MedWorm: Blepharoplasty

UK plastic surgery statistics: breasts up, stomachs in

Guardian Unlimited Science — Mon, 30 Jan 2012 08:00:00 +0100

UK plastic surgery is on the increase, despite the recession. Find out which procedures are going up - and which are down• Get the dataPlastic surgery is big business in the UK - and despite the recession, it's a growing one.Breast augmentations are still by far the most popular cosmetic surgery procedure for women and have risen year on year - although these figures take no account of the breast implant scandal, which recently led plastic surgeons to call for a ban on advertising it.Plastic surgery statistics in the UK show a record number of male 'tummy tuck' operations as the rise in demand outstrips that for all other procedures - including women's breast enlargement.Figures published by the British Association of Aesthetic Plastic Surgeons (BAAPs) - that really is its acronym - show...

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Infraeyebrow Blepharoplasty for Blepharochalasis of the Upper Eyelid: Its Indication and Priority

Journal of Biophysics — Mon, 16 Jan 2012 03:35:01 +0100

Eyelid bags and blepharochalasis are the result of relaxation of lid structures like the skin, the orbicularis oculi, and mainly the orbital septum. Therefore, this aged appearance cannot be improved sufficiently with only a skin and orbicularis oculi resection. To improve this appearance, we use a very effective method of tucking of the orbital septum with infraeyebrow excision of the skin and the orbicularis oculi. Between January 2005 and April 2011, 103 patients (206 lids) were treated. There were 89 female and 14 male patients whose ages ranged from 43 to 75 years (mean = 65.2 years). After infraeyebrow excision, blepharoplasty with tucking of the orbital septum, the concealed lid crease becomes apparent and a good rejuvenation effect is obtained in all patients. (Source: Journal of B...

Paralyzed by beauty

Journal of Clinical Anesthesia — Mon, 09 Jan 2012 05:00:00 +0100

A 46 year old woman, who appeared younger than her stated age, presented for a general anesthetic to rule out ovarian cancer. She had normal laboratory values and she denied medical or surgical history other than one diagnostic laparoscopy. The patient denied plastic surgery in front of her husband, but a chin implant surgery was noted in her chart. On the way to the operating room, she again denied any surgeries. We noted that she had chin implant, breast implant, blepharoplasty, and rhinoplasty scars. (Source: Journal of Clinical Anesthesia)

Blepharoplasty: When results don’t meet expectations

Modern Medicine — Wed, 21 Dec 2011 05:00:00 +0100

Lower eyelid retraction is the most common complication of lower blepharoplasty. It is most effectively addressed by using a scientific approach in which the anatomic and functional status of the three eyelid lamellae are defined both preoperatively and intraoperatively. (Source: Modern Medicine)

Histopathologic Findings of the Orbicularis Oculi in Upper Eyelid Aging: Total or Minimal Excision of Orbicularis Oculi in Upper Blepharoplasty [Original Article]

Archives of Facial Plastic Surgery — Mon, 19 Dec 2011 05:00:00 +0100

Conclusions Our study revealed that the entire orbicularis oculi muscle layer remained morphologically intact with aging. Moreover, our findings suggests that a minimally invasive surgical approach with muscle sparing in upper blepharoplasty in selected patients could yield good results in terms of cosmetic outcomes and upper eyelid function while minimizing postoperative complications. (Source: Archives of Facial Plastic Surgery)

Ophthalmologists: Eyelid surgery improves vision

Modern Medicine — Thu, 15 Dec 2011 05:00:00 +0100

Upper blepharoplasty and blepharoptosis repair can improve vision as well as appearance, according to a new study. (Source: Modern Medicine)

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Postoperative eyelid infection in a patient taking etanercept.

Orbit — Thu, 01 Dec 2011 05:00:00 +0100

We present a case of postoperative infection in a patient who was taking etanercept (Enbrel, Immunex Corporation, Thousand Oaks, CA) for rheumatoid arthritis. PMID: 22132849 [PubMed - in process] (Source: Orbit)

Cosmetic outcome of posterior approach ptosis surgery (an american ophthalmological society thesis).

Transactions of the American Ophthalmological Society — Thu, 01 Dec 2011 05:00:00 +0100

CONCLUSIONS: POSTERIOR APPROACH SURGERY ALONE WAS OFTEN SUCCESSFUL IN CONTROLLING TPS: it shortened the TPS. Blepharoplasty combined with posterior approach ptosis surgery tended to lengthen the TPS and shorten the BFS. PMID: 22253486 [PubMed - in process] (Source: Transactions of the American Ophthalmological Society)

Upper Eyelid Surgery Improves Vision and Quality of LifeUpper Eyelid Surgery Improves Vision and Quality of Life

Medscape Ophthalmology Headlines — Mon, 28 Nov 2011 17:51:48 +0100

Upper eyelid ptosis and blepharoplasty surgery significantly improve vision and quality of life, researchers report online October 22 in Ophthalmology. Reuters Health Information (Source: Medscape Ophthalmology Headlines)

Orbicularis Muscle Position During Lower Blepharoplasty With Fat Repositioning [Original Article]

Archives of Facial Plastic Surgery — Mon, 21 Nov 2011 05:00:00 +0100

Conclusions The orbicularis oculi muscle fusion to the maxilla below the arcus marginalis defines the junction between the eyelid and the cheek, and it provides an anchor for the tear trough. The eyelid-cheek interface is significantly elevated with our surgical technique of fat repositioning in the supraperiosteal plane. Elevation of the orbicularis muscle edge may contribute to improved blepharoplasty results in treating the aging midface. (Source: Archives of Facial Plastic Surgery)

Liposuction and Suspension of the Orbicularis Oculi for the Correction of Persistent Malar Bags: Description of Technique and Report of a Case

Aesthetic Plastic Surgery — Sun, 20 Nov 2011 07:36:38 +0100

Conclusion Persistent malar bags resulting from previous blepharoplasty may be difficult to correct with conventional treatment. The combination of liposuction and suspension of the orbicularis oculi is proposed as an efficient alternative for the correction of persistent malar bags. Content Type Journal ArticleCategory Innovative TechniquesPages 1-4DOI 10.1007/s00266-011-9838-1Authors Ioannis E. Liapakis, OpsisClinical, Plastic and Reconstructive Surgery, 48 Anogion str, Therissos, 71304 Heraklion, Crete, GreeceEleftherios I. Paschalis, Harvard University Massachusetts Eye and Ear Infirmary, 243 Charles St., Boston, MA 02114, USA Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery)

