaaaaaa�aa�aaaaaaa�aa��a�aaaaa��a��a�aaa

aaaa�aaa�aaaa�aaa���a�

��::������

aaaaaaa�a�a�aa�aaa����aaaaaa�aaaaaa�aaa���aaaa��aa�a���aaaa��aaaaa�a��aaaaaaa��aa�a�aaaaa�a�aaaa�a�a�a�a��aaa�aa�aaaa

��aaaaaaaaa�aaaa�aaa�aaaa��aaaaaaa�aaaaaa��a�aaaaaaaaaaaa��aaaaaa�aaaaaaaaa��aaaaaaa��aaa�aaaaaaa���aaaa�a��aa�a

aaaaaa�aa�a�aaaaaa�

�aaaaaaa�aaaa��aa��aaa��a�aa�aa��a��aaa��aa��aaaaaaa�a��a�a��aa��aa�a�aa�aaaa��aaaa��aaa�aaaaaaaa�aaaa�����a aa

aaaaaa���aaaaaaaa��aa��aaaaa�a����a����aaaa����a��a�aaa��a��aaaaaaaa�aaaa�aa�a��aa�aa�a�aaaaaa�a���aaaa�aa�aaaaaa�

�aaaa�aaaaaaaaaaaa�a�aa��aaaaaa��aaaaaaa�aaaaaaaaaa���aaaaaaa���a��aaaaa��aaaa��a����aa�a��a�aaa�aaaa�a�aaa�aaa

aaaaaaa�aaaaaaaaaaaaaaaaaaa��a��a�����aaaaa��aa��aaaaaaaa���aaaaa�����aaaaa��aa����aaaaaaaaaa�aaaaa���aaaaa

a����aa��aaaaa��aaaa��a����aa�aaaa����a��aaa���aaaa��a���aaaaaa�a��aa�aa�a��aaaa��a�����aaaaa��aa��aaaa�aa��a�aaa

�a���aaa�aaaaaaa���aaaaaaaaaaa�a�aaa��aaaaaaaaaaa�a����aa�aa�aaa���aaaaaaaa��a�a�a�aa�aaaa�aaa���aaaaaaaa�aa�aaa�aaaaaa

aaa�aaaaaaa�aa�aa��a�aaaaaaa�aaaaa��aaaa�a�aaaaa�aa�aaaaaaaaaaaa�aaaa�a�aaaaaa��aaa�aaaaaaaa��aa�aaaaaa�aaa�aa��

��aa�a���aaaaa��aaaaaaa�aaaa�aaaaaaa�a�aaaa�aaa�a�a�aaaaaaaa�a��a�����a�aaaaa�aa�aaaaaaaa��aa��a�aa��aa��a��a

a��aa�a�a�aaaa�aaaaa�aaaa�aaaaa�aaaa�aa��a��aaaaaaa�aaaaa���aaaaaaaaaaaa��a�����a�aaaa�aa�aa�aaaaaaa�a��a�aaaaa�a���aaa

�aa�aaaaaaa�aaaaaa��aaaaaa�a��aa�aa�aa�aaa�aa�a�a��aaaaaaa�a����aa�aa�aaaaaaaaaaa�aa������aa�aaaaaaaa��aaa�aaa�a�a�aa�aa

aaaa�aaaa�a�a��aaaaa�a����a��a�a�a�aaaaaa�a�aaa�aaa��aa�aa�aa�a�a�aaaaaaaaaaaa��aa�aa����a�aaaaaaa�aaaaaaaaaaaa�aaaa�a�a

��a�aaa�aa�aaaa�aaaa�aaaaaa�aaaaaaaaaaaaaa�a�aaaaaaaa�a�aaaaa�aaaaaa�a�a�aa�a����aa�aaaaaaaaaaaa�aaaaaaaa��aaaaaa���aa�

�aaaaaaaa�a�a�aaaaa�a�aa�a�aaa�aaaaaa�aaaaaaa�aaaaaaaaa��a aa�aaaaaaa�aaa����aa���aa�aaaa�a�a�a�aa�aa�a�aaaaaa�aaaa

����a��a�aaaaaaaa�aaaaaaaaaaaaa�a����aa�aa�aaaaa��aaaaaaa���a�a��aaaaa�aa�a��a�aaaaa�aaaa��aaaaaaaaaaaaaaa�aaaaa

aaaa�aaaaaa�aa�a�����a�a�a�a�a�aaaa��a�aaaa�a�a�aaaaa�a�aa�aaaaaa��aaaaaaa�a�aa�a�aaaaa�a���a�

#:�!:��::�������

� �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 10: Plastic & Reconstructive Surgery

�a�a���a��aaaa�aa�aa�aaaaaaa�aa��aaaaaa�aaa����aa��aaaaa��aa�a��aaa�a�a�aaaaa�aaa�aaaaaaaaaaaaaaaaaaaaaaaa��a����a

���aaaaaaaaa�a�aaa��aaaaa�aaa��aaaaaaa�aaaa�aaa�a���aaaaa��aaaa�aaaaaaaaaaaaaaaaa�aaa���aaaaaaaa�aa��aaaaaaaaaaaa

�����aaaaa��a�a���aaaaaa��aa�aaa��aaa��aaaaa�aa��aaa�aaaaaa�aaaaaaa�aaaa�aaa���a�a�aa�a�aa�aaaaaaaa�aa�aaaa�aaaaaaaaa

aaaaaaaaaaaaaa��aa�aaa�aaaaaaa��aaaaaa���aa�a�aa��a�aa�a����aa�aa�aaaa���a�aa���aa�aaaaa��a��aaaaaaa�a�aaaaa�aa

aa�aa�aa���aaaaaaa��aaaa�aa���aaaaa�aa��aaaaaaaa�aa�aa��a�aa�

��aa����aaaaaaaaa�a�a�aa���a�aaaaaaaaa�aaaaaa��aa����aa�aaa�aaaa�aa�aa��a�aa�a���aaaaa�aaa�a�aaaa�aa�aaaa���aaaaaa�aaaaaa�a

a�aa����aaaa�aa�aaaaaaaaa�aaa�a��aa�aaaaa�aaaa�aaaa���a�aaaa�aaaaaaaaa�aaaa�a��aa�aa�a���a�aa�aa�aaaa�aaa���aa�aa�aaaa

��aaaaaa�aaaaaaaaa��a�aaa�aaa�a����aaa�aa�aaaa�aaaa�aa�aa��aaaaa�aaaaaaa��aa�

��aaaaaaaaaaaaaaaaa��a�aaaaa�a�a�a�aaaaa�aaaa�a�aaaaaaaa��aaaaa��aaaa�aaaa�aaaa�a�a�a�a�aa��a�a�aaaaaa����aa��aaaaa��a

aaaaaaaaa�aaaaaaa�aa�a�a��aaaaaaaa���a�aa�aaa�aa��aa��aaaaaaaaaa��aaaaa��aa��aaaaa��aaaaa��aaaaa�a����aa�a�aa�aaaaaa

aa��aaa�aa�aa��a�aa�a��aaaaaaa��aaaaaaa�aa�aa�aaa�aaa�aaaaaa�aaaaaaa�aaaaaa��a��

��aaaaaaaaaaaa�aa�aaa�a�a�aaaaaa�aaaaaa�aa�aaaaaaa�aaa�a�aaaa���aaa�aaaa�aaaaaaaaaaaa�aaaaaa�aaaaa�aaaa�aaaa�a

a�aaa�aaa�aa�aaaaaa�aaaaaaaaaaaaaaa�a�aaaaaaaaa�aa��

�aaaaaaa�aaaaaa�a��aaaaaaa��aaaaaa���aaaaaaaaaaa����aaaa�aaaaaaaaa����aaaa�aaaaa�aaa�aaaa�aa�aa��a�aa�a�aa�a�aa�aa��aaa

������������a������a��#�����

�a���aa�aaaa��aaaaaa�a�a�aa�aaaa�aaaa���a��aaaaa��aaaa�aaaaa�aaa�a����aa�a�aaaaaaaaaa�aaaa�aaaaaa�a�aaa�aa�aa��aaa

�����#���#�a������a��#������

aa�aaa�aa��aaaaaa�a���aaaaaa�a�aaaa���a��aaaaa��aaaaaaaaa�aa�aaaaaaaa��aaaaa��a�a�aaaaaaaaaa�aaaa�aaaaaaaaaaaa��aaaaa

a�aaaaaa�a�aaa�aa�aa��aaa�����##�����

��aaa��aaaaaa�a�a���aaaaaaaaaa�a�a��aaaa��a�aaaa���a����aaaa�aaaaa�aaa�aaaa�aa�aa��a�aa�a�aa�aa�a�aa�aaa��aaa

���#����������a������a���������

�aaa����a�aaaaaa�a�aaa��aaa�aaaaaaaaa�aa��aaaaaa�a�aaaa��aaa�a�aaa�����aaaa�aaa�aa�aaa�aaa���aaaa��aaa

aa���a��aaaaa��aaaa�aaaaa�aaaa���aaaa���aaa�a�a�a�aa�aa�a�aa�aaa��aaa���������#�#�a������a��������

�aaaa$�aaaaaa�a��aaaaaaaa��a�aaaa�aaaaa�aaaaaaaaaa�aa�aaa�a�aaaaaa�aa�aaa��aaaaa��aaaaaaa�a�aa�a�aa�aa��aaa

���#�����#��a������a��������

�a�a �aaaaaa�a�a�aa�aaaa�aaaaa�aaaa�aaa�a����aaaaa�a�aaaaa�aa�aa��a�a���aaaaaaaaaaaaaaaa��a�aaaa��a�aa�aa�a�aa�aaa��aaa

��������������a������a���#��#��

#:�#���##:

��aaaaaaaaaaaaaaaa�aaaa�a�a�aaaaaaaaaaa�aaa�aaaa�aa��aaa��aaa��a��aaaaa�a�aaaaaaaa�a�aaa��aaaa�a���aaaaaaaaa

�aaaa�aaaaa�aaaaa��a��aa�aa�aaaa�a�a��aaa�aaa��aaa�aaa��a���aa��aa�aa�aa��aaa�a��a���aaaa�a�aa�a��a����aa�aaa�aa

�aaa�a�aaa�aaaa�aaaaaaaaa�a��aaaaaaaa��aaa���aaaaaaa�a�aaa��a��a�aaaaa�a�aa�a�aaa���aaa��a�aaaaaaaaaaaaaaa�a�a��aaa�a

��aaa�aaa�a�a�aaaaaaa�a��a�aaaaa�a���aaa�aaaaaaa�a�aaa�a��aa��aaa�aa�aa�aaaaaaa����a�aaaa�aa��aaa��aaaaaa����a�a

�a�aaaaa�aaaaaaaaaaaaa�a��aaaaaa�aaa�aaaaaa�aa��aaa�aaaaaaaaa�a�a����aaaaa�aa��aa�aa�a�aaaa��a�aa����aaa�aaa��a

aaaa��aaaaa�a�aa�aa�aaaa��aa�a���aaaaa�a�aaa�aa��aa��aaaaaa�aaaa�aa�a�aaa��aaaa�a�a��aaa�a�aa�aaaa��aaa��a

aaa�a��aaaaa�aaaaaaaaaaa�����aaaaa��aaaaa��aa�aaaaa��aaaa�a�aaa�a���aaaaaaaaaaaaaaaaaaa��aaaaa�aa�aaaaa�aaaa�a���aaaa

��aaa�a�a����aaaaaaa����aa��aaaaa��aaaa�aaaaaaaaaaaaaaaaa���aaaaaaaa�a���aaaaaaaa��

��aa�a�aaaaaaa����aaaaaaaaaaaaa�a�aaaaaaa��a�aa�aaaa�aaaa�a�aaaaa����a�a�aaa�a����aa�a�aaaa��aaa�a�aaaaaaa�aaa�a��

�a�a�a��aaa�aaa��aaa�a��aaa�aaaa��aaaaaaaaa��aaaaaaaa�aaaaaaaaa�aaaaa���aaa�aaa�a�aaaaaaaa���aaaa�����a�aa�aa

�a�aa�aa�a�aa�a�a���aaaaaaa�aaaa���aaaaa�aaaaaaaaa�aaaaaaa��aaaaa����aa��aa�aaaa�a�a�aa�aaaaaaa��a���aaaaa�a�aaaa�a

�a�a�a�����aa��aaaaa��aaaa�aaaaaaaaaa����a��a�a�a��a��aa��aaaaa�aa�aa��aa�aaa�aaaaaa�a����aa�aa�aa��aa�aaa�a�aaa���a

aaa�aa�a�aaa�a�a�aaa�a�aaaaaa�aa�aaaaaaaaa�aaaaaa�aa�aaa���aaaaaa����aa��aaaaa��aaaaaaaaa�a�aaaaaaaaaaaaaaaaa�aa

a��a�aa�aaaa�a�aaaaaaaa�a�aa�a��aaa���aaaaa�aaaaaaaaaa�aaaaaaaaaaaaa�aaaaa�aaaa�aaaaaa��a��aaa�aaa

a����aa��aaaaa��aaaa�a�aa�aaaaaaaa��

�aaaaa�a�aaa�aa�a�a�a�aaaa�aaaaa�aaaaa��aa�a�aaaaa�aaa�aaaaaa�aaa�a�a�aaaaaaaaaaaaaaaaaa�aa�a�a�a�a�aaaaaaaaa�aa

�a�a�a����aa��a���aaaaaaa��a��aaaaaaaaaaaaaaaaaa��a�a�aaaa���aaaa�a�aaa�a�aaaa���a�aaaa�aa�aa�aaaaaaaaaaa��aaa�a�aaa

a����aaaaaa�a�aaaa��aaaaa�a�a�aa�aaaaaaa�aaaaaaaaaaa��aaa�aaaaaaaaaaaaaaaaa�aaa�aaaaaaaaa�aaaaa�a�aa�a �aa�a����aa��a���aa

aaaaa�aa���a�aaaaa���aaaaa��aaaaaaaaaa��a�a�aa�a�a��aaa�aa��aaa�aaaaa��aa�aaaaa�a�aa�aaaa���aaaaa�a��aaaaa�a�aaaaa�aa

aaaaaaa�aa�a�aaaaaaa�a��aaaaaa���aaaaa��aaa�aa�a����aa�aa�aaaa�aaaa�a�aa�a�aaaa�aa�a�aa���aaaa�aa�aa�aa��aa�aaaaa

�� �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 11: Plastic & Reconstructive Surgery

.aaaaa.a.aaa..a.a.a..aa�

��aaaaaa�a�aaaaaaaa�aaaaaaaa��aaa��a�aaaa�aa�aa�aa��aaaa��aaaaa��a���aaaaa�a�aaaaaa��a��a�aa�a�aaaaa�aaaaa���aaa

��aaaaaaa�aa�aaaa���aaaa�a�aaaa�aaaa���a�a��aaa���aaaa����aa�aaaaa����aa��aaaaa��aaaaa��aaaaaaa�aaa�aaa��aaaa�aaaaa�aa

aaaa�aaa���aaa��aaa�aa�aa�aaa�aaa��aa�a�a�a��aaa�aaa���aa �aa�a�a�aaaaaaaa��aaa��aaaaaaaaaaaaaaaaa�aaaa�a�aa��aaa��aaa

�a��aa�aaa�aaaaaaaaaaa����aaa�aaaaa�aaaaa�a�aaaaa�a�aaa�a���aaaaaaa���aaaaaaa���aaaa�a�aaaaa�aaaaa��aaa�aaaaa�aa�a

�a�aa�aa��a�aa�a�aaa�aaaa�aaaaaaaaaaaaaaa�aa�

�a�a�aaaaa���aaaaaaaa�aa�aaaaa�a�aa�a�aaa�aaa�aaaaa�aaa�aaaaa�aaaa���aaa�aaaa�aaaaa�aaaa�a�aaaaaaaa�aaa���aaa�aaa��a

aa�aaaaaaaa�aaaaaa�a��aaaa�a�a�aaa��aa�aaaaaaaa�a����aaaaaaaa�aaaaaaaaa���a��a���a�aaa�aaaaaaa�aaa�aa���aaaaaaaa�a

aa��aa�a�a�a����aa��aaaaaa�aaaaaaa�aaaaaa�a��a�a�a�a��aa�a�aaa�aaaa�aaaa��aaaaaaa�aaaa�aa�aaaaa�a�aaaaaaa��a

�����aa��aaaaa��aaaa�aaaaaa��a��aaaa��a�aaa�aaaaa���aaa�a�aaa�aaa�aaaa�aaaa�aaaaaaaaaaaaaaaaaaaa���aaaaa��a����a��a

aa�a�aaa�aaaaaa�aa�a�aaaa��aa�aaa�a���aaa�aaaaaaa����aa��aaaaa��aaaa��

�aaaaa�aaaaa�a�a�aaaa�a�a�aa�aaaaaaaa��aaaaa�aa��aaa�aaaaaa�aaaaaaaa��a�aaa�aaaaaaaaa�aaaaaaa��a�aa���aaaaaa

�a���aa�a�aaaa���aa��a����aaaaa�a�aa�aaaa��aa�aaaaaaaa�aaaaa��aaaaaaa�aaa�aaaa�aaaaaaaa���a�aaaa���aaa�aaa�aa�aa�aa

�a�aaaaaa�a�aa���a�aa�aa�aaa�a��aa�aaa��a��aaaaaaa��aaaa���aaaaaaa�aa�a�aaaa�aaaaaa�aaaa�a�aaaaa��a��aaaaaa�aa

aaa�aaa�aaaaaa�a�aaa�aaaa�a���aaa��aa�aa�a�aa�a�a�a�aaaaaaa�aaaaaaa�aaaaaaaaa�aaaaa�a�aaaaaaaa�a�a��aa�aa��aa�

�a�a�aa��a��aaaa��a�aaaaa�aa�a��a�a�aa�aaa��aaaaa�a�aaaaa���aaaa�aa�aaa��aaaaaaaa�a�a��a�a�aaaaaaaaa�aaaaaaa�a��a��a�aa

�aa�a�aaaa��a�aaaa��a�a�a��aaa�aaaaa�a�aaa�aa�a���aaaaa�aaaa�aaaaaaaaaa�aaaaaa�a�aaaaa��aaaaa�a���aaaaaaa�aaaaaaa

�a�aa��aa���aaaa�a���aaa�aaaaaaaaaa�aaaaaa�a�aaaa�a�aa��

eeeeee:e✁ ✂✄☎✆✝✄✞ ✟✠✡☛☞✄✌

��aa�aaaaaaaaaaa�a�aa�aa��aaa��aa�aaaaaaaa�aaa�aaaaaaa�aa���aaaaa�����aaaaa��aa����a�a�aaa�aaaaaaa�a�aaaaaaaa�aa

�a�aaaaa�a�aaa���aaaaaa.aa�a�aaa��aaaaaaa�aaaa�aaaaaa�a�aa��aaa��aaa�aa���aaaaa�aa�aa����aa���aaaa�aaaaaaaa���

�aaaa����aa�aaaa�a�aa�aa��aa�a��a�aa�aaaaaaaa��a�aa���a�aaaa�aaa�a�a����a��aa�aaaaaaaaa��aa�a�aaaaaa�aaa���aaaaa

�aa�aaa�aaa�aa�a��a�a�a�a���aa�aa�aa��a����aa�a�aa�aaa��aa�aaa�aaaaaaaaaa��aaaaaaaaa�aaaaaaa��aaaaaaa�aa�aaa�a�a�aa�a

��a�aa�aaaaaaaaa�a�aa�aa��aaa�a�aaaaaa�a�aaaaaa�aaaaaa�a�a�a�aaa�aaa���aa�aaaaaaaaaaa����aa��a����aa�aaa�aa�aaa�a��a

�aaa�aaaaaaaa��a�aaa�a�aaa�aa��aaaa�aaaaaaa�aa��aaaaaa����a��aaaaaa�aa�aa��a�aa�

�aaaa�aa�a�a��aa�a�aaaa��aa�a�aaa�aaa���a�aaaaaaa�aaa�aaa�aaaaaaa�aa�aaaa�a����aaaaaaaaa�aa�a�aaaaaaaaaaaaaa�aa�aa���aaa�aa�a

aaaa.a.aaaaaaa��aa�a��a�aaa�aa�aa�aaaaaa���aaaaaaaa�aa�aaaaa�aaaa���aa��a�aaa�aaaa�a�aa�aaaaaaaa���a��aa�a�a�a�aa�aaaa

a.aa.aaaaaa��aaaaaa���aaaa�aaa�a�aaaaaaaaaaaaa�a�aa��a�aaaa�a��a�aaa�aaaaaaa�a�aaaaaaaaaaaaaaaaa���aaa�aaaaa�a�aaa

�a�aaa#��#��a�aaa�aaaa���aaa�a��aaaaaaaaa�a�a��aa�aaa�aa�aaaaa�a�aaaaaaa��aaaaaaaaa�aaaaa��aa�aaaa�a�aa��aaaaaaa�aa�aaa

���aaaaaaaa�aaaaaaa�aaaaaaa�aaaaaaa�aaa�aaaa�a�a�aaaaaaaa�aaaaaaa�aaaaaaaaaa��aa�

�����:���,��

�� �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 12: Plastic & Reconstructive Surgery

�aaaaaaa�aa��a�����a�aaaaaaaaa�aaa�aa�aa�aaa�a�a�aaa�a�aaa��a�aa�aa�aa�a�aaaaaaa��aa��aa����aa��aaa�a�aaa�aa���aa

aaaaaaaaaaaaaaaaa�aa��aaaaa���aaaaaa��a�aaaaaaa��aaa���aa�a����aa��

�aaa�aaa�aa�aaaaaaa���aaa�aaaaaa�aaaaaaa�a�aa�aaa�aaaaaa�a����aaa��a�aa�aaa����aa�a�aaaa�aaaaaa�aa��a�a�aaaaaa�aa��a

a����a�a����aa�aa�aa�a�aa�aaaaaaa�aa��aaaaaaa�aaaaaa�aa�aa�aaaaa�aa�aaaaa�aaaaaa�aa�aa�aaa��a�aaaaaa���aa��a�a�aaaaa

a�aaa���aaaaa�aaaaaaaaaaaaa���aaaaaa�a�aaaaa�aa�aaa�a�a��aa�a��aaa�aaaaa�aaaaa��aaa�aa�a����aa�aaaaaaa�aa�aa�a�aa����a��a

aaaa�a����aa�aa�aa�aaa�aaaaaa�aaaa�aaaaaaaaaa��aa��aa�aaa�a���aaa�aa�aa�a��a����aaaaa�aa���aaa���aaa�aa��a��a�a�aa�a

��aa�aaaa�a����aaa��a�aaaa�aaa�aa�aaaa�aa��aaaaaaa��aaa�a�a����aa�aa�aaaa���aa�aaa�aaaaa����aaaaaa��a�aaaaaa�aaaaa�a�aa

aaaa�aaaaaaaa���aa�aaa�a�aaaaa�aaa�aaaa�aaaa�aa�a�a�a��aaaaaa�aaa���aaaa�aaaaa�a�aaaaaaaaa�aa�a�aaaaa��aa�aaa�a���aaaaa�a

�a����aaa��a�aa�aa�a�aaaaaaaa��aaa�aa���aaaa�a�aa��aa��

�aaaaaa��aaa��aaaa�aaa���a�aaaaaaa�a��a�a����aaaaa�aaaaaaaaaaaaaa�aa���aaa�aa�aaaaa�a�aaaaaaa��aaa��aaaa��aaa�aa�a�aaaa��aaa�aa

a�aaaaa�aaaaaaa����aaaaa�aaa���aaaa�aaaaaaa�a�aaa�aaaaa�aa��aa�

�aaa�aaaaa��aa��aaaaa�aaaaaaa��aaa�aaaaaaa���aaaaaa���a�a�aaaaaaaa�aaaaaaa�aa�aaa��a��aaaa���aaaaaaa��aaaaaaaaa�aa�a�aa

�aa��aaa �a�aaa#�����a����a��aaa�aaaa��aaa�aaaa�aaa�aaa����aaaa�aaaa�aaaaa�aaa�aaaaaaaa��a�

��aa�aaaaaaa�a��a�a����aa�a�aaaa�aa�aaaaaa�a�a�aaaa�aa�aaaaa�aaaa�a�

�����:���,��

�� �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 13: Plastic & Reconstructive Surgery

�aaa�aaaaaaaaaa�aa�aaaa�aaaa�aaaaaa��aaaaaa�aaaaa��aa��aaaaaaaaa�aaaa�aaaa�aaa �a�aaa#�����a�aaa���a�a�a�a�aaaaaa�a

aa��aaaaaaa���aaaa�aaaaaaa�aaaaaaaaa���aaaaa�����aaaaa��aa����aaaaaaaa�aaaaaaaaa��a�

�aaaa�a�aaaaaaaa�aaa�

�����:���,��

�� �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 14: Plastic & Reconstructive Surgery

�##���

�aaaaaaa�aaaa�aa��aa�aaaaa�aaaaaaaa��aaaa��a���a�a�aaa�aaaaa�a�aa�aa��aaa��aa�aa��aa�aa�a��aaaa�a�aaa��a

�aa��aaaaaa�aa �a�aaa#����a��aaaaaaa�aaaaaaa�aaa�aa����aaa�a����aaaaaaaaaaa�a�aaa�a��a�aa�aaaaaaa��aaaaaa�aaaaaaa�a

�aaa�aa�aa�a�aaaaaaa�aa�aaaaaaaa�a�aaaaa�aa�aaaa��aaaa��aaaaaa�aaa�aaaaaa�aa�a�aaaaaaa�aa�aaaaaaaa�a�aaaaa�aa��a��aaaa�aaaaaa

aaaaa�a�a�aaaa��aaa�aaaaaaaa�aaaa�aa�aaaaaaa�aaaaa�aa�aaaaaaaa�a��a��aa�aaaaaaaaaaaa��a����aa�a���aaaaaaaaaaa��aaaaa

���aaaaa��a�a�a�a��aaa�aa�a����aaa��aaa��aaaaaa�aa�aaaaa��aa�a��aaaaaa�aa�aaaaaaa�a��a�a�aaaa���a�a�a��aa��aa�aaa��a��aaaaaa

��aaaaa����aaaaaaaaaa�aaaaa�aaaaaa�aaaaa�a�aa�a����aa�a�aaa�aaaa�aaaa�aa�a����aaa��aaa�aa�aaaaaaaaa�aaaaaa�aa�aa�a��aa

aaaaa�aa�aaaa�a�a�aaa��a��aaaaaaa�aaaaaaa�aaaaa�aaa��aaaa��aaa�aaaaa�a�aa�aa�aa��aaaa�aaa�aaa�a��a aa��aaaaa�aaaaaa�aaaa

��aa�a�a�a�aa�aa�a�aaaa�aaaa�aaaaaaaaaaaaaaaaaaaaaaaa�a���a��aaaaaa�a�a����aa�a��aaa�aaaa�aa�aaaaa�a����aa�aaa��aaa

aaa��aaaaaaaaaa�aaaaaaa�aaaaaaaa�aaaaa�aaa�aaaaa�a�aa�a����aa�a���aaaaaa�aaaaa�a�aaa�aaa�aa�aa�

�aaaaaaa��aaaaa�aaaaa.aaaa.a.aaaaaaaa�aaa�

�����:���,8�

�� �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 15: Plastic & Reconstructive Surgery

���������:#���

��a�aaaaa��a���aa�aaa�aaaaa�aa��aaa��a�aaaaaaaa��aa��aaaaaaa�aaaa�aaaaaaaaaaaaaaaaaaaaaaa��aa�a����aaaaa��aaaa�aa��a

a�aa�a����aa�aaaa�aaa��aa���aaaaa��a�aaa�aa�aaaaaa�aaaaa�aaa��a�aaaa�aa�aa�aaaaa���aaa�aaaaaa��aaa�aa��aaaaaaaaa��aaa

�aaaaa�a��a�aaaa��aaa�a�a��aaaaa�aaa�aaaaa�aaa�a�aaaaaa�aa�aaaaaaaaaaa�aa��aaaaa�

��aaaaaaaaaa�aa��aaa��aaa�aaaaa��a�aaaaaaaaaaaaaaaa�a�aa�aaaaaa�a��a�aa�a�aaaaaaaaaaaaa��aaaa�aa��aa�aa�a����aaaaaaaa

�aaaaa�aaa�aaaaaaa����aa�aa�aaaa��a�aa��a����a��a���aaaaaa��aaa���aa�aaaa�aaaaaaaaaaaaaaaaaaaa�aaaaa�aaaaaaa�aa�aa

a��aa�a�aaa��a�aa�a�aaa�aa��aaa���aaaaa���aaaaa���aaaaaaaa�aaaaaaa�aa�a�aaaaaa�aaaaa���a����a��a�aaaaa�aaa�aaaa��aa

aaaaaaaaa�aaa�aaa�aa�aaaaaa��aaaaa�a�aa��aaaaaaa�aa�a��a�aa�aa��aaa�aaaaaa�aaaa�aaaa�aa�a��aaa�a�aa�aaaaaa�a.aaa

a�aaa�aaaa�aa��a�a�aaaaa�aaaaaaa�aa�aaaaaaaa�aaaaaaa��a�aa�aaaaa��aa�a�aaaaaaaaaaaaaaaaaaaa�aa�a��aaa��aa�a�aa

��a�aaa��aaa�aa�aaa�aa�����a���aaaaaaa�aaaaaaaaaaaaaaaaaa��aaaaaa�aaaa�a�a��aaaaaaaaaaa��a�aa�aaaaaaaaa�aa�����aa

a��aa�aaaaaaa�aaaaa�aaaaaaa�aa�aaa��a��aa��#aaa�a�aaa�aaaa�a��a�aaa�aa��a�aaaaaa���a�aaa�aaa�a�a�a�aaa�aaaa�a���a

aaaa�aaa���aa���aaa�aaa�aa��aa�aa�a����aaa��aaaaa�aaaa�aaaa��aaa�aaaaa��aaaa�aaa�aa��aaa�a�aaaa�aaa�aaaaaaaaaaaa

��aaa�aa��a�aa�a�a�aa�aaaaaaaa�a�a�a�aaa��aaaaaaa�aaaa�aaaaaaa�a�aa��a�a�aaaa�aaa�a�aaaa��aaaa�aa�aa�aaaaaa�aaaaaaa..aaa

a�aa��aa�aa�a����aa�a�aaa��aa�aaaaaa���aa�aaa�aaaa��aa�a����aaaaa��aaaaaa��aaa�aaaaaa�aaa�aa�a����aa�

��aa���aaaaaa�aaaa�aaaaaaaaa��a�aaaaaaaa�aaaaaaaaa��a�aaaaaaaaa�aaa�aaaa�aa��a�aaaaa�aaaaaaaaaa��aa�aa�aaaaa

aa��a��aaaaaaa�aaaaaa�aaa��a�aaa�aaaaaa��a�aaaaaaaaaaaa�aaaaaaaaa�aaaaaaaaaaa�a�a��aaaaa��aa�aa��aaa��a�a�aa

aaa��aaa��a�aaaaaa���a��aa��aaaaaaaaaa�aaaaaaaaaaaaaaaaaaaaaaaaaaa��a�aaaaaaaa�aaa��aa���a�a�a�a�aa�a�a�a��aaa�a�aa

aaa�aaaa��a�aa�a�a��aaa�aaaa�a�aaaaa�a�aa�aaaa��aaaaaaaaa�a�aa�aaa��a�aaaaaaaa�aa��aa�a��aaa�aa�aaa��a�aaaa�a��aa�aaa

�����a���aaa�a�aaa�aaaaaaaaaaa�aaaaaaa��a�aa�aaaaa�aaaaaaa�aaaaaa�aaaa�a�aa��a��a�a�aa�a���aaaaaa�a�aa��a��aaa��a�aa

aaaaaa��a�aa�aaaaa�aaaaaaaaaaaaaaaaaaaaaaaaaa�a��aaaa�aaaaa�aaa�aa�aaa�aa�aaaaaa��aa�a�aaa��a�aa��

�aaaaaaaaaa��aaaaa��a�aa�a��aa�aa��aaaaa���aaa�a���a�a����aa�a��a�aaa�aaaaa�aaaaaaa�aaaa�aa��a�aa�aa��a�aaaa�aa�aaaaa

aaaa�a��a�a�aaa���aaaa��aaaaaa��aaa�aa�a�aa��aaa�aaa���a�aaa�aa���aaaa�a �aa�aaa�a��a�aaaaaaaaaaaaaa�aa�aaaa�a�a��aaa

aa��a��a�aa�

��:��:�:!��:�:���:

�a�aaa#���a��a��a�aaaaaaaa�aa�a��aa�aa�aaaaa��a��aaaaa�a�aaaaaa�aa�aa�a��aaaa�aaaa�a�a��a�a�aaaaa��aaaaaaaaaaaaaa��a

��a�aa�aa�aaaaaaaa�a�aaaaaaaaa�aaa�aaaa�aaa�aa��aaaa�aa�a�aaa�aa�aaa�a�aaaaaaa�aaaa�aaaaaaaaa�aa��a�a��aaaa�aa��aa�a��aaaa

�aa��aaaa�aaa��aa�aaaaaaaaaaa�a��aaaa�aaa��aaaa���aa�aaa�aaaaaaaaaaa�a��aaaa��aaa�aa�aaaaaaa�aaaa��aaaa����aa��aaa�aaaaaaaa

��aa�aa�

�� �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 16: Plastic & Reconstructive Surgery

dtd✍✎✏✍ ✍✑✒ ������tt��t�t��t����t��tt��������t���ttt�������t�����������t�t������������������tt�����������������t�t������t

t��t���t������������tt��tt������t�t���tt��������t���t��t����t�t�����t�t������t�t���������t�����t����tt�tt������t��������tt

�t��t���t�t��tt���t��t��������tt���t����t����������t�t�������t�t��tt���t��t���t��t�������

������tt�tt���t���t�t���ttt�t��t��tt�t������t��������t�t�����tt�t���t�����������tt�tt��������������t�������t�ttt�����t�t��tt��

���t���t�������t��tt�t�������t�t��t����������t�t�������������������tt�t����������������t�t�����������t����t�tt������

�tt��t�������t�����t�����t�t��tt����������������t�t��t����t���t�������tt�������tt�t�t��t������tt��t��t���ttt��t��������

�t�����t��t���t�������tt����t�t��t����t����t���t��t������t��t������t�������t�t��tt�����t�t�t��t�t��t�tt��tt���t�t��tt�t������

tt��t������t���t��t��t��t�t����������t�t��tt��

��������t����t�t��t�tt�t�tt������tt�t�����������t��t��t�������t��������t����t��t��t����������������t��%t���t�t����t��t�����tt�tt���

���t������t�ttt�t�t�����t��t�t������������������������t����t�tt��������t�ttt�������t������t��t��t�����t���������������������

�����t����t�������������t�t��������t��t��t����t����t������t��t�����t��������tt���t��t���tttt���tt�tt�����t�tt���������t��

t������t����t�t��t����t��t����t����t����t��������������t�t��������t��t�����������������t��%t�t�t���������������t��t�t������t��

��t��������t��tt�����t���tt��t���������������������t�������������t�������������

ef:ff:e:e✓ ✔✕✖✗✘✙✚✘✛✜✛✚✗ ✚✢ ������

���ttt�t�����t�t��t�tt�t��tt�t���t�tt��tt�����t��t��tt������t���t���tt������������ttt���t��tt�t����tt�����������t�t�t����

��tt��������t�������t�t��t�tt�t��tt�������t���t���t�t��td��t�t��t�tt�����t��������tttt��t����������t�tt�t����ttt�t��tt���ttt���

t�t�t�t��t�������t��tt���t�t���t��t�t�tt��tt�������t�t���t����tt�t�tt�t��������t�t��������t��t�����t��tt��t��t��t��

�����t�������������t�����t��t����������tt���t��tt�tt�����t�����������t�t����t���tt�������t�����tt����tt����t�������t��t�

���t�������t�������tt����t�����tt�tt��������t�����t���t����t�������t�����������t���t���tt�tt��t��t��tt������������������

�����

��:���:�:������:

�����t��t���tt����t�����t���tt�tt���������tt�t��t��tt�t����ttt�t�t���tt������������������t�t������������t���t����t������

���t����������������tttt��t��������������t����t�tt���tt������tt�t��t�tt���t��t��ttt���������tt���t��t������t�������t��

t�����t�t������t���t����t�����������t���t�tt�t��tt��t�������tt�t�������t����������t���t���t��t�������������t���t��������

t���������tt�����t���������tt�t�t������t���������t�tt����t����t��t����t��tt�����tt����t����ttt��tt�����t�t�������t������

��: ��,0��#�����:�:���!:��#���:�����:��:!�����:��:�:���:�

��:�:!�:��� ��:�:!��:�:���: �:��:��!:����:��:

�t�����������tt���t��

���t���tt����tt����tt�

��tt����tt�t�t��t�����t������� �t��t���t��tt���t�tttt�������������t�������t�t���t�

�t��t�����t�t��tt����������t���������t�t�

�t�tt�t��tt���������tt���t���

���t�����t������ttt�

��tt����tt�t�t��t�����t����������tt��t��t��

�t���������t����������t�t����������

�t�����������������t����������t��t�tt�t����t�

tt���t������t��

���t����tt�����t���

�������tt������t�����

��tt����tt�t�t��t������tt��t��t���t������ �t��t���t��tt���t�tttt�������������t�������t�t���t�

�t��t���������tt��tttttt�t����������������������

t���tt���

���������t��������t� �����t�t��t������tt��t��t��t����������� tt����������t����t��tt��t����t�

��t������t��������t� ��t������tt�t�t��t������tt��t��t���t������ ��tt�t����������t�t��t�����t��t�������������

�t�tt����t��������t�t��tt���

�����t�t��t��������t������ ������������t�������tt���t��t ����tt�t���tt�����t��t��t��t��tt����������tt�

�������������t�����tt� ������������t�������tt���t��t ����tt�t���tt���t�t���t�tt�����t��t��t���tt�tt�

���tt���t������t�t��t�����t��t��

�����t������t����tt��

��������t�t��t���t��t�t���

���� ����tt���t�t����t�t��tt�������t�����tt���t��t��t�

����t�t���t��t�t��t���t��t�t����

����������ttt������t���t�

��ttt����

��tt��t������������ �t����t��t���t���t�t���t�t����t���������t�

t��t�t�tt��tt��

���t���t����ttt���t���

t��t�tt�t���tt�

��������t����������t�t��������� �t����t��t���t���t�t���t�t����t���������t�

t��t�t�tt��tt�����������tt�������t�t��������t�

t��t������������t�tt�

�/ �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 17: Plastic & Reconstructive Surgery

��t�t��������������t�t�����t��������t�������������tt��������tt���t��tt�t����ttt��t�����tt���t������ttt����t����t�t�������

�t����*�tt����������ttt�����������t�t����t��t������t�����t��t����?����t���tt������t������������������ttt�����t�

�������t�t��������t����t���t���t�ttt�tt�t�������t�tt��t���tt��������������tt���t�����������ttt�t�tt���ttt��tt���t��t���t�

������t��tt���t�������������t�����t�t���t��tt��t���tttt�����t���tt�t��t����������tt�t��t��t������t���������t�tt���

�������ttt��

�����:���,=�

�0 �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 18: Plastic & Reconstructive Surgery

�1 �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 19: Plastic & Reconstructive Surgery

��t�t��������t���t�����t�t����t�tt���t������ttt��tt���tt������ttt�t���������������������ttt����t������t�t�tt������tttt���t����

tt���tt�t��������t����tt��������?�����������t������tt�tt�t��t��t���tt��t���t��t��t�������t��t���t����t��t�����t������tt�tt�

����tt�t���������tt������tt���tt�t���t���������t���t����t�t�����t����t��t����t�t�����t�������������������tt�tt���tt��������t���

�����������t��t����t�t���tt�tt�����������t�t����t�t�����t��tt����t�t�tt���t���t�t�t��t��t���t����t�tt�t��t��t������������ttt����

������tt�t����t���������t�t������t�ttt��t�����t��������������t�t�tt���t���t�t������tt�tt���t����t��t���t��������t���tt�t�t��t�

tt�t��t��������t��������t�������tt��tt�t���tt�tt����tt������t�t��t�tt�t����t������t�tt�t�

����t�����t�t����������t����tt����������ttt�������������t�t�������t���������tt����t�t��t�t���t�������������t��t��������tt�t��*�

&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&�&&&&&&&&���t�������tt�tt���������t�������������t�t�����t��������tt��t������������������t����t���

�����tt����%t��

���t�����t���*���ttt��������tt�t����tt��t���t���tt����t����t�����t���t���tt���*t����t������t���������t���������*�����

�t�%�*����������

��tt��t�����t���*������tt����t������t����t������t����t�*����t�����tt���t�t���t����ttt���������t���������*������t�%�*�

���������

�#�#������#�������#:�

��#���##�#������������###��

%t�t����t���t���t��tt��t������t���t�����t���t����t�����tttt�tt�����t�����tt��t��t������t��t��t���t�����tt��������tt�����t

��t��tt�t���t��t�t������tt����t�t��������tt������t���tt�tt�����t��t���t����t��������t�t���������t������tt���t���t���tt���tt�

����t�t���

������t������ttt�������������t������tt��t������t�t���������t�t�����t��t�t���t�����t�������t��������t���������t��t����tt���

t���t��tt�tt���t���t�����tt��tt���tt����������tt�����t�����t�t���*�����ttttt�t������t����t�������t��t�����t�tt�����t���

�tt�tt���tt��t���t����t��tt������tt�t�t�����t���������t���t���t�t������t���

����t�t��t�������������t��t�t���t��t���t������t�t���t������t���������t����t��t���������������t����t��t��������tt�tt���tt��

�t�ttt��tt������t�������ttt���t�����t���t������t����t���t�ttt�t��ttttt�����t��t�����ttt�������t����t���t��t��t���t����tt��

�t���t�tt�tt�������������������tt���tt����t������t��t�t����t��tt�t�t���ttt�����t�������ttt���t�����t���������tt�tt�������

�����#����t��tt���t�t�������t��t����t�tt�����t����tt�tt������t#�t��tt����t����������������t��������t�t�tt�t�����t���t��

�t������t��t�����tt�t������������%t�t���������������t����t������tt���tt����t��t��t�tt�t�����t�t�����t����tttt������t��������t�

��tt����*��t���tt���tt����������t���t����t���t�t���t���tt�t��t�t��t��������t�t������������t��t����t�tt�����t����tt�tt������t��

tt�������t�����tt��t�tt����tt���t���������������tt����t������t�t�tt�t��tt�����tt�t�����t��t�����tt������t�t���������

����t�

����ttt���t�����t���t������t�����t�����t���t�ttt�t�������t�t���t�����t����t��������ttt��������t��tt�t����t������t������t���

���t�t����������t��tt�������t������t���t�ttt�tt�t�

�:�:�:�:

�tt���t��t�����������ttt���t�����t���t��t�����������t���������tt�t�����t��t�����tt��t�������t�t�t���tt��tt��t��tt�tt�

t�����t�����������%��t������t�t���tt�������ttt���t����t�t�����tt������t�t�������t�t�t��t���tt��t�������t�����t������t���������

tt�t��t����%��t�����tt�������������t������t�t�������ttt���t�����t������tt�tt������t����������������t����t��t���t����t��

�t�t�����tt��������t��t��t�tt�t�����t���t���tt�tt����t����t������tt����t��tt���t������t����������t���ttt����t�t��t��t�����tt�

��t�����ttt�t��t���t��t�������ttt���t�����t�����������t�����t��t�������tt��������t�������t�t����tt�t�t�t��%��t�����tt����

����ttt���t�����t����t��������t�t���t��������������t����tt����tt����������t�t����tt��t��t���tt������t�����t��������������

�� �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 20: Plastic & Reconstructive Surgery

����t��t�����t���t����tt��tt�t����t������t�

#�:����:�������������tt�t�����t�ttt���������ttt���t�����t��%t�t����ttt����t������������t���tt����t����������t�������tt��

��t��tt��t���������������t�t������t���t��t������tt����t����t���t��t������tttt�����t����t��t��t��������t���t�t��tt��t��

t������tt�����t����������t���t������tt����t����������������t�����t������tttt���������t����t��?�����tt�����������

ttt�t�ttt�tt��t����t�������t����t�tt��t��t��t����t������t�����t�t�t�������ttt���t�����t�t����t���t������?�����tt���t�����

�ttt���������

���ttt�t�����t�����������t���tt��t���t�t��t�����������ttt���t������t��tt�������t�t��t������ttt������t�����t����t��

��tttt���������t��������t���tt������t��t���tt������t����������t�����t���t���ttt�t����������t����t�����t��t�t����������t

���������������t���������t�������t���t�����t��������t�t��t�������������������ttt������������tt�tt���tt�������t�t����t��

������t���tt�����t���t���������t��t������t������������t�t�������������������t��t�t����t�ttt������t������t����t���t���t��t���

�t��t������t����t�t�tt��t��tt������t���t����t����t�t��tt�t�

����tt��t��tt�������t�����t�����t����t��tttt��t���������ttt���t�����t��t���tt���tt���tt�t����ttt���tt���t�����t�tt�������������

��t��������%t���tt�t���tt��t���ttt��t������t�t����t���t���������������ttt���tt��tt�������t�t����tt��t��������t�t���%t�t��������

�����t��t����t�t���tt���tt�t�t�������ttt����t��t��t��t���tt������t��t����t��t���t��t�����t�������t����t����tt�t�t����t���t��t�

t����t��tt��t��tt�

���t�t���t��tt���t������t���?����������t��tt��t��tt��������t�t������ttt�����t���t��t�t��t�����tt��������������tt���������

���������t������*

���:�:!�#:��:��

�?��������?������

�?��������?������

�?���������?�������

��t���t��t����t�t���t������t����������������������������������t������������t������tt��t��tt���t���t��t�t��t�����

�������*

��:�

�?�����t��������

�?�����t��������

�?������t��������

���t��t����t�t��t���t��tt���t�t����t���ttt��t������t�t�����t�t��t�tt�t����t�����������#�t�ttt��t����������tt�tt��������t���

�����t������t����t��t������t����t����t����ttt��tt�������t����tt��������t�����tt��t�������t�t�����tt��������tt��t�tt��t���

���t�t��t��tt����t���tt�tt�t������t��t���tt���*�t�����t���������t���t����t��������t��t�������tt�t�������tt��?���

��tt������t�t�t�t������tt���������t���������t����t�����tt����t��t������������t�t������������t���t�t�t����t�t�t���

tt���tt�t����t���������t��t��t����t���t���������t������ttt���t�t�t��t��t����t������ttt����t�t��������

*���t��t�������tt������ttt���t�t�t��tt���tt�t�t��t�������t�t�������t�t�t��t��t��t�tt�t�t��t������t��t����t�����t��������

tt��t��tt��������t����*�t����t������t���t�����ttttt�����t�t����t����tt�t���������������t��t���tt�t����������t��t����t�t���tt��

��t�����������tt�t���t��t�tt�t�t��t�����t��������t��t�t��t�t�����t����t��t���������t������t�ttt����t��������t���tt����tt��

t������tt������t�t�tt�t���t��t���tt����t�t�������t�t�t�t��������t���tt���t��t�tt�t��tt��tttt����t�t�����ttt���t�t�t��t��t����

���t�t�t�t������������t�tt���t��t�����t��t����t�t��tt���t����t�t�t��t��t��������������������������������������t��t�

tt���t����t�t���tt��������t��t���t��t��t����t���t�tt���������t�tt��t��t������������t������t�������������t�����������

t���t����t��t���t�t����tt�t�t�t���t��t�t���t�t����ttt��t���t�t������tt��t��t��t�������t����tt���t����t��t�������t�������t��

��������t�tt�t��������t���%t��������t�t���tt���t��t�tttt���t�tt������t�t�t���t������tt�t�t����t��t��t���tt���t�tt���

���t�t�t��

���t��t��t��t���*�t��������������t�tt��t��tt������tt����t�*������t�tt�t��t�ttttt�tt�t��*�tt���������*������t�%�*����������

���t�����*������tt�t�����t�t��t��t��t�����t�������tt��������tt�t�tt����t���t�����tt�����t��tt��t���t���t���������*���

�t����t��*��t���*��t�t���t�t�t���������ttt���t�����t���t������t��*���t��t����t���t�����t�tt���t����������*�������t�%�*

���������

�t����t���*�%tt�tt�tt�t�����ttt����t������t��tt�t���t����t���t�����tt����ttt�������tt���������*������t�%�*����������

�� �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 21: Plastic & Reconstructive Surgery

RR:SRSRSSReS

laaaaa.a.aaa..aaaaaaaaaaaa�a��aaaa�a�aa�aaa�aa�a�aaaaa�a�aa�aaaaa�aaaa�aaa�aa�a��aaaaa�aaaa��aaaa�aaaaaaaaaaaaaaaa�aa

aa�a��aaaa�aaaaa�a�aa�a�aaaaaaaa�a�aaaaa�a�aa�aa�aaaa��aaa�a�a�a�aaaa��a�aaaaaa���a��aaa�aaaaaa�aaaaa�a�aaaaaaa�aa

��aaaa����aaaa��aa�a�aa��aaaa�aaaaaa��aaa�a�aaaa����a��a�aa�a�a�a��aaa�aaaaa�a�aa�a�aaaa���aa�aaaaaaaaa��aaaa����a�a����aa�a

a�aaaaaa��aaaaa���a�aaaaa�a�aa�a���aaaaaa���aaa�aa��aaaaa�aaaaaaa�aa�a����aa�aa�aaaa���aa�aaa�aaaaaaaa����aaaaaa��a�a��aa

�aaaaa�aaa��aaa�a�aa�aaaaaa�aaaa�aa�aa��a�aa�aaaaa�a�aaa��aaaaaa�aa�a�aaa�a�aaaaaaa�aaa�aa�a��aaaaaa�aaaa����aa

aaaa��aa�a��aa�aa�aaaaa���aaaaaaaaaaaaaa�aaa�aaaaa�a�aa�aaaaaaaaa��aaa�aaaaa�a�aa�aaaaa�aaaaa�aaaa��

aaaa�aaa�aaaaaaaa�a�a�aa�aaaaa�aa�a�a��a�aaaaa�a�aaa��aa�a�a�aaaaaa���aa��aa�aaaa�aa���aaa�aaaaa�a�aaaaaaaaaa�a�a

aaaa��aa�aa�a��a��aaa�aaaa��aa��aa��aaaaa�aaaa�aaa�aaa�a�aaaaaa�aaa��aaaa�aa�aaaa��aaaa�aaaaaaaa�aaaaaaaaaaaaaaaaaaa

��aaaaaaaaa�aaaaaaaaaaaaaaaaa�aaaaaa���a��aaaaaaaaa�aaa��a�a�����aaa�aaaaa�a�aa�a�aaaaa�a�aaa�aaaa���aa�aaaa�aa�aaaaaa�a

aa�aa�aaaaaaaaa�aaaaaaaa�aaa����aa�a��aa�a��aaaa�aa�aaa�aaa�aa�aaaaa��a��aaaaa�aa�aaaa��aaa���a�a��aa�aaaaa�aaaaaaaaaaa

�aaa�aa�a��aaaa�aaaaa�a�aa�a�aaa��aa�aa�a�aaaaaa�a�a�aaaaaaaaaaaa�aaaaaaaaaaaa�a��aaa�aaa�a�aaa�a��aa��aaaaa�aa�a�a�aaaa

aa�aaa�a�a�aaaa�aaa�aa�aaaaaaaaa��aaaaaaaaaa��aa��aa��aa�a��aaaa�aaaaa�a�aaaaaaa�aaaa�aa�a�a�a��aaaaa�a��aa��a�aaaaa�aaaaaaa

aaa�aaaaaa�aa��aaa�aaaa�aa��aaa�aaaaaaa�aaaa�aaaaaaa�aaa�a�aaa�aaaa�a�aaaaaaa��aa�aa�aaaa��aa�aaaa�aaaa��aaaa�aaa�aa

�aa�a��aaaa�aaaaa�a�aaa��a�aa�aaaaa�aaa��aaa�a�a�aaa�aaa�aaa��aaaaa��a��aaaa�aaaaa��a�����a�a��a�aaaa�aaa�aa�aaa�aa

aaaaaaaa�a��aaaa�aaaaa�a�aa�aaaaaaaaaaaaaaaa�a�aa�aaaaaaa�a�a��aaa��a�

��aa�a�aaaaaaaaaaaaaaa�aaaaa�a�aa�a��aaa�aaa�aa�a�a����aa�a��a�aaaaaa�aaaaaaaaaa�a�aaaaaaa�aaaaaaa�aaa�aaa�a�aaaa��a�aa

�aaaaaa�aaaaa�aa��aa�a�a��a�a�a�a�aaaaaa�aaaaaaa�aaa�aaa�aa�a�aaaa��a�aaaa�aaaaaaaaaaaaaaaaa��a�aa����a�a�a�a����aa��a

aaaa�aa�a����aa��aaaaaa�aaaa�aaaa�aaaa�a��aaaa�aaaaa�a�aa�a����a�a�a�a��a�aaaa�aa�aa�a�aaaa�aaaaa��a�aaaaaaaaaa��aaa

�a�aaa�aaa�aaaaaaaaaa���a�aa��aaaaaaa�aaa�aaa��a�aaaaaa�a��aaaa��a�a���aaaa�aaaaaaaaaaa�aa�aa�aaa�a�

�a�aaaa�aaaaa�a�aaa��aa�aa�a���a�a�aaaa���aaaaaaaa��aaaaaaaaaaaaaaa�aaaa���aa�a�aaaa�a�aa�aaaa�aaaaa�a�aaaaaaa�aa

a���aaaaaaaaaa�aa��a�aaaaaaaaaaaaa��aa�a�a��a�aaaaaaaaaa�aa��aa�aa�a���aaaaaaaa�aaaa�aaaaaaa�aaaaaaaaaaa��aa�aa��a

a�aaaaa�aaa��aaa�aaaaa�aaaaaaaaaaaaaa�aaaaa�aaaaaaa��aa�a��aaaa��aa�aaaaaa�aa�aaa�aaaaaa���aaaaaa��aa�aa

aa��aaa�aa��a�aaa���aaaaaaaaa���aaaaaaa�a�aaaa��aaaaaa�aaaaa�a�aa�aaaaa���a��aaaaa��aaaaa��aa�aaaaaaaaaaaaaaa��a��a�a�aaaa

���aaaaaaaa��a��a�aa�aaaaaaaa��aa�aa�a�aaaa�aaaaaa��aaaaaaaaaa�aaaaaaa�a�aa��aaaaaaaa�aaaaaaaa�a�a�aaaa�a�a��a

aaaaa����aa��aaaaaa��aa��aaaaaaaaa��aaa�aaaa��aaaa�a�

���a�aaa���a�aaaaaa���a�aaa���a�a�aa�aa��a�aaaaaaa�aaaaaa��aaa�aaaaa�a�aa�a��a�aa�aaaaa����a��aaa��aaa���a��aaaaa��a

aaa�a�a�aa�aaa������������a������a��#�����

�aaa��a�aaaaaa�a�aa�aaaaaaa��a�aaaaaaaa�a�a��aaaaaaa��aa�aaaaaaaaaaa�aaaaaaaaa�aaa�aa���a�aaaa�a���aaaa�aaaa��a��aaaa

aaaa�aaa�aa�aaaaa��a�aa�aa�a�aa�aaa��aaa�������������a������a���������

�������:���

��aaa�aaaaa�aa���aaaaaa�aaaaaaa�aaaa�aa�aaaaaaaaaaaaaa�aaa�a�aa��aaa��a��aaaaa��aaaaaaaaa��aaaaa�aa���aaaaa��a�aa��a�aa�a

a�aaaaa�aa�aa�aa���a@a�aaa���a�aaaa�a��aaa����a�aaaaa�aa���aa�aaaaaaa�aaaaaaaaa.@aaaaaaa�aaaa�aa�aaaaa

a�aaaa��a�aa�aa�aaa�a���aaa�aaa�aaaaa�aa���a�aaa�a�aa�aa�aaaaaa�aaaaa�aaaaaaa�aaaaa�

��aaaaaaaa��a�������aa�aa��aaaaa##�

��:#�:���#:���#��

��aaaaaaa�aa�aaaa�aaa�aa�aaaaa��aaaaaaaa�aa���aaaaaaaaa�aaaaaaaaa��a�aa�a�a�aa�a��a�aaaa�aaaaaaaaaa�aaaaaaaa�a�aa��a

aaa�aa�aaaaaaaa�aaaa�aaaaa�aaaa�a�aa�aaaaaaa���aaa�aaaaaaaaaaaaaaa�aaa�aaaa�a��a��aaaaa�a��aaaa�aa�aaaaaaa�aaaaaaaa�aaa

�aa��aaaaa���aa�aaaaaa�aaaaaa�a�a��aaaaaaa��aaaa�aaa�a��aa�aaaaaaa�a��aaaa����aaaaaa�a�aa�aa��aaa������aaa�a�a�a

�aaaaaaaaaa�a�a��aaaaaa�aaaa�a��aaaaaaaaaaaaaaaaa��aa�aaa���a�aaaa����aaaaaaaaa�aa�aa���aaaaaaa�aaaaaaa�aaaaa�a�aa

a���aa�aaa�aaaa�aaa���aaaa�

��aaaa�aa�aaaa���a��aaaaa�aaa��a�aaa�aa��aaa���aaaaa��aa�a�a�aaa�a��a�aaaaa�a��a�aaa��aa�a���aaa��a�aaaaa�aaaaa��a�aa

�aaaaaaaaa�aa��aaaaaa��a���a�a����aa�aaaa�aaaa����aa�aa�a��aaaaaaaaaaaaaa�aaaa����aa�aa�a�aaaa�aaaa�aaaaaa��aa

�aaaaa��aaaaaa��

�::���:����:��::���

�a�aaa�a��a�aaaaa�a�aaaaa��aaa���aaaaaa�a�a���aaa�aaa�aa�aaaaa�a�aaaaa�aaa�aaa�aaa���a��aaaaaaaa�aaaaaaaaaaaaa�a

a�aa�aaa�a�a�aaaaaaa�aaaaaaaaa�����a�aa�a�aaaa�aa�a�����aa��a�aaaa�aaaaaaaa�aaaaa��a�a��a�a�aaaaaaa�aaa��aaa�a��a��aaa

aaaaaa.aa�aaaaaaaaaa�aaaaaa�aaaa�a�aaaa��a�aaa�a��aaaaaaaaa��aaaaaa�aaaaaaaa�aa��aaaaaaaa�a�

�a�a��aaa�aaaa��aaa��aaa��aaa�a�aaa�aaa�aaa���aaaaaaaaaaa���aaaaa�aa���a�aaaa��a�aaa����aa�a�aaaa��a�aa�aaaaa���aaaaa

�� �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 22: Plastic & Reconstructive Surgery

a�a�a��a��aaaaaaaaaaaaaa�a�a��aa�aaa�aaa��aaaaa�aa��aaa�aaaaaaaaa��a�aa�aaaaaaa�aaa�aaaaaaa�aaaa�aaaa�a�a��aaa�aaa�aa

�aa�aa�aaaa�aaa�a�aa���a��aa�aa��a�aaa�aaaa��aaaaa��a�a�aaaa�a�aaaa�aaaaaaaaa��aa�a�aa��aaaaaaa�aaaaaaaaaaaa����aaaaa��a�aa

aaa�aaaa�aaaaaa��a�aa�a�

#:�����:

�aaa��aaa�aaaaaa�aaa��aaaaa���aaaaa�aaaa�aa���aaaaaaaaaa�aaaa�aa��a�aaaaaaaaaaaa�aaa�aaaa�aaaa�aa��a��aaaaaaaa

a�aaa�aaaaaa�aaaaaa�aaaaaa��aa�a��a�aaa�a�a��aaa�a�a�aaa�aaaaaa�aa�aaaaa�aaaaaaa�a�aaaaa�aaaa�a��aaaa�a�a�aa��a

��aaaaaaa�aa���a��aaaaaaaaaaaaaaaaa�aa�a�

�aaa��aaaaaaa�a��aa�aaaa��a��aaaaaaaaa�aa�aa��aa�aa�a�����a�aaaaa��aaa�aaa�aa�aaaaa��aa�aaaa�aaa�aaaa�a�aaaaaaa�a�aaaa

aaa��aaaaaa��aaaa�a�aaaaaa��aaaaaaaaaaaaa�aaa�aa��a��a��aaaaa�aaaaaaaaaaaa��aaa�a��aaaaaaa��aaaaa�aaaaaaa��aa�

�aaaaaaaaa�aaaaa�aaaa����aa�aaa��aaaaa�a��aa��aa��aaaa��aaaaaaaaaaa�aa�aa�aa�a�aaa�aa�a�aaaaaaaa��aa�aa�aaaa

����aaaaa�aa��aa���aa����aa�aaaaaa�aaaaa����a���aaaaaaa�aaaaaa�a��a�a��aa��aaaa����aaaaaaaaa��aaaaaaa�aaaaaa�a�a�a��aa

a�aa�a�aaaaaa�a�aaaa�aa��aaaaa��a�aa�aa��a���aaaa�aaaaaaaa��aaaa�a�a�aaaaaaaa�aaa�aa��aa�a�a�a�aa�a��aa��aaaa����aaa

�aa�aa��a�a�aaa��a�aaaa�aaaa����aa�aa�a�aaa�aaaaaaaaa�a��aaaaaaaaaaaaaaaaaaa�

�a��aaaa�aaaaaa�a�aaa�aaaaaaaa�aaa�aa�aaaaaaa�a�aa��aaaa�aaa�aaaaaaaaaaaaaaaaaaaaaaaaa�aaaaaaa��aaa��aa�aaaaa�a�aaaaa

aaaa��aaaaaaaaa�aaa�aaa�aaa��aaa��aaaaa�aaaaaaa��aa�

���:�

�##�����#�#:�#��##:����

�aa�a�a�a�a�a�aa��a�a�aa��aa�aa�aaaaaaaa��aaaaaa�aa�a�aaaa��aa�aaaaaaaaaaaaa��a�aa�aa�aaaaaa�aaaaaa�a�a���aaa�a�a�a

�a�a��aaa�aaaaaaa�aaa�aaaaaa��aaaaaaa�aaaaa�aaaaaa�aaa�aa�aaaa��a�aa�a�aa�aaaa�a���a�a�aa�a�a�aaa���aaaaaaaa�a�a�aa��

a�a�aa�aaa�aaa�aaaaa�a�aaaaa�

��aaaaaa�a�a���aaa�a�a�aaaaa�aaaaaaaa�aa�a���aaaaaaaa�aaa�aaaaaaaaa�aaaa��a�aaaaaaaa��a��aa�aaaaaaa�aa�a��a�aaaa�aa

�aaaaaa��aa�aaaaa���aaaa�aaaaaaa�aa��aa�aaa�a�aaaa��aaa���aaaa�a���a��aaaaaaa���aaaaa�a�aaaa�aaaaaaaaa���a�a�����aaaaa

��a�a�aa�aaaaaaa�aa��aaaaaa���aaaaaa��aaaa�a��aaaaaa��aaaaaaaa�aaaaa�a�aaa�aaa�a�a��

�aaaaaaaaa�aa���a�aaaa��aa��aaaa����aa�

����##�����

�aaaa�a�a�a�aaaaaaaaaaa�aaaa�aaaaaa�a�a��a��aaaaaaaaaaaaaaa��aaaaaa�aa���aa��aaaaa��aaaaaaaaaaaaaa��aaaaaaaaaaaaa

a�aa�a�a�aaaaa�aaa�aaaa�aa��a�aa��a��aaaaaaaaaaaa�aaaaaaa��aa�a��aaaaaaaa�aa�aaaaaaaaa�aaa�aaaa�aaaaaa�aaaa��a�a

��aaaaa�aaaaaaaaaaaaaaaaaa�aaaaaa�aa��a�aa��aaa�a���aaa�aaa��a��aa�aaaaaaaaa�aaaa�a�aaaaaaa�

�aaaaaaaaa��a�aa��aa��aaaa����aa�a�����aaaaaaa�a���aaaaa�a�a�aa�aaaaaaa�a�aaaa�aaaa�aa��a�aa��

#���:�::��::��

�a�a�aaa�aaaaaa��aaaaaaaa��aaaa�aaa�aaaaaa�a�aaaaa�aaaa�aa�aaaa�a�aaa�aaa�aaaa�aaaaaaaa�aaa�aa�aaaaaaaaaaaaa.aaaaaaa

aa�aaa�aaa�a�a�aaa�aaaa�aaa��aaa�a�aaaa����a�a��a�aa�aaa�aa�aaaaaaaaa�aaaaaaaaaaa�aaaaa�aa���aaaaaa��aa�aaaaaaaaaaa�aaaa

aa���a��aaaaaaaaa�aa�aa��a�aa����aa�aaa�a�aa�a�a��aaaaa�aaaaa�aa�

#�:�##:�#�:�##

��a�a�aaaaaaa��aaaaa�aaa�aa�aaa�aaaaaaaaa��aa�aaaaa�aaa�aa�aaaa�a�a��aaaaaaa���aaaaaaaaaaaaa�a�a�aaaaaaa�aaaaaaaa�a�aa

�aa�aaaaaaa�a�aa�a�a��aaaaaaaaaaaaaaaaaaaaaaaaaaa�aa�aa�a��aaaa�aaaa��a�aaaaaaaa�aaaaa��a�aaa��aaaaaaa�aaa�aaaaaa

aaaa�aa��a�a�aaaaaaaa�a���aaaaa��aaaa�aaaaaa�aaaaa�aaaaaaaaaaaa�aaa�a��aaa�aaaa�aaa�aaa�aaa��aaaaa�aaa�aaaaa�aaaaaa

��a�a�aa�a�aa�a�aaaaaaaaaaa�a�a�aaa�aaaa�a�aaaa��aa��aaa��aaaaaaaa�aaaaaaaaaaaaaaaaaaa�aaaaaaa��a�a�aaaaaaa��a��a�aa�aa

a���aaaaaaaa�aaa�a��aaaa�aa��a�a�a�aa�aaa�aa�a�a�a�aaaaa�aaa�aaaaaaa�aaaa�aaa���a��a�aaaa�a�a�a�a�aaa�aaaa��aaaa��aaaaa�aa

a�a�aaaaaaaa�a�aaaaaaaaaaa��a�aaa�a��aaa�a�aaa��aaaaa����aa�a�a���aa�a�aaaaaaaa�aa�aaa�aa�aaa�aa�aaaa�a�aaaaaaaaaa�aa�

�a�aaa�aa�aa���a�a�aaa�aa�aaaa�a�aaaa�aaa�aaa�aaaaa�aaa�aaaaaaaaaaaaa�

��aa��aaaa����aaa��aa�aaaaaaa�aaaaaaa�aaaaaaaaaaaaaa�

#:�������#�:�##

�aaaaaaaaaaaa��aaaaaa�aaaa��aaaaaa���aa�a�aaaa�aa�aa�a��aaaa�aaaa��aaaaa�aa�a���a�aaaaaaaaaaa�aa�aaaaaaa

��aaa�aaa��a��aaaaa�aaaa�aaa�aa��a��aaaaaa��aaaaaa�aaaa�aa�a�a�aaaaaaaaa���aaaaa��aaaaaaaa�aa�aa�

���aa��a��aaaa�aaaaaaa�aaa�aaaaaaa�aaaaaaa�aaaaa��a��aaa�aaaaa��aaa�a�aa�aaaaa�aaaaa��a�a�aaaaaaa���a��a�aa�aaaaaa�a���aa�a

���a�aaaaa��a�a�aaaa���a�aaa��aa�a��a�aaaa��a�aaaaaa��aaaaaa��aa��aaaaaaaaaaaa�aaaaaaa�aaaa�aaa��a�aaaaaaaa�aa�aaa�a

����������

�� �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 23: Plastic & Reconstructive Surgery

��aaaaaaaaaaaaaaaaa�aaaaaaaaaaa���aaaaaaaaaaaaaaaaa�aaaaaaaaa�a�aa��aaaa�aa��

��aa��aaaa����aaa��aaaaaaaaaa�aa�aa�aaaaaaaaaaaaaaa��a��a�a��aaaaaaaaa��a��a�aaaa�aaa�aaaaaaaaa��a�a�aaa�aa�a�aaaa����aa

aaaa���aaaaa��aaaa�aaa�aa�

�#�##�:��:�##

�aaa�aaaa��aa����aaa�aa���aaaaa��aaaaa�aa�aaaa�aa�a��a�a�aaaaaaaa�aaaaaaaaaaaa��a�aaa�aaaaaaaaa�aaa�aa�aa�aa�aaaaa�aa

a�aaaaa�aaaaaa��a�a�aaaaaa��a��aaa�aaaaa���a��aaaaaaa���aaaaaaaa�aaa�aaaa���aa�aaaaa�a�a��aa�aaaaaaa���aa�aa

�aa�aaaa�

�a�a��aaaaaa�aaaa�aa�aaaaaaa���a�aaa�aaaaa�aaa�aaaaa�aaaaaa��a�a�aa�aa�aa�a��aa�aa�aaaaaaaaaaaaaaaaaaaa�aa�aaaaa�aaaaa

��a�a�aaaaaaa���a�aaaaaaaaaaaa��a�a��aaa�a��aa��aaaa����aaa��aa�aaaaa�aaaaa��a��a�

�##:�#����##��##��###�����##�:�##

��a�aaaa���aaaaaaaaaa�aaaaa�aa�aaa���aa�aaaaaaaaaaa��aaaaaa�aa���aaaaaaaaa�aa��a��aaa�aaaaaaa�aaaa�aa�a���aaa�aa�a

aaaaaaaaa�aaaaaaa�aa�aaaaa��aaaaa�aaa�aaa�aaaaa����a�a�a��aaaa�aa�aaa��a�aaaaa�aaa�aaaa�aaaaa�aaa�aaaa�aaaa�aaa

aaaa��a��aaaaaaa�a�aaa�aa�aa���aaaa�aa�a��aaa�aaa�aaaaaaaa��aaaaaa��a�aaaaaa���aaaa�aa�aaaaaa�aaaaa�a�aaaaaa.aaaaa

�aa�aaa��a�a�aa�a�a��aaaaaaaaaa�aa�a��a���aa��a��aaaa�aa�aaaa��aaa�aaa�aa�aaa��aa��a�aaaa�aaaaaaaaaaaaaaa�aaa�aa

�aaaa�aa�aaaa�aaaa��a�a��aa���aaaaaaaaaaaaa��aa����aaaaa��a�a�

�#���:�##

�a�aaaa��aaaaa�aaaa�a��aaaaaaa�aa�aaa�a�aaa�a�a�aaaaaaaaa�����a�aaaa��aa�aa�aaaaaaaa���aaaaa��aaaaaaaa�aa�aaa��aaaaaa

aa�aa�aaaaaaaa�aaaaaaaa�aaaa�a�aaa���a�aa��aaaaaaa��a��aaa���aaaaaaaaaa�aa���a�aaaa�a�aa�aaaaaa��aa�a�aaa�aa�aaa

aa�aa�a�a�aaaa�aaaa�aaaa��a�aaa�aaa�aaa���a���aa��a��aaaa�aa�aaaaaaaa�aaa�aa�aaaaa�aa�aa���aaa��aaaaaaaa�a�aaaaaa

��aaaaaa�aaaa�aa�aaaaaaaaaaa�aaa�aa�aaaaa���a�aa�aa�aaaaaa��a��aa�aaa��a�aa�aaa��aa�aa�a�aaaaa�aaaaa��a��a�aaa�aa���aaaa�aa

aa��aaaaaa��aaa��aaaaaaa�aaaaaa�aaaa�aaaa�aaaaa���a�����aaaaaa�aaa��a�aaaaa��aaaaaaaaaaaa�aaa�aaaa�aaaaa�aaaaa���aaaaa

a��a�aaaaaaaa�aa�a�aaaaa�aaaa�aaa�aa�aa�aaaa�

�aaaaaaaaa��aaaaaaaaaaaaaa�aaa��aa�aaaa�aaaaa��aa�aaaaa�aaaaaaaaa�a�aa��aaaa�aa�aaaaaaaaaaaa�aa�aa�a��aa��aaaa����aaa��a

a�aaaaaaaaaaaaaaa��a��a�

�#�:���#���:�##

�aa��aaaa�aaaa��aaa���aaaaaaaaaaaaaa�aaa��aa�aaaa�a�aaaaa��aaaaa�aaaaa�aaa�a��aaaaaaaa���aaaaa��aaaaaaaa�aa�aaaaaaaaaa

�a�aaaaaaaaaaaaa��a��aaaaaaa�aaaaaaaaaaa�a�aaaa�a�aaaa�aaaaa�aaaaa�a�a�aa��aaaaa�a�aaa����a��aaaaaaaaaa�a��aaa��aa�a��aa�aa

aaaa�a�aaaaaaaa�aa��a��a��a�aaaaaaaa���aa��aa�a��aaaaaaaaaa�aaaaaaaaaaaaa�a�aa��a�aaaa�aa�a��aa�aaa��a�aaa

aa��a��a�aaaaaaaa�aaa�aaaaaa�aaaaaaaaaaaaaa�aaaa��aa�aaaaaaa�aaa��a��aaaa��a�aaa�aaa��aaaa�aaaaaaaaaa�aa��

�a�aa�aaaaaaaaaa�aaaaaaaaa�aaa�aaaaaa�aaaaa�aaaaa��aa�aaaaaa�a�a��

���aa��a��aaaa�aaa�aa�aa��a�aaa��aaa�aaa�a�aaaaaaa�aa��aaa�aaa��a���aaaa�aaaaaaaaaaaaa�aaa�aaaa��aaaaa�aa�aaa�a

�a�aaa��aaaa�aaaaaaa�aa�aaaa�aaaa��a��aaa�aaaa��aa�a�aa�aaaaaaaaaaaaaaaaaaaaa��aaaaa��aaaa��a��aaa�aaaaaaaaaa��aa�aa�aa

aaaaaaaaaaaaaaaa���aaaa�aaaaaaa�aaaaaa��aaaaa�a��a�aa�a�����a�aaaaaa�a�a�a�aa�aaaaaaaaaaaaaaa��a�aaaaa�aa�a�aaaaaaaa

aa��a�a�aa���a�aaaaaa�aaaa�a�

��aaaaaaaa�aaaaaaaaaaaaa��a�aaaaaaaa����aaaaaa���aaaaaaa�aa�a�aaaaaaa��aa�aaaaaaa���aaaa����aaaaaaaaaaa�aaa�aa�aaaa��a

�aaaaaa��aa�aaaaa�aaaaaaaaa�aaaa����aaa��aaaaaa����aaaaaaa�aaaa�aaaaaa�a��aaaaaa��a��a���aaaa����aaaaa��aaa�a

�aa��aaa�aaa��a�aaaa��a�a�a�a����aa��aa����aaaaaaaaaa�aa��aaa�a�a�aaaa����a��a�aa��aaaaaaa�aa�aaaa�a�

��aa��aaaaa��aa�aaaa�a�aa�aaaa�aaaaaaa�a�a�a�aaaaa�a�aaaaaaaaaaaa���aaaa��aa�aa��a��aaaa��a�aa�aa�aaa�aaaaa�aaaaa���a

��a�aaaaaa�a�aaaa�a�aaaaaaaaaa�aa��aaaaaaa�aaa�aaaa�aaaaaa���aaaa�aaaaaaaaa��aa�aa�aaa�aaaaaa�aaa���aa��a�a

aa�aaa�aaaaa�aa�aa��a��aaa�a�aaa��a�a�a�aa�aa�aaaa��a�a�aaa�aa�aaaaa�aaaaaa�aaaaaaaaaa.aaaaaa.aaaaaaaaaa.a.aaa

aaaaaa�aaa��aaaa�aa�aaaaaa�aaaaaaaaaa���a��aaa�aaaaaaa��aaaaa�aaaa�aaa�aaa��a��a�

#����������:�����#�����������!:���:�:��

��aa�aaa�aaa�aaaaaa�a���aaaaa�aaa�aaaa�a���aaaaaaaaaaaaa�aa�a�a�aa�aa�aaaaaaaaaaaaaa��a�aaa�aaa��a�a�aaa�aa

��aa��aaaaaa�aa�a���a�aa����aaaaa�aa��aaaa��a�aa���a��aa�aaaaaa�a���aaaaaaaaaa�a�a�a�aaaaaa�a�aaaaaa�aa�aaaaaaaa�a��a�aa

a���a�aa�a�aaaaaa�aaaaa�aaa�aaaaaa��a��aaa�aaa�a�aa�a�aa��aaaaa�aaaaaa�a�aaaaaaa�aaaaa��aaaaaa�aa��aaa�aaaaaa��a

aa�aaaaaaa�a�aaaaa�aaaaaaaa�a�aa�aa�a���aaaaa�aaa�aaa�a�aaaa�aaaaa�aaaaa�aa�a�a���aaaaaaaaaaaaa�aa��aaaaa�aaaa�aaa�aa�a

�a�aa�aa�aaaaaaa�aa��a�aaaa�aaaaaa�aaaaaaa��a�aa�aa���a�aaaaaa���aa�aaaaa�aa�aa�a��aaa�aaa�aaa��a��aaaa��a�a

�aa�a��a�aaa��aa�aa��a����aa�a��aaaaaaaa�aaaaaa�a�a��a����aa�a�a�aaa�aaaa�a�a�aaaaaaa�a�aa�aaaaaaa��

��aa��a���aaa��a�aaaaaaa��aaaaa���aaa��aa��aaaaaaaa�a�a�a�aa�aa�a�aa�aaa��aaa������������a������a���������

�� �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 24: Plastic & Reconstructive Surgery

��aaaaaa�aaaaaaaaaaa�a�aa�a���aaaaaaaaaa�a�a�a�aaa��a��aaa�a�aaaaaaaaaaa��aa�a�a�a��aa�a���aaaaa���aaaaa��a�a��aa

aaaa�aa��a�aaaa���a�aaaaaaa���a�aaa���aaa�aa�aaa�aa�aaaa�aa�aaaaa�aaa�a aaaaaaaa�aa�aa���aaaaa��aaaaa && & &&&&

�&&&&&&&&&a�a�a�aaaa��aaaaaa�aa�aa�aa�aaaaaa�a�aa�a�aaa�aaaaa�aaaaaaa���a�aaaa�aaa��aaaa�a�aaaaaa�aaaaa�aa

aaaa��aaa�aa�aaa�aaaaa���a�a�aaaaa�aa�aa�a��aaaaaa &&�&&&&&&a��a��aaaaaa��aaaaaa�a�aaaaaaaa�aaaa�aaaaa�aaa�aa�aaa

�a�a�aa���aaa�aaaaaaaaa�a�aaaa�aaaaa�aaa�aaaaaaa�aaaaaaa�a�aaa���aaaaaaaaaaaa�aa�aaa�aaa�aaaaaa�aaa�a���aaaaaaaaaaa�a

����aa�a�a�aa�a�aaa�aaaaa�aaa�aaaa���a�aa�aaaaa�aa�aaa��aaaaaa��aaaaa���a�a�aa�aaaaaaaaaaa�aaaaaaa�a�a��aaaaa�aaa

aaaaaaaaa�aa�aaaaaaaaaaa�a���aaaa�aa��a�aa�aaa�aaaaa��aaa�aa�a��a�a�aaaa��a�aaaaa�aaa��aaaaaaaaa�a�aaa��aa��a�aa���

�a��a�aaaaaa�aaaaaa��aaaaaa�a������a�a�aaa�aaaaaa�aaaa���a�aaaaaaa�aaaa��a�aa�����aaaaaaa�aaaaaaaaa�aa�a��aaaaa�aaaa

�a���aaaaaaaaaa�a��a�aa��aaaa�aa�aa���aa��aa��aaaaaa�aaaa�aaa��aaaaaaaaaaaa�aa��aaaaaaaaaa�aa�aaa�aaa�a��a�a�aaa�a����aa

�aaa�aaaa�a�a�aaaa�a�aaa�aa�aa�aaaaaaa�aaaa�a�aaa�aaaa�aaaaaa�a�aaaaaa�a�a��aaaa�a��aa�a��aaa�aaaaaa�a���aaaaa�aaa�a

aaaa������a�a��aaa�aaaaaa�aaaaa�aaa�aaaaa�aaa�a�aaaa�a��aa�aaaaaa��a��a�a�aa�aaaaa�a�a��a��a�aaaaaa�aaa�a���aaaa

aaaaaa�a��a�a�a��aaa�����a�����aaaaaa��aaaaa�aaaa�aaaaa�aaa�aaaa����a�a�a���aaaaaaaaaaaaa�aa��aaaaa�aaaaaaa�aaaaaaa

�aa��aaaaa�aaaaa�aaaaa�aa�aaa�a�aaaaaaaaaaaaa��a�a�aaa�a�aaaaaaaa���aaaaaaaaaaaa�aaaa�a��aa��aaaaaaa�aaaaa�aaa��a

�����a�aaa�aa��aa�aa�aaaa�aaa��aaaa�aaaaa�aaaaaaaaa�aaa�aaaa�a�a��aaaaa�

��aa�aaaaaaa�aaaaa�a��aaaaaaaaa�aa�a�aaaaa�a���aaaa�aaaaa�a�aaaa�aaaa�aa���a��aa�aaa�aa����a�a�aaaaaa�aa�aaaaa�aaa

�aa�aaaa��aa��aaaaaa�aa�a����a�aa��aaa�aa�aaaa�aa��aaaaa��aaaaaaaaaa�a��aa��a�aaaa�aaa�aaa�aaaaa�aa�alaaaaa

�aa���a��aa�aaa��a��aaaaaa�aaaaaaaa�aaa�aaaaaaaa�aaa�a��aa�aaaaaaaa�aaa�aaaa���aaaaaaaaaaaaaa�aaa�aaa�aa�a���a�a�a�aaa

#���a��a��aa�aaa�aa���a��aa�aa�

����:�##����#��#:��:����#:###�#:������:�##���

�a�aa�a�aaa�aaaaa�aaa�aaaaaa�aaaa�aa�aaaaaaa�aaa�aa�aaaa���aa�aa���a�aaaaaa�aa�a�a�aaaaaaaaa�aa���aaaaaaaaa�aa

�aaaaa�aaa�aa�aaaaaaa�aaaa�aa�aaaa�aaaaa���a�aa�a��aaaaaaaaa�aaaaaaa�a�aaaaaaaa�aa�aaa�aaa�a��aaaaaa�a���aaaaaaaa

aaaaa�a�a�aaa�aaaa�aaa�aaaaaa�aaaaaa�a�aaaaaaa��a�a�aa�a�aa�

�a��aaaa�aa�aaaaaaaaa�aaaa��aaaaaaaaaaaa��aa�aaaaaaaaa�a�aaaa�aaa�a�aa���a�aa��aaaaa�aa�a��aaaaaa�aaaaaaaaa�aaaaa�aaaaaa

aaaa#��aaaaa���aa�aaaaaa�a�a�aa�a�aaaa�aaaaaaa��a�a�aa�a�aaa�aa�a��a�a�aa�a�aaaaaaaa��a�a�aa�aaa��aa�aaaa�aa�a�a�a��a

�aaaaaaa�aa���aaaaa�aaaaaaa�

�a�aa�a�aaa�aaaaa�aaa�aaaaaaaaaaaaa�aaa��aaa�a�a��aaaaaa�aaaaaaaaaaaaaaaaaaa�aa�aaaaaaaa���a��aaaaaaa�aaaaa���aa

a.aaaaaaa.aaa.aa.aa.a.aa�aa�aaaa��a�aaaaa��a��a�aaaaaaaaa�a����aaaa�a����aa��

��aaaaaaaa�aaaa�aaaaa�aaa�aaaaa�aaa�aaaaa�aaa�a��a��aaa���aa�a��a�aa��aaa��aaa���aaaaaaaaaa�a��aaaa��aaa�

��aaa���aaa�a�aa�a�aaa�aaaaa�aaa�aaaaaaa�a��aaaaaaaaa�aaa�a�a�a�a�aa�a�a�a�aaaaaa��aaaa��aa�a��a�aaaa�aaaa�aaaa

��aaa�aaa�aaa�a�a�aaaaa��a��aaa�aaa�aa�a�aaaaa�aaa��aaaa�a�aa��aaa��aaa���aaaaaaaaa�a�aa�a�aaa�aaaaa�aaa�a�a�aa

a�aa�aaaa��aaa�aa��aaa�aaa��a����a��aa�aaaaa�aa�aa���aa��aaa�a�aaaa�aaa�a����aa�aaaa��aaa�aaaaa�aaaaaaaaaaaaaaaaa�aaaa

a�aa�����aaaaa��aa����a��a�aaa�a�aa�a�aaa�aaaaa�aaa�aaa�aaaaa�aaaa�a�aaa�aaa�a�a�aaaa�aaaaaaaa�aaaa�aaa���a�

��:���,���#�::���:�:�����:��::��!:��:�:��:����:!�#����������:����:��������!���:�:��

��:��

���aa�aaa�aaaaa�aaa

�a�aaa�a�aa�a�aaa�aaaaa�aaaa�aaaaa�aaaa�����

�aa�a�aa�a�aaa�aaaaa�aaaa�aaaaa�aaaa�����

�aa��aaaaa�aaaaa�aaaaa�aa�aaa

��aaaaaaa.aaa

#�����������!:���:�:��

��a��aaa�

aa�aaaa�a�aaa��aaaaaaaaaa.aa

�a��aaa�

aa�aaa��aaaaaaaaaa.aa

aa�aa�aa��aaaaaaaaaa.aa

aa�aa�aa����aaa��aaaaaaaaaa.aa

aa�a�aaaaaaaaa�aa�aaa�aaaaaaaaaa�aaaaaaa��aaa�aa�a�

�� �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 25: Plastic & Reconstructive Surgery

��aa���aaaaa��aa�a�aa�a�aa�a�aa�a�aaa�aaaaa�aaa�aaaaa���aaa�aaaaaaaaaaaaaa�a�aa�aaaa�aaaa�aaaaaa�aaaa�aaaaa�aaa��a

��aaaa��aaa�aa�aaaaa�aaaaaaa�aaa�aa�aaaaa�aa���aaaaa��a��a�aaaaaaa�aa�a�a��aaa�a�a�a�a��a�aaaa�aaaaa�a�a�a�a�aa�aaaa��aaa��a

�aaa�aaaaa�aa�aa�aa�aaaa�aa�aaaaa��aaaa�aaaaaa�aaaaaaa�aa�aaa�aaa��a��a�a�aa�aaaa�aaa�a�aaaa�aaaaa�a�a�a�a�a

�aaa�aaaa�����aaa��a�aa�aaa��aa�a�aa�a��a�aaa�a�aaa�aaaa�aaaa��aaa��a�aaaa�aa�a�aaaaaaa�aaaaa�aaaaa�aa�aaaa�aaa�aa

aa�aaaa��a�a����aaaaaa��a�aaaaaa�aa��a�a�a�a�aa�a�a�a��aa�aa��a�aaaaaaaa��aaaaaaaaaaaa�aa��a�aaaaaa�aaaaaa

aaa�a�aa�aaaaa�aaa��a�aaaa�aaa�aa��

��aa�aa�a�aaaaa�a�aa�a�aaaaaaaa��a��aa�aa���aaaaa��a��a�aaa��aaaa��a��a�aa�aa�aa�aa�aa�aaaaaaaa�aa�aaa�aaa�a�aaa��aaa�a

