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Functional and Cosmetic Eyelid Surgery, An Issue of Facial Plastic Surgery Clinics, E-Book

Functional and Cosmetic Eyelid Surgery, An Issue of Facial Plastic Surgery Clinics, E-Book

Gregory H. Branham

(2016)

Additional Information

Book Details

Abstract

This issue of Facial Plastic Surgery Clinics, edited by Dr. Gregory Branham, is devoted to Functional and Cosmetic Eyelid Surgery. Articles in this issue include: Surgical Anatomy of the Eyelid; Assessment of Eyelid Function and Esthetics; Periorbital Surgery: Forehead, Brow and Midface; Upper Lid Blepharoplasty; Lower Lid Blepharoplasty; Injectable Adjunctive Procedures for Cosmesis and Function; Peels, Lasers, and Topical Treatments for Periorbital Rejuvenation; Correction of Lid Crease Asymmetries and Ptosis; Lower Lid Malposition: Causes and Corrections; Upper Eyelid Reconstruction; Lower Eyelid Reconstruction; and Complications of Eyelid Surgery.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Functional and CosmeticEyelid Surgery\r i
Copyright\r ii
Contributors iii
CONSULTING EDITOR iii
EDITOR iii
AUTHORS iii
Contents v
Preface: Functional and Cosmetic Eyelid Surgery\r v
Surgical Anatomy of the Eyelids\r v
Evaluation of Eyelid Function and Aesthetics\r v
Periorbital Surgery: Forehead, Brow, and Midface\r v
Upper Lid Blepharoplasty\r v
Lower Eyelid Blepharoplasty\r vi
Injectable Adjunctive Procedures for Cosmesis and Function\r vi
Periorbital Rejuvenation: Overview of Nonsurgical Treatment Options\r vi
Correction of Eyelid Crease Asymmetry and Ptosis\r vi
Lower Lid Malposition: Causes and Correction\r vi
Upper Eyelid Reconstruction\r vi
Lower Eyelid Reconstruction\r vii
Complications in Eyelid Surgery\r vii
FACIAL PLASTIC SURGERY CLINICS\rOF NORTH AMERICA\r viii
FORTHCOMING ISSUES viii
August 2016 viii
November 2016 viii
February 2017 viii
RECENT ISSUES viii
February 2016 viii
November 2015 viii
August 2015 viii
Preface: Functional and Cosmetic Eyelid Surgery\r ix
Surgical Anatomy of the Eyelids 89
Key points 89
INTRODUCTION 89
ANTERIOR LAMELLAE 89
Upper Eyelid 89
Lower Eyelid 90
ORBITAL SEPTUM AND PRESEPTAL FAT PADS 90
Upper Eyelid 90
Lower Eyelid 91
POSTERIOR LAMELLAE 91
Upper Eyelid 91
Lower Eyelid 92
POSTSEPTAL ORBITAL FAT 93
Upper Eyelid 93
Lower Eyelid 93
LACRIMAL SYSTEM 93
NEUROVASCULAR AND LYMPHATIC ANATOMY 94
SUMMARY 94
REFERENCES 94
Evaluation of Eyelid Function and Aesthetics 97
Key points 97
INTRODUCTION 97
THE BEAUTIFUL EYE 97
Symmetry 97
Aging 98
SKIN 98
UPPER EYELID 98
Upper Eyelid Height 99
Levator Function 100
Upper Eyelid Crease, Tarsal Platform Show, and Brow Fat Span 100
LOWER EYELID 100
Laxity and Lid Position 101
THE FOREHEAD AND EYEBROW 101
CLINICAL HISTORY, REVIEW OF SYMPTOMS, AND SPECIFIC CONCERNS 102
Risk of Bleeding 102
Cataracts 102
Contact Lens Usage 103
Glaucoma, Topical Ocular Medications, and Prostaglandin-Associated Periorbitopathy 103
Brimonidine (Alphagan, Allergan) 103
Prostaglandin-Associated Periorbitopathy 103
Assessment of Tear Film and Dry Eye Syndrome 103
Schirmer Testing 103
Bell Phenomenon 104
REFERENCES 104
Periorbital Surgery 107
Key points 107
INTRODUCTION 107
ESTHETICS AND AGING 107
PREOPERATIVE ASSESSMENT 108
FOREHEAD AND BROW 108
Anatomy 108
Surgical Anatomy 110
Surgical Techniques 110
Endoscopic brow lift 110
Temporal brow lift 111
Direct brow lift 111
Mid-forehead brow lift 112
Pretrichial/Trichophytic brow lift 112
Coronal brow lift 112
MIDFACE 112
Anatomy 112
Surgical Anatomy 113
Surgical Techniques 113
Autologous fat grafts 113
Key points: autologous fat grafts 114
Alloplastic implants 114
Key points: alloplastic implants 114
Subcutaneous/sub-subcutaneous musculoaponeurotic system midface lift 114
Key points: subcutaneous musculoaponeurotic system midface lift 114
Subperiosteal midface lift: temporal approach 114
Key points: subperiosteal midface lift 114
Lower eyelid approaches 114
Key points: lower eyelid approaches 115
NONSURGICAL TECHNIQUES: FOREHEAD, BROW, AND MIDFACE 115
Neurotoxins 115
Key Points: Neurotoxins 115