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The Diagnosis and Treatment of Thyroid-Associated Ophthalmopathy

Aesthetic Plastic Surgery — Tue, 15 Nov 2011 06:48:28 +0100

Conclusion Blepharoplasties performed on TAO patients must be undertaken with care and insight to avoid cosmetic and functional complications. Content Type Journal ArticleCategory ReviewPages 1-11DOI 10.1007/s00266-011-9843-4Authors Daniel J. Gould, Department of Plastic Surgery, Baylor College of Medicine, Houston, TX, USAForrest S. Roth, Department of Plastic Surgery, Baylor College of Medicine, Houston, TX, USACharles N. S. Soparkar, Department of Ophthalmology, Baylor College of Medicine, Houston, TX, USA Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery)

Estimation of skin removal in aging asian blepharoplasty

The Laryngoscope — Mon, 07 Nov 2011 05:00:00 +0100

CONCLUSION:In upper blepharoplasty in the aging Asian eyelid, it is necessary to resect less skin than in the Caucasian patient to achieve the desired appearance of the Asian upper eyelid complex. Using a patient‐assisted approach to estimating the amount of skin to remove, a favorable cosmetic result with a low incidence of complications was achieved in a consecutive series of patients. Laryngoscope, 2011. (Source: The Laryngoscope)

Orbicularis oculi: morphological changes mimicking mitochondrial cytopathy in a series of control normal muscles

Clinical and Experimental Ophthalmology — Wed, 02 Nov 2011 04:00:00 +0100

Conclusion: we would therefore urge caution in the use of OO as muscle biopsy for diagnosis of mitochondrial cytopathy, and advise concomitant biopsy of limb skeletal muscle and/or supplementary genetic studies. (Source: Clinical and Experimental Ophthalmology)

Efficacy of Pulsed Electromagnetic Energy in Postoperative Recovery from Blepharoplasty

Dermatologic Surgery — Tue, 01 Nov 2011 04:00:00 +0100

ConclusionThe use of pulsed electromagnetic energy did not have an effect on postoperative pain, edema, or ecchymosis as rated by patients and physicians. There was a statistically significant reduction in physician‐graded erythema for active patch eyes versus placebo. (Source: Dermatologic Surgery)

Functional Indications for Upper Eyelid Ptosis and Blepharoplasty Surgery: A Report by the American Academy of Ophthalmology

Ophthalmology — Mon, 24 Oct 2011 04:00:00 +0100

Conclusions: Repair of blepharoptosis and upper eyelid dermatochalasis provides significant improvement in vision, peripheral vision, and quality of life activities. Preoperative indicators of improvement include margin reflex distance 1 (MRD1) of 2 mm or less, superior visual field loss of at least 12 degrees or 24%, down-gaze ptosis impairing reading and other close-work activities, a chin-up backward head tilt due to visual axis obscuration, symptoms of discomfort or eye strain due to droopy lids, central visual interference due to upper eyelid position, and patient self-reported functional impairment.Financial Disclosure(s): The author(s) have no proprietary or commercial interest in any materials discussed in this article. (Source: Ophthalmology)

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Master Techniques in Blepharoplasty and Periorbital Rejuvenation

Springer Medicine titles — Wed, 28 Sep 2011 05:45:06 +0100

(Source: Springer Medicine titles)

Extended Infrabrow Excision Blepharoplasty for Dermatochalasis in Asians [Original Article]

Archives of Facial Plastic Surgery — Mon, 19 Sep 2011 04:00:00 +0100

Conclusions Extended IBEB is recommended for middle-aged and older Asian women with moderate to severe dermatochalasis. With precise incision and fine suturing, regrowth alleviates eyebrow reduction and scarring among Asians who do not use makeup (male patients and young female patients). (Source: Archives of Facial Plastic Surgery)

[Upper and lower eyelid blepharoplasty : Development of aesthetic periocular plastic surgery].

Der Chirurg — Thu, 01 Sep 2011 04:00:00 +0100

Authors: Horch RE, Arkudas A Abstract The article describes the indications and techniques for blepharoplasty of the upper and lower eyelids as well as combinations with other eyelid correction techniques. Upper eyelid blepharoplasty may include skin excision with orbital fat modulation as well as ptosis correction and definition of the superior sulcus palpebralis. The main goal of lower lid blepharoplasty is modulation of intraseptal fat and also often the treatment of a lower lid laxity by canthopexy. It is recommended to avoid excessive skin resection in the lower lid. Furthermore techniques to address an ectropium are reviewed and possible complications of blepharoplasty are presented. PMID: 21904972 [PubMed - in process] (Source: Der Chirurg)

Lazy S-curve Epicanthoplasty in Asian Blepharoplasty

Aesthetic Plastic Surgery — Sat, 20 Aug 2011 05:41:20 +0100

Conclusion Lazy S-curve epicanthoplasty is a reliable and effective method to eliminate not only the epicanthal fold but also the undesirable orbicularis oculi muscle. Content Type Journal ArticleCategory Original ArticlePages 1-7DOI 10.1007/s00266-011-9806-9Authors Yulan Liu, Department of Plastic Surgery, Shanghai Fuhua Plastic and Aesthetic Hospital, Shanghai, People’s Republic of ChinaMing Lei, Department of Orthopeadics, Shenzhen Second People’s Hospital, Shenzhen, People’s Republic of ChinaYimin Wang, Department of Plastic and Reconstructive Surgery, Shanghai Ninth People’s Hospital, Shanghai, People’s Republic of ChinaXiongzheng Mu, Department of Plastic and Reconstructive Surgery, Huashan Hospital, Fudan University, No. 12, Urumchi Road(M), Shanghai...