.aaaa.aa.aaaaa��a�a�a�aaaaa����a�a�a��aa�a��aa�aa��a�aa�a�aaa�aaaaa�a�aaaaaaaaaa�aaaa�aaaaaaaa�aa�aaa�aaa�a��aaaaa�aa

aa�aa�aaa��aa��a�aaaaa�a��a�aa�a���aaaa�aa��a�aa�aaaa�aaaaa�a�aaaaaa�aaaaaa�a�aaaaaaa��aaaaaaaaa�aaaaaaa�a�a

aaaaaa��aa��aa��a�aaaaa�a��aaaaaa�aa�aaa�aaa�a�aaa�a�aaaaa��aaaa�a�aaa�aaa�aaa�aaa�aaa�a�aa�a�aaa��a�aaaaaaaa�aa

���aaaaa��a��a�aaa��aaaa�aaaaaaaaaaa�a��a�aaaaaaa�aaaaaaaaa�aa�aaa�aaa��

�aaaaaaaaa��aaaaa���aaaaa�a��aaa�a��a�aaa�aaaaaaaa�aaaaaaa��aaa�aaaaaaa��aaaaaa���aaa��aaaaaaaaaa�aa�a��aa�aaaaaaa�aa

..aa.aa�aaaaaaaa�a��aa��aaaa����aa�a��aa��aaaa����aaaaaaaa��aa�aa�aaa�a�aa�aa�aaaaaaaa�aa��a�aa�a����aa�aa�aaaaaa���aaa�a�

aaaa��aaaaa�aaaa�aa�a�aaaa�a��aaaa�aaaaaaaaaaa�a�a�aa�a��aa�a�a�aaaaa��a�a�aa�a�aaaa����aaaaaaa�a�aa�a�aaaaaa

a����aaa��a���aaaaaaaaaaa�a��aaa�

�aaa�aaaaa�a�a�aaaaaaaaaaa�aaaaaaaa�aaaaa�aaaaaaaa�aa�aa�aaaaaaaa�a��a�a��aaaa��aaaa�aaaa��aaa��aaaaaaaaaa�a�aaaaaa�aaaa

a�a�aaaaaaaaaaaa�aaaa�aaaaa@aa�aa�a�aaaa�aaa��aaaaaaaaaa�a�aaa��aaaaaa�aaa�a�a��aa�aaaaaaaaaaaaaaaaaaaaaaaaa�aa

aa�a��aaaaaaaaaa��aa�aaaaa�aaa��a�aaa��aaa�a�aaaaa�aaa��a��aaaa�aaaaa�a�aa�aaaaa�aaaa�a�aaaaaaaaaaa�aaa��aa�aaa�aa

aaaa��a�aaa�a�aa�a�a��a��aaaaaa��a�aa�aa�aaaa�aa�aa�aa��a@aaaaaaaa�a�aaaaa�aaaa��aaa��a�aa�aaaa�a�aaaaaaaaaa��aaaaa�aa

aa�aaa�aaaaa�aaaaaa�a�aaaaaa�aa�a��a�aa�aaaaaa�aaaaa�a�aa�aaa�aaaaaaa��aa�

�aaaaa�aaaaaaa��aaaa�a�a��a�a�aaaa�aaa��aaaa���a�a����aaaaa�aaa��aaaa�aa�aa�aaa�a�aa�a�����a��aaaaaaaa�aaa�aa��aaaaa

�aaaa��a�aaaa�aaaa�aa�aaaaaaaaa����aaaaaaaaaaaaaaaaa�aaa�aaaa��aa�aaaaaaaaa�a��aa��aaaa�aa�aaaa�aaaa��a

�aaa�aaaaaaaaa�aa�a�aaa�aaaa���aa�aaa�aaaa��a�aa�aaaaa�aa�aaa�aaaaaa�aaaaaaaa�aa�a��aaa�aaa���a��aaaaaaaaaa���aaa��a�aa�aa

aa�a�a�aa�aaaa��a�aa�aa��a����aa�aa�aaaa�aaaaaaaa�aa�a�a��a��aaaa��aa�aaaaa�aaaaaaaaaa�aaaa�aaaaaaa�aaaaaaaaaaa

�a�a��aaaaa��aaa�aaa�aaa�aaaaa�aa��aaa��a�a�����a��a�aa�aaaa����aa�a�aaaaaaa�a�a��aa�aaaaaaaaaaaaa�aaaaaaa�a�aaaa��aa�a

aaa�aaaaa�aa�a�a��aaa��a�aaaaaa���aa�aaaaa�aaaa�a���aaaa�aaa�aaaa�aa�aaaa ���������:���::������:�:�

�aaaaa�a�aa�a�aaaaaaaaaaaaaa��aa��a��aaa���aaa��aaa�aaaaaaa�aaaa�aaaaaaaa�aa�a�aa�aa���aaaaaa�aaa��a�a�a�a�aa�aaaa

aa�aaaa�a��a�aa�aa�a�aa�aaaaaaa���aaa�aa�aa�aa��aaaa�a��a��aaaaaaaa�a�aa��

��aaaa��aa�aaaaaaaa�aaaaaaaa�a����aa�aaaa��aaaaaa�aa��aaa�aaaaaa�a�aaaa��aa�a�a�a�aaaaa�aaa�a����aaaaaaaaaaaaaaaaaa�a�a

aaaaaaa�aaaaaa�aaaaaaaa�aa�aaaaa�aa�aaaaa�aaa�a�aa��aaaa�aaaaa��aaa���aaaaa��aa�a��aaaa��aa�a�aa�a�aaaa��aaa�aa�a

�a�a�a�aa�aaaa��aaaa��aaaaaaaa�a�a�aaa�a�aaaaaaaa�a�a��aaaa��aaaaaa�aaaaaaaa�aa�aaaa�aaaaa�aaa�aaaaaaaaaaaaaaaa�a�aa�aa�aaa

aa��aa��a�aaa��a�aaaa��aa��aaa�a�aaa��aaaaaaaa�aaaaaa��aaaaaaa�a�aa�aaaa��aa��a�a�aaa�aaa����a��aaaa��a�aa�aa�aa��aaaa

.aa�aa�aa�aa��aaaaa��aa�aaaaa�aaa��aaa�a�aa�aaaaaa��aa�aaa��a�a�aaaa�aaaaaa�aaaa���aaaaaa�aaa�aa�aa�a�aa�a�aa

aa�a��aaaaa��aaaa�aaaaaaa�aaaaaa��aa�a�aa�a�a�a��aaa�aaaa�aaaa�aaaaa�a�aa�aaaaaaaaaaaaaaa�aaaaaa�a�aaaaaaaa�aaaaa�aaa��

�aaaa�a�aaaaa�aaa�aa�a�aaa�aaaaaaaaaa�aaaaa�aaaaa�aaaaa�aaaa��aaa�aaa�aaaa�aa�aaaaaaaaaaaaa�aaa�aaaa�aaaaa��a�

�aaaaa�a�aaaaaaa�aa�aaaaa�aaa�a����aaaaa�aa�aa�aaa�aaa��aaaaaaaaaaa�a�aaaaaa�aaaaa�a�aa�a�aa�a�aa�a�a�aaaaa.aa�

a�aaaaaa�aaa�aaaaa�aaa�aa��a��aaaa��a�a�a�a�a����aaa�aaa�aaaaaaaaaa�aaaaa�aaa�aaaaa�aa�aaaaaaaa��aaaaaaa�aaaaaa

a��aa��a�aaaa�aaa�a�aaaaaa����aa�a�a�aaa��a�aaaaaaaaaaaaaaa�a�a�aaaa��a�aaaaa�aaaaaaaaaaaaaaa�a��aaa�a��aaaaa�aaa�a�aa�a�a�

a�aaaaaaaaa���aaaaaaaa�aaa��a�aaaa���

�#:��:#�#�����:�##������#����:��:#���

�aaaaa�aaaa�aaaaa�aaa��aa�aa�a�aaaaaaa�aa�a��aaaaaaa�aaaaaaa��aa��a��aaa�a�aa�aaaaaaaaa�a�aaaa�aaaa�a�a�a�aa�aa

�aaaa�aaaa�aa�aaaaa�aaaaa�aaaaa�aaa�aaaa�aaaa�a�aa�aaaaaaaaa�aaaaaaaa�aaaa�a�a�a�aaaa�aaa�a�aa#��aaaaa��aaaaa�aaa

�a�a��aaaaaa�a�aaaaa�aaaa���aaaaaa�aaaaaaa���aa�aaaaa�aa���aaa��aaa�aaa�a�aa�a�aaa�����aaaaaaa�a�aa�a�aaa�����a

�aaaaa�aaaa�aaaaa�aaa��a����aaaaaaaaaa�aaaaaaa�aaa�����aaaa�a�a�a�aa�aaaaaaaaa�a��aa�aaaa���aaaa����a��a�aaa�aaaa

��aaaa�aaaaa�aaa�a�aa�aaa�aa����aaaaa��aaaaaaa�a��aa����aaaaaaa�a��aaaaa�aaaa�aaa�aa�aaa���aa�aaaaa�aa�aaaaaaaaaa

aa���aaa��aa��aaaa����aaaaaaaa�aaaa�aaa��aaaaa��aa��a�aaa�aaaaaaa�aa�aaa�aa�aaaaaa�aaaaa����a�aaaaaaaaaaa�aa�aaaa

aa�aa�aaaaaaaaaaaaaaaa�aaa�aaa�a�aa�a����aaaa����aaaaa�����aaaaaa��aa�aa�aaaaa�aaaaa�aaaaa�aaa�aaaa�aaaa�a�

��a�a��a�a��aaaaaa�a�aaaaaaaaaaaaaa��aaa�aaaaaaaaaa�aa�a�aaaaaa�aaa�aaaaa�aaa�aaaa�aaaa�a�a�a�aaaa�a�aa����������#���

������a�#������

���a�aaa��aaaaaa�a�aaaaaa��aaaaa�aaa�aaa�aaa�aaaaaaaa�aa��aaaa�aaaaa�aaa��a�aa�aa�a�aa�aaa��aaa������������a������

��������

�� �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 26: Plastic & Reconstructive Surgery

RSSSRRSRS✣✤✥✦✧★✣✤✩✪✧✫✬

�������������!:���:�:�����:���:�:����:��:�����aaaaataaaaaaataaaa.aa�aaaaaaaaaa�aa�a���aaaaaaaaaaaaa�aa��a��aaaaaaa

�a�aa�aaaaaaaaa�aaaaaaa�aa�aaa��aaaa�aa�aaaaaaaaaaaaaaaaa�aaaa�aaa�aaaaaaaa��aaaa��aa�aa�aaaaaaaaa���aaaa�aaaa�aa

�aaaa�a��aaaaa�aaaaaaaa�aaaa�a�aa�aaaaaaaaa�aaaa�aaaaaa�a��a�aa�aaa�aa�aa�aaaa�aaa��a�aaaaa�aaa�aa�aaa�aaa�aaa�a�aaa�aaa

aaa�a�a��aaa���aaaaa�aaaaaaaaaa�a�aaaaa�aa�aaaaaaaaa�a�aaaaaaaa��aaaaaaaaaaa�aa�aaaa�aa�aa�a�aaaaaaa�aa�a��a��a�aaaaa�a�a

..a�aa�a�aa�a��aaa�aaaaa���aa�aaaaa�aa�aaa�aaaaaaaaaaaaaaaa�a�aaaaaa��aaaaaa����aaaa��a�aaa�aa�aaaaa�aaaaaaa�a

��aaa�aa �a�aaa#�����

�����:���,��

#��aaaa�aaa���aaaaaaaaaa��a�a�aaaaaaaaaaaa��aaa�aa�aaaaaaaaaaaa�a� ���a�aaaaaaa��a�a���a�aaa��aa�aa����aaaaaaaa��aaaaaa�aaaaaa

�/ �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 27: Plastic & Reconstructive Surgery

���aa��a��aaaa�aaaaa��aaa�aa�a�aaaaaaaaa�aaaaa��a��aaaaa�a�aaaa�a�aa�aaaaaaaaaaaaaaaa�aa�a�a�aaa�aaaaa���a��aa

�a�aaaa�a�aaaaaa�aaa��a�aaaa�aa�aaaaaaaaaa�aa�aaa�aaa��a�aaa�aaaa��aa�aa�aaaaa��aa��aaa�aaaaa�a��aaaa��aaaaaa�aa

aaa�aaaaa�aaaaaaa�aa�aaa�aaa�aaaaaaaaaa�aaa��a��a��a�aaaaa�aaa�

�a��aa�aaaaaa��aaaaaaaaaaaaaaaaa�aaaaaa��aaa�aa�aa�aaaa�a�aaaaaaa��aa�aa�aa�a�a�a��aaaa�aaaa��aa�aa���aaaaaa�aaaa�aaaaa

aa���aaa�aaa�a�aa�aaaaaaaaaaaaaaaaa�a�aa��aaaa�aa��a��aaa�aa�aaaaaaaa��a�aaa����aa��aaaaaa�aaa�aa�aa�aaa�aaa�a�aaaa

a�a�a�aaaaaaa��a�a�aaaaaa�aaa�aaaa�aaaaaaa��aa�a��aa��aaa�aaaaa�aaaaaaaaaaaaaaa��a�aaa�aaaa�aa�a�aaaaa�aaaaaa�aa���a

��a�aa���aaa�a�a��aaa�aaaaaa��aaa�aa�aa��aaa�aaaa�aaaa�aa��aaa�a�aaaa�a�aaaa���a�aaaa�aaaa�aaaaaaaaa�aaa�aaaaa�aaaa���aaaaa

aaaa�aaaa��aa�

��aaa���aaaaaa�a�aaaaaaaaaaaaaa����aa�aaaa��a�aa����aa�aaaaaa�aaaa�aaa�aaa�aaa�aa�aaaaaaaa�aa��aaa�a�aa�aaaaaa�aa��aa

aaaa�aaaaa�a��aa�aaa��aa�aaaa�aaaaaa�aa�aaaaaaaa�aaaaa�aa���a�a�����a�aaaaa��aa�a�aaaa��aaa�aa�

�a�aa�aaaa�aaaa�a�a�a��aaaa�aa��aaaaa�aaa��aaa��a�aa�aa��aa��aaaaaaaa�a�aaa��a��aaaa�aa�aaaaaa�a�aa�aa��a

aa�a��aaaaa�aaa�a�a��a�aaaa�a�aaaaa�aaaaaa�aa�a��aa�a�a�aa�a�a�aaaa�aaa�aaaa�aa�aa��aaa�a�aaaa����a�aaaaa�aa

a�aaaa�aaa���a�aaaaa�aa�aa�aaa�a��aa�aaaaaaaaaa�aa�aaaaaaaaa���aa�aaaaa�aaaa�a�aaa�a��

��aa�a�aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa�aaaaaa�aaaaaaaa��aaa�aa�a�a��a��a�aa�aa�a�aaaaaaa�aa�a��aa�a�aaaaaaa�aaa

aa��a�aaaa�a�aa��a�aaa�a��a��a�a�aaaaaa�aaaa���aaaa���aaaaaaaaaa��a��aaaaa�aaaaaaaaaaaaaaa��aaaaaaa�aaa�a��aa

�aaaa�aaaaaa����a��aa�aaaa��a�aaa�a��aaaaa��aa�aa�aaaa��aaaaaaaaaaaa�aaa����aa�a�aaaaaa��aa�aaa�aa�aaaa�a��aa�aaaa

a�aaaa��aa�a����aaa��a�a�aaa�a��aa�aaaaa�aa��a�aaaaaaa�a�aa�aa��a�aa��aaaaa�aaaaaaaaaaaaaa�a�aaa�a���aaa�a��aaa�aaaaaa

aaaaa�aa�a�aaaaaaaaaaa�a�aaa�aa�aaaaaaaa�a��a�a��aa�aaaaaaaaaaaa�aaaaaaa�a��aaaaaaaa�aa�aaaa�aa��aa�aaaaaaa��aa�a�aaaa�aaa

aaaaaaaaa�aa�aaaa�aaaaaa��aa��aa�aaaa�aaa��aaa��aaaaa�a��aa�a�a��aaaaaa�aaa����aa��aaaaa�aaaa��aaaaaaa�aa

�aaa�aaaaaaa�aaaa�aaaaaaaa�aaa�

�aaa�aaaa��aaa��a�aaaa�a��aa��aaaa����aaa��a�aa�aaaaa�aa��aaa��aa����aa�a�aaaaa�aaaaaa�aaa�aaaa��aa�aaaaaaaaaa�a�aaa�aa�a�aaaaa

aaaa�aaa�aaa�aaaaaaaaaa��aa��a��aa��aaaa����aaaaaaa�aaaa�a��aaa�aaaaaa�aa�aa���aaaaaaa�aa�aaa�aaaa�aaaaaaaa��aaaaaaaa.aa.a

aaaaaa����aaaaaa�aaa�a�aaaa�aaaa�a�aaa��aaa�a�aaaaaaaaaa�aaa�aaaaaaaa�aa��aa�aaaaa�aaa�a�a�aa�aaaaaaaaaaa����a��a�aaaa

��a�a��aa�aaa�a��aaaa�aa��aa�aa�aa�a�aaaaaaaaaaaa�aa�aa��a�a�aaa��a�a��aaaaa�a����a��aaaaaaaaa�aaaaaa�aaa��a��a�aaaaaaa

aaa��a�aaaaaaaaaaaaa�a��aaaa�a�aa�aaaaaaaaa�aaaa�aa�a�aaaaaaaaaaaaa�aa�aaaaa�aaaa�aaa�aaaaa��aaaaaaa���aa�aaa

aa�aa��aa�aa��

#�:#�����#�#���##:�

�aaa��aaaaaaaaaa�aa�aaa�aa���aa�aa�aaa�a�a�aaaa��a�aaaaa�aaa��aaaaa�a����aaaa�aa���aaa��aa�aa�aaaaaaa���aaaaa

aaa�aaa�a��aaaaaaaa���aaaaa��aaaaaaaa�aa�aaa��a�aa��aaaa�aaa�a���aaaaaa��aa��aaaaaaaaaa�aaaaaaaaaa�aa�aaaaaaaa���a

��aaaaaaa�aaa�aaaaaaaa�aa�aa�aaaaaaaaaa�aaa��a�aa��a�aa�aa�aaaaaaaaa�aaaa�aaaaaa�a��aaa��a�aa�aaa�a�aa�aaaa

a��a��aaa�aaaaa�aaaa��aaaa�aaaaaa�aaa��

�aaa��aaaaaaaaaa�aa�aaaaa���aaaaaaa�aaaaaaa��aa�a��aaaaaaaa���aaaaaaaa�aa�aaaaaa�aaaa�aa��a�aaaaaaaa�aaaaaa�a��a

�aaaaaaa�a�a��aaaa�a�aa���a�aaaaaaa�aaa�aaaaaaaaaa�aaaaaaaaa��a�aaaaaaaaa�a�a�aa�

���aa��a��aaaa�a�aaa��aaaaaaaaaa�aa�aaaaaaaaa�aaaaaaaaa�a�aaaa�a�aa�aaaaa��aa�a���aaaa��a��a�aa�aaaaaaaaaaaaaaa

��a�a�aaa�a��aaaaaaaa�aaa�aaaaaaaaaaa�aa�aaa�aaa�aaaaaaaa�a�aaa����aaaa�aaa�aa��aaaaaaaaa�a�a��

�aaaaaaaaa��a�aa���aa�a�aaaaaaaaaaa�a�a�a�a��aa�aaaa��aaa�aaaaaaaa�a�aaaa��aaa���aaaaaa�a�aaaaaaa�aa�aaaaaaa��aa��aaa

a����aa�a�a�aaaa��aa�a�a�aa�aaaaaaa�aa��a�aa�@�a�a��aaaa���aaaaaataaa@�aaa�aaa�aaaaaaaa����aaa��a�aa����aaa

��a�a�aaaa��aaa��aaaaa�a��a�aaaa�aaaa��aa�aaaaaaaaaaaaaa�aaaaa�a�aa��aaa�aaa��aaa��aaa��aaaaaa��aaaaaaaa�a��aaa�a

���a��aaaaaa�aa�aa�a�a�a�aaaaaa��aaaa��aaaaaaaa�a�aa�aaaa�aaaaa�aa�aaa��a��aaaaa�aaaaaaaaaaaa�aaaa�a�aa�a�aaaaaaaaaaaa�aa

��aa��aaaa����aaaaa��aa�a�aaaaa�aaaaa��aa�aa��aa�aaa�aaaaaaa�aaaaa�aaaa�aaa���aaaaaaaa�aa�a��

����###�:#�����#�#���##:�

�aaaa�a�aaa��aaaaaaaaaa.aa.aaaaat.at�aaa�aaa��aa�a�a��aaaaa�aa�aa�aaaa�a�aaa�aa�aaaaaaaaaaaaaaaaaaa�a�a�a�aa���aaaa�aa

�a�aaaaaa�a�

�aaaa�a�aaa��aaaaaaaaaa�aa�aaaaaaa��aaaaaaa�aaa��aaaaa��aa�a��aaaaaaa���aaaa�aaa�a�a�aaaaaaaaaaaaaaa�aa�aaaa�a�aa�a�aa

�aaaaa�aaa��a�aa�a�aaaaaa�aaaa�a�aaaaaaa�aaaaaaaaaaa�aaaaaa�a�aaaaa�a�a��aaaa�aa�aaa��a�aaaaa�aa�aaa�aa�aaaa

�aaaaaaaa��aaaa��

�a�a��aaa�aaaa���a�aaa�aa�aaa�aaaa��a�a�aaaaa�aaaaaaaa�aaa�aa�a��aaa���aaa�aaaaaa��aa�aaaaaaa�aaa�aa�aaa�aaaaaaaaaaaa

a�aaaa��aaaaaaaaaaa�aaaaaa��aaa�a�aaa�aa��a�aa��a����a�aaaaaaa�aaa�aaa�aaa�aa�aaa��aa���aaaaaaa�aaaa�a�a�����a�a�aa�aa

a�a�aaaaa�aaaa�aaaaaa�aaaa�a��aaa�aa��aa�aa�

aa�aa�aa��a�aaa��a�aaaaaaa����aaaaaa�aaa�

�0 �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 28: Plastic & Reconstructive Surgery

�aaaaaaaaaaaaaaaaaa�a�aaa��aaaaaaaaaa�aa�a��a�a�aaaaa�a�a��aaa�aaaaaaaaa�aaaa��aa�a�aaaaaaaaaaaa�a�aaa��aaaaaaaaaa.aa.a

�aaa�aaa�aaa�aaaaa�a�aa�a�aaaaa�aaaaaa�aa��aaaaaaa�a�aaa��aaaaaaaaaa�aa�aaaaa�a�aaaaaaaaa��a�a��aa�aaa�a��aaaaaaa�aaa

aa�aa��aa�aaaaaaaa�aa�aa��aa��aaaaa�a�a�aaa�#�#�a�a�a�aaaaaaaaa�aa��aa�aaa�aaaaaaaaaaa�a�a��aa�aaaaaaaaa��aa�aaaaaa���

�aaa�aa���a�a�a�aa���a�a���aaaaaaaaaaaaa�aa��a�aa�aa�a�aaa��aaaaaa������������a�

��aaaa���a�aaaa�aa���a��aa�aaaaaa�aaaaa�aaa�aaaaaa�aaa�a���aaaaaaaaaa�a��a�aa�aaa�a�a��aaa�����������a������

����#��#�

�a�aaaa�a��a��aa��aaa���a�a���aaaaa�aaa�aaaa�a���aaaaaaaaaaaaa�aa�aaa�a����a���a��a�aaaaaaaa������������a������a

��������

��aa��aaa���a ���aaaa���a��aaa��a���a�a���aaaaaaaaaa�a��a��aaa�aa�aa��aaa������������a������a���������

��aa��aaa���a�aa�a���a��a�aaaaa�aaa�aaaa�a���aaaaaaaaaaaaa�aa�a�aa�aaaaa�aaaa���aaaa�aaa�aa���a��aa�aaa�a�aaaaa

aaaa�aa�aaa��aaa�aaa��a����a�aa�aa�a�aa�aaa��aaa��������#���a������a��������

�aaa�a��aaaaaa�a������a�aaa�aaa���a�aaaa�aa�aa���aa��aa��aaaaaa�aaaaaaa���aa�aaa�aaaaa�aaa��a��aaaa�aa�aaa

�����������a������a���������

#����##�:�:���#:�#��##:�

Se:eeee���:������:��::�:�

��a�a��a�aaaaa�a�aaaaaa�aaaa�aa�aaaaaaaaaa�aaaa�aa�aaa��a���aaaa��aa��a��aaa���aaaaaaaaaaa�a�aaaa�a��aaaaaaaaa�aa�aa�a

�a�a�aaaaaaa�aaa�a��aaaaaaa�aaaaaaa��aa�aaaaa�aaa�aa�aaaaaaaaaaaaaaaaaaaaa��a�aa�a�aaaa�aa���a�a�a��aaa�aaaaaaaaaaaaaaaaa

��aaaa��aa�aa�aaaa���aaaa�aaaaa��aaaaaaaaaa�aaaa�aaaaaa�aa�a���aaaaa�aa�aa�a�aaaa�a����aaaa�a��a��aa�a��a�aa���aa

��a��aa��aa�aaaaaa�a�a��aaaa�aa����

���aa��a��aaaa�aa�a�a��a�aaaaa�a�a�aa���aaaaa�aaa�aa�aaaaaaa�aaaaa�aaaaaaaa�a�aa�aaa�aaa�aa�a�aaaaaaa�aaa�aaa���a

�aa�aaaaaaa������aaaaa�a�aaaa��aa�a�a�aaaaaaa�aaaaa�a�aa�����a�a�aa�a�a��aaaaaaa�aaaaa��aa�a���aaa��a.aaaa

�aa��aaaaaa���a��

��a�aaa�aaaa��aa�aaaaaa�a�aaaaaaa�aaa�aaa���a��aaa���aaaaaaaaaaaaa�aaa�aaaaaaaaaa��aaaaaaaaaaaa�aaaa����aa�aaaaaaa�aa

aa��aa�aaaaaa��aa��aaaaaaaa�a����aa�aa����aa�aaaaaa�a�aaaa�a��� aaaaa���aaaaa�aa��aa���aaaaaa�aaa�aa��aa��a��aaa��a�a��aa

aa��aa�aaaaaaaa�aaa�aa��aa�� ��a�aaaaa��aaaaaaa���aaaa�aaaa�aa�aaaa�aaa��aaaaaaaaaaaa�aaa�aaa�aaa�aaaa�aaa��aa�aaaa

a��aa��a��a���a@taaaaaaataaa�aaa�aaaaa�aaa�a�a��aaaa@��a�a�aa�a���aaaaaaaaaaaa�a�a�aa�aa���a�

���:���������:�:���:���:�:��������:��:�:�

��aaaaaaaaa�aa��a�a�aaaaa�aaaaaa�aa�aaaaaaaa�a���a��aaa�a�aaaaaaa�aa�aaaaaaaaaaa��aa�aaa��aaaaa�a��aaaa�aaaaaa

aaaaa��aaaa��a�aa�aaa�aaaa�aa���aaaaaa�a�aaaaaaaaa�aa�aaaa�aaaaaaaa��aaaa��aaaaaa�a�@aaaa�aaaa�aa�aaaaaa�aaaaaaaaaaaaaa

�aa�aa�a�aaaaa�a��a��a��aaa�aaa��aa�aaaaaa��aaaaaa�a�aaaa�aaa�aa�a�aaaaaaa�aaa��aa�aa�aaaaa�aaaa�a��aaaaaaa�aaa�

�a��aaa�aa�aaaa�aa�a��aaaaaaa�aaa�aaa��a�aaaaaaaaa���a�a��aa�aaaaaa�aaaa�a�a��aaaaaa�aaaaaaaaaa�aaa�a����a�a�a�aa

aaa�a�aaa��aaaaaa�aa�aa��aaa�aaa��aaa�aaa��aa�aaaaaa�aaaaaa�aaa�aaa��aaaaaaa��aaaaaaa��a�aaa��aaaa���aaaaaaaa�

��aaaaaaaa��a�a�a�aa��aaaaa��aaaa�a�aaaaaa��aa���a�aa�aaa��aa���aaaaa�aaaaa��aa���a��a��a�aaaa�aaaaaaaaaa�a��aaa

a��a���aaaaaaa�aaaaaaaaaaa���aaaaaa�a��aa��a�aaaaa�a�aa��aaaaaa�aa��aaa�aa�a��aa�a��a�aaa�aaaaaaaa�aaaa�aa�

�aa�aaaaaaa�aaaaaa�aaa�aaaaaaa�aaaa���a�

��aa�a�aaaaaaaaaaaa�aa�aaaaaaaa�a��aaaaaa��a��aaa��aaa��aaaaaaaa�aa�a�aaaa�aa���aaaaa�aa�aaaa�aaaaaaaaaaaaa�a��a

�aa��a���aaaaa�aaaa�aaaaaa���aaaaaaa�aaaaaa��aa�aaaaaaa�aa�a��aaaaaaa�aa�aaaaaa�a��aaaa�aaa�aaaa�aaaa�aaa�a��aa�a�aa

�aaaaaaaaaaaaaaaaaaaaaaaa��a�aa�a�aa�a����aa�aa�aaaaaaa�a����aaaa��aaa�a�a�a��aaaaaaa�aa�aaaa�aaaaa�aa�aaaaaaa�aa

�aaaaaaaa�a�aa�a�a��aaa��aaaaaa�a�aaaa��a��aaa�a�aaaa�aaaaa���aaaaaa���a�a��aaa�aa�aaaaaa�a��aaaaaaaa�a�a��aaa�aa�a

aaaaa��aaaaaaaaaaaaaaaaa�aa���a��a�aa�aaaaaaa�aa���aa�a�aaa�aaaaaaaaaa�a�a�aaaaaaaa�aaaaaaa�aa���aaa�aaa��a��a

aa��aaaaaaa�aaa�a aaa�aaaaaa�aa���a�a�aaaaaaaaaaaa�aa�aaaaaaaa�a��a��aaaaaaaa�aaaaaaaa�

�aa�aa�aaaa�aaaaaa�aa�aaaaaaaa�a���aaaaaa��aaaa�a����aa�aa�aaaaaaa��aaaaaaaa���a�a��aa�aaaaaaaa�aaaaa�aaa�aaaaaa��a

aaa�a��aaaaa�aa���aa��aaa�a�a��a��aaa��a�a�aaaa�aa�aaaa��aa�aaa�aaaaaaaaaaaa�a�aaa�a�aaa�aaaaaaa���aaa��a�aaaa

�aa��aaaa�a�a�aaaa�aaaaaa�aa�aa�a�a�a�aa�aaaaa�aaaaa���aaa��a�aaaaaaaa�aaa�aaa�a�aaaaaaaaaaa�aa�aaaaaaaa�a��aa�aaa�aa

a�aa�a�aa�a��aaaaaa�aaaaaaaaa�a��aaaaa�a�a�aaa�aaaa�aa��aaaa�aaaaa�aaaaaaaaaaaa��aaaaaaaaaa�aaaa�aaaaaaa��aaaa

���aaa��a�aaaa�aa��aaaa�aaaaaaaaa��aaaaaaaaaa�aa�aa�aaaa�aa�

�a�aaaaa�aa�aaaa�a��aaaa�a�a���aaaaaaa�aaaaaaaaaaaaa�aaaaa�aaaaaa��a���a�a�a�aaaa�aa�aaaaaaa�aaaaaa�aa���a�a

�a�a�aa�aaaa�aa��aaa�aaaaaaa�a���aaa�aaaaaaaaaa�aaaaaaaaaa���aaaaaa�aaaaaaa�aaaaaaaaa�aa���aaaaa�aaa��

�1 �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 29: Plastic & Reconstructive Surgery

��aa��aaaa����aaa��aa�aaaaaaaaaaaaaaa��a��a�a�����aaa��a�aa�a�a�aaaaaaaaaa�aa�aaa�aaaaa����aa�a�a��aaaa�aaaaaaaaaa

aaaaaa�a�aa��a�a��aaa�aaaa����aa�aaaaa�aaaaa�aa��a�aa�aa�a�aaaa��a�aaaaaaaa�aaaaa�aaaaaaa����aa��aaaaa��aaaaaaaa

aa��aaaaaa�a�aaaa��aa�

�a�aaaaa�a�aa�aa��aaa��aaaa���aaaaaaaaaaaaa�aa�aaaaa�aaaa��aa��aaaaa�aaa�a�aaaa�aaaaa����a aaa����aaaaaaa�aaa��a���aaaaa

�a����a��a�aa�a�a��aaaaaa�aaaaaaaaaaaa�aa�a���aaaa��aaaaaaa�aa�����aaaaa��a�aa��a�aa��a��a�aaaaaaaaaaaaa�aaaaa

�aaaa�a�aaa�a�a��aaa�aaaaaaaaaa�aaaa��aaaaaaaaa�aa��aaa�a�aaa�aaa�aaaaaaaa�

��##�:�:�#��##:�

#�:��:���:�����������:��

�aaaaa�aaaaaa�aa��aaaaa�a�a�a�a�a�aaa��aa�aaaaaaaaa�aaaa��aaaaa�aaaaa�

�:�:�����:��:

�a�aaa��aa�aa��a��aaa�aaa��aa�aa��aaaaaaaaa�aa�aa�a�aa�a���aaaaaa���aaa��a�aa�aaaaaaaaaaaaaaa��aaaaaaaa�aa���aa

��aaa�aa��aaaaaaaaaaa�a�aaaa��aaa�a��a��aaaa��aaaaa��aa��a��aaaaaaa�aa�a�a�a�aaaaaa��a�a��aaa�aaaa�a�a�aaaaa����aaa�a

��aa��aaa�aa��aaaaaaa�aaaaaa���aaaa�a��a�aaaaaaa����a�aaaaaaa�aaaa�aaa�a�a�aaaa�aaa��aaaaa�aaaaaa��aa��aaaaa�aaaa

��aaa�a�aaaa�aaaaaaaaaaaaaa�aaa��a�aaaaaaa�a�a��aa�

���aaaaa��aaaa�a�aaaaa��aaaaaa�aaa�aaa��a��a�aaa�a��a�aaaaaaa���aaaa�a��aaa�aaa��aa�aaaa�aaa��aaaaaaa��aaaa�a�aa�aaa

�aaa�aa�aaaaaaaa�a�aaaaaaa�aaa�aaa���

�aaaaaaaaaaaa�aaaaaaaa��aaa���aaaaa��aa�a�aa���a�aaaaaaaaaaa�aa��a�aaa�aa��aaaaaaaaaaaa�aaaa����aa�aaaaaa�aaaaaaaaaa�aa

aa�aaa��aaa���aaaaaa�aa��a��aaaaa�a�a�aaaa�aaaa�a�aaaaa��aaaaaa���a�����aaaaaa���aaaaaaa�aaaaaaaaaaaaaaaaaaaaaaaaaa

aa��aa�aaaaaaaaa�a�aaa�aaa�a�aa�aaaaaaaaaaaaaaaaa�aaaaaaaaaaaaaa�aaaaaa�a�a��aaaaaaa�aaaaa���

���:��:�������:!���:���:

�aaa�aaaa��aaaaa�aaaaaa��aaaaa�aa�aaa��aaaaaa�a�aaa��aa�aa�aa�a�a�a��aaaaaaaa���aaaaa��aaaaa��aa��a�aaa�aaaaaaa�aaaaaa�a

aa��aaaaa�aa��a�a�a��aaaaa�aaaa��aa�aaaaaaa�aaa�a�aa�aaa�a�aaaa�aaa�a�a�a�aaaaaa��aaaa��a��a�aaaaaaaaa��aa�aa��a��aa

aaaa�a�aaa��aa�a�

�������:���������:��

�a�aaa�aaaa�aa��aaaaa��aa�aaaa�aa�aaaaaa���aa�aa�aa�a��aaaa��aa�a���aaaaaaaaaaaaaa�aaaa�aaaaaaaaaaaaaa.aaaaaa.aaaaaa

a�aaa�aa�aaaa�a��a�aaaa��aaaaaa�aaaa��aaaaaaaa�aaaaa�aa��aa��aaa�a��aa��aaaa�aaa�a�a�aaa�aaaa�aa��aaaaa��aaa.aa.aaaaaaaa

�aaaa�aaaaaaaa���aaaaa�a��aaaaa�aaaa��a��aa�a��aaaa��aaaa��aaaaaa�aaaaaaa��a�aa���aa��aaa�aa����aa��aaaaaaa�a�a��a

aaaaaaaaaaaaa��aaa�a�aaa�a����aaaa�a����aa�a��a�a�a�aaaaa�aaaa�aaaa�a�a��a�aaaaaaa���aaaaaaaaaaaaa��aa��aaaaa

�aaaaaa�aaaaaaaaaa#��

��aaaaa�a�aaaaaaaaa�a�aaa�aaaa�aa��aaaaa��a���aaaaa�aa�a��aaaaaaaaaaa�aa�a�aaaaaaaa�a���a���a�a�aaaaaaaaa��aaaaaaaa�a

aaaaa��a�aaaaaaa�aaaa�aaaa�a�aaa�a�aa�aaaa�a��a�a�aaaaaaaaaaa�a��a�aaaa�a�a��aaaaaaa�aa��a�aaaaaaa�a�aaaa

a����a�aaaaaa���a�aaa���aaaaa����a �a�aaaa�aa�a�aaaaaaa�aaaaaaa�aa�aaa�aaaaa�aaaa��aaa��aaaaaaaaaaa�aa���aaaaaaaa���aa

aaaaa�aaa�aa�a�a�a�a�a�aaa�aaaa�aa��aaaa�aaaaaaaaaaaa�aa���a�a��aaaaa�a�aaaa���aa�a�a��aaaaa�aa�aa�aaaa�aaa�aaaaaaa��aaaaaa

aaa��aaaaaaaa�aaa�aaaa�a��aa��

�a��aaa�a����aaaaa��aa�aaaaaaa�a�aaaa�aaaaa�a��aaaaaaa���aaa�aaaaa��aaaa�aaaaaa�aa�a��a�a�aaaaaaa�a�aaaa�aaaaa

aaaaa�aaaaaaaaaa��a�aaaaa�a�aaa��a�a��aa�aaaaa�aaaaaaaaaa�aaaaa�aaaa�aa��aaa�a�aaaa�aaaaaaa�aaa��a�aaaa�aa�

aa�aaa�a��aaa���aaa�a�aaaa�aaaa���a�aaaaaa�

�aaa��a�aaaaaaaaaaaaata.aaa.aaaa.aa..aaaaa..aataa���:�:����aaaa�:���:��������:���a�aa���a�aaaaaaaaaaaaaaa�aaaa�aaaa

ta.aaa.aaaa�aa�aaaa�aaa�aa�aaaaaaaa�aaaaa���a��a�aa�aa�aaaa�aa�aaa�aa��aa�a�aaa�a���aaaaa�aaa�a�a��a�aaaa��aa�aaaaa���aaaaa

aaaaaaaa���a���aaaa�aaa�aaaaaaaa�aaaaaa�aaaaaaaaaa�[email protected]�aaaaaaa�aa��aa��aaaaaaaa�a��aaaaaaa

aaa���aaaaaa�aa���aaaaaaaaaaaa�a�a��aa�aa��a�aa���aaaaaa�a�a��aaaaaaa��aaa�aaaaaaaaaaaa�aaaaaa�a�aaaaaaa�a��

��aa��aaa���aa :��:�:��::���������:�������:�a��aaa�a�aa��aa���a�aaa�aaaaa��aaaaaaaaaa�aaaa�a��a�aaaaaa�aa�aaa���a

aa��a�a��a�aaaaa���a�aaaaa�aaaa�aaaa��a�a�a�aaaaaa��aa�aaaa��a��a�aaaa��aa�aaaaa�aa�aaaaaaaa��aaaaaaaa�a�aaaa��a

aaaa��aaa��aaaaaaaa�a�aaaa�a�a���aa�aa�aaaaaa�

��aaaaaaa�a�aaa�aaaa�aa��aaaa�aaaaa�aaa��aa�aaaaaaaaaaaaaaa�a�a�a��aaaaaa�aaaaaaaaa�a�aaaaaaaaaaaa�aaa�aaa�aaaa

��a��aaa�aaa�aaa�a��aaaaaaaaa�aa�aa�aaa��aa��a�a�a�aaa�a��a�aaaaa�a��

�:�:�:�:

��aaaaaaaa�a�aaaaaaaa�a�aaaaaaaaa�aaa�a�aaa�aaaa�aa��aaaa�a�aaaaaaa�aa��aaa��aa�aa�aaaaaa��aa��a��aaaaaaaaaaaa�aa��a

�� �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 30: Plastic & Reconstructive Surgery

aa��a�aaaaaaaaa�a��aa�a��aaaaaaa�aa�aaaaaa��a�a�aaa�aaaa�aa�aaaa��aa�aa�aa��aaaa�a����aaaaa�aaaaaaaaaaaaaaaaaaaaa�aaa

�aa�aaa�aa�

�a�a��aaaa�aaaa��aa�aa���aaaaaa�aaaa�a�aaa�a�aa��aaaaa�a�a�aaaaaaa��aa�aaaaaaaaaaaaaaaaaa�aaaaaaa�a�a�a�aa�aa�aaaa�aa

�aaaaaaaa�aa��aaaa�aaa��a��aa�aaaaaaaaaaa�aaaaa��a��aaa��a�a�aaa�aa�a�aaa�aaaa�aa��aaaaa��aaaaaaaa��aaaa�aaa�aa�a�a�aa

aaaaaaaaa�a�aaa�a�aaaaa�a�aaaa�a�a��aaaaaaa�a�aaaaa����a�a��aaaa���a�aaa��aa�aaaaaaaaaaaa�aaa�a�aaaaaa����aaa�aa��a�aaa

��aaaa�aa�aa�a�a��aaaaaaa�aaa�aaaa�aaaaaaaaa�aa��a�aa��aaa��aaa��aaaaaaaa�aa���aa�a�a��aaaaaaaaaaaaaaaaata.aaa.aaaa

�aa��aaaaa�aa�aaaaaaaaaaaa�a�a�aa���a�a�aaa��aaaaaaaaaaaaaa�aaaaaaa����

��aaa�a��aaaaaa�a�aaaaaaaaaaaaaaaaaa��aaaaaaaaaaaaaa�aaaa����aa�aa�a��aa��aaaa����aa�aaaaaa�aa�aaaa�aaaa�a

��aaa��aaaaa�aaa��aaa��aaaa�aaaa�aaaa�aaa��aaaaaaaaaaaaaaaaaaaa��aa��aaaaaa�a�aa�aa�aa�aa�aaa�aaa�a�a��

���������:���#���#���#���##:

��aaaaaaaaa��aaaa�aaaa����aa�aaa��aa�aa���aaaaaa�aaaaaaaaaaaaaaaaaaa�aaaaaaa��aa��a�aaaaa�aa�aaaaa�aaa��a�a���aa�aaaaa�aaa

aaa�a�aa���aa�aaaa��aaaaaaaa���aaaaaaaa�aaaaaaaaaaa�aaaa�aaa���aaaaa�aa�aaaaaaa�aaa�a�aaa��aaaaaa��a�aaa�aaaaa���aa

