Oculoplastic Surgery, An Issue of Facial Plastic Surgery Clinics of North America

1st Edition, Volume 29-2 - May 5, 2021
Editors: John Bryan Holds, Guy G Massry
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 7 5 6 4 1 - 9
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 7 5 6 4 2 - 6

This issue of Facial Plastic Surgery Clinics, guest edited by Drs. John B. Holds and Guy Massry, is dedicated to Oculoplastic Surgery. This series is one of four selected each year… Read more

Oculoplastic Surgery, An Issue of Facial Plastic Surgery Clinics of North America

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This issue of Facial Plastic Surgery Clinics, guest edited by Drs. John B. Holds and Guy Massry, is dedicated to Oculoplastic Surgery. This series is one of four selected each year by the series consulting editor, Dr. J. Reagan Thomas. Topics will include—but are not limited to—Brow lift: open approaches, Brow lift: endoscopic approach, Upper blepharoplasty, Blepharoptosis repair: external aponeurotic repair, Blepharoptosis repair: internal approach, Lower blepharoplasty: external approach, Canthoplasty techniques, Lower blepharoplasty: transconjunctival approach, Treatment of lower eyelid festoons, Dermal fillers as an alternative to lower blepharoplasty surgery, Misuse and complications of periocular dermal fillers, Autogenous fat transfer in revision periocular surgery, Surgical treatment of post-blepharoplasty lower eyelid retraction, and the prominent eye: what to watch-out for.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Foreword
Preface
Anatomic Trends and Directions in Periorbital Aesthetic Surgery
Key points
Periorbital topography
The brows
Layers of the eyelid, upper lid
Lower eyelids
Periocular aesthetic conditions
Palpebral aperture
Summary
Clinics care points
My Evolution with Endoscopic Brow-Lift Surgery
Key points
Introduction
Content
Summary
Upper Blepharoplasty – Nuances for Success
Key points
Upper lid blepharoplasty
Part 2: periorbital lipofilling
Part 3: superior orbital rim augmentation
Summary
Clinics care points
Supplementary data
Blepharoptosis Repair: External Versus Posterior Approach Surgery: Why I Select One over the Other
Key points
Introduction
Anatomic considerations
Pathophysiology
Mechanisms of repair
Surgical technique
Choice of approach for ptosis surgery
Summary
Clinics care points
Transcutaneous Blepharoplasty with Volume Preservation: Indications, Advantages, Technique, Contraindications, and Alternatives
Key points
Introduction
Aging lower eyelid anatomy
Surgical techniques for rejuvenation of the lower eyelid
Preoperative evaluation: indications and contraindications
Transcutaneous blepharoplasty surgical procedure
Step 1. skin flap elevation and preservation of orbicularis muscle
Step 2. submuscular dissection and release of orbital retaining ligaments
Step 3. volumization with fat transposition
Step 4. support of lateral retinaculum with tarsal fixation
Step 5. superior midface elevation with orbicularis flap redraping and periosteal fixation
Step 6. conservative superolateral skin resection
Complications and management
Transconjunctival blepharoplasty surgical procedure
Complications
Autologous fat grafting to the lower eyelid
Complications
Summary
Transconjunctival Lower Lid Blepharoplasty with and Without Fat Preservation and Skin Resurfacing
Key points
History and development of the transconjunctival approach
Anatomy of the lower lid
Preoperative evaluation
Indications for transconjunctival blepharoplasty
Preoperative planning
Fat management
Operative technique
Transconjunctival blepharoplasty under local anesthesia
Postoperative management
Complications and management
Clinics care points
Periorbital Fat Grafting: A New Paradigm for Rejuvenation of the Eyelids
Key points
The aging orbit and the need for fat grafting
What does the young eye really look like, what should our priorities be in rejuvenation of the periorbital area, and how can we best meet those aesthetic goals?
If lid fullness is good, why not just use filler?
Why not just transpose eyelid fat?
Advantages of periorbital fat grafting
Volumetric rejuvenation, tissue integration, and stem cell effect
Drawbacks of fat injections
Identifying the patient who needs periorbital fat grafting
Periorbital fat grafting applications
Fat injection technique
Postoperative care
Recovery and healing
Retreatment
Complications
Common misconceptions about the periorbital fat grafting
What is the effect of weight gain or loss?
Case examples
Summary
The Spectrum of Aesthetic Canthal Suspension
Key points
Introduction/philosophy
Canthal anatomy/function
Canthal aging changes
Canthal terminology
Preoperative evaluation
Surgical procedures
Canthopexy
Postoperative care
Complications
Summary
The Treatment of Post-blepharoplasty Lower Eyelid Retraction
Key points
Introduction
Anatomy
Pathophysiology
Nonsurgical methods
Surgical methods
The vertical midface lift
Summary
Supplementary data
Treatment Options for Lower Eyelid Festoons
Key points
Introduction
Festoons background, etiology, and anatomy
Evaluation
Festoons management: nonsurgical
Festoons management: surgical
Summary
The Prominent Eye—What to Watch Out For
Key points
Introduction
Anatomic associations
Surgical treatment options
Orbital decompression
Eyelid retraction repair
Upper and lower blepharoplasty
Facial contouring procedures
Nonsurgical treatment options
Summary
Nonsurgical Light and Energy–Based Devices: Utility in Eyelid and Periorbital Surgery
Key points
Introduction
Periorbital rhytides
Periorbital skin tightening
Periorbital hyperpigmentation
Periorbital telangiectasias and vascular lesions
Periorbital rejuvenation treatment safety
Summary
Eyelid and Periorbital Dermal Fillers: Products, Techniques, and Outcomes
Key points
Introduction
Patient assessment
Dermal fillers
Midface
Negative vector patient
Shallow orbit patient
Deep set eyes patient
Peanut face
Iatrogenically altered anatomy
Trauma patient
Summary
Clinics care points
Supplementary data
Complications of Periocular Dermal Fillers
Key points
Overview
General comments on dermal filler complications
Specific complications
Comments on the treatment of the tear trough area
Summary
Clinics care points
Supplementary data
Blindness After Filler Injection: Mechanism and Treatment
Key points
Overview
Mechanism of visual compromise due to dermal fillers
Prevention of filler-induced blindness
Treatments for filler-induced blindness
Hyaluronidase
Future directions and studies
Summary

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John Bryan Holds

Guy G Massry