Y Modification of the Transconjunctival Approach for Management of Zygomaticomaxillary Complex Fractures: A Technical Note

Journal of Oral and Maxillofacial Surgery — Mon, 08 Aug 2011 04:00:00 +0100

There are multiple approaches described to access the zygomaticomaxillary complex (ZMC) and orbital floor: lateral eyebrow, upper blepharoplasty, coronal, subciliary, subtarsal, infraorbital, transconjunctival, and transoral. All these approaches have their advantages, disadvantages, and indications according to location of fracture, degree of displacement, and surgeon's experience with a specific technique. (Source: Journal of Oral and Maxillofacial Surgery)

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Secondary blepharoplasties prove challenging

Modern Medicine — Sun, 31 Jul 2011 23:00:00 +0100

Complications can occur following both a primary and secondary blepharoplasty, and potential postoperative problems can include Aesthetic and/or functional issues. Surgeons must proceed with caution and establish clear and realistic cosmetic expectations and surgical goals with the patient prior to surgery. (Source: Modern Medicine)

Recognising phenytoin therapy as a cause of thickening of the eyelids and paranasal region

Journal of Plastic, Reconstructive and Aesthetic Surgery — Mon, 18 Jul 2011 04:00:00 +0100

We present a 55 year old female, with gradual painless thickening of her eyelids and nose over several months, who requested aesthetic surgery to correct these changes. One-year prior to this she had undergone a craniotomy and debulking of an olfactory groove meningioma and commenced on prophylactic phenytoin therapy. On examination she was found to have a widened nasal bridge and soft-tissue thickening of the glabellar region and medial canthi. (a). Her paranasal and eyelid thickening was presumed to be phenytoin-related and under the supervision of her neurologist this was tailed off. Six-months after stopping phenytoin her soft-tissue thickening had improved. (b). Bilateral ptosis surgery with upper eyelid blepharoplasty is planned. (Source: Journal of Plastic, Reconstructive and Aesthe...

Tarsal ectropion repair and lower blepharoplasty: A case report and review of literature

Journal of Plastic, Reconstructive and Aesthetic Surgery — Mon, 18 Jul 2011 04:00:00 +0100

We present a case of chronic right lower lid ectropion in a 66-year-old male. Through understanding of eyelid anatomy, especially that of the lower eyelid retractors, tarsal ectropion was correctly identified in our patient preoperatively. A repair including correction of retractor disinsertion on the tarsus was planned, and given our patient’s degree of lower lid delamination and mobilization, we also proceeded with bilateral lower lid blepharoplasty with canthal and lower lid soft tissue support. Ultimately, we were able to achieve an improved aesthetic appearance for our patient, along with resolution of his symptoms. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)

Blepharoplasty: Surgery to repair sagging eyelids

MayoClinic.com Full Feed — Sun, 17 Jul 2011 01:45:00 +0100

Blepharoplasty — Overview covers definition, risks, results of this eyelid surgery. (Source: MayoClinic.com Full Feed)

Orbicularis Muscle Position During Lower Blepharoplasty With Fat Repositioning [Original Article]

Archives of Facial Plastic Surgery — Sun, 19 Jun 2011 23:00:00 +0100

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A New Technique of Upper Eyelid Blepharoplasty Using the Orbicularis Muscle Flap

Aesthetic Plastic Surgery — Wed, 15 Jun 2011 05:53:39 +0100

Conclusions The orbicularis muscle flap procedure is a feasible technique that can be used reliably to reshape the lateral upper lid. It would be a useful addition to the armamentarium of the plastic surgeon who is called on to perform upper blepharoplasty. Content Type Journal ArticlePages 1-5DOI 10.1007/s00266-011-9760-6Authors Manfredi Greco, Department of Plastic and Reconstructive Surgery, University “Magna Graecia” of Catanzaro, Viale Europa loc. Germaneto, 88100 Catanzaro, ItalyTiziana Vitagliano, Department of Plastic and Reconstructive Surgery, University “Magna Graecia” of Catanzaro, Viale Europa loc. Germaneto, 88100 Catanzaro, ItalyMaria Antonia Fiorillo, Department of Plastic and Reconstructive Surgery, University “Magna Graecia” of Catanzaro...

A canthopexy to begin with

Journal of Plastic, Reconstructive and Aesthetic Surgery — Fri, 10 Jun 2011 04:00:00 +0100

Blepharoplasty is considered a very simple procedure. A recent 10-year series reported surgical revision rates related to lower lid malposition to be 3.5 percent. However, it was the introduction of adjunct support manoeuvres on the lateral canthus, called canthopexies or canthoplasties that revolutionized the modern lower blepharoplasty. Canthopexies are still not a routine component in all blepharoplasties for many surgeons, because of the complexity of some of these procedures. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)

Investigation of an Outbreak of SSI Due to Mycobacterium immunogenum after Blepharoplasty

American Journal of Infection Control — Mon, 30 May 2011 17:35:00 +0100

Three patients of a single surgeon developed tender, erythematous papules at their suture sites 4 - 6 weeks after blepharoplasty from December 2009 - April 2010. Culture obtained from one of the patients yielded a rapidly growing mycobacterium (RGM) identified as Mycobacterium immunogenum; only superficial surface swabs were obtained in the other two patients yielding no growth. All patients responded to treatment. (Source: American Journal of Infection Control)

Small-incision orbicularis–levator fixation technique: A modified double-eyelid blepharoplasty for treating trichiasis in young Asian patients

Journal of Plastic, Reconstructive and Aesthetic Surgery — Tue, 26 Apr 2011 23:00:00 +0100

In conclusion, for young Asian patients with upper-eyelid trichiasis, the small-incision orbicularis-levator fixation technique is able to acquire a stable up-curved position of the eyelashes and satisfactory aesthetic results. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)

Objective assessment of change in apparent age after facial rejuvenation surgery

Journal of Plastic, Reconstructive and Aesthetic Surgery — Sun, 24 Apr 2011 23:00:00 +0100

This study was undertaken to investigate the effectiveness of facial rejuvenation using a deep-plane facelift and other cosmetic procedures.Methods: Seventy-five patients were included in the study – 71 consecutive patients who met the study criteria and four controls. Inclusion criteria included at least 6 months’ follow-up, standardized photos with no makeup or jewelry, and no subsequent cosmetic procedures. Simultaneous procedures included submental lipectomy, fat injection, laser skin resurfacing, blepharoplasty, endoscopic forehead lift, and chin/jowl augmentation. Photographs were judged by 198 independent members of the public who were asked to rate apparent age.Results: The mean reduction in apparent age for all surgical patients was 6.0 years (range 0.8–14.2 years) versus no...