��aaaaa�a��aaaa��aaaaaa�a�aa��aa�aaa�aaaaaaaaaa����aaaa��a�aaaaaaa�aaa��aa��aaa�a�aaaaaa�aaaaaaaaaa�aaaa�aaa�aa�aaaaaaa

aaaa�a�aa�aaaaaaaa�aa�aaa�aa��aaaaa�a��aaaa�a��a��aa�aaaaaaaaaaaa�aaaaaa���aa�aaaa�a��aaa�a��aa�a�aa��aaaaaaaaaaaaa

aaaa�aaaaa�aaaa�a�aaaa�aa�

��aaa��aaa�aaaaaaaaaaaaaaa��aaa���aaa�a�aaa�aaaa�aa��aaaa�a��aaaaaaaaaaaaaa�aaaa����aa�aaa��aaa��aaa�a������aaa

�aaaa���aaaa�a�aaaa�aaa��aaa��aaaaaaaaaaaaaa��aaa���aaaaa��aa��a�a�a�aa�aa���aaaa�aaaaaaaaaaaaaaa��a�aaaaaa�aa��aa.aa

a�aaaaaaa�aa�aaaaa��aaaaaaaa�aaaaaaaaa��aa��a��a�aaaa��aa�a��a�aa�aaaaaaaaa�aa��aa��aaaa����aa�a�aaaaa�aaaa�aaaa

��aaa��aaaaa�

����#��#����#�##:

��aa��aaaa����aa�aaaaaa��aaaa�aaa�a��aa�aa�aa�aaaaaaa�aaa�aaa���a��aaaa�aaaaaa�aaaaaaa�aaaaaa�a�aaataaaaaaaaaaaaaaata.aaa

�aaaa�aa��aaaa�a��a�a�aaaa��aa�a�aaa�aa�����aaaa���aa�aaaaaaaa�a�aa�a��a aaaa��aaaa����aa�aa�aaaaa.aaaaa..aaa.aaataa

aaa�aaa�aaa�aaaa�aaaa��a�a��aa�aaaaaaaa�aaa�aaa�aaa�aaaa�a�a�aaaa�aaaaaaaaaaaaa�a�a��a�aaa�aa�aaaaa��aaaa��aa�a

�aaa�aa�aaaaaaaaaa���a�aaaa�aaa�aaaaaaaa�aaaa�aaa�aaaaaa�aa�aaa�aaa�a�aa�aaaa�a�aa�a#�a�a��aa�aa�aaaa���aa�aa

aa�aa��aaaa����aaaaa�aaaa�aaaaaaaaa�a���aaa��aaa����a�a�aaaaaa�aaaaaaaaa�aa��aaaaaaaaaaaa����aa�aa�aaa�aa�aaaa�aaaa�a

aaa��aaa��aaaaa�a��a�aa�aaa�aaa��aaaa�a�����aaaaaaaaaa�a�aaaaaaaaaa�aaa�aaaaaaaaaa�aaaaaaaaaaaaaaaa.aaata.aa

�aa�a�aa��a��a�a��aaaaaaaa��aa�a�aaa����a�aa�aaa�a�aa�aaaaaa�aaaaaaa�a�aa�aaaaaaa�aa�aaaaaa�aa�aaa�aaa�aaa���aa

aaa�a�aaa�

�aaaaaaaaaaaaaaa����aaaa��aa�a�aaa�aaa���aa�aaaaaa�aaaaa�aaaaaa�aaaaaa�a�a��a�a��aa�����aaaaaaaaa�aaaaaaa�a�aaaaa�aa

a�aaaaaaaaaaa�aaaaaa�aa���aa��a�aaaa��aaa�a��a��aa��a�aaaaa����aaa��aa�aaaaaa�aa���aaaa�aaaaaa�a�aaaaaa�a��a�aa

ataaaaaa.a.aaaaataa�a�aaa�aaaa�aa��aaaaaaaaa�aa�a�aa�aa��a�aaaaa����aaa��aaa�a�aaaaa�aa��aaaaaaaa��aaa�aaaaaaaaaaa�aaa

aaaa�aaaa��aa�a��aaa�aa�aaaa�a����aaaaaaaaa�aaaaa�aaa�aaaa��aaaa�aaa��a�aa�a����aa����aa��aa���a�aaa��aaa�aaaaaaaaaa�aaaa

aaaa.aaaaaaaaaaa�aaaa�aaa�����aaaaa��aa����aaaaa�aaa�aaaaaaaaa�a�aaaaa�aaa�aaa�a aa�aaa�a�a�aa�aaaaa�aaa�aa�aaa

aaaataaa.aaaaaaa����aaaaaaa�a�aaaaaaa�a�aaa��aa�aaaa�aaa�aaaaaaaaa�a�a�a�aa�aaaaa�aa�aa�a����a��aa�a�a��aa��a�a

aaa�aa�a�a�aa��a�aaaaaaaaaaaaaaaaa�aa��aaaaaaaaa��aaaaaaaaaaaaaaaa����aaa�aaaaa�a��aaaaaaa�aaaa�aaaaaaa���a�a�a��aaa

a�aaaaaaaa�aaaaaa�a��a�aa��aaaaaaa�aa�a�aa��aa��aaa���aa�aaa�aa�aa�a�aaaaaaa�a�aaaa���aaaaa��aa�a���aaaaaaaaaaaa�aa���aa

a�aa��a��aaaa�aaa�aaaaaaaaa�aaaaaa�aaaaa�

�a�a�aaa��aa�aaaaaaaaa�aaa����aaaaaa�aaaaaaaaaaa����aaa�aaa�aaaaaaaaaaaaaaaaaaaaaa�aaa�aaaaaaa���aaaaa�aa�aa��a�aaa

aaaa�a�a�aaaaaaaaaaaa�aa��a�aa�aa��aaaaaaa�aa�aaaa�aaaa�aaaaaaaaaaaa��a����a�aaaaaaaaaaaa�aa�a�aaaaaaaaaa�aaaaaa�aaaaa

��a�aaaaaaaa�aaa�a�a�aaa�aaaaaa�

��aa��a�aaaaaa�aaaa��aa��aaaa����aaaaaaaa�aaaaaa���a��a�aaaa�aaaaaaaaa����aa�aaaaaa�aa�aa��a�aaaaa���aaa�a��aa��aa

aaa�a�aaaaaaaaa�aa�aaaaaaa�aaaaa�aa��aa��aaaaa��a���a��a��a��aaaa�a��aaaaaaaaaaaa����aa�aaaaaaa�aaaaaaaaaa�aaa�aa

aaa��a�a��aa��aaaa����aaaaaaaaaaa���aa�a�a��aa��aaaa��a�a�a��a��a�aaaa��aa�a��a�a�aa�aa�a�a��aaaaaaa�a��aaaaa�a����aaaaa�aaa

aaaaaaaaaaa����aaaaaa�a�aaaaa�aaa���aaaaaaa��aaa�aaaaaaaaaaa�aaaa�aaa��a�aa�aa��aaaaaaaa�aaa�a�a�aaa�aa�a��aa�aa�a#�a

�a�aa�aa��a�aaaaaaaaaaaaaa�a�aa�aa�aaaaaaaaaaaaa�aaaa��a�aaaa���aaaaaaaa�a�aaaaaa�a�aa�aaa�aa�a�a�a�a�aa��aaaaaaaaa

�a��aa��aa�aa��a�aa��

�aaa�aa�aaaa�aaaaaaaa�a�aaa��a�a�aa��a�a��aa��a��aa�aa��#�aaaaa�aaa��a���aaa�aaaaaaa��aaaaa�aa�aaaa����aa�aaaa

a��aa��a��aaaa�aaa�aaaaaa��aa��aaaaaa�aaa����a�a�a�aaaa�aaaaaaa�a�a�aaa���aaaaa�aa��a�aa�aaaaa�aa�aaa

aa��a���a��a��aa�aaaaaa�a�aaaaa�aa�a�aaaaa�a�a�aaaa��aaaaaaaaaaaaaaa���a�aaaaaa�aaaaaa�aaa��a��aaaa�a�aaa��aaa�aaa�aaa��a

���aaa��aa�aaaaaaaa��aaaaaaaa��aa�aaaa�aaaaaa�a�aa�����aaa�aaaaaa�aa�aa�aaa��aa��aa�aa�a�aaaa�aaa���aa�aaaaaaaaaa

aa�a�a��aa�aaaaaa��aa�a��a�aaaa�a��aaaaa�aaaa�aaa��aa��a��aaaaa�aaaaaaaaaaaaa�aaaaaaa�aaaa�aaa�aa�a��aaa��a���a�a

�� �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 31: Plastic & Reconstructive Surgery

lt..taaaalaa.aaaaal....aaaaaaataaaa..aaal.ata.aa.aaaaa��a�a�aaaaa��aaaa�aaa�a�a�aa�a��a��aa�aaaaaa��aa��aaaa����aa�a�aa

a�a�aaaaaaa�aaaa��aa�aaaa�aaaa��aaaa��aa�aaa�aaaaaaa�a�a��aaa�aaa����aaa�a����aaa��aaa�aaa�aaaaaa��aaa�aa�aaa�aa�aa

aa�aaaaaa�a�a��a�aaaaaaaa�aaaaaaaaaaa���aaaa��aa�aaaaaaaa��a�aa�aa�a��aaa��a���aaaa���aaa�aaaaaaa.aa.aal.a.aaaaaa

aa���aaaa�aaa�aa��a�aa�aa�aaa�a�aaaaaaaaa�a�a�aa�

X���������#�

��aaaaa�aaaaa��aa�aaaaa�a��aaa�aaaaaaa�aaa�aaa�aaaaaaaaaaaaaaa�a�aaa�aaaa�aa��aaaa�a�a�aa�aaaaaa�aaaaaa�aaaaaa���a��a

�aa��a�aa�aa�aaaaaaa�aa���aaaaaaaa�aa�aa��a�a����aa�aa�aaaaaa���aaaaaa��a��aaaaaa�aaaa��a�aaa�aaaa�aa�aa��aaaa�aaaaaaa

�a�aaa�aa��aaaaaaa�aaaaaa�aaa�aaa�a��a�a��aaaaaa�aaaaaa����aa�aaa�aaaaaaaaaaaa�aaaa��aa�a��a�aaaaaaaaa�aaa

aaaa.a.aaaaaa.laaaa�aa��a�aaaaaaaaa���aaa��aaaaaaa��aa�aaaaa�aaa�a��a�aaaaaataaaa..aaaalaaa..aataaa.laa..aaaal....aaaaaa

aaaaaaaaa�aaa�a��a�aa�aa�aaaa��aa��a#�a�a��aaa��aa�aaa��aaaaaaa�a��aaa�

��aa��a�aaaaaa�aaaaaa�aaaaaa���a��a�aaaa�aaa�aaa�aa�aaaa�aa�aa�a����aa�a�aaaa�aa�aaaaaaaa��aa��a��a�aa���a

aa��a�a�a�aaaaaaa�a��aaa�a��a�aaaaaaaaaa�a��aaaaaaa�aa�aaaa�aaaaaaaaaaa��aa�a�aaaa�a��aaaa�a�a�a��aaa��aaa�aa�a

aa�aa�aaaaaaaa�a���a�a�aaaa�aa�aaaaaaa�aaaaaaaaaaaaaa�aa�a#�a�aa�a�a��aaa�aaaaaaa��aa�aaa�aaa��aaaaa��aa�a��a�aaaaaa�aa

�aa���aaaaaaaaaaaaaaaa�aaaa�aaaa�aaaa�aaaa�aaaa�aa�aaaaaaaaaa�aaa��aaaaa�aaaa��a��a�aaaaaaaaaaaaaaa�aa�aaaaaaa�aaaaa#�

�a�aa��aaaaa�aaaa�a��aaa�

��aaaaa�aaaaa��a�aaaaaa�aa��aa�aaaa�aaa�a�aaaaaaaa#�aa�aaa�aa�a���aaa��a��a�aaa�a��aaaa�aa��a�aaaaaa�aaaaaaaaa

�aaaa�aaa�a��aa�a�aaaa�aaaaaaaa�aaaaaaaa�aa�aaaa�aaaaa�aaa�aaa�a�

�����:����:���������:��

���aaa��a�aaaa�aa��aaaaa��aa�aa�a�aa�aa�aa�aaaaaa�aa�aaaaaaa�aa���aa�aaa.ata����aaaaaa��aaaaaa��aaaaa�aaaa�aa

�aaaaaa���aa�aa�aaa�aaaa�aaa�aaaaaaaaa��aaaaaa���a��a��a�a�a�aaa�aaaa�aa��aaaa�a.laa.ataa..aataaaa.aa.aaaaaa

�a��aa��aaaa�aaaa�aa���aa��a��aaaa�aa�aaaaaa��aa�aaaaa���aaaa�aaaaaaa�aaaaa��a��aa���aaa�aaaa��aaaa�a���aaaaa�aa�aa��a

�a�aaa�a��aa��aaaa�aaa�aaaaa��aa��aaaaaaa�aaaaaa��aa��a��aa��a��aaa��a�a�aa��a��aaa��aaaaa�aaaa�aa��aa��aa���aaaaa�aa���a�a

�a��a����aaa�a�aaa��a��a��a�aaaa�aa��a�aaaa�aaaa�aaa�aa�aa��aaaaaa��aaaaaa�aa���aaaaa�aa�aa�a��aaaaa���aaa��a�aaaa

.aa..aaaaaa..la.a.aaaa��aaa��aa�a�aa��a�aaaaaaa���:�������:��a����aaa��aaaaaaaaaaaaaaaaaaaaa�aaaaaaaa�aaaa�a�aaaa��aa�a�aa

aaa�aaaa�aaaaaaa����a�aaaaa�aaaaaaa���a��aaaa�

�a�a��aaaa��aaaaaaa�aa��aa��aa�aaaaaaaa�aa�a�a�a��aaaaaa�aaaa��a�aaaaaa���aaa��a�aaaa�aa��aaaa�aaa�aaaaaa�a�aaaa��aa�a

aaaaaa�aaa�aaa�a�a��a�aaaaa���aaaaaaaa�aaaaa�aa���aa��a��aaa��aaa��a�aaaaaaaaaa�a��aaaaaaaaa�aaaa��aaaaaaaaa�aaa

aaaaa�aaaaaa���aaaa��aa�aaaaaaaaaaaaaaa�aaaa�aaa���a�

��aaaaa�aaaa���aaaaaaaa���aaa��a�aaaa�aa��aaaaaaaaa�aa���aaa�aa�a�aa�a�aaaaaaaa�aaaaa�aaa�aa�aaaaaa��aa�aaa�aaaaa�a�a���aa

aa..aaal.atalaaaaaa.aa.a.aaaaa.aaaaa�aaaaaa��aa�a��aaaa�a�a���aaa�aaaa��a�aaaaaaaaaaa�aaa��a�aaa�a�aaaaaaaaa�a

���aaa��a�aaaa�aa��aaaa�aa�aaaa�aaaaaaaaaa�a�a��a�aaaaa�a�aaaaaaaaaa�aaaaaaaaaaaaaaaaa�aa�aa�aaaaaa��aaaaaa�a

��aaaa�aa�a�aaa�aaaa�aaaaaaaaa�a�aaa��aa�a�aaaaa�aaaa��aaaaa�aaaaa�a��aaa��aaa�aa�aaaaaaaa�a���a��aa��aaaa��aaa��a

�a�aa�aaaaaaaa�aaaaaaaaaaaa����a�a�a��aa�aa�aaaaa..aaaaaaaaaaaaa�aaaa�aaa���aaaaaaaaaaa�aaa���aaaa�aaa�a�aaaaaaaaa

aaa�aa�aaa�aaaaaaaaa�aaaaaaa����a�

�aaaaa���aaa��a�aaaa�aa��aaaaa���aaaaaaaaa�aa�aaa�aaaa�aa�aaaaaaa�aaaaa��aaa��aaaaaaa�aaa��a�a�a��a�a�aaaaaa�a��a��aa

��aaa�aaaaaa�aaaaaaaaaa�aaaa�aaaaaaaa�aa�aaa��a���a��aa�aaa�aaaaaaa���a�aa�a�aaa�aaa��aaaa�a�a�a��aaaaaaaaaa����aa

�a�a��aa�a�a�aaa�aa�aaaaa��aaa�a�aaaa����a��a�a�aaaa�aaaaaaaa���aaaaaaaaaaaaaaaa��aaaaa�aaaaaaaaaaaaa�aaa�aaa�aaaaaaa

aa�aaaaaa��aaaaa��aa��

���aaaaa��aaaa�aaaa�aaaaaaa�a�aa�aaa�aaa�aaaaa�aaaaaaaa�aaaa�aa�aaaaa�aaaaa��aa�a�aaa�aaa�aaaaa��a�aaaa�aaaaaa

�aaaa��a�aa���aaa��a�aaaa�aa��aaaa�aaaaaal�aaaaaaaa�aaaa�a�aa�aa�a����aaa�aaa�aaaaa�aa���aaa�aaaa�aaaaaaa�aaa�a

aa�aa�a�aaa�a�aaaaaaaa�aaa���aaa��a�aaa�a�a��aaa�aaaa�aaa�aaaa�a�aa��a�aaaa�a��aa�aaaaaaa�aaaa�aaa�aaaaaaaaa�aaaa

�aaaa�a���aaa���aaa��a�aaa�aaaaaaa��aaaa��aaaaa�aa��aaaaaaaa���a�aa��a�aaaaaa�aaaaaaaa��aa��aa�aaa�a�aa�aaa�aaa�aaaaa

�aaaaaaaaaaaaaa��aa�aa�aaaaaaaa�aaa��aa�a�aa�aaaaa�aaaaa�a�aaaa�aaa�aaaa�a�aa�aaaaaaaaaaa�aaa�aaaa�aaaa�a��aa�aaaaa�a

aaaaa���a�

��a��a�a�a�aaa�aaaa�aa��aaaa��aa�aaaaa�aaaaaaaaaaaaaaaa�aaa��aaaaaa��aaaa���aaa��a�aaaa�aa��aaaa�aaaaaa��aaa�aa�a�aa

aa�a�aa��aaaaa�a�a�aaaaaaa��aa�a�aa�a�a��a�aa�aa��aaa�aaa��a���aaaaa�aa�a����aaaaa��aa�a a�aaa�aa�aaaaaaaa�aaaa�aaaa�aaaa

aaa�aaaaaaaaaaaaaaa�a�a�aaa�aa���a�a��aa�aaaaaa�aa�aaaaaaa�aaa�aaaaa�a�aaaaa�aa�aa���aaaaa��aaaaaaaaa�aaaaaaaa�aa�a�a�a

aaaaa����aaa���

��aaaa�a�aaaaaaaaaaaaaaaaa��a��aaaaa�a�a�aa�aaa�a�aaa�aa�aaaa��aa�aa�aaaa��a��a�aaa�a��a��aaa�aaaaaa�aaaa

�a��a ��a�a��aa��aaaaa���a��aaaaa�a�a���aaa��aaaaa�a�a��a�a�aaaaaaaa�a�aa�����������a������a��������

�� �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 32: Plastic & Reconstructive Surgery

��a�aaaaaa�aaaaaa��aaaaaaaaa�aaaaaaaaa������aaaaaa�aa�a��a�aa�a�aaa�aaaa�aa��aaaa�aaaaaaaaaa��aaaaaaaaaaaa����aa

aa��aa�aa�aaaaaaaaaaaaaa�aa���a�aaa�a�aaaaaaaaa��aaaaa�aaaa��aaaaaaaaa��aaaaaaaa�aaaa�aaaaa��aaaa�a�a�aa�a�a�aa���aaaaaaa��aaa

�aaaaaa���aaaa�aaaa����aaa�aa��a�aa�aa�aaaa��aaaaaaaaaaa�aaaaaaaaa�aa�a�aaaa����aa���aaa��a�aaaa�aa��aaaa��aaaaa�aaaa�aaa

�aa�aaaaaaaaa�aa���aaaaaaaaaaaaaaaaa�aa�aa�aaaaaa�a�aaaaaaaaaaaaaaaaaaaa�a�aaaaaaaa�aa�a��aa�a��a aaaa���aaaa�aa�a

aaaaaaaaa��aa�aaaaaaaa��aaa��aaa��aa�aa�aaaaa��aaaaaaaaaaaaaaaaaaa�

�a�a��aaa�aaa�aaaaaa�a��aa�aaaaaaaa�aaaaaaaaa�aa���a��aaaaaa��aaaaaa��aaa�aaa�a�aa�a�a�aaaaaaaa�aaaaaaaaa�a�a�aaa��aaaaa

�a��aaaa�aaa�aaa��aa�aaaaaaaa�aaaaaa�aaaaaaaa�aaaa�aa�aaa�aaa�aa�a�aaaaa�aaaaaaaaa����aa�aa��aaaa�aaaaa�aaaaa�aaa�aa

aaaaaaaaaaa�aa��

�aaaa��a�aaaaaa��a��aaaaa��a���aaa���.aaaa�aa��aaaa�a�a�aaaa�a�aa������##�����a������a����#����

�a����aaa���a�aaaaa�a���a��aaaaaaaaa��aaaa��a�aaaaaaaaa�aaa��aaaaaa�����aaaaa��aaa��a��aaaa����a��aaa��aa�a�aaaa

����������#�a������a���#�����

�aa�aaaa���a�aa���aaa�aaa��a�aaaaaaaaaaaaa�aaaaa��aaaaa��aaaaaaaaa�a����a��������������a������a���������

�aaa���a���a�aaa�a���a�aaaaaaaaaaaa�aa�aaaaaaaa���a��aaaaaa�aa�aa�a�aa�aaaa���aaaaaaaaaaaaaa�a�aaaaaa��aaa

��������������a������a������#��

�aaaaaaaaa��aaaaaa�a��aaaaa��aaaaaaaaaaaaaa�aa�aaaaaaaa���aa�aa�a�a�aaa�aa�aa�aaaaaaaaaaaaaaa�a�aa�aa�a�aa�aaa

��aaa��������������a������a�����#���

�:!:�����:�#����

��aaaa�a��a��aaaaaa��aaaaaaa�a�aa�aa�aaaaaaaaa�aaaaaaaa��a��aaaaaaaaaaaaaaaaaaaaa�aaaaa����aa�a��a�a��a�aaaaa�a�a�aaaa

�a�aaaaaaaaaaaaaa��aa�aa�aa��aaaa�aaa�aaaaaaaaaa��aaaa��aaaaaa��aaaaa�aaaa�aa�

�aaaa�aaaaaaa���aaaaa�aa�aaaaa����aa�a��aaa��a�aa�a�a�aa��aa�aaaaaaaaa�a�aaaaa�a�a�aa�aa��aa�a�aaa���aa�aaa���a��aa�aa

�a��aaaaa�a��aa�a��aa�aaaaaaaaaa�aa�a��aa�a#�aa�aaaa�aa�aaaaaa�a��aaaa����a��a��aa�aaaaaaaaaaa�aaaaa�aaa�aaaaaaa�aa�a��aaa

aaaaa�aaaaa�a�a�aa�aaaaaaaaaaaaa�aa�a��aa�aaaaa�aaaaaaaaaaaaaaaa��a��aaaa�a��a�a��aaaa��aa�aaaaaaaaaa�aaaa�aaaaa�aa

aa�aaaaaa�aaaaa��aaa��aaaaa��aaa�aaaa��a�aaaaaaaaaaaaaa�a��aaaaaaa��aa�aa�a�a�aaaaa�aa��

��aaaa�aa�aaaaaaa�aa�a�aaa��aa�aaaaaaa�a�a��aa�aaaaaaaa�aaa�aaa��aaa�aaa��a���aaaaaaa�aaaa�aa�aa�a��aaaa�aaaa���a�a��aa

aa.aaaaa��aaaaaaa��a�aaa�a���aaaaaaaa�aaaaaaaaaa���aa�aaa�a�aaaaaa�aaaaaa�aaaaa�aaaaa�aaaaaaa��a��aaa�aaaaaaaaaaaaa

�aaaaaaaa�aa��a�aa�a�aaaaaaaa�aaa�aaaa�a�aaaa��aa�aaaaaaa�a�aaaaaaaa��aa�aa�a���aaaaaa�aaaa�a��a�aaaaaa��aaaa

at.at.a..aaa�aaaaa����aaaa�aaa�aaaaaa�aa�aaaa�aaaaa��aaaaaa��aaa���aaaaa��aaaaaa����aa��aaaaaa�aaa�a�aa�a��aaa�aaa��aaa��

aaa��aa�aa�a��aa�aa�aaaaaaa�a�a��aaaaaaaa�a�a��aaa�aaaaaaaa�aaaaaaaa�aa��a�aa�aaaaaaa�aa��aaa�a�aaaaa�aaa�aa��a�aa

�a��aa�aa�aaa�a�aaa�aaa�aaa�a�aaa�aa�a��aaaa�aaaaaa�aaaaaaaaaa���aaaaaa�aaaaaaaaa�a�a��aaa�aaaaaaa��aaaaaaaa�aaa

��aaa�aaa�a��aa���aaaa���aaaa�aaa�a�aaa��aaaaaaa��aaaaaaaa���a�

�:�:�:�:

��aaaaaaaaa�a�aaa��aa�aaaaaaa�aaa�aaa�aaaaaaaaaaaaaaaaaa�aaa�aaa��aa�a�aaa���aa�aaaa��aaa�aaaaa���aaa��aaa���a

aaaa�#a�a�a��aaa�a�aaaaaaa�aa�aa�a��aa��aa�a��a�aa�aa�aaaaaaaaaaa��aa�aaaa�aaa�aaaaaaaaaaa�aaaaaaa���aaaaaaaaaaaaa��aaa

aaaa��aa�aa�a��aaa�aaa�aa�aaaaaaa��a�aaaaa�aaaa�aaa�aaaaa�a�aaa�a�a�aa�a��aa�aaaaaaaaa�aaaa��aa�aaaaa�aaaaa��a���aa

a�aaaaa���aaa�aa��a�aaa�aaaaa�aaaa��a��aa�#a�a�a�aaaaaaa�a��aa�aaaaaaaa�aaaaaaaa�aaa��aaa�aa�aaaaa�aaaaaaaalaaa..a

aaaaaa�aaa��aaaaa��aa�a�aaa���aaaa�aaaaaa�a�a��aaaaaa�aaaa���aaaaaaa��aaa���aa����a�a�aaaaaa���aaaaaaaaaaaaaaaaaaaa

aaa��aaaa��aa�aaaaaa�aa�aaaa��a�aaaaaaaaaa�a�aaaaaaa�aaaaa�aaaaaaaaa��a�a��aa�aa�aaaaaa���aaa�aa�aa�aa�aa�a

��a��aa�aaa��aa�aaa�a��aaaa�aa��aaaa�aa��a�aa�a����aa�aa�aaaaaaaaaaa�aaa�aaaaa�aaa�aaaaaaaaa�aaaaaaaaaaa�a�aaa�a��aaaaaa

a�aaaaa�a�a�aaaa�aa�aa�aaa�aaaaaaa�aaa�a�aaaa�aa�a��aaaa�aaaa��a�aaa���aaa�a��aaa�aaaaa�aaa��aaa�aaaaa�aaa�aaa��a

�aaaaaaaaaa��aa�aaaaa���aa��a�aaaa�aaaaaa��aa�aaaaaaaa�aaa���a�a�a��a�a�aaa�a�a�aaaa��aa�aaaaaaaaaa.al.aaa.aaa.lal.a

�aaaaaaaa�aa��aaaaaaaa��aaa�aa�a�aaaaa�aa��a�aaaaaaaaaaa��aaaaaa�aaaaaaaaa�a�aa���aa��a�a�aaaaa�a�aa�aaa�aa�aaaaa

aaaaaaaaa�aaaaa��aa�aa�aaaaaaa�a��aaa�a�a�aa��aa�aaaaa�aaaa�a�a�a�a�aa�a�aaa�aa�aaaaaaaaa�aaaaaa�aa�a�a�a�a�aa�aaa

�aaaaaaaaa�aaaa���aaaaaa��a��aa�aaaaa�aa���aaaaaaaaaaaa�a�aaaa�aaa�a�aaaaaaaaa�����a��a��aaaaaalaa�a����aa��aaaa�a�a�

a����aa��aaaaaa�aaaaaaa�aaa��a�aaa����aaaaaaaa�aaaaaa�a��a�aaa��aa�aaa�a�aaaa�aaaaaaa�aa��aa�

�a�aa�aaaaa�aaa�aaa�aaa�aa�a��aa�aa�a�aaa�aaaaaa�aa��aaa�aaaaaa�aa�a�a�aaaaaaaa�a����aa�aa��aaaaaaaaa�aaaaa�aa��aaaaaaa

aaaa��aaaa�a�aaa�aaa�aaaaaaaaaa�aa�a�aa��aaaa�aa���aa��a�aa�aa�a�a�aaa�aaa��aaa�aaaaa����aa�a�aaaaaaaaaa�aa�a���aaa�a

a.aaaa��a��aaaa�aa��aa�aaaaaaaa�aaaaaaaaaaa�aa�aa�aaaaaaaaaa�aa�a�aaaaaa�aaa�aaaaaaa�aaaa�aaaaa�aaaaaaaaaaaaaaaa�a

�a�aaa�a��a�a�aa��a��aaaa��a�a��a�aaaaa�aaaa�aa�aaa�aaaa�aaa�aa�aaaaaaaaaaa�a�aaaaaaaaa�a�a�a�aaa�aaaa�aaaa�a�aaaaa

ataaaa.aaaaa��aaa��a�aaaaaa�aa�aa�aaa�aaa�aaa�aaa�aaaa���aaaa����a�a�a�aaaaaaaaaaa�aaaaaaaa�aaaaa�aaa�aaa��aa�aaa�aaaa

�� �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 33: Plastic & Reconstructive Surgery

�a��aa�aaaa�aaaa�aaaaaaaaaaaaaa�a�aa�aaaa�a�aaaa�aaaa�aaa�aaa�aaaaaa�aaa�aa�aaaa�a�a�aaaaaaa�aaaaa�aa��aaaa�a

a��a��aaaa��a��aaa��aaaaa�aaaaaaaaaa�aaaaaaaaaaaa��a�a�aaaaaaaaaaaa��aaa�a�aa�aaaa�#a�a�a�aaaa�aaa�aa�aaaaaa�aa�aa

l.ata�aaaa�aaa�a�aaaaa�a�aa�aaa�aa�aaaaaaa���aa��a�a�aaaaa�

��aa��aaaaaaa��aaa��aa��aa�aaaaaaaaaaaaa���aa��aaaaaaaaaaa��a�a��aaa�a�aaaaaaaaa�a�a�a�aaaaaaaaaaaa�aaaaaaaaa

aaaaaaaaaaaa�aaaaaaaaaaa���aa��aa�aaaa�a�aa���aa���a��a�aa�aaa��aaaaaaa�a�a�a��a�aaaaaaaaa�aaaaa�aaaaaaa�a�aaaaaa�����

aaaaaaaaaa��aaaaaaa�aa��a��aaaa�a�a�a�a��a�a�aa�aa�aaaaa�aaa�aa�a�a�a�a�aa�aaaaa��aaaa�aaa��a����aa�a�aaa

aa�aaaaaaaaaaa�aa��aa��a�aaaaaaa�aa��aaaaaa�aa�a��a�aaaaaaaaa�aaa�aaaa��a�a�a�a�aaaaaa�a��aaaa�aaa�a�aaaaaaa�a�a

�aa�a��a�aa�a��aa�a��a����aa�aa�aaaa�aaaaaa�aaaaa�aa�aa��aaaa�a�a�a�aaaa�aa�a�aa��aaa�a�aaaaa�aaa�a�aa�a�aa

.aa.al.a�a��aaaa�a����aa�aa�a�aa��a�aaa�a�aa��a�aaaaa�aa�a�aaaaaaa�aa��aaa�aa�a���a�aa���aa���a��a�aa�aa�aaaaaa�aaaaa

a�a�aaaaaaaaa�aa��aa�a�aaaaaaaa�aaa�aaaa�a�aaaaaaaaaaaa.a..aaa@���aaaaa�aa�aaa�aa�a�aa��a��a��aaaaa���aaa�aaa

aa�aaaaa�aaaaaaaaaa�aaa�a�aa�a�aa���aa�aaaaaaa����a�a�aaa��aaaaa�aaaaaaaa�a�a�a�a�aa��aaaa�aaaa�a��a����aa�aataalat�aa�

a�aa�a�aa�aaa�aaaa�aa�aaaa��aa��a�a�aaa�a�a�aaaaa���aaaaa�aaaaa�aaaaa�aa,&& ,& &&&&&&&&&&&&&&,aaaaaaaaaa.t.aa..a

aaaa�a��aaaaaaaa���aa�a�aa...aaaaa,&&&&&&&a��aa�aaaaaaaaaaaa�aaa�a�aaaaaa�aaaaa��aaaaaaaaaaat..a.aaaaa.aaa.aaa..a

���a�aa�a�a�aa�aa��aaa��aa���a�aaaa�a��aaa��aa�aaaaaaa�aaaa�aaaaaaaaaaaaaaaaaa��a�aaaaaaaaaaaaaa���aa���a��a�aa�aa

�aa��aaa�a�aaaa��aaa�aaa��a��a�aa�aaaa�a�aaaaaa��aaaaaaaaa�aaa�a��aa�a�aaaaaaaa�a��aa��aaaaaa�aa�a��aa�aa�aaaa��aa

�a�aa�a�a�aa��aaaaaaaaaaaaaaaaaaa���a���aa�aa�aaaaaa���aaaaaaaa�aaa�aa��aaaaa��

�aa�a�a��aa��aaaa�aaaaaaaaaaaaaaaaa��aaaa�aaaaa����aa�a�aa�aaaaaaa�aa��aa�a�a�aaaaaa�a�a��aa��a�aa�a�aaa����aaaa��a

a�a�a�aaa��a�aa�aa�a�aaa���������aaaa���������a��aaa�aaaaaaaaaaaaaaa�a�a��a�aaaaaaaaaa�aa�aaaaa�a�a�aaaaaa

a�aa�a�aaaaaaa�aa��aa�aaaaaa�aaaaaaaaaa��a����aa�aaaaaa�a��aaaa��aaaaa�aaaa���a��aa�a�a�a�aaaaaaa�aaa��aaa

a�aa�a�aa�aa�a�aaaaaa�aaaaaaa�a�aaaaaaaaa�aa�aaa�aaaaaaaaa�a�aaaa�aaaa�aaaaaa�a�aaaaaaaa�aa�a�aa

�a�a�aa�aa��aaaaaaaa�aaa���a�a��a��aa�aa�a�aa��a��aaa�aaaaaa�aa�a�aaaaaaa�a�a�aaa�a�a�a�aaa�aaaa�a��aa�aaaa��aaaaaa�a

a�a�a�aaaa�aaa�a�aa��a��aaaaaa�a�aaaaaaa�a��a�aa�aaa�a�a�

��aa�aaaaaa�aaaaa�aa�aaa�aaa�aaaaaa�aaa�aa�aaaa�a��aaa���aaaa�a�aaa�aa�aaaaaa�aaaaaa���aa�aaaaaa��aaa���aaaa

�aaaaa�aaaaa�a�aa�aaa�aaaa�a�aaaaa�aaaa��aaaa�aa�aaa�aa�a�aaaaa�aaa�a��aaaa��a�aa�a�aaa����aa�aaa�aaaaa��aaaa

�aa�a�aaaaaaaaaaaaa�aa�aaa��a�aa�aaaaa�aa�aaaaa�a�aaaaaaaaaaaaaaaa�aa�aaaa��a�aaa���aa�aaaaaaaaaaaaaaaaaaa�aaaa���aaaa

a��aaaaaaaaa���a�aa�aa����aa�aaa�aaaa��aaaaaaaa���a��aa�a�aa��a�aa�aaaaaaa�aaaaaaaaa�aa��aaa�aa�aaa��aaaaa�aa

aaaaa�aa�aaaa�a�aaa�aaaaa��aa�aaaa�a�aaaaa�aa�aaaaaaaa�a�a�aaaaaaaa�aaaaaaa��aa��a�aa�a�aa�aaaaaaa��aaaaaa�aa

a����aaaaa��a�aaaaaa�aa��a�

�a�a�aaaaaaa��aa�a�a�aaaaaa�aaaaaaaaaaa���a��aaaa��aaa��aaa����a��a�aa�a��aaaaaaa�a����aa�aa�aaaaaa���aaaa��aaa�a�aa���a

aaaaaa�aa���aa�a�aaaaaaa��aa�aaaaaa�a�a�a��aa�a��a�aaa�aaa����aaaa�aa�aaa�a�aaaaaaaaaa�aa�aa���aaaaaaaaaa�a�a

��aaaaa����a�aaaaaaaaaaa��aaaa�a����aa�a�aaa�aa��aa��a���a�aaaaaaaa�aaaaaaa��aa�a�aaaaaaaaaa�aaaaaaaaaaa���a�a

�aaaaa�aaaa�aaaaaaaaaaaaa�a�a�a�aaa�a�aaaaaa�a�aaa�aaa���aa�aaaaaaaaaaaaaa��aa�aaaa�a��aaaaa��aa�a�aaaaa�a

������a��aaaaaa�aaaa�a��aaaaa��aaa�aaa�aa�aaa����aaa��aa�a�a�a��aaa�aa�aaaa��aaa�aaa�aaaa�aa��aaaaa�a�a�aaaaaaa

a����a�aaaa��a�a�aaa�aaa��a��a�aaa��a�aa�aaaaaa�aaaaaa�aaaa�aaaa�a�aaa�aa�a��aa��aa�a�aaaaa��a���aaaaaaaaaa�

aaaa��aaaaa��aaaaaaa�a�a��a�aa�a�aaaaa�aaaa�aa�aaa�aa�aa�aa�a�aa��aaaaaaaaaaa�aaaaa��a��aaaaaaaa�aa��aa�a��a�a�aaa

a��aa�aaaa��aaa�aaaaaaaa�aaaa�a�aa�aaaa�a��a�aa�aaa�a�aa�aa�a��aaaa�aaaaaaaa�aa��aaaaaaa��aa�aaa��a�aaaa

�aaaaaaa�aa�a��aa���aa��aaa�a�aaaa�aa�a�aa��aaaaaaa��a�aaaaaaa��aa��a�aa�a�aa�aaaaa�aaaaaaa��aaaa�a�aa�aaaa��a��a

aaaa�aaaa�aaaaaaaaaaaaaa�aa�a�aa��aaaa�aaaa��aaaa�aa��a�aa�aaaaa�a�a�aaaaaaa�a��aa�a�aaa�aa���aa��aa�aaa���a�aa

�aa��aaaaaa�aa�a�aa�aaa���aa�a�a�aaaa�aaaa��a�aaaa�aaa�aa�a�aaaaaaaa�aa��a�aa�a�aaaa��aaa�a�a�a�a�a�aaa�aaaaaa�a��a�a

aa�a�aaaa��a�aaaa�aaa��a�aaaaa�aaaa��aaaaaa�a�a��a�aa��a�aa�aaaaa�aaa�aaa�aaaaaaa�aaaaaaaataaa..aa.laa..aaa

aa��a���a��

�aaaa�aaaaa����[email protected]@�aaa�aaaa�aaaaa�aa�a�aa��a�aa�aa�aa�aaa�a�aa��a�aa�aaa�aa��aa�a�aaa.lalaa.aa.a

a����aa�a��a�aa��a�aa�aaaaaaaaa�aaaaaaaa�aaa��a��aaa�aa�a�a�a�aaa����aa�aaaa�a�aa��a�aa�aa�aa�aa��a�a�����a��a��aaaaa

a�aaaa��aa�a�aaa��a�aa��a�aaaaa�a�aa�aaaaaa�aa�aa�a�aaaaaaaaaaa���aaaaaa�aaaaaaa�a�aaaaa�aaaa�aa�aaaaa�a��a�a���aa

�aa��aaa��a�aa�aa�aaaaaa�aaaa�aa�aaaaaaaaa�aa�aaaaa�aaaa�aaaa�aaaaa�aa�aa�aaaa�aaaaa�aaaaa�aaaaaa�a�aa�aa�aaa�a�aaa

�aaaaaaaaaaaa�a�aaaaa�aaa��aa�aaaaaa�a�aaaaa�aaaaa�aa�a������a��a�aaaa�aaa�aa��a�a��aaaaa�aa��aaa�a�aa�aa��a

�����a���aaaa��a�aa�aaaaa�aaaa�aaa�a�a���aaaaa�a�aaa�aaaaa�aaaaa��a�a�aaaaa��aaaaaa�aaaaa�aaa�aaa��a�a���aaaa���a

aaaaa�aaaaaaa��a�aaaaaaaa�aaaa�aa�aa�aaaaaaa�aaa�aaaa�a�aa�aa��aa�

�aaa��aaaaaa�aaaa�aa��a����aa�a�aaaaa�aaaaaaaa�a�a�aaaaa��a��aaaaaa��aaaaaaa�aaaa��a�aa�a����aa��aaa�aa�a�a�a��aaaaa

a�aaa��a��aaaa�����aaaaa��aa����aa�a��aa�a����aaaaaaaaa�aaaaa��a��aaaaa�aaaa�aa�aaaaa�aaaalaa.ata.aaaala..ataaaaa.aaa

aa��aaaaaa�a�aa�aaaaa�a�aa�a�aaaaaaa�aaaa�aa�aaaaa���aaaaaaaaa�a�aaa���aaaaa�aa�aa�aaaa�aaa�a�aaa�aaa�a�a�aaaa�aaaaaaaaaaa�a

a�aaaa��aa�aaaaaa�aa���aaaaaaa���aaa�a�aaaaaaaa����aa�a�aaa���aaaa��aaaa���aa��aaaaaaaaaaa�a�aaaaaaaaa�aa�a�a�aaa�a�a�

�� �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 34: Plastic & Reconstructive Surgery

a����aa��a���aaaaaaa�aaaaaaaa�aaaaaaaa�aa�a�aaaaaaaa�aa�aa��a�aa�a�a�aaaaaaaaaaa�aaaaaa�aa�aa��aa��a�aaa�aaaaaa�aaaaaaa�aa

ta.al.aaaaa�a���a�aaa�a��aaaaaaa�a�aaa�a�aaaaa����a��a��aaa����aaaaaa�aa�aaaaa��a�aaa����a�aaaaaaaaaaaaaa�aa�aaaaaaaaaaa

��a���aaaaaa���aaaaaa�aaa�aaaaa���aa�a�a�aa��aa��aaa��aaaaa�

�aaaaaaaaaaaaaaa����aa�aa��aa�aaaaa�aaaa�aaaaaa�aaaa��aa��a�aaaa���aa��aa�aaaaaaaaaaaa�a��aaaa�aaaaaaaa�aaaa�aaa�aa

��a�aaaa�aa�a��a�a�aaaaaaaaaa�aaaaa�aaaaaa�aaa�a��a�aaaa�aaaaaaa�aaaaaaaaaa�aaa�aaaaaa�a�a�a��aaa�a�aa��aa�a

�aaaa�aaaaaaaa�aaaaaa�a�aaaaaaaa�aaa�aaa�aaaaa�a�aa���aaaaa���aa�aaaaa��aa�aa�aaaa�aaa�aaa�aaaaaaaaaaaaaa�aaaaaa

�a�aaaaaaaaaa�aaaaaaaaa��aaa�aaaaaa�a�aa�aaa�aa�a�aa���aa�a��a�aa�aa��aaaaaaaaaaaaaaa�aa�a�aa�a�a�aaaaaaa

�aaaaaaaaaaa��aa�aaaa�aaa�a�aa�a�aaaaaaaaa�a��aa�aa�aaaaa�aaaaaa�aaaa�aaaaaaa���aa��aa�aaaaa�a�aaaaa��aa�aaaaaa

�aa��a���aaa�a��a�aaaaa�aaaa���aa�a�aaa�aaaaaa��a�aa�a�aa���aaa��aaaaaa�aa�aa�a�aa�aaaaaaa�aa�a����aaa��a�a�aaa�aaaaaa�a

