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Upper Facial Rejuvenation, An Issue of Atlas of the Oral and Maxillofacial Surgery Clinics of North America, E-Book

Upper Facial Rejuvenation, An Issue of Atlas of the Oral and Maxillofacial Surgery Clinics of North America, E-Book

Faisal A. Quereshy

(2016)

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Book Details

Abstract

This issue of the Atlas of the Oral and Maxillofacial Surgery Clinics focuses on Upper Facial Rejuvenation, edited by Dr. Faisal A. Quereshy. Articles will feature: Upper Blepharoplasty; Management of Complications Associated with Upper Facial Rejuvenation; Lower Transcutaneous Blepharoplasty; Skin Resurfacing Procedures in the Upper Face; Analysis  and Diagnosis of Upper Facial Region; Botulinum Toxin Use in the Upper Face; Lower Transconjunctival Blepharoplasty; Open Brow Lift Surgery; Management of Lower Eyelid Laxity; Endoscopic Brow Lift Surgery; Injectable Fillers in the Upper Face, and more!

Table of Contents

Section Title Page Action Price
Front Cover Cover
ATLAS OF THE ORAL AND MAXILLOFACIAL SURGERY CLINICS OF NORTH AMERICA i
Copyright ii
Contributors iii
EDITOR iii
AUTHORS iii
Contents v
Preface: Rejuvenation of the Facial Upper Third v
Analysis and Diagnosis of Upper Facial Region v
Botulinum Toxin Use in the Upper Face v
Injectable Fillers in the Upper Face v
Skin Resurfacing Procedures of the Upper Face vi
Upper Eyelid Blepharoplasty vi
Lower Transcutaneous Blepharoplasty vi
Transconjunctival Lower Blepharoplasty vii
Management of Lower Eyelid Laxity vii
Open Brow Lift Surgery for Facial Rejuvenation vii
The Endoscopic Brow Lift vii
Management of Complications Associated with Upper Facial Rejuvenation viii
ATLAS OF THE ORAL AND MAXILLOFACIAL\rSURGERY CLINICS OF NORTH AMERICA\r ix
FORTHCOMING ISSUES ix
March 2017\r ix
September 2017 ix
PREVIOUS ISSUES ix
March 20156\r ix
September 2015 ix
March 2015 ix
Preface:\rRejuvenation of the Facial Upper Third xi
Analysis and Diagnosis of Upper Facial Region 87
Introduction 87
Patient evaluation 87
Photo documentation 87
Anatomic analysis 87
Esthetic analysis by region 88
Forehead 88
Eyebrow 89
Eyes 90
Upper eyelid 90
Lower eyelid 91
Summary 93
References 93
Botulinum Toxin Use in the Upper Face 95
Introduction 95
Preoperative planning and pretreatment assessment 95
Product selection 95
Product storage 96
Product dilution 96
Physical examination and patient education 97
Procedural technique 98
Patient preparation and positioning 98
Technique 98
Glabella 98
Forehead 99
Brow contouring 99
Lateral canthal lines 99
Transverse nasal rhytids 100
Complications 100
After procedure care 101
Outcomes 102
Summary 102
References 102
Further readings 103
Injectable Fillers in the Upper Face 105
Introduction 105
Surgical technique 105
Glabellar folds 106
Forehead lines 106
Lateral canthal lines: (crow’s feet) 106
Periorbital, tear trough, nasojugal groove 107
Temporal wasting hollowing 107
Surgical technique of fat transfer 107
Preoperative planning 107
Preparation and patient positioning 107
Surgical approach 108
Surgical procedure 108
Step 1: Injection of local anesthetic 108
Step 2: Lipoharvesting 108
Step 3: Centrifugation and separation of components 109
Step 4: Injection technique 109
Immediate postoperative care 110
Potential complications 110
Rehabilitation and recovery 112
Clinical results in the literature 113
Hyaloronic acid soft tissue fillers 114
Sculptra-Poly-L-Lactic acid 115
Autologous fat transfer 115
Summary 115
Supplementary data 115
Further readings 115
Skin Resurfacing Procedures of the Upper Face 117
Introduction 117
Surgical technique 119
Rehabilitation and recovery 120
Summary 123
Supplementary data 123
References 124
Upper Eyelid Blepharoplasty 125
Introduction 125
Anatomy of the periorbital region 125
Eyelid esthetics 127
Age-related changes of the periorbital region 127
Preoperative assessment 129
Selection of surgical procedure 129
Surgical planning and skin markings 129
Anesthesia considerations 129
Upper blepharoplasty procedure 130
Ancillary periorbital procedures 130
Postoperative care 131
Complications 131
Hematoma 132
Blindness 132
Infection 132
Dry eye syndrome 132
Ptosis 132
Diplopia 132
Scarring 132
Asymmetry 132
Worsening festoons 133
Periorbital rejuvenation pearls 133
References 133
Lower Transcutaneous Blepharoplasty 135
Introduction 135
Preoperative planning 135
Preparation and patient markings 136
Patient positioning and surgical technique 137
Transconjuctival approach 137
Skin pinch technique 138
Skin-muscle flap approach 139
Incision and flap elevation 139
Orbital fat management 139
Orbicularis oculi muscle 141
Lower lid support 141
Skin excision 141
Complications 142
Bleeding 142
Lower eyelid malposition 143
Chemosis 144
Dry eyes 144
Postoperative care 144
Follow-up care 144
Summary 144
References 145
Transconjunctival Lower Blepharoplasty 147
Introduction 147
Anatomy 147
Pathophysiology of aging 148
Indications 149
Advantages and disadvantages 150
Technique 150
Complications 151
Discussion 151
References 151
Management of Lower Eyelid Laxity 153
Introduction 153
Lateral canthal anatomy 153
Pathogenesis of eyelid laxity 154
Assessment 154
Procedures 156
Laterally based horizontal eyelid resection (bick) 156
Tarsal Strip Procedure 156
Simple canthal suspension 157
Lateral canthal anchoring 157
Modified canthal fixation procedure 157
Description of procedure 157
Adjunctive procedures 158
Complications 158
Summary 159
References 159
Open Brow Lift Surgery for Facial Rejuvenation 161
Introduction 161
Indication for brow lift 161
Advantages of pretrichial brow lift 161
Patient selection 161
Surgical technique 162
Postoperative care 163
Summary 164
References 164
The Endoscopic Brow Lift 165
Brow lift general considerations 165
Indications 165
Contraindications 165
Relative contraindications 165
Evaluation and diagnosis 165
Brow ptosis 165
Forehead/temporal redundancy 166
Hairline 166
Cosmetic botulinum toxin therapy 166
Skin 166
Evaluation key points 166
Clinical technique 166
Armamentarium 166
Preoperative technique 167
Anesthesia technique 167
Operative technique 167
Postoperative technique 172
Technique key points 172
Complications and controversies 172
Early complications 172
Late complications 172
Hematoma 173
Fixation failure 173
Facial nerve weakness/paralysis 173
Hypothesia/anesthesia of forehead and scalp 173
Avoiding relapse 173
Avoiding excess interbrow distance and excessive medial brow elevation 173
Complications key points 173
Other considerations 173
References 173
Management of Complications Associated with Upper Facial Rejuvenation 175
Introduction 175
Preoperative evaluation 175
Complications in browlift 176
Brow malposition 176
Nerve damage 177
Scars 178
Alopecia 178
Bleeding 179
Summary 179
References 179