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Double-eyelid blepharoplasty incorporating blepharoptosis surgery for ‘latent’ aponeurotic ptosis

Journal of Plastic, Reconstructive and Aesthetic Surgery — Thu, 07 Apr 2011 23:00:00 +0100

Summary: Most of the patients who undergo double-eyelid blepharoplasty report satisfactory cosmetic results. However, it remains some complications such as the failure to create double-eyelid skin creases and the outcome of higher skin creases and asymmetrical upper eyelids. These complications may happen even when the surgery proceeded successfully and the septum was intact, which suggested that the aponeurosis could not been damaged. Between January 2008 and June 2009, 39 patients (51 eyes, 7.75%) who requested double-eyelid blepharoplasty were found to display ‘latent’ aponeurotic ptosis. In these patients, the aponeuroses were disinserted from the tarsus or attenuated and elongated. All of these patients agreed to undergo aponeurotic ptosis correction along with double-eyelid surge...

Vertical Subperiosteal Mid-face-lift for Treatment of Malar Festoons

Aesthetic Plastic Surgery — Thu, 17 Mar 2011 18:29:21 +0100

Conclusion Subperiosteal vertical midface lift resuspends and redrapes the facial network that originates at the level of the orbital rim. It seems to improve the permeability characteristics of the malar septum in the treatment of malar festoons and malar mounds by freeing the cheek tissue from underlying bone and redraping the malar septum. It is a reliable technique to improve malar mounds, palpebral bags, or festoons. Content Type Journal ArticlePages 1-8DOI 10.1007/s00266-010-9650-3Authors Johannes Franz Hoenig, University Hospital and Medical School of Goettingen, Robert-Koch-Street 40, 37075 Goettingen, GermanyDaniel Knutti, University Hospital and Medical School of Goettingen, Robert-Koch-Street 40, 37075 Goettingen, GermanyAntonio de la Fuente, University ...

Transconjunctival Lower Blepharoplasty for Chinese Patients Combined With a Subciliary Incision for Skin Removal

Aesthetic Plastic Surgery — Sun, 27 Feb 2011 06:46:31 +0100

Content Type Journal ArticlePages 1-4DOI 10.1007/s00266-011-9667-2Authors Lihong Ren, Department of Plastic Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin, 150086 Heilongjiang ChinaDaping Yang, Department of Plastic Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin, 150086 Heilongjiang ChinaZhen Song, Department of Ophthalmology, The First Affiliated Hospital of Harbin Medical University, Harbin, 150086 Heilongjiang ChinaLiu Ying, Department of Plastic Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin, 150086 Heilongjiang China Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery)

A Novel Technique for Repositioning Lower Eyelid Fat via the Transoral Approach in Association with Midface Lift

Aesthetic Plastic Surgery — Sun, 27 Feb 2011 06:46:18 +0100

Conclusion A novel approach for lower eyelid fat transposition in combination with midface lift using the intraoral approach is presented. Excellent visualization, decreased operative times, technical ease, and improved outcomes all are potential advantages of this technique over standard approaches in which access to lower eyelid fat is achieved through the conjunctiva or a skin muscle flap. Content Type Journal ArticlePages 1-6DOI 10.1007/s00266-011-9665-4Authors M. Mark Mofid, Division of Plastic Surgery, University of California San Diego, 4150 Regents Park Row Suite #300, La Jolla, San Diego, CA 92037, USA Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery)

UK plastic surgery statistics: breasts up, ears down

Guardian Unlimited Science — Mon, 31 Jan 2011 01:00:00 +0100

UK plastic surgery is on the increase, despite the recession. Find out which procedures are going up - and which are down• Get the dataPlastic surgery statistics in the UK show a record number of "man boob" reduction operations as the rise in demand outstrips that for all other procedures - including women's breast enlargement.Figures published by the British Association of Aesthetic Plastic Surgeons (BAAPs) - that really is its acronym - showed operations to correct gynecomastia in men grew by 27.5%, while overall male cosmetic surgery grew by 6.6%.The association's audit reveals 581 male breast reduction operations were performed by members in 2009, up from 323 in 2008. Five years ago, just 22 gynecomastia operations were performed on men. The association represents one in three plasti...

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Lateral Canthoplasty by the Micro-Mitek Anchor System: 10-Year Review of 96 Patients

Journal of Oral and Maxillofacial Surgery — Mon, 31 Jan 2011 00:00:00 +0100

Conclusions: Lateral canthoplasty using the Mitek Anchor System has the advantage of being an easy technique with accurate placement of the anchor, reducing operating time. (Source: Journal of Oral and Maxillofacial Surgery)

Forehead Lifting: State of the Art

Facial Plastic Surgery — Tue, 18 Jan 2011 00:00:00 +0100

Facial plast Surg 2011; 27: 050-057DOI: 10.1055/s-0030-1270419ABSTRACTForehead lifting serves to restore a more youthful appearance as well as a more functional and aesthetically pleasing brow position. The purpose of this review is to describe the pertinent anatomy and forehead aesthetics, then to discuss the patient evaluation, surgical approaches, complications, and nonsurgical adjuncts. Anatomic features reviewed include the layers of the forehead and scalp, blood supply, innervation, musculature, and the temporal branch of the facial nerve anatomy. Forehead aesthetics described include the aging process, with its contributing factors and consequences, and the ideal brow position in women and men. Key aspects of the patient evaluation include assessment of skin type; ptosis; hairline, ...