��aaaa�a�a��aa��aaa�aaaaaaaaa�aa��a�aa�aa�aa�aa�a��

��aaa�aaaaaa��aaaaaaaa��aaa�a�aaaaa�aaaaa�aaaaa�aaaaa�aaaaaaaa�aa�aaaaaaa�aa�a�a��a�a����aaaaaaa��aaaaaa��aa

aaaaaa�aa�aaaaa�aaa��aaaaaaaa�aa�a�aaaaaaaaaaaaaaa��aaaaaaaaa��a�aaaaaaaa�aa�a�aaaaaa��aaa�aaaaa�a�aaaaaaaaaa�aaa

aa��aa�a�aaaa�a�aa�aaa�aaaaa�a�aaaaaaaaaaa���aa�aaa�aaaaaa����aaa�aaaaaaaaaaa�aaaa�aaa��aa��a�aaaaaa�a�aaaaaa��aa

aa����aa�

�aa�a�a�a�a�aa��aaaa�aaaa�aaa�a�aa��aa�aaaaaa�a��aaaa�aaaaa����aaaaaa�aa�aaaa�a��aaaa�aa��a�aa�a��a�aa�aa�aa��aaa

�a����aaaaaaaaa��a��aa���aaaaaaaa�aaaaaa�a�aaaaaa�aa�a��aaaaaaaaaaa��aaaaaaaaa����a�aaa�a�aaa�a��a�a�aa�aaaaaaa..aaaaa

aaaaaaa�aaaaaa��a�a�aaaaaa���aa�aaaaa����aaaaaaaaaaa�aa�a�aaa��aaaa�a�aaaaaa�a�aa�aa��aa�a�a��a�a�aa�aaaaaaa

��aaaaaaaaa�aa�aaaaaaaaaa�aa�a��a�aaaaa���aa�aaaaa����aa��a�a�aaaaaa��aa��a��aa��aaaaa��aa�aaaaaaaaa���aaa�a�aaaaaa

aaaaa�aa�aaaaaaaa�aa�aa��aa�a�aa�a��a�a�aa�aaa��a�aaaaaaa�aaa���aaaaaaa�a�aa�a��a�aaaaa��aaaa�aa�a�aa�aaa�a�aaaa�aaaa�

aaa���aaaa��aaa�aaaaa��a�aa��a��aaaaaaa�aaaaa�a���aaaa�a��aaaaa���a�aaaaaa�a�aa�aa�aaaaa�aaaaaaaaa.l..a..alaaaaaaaaaaaaa

��aa�a�aaaaa�aaaa���aa��aa�aaaaaaaaaaaaa�aaaaaaaaaaaaa�a�a�aaa�aa��aa�aaaaaaaaa����aaaaaaaaaaaaaaaataataaaa

�a��aa�a�a�aaaaa��a���a�a����aa�aaaaa�a����aaaaaa�aaaa�aaaaa�aaa�a�aa�aaa�aa�aaa�aaaaa���aa�aaaa�aaaa�aaaaa�a��a

aaaaaaa�aaa�aa�

��������:�:�����:��:�

�a�a��aaaaaa�aaaa�a�aa��aaaaa�a�a�aaaaa�aaaaaa�aaaaaa�aaaa�a�aaaa�a�aa�aaaaa�aaaa��[email protected]

ataaaaaa.aa@aaaa�a�aaaaaaaaa�aa��aaaaa�a��aa�a�aaaaaa���aaaaa�aa�aa��a�aaa��aaa�a��a�a�aaaaaa�aa�aa��a�aa�a�aaaa�aaa

..aaa.aa.l..a..alaaltaaaaaaaaaaa�aaa�aaa��aaa�aaa�aa�a���aaaaa��a��aaa�aaa�a�aa�aa��ata.al.aaaa.aa.aal.a.aaata.aaa.a

a���aaaaaa�aa���aaa�aa��aaaaaa��aaaaaa�

a��aaa�aaaaaaa�a�aa�aaaaa���aaaaa�a��aa�aaaaa�aaaaaaaaaa�a�aaa�a�aa�aaaa�a����aa�aaaa��aaaaa�a���aaaa�aa��aaaaaa�aaaa�aa

l.ataa�aa�aaaa�aaa��aaa�aa���aaa�aaaa��a���aaa�a�aaaaaaa�aaaa��aaaa���aaa�a�aaa���aaaaaa�aaa�aaaaaaaaa�a�a�aa�aaaa�aaaa

��a�aa�aaa��a��aaaaaaa��a��aaaa�a��a�a��a aaaaaaaa�a�aa���aaa��aaa�a��a�a�aaaaaaa�aaaa�aa�aaaa���aaaaalaaaat.aaa

a���aaaaaa�aaa�aaaa��a�aa�aaaaaaaaaaaa�aa��a��aa�aaaaaaaa��aaa�aaaa�a��a�a�aaaaaaaaaaaaaa�a�a��a�a�aaaaa�aa�aa�a�aaaa��a

��a�a�aa�aaaa�aaaaaaaaa�a�a�aa��aaaa�aa�aaa��a��aaaaaaaaaaa���aaaaaaa�aaaaaaaaaaaa�

��aa�aaaa���aaaaaa��aaaaaa�a�aa�a��aaaaaa�aaa�aaaaaa�a�a��aaaaaa�aaa�aa�a�aaaaa�aa�aaaaa�aaa�aaa��a�aa�aaaaaa

�aaa�aaaaaa�aaa�aaa��aaa�aaa��aaaaaaaa����aaaa�aaa�a�aa��a��aaaa��aa��aaaaaa�aaa�aaaaaa�aa�a�aaaaaa�a��aaaaaaa�aaaaaaa�a

�aa�aa���a���aa�aaaa�aaaa��a�aa�aaa��aaa�a�aaaa��a��aaa��aaa�a��a�a��aaaaa�aaaaa�aaaaaa�a�aa���a��aa�aaaa�aa�a�a

aaa�aaaaaaaaaaaa�aaaaaa�a�aaaaaaaaa�aaaaaaaaaaa�aaaa��aa�aaa����aaa�aaaaaa��aaaaa�a��aaaaaaa�

�a�aaaa��aaaaaa�a�aa�a�aaa�aaaaaaa�aaaaaaaaaa�aaa�aaa�aaaaaaaa��a�aaaaaa�aaa�a�aaa�aaaaaa�a�aa�aa�aaaaaaaaaa�aa

aaa���aaaaa�a��aaaaa�aaaaaaaaaaaa�aaaa�aaa�a�a�aaaaa�aaaa��aaa�aaa��a��aaaaaaaaa��a���aaa��aaaaa�a��a�a��aaa�aaaaaaa�aa�a

aa��aaaa�aaa��a��a�a��aaa�aaaa�a��aaaaa�aaaaa���aa�aaaa�aa�a��a�aaa�aaaa��aaaaa��a��aaaaaaa�a�aa�a��aaaa�aaaaaaaa�a

aa.aa.aaa�aaaa��aaaaa�aaaaaa�a���aaa�aa�aaaaa�aaa��a�aaaaa�aa�aaaa�aaaaa�aaa�aaaa�aa�aaaaaaaa�aa��aaaaaa�a�aa�a

�a�aaaaaa�a�aa�aaaaa�aaaaa�aaa�aaaaaa�aa�a�aaaa�aaa�a�a�aaaa�aa�aaa�aaaaaaaa�aa�aaaaaa��aaaa�aaaa�aaaaaaaaaaa��aaaaa�a�

aaa�aaaaaa��aaa��aaaa�aa�a�a��aaaaaaaaa��aa�aaaaaa��aaaa�a�aa�

�a�aaaa��a�a��a�aaaaaa�a�aaaaaa��aaaaa�aaaaaaa�aaaa���aaaaaa��aaaaaa�a�aa��a�aaaaaa��aaa..aa.a..aaaaaaa.alaaa.aaaaaaal�

aaaaataaa..aaaaaaa.aa.a.a..aaaaaa��aaa�a�aaa�aa��a��a�a�a�aaa�aa�aaaa�aaaa���aaaaa�aaaaaaa�a�a�aa�aaaaa�a���aa��a��aaaa

a�aaaaa��aa�a��aa�aaaaaa��a�aaaaa�aaaaa��aaa��a�aaaa��aa�aaaaaaaa�aaaaa�aa�aaaaa��a��a��aa�aaaaaa��aaa�aaa��a��a�a

aaaa�aaaa��aaaaaaaaa��aaa�aa�aa��a�aa�a�aaa�aaa�aaa�a�aaa�aa��a�aaa�aa�a�a�a�aaaaaaaaa��a�a�aaa��aaa�aaaaa

��aaaaaaaaa�aaaaaa�aaaa��a�aaa�aa�aa��aaaaa�aaaa��aaaaa�a��aaaaa�aaa�a��aaaaaaa�aaa�aa�aaa..a...aaaataaalaaaaaaaa

aaa�a�aa��a�aaaaa���aaaa�aaaaaaaa�aaa�aaaaaaa�a����aa�aa�aaaa�aa�aaaaa�aaa�aaaaaa�aaaa�aaaaa��a�aaaaaaa�aaaaa��aaaa

�a�aaaaaa�aa���aa�

��aa�aaa�aaaaa�aaaa�aaaaaaa�aaaa�aa�aaaaaaaaaaa�a�aaaaa��aaa�aaa��a�aaa�aaaaa��aa�aaaaaaa�aaaaa��aa�aa�aa�aaaaaa���

�� �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 35: Plastic & Reconstructive Surgery

aaaaaa�aaa��aaaaa�aaaa�aaa�

:���#���������

aa�a�aa�aaaaaaaaa�aaa�aaaa�aaa�aaa��a�aaa�aaaa�aaaa�aa�a�a aa�a�aa�aa���aa�aaa�aaaaaaaa��a�a��aa�aaaaaaaaaaaaa�aa�aaa

aaa�aa�

��a�aaaaaaaaaaaa�aa�aa�aaaa�aaa�aaaaaaaa�aa��aaaaaa�aa�a��aaa��aaaa�a�aaaaaa��aa�aaaa�aaaa�aa�aa�a�aa�aa�aa�aa��a

a��aaaaaaaaaa�a�aa�aaaaa�aaaa�aaa�aaaaaaaa�aa��aaa�aaaaaaaaa�aa�a��aaa��aaaa�a�aaaaaa��aa�aaa�aaaaaaaaa�aa

�aa�a�a�aaa�aaaa�aa�aaaaaaaaaaa�aaaa�a�aa�aaa��aaa�a��aa��aaa�a�aaa�aaaaaaa�aaaaaaaaaaa��aaaa�a�aaaaaaaaaaaaaaaa

a�a�aa��aa�aaaaa�a��aaa�aaaa�aaa�aaaaa�aaaaaaaaaaa�aaa�a�a�aaa��a�aa�a�aa�

�aa�aaaaaa�aaaa��a�aa��aaaaaaaaa��a�aaaaaa�aa�aaaaaaa�aaaa�aaaaa�aaaaa�aaaaaa�a�a�aaa�aaaaa�aaaaa��aaaaaaa�aa

aaa���aaaaaa�aaa�aaaaaaa�aaaaa�a�aaaaa�aaa�aaa��a����aaaa�a�a�aaaa��a�a�a�aaaaaaaaaaaaaa�aa�aa�a�a�����a���aaaaa

����aa�aaaaa�a�aaaaa��aaaa�aaaaaa�a�aa�a��aa�aaaa���aaaaaaaaa�a�aaaaa�aa��aaaaaaaa�a�a��aaaaaa�a�aaaaaa�aaaa�aaa.aaaaa

�aaa�a��aaaaa�aaaaaaaaa��aa�aaaaaaaaa�aa��

�a�aaaaaa�a�aa�aaa���a�aaaaa��a�aaa��a�aa�aaaaaaaaa��a�aaaa�a�a�aaaaaaaaa�aaaaaa�aaaaaaaaaa�a�aaaaa�aa�aaa�aa

��aa�aaa��a�aaa�aaaaaa�aaa��a��aa��aa��aaaaaaa��aaaa�aaaa��aa�aaaa�aaaaa�a�aaa�a�aaa��aaaa�aaa��aa�aaaaaa

�aaaa�aaaaaa�aaaa�aaa�aaa��a�a�aaaaaa�a�a��aa��aaaaaaaa�aa�a�aaaaa��aaaaaaaa�a�aaaaaa�a�a�aaa�aaaaaa�aaaaaaaaa�a�a�aaaaaaa

�aa�aaaaa�aaaaaaa�aa���aa�aaa�aa��a�a��aaaa�aaa�aaa�aaaaa�aa���aa�aaa��a�a�aaaaaa�aaaaaa�a�aaaaaaaa�a�aaaaaaaa�aaaaaaaa

aa�aaaa�aaaaaaaaaaaaa�aaaaaaaa���aa�a�aaaa�aaaa�aaaaaa�a�aa�a�aaa�aaaaa��a�aaaa��a�a�aa��aaaaa�aaaaaa�a��a

�aaaa��aa�aaaaaa��aaa�aa�aaaaaaa�aaaaaaa��a��aaaaaa�aa�aa�a�a�����a��aa�aaaaaa�aaaaaaa�a�aaaaaaa��a�aa�a�a�aaaaa

�aaaaaaaa��a�aa�aaaa�aaa��aaaaaaa�aaaaaaaa�aaaa�aaa�a�aaaaaa����a��aaaaaa�aa���aaaaa�aa�aaa�aaa�aa��a�aa�aa��a�a

a��a��aaaa�aaaa�aaaaaa�aaaaa�aaaaa�a�a�aaa�aaaaa�a�aa�aaaaa�aaaa�aaaa���aaaaaaaaaaa�aaaaaa�aa���aa�a�aaaa�a�aa

a����aa�aaaaaaaaa��a�aaaaaaa�aa��aa�aaaa�aaa�aaa��

�aaaaaaa�a�aa�aa�a�����a��aa��aaa�aaaaaaaaaaa�a��aaaa���aa�aaaa�aaaaaa�aaaa���aaa���aaaaaaa�aa�aaaaa��aaaaaa

aaaa�aaaaaaaaaaaa��a�aa�a��aa�aaaaaa�aaaa���aaaaa��a�a��aaaaaaaaa�aa�aa�aa�aa�a�aaa��aaa��a�aaaaaa�aa�a

aa�aaaaa�aaaaaaaaaaaaa�aaaaaaa�a�aaaa�aaaa��a�a�a�aaaaaa���aaaaaaaa�aaaaaaaaaa�a�aaa�aaa��a���aaaa�aaaa�aaataaa.a

aaaaa�aaa�aa�aaaaaaaa�aaaa��aa�a��aaa���aaa��a���aaaaaaaaa�aa��a��aa#�a�a�a��

�aa�a�aaaa�aaa�a�aaaaa�aaaaaa�a�aa��aa�aaaa�aaa�aaa�aaaa�aaaaaa��a�����aaaaaaa��aaaaaaaa�aaaaa�aaaaaaaaaaaaaa.a.aaaaaaataa

�aaaaaaa��aaaaa�a�aa��aaaa�a�aaa�aaa�a�aa�aaaaa��a�a�aa�aaa��a�aa�aaaaaaaa��aa�aaa��a�aaaaaaaa�aaaaaaaaa

aaaaa�a�a��a aaaa�a�aa�a�aaaaaaa�a�aa�a�a�aa��aaaa�aaaaa�aaaaa�a�aa��aaaaaaaaa�aa�a�aaaa�aa�aa�aaaaaaaaaaa���a�����a

aaaaa�a��aaaa��aa�aaaaa��aaaaaaaaaaaaaaaa��aaa��a�aaaaaaaaaa�aaaaaaa�aaaaaaaaaaa�aa�a�aaaaa�aaaa��a�aa�aaaaaaa�aa

�aaa�aaaa�aaaaaa�aaaa�aaaa�a�aaaaaaaaa�aa�aaaaaaa�aaaaaa��aaa�aaaaaaaaaaaa�aaaaa�aaaaaaaaaaa�aaaa�aaaaaaaa�aaaa�

��aaaa�a�aaaaaaaaa��a��a�aaaaaaaa��a�aaa�aaa�a�aa�a��a�a�aaaa��a�aa�aaaaa�aaaaaa�aaaaaaaaaa�aaaaa�

��:�#��#�����������

�aa���aaaaaaa�a�aa�aaaaaaa�aa�aaaaaaaa��aaaaaaa�aaaaaaaaaaaa���aa�aaa�aaa�aaaaa�aaaaaaa�aaa�a�aaaaaaa�aaaaaaaaaaaaaaaa�a

a�aaaaaaaaaaaa�aaaaa���aaaaaaaa�aaaa��aaaaa�aa�aaaaa�a�aaaa��aaaa�aa��aaa�aaa��aaaaaa�a�aaaaaaa�aaaaaaaaaaaa�aaaaaaa�aa�aaa

��a�aaa�aaaaaaaaaa�a�aaaaaaa�aaaa��aaa��a�a���aa�aaaaaaaaaa�aaaaaaaaaa�aaa.laa.aaaaaaataaaaa.aaaaaataaalaaaaaaataalaa.a

laaaaa.aataa�aaaaaaa�aaa���aa�aaaaa�aaaaaaaaaaaa�aaaa�a�aaaaa�aaa���aa�aaaaaa�a��aa�aa�a��aa�aaaa���a��a��aaa�aaa�aa

aaaaaaaaaaaaaaaaaaaaa��a���aaaa��a��aaaa��a�aaa�aaaa�a�a��aaa�aa�aaaaaaaaaa�aa�aaa�aaa�aaaaaaa�aa�a�aaa�aaaa�

aaa.a.aaa.aaaa�aa�aaaa����a�a��aaa��a��aaaaa�aa�aaaaa�a�a�a��aaaaaaaaaaa��aaaaa�aaaa���aa�a���a�aa�aaa�aaaaaaaaaaa

a.laaaaaaa��a���aaaaaaa���aaaaa�aaaa�a��aaaaaaaaa���aaaaaaa�a�aa�

�a�aaaaa�aaaaaaa�a�a�aaaaaaaaaaaa��a���aaa��aa�aaaa�aa�aaaaaaaa�aa��aaaa�aaa�aaaaaaa�aaaaaa���aaaaaaa�a�aa��a�aaaa�aaa�a

��a�aaaaaa��aaaa�aaaaaaaaaaaaaaaa��aaa��a�aa�aaaa�aaaaaaaaaa��aa�a�aaa�aaaa�a�a�a�aaaaaa�aa�aa��aaaa�a�a��aa��a

aaaaaa�aaaaaaaa���aaa�a�aa�aa�a�a�a�aaaa�aaaa�aaa�aaaaaaa���aaaaaaaaaaaaaa�a�a��a�a�aaaaaa�aaaaaaaaa�a��aaaa�a�aaa��aaa

l.laaaaa.aaaa.aaa.aaaaaaaaa�aaaa��aa�aaaaaaaaa�a�aaaa�aaaaaa�a�aaaaaaaaaaaa��a���aaa�aaa�aa�aa�aaaa�aaa���aaa�aa�a

��aaaa�aaaaa�a�aaa�a�aa�a�aa�aa�a�aaaaaaaaaaa�a�a��aaa��a�a���a�aaaa��aaa��aa�aaaaaaa�aaaaaa��aaaaa�a�aaaaaaa�aaaaaa�a

��a�aa�aa�aa��aaa�a�aaa���aaaaaa�aaa�aa�a���aaaaaa�aa�a����aa��aaa��aaaaaa�aaaaa�aaaa�a�a�aaaaa�aaa�a�aa�aaaa�aaaaaaa�a

a�aaaaaaaaaaaa�aaaaaaa�a��aaaaaaa�a�aaaaaaa�aaaaa�a�aa�

�aa�aaa�a��a�aaaaaa�a�aaaaaaa���aaaa�a��a�a�aaa���aaaaaaaaa��aaa��a�aaaaaaa�aa�aaaaaaa�aaaaa�a�aaa�aaa�aaaaa�a�aa�a

aa��a���a�a��a�aa�a�a�aa�aaa�a�a�aaa�a�aa�aaaa�aaa�aaa�aaaaaa�a�aa��a�aa�aaa�aaa�aaaaaa�a�aaa��aaaaaa�aaa��a

.ataaaaaaaa�a�aa�aaa�a�a��aaa���aaa�aaa��aaa�a�aa�aaaaa�a�aaa�aaaaaa��a�aaa���a��a�aa�aa�a�aaaaaa�aaaaaaa�aa�aaaaaaaaa��

�a��aa���aaa�a�aaa�aa��aaa�aaa�aaa�aa�aaaa�aaaaaaaa�aaaaaaaa��a���a�aaaa�a�a�aaaaaaaaa�aa�aaaaaaaaaa�a�aa�aaaaal.aalaa

aaaaa�aaa�aaaaaaaaaa��a���aa�

�� �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 36: Plastic & Reconstructive Surgery

saaaaal.aaaa.laa.aaaaaaaaa.alaasa.aaaaaa.aaaa�aaaaaa�aaaaaaa�aa�aaaaaaa�a�aa��a�a�aaaaa�aaaaaaa�aaaaaaa�aaaaa

aaa�a�aaaaaaaaaaaa�a��aaaaaaaaa�aaaaaa��aaaa�aa�aaa�aaa�aaaaaaa�aa��aa��aaaaa�a�aaaa��a�aaaaaaaa�a�aaaaaaa�aaaaaa�a

a�aaa��a�aa�a��aa��aa�aaaaaa���aaaaaa���a�a�aa�a�aa�aa�aaa�aaa�aaaa�aaa��aa��aaa���aaaaa��aaaa�aa��a�aa�a�aaaa�a�aaaa�a

ataaaaasaaaaa.aaaaaal.aaaaaaa�aa�aaa�aaaa�aa�a�a��a�aa��a��aa�aa�aa�aaaa�a�aaa�a�aaaaaa�a�aa��aaaa�aa��a���aaaaa�aaaaa��aa

aaaaaaaaa.a.aa.aaal.ataa�aaaa��a���aa�a�a�aaaaa����aa�

��a�a��aaaaaaaaaaa�aa�a�aaaaaaa�a�aa��aaaaaa�aaa�aa��a��aa�aaaaaaa�aaaaaa�aaaaaa�aaaa�a�a�aaa�aaa�aaaaaaaaaaa�a��aaaa

a��aa��aaa�aaa�a�aa�a�aaaa�aaa�aa��a��aa�aaaaaa�a�aa�aaaa��aa�aaa��aaa���aaaaaaaa�aaa�a�aa�a�a��

�aaaaa��a�aaa��aaaaaaaaa���aa�aa�aaaaaaaaaa�a�aa��a��aaaa�aaaaaa�aaaaaaa�aa�aaaaaaa#��a�aa��a��a��aa���aaa�a�a��aa�aa�a

aaaaaaaaaa��a�aaaaaaa�a�aaaaaa��aa�aaaaa�a�aa��a�����aaaaaaa�aaaaaaa�aaaaaaa�aaaaa��aaa�a�a��aaaaa�a�aaaaaaaaaaa

a�aa�aaaaa�aaa�a��aaaaa�aa�aaaaaa��aaa���a�aa���aaaa�aa�aaaaa�a�aaaaaaaa�aaaaaa�aaaaa�a�a�aaaaaaaaaa�aa�aaaaa�a

aa��aa�aaa�aaaaaa�aaaaaaaaaaaataaaaas.taaaaasaaaa..a��aaaa�aa�

LSLRLSSSR✭ ✮✯✰✱✲✳✴ ��������

aa�a�aa�aaaaa�aa�aaaaaa��a�aaa�aaaaa�a�aa�aa���aaa�aaaa��aaaaa�aa�aaaaaa��a�aaaaaaaa�aaaaa�aaa�aaaaaaa�aa�aaaaaaa�aa

aaaaaaaa�aaa�a�aaaaa�aaaaaaaaaa�aaaaaaaaaaaaaaaaa�aaaa��a�a��aa.a��aaaaaaa�aaaaa�a�aaa��aaa�aaa��a��aaaaaa���a�aaaaa�a

aaaaaa�aaaaaa��aaaa�aaaaaa��aaa�aaaaaa��a�aa�aa�a�aaaaa�aaaaa�aaaa���a�aa��a�aa�aaaaaaaaaaaaaa�aaaaaaaaaaaaa�a�aa

�a�a��aaa�aaaaaaa�aaaaaaa�aaa�aaa��aaaa��aaaaa�aaaa�aaaa��aaa�aa�a�aa�aa�aaa�aaaaa�a�aa�a���aa�aaaaaaaaaa�aa�aaaaaaa�a

�aaaaaaaa��aa�a�aaaaaaaaa�aaaaaaa�aa��aa�aaaaaaa���aaaaaaa�aaaa��aaaaa�aaaaaaaaaa�

�aaaaaaaa�aaaa�a��a��aa�aaaaa����aa��a�a��aaa�aaaaa�aaa�a��a�a�aa�a�aaaaaaaaa��aaaaa���aaaa�a�a�aaa�����aaaaa�aa

a��aaaa�aa�aa�aa�a��aaaaaa��aaaa�aa�aa�aaa�aaa�aa�aaaa�aaaaaa�aaa�aaaaa�aa�a�aa�aa��aaa�aaaaa��aaaaaa�a��aaaaaaa�aa

�aaaaaa��aaaaaaa�a�a�a��a�aaaaaaaa��aa�aa�aaaaaa��aaaa�a�aaa��a�aaaaaaaaaaaaaaa�aaaa�a�aaaaasaaaaataasaaaaasalaa.aa

a�aaaa�aaa �aaaaaaaaa�aa�a�aaa��a�aa��aa�aaaaaaaaaaaa�a�a��a�a�a�aaaaaa�a�a��aa��aaa��aa��aaaaaaaaaaaaasl.a.aaaaaaaaa.alaa.aaaa

a�aa�aaaaaa��aaa���a�aaaaaaaa���aaaa��aa�aaaaa�a�aa�a���aaaaaaa���aaaaaaaaaaaaaa�a�a��a�a�aaaaa�aaa�a�a�aaaa�aa�aaa��a�a

s.aa.aa�aaaaa��aa��a��a�aaa��aaa�a��aaaaaaaaa�a�aaaaa�a�aa��a�aaaaaaa�a�aaa��aaaaa�a�aaaa�a�a�aa�aaaa��aa��a�a����a���

aa���aaaaaaaaa��aaa��a�aaaaaaa�a�aa�aa�aa�

��aaaaaaa��aaaaa�a�aa�aaaaa�aa�aaaaaa��aaa��a�aaa�a�aa�aaaaa�aaaa���aaaa�aa��aa�a�aaa��a���a�a��aa�a�aaaaaaaaaaa

�a����aaaa�a�aaa�aa�a�aa�aa�aaaa�a�aa�aaaaa��aa��aa�aaaaa�aa�aa��aaa���aaaaaaaaaaaaa�aaaaaaaaaaaa��aaa���aaaaa�aaaa

ataaaa.taaasaataa�aaaaaaa�aa�aaaaa�a��aaaaa�a�aaa�aaaaa�aa�aaaaa�aaaaaa��aaaaa��aaa��a�aaa�aa�aaaa��aa�a�aa�aa��a�a�aaa

l.ataa�aaaa�aaaaaaa�aaaaaaa���a�aaa���aaaaaaa��a�aa�a�aaa�aaaaa�a�aaa��a�aaaaaaaa�aaa�a�aa�aa�a��aaaaaaaa�aa�a�aa��a�

t.at��aaa��aaa�a��a�a��aaaa�aaa�aa�a�aaa�aaaaaaa��aaaaaaa��aaaaa�aaaa�a��aaaaaaaa�aa�aaaaaaaaaaa��aaaa�aa�aaaaa��aa�

�aaa���aa��a�a�aaa��a�aa�aa���a�aaa�aa�aa��a�a�aaa��a�aa�aa�aaaaaa��aaaa�a�aaa��aaa��aa�a��aaaa�aa�aaaaa

aaa�a�aaaa�aaaaa�aaa�aaa��aa�aaaaaaaaaa�aaaaa�aaaaaaaa�aaa�a�a��aaaaaaaaaasaalaaaa.laaaaal..aa.aaaaataaa.aaaa

ataalataataasaaa.aaaaa�a�aaaaaaaaaa�aa���aaaa��aaaaaa�aa��aa�aaaa�aaaaa��a�a��aa�a�a�aaaa�a�aaa��a��a�aaaa��a�a�aaa

aaaataaaat.aaaaaaaaaaslaaaaatalaaaaaalaaaaaaataaaaataatlaaaaaaa..a..aaasal.ataaaaaa�a�aaaaaaa�aa�aaaaaaaaaaa��aaaaa�a�a

�aaaaaaaaa�aa�aa�a�a�a�aaaaa�aaaaaaa�aa�aaa��a�aaaaaa�aaa�aaaa�aaaaaa��aaaaaaa�aaaaaa�aaaaaaa�a��aaaa�aa�aa�aa

aaaa��a��aa�aa�a�aaaaa�aaaa�a�����a�aaaa�a����aa�a�����aaa��a�aa�aaaaaaa����aa��aa�aa�a�a����aaaaaaa�aaaaaaa�aa�aaa�

����aaaaa��a�aaa�aa��a�aaaa�a�aaaaaaaaaa���aaaaaaa��aaaa�a�a�aaaaa��a��a�a����a��a���aaa�a�aaa���a�a�a��aa�aaaa

����aa�aaaaa�aa���aa�aaaaa�aaa��aaaaaaa�aaaaaaa�a�a�a��aa�a��aaaaaa�a�aaa���a�aa�a�a�aaaaaaaa���aa�aaa�a��aa�aaa

aaaaa..aaaataaaaaaaaaaaa�aaaaa�aaaaaaa�a��aaaaaaa�aaaa�aaaaaa��a�aaaaaaa�aaa�aaaaaa�aaa��aaaaaaaaaa�aaaaaaaaa�a�aaa�aa��a

.aa.a.a.aaaaaaaa���aa�a��a�a�aaaaa�aaaaaaa�aaaaaaa�a��aaaaaa�aaa�aaa�aaaaaaaaaaa�aaa��aaaa��aaaaa�aaaa�a��aaa�

��aaa��a�a�aaaa�aaaaaaaa��aaa��a�aaaaaaaaa�aaaaaa�aaaa��aaaaaaaaa�aa��aaaaaa�aaa�@aaa���aaaaaaaaa�a�aaaa�@aaaa

aa���a�aa����aaa�aaaaaaaa�a�aaaa�aaaaa�a�aa�aa�a��aaaaaaaaa�aaaaa�aa�aaa�aa�a�aaaaa�a�aa�a��a�aa�aaa�aaaaaaaaa

a�aa�aaaa��a�a��a��aaa�aa�a�aaaaaaaaaaa���aa�aaa��a�aaaaaaaaa�aaaaaa�aaaaa�a�a��aa�a��aaa�aaaaaaa�aa�a�a��aa����aa�aa

aaataaa.aaasa�aaaaa����aaaaa����a��aaaaaaaa�aaaaa��aaa�aa�a����aaaaaaa��aaa�aaaaa�a�aaaa��a�����a��aaaaa�aa�aa����aaa

aaaaa�aa�aa�aaaaaaaa�

���###������������

sal.aaaaaaaaa.alaa.aaaaaaa�aa�aaaa�aaaaaaaaaaa�aaaaaa�a�aa�aa�aa�a�aa�aaaa�aaaaaaaa�a��aaaaaaaa���aa��aa�aaaaaaaaaa�aa

a.saa..aaa�aa��a�aa�a�aa�aa��a�a�aaa��a�aaaa�a�aa�aaaaa�aaaaaaaaaa�aaataaa.aaasaaat.aaaaaal.aaaaaaaaa.aaaaasaaaaaaa.aaa.aaa..aa

�aaaaa�aa�a�aaaaa�aaaaaaaa�a�aaaa��aa��a�aaaaa���aaaaaaaaaa�aa�aaa�aaaa�aa�a�aaaa�a�a��aaaa��aa�aaaaa��a�a��aaa�a

sat.a.aaaaaaataaaal.aaaa.aaataaaa...aasataaaaaa�aaa�aaaaaa���aaaaa�a�aa��a������aa�a�aaaaaa�aaaaaaa�aaaaaaa��aa�aa

aa�aaaaaaaa�aa��a���aa�aaaaaa�aaaa�aaaa�aal�aaaa.als.a.aaaaaaa.a..aaaaaaasaaaaa.aaaataaalaaaaaaasa�aaaa�aaaaaaa�aa

a�aa��aaaaaa�a�aa�a�aaaaaaaaaaaaa�a�aaaaa�aaaaaaaa�a�a��aaaaaaa�aaa�a�aaaa�a��a�a��a�aaaaaaaaaa�aaaaaaa�a����#aaa�a

aaaa�aa�aaaa�aaaaaaaa��a�aaaaaaa�aa�aa�a��aaa�aaaaaa�a�aaa����aaaaa�aaaaa�aaaaaaaa�aaaaaaa��a�aaaaaasaaaaaaa..al..aaa..a

�/ �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 37: Plastic & Reconstructive Surgery

a��aa�aaaaaaaa�aaaaaaaaa�aaa��aa�aa��

�aaataa.a.aaaaala.aaaaaaaaaaa.alaa.aaaat.aaaaaaaaaaa.alaa.al.ataa�aaaaaaaaaaa��aa�aaaaa�a�a�aa�aaa�aa�aaaaaa�aaaaaaa.laa.aaaaaaa

#a�aa��aaaaa��aa��a�a aa�a�aa�aaaaa���aaaaa��aa�aa�aaaa�aaaaaaaaa�aaa�aaaaaaaaaa���aaa�aa�aa��aa��aaa���aa�a�aaaaaa

aa��a�aaaaaaaaaaaa�aa�aaa��a�aaaaa�aaaaaaaa�aaaa��aa���a�aaaaaaa��a�aaaaaaa�aaa�aaaaaaa�aaa�aa�aa�aaaaa�a

�aaaa��aa�a��aa�aaaaaaaaa�aaaaaaaa�aa�a���aa�a�aaaaaaaaaaaa��aa�a�aa�aaaa�aa�a�aaaa�a�a��aalaaaaaaaaaa.a.aaaaaaataa

aa�a��aaa�a�aa��aaa�aaa��a�aa�aaaaalaasaaa.aaa.aaaaaaaaaaa..al..aaaaasaaa.aaa.a.aaaataaaasl.a.aaal.ata.aaaaaal.aaaaaa

a.laa.aaaaaaataaaaas.taaa.aaa��a��aa�aaa��a�a�aa�aaaaaaaa�aa�aa�a�aaa��aaaaaaa�a�aa�aaaaaaa���aaaaaaaaaaaa�aa�aaa

�a�a���aaaaa�aaa�aaaaa�aaaaaaaaa�a�aa�a�aa�aa��a�a�aaa��a�aa�aa�aaa��aa��aaa�a����aa�aaaaa�aa�aaaaaaaa�aa�aa�a�aa��a�aaa

aaas.tlaaaaaaa�a�aa�a���aaaaaaa�a���aaaaaaaaaaa��a�aaaaaaa�aa�aaaaaaa�aa�aaaaa�aa�

�aaaaa��aaa��a�a���a���a�aaaaaaa��aaaaaaa�aa�aa�aaaaaaaaaaa�a�aa�aa�aaaaaaa�aaaaa�aaaaaaaaa�aa�a�aa�aa�a�aa�aaa��aaa

�����a�����

�a�aaa�a�aaaaaa�a�a��aaa��aa��aaaaaaaa���aaaaa�aaaa��aaaa�aaaaaa��a�aaaaa�aa��aaaa�aa�aa��aalaa.aaa.aaaaaaaaasa.taa.aaa

aaaaa�a�aaaaaaaaa�aaaaaaaa�aa�aaa��a�aa�aaa��aaaaa��aaa�aa�a�aaa�a�aaa��a�a�aaa�aaa�a��aaa��������#���a������a

���������

��aaaaaa���a�a�aaaaaa���a�a���aaaaa��aa�aa�aa�aaaaaaaaa�a�aaaaaa�aa�aaa�aaa�aa�a�a�aa�aa�a�aa�aaa��aaa������������a

������a��������

��aaaaaa���a�a�a�aa��a��a�a�aaa��aaaa���aaaaaaa�a�aa��a�aaa�aa�aa��aaa������������a������a��������

$aaaa����a���a�a���aaa��aa�aaaaaaaaa�aaaaaaa�aaaaa��aaaaa�aa�aa��a�aa�a�a�aa�aa�aa��aaa�����������a������a��#��#��

�#���###����#���#�#��

�aaaaaa��a�aaaaaaaaaa�aaaa�aa��aaa�aa�aaaaa�aaa�aaaaaaa�aaaa�aa�aaaaaa�aaaaa�aaaaaaaaaa�a�aaaaa�aa�aaaaaaaa���a��aa

.a..saa.aaaaaaa��aaa�aaaa�a�a�a�aaaaaaaaaaaaaa�aa�a�aaa�aaaa�������aa��aa��aa���aaa��aaaa���aaaaaa�aaa�a�aaaaaaaaaaa

.altaaaaa.aaaaa��aa�aaa�aaaaaaaaaa��aa�aaaa�a�

��aa�aaaaaaaaa�a�aa�aaa�aaaaaaaaaaaa�aaaa�aa�aaaaaa�aaaaaaaaaaa�aa�a��a�aaaaaaaaaaaaaa�aa�a�aa�aaaa�aaa���aa�aa�aaa

aaaaa�aaaaa�aaaaa�aaa�aaaaaaaaa�a�a��aa�aa�aa���a��aa�aaa�a�aaaaaaa�aaaaaa��aaaaaaaaaa��aa�a�a�a���a�aa�aa�aa��a�aa�a

�aaaaa�aaa�aaaaaaaaa�aa�a�aaaaaaaaaaa�a��aa����aaaa�aaa�aa�aaaaa�aaa�aaaaaaaaaaaaaaaa�aaaaaaaaa�aa�a�aaaaaa

aaaaaaa�aaa�aaaaa��aa�aa�a�����aaaaaaaaa�a�aaaa�a�aaaa���a�aa�aa���a�aaa�aaaa�aaaaaa�aaaaaaa�aaaa�aaaaa�aaa�aaaaaaaa

�a�aaaaaaaaaaaaaaa�aa��a�aa�aa�a��a�aa��aaa�aa��a��aaaa�aa�aaaaaa�aaaa�aaaaaaaaaa�a�aaaaaaaa�aaaaaaa�aaaa�aaaaa�aa

a�aaaaaaaa�a�aaaaaaaaaaaaaaaaaa�aaaa�a�aaa�aaaa�aaaaa�aa�a�aaaaaaaaaaa�a�a�aa��aaaa�aa�aaaaaaaaaaaaaaaaaaaaa�aa

�aaaaaaaa�

sa.aa.aaaaa.al.ata.aaaaaaaaaaaaa�aaaa�aaaaaaa�aaa�aa���aa�a��aaaa�aaa�a�aaas.aaaaaaa�aa�aa����aa�a��aaaa�aa�aaaaaaa�aaa

a�aaaaa�aa�a�aaaaaaaa�a���aaaa�aaaaaa���aaaaa�aa�aaaa��a�aaa�aaaaa���aaaaaa�aaaa��aa��aaa�aa�aa�aa���aa�a�a�aa�����aa�a

aa�aaa�aaa�aa�a�a�aaa��a�aaa�aa�aaa�aaaaaaaaa�aaaaaaa�aaaaa��aaa�aa�a�a�aaaaaaa�aaaaaa�aaaa��aaaaa�aaa�aaa

aa��aaaaaaa��aaa�aaaaaaa�aaaa�aa��aaaaa�a��aa�a��aa�a�a�aa�����aa�aaaaaaaaa�aaaaa��aa��a��aaaa��a�aaaaa�a�aaaaa�aaa�a�a

aaaa�aaa�aaaaaa�a�aa��a��aa�aaaaaaaaaa�aaaaaa�a�aat.aal.a.aaaataaaa.a�aaa�aaaaaaaaaa�a�aa�a����a��aaaaa��aa

aaaaaaa.aaaasa..aaa.al.aaaaa.lssaaa.aaaaaasaaata.aasaaaaa������a�aa��aa��aaaaaaaaaaaaa�a�a�a�a�aa�aaaa�aaaaaa�a

aaa�aaa��a�aaaa�a�aa�aaaaaaaaaaa�aaaa�aa�a�aaaaaaa��a�aaaaa�aaa�aaaaa�aa��a�aaaaaaaaaa�aaaaa��aaaaaaaaaa�aaaa

aaa�aa�a�a�aaa�aaaaaaaa�aaaaa�a�a��aaa�aaa�aa��aa��aa�aaaaa�aa�aaaaaaaaaaaaaaaa�aaaaa�aaaaaa��aaaaaaa��aaa��aaa

aaaa�aa��aaaaa��aaaaaaaa�aa�a�a �aaaa�aa��a�aa�aaaaaaaaaaaaa�aaa��aa�a�aaaaaaaaaaa�aa�aa�a�aaa�aa���aaa����a��a�aa

.aaaaaa��aa�aaaa�aa�aaaa��aaa�aa���aa�a�a�aa�a�aa�aaaa�aaaaaa�aaa�aaaaaaaa�aa�aaaaa�aaaaaaaa�aaaa�a�aa�a�a�aaaaa��aa��aa

aa�a�aa�aa�aaa�a�aaaa�aaaaaa�aaaaaaaa��aaaaaa�aaa�a�aa�aaaaa��a��aa��aa��a�aa�aaaaaaaaaaaaaa��aaa

�aa�aa�aa��aaaaa��aa�a�a�aa�aaaaaa�aa��a�a�aa����a���a�a�aaaaa�aa�aa��aaaaas..aaa.a.aaaaaaataaaaas.taaata.a.talaa.aaaa

�aaaa���aaaaaaa�a��a�a�a�aa�a�aa��a�aa�aaaaaa��a�aaaaaaa�a�a�aaa�aaa�aaaaaaaaa�

�:�:�:�:

��aa��aaaaaa�aaaaa�aaaaaa�a��aaaaa�aa��aaaaaaaaaaaaaa�a�a��aaaa�aaaaa�aaaaaaaaaaaa�aaa�aaa�aasa..a.tasaa.aataal.saaaa

a��aaaa�a�aaaaaa����a����a�a�a�a�a�aaa�a�a�aaaaa��aa�a#��a�a�aaaaaaaaaaaaaa�aaaaaa��aaaaa��aa�aaaaaaaa�a����a��a

���aaaaaaaa�aaaaa�aaaaaaaaaa�aa��a�a�aa�aaaaa�aa�a�aaaa�aa�a�a��a�aa��aaaaaaa�aaa�a��aaaaaaa��aaaa�aa�aaaaa�aa�aaaaaaa�aaa��a

�aaaaaa�aa��aa�aaaaa�aaaa�a�a�aaa��a��aaaaa�a�a�a�aa�����aa�aaaa��aaaa�aa��aaaa�aaaaaaa�aaaa�aaa���a����aa�a�aa�a�aaaa

��aaaaaaaa�aaaa�a��a�aaaa�aaaaaa���aaaaaaa�aaaaaa�aaa�aaaa�a�aaaaaaa�aaaaaaaaa�aaaa��aaaaaaaaaaaaaaa�aa�a��aaa�a����a

aaaa�a�aa�aaa�aa��aaaaa�aaaa�aaaa�aaaaaaaa�aa�a�aaaa��aaaa�aa�aaaaaaa���aaa�aa��aaaaaaaaaaa�a��a�aa�

�0 �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 38: Plastic & Reconstructive Surgery