Nonautologous Injectable Fillers 115
Key Points: Injectable Fillers 115
SPECIAL CONSIDERATIONS 116
SUMMARY 116
REFERENCES 116
Upper Lid Blepharoplasty 119
Key points 119
PERIORBITAL ANATOMY 119
Brow Anatomy 119
Upper Lid Anatomy 120
AESTHETICS AND AGING OF THE UPPER LID 121
Upper Lid and Brow Aesthetics 121
Upper Lid and Brow Aging 121
PREOPERATIVE ASSESSMENT FOR UPPER LID BLEPHAROPLASTY 122
Medical History 122
Examination of Upper Lid and Brow 122
Preoperative Surgical Planning 123
Preoperative Photography 123
SURGICAL TECHNIQUE 123
POSTOPERATIVE CARE 124
COMPLICATIONS AND PITFALLS 124
Vision Loss 125
Retrobulbar Hemorrhage 126
Eyelid Malposition: Lagophthalmos and Ptosis 126
Dry Eyes 126
Incision-Related Issues 126
SUMMARY 127
REFERENCES 127
Lower Eyelid Blepharoplasty 129
Key points 129
INTRODUCTION 129
AGING CHANGES OF THE LOWER LID AND CHEEK 130
APPROACHES TO LOWER LID REJUVENATION 131
INCISION PLACEMENT 131
CORRECTION OF THE NASOJUGAL GROOVE (TEAR TROUGH DEFORMITY) 132
LATERAL SUSPENSION AND CONTOUR CORRECTION 134
ORBICULARIS SUSPENSION 134
SUBORBICULARIS OCULI FAT LIFT 134
MIDFACIAL SUBPERIOSTEAL LIFT 135
AUTOLOGOUS FAT AUGMENTATION 136
DERMATOCHALASIS OF THE LOWER LIDS 136
FESTOONS 137
SUMMARY 137
REFERENCES 137
Injectable Adjunctive Procedures for Cosmesis and Function 139
Key points 139
REFERENCES 144
Periorbital Rejuvenation 145
Key points 145
INTRODUCTION 145
TOPICAL THERAPIES 145
SKIN RESURFACING 146
CHEMICAL SKIN RESURFACING (PEELS) 146
MECHANICAL SKIN RESURFACING (DERMABRASION) 147
LASER RESURFACING (ABLATIVE, NONABLATIVE, AND FRACTIONAL DEVICES) AND RADIOFREQUENCY TECHNOLOGY 148
Carbon Dioxide Laser 148
Erbium:Yttrium-Aluminum-Garnet Laser 148
Nonablative and Radiofrequency Devices 148
Fractional Laser Resurfacing 149
NEUROMODULATION 149
FILLERS 150
DISCUSSION 151
REFERENCES 152
Correction of Eyelid Crease Asymmetry and Ptosis 153
Key points 153
INTRODUCTION 153
PREOPERATIVE PLANNING AND PREPARATION 154
PTOSIS REPAIR 156
EXTERNAL PTOSIS REPAIR 157
INTERNAL PTOSIS REPAIR 158
SURGICAL CREASE FORMATION 160
Postoperative Care 160
SUMMARY 161
REFERENCES 161
Lower Lid Malposition 163
Key points 163
INTRODUCTION 163
APPLIED ANATOMY OF THE LOWER EYELID 163
PREOPERATIVE ASSESSMENT FOR LOWER EYELID SURGERY 164
Assessment of Horizontal Lid Laxity 164
Assessment of Globe Position 164
Assessment of the Midface 165
LOWER LID MALPOSITION: PATHOPHYSIOLOGY AND TREATMENT 165
LOWER LID RETRACTION 165
Lateral Canthal Tendon Laxity 165
Middle Lamella Scarring 165
Midface Descent 167
ECTROPION 167
Involutional Ectropion 167
Cicatricial Ectropion 167
Paralytic Ectropion 168
Mechanical Ectropion 168
ENTROPION 168
Involutional Entropion 169
Cicatricial Entropion 169
Spastic Entropion 170
SUMMARY 170
ACKNOWLEDGMENT 170
REFERENCES 170
Upper Eyelid Reconstruction 173
Key points 173
INTRODUCTION 173
ANTERIOR LAMELLAR UPPER EYELID DEFECTS 174
FULL-THICKNESS UPPER EYELID DEFECTS 174
Canthal Defects 174
Small Defects 174
Moderate Defects 179
Large Defects 180
SUMMARY 182
REFERENCES 182
Lower Eyelid Reconstruction 183
Key points 183
INTRODUCTION 183
ANATOMY 183
GENERAL PRINCIPLES OF EYELID RECONSTRUCTION 184
EYELID DEFECTS AND RECONSTRUCTION 184
LATERAL ADVANCEMENT FLAPS 185
TARSOCONJUNCTIVAL FLAP (HUGHES FLAP) TO REPAIR A LOWER EYELID DEFECT (STAGE I) 186
TARSOCONJUNCTIVAL FLAP (HUGHES FLAP) TO REPAIR A LOWER EYELID DEFECT (STAGE 2—3 TO 6 WEEKS AFTER INITIAL PLACEMENT) 187
CANTHAL DEFECTS AND RECONSTRUCTION 188
Canalicular Probing and Bicanalicular Intubation 188
NONMARGINAL EYELID DEFECTS AND RECONSTRUCTION 189
Island Pedicle Flap 189
POSTOPERATIVE WOUND CARE 189
COMPLICATIONS 190
SUMMARY 190
REFERENCES 190
Complications in Eyelid Surgery 193
Key points 193
INTRODUCTION 193
PREOPERATIVE HISTORY 193
PERIOCULAR/OCULAR EXAMINATION 194
COMPLICATIONS 196
Infection 196
Scarring/Web Formation 196
Eyelid Hematoma 197
Eyelid Crease Asymmetry 197
Lower Eyelid Retraction/Ectropion 198
Ptosis 198
Dry Eye Syndrome (Keratoconjunctivitis Sicca) 199
Epiphora 199
Chemosis 200
Diplopia 200
Retrobulbar Hemorrhage 201
SUMMARY 202
REFERENCES 202
Index 205