The Art of Blepharoplasty

Facial Plastic Surgery — Tue, 18 Jan 2011 00:00:00 +0100

Facial plast Surg 2011; 27: 058-066DOI: 10.1055/s-0030-1270425ABSTRACTBlepharoplasty is one of the most popular and common procedures in facial plastic surgery. Initially performed in 1818 for eyelid reconstruction, blepharoplasty has evolved to become a cosmetic or functional operation. Although the surgical approaches are relatively straightforward, achieving natural and predictable results require precision and judgment. After performing more than 3500 blepharoplasties, the senior author has learned that the “art of blepharoplasty” has less to do with how much skin or fat is removed and is more about understanding the anatomic changes associated with aging, developing an individualized surgical plan, and anticipating postoperative outcomes or complications.[...]© Thieme Med...

Extended Lower Eyelid Skin Muscle Blepharoplasty

Facial Plastic Surgery — Tue, 18 Jan 2011 00:00:00 +0100

Facial plast Surg 2011; 27: 067-076DOI: 10.1055/s-0030-1270424ABSTRACTA patient presenting to a facial plastic surgeon with lower eyelid aging often has accompanying midface descent. Many surgical options exist to address these deformities. Blepharoplasty techniques include both the transcutaneous skin-muscle flap as well as the transconjunctival approach. The midface can be addressed via a multitude of techniques, including percutaneous suspension of the malar fat pad, deep plane dissections, subperiosteal and endoscopic midface lifts, and transorbital approaches. Patients who have some midface ptosis but do not meet the standard criteria for formal midface lifting, or who want to avoid the extended recovery associated with such techniques, could benefit from less invasive procedures. We ...

The McCollough Facial Rejuvenation System: A Condition-Specific Classification Algorithm

Facial Plastic Surgery — Tue, 18 Jan 2011 00:00:00 +0100

Facial plast Surg 2011; 27: 112-123DOI: 10.1055/s-0030-1270423ABSTRACTThe search for the holy grail in facial rejuvenation is an ongoing quest. Perhaps the reason the “ideal” face-lift has yet to be discovered is a result of three factors. First, the term face-lift has never been adequately defined. Second, fads and trends play a role in how the operation is taught and performed. Third, surgeons searching for the prototypic technique have not had a way to index the physical signs of facial aging. After 37 years of practicing facial plastic surgery and performing more than 5000 face-lifts, the author determined that replacing chaos with order is long overdue. To achieve this goal, he developed a classification system that is designed to match each potential patient's problems wi...

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Histologic Assessment of Dermatochalasis: Elastolysis and Lymphostasis Are Fundamental and Interrelated Findings

Ophthalmology — Thu, 06 Jan 2011 00:00:00 +0100

Objective: To determine the presence, degree, and extent of lymphatic, elastic, and collagen fiber alterations in dermatochalasis (DC) specimens.Design: Case control study of patients with DC compared with age-, gender-, and site-matched controls.Participants: A total of 25 eyelid specimens were studied; 15 of these were blepharoplasty specimens (experimental) and 10 were entropion/ectropion specimens of patients without DC (controls).Methods: The number and maximal dilation of lymphangiectasia was measured by light microscopy, immunohistochemistry with lymphatic marker D2-40, and elastic tissue content by Verhoeff–van Gieson histochemistry. The number of macrophages was compared between patients with DC and controls in CD68 immunostained specimens.Main Outcome Measures: Lymphatic densit...

Asian blepharoplasty - an overview.

Orbit — Sat, 01 Jan 2011 00:00:00 +0100

This article reviews the differences in the anatomy and the various techniques currently employed. PMID: 21281084 [PubMed - in process] (Source: Orbit)

Optimizing Closure Materials for Upper Lid Blepharoplasty: A Randomized, Controlled Trial

Dermatologic Surgery — Tue, 28 Dec 2010 00:00:00 +0100

CONCLUSION Although sutured epidermal closure and tissue adhesive are highly efficacious for upper eyelid blepharoplasty, physicians and participants felt that cosmesis with ECA was superior to that with fast‐absorbing gut.The authors have indicated no significant interest with commercial supporters. (Source: Dermatologic Surgery)

Infero-eyebrow blepharoplasty for the upper eyelids of elderly patients

British Journal of Ophthalmology — Thu, 16 Dec 2010 00:00:00 +0100

Conclusion The design and technique were extremely uncomplicated. The main drawbacks were the long incision line under the eyebrow, a slightly slimmer eyebrow and postoperative brow drop. However, all incision lines faded almost completely by 6 months postoperatively, and brow drop was not problematic in bilateral surgeries. This procedure does not replace the current popular procedure for lid crease formation. However, general ophthalmologists can perform the current simple procedure to remove excess wrinkles from the upper lids of elderly patients. (Source: British Journal of Ophthalmology)

Posterior approach white line advancement ptosis repair: the evolving posterior approach to ptosis surgery

British Journal of Ophthalmology — Tue, 19 Oct 2010 23:00:00 +0100

Conclusions We present a modified approach to ptosis correction via a posterior approach. It has a high success rate and good cosmetic outcome. It is technically straightforward and easy to learn. (Source: British Journal of Ophthalmology)

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Retrospective Review of Transconjunctival Sub-Orbicularis Oculi Pad Lift Blepharoplasty [Archives Classic: A Contemporary Perspective]

Archives of Facial Plastic Surgery — Mon, 20 Sep 2010 19:53:44 +0100

(No abstract is available for this citation) (Source: Archives of Facial Plastic Surgery)

Posterior approach white line advancement ptosis repair: the evolving posterior approach to ptosis surgery.

