L. D. McLain, R. H. Haug (eds). Elsevier price £157.99; pp 102 ISBN 9780323286961

Contemporary rhytidectomy is a 102-page, comprehensive publication by the Atlas of the Oral and Maxillofacial Surgery Clinics of North America. This clinical review article follows from their previous edition, Complications in facial plastic surgery.

Rhytidectomy, or 'facelift' as it is commonly referred to, is the most comprehensive cosmetic facial procedure. The first contemporary face-lifting techniques were being performed in the early 1900s. The scope of practice and technical skills required are highlighted in the book. The articles aim to offer the reader an introduction to the most common rhytidectomy techniques used today, along with complimentary procedures. It is worth noting that the articles in this book are focused on the American oral maxillofacial practitioner, or those with an interest in expanding knowledge in aesthetic maxillofacial surgery.

A wealth of experience is included in the publication with guest editor Landon D. McLain. The nine chapters guide the reader from the initial evaluation of the facelift patient, surgical anatomy, varied types of rhytidectomies and adjunctive techniques, to the final chapter focused on re-operative face and neck lifts. Additionally, there is suggested reading after each chapter to aid the reader.

The case reports in the article 'The opportunistic rhytidectomy' is particularly detailed in providing a complete overview of technique with pre-, sequential surgical and post-operative photographs. The discussion in biplane facelift principles highlights the clinical importance of a thorough understanding of anatomy and surgical limitations on each approach.

I thoroughly enjoyed reading the article on surgical anatomy, which discusses the ageing face and the clinical applications. I feel the book must be praised for its interesting collection of clinical photographs and fine detailed medical illustrations that conceptualise the information on the surgical procedures.

The high quality of these clinical review articles continues to provide insightful clinical perspective reviewing the latest topics in facial surgery, enabling the reader to stay current and improve patient outcomes. Throughout the book, the importance of evidence-based dentistry is emphasised and also, its importance for clinical application. The text includes interesting perspectives and conflicting ideas that allow the reader to engage in critical thinking, and highlights the 'art' of cosmetic surgery, along with stressing its subjective nature. The series continues with their next publication due this autumn on Syndromes of the head and neck.