�aaaaaaaaaaaaa��aaaaaaa�a�a��aa��aaaaaaaaaaaaaa�aaaaaaaa��aaaaa��aa��aa�aaaaa�a�aa��aaa��a���aaaaa��a��a�a�a�aa�aaaaaaa

aa��a���a�aaaaaaaa�aaaaa�a�aaaaaaaa�aaaa�a�a�aaa�aa�aaa�aaaaaaaaaaaa��a�aaa�aaaaa�a�aa�a�aaaaaaaaaaaa��aaaaaaa��aaaa

aa.laaasa.aaaa.taaa.aaa..a..a�aaa�aaa�aaaa��aaaa��a��aa��aaaaaaaaaa�aaaa�aa�aaaaaaaaaaa�aaaa�aaa��aaa�a�aaaaaaaa��aa

aaaaaaa�aaaaaaa�aaaa�a����aaa�aaa�aaaa�aaa��aaaaaa�aa�aaaaaaaaaaaa�aa�aa��� �a�a�aaaaa�aaa�aaaa�aaaaaaaaaa�aaaaaaa

aaaaaaaa��a�aa�a��aaaa��aa�aaaaaa�aaa�aaaa�aaa��aaaaaa�aa�aaaaa��aa�aaaa�aaa�aa��aaaaaaaaaaaaaaa�aaaaaaaaaa��a�a����a

a�a��aaa�aaa�aa�aa�aa�aaaa�aaaaaaaaaa�aa�a����aa�aaaaaa��aa�a�aaaa�aa�a�a�a�aaaa�aaaaaa��aa�a��a�aaaaaaaaaaaa�aa

aaaaaa���a��aaaaaaaa�aaaa��a�a�a��aaaaaaaaaaaaaaa���aa�aaaaaa����a�aaa�aaaaaaaaa��aaaaaa�aaaaa��a��aaaaa�aaa��a�a�a�aa

aa�aa�aa�aaaaaaa�a�aa�aaaa����aa��aa�aa�aaaaa�aaaa�a��aa�aaaaaa�aa��aaaaa�aaaaaaaaaa�aaa�aaaaaaa�aa�aaaaaaaaaa

aaaaaaaaa�aaaaaaaa�a�aaaa�aaa�a�aaa�aaa�aa��aa�aaaaa�aaa�aa�aa�aaa�a�aaa�aaaaaaaaa�aaa�a�aa��a�aaaaaaa�a��

�a�aaaaaaaa����aa�aaaaaaaa��aaaaaaaa�a��aaaa�aaa�aaaaaaa���aa��a�aaaaaa�aaa�aaaaaa��a�a�aa�aaaaaa��a��aaaaaaaaa�aaa�aa

aa�aaa�a��a�a�aaaaaa�a��a��aaaa�aaaaaaa�aa�aaaaa����aaaaa�aaa�aaaaa�aa��a�aa�aaaaa�aaaaaaaaaaaaaaaaa�aaaa�a�a��a�aaaa�aaa�a

aaaaaaaa�aaaa��a�aaa���aa�aaaaaaaa�a�aaaaa�aa�aa��a�aa�aaaaa�aaa�aaa�a�a����a�a�a�aaaaaaaa���aaaaaa�aaa�a���aaaa�a�a

s..alataa.a.aaasaaaaaaaaaaaaaa���aa�aaaaaaa�aaa�aaaaaaaaaaaaa�a��a�aaaa�aaaa�a�aaaaaaa�a�aaaaaaa�a�a��aa�a��aaaaaaaa

a�aaaa�a�a�aaa�aaaaaaaaaa�aa�a�a�aaaa�aaaaaa�aa�a�aaaaaa�a�a��aa.aaaa.a.aaa..asaaaaaaaaaaataa.aaa.aaaaaaasataaaaaaalata..a

aaaaa�aaaaaa�a��a�aaaaaa�a�a�aa��aaaaa����aa�aaaaaaaaaaaaaaaaaaaaaa�aa�aaa�aaaaa�aa��a�aaaaaaa�aaaa�a�a�a�aaaa

aaaa��a�a�a�aa�aaaaaa��aaaaaaa�aaaa�aaa���aaaa�aaaaa��a�a�aaaaaaaaa��aaaaaaa�aaa�aaaaaaa�aaa�aaaaaaaaaa�aa��a

��a�aaaaaaa�aaaaaaaaaaaaa�aaaaaaaa��a�aaa��a�aaaa��a�a�aaa�a�aaaaaaaaaa��a�a�aaaaaaa�aaaaaa�a�a�aa aaaa�a��a�a

a�aa�aaaaa�a��aaa����aaaa�aaaaa�aaaa�aaa�aaa�aa��aaaaaa���aa�a�aa�a�aa�aaaa�a�aaaaa�a�aaaaa����aaaa���aa�aa�aaa�aa

.aaaa.aasataaaaala��aaaaaaaaa�aaaaaaaaaaa�aaaa�aaaaa�aa�aaa�aaaa���aaaaa�

�aa�aaaaaaaa�aaaaa�aaaaaa�aaaaaa�a�a�a�a�aaa�aaaaaa�a�aaaaaaaa��aaaa�������aa�a�aa�aaaaaaaa�aaaaaaa�aa�aaaaaaa�aaaaaa

aa��aaaa��aaaa��aaaa�aaaaa�aaaa�aaa�aaa�aaaaaaaaaa�aa�a �aa�aaaaaa�a��aaaa��aaaaaaaa�aaaaaaaaaaaaa�a�aaaaaaa�aaa

a�aaa�aaaaaaa�aaaaaa�aaaaaaa��aaa�aaa��a�a�a�aaa��aaaaaa�a�aaaaaaaaaaaa�aaaaaaaaaa�aa�aaaaa�a�aaaaaa�a�a��a���aa

a�a�aa��aaa�a�aa�aaa�aa�aa�aaaaaaaa�aaaaaaa�a��a�aa�aaa���aaaaaaaaaaaa��aaaaa�a�a��a��a�aaaaaaaaa�aaa��aaaaa�aaa�aaa��aa�aa

aasaaaaaataaa..as.aa.aaaaaaaaaasaaaaataaaaaaaata.aaaaaaaaaaa���aaaaaaaaaaaaaaa��aa�a��aaaaaa�aaaaaaaaa����aa��a��aaaal.ata

�a�a�aaaa�aaa�aaaaaaaaa��aaaaaa��a�a�aaaaaaaaaaaaa�aa�aaaaaa�a�aaaaaaaaaaaaa�aa�aa�aaa�aaaaaa�aa�aaaa��aa�a��aaaaaataa

a�aaaaaaa�aaaa�aaa�aa�

�aaaaaaa�aaaa�aaaaa�a�aa�aaa�aaaa�aaa���aa�aa�aaaa�aaaaaaaa�aaaaa�aa�aaaaaaaaa�a��aaaaaaaa�aaaaaa�aa��aaa�aa�a�aaaa�aaaaa�aa

�aaaaaaaaaaaaaa�aaa��aaaaa�aaa�a�aaa�a�aaaaaaaaaaa��aaaaaaa�a��aaaa�aa�aa�aaaaaaaaaa�aaaaa��aaa�aa�aa�a�aa�aaaaa�aaa

�a��aa�aa�a�aa�aa���aa�a��aa��a�aaaaa�aa�aaaaa�aa�a�aaaaaaaa�aaa��aaaa�aaaaa�aaaaaaa����aaa�a�aa�aaaaaaaaaa�aaaa�aa�aa�a�aa�a

��aa�aaaaaaaaa�a��a�a�a�aa��aaa�a�aaaaaa�a�aa�aaaaa�aa�aaaaaaaaaaa�aaaaaaa�aaaaa�a�aaaaa�aaaaaaaaaaaa�aaaa�a�a��aa

a�aaa�aaaaaaaaa��aa�aaaaaaaaaa��a�aaa�aaaaaa��aaa�aaaa���aa�aaaa�aa��aaaa��aaaa��aa�

��aa��aaa�aa��aaaaaaa�aa�aaaaaaaaaaaa�aaaaaaaaaaaa�aa��a��aa�aaaaaaaaaaaaaaa��a��a�a��aaa�aaaa�aaaaaaa�aa��aaaaaa�aaaaa�aa

���aaaaaa�aa�aaaaaaaaaaaaaa�aaaa��a��aaaaaa�aaa��a�a�a�aa�aa�aaaaa�aa��a�aa�aa�aa�aa�aaaaaaa�aa���aa�aaaaa�a�a

�aa�a��a�aa���a���aaaaa�aaaaaaaaaa��a�aa��aaaaaa�aaaaa��a���aaaaa��aaaaaaaaa��a�a�aa�aa���aaaaaaaaa�aaa��a�aaa�aa���a �a

aaa�aa�a�aaa�aa�aaaaaaaaaa�aaa�aaaa�aaaaaaaaaa�a��a��aaaaaaa�aaa�aaaaaaa�aaaaa��aaaaaaa�aaaaataa.aaaaaaaaaaaaaaa.aaa

aaaataaa...la.aataalataaaaaaaaaaaaa�aaa�a����aa�aaaaa��aa��a�a�aaa�aa�aaaaaaaaaa��aaaaa��aaa�aaa����a��aaaaaaaaaaaaa�aaa��a

aa���aa�a�aaa��� aa�a�aa�aa�aa��aaaa�aaaaaaaaaa��aaaaaa��aa�aa�aa�aaaaaaa�aaa�aaa�aaa�aaaaaaaaa�aaaa�a�a���aaaa�aa

a��aaa�a�aaaaaaaa�a�a�aaaaaa�aaa�aaa�aaaaaaa�aaaaaaaaa�

�aa��aa�aaaaa�aa��aaaaaa��aaa��aa��aaaaaa�aaaaa�aaaaaaaaaaa��aa���a�aa�aa������aaaa�a�a��a��aa�a��aaaa�aa��aaaa�a�a

���aaaaaaa���aaa�a�aaaaaaaaaaa�aa�a��aaaa�aa���aa��aaaaa�a��aaaa�aa��aaaa��aaaa��a���aa��aa�aa�aaaaaaaaaaaaa

aaaaa�aa�a�aa�����aa�aaaaaaa�aaaaaaaaa�a�aa��aaa��aa�aaaaaa���aaaaaaaaaaaaa�aaa�aaa�aaaaaaaaaa���aaaaaaa��a�aa

aaaa�aa�aaaaaaaaa�a����aaaa�a�a�aa�aaaaaa�aa��aaaaaaa�aa�aaa�aaaaaaaaa�aaaaaaaaa���aa�a��a�aaaaa�aaa�aa���a

�aa�a��aaa�aaa��a�aaaa�aaaaaaaa�a�a�a�a�aa�aaaa��aa�aa�aa�aaa�aaa�a�a��

��aa�a��aaaaaa�a�aa��a��a�aaaa�aaaaaaaaa�aaaaaaaaaaa�aaaaaa��a�aa�aa�a�aa�aaa��aaa���������#��a������a�#������

�aaaa�a���a�aaaa�aaa���a�aa�aaaaa��aaaaaaaaaa�aaaaaa�aaaaa�aa�a�a���aaaa�aa�a�aaaaaaa�a�aaaa��aaa�aa�a�a�aaa�aaa�a��aaa

������#���#�

���:##���#�#��:#��##��

��a�aaaaaa�aaaaa�aaaaaaaaa�a�a�aaaaa�aa�aaaaaa�aaaaa����a�aaaaa�aa�aa�a�aaa���aaaaaa�aaa�aaaaa�aa�aa�a�aaaa�aaaa�aaaaaaaa

aaaaaaaaaaaaaaa�aaa�aaaaaa�aaaa�a��aa��a�a��aa�aaa�aaa��aaa��aaaaaaaaaaaaaaa�aa�aa�aaaa�aaaa�aaaaaaa�a�aa�a��aa��a�

��aaaaaaaa�aaaaaa����aaa�aaa��

�aa�a��a�aaa�aaa��aaaaaaaaa�a�aaaaaaaaaa��aaaaaaaa�aaaa�a�a�aa�aaaaaa�aaaaaaaaaa�a�aaaa�aaaaaaaaaa��aaaaa�aaaaaaaa

�1 �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 39: Plastic & Reconstructive Surgery

�aa�aaa��a�a�aa���a��aa�aaa��aa�aaaaaaaa�aa���aa�aaaa�a�a�aaaaaa�a�aa�aaaaaaa�a�a�a���aaa�a�aaaaaaasaaaalaaa..aaa

.aa...a..aa.aaata.asaaaa.a.a..aaaaa�aaaaa�aa�a�aa�aa��aa�aaa�aaaaaaaa�aaa�aa�a���aaaaa�aaaaaaaaaaa�aa�a�����a�a�aa�a�a�aa�a

taasaaasa.aaaaa...la.a �a�aaa#������

�����:���,�!�

�a���aaa�aa���a��aa�aaaaaa�aaa�aaa��aaa�aaaa��a��aaa�a�aa�aaa�a�aaaaaaa�aaaaaa�aaaa�#�aaaaa�aa��aaaaaaaaaa�a�aa�a��aa�aa.aaaaa...la

aa�aaaaa�aa�

�� �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 40: Plastic & Reconstructive Surgery

�a�aaa�aa���a��aa�aa�aaaaa�a�aaaaaaa�aaaaaa��aaaaaa�aaaa��aaaaa�aa��a��a�aaaaaaaaalasaa.aaas.aaaaasa.aaa.alasa

�a�a�a�aaa�aa�a�aa���a��aa�aaaaaaaaa�a��aaaaaaa��aa�aaaaaaa�aa��aa�aaaa�

��aaaaaaaa�aaa��aa�aa��aaaa�aaaaaaaaaaaaa��aa�aaaaa�aa�aa�a�aaaaa�aaa��aaaaaaaaaa.al.a.aataaa.aaaaaasaaaa.aaa.aaa..aaa

aaaaa�aa�a��aa�a��aa�aaaa�aa�a�a��a�a�a�aa�a��a�a�aa�a�a�aaa�aa�aaa�aaa�aaaa�aaaaaaaaa�aaaaa�aaaaaaaa�aaaa�aa�aa�aaa�aaaa

saaa.a.a.aa�aaaaaaa�aa�aaa��aaa�aaa��aaaa�aaaaaa�a�aaaaaaa�a�a��a�aasa..a.taa.aaaaaaaataaaaaaa.aaaaaaaaa.a.aata.aaa

aaaa��

��:��:�������:�:a�aaa�aaa��aaaa�a�aa����aaaa��:�:������:�:aa�aa�a�aaa�aaa�aaaa�aaaaa�aa�aaaaaaaaaa�a�aaaa�aaa

.aaataaaaaaa�aaaaaaaa�a�a�aaa�aaaa�aaa�aaaaaaaa�a�aa�aaaaaa�aa�aaaaaaa�aaaaaaaa�a�a��a�a�aa�a�aaaaaa���aa�a�aa�

aa�aaaa��a�a���aaaaaaaa�a�a�a�aaaaaaaaaa�aaa�aa��aaaaaaa�aa�aaa�aaa��a�aa��a��aa�aaa�aaa��a�aa�aaa�aaaaaa�aaa��aa

aaaaa�aaaa�aaaaaaaaa���aaaaaaaa�aa�a�a�a�aaaa��aa�aa��aaa�aaaa��a�aaaa�aaaaaaaa��aaaaaaaa�aaaaaa�aa�aaaaa�a�aa

alaa�aaaaaa��

��aaaa��aaaaaaaa�aaaaa����a�aaa�aaa�aaaaaaaaaaa��aaaaaaaaa�aaa.a.aaaasa.a.aasataaa.t.aaaaa.ta.aaasaataaa.a.aataaa.t.aa

�aaaa�a���aaaa�a�aaa�a�aaa�aaaaaaaaaaaaaaaaa�a�aa�aaaaaaaaaaa�a�aaaa�aa�a�aaa�a�aa�aa�a�:���:��R:ffeee������:�:

aaa���aaaa��aaaa�a�aa����a��aaa�a�aaaa��aaaaa��aaa�aaa��aa�aa�aaaa��aaaaaa�aaaaaaaa�aaa�aaaaaa�aaaaaaa���a

�aaa�aaa��aaaaaaa�aaaaaaa�a�aaaaaaaaa�aaaaa�aaa�a��aaaaa��aaaaaaaaa�aaaaaaaaaaa���aaa�aaaa�aaaa�a��a

aa�aaaaa�aaa��a��aaaaaaaaaaa��aaaaa�aa�aaaaaaa�aaaaaaaa�a�a�a�a�aaaaaaaaaaaaa�aaa�aa�aaa�a�:��!����������:�:���

aa�aaa�a��a�aaaaaa����aa��aaaaaaaaaa�aaaaa����aa�aaaa�aaaaaaa�a��aa�aaaa�aaa�aa�aaaaaaa�aa�aa��aaaa..aa.aa.aa..aaa

�a�aaaaaaaaaa��a��aaaa��a�a�aaa��a�aaaaaaa���aaaa���aaaaaaa�aa�aaaaaaa���aaaa�aaaa�aaaaaaaaaa�a��

�aaaaaaaa�a�aaaa�aaa�a��a�aaaaaaaaaaaaaaa�aa�a��aa�aaaa�aa�a�a��a�aaaaa�aaa�aa��aaaaaaaaa�aa�a��aa�a��a�a��aaaaa�aaa�a

aaaa�aa�a��aaaaaa�aaaaaaaaaaaaaaaaaa�a�aa�aaaa�aaa�aaaa��a��a��aaa�aaa�aa�aa�aa��a�aaa�aaa��aaa��aaaaaa�a�aaaaaa��a

�aaa�aaaaa��a��aaa�aaaaaaa�aaaaaaaa�a�a�a�aaaaa�a�aa�aaaa�aa�a��a�aa�aaaaaaaa��a�aa�aaaa�aa aaaaa�aaa�a���@aasaal.sasa

�aaa�aa�a�aaaaaaaaaaaaa�aaaa��aa�a�aaaaaa�aa�@�a�aa�a���aa�a�aaa�aaaaaaa������aaaa�aaaa�aaaaaa��aa��aaaaa��a���a�aaaa

�aaaa�aaaa�aaa�aaa�aaa��aaaaaaaa�a�a��a��aa�a���a�aa�aa�a�aaaaaaaaaaaaaaaa���a�aa��a��a�aaaaa�aaaaaa�aaaaataa

�aaa�aaa��aaa��aaaaaaa�aaa�aa�aaaaaaaaaaa�aaaaaa�a�aa�aaaa��aa�aaaa��a�aaa�aaaaaaaa��a���aaaaa�aaa�aaaa��aa�aa

aaa�a�aaa�aaaaaa�aa�aaaa�aa��aaaaaaaaaaa�aaa��aaaaaa�aaaaa�aa��aaa�aaa��aaa�aa��a�aaaaa�aa�aaaaaa�aaaaa����aa�a��aa

aaaaa�aaaaaaa��aaaaaaaaaaaaaaaaa�aaaaaaa���aaaaa��aaaaaaaa�aaa����aaaaaaaaaaaaaa�aaaaaaaaa�aaaaa�aaa�aaa�a�aaa

aaaasaa.aaaaasaaaaaaa�aa��aaaaa�aa�aaaaa�

�a���aaaaaaa��aaa�a����aaa��a�a�a��aaaaaaa�aaa�aa���aaaaaaaa��aaa�aaa�a��a�aaaa�aaaa�aaa�aaaaaaaaaa�aaa�aaaaaaa���a��aa

.laataaa.aaaaaa�aaaaa��aa�aaaa��a�aaa�aaaaa�aa��a�aaa�aa��aaa�aaaaaa��aa�aaaaa�a�aaaa�aaaa��aa���a��aaaaaaaaa�a�aa

a�aaa�aaaaaaaaaaa�a�aa�aa�aaaaaaaa��aaaaaaaaaa�aaa�aaaaaaaaaa�aaaaa�a��a�a�aaaaaaaaa��a��aaaaaa��a�aaaaaaaaaaaaaa

taaaaaaaaa.a.aaa�aa��aaaaa�aaa�aa�aaaa�a�a��aaaaa�aaaaaaaa�aaa��a���aaaaa�aaaaaaa�aaaaaa�aaaa�aaaa�aaa��aa�aa�aaaaa

��aa���aaaaaaa��a��a�aaaa�a�a�aa�aaaa��aaaaaa���aaaa�aaa�aaaa�aaaa�aaaaa��a�aa�aaaaa��aa�aa�aaa��a�aa��aa�a�aaa��a�aaa

aaaaa.aaaaaaa�aaaa�aaaa��aa�a�aaaaaaa�aaaa��aa��a�a�aaaa��aaaaaa�a��aaaaa�aa�aaaa�aa�aa�a��aaa�aaaaaaaaaa�aa�aaaa

���aaaaa���a��aaaaaaaaa�aaaaaaaaa��a�a�aaa�aaaaa��a���a�a����aa�a��aaaa����aaaaa�aaa�aaaaaaa�a�aaaa��a�aa�aaaaaaaaa

.aaa.aaa..aaaaaalataaaaa�aaaaaaa�

�aaa�aaa��aaa��aaaaaa�a�a�aaa�aaa�aaaaaaaaaaaaaaaaaaaaaaaaaa�aaa�aaaaa�aaaaaaaaa�a�a�a��aaaa�aaaaaaa�aaa�aaaaaaa��aaa

aaa�a�aa��a��aaa��a�a��aaaaaaaaaaa�aa�a��aaaaaaaa�a�aaaa��aa��aa��aa�aa��a�aaaaaa�a�aa��aaa��aaa���aa�a�aa�

LSRRRSSS

s..aaa.aa..aat.aa.aaaaa�aaaa��aaaaaa�aa�aaaaaaaa�aaaaa�a��a�aaa�a�aaaaaa��aaaaaaaaaaaaa��aaaaaaaaa���a��aa�a��aa�aaaaa

..aa.a..aaaaa�a���aaaaaaaaa�aaa��aa�a�aaaaaa�aa����a��aa��aaaa��a���aaaaa�aaaaaaa���a�aaaaa�aaaaaaaa�a�aaaaa�a�aaaaa

��aaaaaaa�aaaa�aa�aaaaaaaaa��aaaa���aaaaaa�aaaaa�aa�aa�a�aaaaaaaaa�aa�aa��a�a�a��aaa�aaaaaaaa��a�aaaaaaa�aaa�a�aaaaa�a�aaa

taaa.t.aaaaa��a��aa�aaa�aaaaaaa��aaa�aa�a�a�aa�a�aaaaaaaaaaa�aaa�a�a�aaaa�aaa��aaaa�aaaaa�aaa�a�aaaaa�a�aaaaa��a��a

��aa�aaaaaaaaa�aa��a�aa�aaaaa���aaaaa�aaa�

�aaaaaaaa�a�aaaa�a�aaaaaa�aa��a��aa�aaa�aaa�aaaaaaaaaaa��aa�a�aaaaa�aaaaaaaaaaa�a�aaaaaa�aaa�a�aaaa.laaaaaaaaaaat..a

aa�aaaa��aaa�aa�aaaaaa��aaaaaaaa�a�a��

�a�aa�aa��a�aaaaaaa�aaaaaaaaaaaaaa���aaaaa�a�aa�a�aaaa�aa��aaaaaaa�a�aaa�aa�aa�aaaaaaaa���aaaaaaa�a��aaaaaa��aa��a

�aaa�aaaaaaaa�aaa�aaaaaaaaaaa�aaaa��aaaaaaa��a��aaaaa�aa�aa��aaaaaaaaa�aa�aaaaaaaa�aaa�aaa��aaaaaaa�a��aa.aaa.aaaaa..a

�a�aaa�aaaaa�aa���aa�aaa�aaaaaa�aaaaaaaa�aaaaaaaaaaa���aaaaa�aaaaaaaaa�aaaa�aaaa����aaaaaaaa��a�aaaaaaaa.aaaaaa

a�aaaaaaa�aaaaa�aa��aaa�a��aa�aa�aaaaaaa�aa�a��aaaa�aaaaa�aaa�aaaaaaaaa�aaaa��aa�aaa��a���aaaaaaaaaaaa�aa�aaaa�a�a�aa�a

�aa�a�a�a�aa�����aaa�aaaa����aa��aaaaaaaa�aa�a�aa�aa�aa�aaaa�a��aa�aaa��aaa���aaaaaaaaaa��aaa���aa��a���a�aaaaaaaa�aa

a�aaaa�aa�aaa�aaaaaaaaaa�aa��a����a��aa�aaa���a�aaaaaaa��a�aaa��aaaaa����a�a��aaaa��aaaaaaaaa�aaaaa..aa..a..aaaaaaa

�� �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 41: Plastic & Reconstructive Surgery

aaaaaasaaaa.aa..saataaaaaa.aaaaaaa✵ a��aaaaaaaaa��aa�a�a�aa�aaaaa���a�a�a��aa�a��aaaaaa�aa��aaaaaaaaa.aaa.aaaaata.aaaa.aa

�aaaa��a�aaaaaaa�a�a�aa�a�aa��aaaa�a�aaaa�aaaaaa��aaaaa�aaa��aaaaa�aaaa�aaa�a�aaaaaaaaa���aaa�a�aa�aaaa�aa��aaa�aa�a

�aaaaaa�aaaaa�aaaaaa��a.aaaaataaaaaa.aa.aal.aata.ataaaal.asal.atataaaaaaaaaa�aaaaaaa��aa��a�aaaaaaaa��aaa���aaaaaa��a

aaaaaasaaaa.a.aaaataaaaaaaaaaa�aaaaa�aaaaaa�aa�a����aa��a���aaaaaaaa��aaa�a�a��aaaaaaa���aaa��aa�aa�aa��aaaaaaaa�a�a�aaaa��aaa

.laa...aaaa�aaa�aaaaa��aaaaaa�a�aa�aa�

�a��aaaaaaaa�a�a��a����aa�aa�aaaaaaaaaa�aaaa�aaaa�aaaa�aaaaaaa��aaaaa�aaaa�aaa�aaaaaa�aaaaaa�a�a�aaaaaa���aaaaa

�aaa�aaaa�a���aa�aa�aaaaa�aa�aaa�aaaaaaaaaaaaaa�a�a��a�a�aaaaaa�aaaaaa��a�aa�aaaaa�a�aa�aaaa�a�aa�

�a�aaa���a�aaa�aaa��aaa��aaa�a�aaa��a�aaaaa�aaaa�aaaaaaaa��aaa�a�aaa�a�aaa�aa�aa�a�aaaaaaa��aaaaaa��aa��aaaaa��a���a��a

�aa�aa�a�aa�aaa��aaa��������������a������a���������

���aaa�aa���a��aaa�a�aaaaaa��aa��aaa�aaaa�aaa�aaa�aa�aaa�aaa��aaaaaaaaa�a��a�a�aa�aa�aa��aaa������������a������a�#����#�

�a��a�a� aaaaaa�a�aaa��aaa��aaa�a�aaaaaaaaaaaaa�a���aaa��aaa���aaaaaaa�aaaaaa�aa�aa��aaa�aa�aaa��aa�a�a�aaaaaaa�a�a

�aaa�aaa�aaaaa�a��aaa�����������a������a���������

�aaaa�a�a�a�aa�a�a���a$aaaaaa���a�a���a�aaaaaaaaaaaa��aaaaaaa��aaa�aaaaa�a�a a��aaa�aa�aa��aaa�a�aa�aaa�a�aa

������#�����

Se:&ffe:e✶✷ ✸✹✺ ✻✼✽✾✿ ❀ ���:�:��:�:��

��aaaa�aa�aaaaaa�aaaaaaaaaaa��a�aaa�aaaa�aaaa�a���aaaaaaa�aa�a�a��a����aaaaa�aa��aaa�a�a�aa��aaaaaaaa�aaaaa����a�aaa

�aaaa�a�a�aa��aaaa���aaaaaa�aaaaaaa�aaaaa����a�a��aaa���aaaaaaa�aaaaa�aaaaaa�aaaaaa�a��aa��aaa�aaaa�a�aaa�a�aa�a�

�aaaaa�aaaaaaaaa�aa��a�aaa�aaaaaa�aaaa���aaaaaaa��alaaaa.a.aaa.talasataasaaaataaaaaaaaalatas..alataa.aaaaaataalattasa

�a�a�aaa�a�aaa�a�a�a�aaaaaaaaa�a��a����aa�aaaaaa�a�a�aaaaa�aaaa��aa��aa�aaaaa�a�a�aaa�aaaa��aaaa�aaaaa�aa�aaa�aa

a��a�

aa�aaa�aaaaa�a�aa�aaaaa�aa�aa�aaaa�a�a�aaaaaaa���aaa��aa��aaaaaaaa�aaaaaaaaa�aaaa���aaaaaaa�aa�alaaaaa.aaaaa.aaa

.aa.aa..a.aaaaaaataaalaaaa.a.a.aaaaataaa��a��aaaaaa�aa��a�a�aaaaa�aaaaaa�aaa�aa�a��aaa�aaa.aa.aa..a.aa.aaaaata.aaaaaaaasa

�aaa����aaaaaa��aa�aa�

#:����������:�:a.aa...a.aaaaaa.aa.ataaasaaaaaaaaala.aaaaaaaa.ta.aasaaaaa.aa@���aaaaaa��aa�aaaaaa�aaa�aaaaa��aaa�aa

al..aa@a��a��aaaa��a�a�aaa�aa�aa��aa�aaaa�a��aa�aaaaaaaa�aaa��aaaaaaaaa��aa�aaaaaaa�aa�a�aa�aa�a��aaaaa����a��

saa..aal..aa.a.aaataaaaaa..a.asaaaaaa.aa.aaataaat.aaaaa�aaaaa��aaa�aa�a��a�aaa�aaaa�aa��aa�aaaaaa�a�aaaaa�a�aaa�aa�a�aaaaaaa

�a�aaaa�a�a�aaaa�aa�aaaaaaa���a�aaa�aaa�aaaaa��a�aaaa�aa�aa��a�aa�aa�aaaaaa��aa�aaaa�a��aa�aa�a��a..aaasaaaa.a.aaataa

��aaaaaaaaa�aaa�aaaa���a�

���aaaaa#�a�aaaa�a�aaaa�aaa���aa�aaaaaaa�aaa��a�aaa�aa�aa�

�������:�������#:����##:

�aaaaaaaa�aaa�aaa�a������aa�aa��aaaaa��aaa���aaa��aa��aaaa����aaaa�aaaa�aaaaaaaaaaaaaa�aaaa�a����aaaaaaa.a.aa.a.a

aaaa�aaaaaaaaaaaaaaaa�aaaa�aaa��aaaa����a�a����aa�aa�aaaaaaaaaaaa�aaaa�a��aa�aaaa�aaa�aaaaaaaaa�aaaaa��aa�aaaaa�aaaaa��

�aaa�aaaa����aaaaaa�aaaa���a�a�aa�aa��a�aaaaaaaaa����aaa�a�a�aa�a�aaa�aa�aaaa��aaaaaa�aaaaaaaaaaaa���aaa�a��aaa���aa�

�a�aa�aaaaa�aa�aa�aaa�aa�aaaaaaaaaaaaaaaaaaaaa�aaaa�aaaa��a�aaa�aaaaaaaa��aa�aaaa��aaa�aa�aa��a�aa�al.laaaaasaaaa.aaataa

�aaaa�aaa�aa�a aaaaaaa�a��a�aa��aa�a���aaaaaa��a���a�aaaaaa�aaaa�aaaaaa�aaaaaaa�a�aa�aaaa�a�a�aa�aaaaa���aaaaa��a�a

aa�aaaaaa���aaaaaaaaaaa�aaa�aa��a�aa�a��aaaaaaaaaa�aaa�aa�aaaaaaaa��aaaaaaa��aaaataaa..aa.aa.aslaa.a.aaataataasaaasa

aa��a�a�a�aaa�aaaaaaaaaaaaaaaaat.ataaaa.aaaaataaaas.aaaaaaaaaaaaaa.aaaaaaa.laaa..aaaataaaaaaaaaaaataaaalataaasaataa.aa.a..aaa

a.tlaaaaaaa�a�����a�a�a�a�aa���aaaa�a�aaaaa�a���a�aaaaaa�aa�aa��aaa�aaaaa��aaaaaaa�aaaaaaaaaaaa�aaaa�a��a aaaaaaaaaaaaa�a��

�����a��a��aaaaaa�aaaa�a��aa�aa�a��aa���aa�aaaa����a��aaa���aaaaaa�aaaa����aa��aaaaa��aaaa�a�a�aaa�aa�aaaa�aaa�a�a aaa

�aaaaaaa�a�aaaaaaaa�aa�aa��a�aa�aa�a�aaaa�aaa��aaaa�aaaaaaaaaaaaaaaaaaa�aaaaaaa�a��a�aa��aaa�aa����a��a�a�

��a�aaaaaa�aa��aa��aaaaa�a�a�aa�aaaaaa�aaaa�aaa�aa�aaaaaaaa��aaaaa�aaa��aa�aa�aa�aaaaaaaaaa�a��aaaaaaaaaaaa��aaaaaaaa��aa

aaaa�aa�a�aa�a�aaaaaaaaaaaaaa�a�a�aa�aaaaa�aa�aaa��aaaaa���aaaaaaaaaa��aaaaaa�aaaaaa��aaaa�aa�aaaa�aaaa�a�a����aaaaaa

aaa..a.aaaaasataaaa��a���a�a�aa��aaaaa�a�aa�aaaaaaaaaaaa�aa��aaaaaa�aa�aaaa�aaaaa��a��a�a�����aaaaaa��aaaaaaaaaa��aaaa

taaasa.l..aaaal.aataal.asaaaaaa.laaaaaaaaaaasalaaaaa.ataataaa.aaa.aaa�aaaa�a�aaaaaaa�aaaa�a�aaaaaa�aaaaaa�aa�aaa

�a��aa�aaaaa�aaaaaaaaaaaaaa�aaaaaaaaa�a��a�aaaaa��

��aa�aaa����aa��aaaaa��aaaa�a�aaa�aa�aaaaaaaa��aaaaaa�aa�aaaaa�aa�aaa�aa��aaaaa�aa�aaaaa�����aa�aaaaa��aaa�aa�a

aasaaaa....al.asaa..aa���aa��a��aa�aaa�aaa���aaaaa�a�aaa�aaa�aa�aaaaaaaaa�aaaaaa�aa�aaaaaa�aaaaa�aaaa�aa���a��aaaaaa

aaaa��a��aaaa�a�aaaaa..aaaaa.a.laa...aaaaaaalaa.a.aataaaaaaaataaaa.aa.aal.a..aaaaa�aaaaa�aaaa�aaa�aaaaaaa����aaaaaa�aaaaa��aa

�aa��a�a�aa�a�a�aaaaaaaaa�a�a�aa�aaaaa�aaaaaaaaa�aaaaaaa�aaaaa����aaaa�aa�aa��a�aa��aa�aaaaaaaaaaaaaaaaa��a�aaaa

�� �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 42: Plastic & Reconstructive Surgery

��aaaaa��aaaaaaa��aaaaa����aa�aaaa�aaaaaaaaaaaaaa�aaaaa�aaa.aaa.a.aa.laaaaal.aa.tlaaaaaa.aaaaaataaaa.aal.aalaaaaaaa

aaa..aaaaa�aaaaaaaa��aaa�aa�aa��a�aa�a�aaa�aaa��a������a�aaaa�aa�aa�a�aaaa�a��aaa�aaaaa�aa�aaaaaaa�aaaaaaaa�a�aaaaa�

aaaaaa��aaaaa�

��a�a���a�a�a ��a���aa��aa��aaa�aa��aa�aaaaa�a�aa�aaaaaaaa��aaa�aa�aa��a�aa�a�a�aa�aa�aa��aaa��������#���

�aaaaa��aaaaaa�a�aaaaaa��aaaaaaa���aaaaaa�aa�aa��a�aa�a�aaa�aa�aa��aaa��������#���a������a��������

�aaaaaaa�aa�aaaaaa�a�aa�aa�aaaaa�a�aaaaaaa.aaaa.aaasaaas.aaaaaaaaaaaaaa.aaaaataa.aaa..a.aaaaaaa.aa.aal.a.aaataal..aaa

�aaaaaaaaaa���aaaaaaa�a��a�aa�aa�a�aa�aaa��aaa���������#���a������a��������

$aaaaaaaa$aaaaaa�a��aa�aa�aaaaaaaa�aa�..saaaaa�aaaa���a��a�aa�aa�aaaaaaaa��a�aaaa�a�a�aa�aaaaa�aa�aaaaa��a�a�a�a�aa�aaa

aaaaa��aa��aa��aa��aaaaa�aa�aa��a�aa�a�aa�a�aa�a��a��aaa�����������a������a��#�#��#�

���������#:����##:

�a�aa�aa��a�aaaaaaa�aaaaaaaaataaa.aaaaaaaaaa.aa.aaaaa..aa.a.aataaaaaaaaaa.aa.aaa.a.aaa�aa�a�aaa�aaaa��aaaaaa�aaa��a���a�a

.aaa.alaaaaataasa.aaa.asaaa���aaa�aaaaa��a�aaaaaaaa�aa��a��aa�a��aaa�aa�aaa�aa�aaa�a.aaaaaaaat..a.aa.aslaaaa.a.aaaaaaa

ataaaaaaaaaaaaaaaataaa.aa�aa�aa�aaaaa���a�a�a�a�a�aaaaaaaa��aaaaaaaaaa�aa�aaaaaaaaaaaaa�aaa�a�a��aaa�aaaaa��a�a

..aa.a..aaaasaaa.a.a.aaataaaaaaa.aaa.ta.aalaaaaa.aaaaa.laaaaaaaas..aaaaa.aa.aaaaaaasaaas.aa.aaaataaa.aa.aaalasaaaaa

aa.aa.aal.a..aa.laaaaaa.aaataaaaaaaaa�aa���aaaaaa�aaaa�aa�aaa��

�a�a�aaaaaa�aaaaa��aaaataaa.aa.aa.aaaaaaaaal.atalaaa�a.aata..tasa..aaaa.aaaal.saa.aa.ata.aaaaa.aasa.laa..aaaaaaaaaaaaaaaa

a�aa�aa�aaaaa�a����a��aaaaa�aaaaa��a�aaaaaa�aa�aa��a�aaaaaaa�aa�aaa�a�a�a���a��aa�aa�aaa�a�aaaa��aaaaa�aa�aaaa�aaaaa

aaaaa�aaaaaaaaalaaaaaaaa.aaas.aaaaaa.aa.aal.a.aaal.ataalaaaaaal.aa...laaataaaaa.laa.a.aaaaaaa.ataa..aaaaa.aaa..aaataaa.aa

aa�a�a��aa�aaaaaaaaaa�aa�aa�aaa�aa�aa�a�a�a�aaaaa�a��aaaaaaaaaaaaa��aaaa�aaaaaa�aaa��a�a�aaa�aaaaaaaaaaaaaaaa

alaaa.aaasaaaaaatl.aaa.laaa.aa.aa..saaataaas..aaaa.aaaaasa.aa.a..aaa.aaa�aaaaaaaaa�aaa�a�a�aaa�aaaaaa�aaaaaa�aaa�a

.aa.aa.aaaaat.aaaaaaaaaasl.a.aaaaaaaa.aa.aaaaaaaaaaalaaaaaaaaaaaaaa�aa�aaaaa���aaaaa�aaa�a�aaa�aaaaaaa�

��aaaaa�a�aaaaaa�aa�aa��a�aaa�a�a�aaa�aa��aaaaa�aa�aaa�aaaaa��aa����aaaaaaa��aa�aaaaaa��aa����a�aaaaaa�aa��aaa�aaaaaa

ata.aaaaa�a��a aaaa��aaaaa�aa�aaaa�a��aaaaaa�aaaaaaaaaaaa�aaaaaa..al.laaaaala.aa..aa.aaaaaal.a.aa.aaaaaalaat.aa

.aa.aaa.al.ataaaaaa��aaaa�aaaaa�aaaaaaaaaaaaa�aaa�a��a��aa�aaaaaa��a���aaaaaaa�aa�aaa�aa���a����aaaaa��a�aa�a�a�a���aaaa�aa

aaaa.a.aaaa�aaaaa��aaa�aaaa���aaaaaaa��a��aaaaaaaa�aa�aaaaa��aaaaaa�aaaa���aaaaaaaaa��aaaaa���aaa�a�aaaaa�a����aaa��aa�a

�aaaaa�aa�aaalasasaaa.aaaaaaa.aa.aal.a.aaaaasasaa.aaaaa..alaaaaaataa.aaaa�aaaaaa�aaaaaaa�aaaaaa�aaaaaaaaa�aaa�a�a��aaa

��aaaaa��aaaa���aa�a�a�aaaa�a�aaaaaaa��aaaaa���a��aa�aaaaa�aa�aaaa�a.aa.aaaaaaaaaaaa.a.aaaaa..ala.aa..aa.aaaaa

ta.al.aaaaaataat.ataaaaaaaaa�aaa��aa�aa�a�aaaaa���aaaa�aa���aaaaa�aa�a�aaa�aaaa�aaa���a�a�����aaa��aa�a�aaaa��aaaaaaa�aa

�aaaaa�a��aaasa.aaaaaa.aaas.aaaaaa.aa.aal.a.aaal.ata.a.aaaaaaaaaal.aaaaa���a��aa�aaaaa�aa�aaaa�a�aa��aaaaaaa�aaaaaa

aaaa..a.aaataaaaa....al.asaa..aal..aaaaaa.aa..saaaaaataaaaaaaaaaaa.a.aaaaaaaataa.a.aaaaa.aaataaa.aaataaaa..aaa.aa...aaaaataa

���aaaaaaaa�aa���a��aa�aaaaa�aa�aaaa�aa�aa�aaaaaa��aaaaaaa�aaaa�a�

��aaaaa....al.asaa..aaaa.laaaaal.aaaa.a..al.asaaa.aaaaaaaaaaaaaa�aa�aa��a�aaaaaaa�aa�aaa�aa��a�aaaa�aaaaa�a��aa

aaa.laaaaal.a�a�aa��aa�aa�aaa��a�aaa���aa��aaaaaaaa��aa�aaaa�aaa�aaaa�aa..aaal.aaataaaaaa..aa.aaaasa.a.aaasataaataa

�aa���aaa�a��aa�a�aa..aaaaasal.a.aa.aaaaaaaal.a.aaaaaa.a.a.a.aaa.aaaaaaataa��aaa���aa���aaa�aa��aaaa�aaaa�aa�a���aaaa

a��aa�a�aa��aaaaa�a�aaa�aaaaa�a�aaa�aa�a�aa�aaaaaaa�aaa��a�aa�aaa�a��aa.l.aa.aaa.aaa.aaaaaaataaaaa....al.asaa..a..a

.lalaasaaaaataaa�aaaaa��aaa�aaaa���aa�aaaaa�aaaa�aaaaaaa��a�a��aaaaaaa�aaaa�aaa���aaaaaaa�aaaaaa�aaa�a�aa��aaaaaa���a

��aa�aaaaaa��aa�aaa�a�aaaa�a�a��aaa�aaaa�a�aaaa�aaa�aaaaa����a��aaa��a.aaaa.aaaaaaasataaalaaaaaaa.aaaaal..aaa.l.aa.aaaa@

ataaaaa����a��aaa��aaaaa�aaa�aaaaa��aaa�aa�a��aa���aa��aaaa��a�a�a��aa�aa�a�aaaa�aaaa�a�aaaa�a��aaa�aaaa��aaa�a�aa�aa��a

aaaa�aaaaa�aaa�aaa�a�aaaaaaaaa�aa���aaaaa�aaaa�aaa��aaaaa�a����aaaa�aa��aaa�aa���aa�aaaaaaaaa�aaa�a��aaaaaaaata.aaaa

aaaaaaaaa�aaaaaaa�aa�aaaa���a�aaaaaaaaaa��aaaaa��a�aaaaaaaaaaa��a�aaaaaa�aa��aaaaa�aaaaa��a�����a�aaaa�aa�aaaaaa.aaa

taa.a.aaaasa.aaataaa..a..aaataaa.aa.aaaaaaaaaaaaaaaa���a�aa�aaaaaaa�

��aa��aaaaaa����aaaaaaa�a��aaa�aaaaa�aaaaaaa�aaaaa�aaa�aaaa�aa�aa��a�aa�a�aaaa�aaaaaa�aaaa..a..aaaaaa.aaa.aal.ataaa