The British Journal of Ophthalmology — Thu, 09 Sep 2010 23:00:00 +0100

Case: Failed blepharoplasty: S v A

Clinical Risk — Wed, 08 Sep 2010 00:16:36 +0100

(Source: Clinical Risk)

Epicanthoplasty with double eyelidplasty incorporating modified Z-plasty for Chinese patients

Journal of Plastic, Reconstructive and Aesthetic Surgery — Tue, 03 Aug 2010 00:00:00 +0100

Conclusion: The modified ‘Z’ plasty is indicated for all types and degrees of medial epicanthi, except epicanthus inversus. The easy design and operation, and the excellent and reproducible results satisfy both the plastic surgeons and the Chinese patients. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)

Effect of Lower Blepharoplasty on Self‐Esteem

Dermatologic Surgery — Sat, 31 Jul 2010 23:00:00 +0100

BACKGROUND (Source: Dermatologic Surgery)

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Periocular Rejuvenation: Lower Eyelid Blepharoplasty with Fat Repositioning and the Suborbicularis Oculi Fat

Facial Plastic Surgery Clinics of North America — Tue, 27 Jul 2010 05:24:18 +0100

Treatment of the aging lower eyelid is determined by the anatomic variables noted for each surgical candidate. Although surgeons have traditionally considered dermatochalasis, fat pseudoherniation, and eyelid position as the main treatment objectives in lower blepharoplasty, the vector of the infraorbital rim and the anterior plane of the cornea, tear trough, and aging in the midface also merit critical consideration. In this article, indications and technical aspects, the transconjunctival and external approaches, fat excision versus fat repositioning, and suborbicularis oculi fat lifting and fat transplantation are discussed and the authors' preference for the various methods of lower blepharoplasty is presented. Common adjunct procedures used to supplement lower blepharoplasty techniqu...

Combined Anchor Suture With External Upper Eyelid Blepharoplasty in Asian Patients [Unknown Section Name (research-article)]

Archives of Facial Plastic Surgery — Tue, 20 Jul 2010 01:02:37 +0100

Conclusions The findings show that the combined anchor suture with external surgery is a reliable approach to Asian upper eyelid blepharoplasty both in young creaseless eyelids and in eyelids with laxity due to aging. We suggest that the anchor suture could be used as a routine procedure in Asian blepharoplasty. (Source: Archives of Facial Plastic Surgery)

Repair of Unsatisfactory Double Eyelid After Double-Eyelid Blepharoplasty in Asian Patients [Unknown Section Name (research-article)]

Archives of Facial Plastic Surgery — Tue, 20 Jul 2010 01:02:37 +0100

Conclusion It is important to avoid complications at the first double-eyelid blepharoplasty because corrective surgery is difficult. (Source: Archives of Facial Plastic Surgery)

Combined Anchor Suture With External Upper Eyelid Blepharoplasty in Asian Patients [Original Article]

Archives of Facial Plastic Surgery — Tue, 20 Jul 2010 01:02:37 +0100

Repair of Unsatisfactory Double Eyelid After Double-Eyelid Blepharoplasty in Asian Patients [Original Article]

Archives of Facial Plastic Surgery — Tue, 20 Jul 2010 01:02:37 +0100

Conclusion It is important to avoid complications at the first double-eyelid blepharoplasty because corrective surgery is difficult. (Source: Archives of Facial Plastic Surgery)

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Lateral Brow Lift: A Surgical Proposal

Aesthetic Plastic Surgery — Wed, 30 Jun 2010 15:13:53 +0100

Conclusion Our technique is safe and versatile and produces good results, which makes it an excellent choice in the surgical armamentarium of facial rejuvenation. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-010-9537-3Authors Patricio Centurión, Clínica Montesur Av. El Polo 505 – Monterrico, Surco Lima PerúCarolina Romero, Clínica Montesur Av. El Polo 505 – Monterrico, Surco Lima Perú Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery)

Eyelid bags

Head and Face Medicine — Thu, 17 Jun 2010 23:00:00 +0100

are considered a sign of ageing, but they often appear prematurely due to the variety of causes that favor them. This brief report describes the case of a patient who was referred to us for the correction of a second degree bilateral palpebral ptosis that the patient had suffered from for several years and that in recent months had worsened to the point of interfering with vision and who, aside from modest eyelid bags, presented a massive protrusion of preocular fatty tissue. Despite the indication of classic blepharoplasty through a lower lid incision and, therefore, the possibility of removing excess skin, the patient opted instead only for the removal of the bulging fat.The patient's postoperative results were normal and the patient was extremely satisfied with both the correction of t...

Infero-eyebrow blepharoplasty for the upper eyelids of elderly patients.

The British Journal of Ophthalmology — Sun, 06 Jun 2010 23:00:00 +0100

Blepharoplasty and Brow Lifting

Facial Plastic Surgery — Fri, 04 Jun 2010 12:56:45 +0100

Facial plast Surg 2010; 26: 175-175DOI: 10.1055/s-0030-1254326© Thieme Medical PublishersGet connected:Table of contents | Full text (Source: Facial Plastic Surgery)

Anatomy for Blepharoplasty and Brow-lift

Facial Plastic Surgery — Fri, 04 Jun 2010 12:56:45 +0100

Facial plast Surg 2010; 26: 177-185DOI: 10.1055/s-0030-1254327ABSTRACTThe eyelids and eyebrows provide communicative, emotional, and protective functions through a complex interplay of muscles, tendons, and other local soft tissues. A surgical intervention involving these regions are renowned for their deceptive simplicity and notable complications. With these challenges in mind, this article provides the reader with a detailed and systematic review of the eyelid and brow anatomy.[...]© Thieme Medical PublishersGet connected:Table of contents | Abstract | Full text (Source: Facial Plastic Surgery)

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Brow Ptosis Correction: A Comparison of Five Techniques

Facial Plastic Surgery — Fri, 04 Jun 2010 12:56:45 +0100

This study evaluates the effectiveness of five surgical techniques for brow ptosis repair including internal brow release (IBR), internal brow release with brow pexy (IBR + BP), internal brow release with corrugator and depressor supercilii removal (IBR + CDR), direct brow-lift (DB), and endoscopic brow-lift (EB). This is a retrospective study of 120 patients in which the preoperative and postoperative position of the medial, central, and lateral brow on both sides was measured. The brow was elevated 1.16 ± 0.05 mm by IBR, 1.74 ± 0.05 mm by IBR + BP, and 2.52 ± 0.06 mm by IBR + CDR. IBR + BP was more effective than IBR in elevating the lateral brow ( < 0.05). Removal of the med...