.a.aaaaaa.aa.aa..a.a.aaaasalasaaaataa��a�aa���aaaaaa���aa�aaaaaaa�aaaa�aa�aa�aaaaaaa�aaaaa�a�aa��aaaa�aaaaa��aa�aa�aaa

..a.aaaaa....aaaa.aaaaaasal.ata�aa�aaaaa��aaaaa��aa�a��aaaaaaaa��a�aaaaaaaaaaaaa�aa���aaaaaaa�aaaa�aaa��aaa�aa�aa�a�a

.aa.asaaaaa.aa@aaa�aaaaaaa�aaaaat.@��aa���a�aaaa�aaa�a�a�aaaaa�aaaaaaa�aaaaa�aa�aa�aaaa�aaaaaaaa��a�����a��aa�aa

��a�a��aaaa�aaaaaaaa���aaaaaaa��aaaaaaa.aaaaaaataaal.aasaaaa.a.aa..aaa.aa.asataaaa.aaaaaaaaa�aaaaa�a��aa��a�aaaaaa�aaaa

at..aaaatasa.a.alsaaataaaaaaaa���aaaa�aaaaaa�aa�aa���aa��aaaa��aaaaaaa�aa���a�a�����aaaaaaa��aaa�aaaa�aa�aaa�aaa

�aaa�aaaa�a�aa�aaaa�a���aaaaaaaaa�a�aaaaaaaa�aa�aaaaaa�aaa�a��a�a�aaa�a�aa�aaaaaa�aa�aaa��aaaaaaa�aaaa�a�a����aaaa

a��a��aaaaa���aaaa�aa���a��aaaaaa��aaa��aaaaaaa��

��aaaaaa��aa�aaaa�a��aa�aa�a��aaaa��aaaaa��a�����aaaaa�a�aaaaaa�aa��aa�aaaa�aa�aa��a�a��aaa�a�a�aaaa.l..a..alaaaa

�� �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 43: Plastic & Reconstructive Surgery

��aaaaaaa��aaaa��aaaaa����aa�aaa�aaaaaa�aaaaaa��aaaaaaa���aaa�aaaa�aa�aa��a�aaaa�aa�aaa�a�a����a��aataaaa.aa.aa.aa.aaa

aaatasaaaaaa.aa.aal.a.aaa.aaataaaaaaa.aaal.laaaaaataa.aaa.aal.taa...laaa.aaa.a..aaaaaaaaaa.taataaa..a..aaataaa.aaaasaaaa

.aaaalaa.aaaasa.a..a.aaa.aaaaa..alaaaaaa�aa��aaaa�a�aaaaa�aa�aa���aaaaaa�aaaa��aaa�aaa�a�a��aa.a....aaaaaaataasaaaaa..aaa..a

..a.aaaaaaaataaaaaaaaaa�aa�aaaa�aaaaaaaa�aaaaaaaaaa�aaaa�aaaa�aaaa�a����aaaa�aaaaaaa.aa.aal.a.aaa.aasl.a.aataaaa.aa

aaaaaaaaasaaaalaaaataaa.aa�aaaaaaaa�aaaaaaaaa�a��aa�aaaa���aa�aaaaaaaaaaaaaaa�aaaa.aaaa.alaaaaa.aaaaaaaaaa.aa.asaaaa

�a��aaa��aa�aaaa�aaaaa�aa�aa��a�aaa��a�aa����aaaaaaa�aaaa�aaaaa�aaaaaa�

�aaa�aa��aa�aaaa�aa�aa��a�a�aaaa�a�a�aaaa��aaaaaaaaaaa��aaaaaaaaaaaa�aa�aaaa.aaataaaaaaaaaataaaaa.aaa.aataaalalasa

��a�a�aaaa�aaaaa�a��a�aaaaaaa�a�aa�a��aa�aaaaaa��aaaaaa��aaaa�aa�aa�aaaaaaaaa�aaaaaaa����aaaa���aaaaaaaa�aa

aa�aa�aa��a�aa�aa�aa.laaaaaaaaaaaa.aaal..aaaataa.aaaa.aaaa..aa.aa..a.a.aaaaaasaaaaa�aaaa�aaaa�aa����aa�aaaaaaaaaaa�a�a��aaa

aa....aaaa�a��aa�aaaaaa�aa�aaaaaaaaaaaaaaaaaaaa�aaa�aaa�aaa�aaa�a��aa��a�aa�a�aa�aa��aa��aaa���aaaa�aaa��a��aaaaaaaaa�a

aa�aa�aa�aaasaaaaaaa..a.aa.aa.aaaaaas..aaaaaaa.aa.aal.a..aa.aaaaaaaaaaaaas.aaaaa....aaaa.a..aa.aaasaltaataaaaaal.aaataa

....aaaaaaaaaaa�aaaaaaaaaaaaa�aaaa�aaaa�aa�aa��a�a�aaa�

�a�a��aa����a��a�aa�aaa�aaaa�aa�aa��a�aaa��a�aaaaa�aaaaaa��aaaaa�a�a�aa�a�a�aaaaaaaa.aaaalaaaaaal.aaa.aa.aal.a.aaataa

sa.aaa..aaasaaaaa..aaaaaa���aa�a�a�a��aa�aa�aaaaa�aaaaaaa����aaaaa�a�aa�aaaaaaaa.aaataaaataaaa.al.aatsaa.a..aal..aaa..a

aa.aaaa..aaasaa���aa��aa�aaa�����aaaa�aaaa�aa�a�aaaa�aaaa�a����aaaaaaaaaa��a���aa��aaaaaaaaaaaaa�aaaaaa�aaaa�aaa

a..aa.aa..aaaaaaaaaaa�����aaaa�a��aa�aaaa���aaaaaa�aaaaaa�aa�aa����aaaaa��a��a�a�a�a�aa�aa�aaa����aa��aaaaa��a

taaa.ta.aataaa��aaaa�aa���aaaaaa���a�aaaa�aaaaaaaaa�aaaa�a��aa�aa�a��aa���aa�a�aaa���aaaaaaaaa�aaa���aaa�a�aaaa��a

..aaasaaasaaaaaa.aa..ala.aaaaaaaaaaaaaaa.aa.aa.aaal..laaaaala.a.aaaaasaaasl.aaa�aa�aaaa�aaaa�aa�aa���a��aaaaa�aaaa�aaa

a..aa.aa..a.a..aa.aaaaaa�aaa���a�aa�aaaaaa��a�a�aaa�aaaaa�aaa�aaa���aaaa�a�aaasaataaaaa.a.a..aa.aaaaaaaa.aaaa.asaaaa

aa....aaaa.a..aa.aaaaaaaa�aa��a�aa�aaa�a�aa�aaa��a���a�aa�aaa�aaaaa�aaaa�a��aa�aa�a��aaaa�a�a�aaaa�aa�aaaaa���aaaaaaaa

a.aaaa..aaa.aaaaasa�aaaa�aa���a�a�aa�a�a�a�aa�aaaa�aaaaaaaaaaa�aaa�aaaaaaa�a�aaaa..a.aaaasa.aaa.aa.aasaaaaa..aaa

aaat.s.aaal.ataaaaaasaaaaa.a.s.aaaaaaatsaa.aaaatlaaaaaasaaa.aaa.a.aaaaaaaaal..aaaa�a�a�aa�

�aaa�a�aaaaaaaa�aa�aa��a�aaaaaaa�aaaaaa�aaa�aaa�a�aaaaaa.aa.aaa.alasaaaaa.aa.aslaa.aataaaaaaaaaataa.aaaaaaaaaaaa

aaa�aa�aaa���a�aaa�aa�aaa�aaa�aa�aaaaaaaa���aaaaa�aaaaa�aa�a����a�aaaaaaaaaa�a�aa�aaaaa�aa��aaaa�aaaa�a�a

a�aaa�aaaa��a�aaa�aaaa�aa�aa��a�aa�a��aaa�aa�aaaaaaa.aa.aala�aaaaa�aa�aaaa�aa�aa��aa�a��aaaaaaaa��a���a�aaaaaa�aa

aa�aa�aa��a�aaa�a�a��aaa�a�aaaaaaa�aaaaaaa�aaaaaaa��aaaaa�aaa�aaa��aaaa�aaa��a�aaa�aaa��aaa���aaaaa�aa�a�aaaaaa�aa�aaaa

�aaaaa�aaaaaaa�aaaa����aaaaa�a�a�aaaa��aaaaaaaa�aa�aaa���aaaaaaa��aaaaaa�aa�aaaa�����aaaaa��aa����aa�aaaaa�aaaaaa��a�a

aaa��a�a�aaa�aaaaa����a��aaa��aaaa�a�a�a��a�a��aaaaaaaaaaaaataaaa.aa.aal.aasal.ataaaalaa�a����aa��a���aaaaaaaaaaaaalasataa

aaaaaa.aaaaaaaaaaaaaasaaaaaaaa.aaaaaaaa���

�a�a����a�a����a�aaa�aaaa�aa�aa��a�aaaaaaaaaaa�aa�aaaa�a�aa�aa��aaa�a�aaa�����#���#�a������a����#���

�aaaaaaaa��a�a�a��aaaaaa..aa.aaatsaa.aaaa..aaasaaaa.aaaaataaa.aaaa�aa�aa��a�aa�aaa��aaaaaaaa�aa�a�a�a�aa�aa�aa��aa

������������a������a��������

�a�a�aa��a�a�a�a��a�aaaaaaa��aaa��a�aaaa���aaaaaaaa�aaaaaaa��aa�aaaa���a�aaa�aaaa�aa�aa��a�aa��a�a�aa�aa�aa��aaa

������������a������a���##���

�a�a�a�aaa�$aaaaaa�a�aaa�aaaa�aa�aa��a�aaa��a�aa�aa����aaaaaaaaa�aaa���aa��aa�aaa�����aaaaaa����aaaa�a��aa�aaaaaa

�aaaaaa�a�a�aa�aa�a�aa�aaa��aaa���������#���a������a������#��

#:�:����:�:��:���:�:��:���:�:�

�aa�a�aaaaaaaaaaa�aaaa�aa�aa���aaaaaaa�aaaaalt..taaaa.aa..saalalasa.a.aaaaaaaasa.aa.laaa..aataaaalaaaaaaaa�aa�a

aaa���aaaaaaa�aa��aaaaaaaaaaaaaaaaaaaa��a�aa�a��aaaa�a�aa�aaa���aaaaaaa�aaaaaaaaaa�a���aaa��aaaa�aaaaaa.aa..�aaaa���aa

aaa..alaaaaaa.aaataaaaaaaa...la.aa.a.aataaaaaaaaa��aaa��aaaaaaa�a�aaaaa�aaaaa�aa�aa�a��aaaaaaaaa�aaaaaa�aaaataaaalaaaa

al.a.asaaaaa....aaaaaaltaaa.aaa.a.aaatasata.aaaaa�aa�a���a�aa�a�aaaaaaa�aaaaaaa�aaaaaaa�aaaa�aaa��aaaaaaaaa.laaa.aaa

�a�aa�aaaaaaaaa�a�a�a�a��aaaaaa����aa��aaaaa��aaaa��aaaaaaa���aaaaaaaaaaaaaa��a�a�aaaaaaaaa�aaa�aa.a.aaaaaa.aaataa

aa�aaaaaaaa�a�a��

�aaaaaaaa�a�a�aaaa�aaa�a�aaa�aaaa�aaaaaa�aaa�aa�aaaaaaaaa�a�aa�aaaaa�aa��a�a��a�a��a����aa�a�aaa�aaa���aaaaaaaa�aaa

aaa�a�aa��a�a����aa�aaaaaaaaaa��aa��aaaa.aaaa.aa..a..aaasal.ataa.aaaaasl.a.aaaaasaa.laa.aaaaaaaaa.alaa.aaaaaaaasaaaa

�a�aaa�aa��aaa�aaaaaaaa�aa�a�aaaaaaaaaaa�aa���aa�a�a�aaa�a��a�a�aaa���a�aaaaa�aa�aa��a�aaaaaaaa��a��aaaaa��aaaaa�aa���aaaaa

a�aaaaa�a�aaa�aaaa�aaaaaaaa�aaaaaaaaaa����aa��aaaa�aaa��a�aa���a���aaaa���

�aaaaaaaaaaaa�aaaaa�aaaaaaaaaaaa����aaaa��aaaaa�aaaa�aaaaa�aa�a�a�a a�aaaaaaaa���aa�a�a�aaaa�aaa�aa�aaaaaaa

l..aaaat.asaaaaataaaaaa�aaa�aaaa�aa�aa��aaa��a�aaaaa�aaa�aaa���aa���aaaaaaa���aaaaaa�aaaa�aaa�aa�aaaaaa�a�a�

a����aa��a���aaaaaaa�a�aaaaa����aasaaa.a.aaaaataaa.ssaaaat.asaaaaataaaaaa.aaataaaa.aa.aal.aasa.aaaa..a.aaaaaaaaaaataaataa

�� �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 44: Plastic & Reconstructive Surgery

�aaa��aa���aaa�aaaaaaa�a�a��a�aaaaaa.ssaaaat.asaaasas..aaaaat.asa.aaaaa...laasaaa.a.aaaaaaaaaa�aa���aaaaaaaa�aa�aa��a�a��aaa

ataaaaaaa.aa.a..aaasataaaaaa���aa�aaaaaaa�aaaaa����aaaa���aaaaaaa����aaaaaa�aaaaaaaa�aaaa�a��aaa�a�aa�a�a�aa�aaaaaaaa

.aaaaaal..aa.aataaaaasa.aaaaaaa�a�aaa�aaaaaa�a����aa�aa�aaaaaaa��a�aa����aaaaaaa�aaa����aaaaa���aaaaaaaa�aaa�a�aaa�aa

a���aa��aa�aaa�aaaaa��aaaaaaaa�a�aaa�a�aaaaa�a�aaa�aaaa��aaa���aa�aaaaa���aaaaaaaaaaaaaaa�a�aaa�aaa�aaaaa�a�aaaaaa�a�aaaaaa

..aaaaaaaaaaa.aa..sasataaaaaaaaaal..aaaaaa.a.l.taa.aataaaaa..a..aal..aaaaaaa.aaaaaaasaaas.la����aaaaa�a�aaaaa�aaaaa����a��

aa��aaaaaa�a��aa�aa�a��aa���aaaaaaaaaaaaaaaaa�a��

�aaaaaaaaa�aaaaa�aa�aaaaaaaa�aa�aaaaaaaa�aaaaaaaaaaa�aa���aaaaaaaaaa�aa�a�a��aa���aa.aaata.aaaaa.aa.a..a..a..aaaaaasa.aasaaaa

taaaaataala.ataaaaaa�aa�aaa��a�a�aa��aaa�aaaaaa�aaa��aaaa�a�a aaaaa���aaaaaa�a��aaa�aa��a�a���aaaaaaa�a�a�aaaa�aaaaaa

�aaaa��aaa�a��aaaaaa�a��aa�aa�aa�aaa��aa����aa�a��aa��aaaaaaaaaaaa�aa�a���aaaaa�aaa���aaaaa��a����aa�aa�aa�aaaa�aaaaa�aaaaa

at.ataaaa.aaasaa�aaaaaa�aaaa�aaaaa�aaaaa��aa�a�aaaaaa��a�a�aaaaaaa��a�aa�aa�aa�a�a�aa�aa�aaaaaaa�@aasa..a..a..aaaaa

a�aa��aaaaaaa�as..aaaaaata.asaaaaaaaaaaaataaaalaaa.a.aa.laaaaal.a.aaaaaaaaa.aaaaaaataaaaaaaaaaa..a.aaaaaataaaaaaaasa.l..a.asa

taaataa.laaaaaaaaaa�a�����aa��aaaa�a�aa�aa��aaaaaaa�[email protected]��aaa�aaaaa�a�aaaa�aaa�aaaa�aaaaaa�aaa�a

��aaaa�a�aaaaa��a�aaaaa���aaaaaaa���aaaaaaaa�a�a�a�taaa.aaaaaaaa.l.taa�aa�aa�aaa�a��aa�aa���aaaaaaa�aaaaaaa��aa

.aaaa.a..aa�aa����a�aa�

�aaaaaaaaaaaa�a�aaaaa�aaa���aaaaaa�aaaa�aa�aa��aaa��a�a�aaaaaaaaa�aaa�a�aaa�aaaaa��aaaaaa�aaaaaataaaaaaa..a.l.taa.aataa

�aaaaaaaaaaaaaa���aaaaaa�a�a�a�aa�a�a�aa..aaa.aa.a...taaaaaaaa.aa.aal.aaataa.aaaaa...laasaaa.aaaasaataaaaa.aa.aal.aaataataaaaaa.a

l.ataaas..aaa.a.aaaa.aaaaaaa...aaa��a���aa�a��aaa�a�aaaaaaaa�aaa��a����a�aaaaaaaa�aaaaaaatasa.aa...a.aaaa.aaaaaa.aaaaa

.aaa..aaaa.aaaaaaaa.aal.aaaaaaaa�aa��aaaaaa�a��aaaaaaa�aaaaaa�aaaaa��aaa�a�aaaaaaaa���alt..ta.aaaaaa.aaaaaaataa.aataa

�aaaa�aaaaaaaaaa�aaaaaa�aaaaa���aaaaaa��aa���a����aaa�aaaaaaaa�aaaaa�aa�aa��a�aaaaa���aa�aaa�aaa��aaa�aaaa�a

.aa.aaaa..aaaaaaaaataalaaaaataaaa�a��aaaaaaa�aa��a��aaaaa��a���aaa����aa�a�a�aa�aaaa��aa����aa�aaa�aaa�aaaaaaa�aa

aa.aaaaasasa.aa.a.a.altaaaaaa�aa�aaaaaa�aaaaaa�aaa��aa�aa�aaaaaaa�aaa�a����aa�a�aaaaaa�aaaaaaaaaa�aaa�a�a�aaaaa���aa

�a���aaaa�a��aa�aaaaaaaaaa�aaa�a�a�a�aaaa�aaaa����aa�aaa�aa�aaaa�a�aa�aaaaa�a��aaa��aaaaaaaaaaaaaa�aa�aaaaaaaa�aaaaaa

aas..aaaaala.aataaaaa�aaa�

��aaaaaaa�a��aaaaa�aaa���aaaaa�aaa�a�aaa�aaaaaaaaaaa�aaa�a�aaa�aaaaaaaaaaaa�a�aaaaaaaa�aa�a�aa�a�aaata.al.aaaaa.aaaa

�a���aaa�aaa�aaa�aaaaaa�aa�aaaaaaa�aaaaaaaa.t.aa..aaaaaaaaaaata.aaaaaaaaa.aasaaaa.aaaaaaataaaa�aaa�a�aa�a�aaa�aaaaa�a�a�aaaaa�a

aaaa.a..aa.laa..aaaaaaaaaaaaaaaaa�aaaa�aaa�a�aa�a�a�a�aaaaa�aaaa�a��aa�aaaa��a��aa��aaaaasata.sasaaasa.a.aaasal.ataaa

a..aa.a..laaaaaaaaaal..aaaaaa.a����aa�aa�aaaaa��a��aaaaaa�a��aa�aa�a��aa���aa�a�aaaaaaa�aataaal..aaaa...laal.ata.a.a

al.aaaaaaataaasa.l..aaaaaaaaaaaa.a.aa.aataaal.a.asataaaatlaaa....a.aaaalaaaasaaaa.a.a.aa�aaaaaaa�aaa�aaa�a�aa�a�aa���aa���aaaaa

aa�aa��a�a��aaa�aalaaa��a���aaa��aaa���aaaaaaaaaaa�aaaa�aaa�aaa���aaaaa�aaaa�aa�aaaaaaaaaa�aaa�a�aa�a�a�aa�aa��a�aaaaaa

taaaasaaa.a.aaaaa�aaa��aaa���aaaaaaaaaaaaaaaa�

�aaaaaa���a�a�aa��aa�aa���a�a�aa���a�aa��a�aaaaaaa..alaaaa..aaasasas..aaaaaata.asaaa...a.laaaaal.aaaa..aaaaataaaalaaa

a�a��a�aa�a�aa�a��a��aaa��������#���a������a�����#��

��aaaa�aaaaaa�a�aaaa��aaa�aa�aaaa�aa��a��aaaasaaaa.aa..a..aaaaaaaaaa..a.aaaa.aa.aal.a.aaaaaaataa�aaaaaaaaaaaaaaaaaa�a�aa�aa

�a�aa�aaa��aaa�����������#�a������a���������

�aaa�aa��aaaaaa�a aaaaaa.aa.aal.a.aaal..aaaaaaaa..aa.a..laaaaal..aaaaaa..al.ata���aaaaaaa��a�a�aa�aa�aa��aaa������������a

������a��������

�a��aaa�a��aaaaaa�a�aaaaaaaaaaaaaaaaaa�aaa�a��a�a�a��a�aaaaaaaaaa�aaaaaaaa�a��aaa�aa���a��a�aaaaaa��aaaaaaaaa�aa�aaa

aaa�aa��aaaaaa�a��a��aaaaa��a�a�aa�aa�aa��aaa������������a������a��������

#�:����:��:�:�

�aa���aaa�aaa�@aaaaaaaa..a.aa...aaaa.aaaasatas.aaa.aaaasa.lt.al.ala.aa.@aaaaaaaataaaalaa.aaaaaas.aa..laaalalasa.aataaa.a

ataaa.aaataaaaaaaasataaaa�a��a��aaaaa�a�aa���aaa�aaa�aaaaaaaaaaaa���aa�aaaa�aaa�altaaaaaatasa.ssaaaaasalaataaaaaalal.aa.aaa

aaa��aaaaaa��a�aa�a.aa.aaa.altaa.aaaaaa.taaaaa.a..a.aaata.al.aaaaaaa.a.aaaaaaa�aa�a�aaaaaa�aaa�a��aa�a�aaaaa

.aa.aa.aaa.aaaaaaaaaaataaa��aaaaaaa�aaa�aaaa�a�a�aa�aaaaaaa�aaaa��aaaaaa�a��aalasaaaa.aaa.al.aaaaa.aaa.a.aaata.aa

.aa.aaa.a..a...taa..aaa.aa...aaa.laa.aaaaaaaa.aaaaaaasa.aa..laaaaaa.a.aaataa.aaaaa����aaa�aaaa�aaa�aaa�a��aaaa��aaa�aa�aaaa

a..saa.aaataaaaa.aaaaa�aaa�a�aaaaaa�aaaa���aaaa��a�aaaaaaa���aaa�aaa�a�aa�a�a��aaa�aaaa��aaaaa�aaaaaa�aa���aaaaa

.lt.laaaaal.aa����a�

���aa�aaaaaaaaaaaaaaaa�a��aaaaaaaa�aa��aa�aa�aaaa�aaaaaaa�a�aa�aaa�aaa..a.aaaaaaaataata.aaaaaaaaaaaaaaaa.aa..laaa

�aaa��a�a�a�aaaaaa�aa�a�aa��aa�aa�aaaaaa�aaaaa�aa�aaaaaa���aaaaaaa�aa��a�aa�aaaaa�a�a�a�aa�aaaaa�aaa�a

al.aataaalaaasaaaaaaaalaa��a�aaaaaaaaa�aaa�aaaa�a�a�a��a�aaaaaaaaa�aaaaaaaa��a��a��aa���aaa��aaaaaaaaa�����aa�a

aaaataa.aaaa.a.aa.aa..laaa��aaaaaaaaaa����a�a�aa�aaaaaaaa��aaaaa�aa�aa�a��aa�aaaa��a�aaaaaaa�aaaaaaaa�aaa�aa�a�aaa�a�����a

�� �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 45: Plastic & Reconstructive Surgery

s..aa.tlaa.a.aa..laaa�a�aaaaaaaa�aaaaaaaaaaa��aaa�aaaaaa�a�a�aaaaaaaaaa�aa�aaa�aaaaaaaaaaaaaaaaa�a�aaaa�aaa��a��aa

aa���aaaaaaa�aa���aaaaaaaaaa�aaa��aaa��aa�aaaa�aa�a�aaaaaaa�aa�aaaaa���aa�aa�a��aaaaaaaa����aa��aaa�aaa��a�aaaaaa���a

.talasaaaaa..aa.aaaaaaa��a�aaaaaaaaaaaaa�aaa�a�a�a��a�aaaa�aaa�aaaaaa�aaa�aaa��a�aa�aaaaaaaaaaaaaa�aaa�aa�aaaaaa�a�aa

..aaaaaa...taa..a�a��aa�a�aaa�aaaaa��aaaaa�a��a�aa�aaaaaaaaaaaaaaaaaa���aa�a�aa�aa��aaa�a�a�aaa�aa��a��aaaaaa�aa��aaaa

aaalataaa.aaa.aaaaaa�a�aaaaaaaaa�a�a�aaaaaa�aaa�a�aaaaa�a�a��aaa�aaaa��aa�aaaaa�aa�a�aa�

�a�aaaa���aaaaa�aa���a��aa�aa�a���a�a�aa��a.a.aaaaaaaaaasaaaaa.aaaltaataaalasaaaa.aaaa...la.a.l.taa.aaaaaaasaal..aaaaaaa

aaaa�aa�a��a�aaa�aaaaaaaa���aaaaaaa��aaaaa�aaa���aaaaa�a�aaaaaa�aaa���a�a�aaaaa���aa�a�aaaaaaa�aaa�aaaaa.aa.aaa.aaaaaaaa

a���aaaaaaaaaaaaaaaaa�aa��a�aaa�aaa��a�aaataaaaaaa..aaaaaaaaaalaaa...aaaasa.aa.aaa.a.aaaaasaat..a..aslaaaaaalaaaaaaaaaa

�aaaaaaaaa��a�a�aaa�aaaaaaaaaaaa�aaa�aaa�aaa��aa����aaaaaa�aaaaaa�aa�aa��aaaa����a�a�aaa�a�aaaa���aaa��aaaaaaaaaaaa

.aa.aaaa..aaaa...laaaaaaaaaaa.aaatlaal.aaaaa.aaalaaasaa�aa�a��aa�a�a��aaa�aaa���aaaaaa���aaaaaa�a�aaaaa��aa�a��aaaaa���a���

�aaa�aaaa���aaa�aaaa��a�aaaaaaaaaaa�aaa�aa�aaa��aa�aaaaaaaa�aaaaaaaa.aaaaataalalasaaasaaaaa.aaaaaaaaaa.aa..laaaaaaataa

aaaaaaaaaaaa�aa�aa�a�aaa�aa�a�a�a�aaaaa�aaaa�aaaaa�aaaaaaaaaaa�aaaa��a�a�aa��aaaaa�a�aaa�aaa�a�a�aa��aa�aa

sata.sasasalaaaaa�aaaaaa����a�a��aaa��a�a��a�aaaaaaaaa�aaaaaaaaaaa�a�aaa��aaa��aaa����a�a�a�a��aaa�aaa�aaaaaaaaa��aa

�aaaa�a�alaaa��a���aaa��aaaaaa����aaa�aaa�a�aa�aa�a�aaaaaaa�aaaa.a.aaaaa...laaataaaaaaaasaataatasaaaaataala.aaaal.aata

a���a�

��aaaa�aaaa�aaa �aa�aa�a�aaaaa�aaa��aaaaaaaaaaaa�aa�a�aaaaaa�aaaa�aaaaaaa�aaa�aaa�a�a��aa�a�aaaaaa�aaa�aaaaaaaaa�a

la.aaaaaa..a���aaaaaa��aaa���aa��a�aaaa���aa�aa����aa��aaaaa���aaa�a�aaaa�aa��aaaaa�aaaaaa�a�aaa��a���aaa��aaa���aaa

a..aaa.aaaataa.a.aaaaaaaa.aata..tasaaal�aaaaa�a�aaa�aaa�aaaaa�aaa�aa�a��aaa���aaaaaa�a��aaaaaaa�aaaaaaa�aaaaaa

tas.aaa.aaaaaa.aaaaaa���aaaaaaaaaaaa��aaaaa�aaaa�aaaaa���aaaaaaaa�a������a�aaaa��a���aaa�aa��aaa�a���aaaa�aa�aa�aa��a

�a�a�a�aaa�aa��aaa�a���a���a��aaaaaa�a�aa��aa����aaaaaaaa��aa�aa����a�aaaaaaataaaaaaaaaaaa.aa..laaa.aaaal.ataaaa

.aaaa.aaasaaaa.aaaaaaa�a�aaa�aaaa�aaaaaaaaaaaa�a�a��aaaa�aa�aaaaaaaaaaaa��aa�aaaaa.aaaaa...aaaaaaaaaaaa.al.ataataa

.aaaa.aasaaaaaaaaaaaaaaaaa��aaaaa��aaaa�aaaaaaa�#aaaa���a�����a��a��aaaaa�a�aaaaaa�����aaa�aaa�a�aaaaa�aaaa�aaaa�aaaa

.aaaa.a.aaaaaaa.aaaaaaataaa�aa�aaaa�aaaaaaaa�aa��aaaaa�a�aaaaaa�a�aa���aaa�a�a�a�a�aaaaa�aaaaaa�aaaaaaa�aaaaaa��aa

.aaaa.a..aa.aa..t.a.aaal.ata�aa�aaaaaaa�a�a�aaaaaa�aaaaaaaa��aa��a��aaa����aaaaa��aaaaa��a���a�a��a�aaaaaa�aaa�aa

.a.aaaaa.laaaaaaaaaaaaaaaaaaasa.lt.al.ala.aa.atlaa.aaataal.asa.aas.aa..laaa.a.a.altaaaaa.a.aataaaa...laa..a.a.laa...aaaaaaa

�aa�aaa�aa�a�a�

�a�aaaaaa��aaa�aa�aaaaaaaaaaaa���aaaaaaaa�aa��aa�aa�aaaaaaaaaaaaa���aaaaaaa���a�aa��aaaaaaaa�aaaaa�aaaaaaa�aaa�aa�a

����a�a�a��aa�a��aaaaaaaa�aaaaaa�aaaaaaa�aaaaa�aa�aaaa�aaaaaaa�aaa��aaaaaaaaa���aaaaaaaaaaaaasaata.aaaaaa.aaaa

�aaa�a�a�a��aa��aaaaaa�aaa.a�aa����aa�aa�a�aaaaaaaaaa�aa����a��a�aa�aa��

�aa��aaaaaaa�aaaaaaaa�aaaaa��aa�aaa����aa��aaaaa��aaaa��aaa��aaaa�aaaaaaa���aaa�aaa�a��a�a�aaaaaaa�aaaaa�aaa�a

ta.al.aaataa..alaa.aaaa�aaa�a��aaa�aaaa�a�aaaa�aaa�a�aa���aaaaa�a�aaaa��a��a�aa�aaa�aaaaaa�aaa�a��aa�aaaaaaaa�aaaaaaaaaaaa

ata.aaaa�aaa��

�a���a��aaaaaa�a�aaaaaaa�aaaa�a�aaaa�aaaaaaaaa.laaaaal.aaaa..aaaaaataaaaaaaaaaaaaaa.aa...a.aa..laaa�aaa��a�aaa�aa�aa��aaa

�����a������

�aaaaaa��aaaaaa�a��aa�aa�aaaaaaaa��aa�aaaaaaaaaaaaaa�aa�a�aa�aaaaaaa���aaa�a�aa�a�aa#�a�aaaaaaa...aaaa.aas��a��aaa

aa�aaa��a�aaa�aa�aa��aaa�����#������a������a���������

�:�:�::�������:��

�a�a�aa��a��aaaaaa��aaaa�aaaaaaaaaaaaaaaaa�a��a��aaaaa�a�aaaa�a�aa�aaa�aaaaaa�a�a�aata.aaaaaaaa.aa.aaaaaaal.aa.aaa

atalataaa.ataa..a.laaaaaa..aaaaaaaaaa�aaa�aaaa�aaaa�a�aa�a�a�a�aaa�aa�aaaaa�aaaaa��a�a��aaaatalaaataa..a..aaaaaaa.laa.a

.aa.aaaaaaaaa.a.aaa.asasaaaas.aaaaa.a.a.aa...a.ataaaaaaa.aaa.a.laaa.aaatlaaaa.aaaaaaaataaa�aaaaaaaaaaaaaaaaaa��aa�aa�a

aa�a�aa�aaaa�aaaaaaa��a���a��a�aa�a�aaaaaa�a��aa��a�aaa�aaaa�aaaaa�a��a.laaaaa.ata.aaaa.aa.aaaaaaasaaasa.aaaa.tlaasaaaa

.a.aaa..a��aaaaa�a�a���aaaa��aaaaaa�aaaaaaaaaa����a�a�aaa��aa.aaaa.aa.a.aaaaaaaasal.ataaal.alaataaaa.aaaaaataaaa�aaa�

�aa�aaaa.aaa.a.aaa..a.aatataaaa.a.a.aaaaaaaaaaa.l..a..aa.aaaaaaataaaaa�aaa�a�aaaaaaaaa�aaa�aaaaaaaaa�aa�aaa�aaaaaaa�a�aa��

aa�a�aa��aaaa����aaaaaa�aa�aaaaa�aaaaa�a��aaaa�aaaa�aa��a�aaaaaaaaaaaaaaaaaa�aaaa�aaaaa�aaaa�aaaaaaaa�aaaaaaa�aaa

aaaaaaaaaaaaa�a�aa�aaaaa�aaaaaaaa�a��aaaa�a�aa��a��aaaa�aaaaa�aaaaa�aaa�aa��aa�aa�aa��aaa�a��aaa�a�aaaa�aaaa��aa�a

aaaaaa��aaaa����a�aaaaaaa�aaaa�a�aa�a�aaaa�aaaaaaaaa�aa�a�aaaaaa����a��a�aaaaaaa�aaaaa�a�����aaa��a���aa��aaa�a�a

a��aaa���aa�aaaaaa�a��aa�a�aaaaa�aaaa��aa�aa�a��aaaa��aaa�a�aaaaa�aaaa�aaa�a�aa�aa�aaaa�aaaaa�aaaa�aaa�aaaaa�a

aaa�aaaaaaa�aaaaa�aaaa�a�aaaaaa�a�aa����aaaa�aa�a��aa�a��a�aaaa�aaaa�aaa �aaa�aaa�aa�aaaaa��a���ala.aaa..a

.taaaa.a.aaa..aaaaa.aal.aaaaaaaaaaaaaaaaa.a.aaaaaa�a�aaaaaaa�aaa�a�aaaaaaaa��aaaaaaa�a�a��aaaa����aaaa�aaaaa.a.aa.aaaa

aa�aa �a�aaa�aaa�aaa�aa�aaaaaa�aa�a��a�a����aaa�aaa�aa�a��a�aaaaaa�aaaaaaaa�a�aa��a��aaaaa�a��aaaaaa.talasataa

�� �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 46: Plastic & Reconstructive Surgery

.a.a.aaasaaaaa.aa.aa.aal.aa.aa..aaa.a.aaaa.aaa..❁ a����aa�a��aa��a��aaaa��a�a��aa�a�aaaa�aaaaaaaa�aaaaa�aaaaaataaa.aa.as.a

aaaaaaa�aaaaa�a�aa��a�aa�

��aa�aaaa�aa�aaaaaaaa.a.aaa..a.laaaaaa..aaaaaslaaaaaaaaalaaaaalaaaaa.aa.aaaltaata.aaaaaaa..a..a.saaaaaaltaaa..aaaataa

a��aaa���a�a��aaaaa�aaaaaa���aaaaaaaaaa�aa�aaaa�a�aaa�aaaaaaa�aaaaaa�aaaaaa�aaaaaaa�aaaa�aaa��aaaa�a�aa

.aaaa.aa.aaaaaaaaaa.aa.aaaa.aaaaaaaaaaa�aaaaaaaa��aaa��aaaaa�a�aa�aaaaa�aa��aa�a�aaa��aaa�aa�aaaa�aaaaaaa�aa��aaaaa�a�aa��a

aaa�aaaaaa��

��aaaaaaa�aaaaaaaa�a�aa��aaa�a�aa�aaaaa������aa�aaa��a�aaaaaa�a�aa�a.a.aa.aa.aaaa.a.aaaaaaala.a.aaaaa.aataaa.aa.a

laaaaaasaaaaaataaaaaaaaaaaaaalaa.a.aa..saaasa.laaaaa.a.aaa..aaa�a�aa��

R❂❃❄❅❆❇❈❉❊❋

��aa��aaaaaaaaaa�aa�aaaaaa.aaa.aal.alaa.aaaaasaaaaaaaaaaa.aaaaaaa.alaaaat.aal.a.aaa���aaaaa�a�aaaaaaaaaaaa�aa�aaaaaaa

aa.ta.aaataaaa.aata.al.aaaaa�aa��aa�aaa��aaa�aaa��a����a����aa�aaaaaa�aaaaaaa�aaa��a�a��a�a��aaaaaaa�aaaa��aaaa

a�aaaaaaaaaaa���a�a��aaaa��aaaaaaaaa�aa��aaa�aaaaaaaa�aaa��

�aa�a�aa�aaaaaaaaaaaaaaaaaaaaaaaa�aa�a�a�aaaaaa�aaa�a����aa��a��aaaa�aaa���aa��a���aaaaaaaaaaaa�aaaaaaasaaaaaa.a.a

�aaaaa�aaa�aaaaaaa�aaa�aaa�aa��aaaaaa�aa��a�aaa�aaaa�aaaaaaa�aa�a�aaa�aaaaaaaaa�aaaaaa�aa�aaaaaaaaaaaaaa�aaaa

a�aaaaaaa�aaaaaa�aaaaaaa�aaa�aaaa�a��aa���aa��aa�aaaaaaaaaa�aaaa�aaaa�aaa�aaa�aa�a��aaaa�aaa�aa�aaaaaaa�aa

a�a��aaaaa�aaaaa�aa�aaaaaaaaaaaaaaa�aa�a���aaaaaaaaa�a�aa�a�ataaaaaalasaa.aaas.aaaaaaaa.aaa.ta..aaaaaata.aaaataasa

.laaaaa.aaaa.aaaa.aa.aaaaaaaa.aa.aasa.ala.a.aaataa.a.aaa.aaa..aaasaaaaaaaa.@aaaaaaaaaaal.aaaaas.a..aa.aaaaaaataataaaaaas.laaaa

ataaaa�a�a�aaaaaaaaaaa�aaaaa�aaaaa�a�a�aaaa�aaa�aaaaaaa�aaaaaaaaaa�aa�aa�aaaaa�aaaaa�aa�aaaaaaaaaaa�aaa�aaaa��

��aaa�aa�aaaaaaaaa�aa�aa�aaaaaaaa�aa�aa�aa�aaa��aaaa�aa�aaaa�aaaa�aa�aaaaaaaaaa��aaaa�aaaa�a�aaa�aa�a�a�a�a��aa�a

aa�aaaa��

��aaaaaa�aaa�aaaaaa�aaaaaa�aaaaaaaaaaaaaaaaa�a�a��a�a�aaa�a�aaa�a�a�aaa��aaaaaa�a�a�aa�aaa�a�a�aa�aa��aaa�aaaa

aaa.ataa..aaaaaa.aaaaa�aaaaaaaa��a�a�a��aaa��aa�aaaaaaaaaaaaaaaaaa�aa�a��aaa�a�a�aaaa���aaa��aaaaaaa��aaaaaa

taaa.aa...aaasa��aaaaaaaa�aaaa�aaaa��a�aa�a�aaa�a�a�aaa�aaa�aa�aa�a.a....aa.aaaaal.laaaaaaaaaaa.a.aaaaaa.lalaasal.ata

at.aatataaa��a�aa��a�aaaaaaaaa�aaa�a�aa�aaaaaaa�aaaaa�aaaaaaa��aaa�aaaaaaaa��aa�aaaaaaaa�a�aa�aaaa���aaaaaa�aa

a.aaaaaaaaaaaataaaa�aaa�aaa�a��aaaaaaaa�

�aa�aaa��aa�aaaa���aa�a����#aaa�a�aaaaaaaa�aa��aaa�aaaaaaaa�aa��aaaaa���aaa���a�����a�a�a�a�aa�a.a.aaaaaaaaat.aaaaa

aaaaaaaa���aaa�aaaaaa�aaaaaaaaaaaaaaaa�aa�aa�aaaaaa�aa��aaaaaaaa��aaa�aaaaa�aa�a��

�a�aaaaa�a�aa�aaaaa�aaaa�aaaaaaaaaaaaaaa�aaaaaaaaaaa���aaa�aaa�aaaa���aaaaaaaaa�a��a�a�aaa��aa�aa�a�a�a�aa�aaa�aa�a

�aaaaaaaa��aaa�aa�aaa��aaaa�aaaaaa�a�aa�aa��aa��a�aa�aaaa�aaaa�aaa�a�a�aaaa�aaaa�a�a�aaa�a�aa�aaaaaaaaaaa�aaa��a�aa�aa��aaaa

aaaaaa�a��aaa�aaa�aaaaa��

���#���#��������##��

��aa�aa��aaaaaaa�a�aaaaaaa��aa�a��aaaa��aa�aaaaaa��aaaaaaa�a���aaa�aaaaaaa�aaaaa��aaa�aa�aaa�aaaaaaaa�aaaa�a�a�aa�aaaa

�aaa�aaaaaa���aaaaaaaaa�aa��aa���a�a�a�aa�aaa���aaaaaa�a��aaaa�aaa�aaaa��aaaaaaa�a��a�aaaaa�aaaa��aa�aaaaaa�aaa�aaa�aa

aaaa.asaaaaaaaaaaaaaaaaaa�aaaaaa�aa�aaaaa�a�aa�a�aaaaaaa�a�a�aa�a�aaa�aaaaaa�a�a�a�a�aa�aa�a�aa�aaa�aaaaaa�aa�aaaa�aa

a�aaaaa��a�aaa�aaaa�aaa��aaaaaaa�aaaaaaa�aaa�aaa��aaaaaaaaa��aa�a��aaaaaa�aaaa�aaa��a�a�aaa�a�aaaaaaa�a�aa��

��aa�a�aaaaa��aaaaa�aaaaa�a�aaaaa���a�aaaaaaa���aa�a����aa�a��aaa�aaa�aa��aaaaasa.aaaaaaaaaaaaasatat.asaataaaaa.aaasa

a..a..aaaaaaa.aaataa���aaaaaaaaaa�aa�a��aaa�a�aa����aaaaaa�aa�a�aa���aaaaaaaaaa�aaa�aa�aa���aaaaaa�aaa�aaaa���aaa�aaaaa

aa.lala.aaaa.a�aa�a�aaa�aa�a�aaaaaaaaaaaaaaaa�a����aaa�aaaaaa��a��aaaaa�aaaa�aaaaaaaaaa�a�a�aaa�aaaa�aaaa�aaaaa��a

ataaaata.ataaaaaa��aa�a��aaaa��aaaaa�aaa�aa�aa�aaaaaaa�aaaa�aa�aaaaa�a�aa�a.aaataaaaala.aa.aa...a.aaaaaaa.aa.aaaaaaataa.aaa

a...la.@aaa���aaaaaaa�aa�a�a�aaaaaaaaaaaaaaa�@aaaltaaaaa�aaa�aaaaaaaaaaa�aaaaaaaa�aa���aaaaaaaaaaa�aaa�aaaaaa�a