Comprehensive Lower Eyelid Rejuvenation

Facial Plastic Surgery — Fri, 04 Jun 2010 12:56:45 +0100

Facial plast Surg 2010; 26: 209-221DOI: 10.1055/s-0030-1254331ABSTRACTHistorically, lower eyelid blepharoplasty has been a challenging surgery fraught with many potential complications, ranging from ocular irritation to full-blown lower eyelid malposition and a poor cosmetic outcome. The prevention of these complications requires a detailed knowledge of lower eyelid anatomy and a focused examination of the factors that may predispose to poor outcome. A thorough preoperative evaluation of lower eyelid skin, muscle, tone, laxity, fat prominence, tear trough deformity, and eyelid vector are critical for surgical planning. When these factors are analyzed appropriately, a natural and aesthetically pleasing outcome is more likely to occur. I have found that performing lower eyelid blepharoplasty...

The Utilitarian Upper Eyelid Operation

Facial Plastic Surgery — Fri, 04 Jun 2010 12:56:45 +0100

Facial plast Surg 2010; 26: 222-231DOI: 10.1055/s-0030-1254333ABSTRACTTechniques in oculofacial surgery continue to develop as our understanding of anatomy and pathophysiology continue to evolve. While the centerpiece of the quest to rejuvenate the upper eyelid and brow has for years been the upper blepharoplasty, several modifications to traditional techniques have been developed that allow for enhanced outcomes utilizing less invasive approaches. Techniques discussed include removal of lower lid lateral fat via the upper blepharoplasty, a minimally invasive resuspension lateral canthoplasty performed via the upper eyelid exposure, brassiere lateral brow contouring closure, and correction of lower lid retraction by an “en-glove” technique.[...]© Thieme Medical PublishersGet c...

New Technologies in Aesthetic Blepharoplasty and Brow-lift Surgery

Facial Plastic Surgery — Fri, 04 Jun 2010 12:56:45 +0100

This article describes specifically how the PlasmaBlade can be used and its typical settings. Fractionated CO laser resurfacing is also a powerful tool that can significantly enhance eyelid rejuvenation. This resurfacing can address fine lines in the periocular region with limited downtime. Use of these technologies can help to improve results and shorten the recovery time traditionally associated with blepharoplasty and periocular resurfacing.[...]© Thieme Medical PublishersGet connected:Table of contents | Abstract | Full text (Source: Facial Plastic Surgery)

Radiofrequency (GFX™) Ablation for the Reduction of Glabellar Frowning

Facial Plastic Surgery — Fri, 04 Jun 2010 12:56:45 +0100

Facial plast Surg 2010; 26: 266-273DOI: 10.1055/s-0030-1254332ABSTRACTA new minimally invasive procedure is described for the reduction of glabellar frowning. Glabellar furrow relaxation or GFX utilizes bipolar radiofrequency energy targeted at peripheral motor nerve fibers to the depressor muscles of the forehead. This procedure is a useful adjunct in forehead rejuvenation when performed concomitantly with blepharoplasty or forehead lifting in a surgical setting. With proper training the procedure can be performed under local anesthesia in the office setting to produce very natural results. The relevant anatomy and technique is described here in detail because this represents new knowledge in facial plastic surgery. A cohort of patients has been studied for over 12 months demonstrating th...

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Upper Lid Blepharoplasty in Asian Eyes

Facial Plastic Surgery — Thu, 06 May 2010 13:10:48 +0100

We describe our surgical algorithm for the creation of an eyelid fold (double eyelid operation) in the Asian upper eyelid. Many variations in achieving this goal exist; we hope that our surgical strategy provides a simple approach to achieving a consistent and long-lasting result.[...]© Thieme Medical PublishersGet connected:Table of contents | Abstract | Full text (Source: Facial Plastic Surgery)

Asian Cosmetic Facial Surgery

Facial Plastic Surgery — Thu, 06 May 2010 13:10:48 +0100

This article will review three of the most common cosmetic procedures unique to the Asian face: Asian blepharoplasty, lower facial contouring, and Asian rhinoplasty.[...]© Thieme Medical PublishersGet connected:Table of contents | Abstract | Full text (Source: Facial Plastic Surgery)

Trans-blepharoplasty orbitofrontal craniotomy for repair of lateral and posterior frontal sinus cerebrospinal fluid leak

Otolaryngology - Head and Neck Surgery — Sun, 04 Apr 2010 23:00:00 +0100

We present a novel direct and minimally invasive approach to frontal sinus defects for CSF repair through an eyelid incision and a mini-fronto-orbital craniotomy. We illustrate this approach with a representative case. (Source: Otolaryngology - Head and Neck Surgery)

Comprehensive Considerations in Blepharoplasty in an Asian Population: A 10-year Experience

Aesthetic Plastic Surgery — Sun, 14 Mar 2010 12:31:27 +0100

Conclusions Transconjunctival blepharoplasty is the first choice for primary eyelid bags. Transcutaneous lower blepharoplasty (skin flap or skin-muscle flap procedures) is indicated for the senile eyelid with excess skin and muscles. If supporting structures (skin, muscle, and septum) show laxity and other aging stigma are present, including tear trough deformity and obvious skeleton rim, Hamra’s procedure (septal reset and fat-replacing technique) is performed. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-010-9478-xAuthors Lingli Guo, Changhai Hospital, Second Military Medical University Department of Plastic Surgery 168 Changhai Road Shanghai 200433 ChinaHongda Bi, Changhai Hospital, Second Military Medical University Department of Pl...

Know anatomy of upper third of the face before performing surgery

Modern Medicine — Mon, 01 Mar 2010 00:00:00 +0100

Before performing a procedure such as a blepharoplasty or a brow lift, a surgeon must be familiar with the anatomy of the upper third of the face. (Source: Modern Medicine)

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Orbicularis Suspension Flap and Its Effect on Lower Eyelid Position: A Digital Image Analysis [Original Article]

Archives of Facial Plastic Surgery — Mon, 18 Jan 2010 20:52:15 +0100

Conclusions A well-performed suspension flap can elevate the lower eyelid position to a more natural and anatomically appropriate position. By resuspending the ptotic orbicularis muscle, the suspension flap also reinforces the underlying attenuated orbital septum. Such cases may not achieve the optimum level of rejuvenation if isolated lower eyelid blepharoplasty is performed. (Source: Archives of Facial Plastic Surgery)

Comparison between two surgical techniques for lower eyelid rejuvenation: safety analysis and outcomes