��aa�a�aaa�aaaa�aaaaaaaa�aaaa�aaaa�aa�a�a�aa�a�aaaa�a�aaaaaaa�aa���aa��aaaaaaaaaaaaaaaaa��aa�aa�aaaaa����a�aaaa�a

aaa�aaa�aaaaa�aaa�a��a���aa��aaa�aaaaa�aaaaaaaaaa�aaaaa��a�a�aaaaa��aa�a����aaaaa��aaaaa�aaa�aaa�aata.a

a..aaaaaaaaaaalaaaaaasaaa.a.aaaaa.laa.aaasa.aa..sa.aaa.aaaa��aaaaaaaaaa�aaaaa�aaaaaaa�aa�aaaaa����a��aa���aaaaaaaaaaaalatalaa

aaaaaa�a�

aaaa�aaa��aaaaa���aaaaa���aaaaaa�aaa�aaaaa�aa���aaa�aaaa�aaaa��aaaaaaa�aa�a�a�aaaa�aaaaaa�aa�aa�a��aaaaaaaa�aaaa

ataaaaaaa.aaaa.aaaataa.aaaa.aaaaal..aaa..aaaaa�aaa�a�aaa�aa���a�aa�aaaaaa�aa�aaaa��a�a�����aa��a��aa.aaaa.aaa.a.aaaa..a

a.ataaaasaaaaaaaaaaaa.alaaaaa.a.aaaaaaaaaaaaaa��aaaaaaaaa�aa��a�aaaaaaaaa�aaaa��aa�aaa��aaaa��aaaaaaaaaaa�aaaaa��aaaa�a�a

aaaaa�

�aa�a�aaaaa��aaaaa���aaaaaa�aaa�aaaa���aa�alaaaaa.aaa.assasa..a.laaaaaaa.aaasaa...aaaaaa.aaaa.aaataaaa.aaaasa.aa..saaa.ataa

aa���aaa�a�aaa�aaa�aa�a��aa�aaaa��a�aaaaaaaaaaa��aaa�aaaaa�a�aa�aa�a���a�aa�a�a�a�aaaaaaaaaaaaa�aaaa��a��aa��aaaaa

�/ �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 47: Plastic & Reconstructive Surgery

aa.aaaaasasaaaaaataaaa.aa..a.aa.aaaaaaaa��aaa�aaaaaaaa�aa�a�aa�aaaaaaaa���aaaaaaaa�aa�aa���a�aaaaaa�aaaaaa�aaa��a

a�a���a�aaa�aaa�aaaa��aaa�aa��aaa�aaaaa�a�a�aaaaaaa�aa���aaaaa�a�a�aaaaaaaaaa����aaaa�aaaaa.aaaa.aaataasaltaaa.t.aa

aaaaaa�a�

��a�aaaaa�aaaaaaaaaaaaaaaaa�a�a��aaaaaa�aa��aaaaaaa���aaaaaaaaaaaa�aa��#a�a�a��aaa�a�aa�a�a�aaa.a.a.aa.aa..aaa.aaaaa

aa�a�aaaaa��a�

�aaa��aa�aa�a�a�a�aa�aaaaaaa�a���aa�aa�a��a�a��a�a�aaaa�aaa��a�aaaaa�aaaa��aaaaaa�aaaaaaaaaaaaaa�a���aaaaaaa�a�a��aa��aaaa

a�aaaaaaa�a��aa�aaaaaa�aaaaaaaaaaa��aaaaaa�aaaaaa�

���:��:��

�aa��aaa�a�a�a�aaaaaaa�aaaaaaaaaaaaaaaaa�a��a��aaaaa�aaaa���aaaaaaaaaaaa�a�aa�a�a�aa��aaaa�aaaa�aaaaaa�aa�aaa�a�a

�aaaaaaaaaa��aa�aaaaaaa�a�a�a��aaa�alaaaaa.as.aaaaaaaaaaatas.aaaaa.t.a..aaaaasa..aasaa.a..aaaa.aasaaataaaataaataa

s..aaaa.aaaaaaaaalaaaa.a..a.a.al.ataaal.saaaaaa�a��a�aaa�aaaa�aaaaa�aaa�aa�aaa�a�aa�aaaa��aaa�a��aaa��al.laaaaaataa.aasataa

aaa�a�aa�aaaa�aa���aa��a�aaaaa�aaaaaaa�aaaa�aaaa��a�aa��

�aa��aaa�a�a�aaaaaa�aaaaaa�a��aaaaaaa�aaaaaa�aa�a��aaaa�aaaaaa�aaaa��a��a�aaa�a�a�aa�a�aaaaa�aaataa.aaaaaaa

�a����aa�a�����aaaa�aaaaaaaaaaaaaaaa�aaaa�aaaa�aa��aaaa�aaaaaa�aa��aaaa��aaaaa�a��a�aaaaaa�aaaaaaa��aa�aataaaaaataasa

a.aaata.aaa.aaaaaaaa.ta..aaaa..aa.aaaa.aaa.aaataaaaaaaaaaa�a�aa�aaaaaa�aaa���aaaaaa�aa���aa�a�aaaaaaa�aa�as...s.aaaataa

.aa.a.aalaaaaaataa.l.aaaat.aaaaa.aaaasaataaaaaaa��aaaa�aaaaa��aa�aaaaa�aaaaa�aa��aa�aaaa�aa��aaaa.aaalaaaaaa

a���aa�a�aaa�aaaaa�aaaaaaaa�aa��aa���aaaaa��aaaa�aaaaaaaaa��aa���aaaaaaa�aa�aaa�aaaaaaaa�aaaaa�aaaaa�aa���a��aa�aaaaaaa�aa

.aa.aslaaaa..aaa.aaaataaataas.....aaaaaaataaaa�a�aa�a�a�����a�aa�a�aaaaaaaa�a�aa�aaaaa�aa��aaaaaaa�aaa�aataaaaaaaaaa

aaa�aa����aaa�a�aaa�a�aa�aaaaa�aaaaaaa�aaaaataaaaaaal..aa.a.aaa.aaaaaaaa.aaaaaa.aaaaaa.a.aaalaaaataa�aaa��aaa�a�a�aa�a�aa

a�aaaaa�aaaaaaaa�aa�a aaa���aa��aaaaaaa�aaaaa�aaaaaaa�aa���a�aaaaaaaaaaa�a�a�a�aa�aaaaa�a�aaaaataaa.a.alsaa.aaaa

a����aaaaa�aaaaaa��aa�aa�aa�aa��aaaaaaaaaaaaaa��aa��a�aaa�aa���aaaa�a�aaaaa�aa�a�aaaa��aaa�aaa�aa��aaa�a�aaaa���aaa

alaaaaaaaaaa.a.aaaa.asa.aataalaaaa.aa.aa.a��a�aaaaaaa��a�aa��a�aaaaaa�aa�aaa�aa��aaaaaaaa�a��aaaaaaaaa.aaa.aaataaaaaa.aa.aaa

aaaaaa��aaaaaa�aaaaaa�aaa���aaa��a�aa�aaa�aaaa�a�aa�aaaaaaaa��a�aaaaa�aa��a�aaaaa�aa�

�aa��aaa�a�aaa�aa�aaaaaaaa�a��aaaa�a�a��aaaaaaaaaa�aa�aaa�aa�aaaaa���aaa�a�aaa..aa..a..ataaaaaaaalaaaaa.aa.aaa.altaaaa

ataaaa..aaaaal.a..a���aa�aaa�aaaa�aaaaaaa��aaaa��aaaa��aa�a��aaa�aa�aaaaaa�a��a�

�aa��aaa��aaa�aa�a�a��aaaaaaa�aataaa.a.@.aaa..laaaaaaaaaa.a.aaa.aaaaaataaa.aa.a.aaaa.a.aaataa.ltaaaaaaaaaaa.lt.a.aaaaaa

aaaaaa�aa�a�aaaaa�aaaaaa�a����aa�a�aaaaa��aaaaaaa��aaaaaaaa�a�a�aaaaaaaaaaa.aaaaaaaal.aa�aaaaaaa����aa��aa�aaaaaaa�aa

.a..aaaltaaaaataa.a.aaaaa..aaaa�aa�a�aaaa�aaaa�aaaaaa��aa�aaa�aaaaaaaaaaaaaa��[email protected]

taaal@ataa.ltaaaaaaaaaaasaaasaaa.aaataas.....aaaaaaataaaalaaa.aaa.aaaaaaataaaa.a.aaaaaa�aaa�aaaaa��aaa�aaaa���aaaaaaaa

ataa.aaaalaaaaa.aaa.aa.a.aaa.aaaaaaaa.aa.aaa.a.aaaaaaasaaaa.aa..saaa..a.aataaa�aaa�aaa�a�aaa�aaaa�a�aa�aaaa�aaaaa

s...a.a.aaaa.alaaaaa.a�aaa�aa���a�a�aa�aaaaa�aaaaaaaaaa���aaa�a�aa�a�����aaa.aaaaaata.aaa.aasa.aaa�aaa�aa�

�#�#���###���

�aa�aaaaa�aaa�a�aa�a�aaaaa�aaaaaaaa�aaaaa���aaaaaa�aa�aaaaaaaa�aaaaaaa��aaaaaaaa.aaaaaa.aa.aat.aaaaaaaa.aaaals.aaa

ataalata.aaa.aaaaat.aaaa�aaa�a�aa��aaaaaaaaaaaaaaa�aaaaaaaaaaaa�aa�aaaaa�a�aa�

�a����aa�aaaaaaaaa�aaa�aa�aaaa��a��aaa�a�aaaaa��a��aaaaaa�aaaa�aaaaa���a�a�����a��aaaaa�a�a�a�����a�aaaa�a����aaa

..aaaaaaaaaaal.asa.aaataaaalaaaa���a��aaaa����aaa��aa��a�aa���aaaaaaa�aaaaaaaaa�aaaa�a��aaa�a��aaaa�aa��aaaaaaaa

�aaaaaaaaa�aaaaaaaaa�aaaaaaaa��aaaaaaa��aaaaa�a�a��aaaaaaaaaaaaa�aaaaa���aa�aaa�aaaa�aaaa�a��aaa�aa�aaaaa�aa

���aa��aaa�a�aa�a�aaaaaaa��a�aa�aaaaa��a�a��a�aaaaaaaaaaaa���aaa��aaa���aa�

�a�aaaaaa�a�a��aa�aaa�aaaaaaaaaaa�a�a�aaa��a�aa�aa�a�aaa��a���aaaaaaa��aaa�a��aaa�aaaaaaa���aaa���a�����aa�aa����a

aa��aaaa��a�aa�aaaaaaaaa�aa�aa��#aaa��

�aaa��aa�aa�a�a�a�aa�aaa�aa�a�aaaaaaaaaaaaaa�aa�aa�aaaaaa�a�a���aaa�a�a��aa�aaa�aa�aaaaa�aaaaaaa�a�aa�aaa�aaaaa

���aaaaa�aa��a�aa��a�aa�aaaa��aa��a�a��aaaa�aa��aa���aaa��aaaaaaaa�aaaaa�aaa��a�aaa�aa�aaaaa�a�aa��

�aaaa.aaaaaaaa.aataaaata.aataaaa..aa.a..aaaa.taaaa.a.aaataa�aa�aaaaaaa�aa�aa�aaaaa�aaaaa�a�aa�a aaaa�aa�aaaa���aataa

.taaaaa.aa...a.aaaaataaaa.aaa.a.aaaaaa.aa.aaa.aa...aslaaaaaa�a�aaa��a�a�aaaaaa�aaaa���aaaaaaa�aaaa�aaaaaaa��aa��a�a����a.aaa

taa.aaaa.aasataa.ata..aa.aaaaaaataaaa.aaaaaaa.taa..aal.ata��a�aa��

��aaaa�aaaaaaa�aaaaaa�aaa�a�a�aaaaaaaaa�aaaaaaaa��aaaa��a�aaaaaaaaaaaaasata.ataaaaaaasaaaa..a.laaaaaaaaas...a.a.aaa

tlaa.a.aaaa�aa�aaa�aa�aaaa�aa��aa�aaaaaaa��aa��a�a��a��a�a�aaaaaaa�aaaa����aaa��aa���aaaaaaaa��aaaa�aa�aa��a�a�aaaaa����

aa��a���a�a�a�aa�a�aaaaa�aaa�a�a�a�aaa��aaaaa�aaaaaaaaaa��aaaaa�aaaaa��aa���a�aaa�a�aaa�aaa��aaaa��aaaa�a�a��a

����aa��a�a��aaaaaaa�aaaaaaaaaa�a�a�aaaaa�a�aaaaaaa��a.aaa..laaaaaaa..a..ataaaaaaaalaaa.aa.aaa.al.ata.aaaaa.aaaaaaa

�aaa�a��a��aa����aa��a�a��aaaaaaa��a��aaa�aa�a�a��aa�aa�aa��a�a�aaa��a�aa�aaaa�aa�a�����a�a�aa�aaaaaa�aaaaaa�a�aaa�aaaataa

�0 �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 48: Plastic & Reconstructive Surgery

���aaaaaa�aaaa�aaaa�aaaaaaaa�aaaa�aaaa�aaaa�aa��aaaa�a�a�aa��

�aaa�aaa.a.aaaaaaa.aa.a.aa..aataaaa.aaa.a.aaaaaaataa.aa.aaa.a..a.aaaaaaa�aaaa�aaaa��aa�a��aaaaaa�aaaaaaaaaa�aaa�aaaaaaa�a�a

aalatalaaa..aaaaa.aa..aaa.aaaasataaaaa.aa.aaaat..aaaaaaaaaaaaaaaaaaaa�aa�

LSLLRSRSSSS

���aaaaaaaaa�a�aa�aaaaaaaaaaa�aaa�aa�aa�aa�a��aaaaaaaaaa�aaaaaaaaa�aaa�aa��aaaaaaaaaaasaaaaaaaaaaaaaaaataaaaaaal.aaa

aaa�aa��aaaa�a�aaa�aaa�aa���aaaaaa�aa�aaa�a�aa�aaaaaaa�aaaaaaaaaa�aa��aaaaa�aaa�aaa�aa���aaaaaa�aa�aaa�a�aaa��a�aaa

aaaaaaa�aa�aaaaaaaa�aaaa�aa�aaa�a�aaa�aaaa��a��aaaaaaa�aa�aa�aa�aaaaaaa�aa�aaa�a��aaaa�aaaa�a�aaaaaaa�aaaaaaaaaaaa

aaaaaaaaalaa.asaaaaaaaa�a�aaa��aaaa�aa��a�a��a�aaaaaa�aaaaaa��aa�aaa�a�aaaa�a�a�a�aa�a�aaaaaaaaaaa�a�a�aaaaa

aaa�aa��a��a�aa����a�aaa�a�a�aaa�a��aaaaaaa�a�aa�a�a��aaaa��a�aaaaa�a�aaaa���aaaaaaaslaaaaaaaaa.a.aaaaaataa...aaaa

�aaa��

����:�:�:�:������:����:�

�aaaa�a�aa�aaaaaa�aaaaaaa�aaaaaaa�aa�aaa�a��aaa��a��aaaa�aaaa.aaasal.ata.aa.aaa.aala.aaaaaa..a..aaaa..a.aa.asataaaaataata

�aaa�aaa����aa�aaa�aa���aaaaaaaaaaa���a�aaaaaaaaaa�a�a����aa�aaaaa�aa�aaaaa�aaa�aaaa�aaaaaaaaaaaa�a�a.aaaaaaaaaaaa

aaaaaaaa�aaaaa�aaa�a����a�a�aaa��aa�aaa�aaa�aaa�aaa�a�aaaaa�aaa�aa�aaa�aaaaa��aaa�aaaa���aa�aaaaa�aa.a.aaaaa..a.aa.asa.aa

a�aaa��aaa�aaaaa�a�aa�a�aaaaaaaaaaaaaaaaaaa��a�aaaaaaaaaaa���aaaaa���aaaa�a�aaaa���aaa��aaa�a�a��aa

.lt.a.aaaaaa.aaaaa..a.aaaaaaasataaaa.aa.laaaaa.aaaaaalaaaaaaa.aaaaaaaa.aa.aaata.al.aa.aasaa.aaaaa.aaaaaaaaal.ata

aaaaaaaa�a�a��aa�aaaa�aaa�a���aaaaa�����aaaaaaa�aaaa�aaaaaa�aaaaaaa�aaaa�a�aaaaaa�aaa�aaaaa��aaa�aaaal..aaal.aaaa

aaa�aaaaaaa�aa �aa��a�aaaaaaa�aaaaaaa�aaa�aaaaaaaa��aaaa��aaaa�aaa�aaa�

�aaaaaaaaaaaaaaa�a�a�a�aaa�aaa�aaa�aa ���a..a..aaaaaaa�a.aaasa.a.aaaa.ata.aaaa.aaaaaata.aaaaa.a.aataaaaaa�aa�aaa�aa�a�aaa

�aaaa�aaaaa�a�aaa��a�aa�a��a��a�aaaa�aa�a�a�a�aaa�aa�a��a��aaaaaaa�a.aaasa.a.aaaa.alaaaaaalasaaaataa�aaa�a�a�a�aa�aaaaa�

aaaaaaaaa�aa�aaa�aaaa�a�aa�aaaaa�a�a�a�a��aaaa�aaaaa�a�aa�aaaaaa�aaaaaaa�a�aaaaaaa��aaaaa�a�a�a�aa�a�a

�a�aaa�aaa���aaa�aaa�aaaa��aaaaa�aaa�a�a�aaa�aaa..aaala.aaaaaaaa..alaataasaaaaaasa.taa.aaataaaa.aaaaa.a.aaaaal.asa

�a�aaa�aaa�aaa�aaaaaaa�aa�

��aaaa�a�aaa�aaa�aaaaaaaaaaaaa�aaa�aaaa�a���a��a�aaa�aaaaaa�a�a��a�aaaa�a�a�aa���aaaaaaaaa�aa.aa..aa.aaaaaltaaa

���a�aaaaaa�aaaaa�aaaaa��a�a�aaaaaaaaaa�a�a��aa��aaaaaaa��aaaaaaa�aaaaaaa�aaaaa�a�aa��

�aa�a�a�aaa�aaaa�aa��aa�a�aaa��aa�aaaaaaa�aaaa�aa�a�a��aaa��aa�a��aaaaaaaaaaaa.a..laaaa.aaaaa.alaaaaaaa.a.aaa.aataaaa.aa

a�a�aa����a��aaaa...laaaaalasaataa.a.aaaaaaaaa.aaaaa.aa.aa.aa.ataaasaaaaa.aa�aaa�aaa�aa�aaaaaa�aaa�a�aaaaaaaaaaa���a

.aa.a..a..as.aa..laaaa.aaaatalataataata.aa.a...taaaaa..aaaaaaaaaaaataaa.aaa..aaa��aa�a�aaaaa�aaaa�aaaaa�aaaaa��a�a

.aaa.a.aaa..a�aaaaaaaa�a�aaa�aaa��aaaaaaa�aaa�aa�a��a��aaaaa�a�aaaaaa�aaaaaa��aaa�aa��aa��a�aaaaa�aaa�aa�aaa�aa

.lt.a.aaaaaa.a..a.aaaa..aaaaaaataaa..a..aaasal.ataaaaa..aaasaaaaaaaaa.a..laaaa.aaaaa.alaaaaasaaa..a.a.aaaasaaaaa.aaa.aa

.aaaaa.alaaaa���a��a�aaaaa�aaaaaa�aa�aaa�aaaaa�aa���a�aaaaaaaaaaaaaa��aaaaaaaa�

�a�aaa�aaa��aa�aa�a�a�a�aa�aaaaaaa�a�aaa�a�aa�aaa��aaaaaaa�aa�aaaaa�aaaaaa�aaaaaaa�a�aaaaaaa�aa�aaaaa�aa�aaaaaaaa

aaaataa�aaa�a��aaaaaaaaaaaa��aa��a�aaa�aaa�a�a�aaaaaa�aa�aa�aaaaaaa���aaaaaaaaaaaaaaaa�aaaaaa�aa�

���::�:��

sa.aa.alaa..aaaaataaa.aaaaaa.aa.aslaaal.asaaaaa.aaaa.a.aaaaaa.aaa.aaaaaa.aaa..a�aaa�a��a�aa�a�a�a�aaaa�aaa�a�aa�aaaa�aa

aaaaa��aaaaaaa�aaa�aa�a�a�aaaaa�a��aa�aaaaaaaaaaaaaaa�aaaaaaaa�aaaa����a��aaaa��aa�aaaaaaaa�aaaaaaaaaaaaaa�aaaaa

aa�aaa�aa�a�aa��aaaaa.aaaaaltaataaal.aaaaaaataa...aaaaaaaaa.aat..a.aa.a..a.aaaaaa��aa�a��aaaaaaaaaa�a��aaaaaaaaaaaaaaaa�aaa��a

saa.aasataaataaaaaaa.aa.t..aaaaataaaaaaaaaaaaataa.aaaaaaaaaaaaaaasaaasaataa�aa�a�aaaaaaa�aaa�aa�a�aaaa��a�aaa�aa��aaa�a�aa

aaa...aaaataaa..ataaalaataa.aaaaaaaaaaaaa.aaaaasa.a.aa.aaasalaaaalaas.aa�aaaaa��

laaaa.a.aaaaaaataasaaaal.ata..alaaaaaal.aaa��a�aaaaaaa�aaaaaaa�aa�a�aa�a����aaaa��aa�aaaaaaaaa�aaa�aaaaaaaa�aaaa

a�aa�aaa�aaa����aa�a�aaaa��a�a�a��aaaaaa�a�aaaaaa�a�aa�aaaa�aaaa�aaaaa�a�aaaaaaaaa�aaa�aaa����aa��aa��aaaaaasa.aa.asa

lasaaaaaataataaaaaaaaaa.l.aa.aaa.aaaaaaaataataaa.aaaaaa�aaaa�aaa�aaaaa��aaa�aaaa���aa�a�aa��aaaa�aaaaalaaalaaaaaaa.aaa

a.aaaaata.aa.aataaaaaaaaaataaa.aa.aalaa.aaaaaa�aa�a����aaa�a�aaaa��a�aaaaaaaaaa�a�aaaaaaa�aaa�aaaaaaaaaasa.aaa..aaaataa

���aaaa�aaaa�a�aaaaa�aaaaaa��aaaaaaaaaa.a.aaa.aaaa.a.aa.aaaa.aa...aaaaataataaa.a.aataalataataaaa�aaaaaaaa�a����aa�a�����a

a�aaa�a�aa�aa��aaa�aa�a�a�a .a.alsasalaa...aaaataataaa.aal.ata.aa.ataa..aaaaaa.aaa.l.taa.aaaaaaa�aa��aaa��a�aaa�aaaaaa

aa�aaaaa�a�aa�aa�aaa�aaaaa�aa��a�a�aaaaaa�aaaaa�aaaaa��aaa�aaaa���aa�

�aaaa�aaa���a��aa�a��aaaa��aaa�aaaaaaaa���a�aaaa���aaaaaaaaa�aaa�aaaa�aaaaaaaa�a����aa�

�a�a���a���a�aa�aa���a�aaa�aaa�aaaaaaa�aaaaaaa�a�aa�aaa�aa���a��a��aaa@ltaaaaaaaa�aaaa�a��a�aa�aa�a�aaa��aaa

�������������a������a���������

�1 �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 49: Plastic & Reconstructive Surgery

�aaaaaaaaaa�a�a��aa��a���aaaaaaa�a��aaa�aaaaaa�a�aaaaaaaaaaa�aaaaaaaaaaa�aa����aaa��a�aaa��aa�aa�a�a�a�aa

�aaa�aa�a�aaa�a�aa�aa����aaaa���aaaaaaaa�aa�aa�aaaaaaaa��aaaaa�a�a�aaaaaaa�aaa�aaaaaaaaaaaaaaaaaa��a��aa��aaaaa�aaaaaaaa

aaaataa�aaa�a��

�aa�aaaa.aa..aa.a.aaal.ataataaaa.laa.a..aaaaaaaaaaaa.aaaaaaaa.al.ataaa�aaaaa�a�aa��a�aa��aa�a�aaaaaaaaaaaa�aaaa�a�a�aaaa

ataaaa�aaaa��aaaaaaaaaaa��aaaa�aaaa��aa�aaa��aa��

�:���:�:������:����:�

�a��a�aaaaaaaaaa�aaa��a��a�aaaaaaaaa�aaaa�a��a�aaaaaaaaaaaaa�aaaaaa���a�aaa�a�aaaaaaaa��aaasaal.aataaa.aaasasla.aaa

�aaaa�a�aa�a�aaaaaaaaaaa�aaaa���aa�a�aaa��aaaaaaaaaaaaaa�aaa�aa�a�a����aa�aaa�a�a�aaa�a�aaaaaa..aa.a..aaaas..at.a.aaaaaaataa

aa�aaa�

�aa�a�a�a�aa�a��aaa��a���a�a�a�aa�aaaaa�aaaaaaaaa�aaa�aaaa��a�aa�aaaaaaaaaaaaaa���aaaaaa��aaaaaa�aaaaaa�aaa�aaa

aaaaaaaaaa.a.aaala.a..a.aaaaasaaa..a.laaaaaaaaa.a....aaaa.alaaaaa.aaa.aaa..aaaaaa�a�aaaaa�a�a����aaa�aaaaa�aa�aaaaaaaa�a�aa

a�aaaaaaa�a�a�aa�aaa...aa�aaaaaaa..aaaaaaaaaaa.asaa.aaaaaaaaalaa�a����aa��aaaaaaaaaaa��a�aaaaaaaa�aaaaa�a�a�aaa����aa��a

aaaa.asaaaaaaataa�aaaaaaaaaaa�aaaaaa�aaaaa�aa�aaa�a�

�aaa��aaaaa��a�aaaaaaaa.aa.aaata.aaaal.asa.aa..saaataaaaa.aaaa.aaaaa.aata.al.aaaaaa�aaa�aaa�aa�aaaaa�aaaaaa��aaa�aa�a�aa

.aaataaa..aa.a..tasaataalataaaa.a....aaaaasaa..a.laaaaaaa.aaaaaaaalasaataaaaaaaaaaasaataaaaa.aaa..aaa.a....aaaataaaalaaas.a

aaaaasa.aaaa.aa.a�a�a�aaaa�aaa�aa�aa�aaaaaaaaaaaaaaa�a�a�a�a�aaaaaaa�aa�aaa�aaa...laa..asaaaaaaaaataaalaa.alaaaaa.aaaaaa

ataaaaaaaaaaa..a.aaaaaa�aa�aaa�a�a�aa��aaa�aaa�a�a�a�aaaaaaa�aa���aaa���a�a�aaaaaaaaaaaaaaaa�a�a����aaaaaa�aa�aa�a����aaaaaaa�aa

.aaaaaaaaaaaaaaa�a��aaaaaa�aaaaaaa�aa���aa���aaaaaaa�aa�a�aa�aaaaaaa�aaaaa�aa���a�aaaaaaaaaa�a�a��aa��aaaaaaaaaa�aa�a

aa���aaa�a�a��aa���a�a�aaa��a�aa��aaa�aa�a��aa�aaaaaa��a�aaa�aaa�a�a��aa�aaataal.aaaaaa..aa.ta.aaaa.aaa

�a�a�aa�aa��a�aaaaaaaa�a�aaa�a���aa�aaaaaaaaaaaa�a��aaa�aaaaa�aaaaaa��aaaa�a�aaaaaaaaaaaaaaa��a�a��aaaa�a�aaa�aaa

taasaaaaaaaaaaala.aa.aaaa�a����

�aa�a�a�a.aataaa.al.ataa...aa�aaaaaaaaa���a�aaa�aa�a�aaa�a�aa�aa�aaaaaaaaaaa�aaa�a��aaaa��aaa�aaaaaaaa���a�aa�a�aa

laaaaaaaaaaaaaaaaaaaaaaaaaataaaa.aa.aa..a.asaaasaa..aa..aa..aaaaaaa�aaa��

���#�#:###�������#����#:#��#:��#�#�������

�a�aaaaa�a�aa�a���aaaaa�aa���a�aaa�aaa.ataa..aaaaaatsaa.aa.aa.aaaaasa.aa.al.atasaa.aaaala.aaa.aa.aslaa.aataaa.aa.aaaaa

aaaa.aaal.a..aa...laaaaaaaataaaalaaaaa�a��aa��a���aaaa�aaaaaa��a�aa�aaa�a��a�a�aaa�aaaa����aa�aaaaaaa�aa�aaaaaaa��a��a

a�aa�aaaa�aa�aaaaaaaaa�aa��aaaa..aa.a..aaaaaaaaa....aala.ataaaa..aaaaal.laaaaaaaasa.aas.saaa.aaaaatasaa.aaaala.aaa

aa�a�aa��a��a�aa�aa�a�aaa�aaa�aaa�aaaaaa�aa�aaa��a��aaaaa�aaaaaaaaaaaaaaa�aa��aaa��aaaaaaaaaaaaa.aaaasa.aaaa.aa

aaaaaaaaa�aa�aaaaa�a��aaaaaa�aaaaa���aaaaa�aaaaa����aaaaaa�aaaa�a�aaaaaaaaa�a�a��a��a�aaaaa�aaaa.aa.aslaa.aaaaaaaaa

�a��aaaaa�aaaaaaaaaaaaaaaaaa�a��aa�a����a�a�aa�a�aaa�aaaaaaaaaa�aaaaaaa�aa�aaaa���a�aaaaa�aa�aaaaaaa�a��aa�aa��

��aa�aaaa�aaa���aaaaa�a�aa�a�aaaaa�aaaaaaaaaaaaaaaaa��aaaaa���aaaaaaaaaa�aaaaaa�aa�aaaaaaaa�aaaa�aaaa�aaaa�a

����a�a�aaa��a�aaa�aaa�aa�aaa�aa�aaaaaaaaa�aaaaa�aa�a�aaaaaaaa�a�a��aaaa�aaa��a��a��a��a��aaaaaaaaaa�aaaa�a�a�aaaaaa�aa

l..aaaatsaa.aaaaaaa.a..a.aaaa.tasaaaaataa.l.aa.lt..a�a����aa�aa�a��a���aaaaaaaaaaaaaa���a�a��aaaa���aaaaaa�aaatsaa.aaaa

�aaaaa�a�aaa�aaa�aaa��aaaaaaaa���aa�a�aaaa�a��aa�a��a����a��aaaaa�aa��aaa�aa�a�aaaa�a����aaa�aaa�aaaaaaaaaataa.aa.aaa

aa�aa�aaaaa�aa�a�aa��a�aa�aaa�aaaaa�a�a��a�aaaaaaaa�a����aaaaaaaaaaaaa�aaaaaa�a���aaa�aaaaaa�a��aaa���aaata.aaataaa.a

.lt..aaasaalaaaaaataaaaaaataaalaataaaaaaa.aaa�a�a�a�aa�a�a�a��aaaaa����a�aa�aa��a��aaaa�aaaaaaaaaaaal.a..aatsaa.aaaaa...laa

��a�a�aaa�a�aaaaaaaa��aa�a�aaa�aaa�aa�aaa��a�a��aaa��a�aaaaaaa��a��aaaaaaa�aaaa�aa�aaaa�aa�a��aa�a����aaa��a�aaa�aaaaa�aa

a�aaaa�aaaaaaaa���aaa���aa�a��aaa�aaaa�aaa��a�aaaaaaa�aaaa�aaaaaaaaaa�aaaaaaaaaa��a��aa�a�aaaaaaaa��aa�aaaaaaaa��aaaa

aaaaa..aaa.aaa.aaaasaaaaaaa�aa�aaaa�aa��aa�aaaaaaaa�aaaaaa��aaaaa��aa�

��aaaaaaa�a�a��aaaaaa�aa��aa�aa�aaaa�a�a��a�a��aaa��aa�aaa��aaa�a�aaaaaaa���aaaaaaa�aaaaaaaa�aaa��a�aaaaaaaa�a���aa�a

aaaaaaaaaaaaa�a��aaa�a�aaaaaaaa�a�aaa�aaa�a���aaa�aaa��a��a�aaaaaaaa�aaa�a�aaaaaaa�aaaaaaa���aaaa�a�aa��

laa.a..aa.aa.a.a.aa.aataaasaaaa.aalaa�aaaa�a�aa�a�aaaaa�aa�aaaaa�a�aaa�a�aa�aa����aaaa���aaaa��aa��aa��a�a��aa�aaaaa

aaaaaaaaaa���aaaaaaaa��a��a�aa�aaaaaaaaa�aaaa�aa��aa�a�aaa�aaaaaaaaa�aaa�aaa�a�a��

�aa�a��a��aa��aaaaa�a�aa�a�a�aa�aaaaa���aaaaaaaaa�aaa�a��a���aaaaaaaaaaaaaaa�aa�aaaaaa��a��aaa����aaaaa��a���a

��a�aaaa�a�aa�a.aaaaaaaaaa.laaa.aaalaaa...aa.a....aa.aataaa.aaa.aasl.aa��aa�a��aaaa��aaa�aa�aaaaa�aaaaaaaa�aa�aa���aaaa

.aaa.t.a..aaaaa.aaaataaaaa..a.aaataalaaaaataaaasa.a.aaaaaaataa.aaaalaaaaaaaaa�aaaaaaaaaaaaaa����a�a�aaaa�aaaaaa�aaaaaa

.ala.aa.aaaaaaataa.aa.aaaa..a.a.aaaa..aa.aaaasaaaaaaataa.aaaa.aa..aa.aaaaaaa��aa�a��aa��aaaaaaa���a�aa�a....aasaa..a.aaaaal.at

aaaa�aaaa�aaa�aa�aaaaaaaa�aaaa�aa��aaa�a��aaaaaaa��a�a�a�a�a�aaaa��a�aaa�a�aa��a�aaaa�a�a�a�aa�aa�aaaaa�aaa

�aaa�a�aaaaaa�����a��a��aaaaaa�a���a�aaaaaaaaa�a��aaaaaaaa�a�a�aaa��aa�aa��a�a�a��aaa�aa�aaaa�aa�aaaaa�aaaaaa���

�aaaaaaaaaaaaaa�aa�a���aa�aa�a���aa�a��aaa�aaaaaaa�aa���aaaasa.aaaaa...la.aaasala..aa..aaasasa.aa...aa.a.aaataaa.aaaa..a

��aa�a��aa��a�a���aaa�aa�aa�a���a�aaa�aaaaaaaaaaa�a�a�aaaaaaaaaa�aaaaa�aaa�aaaa�aaaaa���aa��a���aaaa��aaa����

�� �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����

Page 50: Plastic & Reconstructive Surgery

SSRSSR:����#����###��#��

���a�aa�a����aaaa�a�aaaa�aaaaa�a���a�aa�ata.aaalata.aaaaataaaa.aa.aaaaaa.a.aaa..a.laa..aaa.aa.aslaaa.aaaaaaasa.aa

a�aa�a�aaa�aaaa��a��aaa�aaaaaaaa�a��a�a�aa�aa���a�aaaa�aa�aaaaa�aaaaaaaa��aaa�aa�aaaa�a�aa��aaa�a.aala.aaaaaa.aa..saa

.a.a.aa.aa..a.aaaaasaaaa.ata..aaaaaataaaaaaa��aa��aa��a�a�aaaaaaa�a�aaa�aa���a�a�aaaa�aa�a�aaaaaa��aaaaaaa�aaaaa��a�aa�aa

a�a�aaaaaa�aaaaaaaa�aa�a�aaaaaa����aa�aaaa��aaaaaaaa���aaaaaaaaa�aaa�a�a�[email protected]

.a.a.aa.aa..a.aaaaasaataaa.sa.a.aaaaaa.aa..saaaa.aaaa.aaaaalaaaaaaaaa.ata..aaaasaatl.aaasl.aaataasa.ataaaaaaaaaaaa

aaa�a�a��a�a�aaaa��aaaaa�aaaaaaaaa�aaaaa�aaaaaaaa�aaa�aaaaaa�aaaaaa�a�a��a�aaa�a���aaa�aaaa�aa��aaaaaaaaaaaaaaalaa.aaaa

a�a�a�aa�

�a�aaa�aa�aa�a�aaa�a�a�aaaa�aa�aaaaaaa��aa���aaaaaaaaaaa��aaa�aaaaa�aaaaaa�a��aaa�aaaaa�aaa�aaa..a.aaaasl.asaataalataaa

.aaaaa.a....aaaaasa.l.a.aaa..aa..a.asaa�a�aaa��a�aaa�aa�aaaaaaa��a�aaa���a�aaaaa���aa�a��aaaaaaaaaaaaataaata.ataaaaaaaaaaasa

�aaa�aa�a�a�a�aaaaaaa�aa��aaaa�aa�a�aaas..aasaa.aaa..aaaaasas..al.a.aal.taaa.aaaaataaaataataaasa�a��aa�aaaaa�aaaaa�a��

���a�aa�a....aasaa..a.aaaaa..aaaaa.a..aa.aaaaaa��aaaa�aaaaaaa��aaa�aaaaaa�aa��aaaaaaa�aa�a�a�aaa�aa�aa�a.aaa..laaaaaa.aaataa

aaa��aaaaa�aaaaa�aaa�aaaaaaaaaaaa���a��aa�aa��aaaaa�aa��aaaaaa�a�a�aaaa��a�aaaaa��a���a�

��aaaa�a�aaa��a�aaaaltaaasaaaataalaaa�aaa.aasa.laaaaa.aaa..a.a.aaa.aaa.a.aaaaasaaa��a���aaaaa�aaaa��aaaaaaa���aa

aaaaa�aaaaaaa��a�aaaaaa�aaa�aa��aaaaa�aaaa��aaaaaaaa�a�a�aaaaaa��aaaaaaa�a�a�aaaaa�aa�a���aa�aa�a�a��aaa�a��a��a

�aa�a�a�aaaaaa�a�a�a�a�aa�aaaaaa.aaaasal.ata.l.a.aa�[email protected]

[email protected]�aa��aa�aa�aaaaaaaa�aaaaaaa�aa�aaa�a�aa��aaaa�a�aaaa.aaa.a.aa.aaaaataaatsaa.aaaa

�aaa�a aaa�aaaaaa�aaaaaa�a�a�a�a�aaaaa�aaaaa�aaa�aa��a�aaa�aa�aaa��aaa�a��aaaaaaa�aa�a��aaaa�a�aa�aa��a��aa��aaaaa�a

a�aa�a���aa�aaaaaaa��aa�aa��a��a���aa�aaaa�a���a�aaa�a�aa�aaa����a��aaaaa��aaaa�a��a�aataasaaaa.aaaata...aaaaaaa

a..aas.aasaaatlaaaaaaaaa..a.aaaaasaa�aaa�aa��aaaaa�a�aa�a��a�aa�aa�aaaa�aaaaaaa�aaaa�

laa.a..aa.aa.aaaa.l.a.aa�a����aaaa�a�aaaaa�a�a�aa�aaaa�aaa�a�a�aaaa�aaaa�a�a�aa�aa�aaa�aaaaaaa�aaa�aaa�aaa�a�aaaaaaa�aa

aaaaaa.aaa�aa��

�aaaa�aa��aa�a���a�aa�aaaaaaaaaaaa�aaaaaaa�a�a�aaa�aa�aaaaa�a�aaa�a�aaaaaaa�aaaa�aa��aa�a���a�aaa�a�aa�aaaaaa�aaaaaaa

aa..aaaaaaa��aa�aaa�aa�aa�aaaaaaaa�aa��aaaa�aa�a�aa�a�aaaaaaaa�aaaa�aa��aa�a���a�aa�aaaaa�aaaa�aaa�aa�aaa�a��a�a�aa�aaaaa

��a�a�aaaa�aa��aaaaaaa�a�����aaa��a�a�aaa�a�aaa�aaaa���aaala..a.asaaaaaaaas.aaaataa.l.a.aaasal.ata.aaasaasa.l.a.aa.aa

a���aaaa�a��aaaa�aaa�a��a�a�aaaa�aa��aa�a���a�aaa�a�a�aa�aaaaaaaaaaaa�aa�aa�aaaaaaaaaaaaaaaaaaaaaa�aaaaaaaaaa�a�aa�a

a�����a�aaaaaa��aa�aaaaa�aa���aaaaaaaaaaaa�aa�aaaaa�aa���aaaaa��a��a�aaa�aa�aaa�aaa��aa���aa�aa�

��a�a��a�a�a���aaa��aa�aa��a�a��aaa�a���a��a�a�aaaaaaa�aa�a�aaaaa�aa�a�aaa�aa��aaaaaa��a���aaa�a���a�aa�a�aa�aa

�a�aa�aaa��aaa�������������a������a��#�����

�aaa�aaaa�a�aaaa��a��aa��aaa�aaaaaaaaaaaaaaa�aaa�aaaa�aaa�aa�aa�a�aa�aa�a�aa�aaa��aaa�����������#�

��a����aa��a aaa�a�a�a�aa�aaaaa�aaaaaaaaaal���a�a�a�aa��a�aa�aa��aaa������������a������a��������

�aaaaa��aa��a��a���a�aaa���a��aa�aa�aaaaa���aaaa�aaaaaaa�aaaaaa�aaaaaa�aa��aaaaaaaaa.ataaaaaa.aaa.a.aaaataaa..aa.a.aaaa

aa��a���a�a�aa�aa�a�aa�aaa��aaa�������������a������a�����#���

��aaaa�aa��a a��aaa�a�aaa��a��aaaaa�aaa���aaaaaaa�a�a��a�a�aa�aa�a�aa�aaa��aaa��������������a������a���##�#��

�#�:�#����#�����##����#�#:��

��aaaa�aaaa��aaaaaaa�aaaaaa�aaaaaaaa�a�aaaaaa�aa��a��a�a��aaa�aaaaaaaa�a�aa��a��aaaa��aaa�a�a��aaaaa��a�aaa�aaa�a�aaa��

aa�aaa�a�a�a�aa�aaaaa��a�aa�aaa�aaaaa�aaa�aa�aaaa�a�a�a...saaa.a.a.aaaaataaaaa.as..aa.aaaaaasaa.a.aaal.a.aa.laaa

�a��aa���aa�a�a a�aaa�aa�aaaaaaaaaaaaaaaaaa�aaa�aaaaaaaa�aaaaaa...saaa.a.a.a.a.alsaa.aaa.aa...al.atasa.aaa.asaaaalaaaaaaslaa

aaaaaaaaaaaaa�aa�aaa��a�aaa�a��aaa��a�aaa��a�aaaaaaaa�aa�aaaa�aaaaaaa�aa��aa�a�aaaaaaaa�aaa�aa�a��aaaa�aaa��a�aaaa���aa

aaaa�aa�a�aaaaaaaaaaa�aa�a�

�aaaaaaaaaaaa��aaa�a�a�a��a��a�a��aaaa��aaaaaaaa��a�����aaaaa�a�a�aa�aaaaaa��a�aa�aa�a�a��aaaaaaaa�aaa��aaaaa�aaaa

�aaaaaaaaa�aaaa�aaa��aaaa�a�a��a��a�aaaaaaa�aaaaa�a�a�aaa�aa�aaaa�aaaaa�aa��aaa�a�a�a��a�aa�aaa��a�a��aaaaa

.aaaa.aaa.aa.aaaasaaaaaaataaal.aaaaa.laaa.aaa��aa���aaaaa�a�aaaaa�aaaaaaa�aaa�aaa�a��aaaa��a���aa��a��aaaaaaaaaaa�a��a�a��aa

ltaaaataa..aaaa..aaaaaaaaaaaaa�a�aaa�a�aaaaa�aa�aaaaa����a�a�aaa�a�aaaa��aa��aaa���aaa���aaaa�aa�a��

la.aa.ataa a��aa���aa����aaa�aaaa�a��aa�aaaa�a�a�aaa�aa�a�

�a��a�aa�aa��a�a�aaa��aa��a����a�aaaaaa�aa�aaa�aaaa��aaaasa�aa��a�

�� �� ����� ��� ����� � ����� �� �� � ��� � ���� � � ����������� ��� ��

����������� ��������� ������� ������ � ���� ��� ������������������� ��� ������������� �.����