Graefe's Archive for Clinical and Experimental Ophthalmology — Fri, 15 Jan 2010 17:59:16 +0100

Conclusion The authors concluded that both procedures are safe and effective, with low complication rates. Content Type Journal ArticleCategory Oculoplastics and OrbitDOI 10.1007/s00417-009-1266-4Authors Giovanni André Pires Viana, Federal University of São Paulo Oculoplastic Surgery Service, Vision Institute São Paulo BrazilMidori Hentona Osaki, Federal University of São Paulo Oculoplastic Surgery Service, Vision Institute São Paulo BrazilMauro Nishi, Federal University of São Paulo Department of Ophthalmology São Paulo SP Brazil Journal Graefe's Archive for Clinical and Experimental OphthalmologyOnline ISSN 1435-702XPrint ISSN 0721-832X (Source: Graefe's Archive for Clinical and Experimental Ophthalmology)

Expression of cell proliferation and apoptosis biomarkers in skin spinocellular carcinoma and actinic keratose

Anais Brasileiros de Dermatologia — Tue, 12 Jan 2010 14:44:12 +0100

CONCLUSION: The high expression of Ki-67 associated with low expression of Bcl-2 indicates proliferation in the carcinoma group. Thus, expression of p53 and Bcl-2 in patients with actinic keratosis indicates cell immortalization. (Source: Anais Brasileiros de Dermatologia)

Trapezoid Excision Upper Blepharoplasty for Chinese Women with Severe Laxity of Pretarsal Skin

Aesthetic Plastic Surgery — Thu, 31 Dec 2009 07:28:56 +0100

Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s00266-009-9444-7Authors Zhibo Xiao, The Second Affiliated Hospital of Harbin Medical University Department of Plastic Surgery 194 xuefu road Harbin City People’s Republic of ChinaMiaobo Zhang, The Second Affiliated Hospital of Harbin Medical University Department of Plastic Surgery 194 xuefu road Harbin City People’s Republic of China Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery)

Browlift - A South East Asian Experience.

Orbit — Thu, 26 Nov 2009 20:47:11 +0100

Conclusion: Browlift provides satisfactory results for both patient and surgeon. A comprehensive knowledge and proper surgical technique, along with a thorough discussion with patients about the pros and cons of each procedure are essential to obtain optimal outcomes. PMID: 19929658 [PubMed - as supplied by publisher] (Source: Orbit)

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Suspension suture canthopexy: a minimally invasive procedure for correcting mild to moderate ectropion

Journal of Cosmetic Dermatology — Wed, 25 Nov 2009 00:00:00 +0100

Conclusion: Suspension suture canthopexy which is an ancillary procedure for eyelid rejuvenation is valuable procedure to master by the dermatologic surgeon. (Source: Journal of Cosmetic Dermatology)

Fat Management in Lower Lid Blepharoplasty

Facial Plastic Surgery — Thu, 19 Nov 2009 13:59:05 +0100

This article outlines the evolution of our approach to lower eyelid blepharoplasty with a specific focus on the importance of management of fat in the periocular region. A discussion of various surgical approaches with their advantages and disadvantages is presented, and the importance of maintaining a safe lower eyelid is emphasized. A comprehensive and systematic approach to restoration of the lower eyelid is highlighted with specific postoperative results.[...]© Thieme Medical PublishersGet connected:Table of contents | Abstract | Full text (Source: Facial Plastic Surgery)

Epiblepharon in East Asian Patients: The Singapore Experience

Ophthalmology — Thu, 05 Nov 2009 00:00:00 +0100

Conclusions: Symptomatic epiblepharon, usually associated with keratopathy and commonly seen in children of East Asian descent, often requires surgical intervention with good surgical outcome. Increased awareness among ophthalmologists and pediatricians dealing with this ethnic group and age is emphasized. Contrary to the current practice of expectant observation, definitive surgical management should be considered when symptoms or keratopathy is present.Financial Disclosure(s): The author(s) have no proprietary or commercial interest in any materials discussed in this article. (Source: Ophthalmology)

Aesthetic blepharoplasty

The British Journal of Oral and Maxillofacial Surgery — Wed, 04 Nov 2009 00:00:00 +0100

Abstract: Blepharoplasty is one of the most demanding aesthetic procedures, and relevant anatomical knowledge of the eyelid and surrounding area is essential. The pathophysiology of ageing in these sites results in varied clinical features.In upper blepharoplasty, lateral brow lift is a necessary adjunctive procedure. Access through the upper blepharoplasty incision is used to adjust retro-orbicularis oculi fat, for glabellar myotomy, and lateral canthopexy.In lower blepharoplasty, the traditional approach is to use a skin and muscle flap, but skin-only flaps are being reported increasingly. Septal reset and plication of the orbicularis oculi is recommended instead of excision of fat.The aim is improvement of cosmesis with no signs of the procedure. (Source: The British Journal of Oral and...

Large orbital osteoma arising from orbital roof: Excision through an upper blepharoplasty incision.

Orbit — Thu, 22 Oct 2009 16:40:03 +0100

We report a case of intraorbital, pedicled osteoma originating from the left orbital roof. The patient's ophtalmological examination revealed; only light perception due to the severe amblyopia and posterior capsular opacification in the right eye, and complete visual acuity in the left. His left eye was proptotic and directed to downward lateral gaze position. Using upper blepharoplasty incision, the osteoma was completely excised. There were not any postoperative complications and all ocular symptoms in the left eye were resolved after 1 month. PMID: 19839914 [PubMed - in process] (Source: Orbit)

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Autologous orbicularis muscle for filling facial folds-an experimental and clinical study.

Orbit — Thu, 22 Oct 2009 16:40:03 +0100

CONCLUSIONS: autologous preseptal orbicularis muscle is a good material for filling facial folds. Cicatricial tissue will be formed on its implantation site, filling the tissue gap that forms the folds on the skin. PMID: 19839893 [PubMed - in process] (Source: Orbit)

The plastic surgery postcode lottery in England

International Journal of Surgery — Thu, 15 Oct 2009 00:00:00 +0100

This study is the first comprehensive review of funding policies for cosmetic surgery in England.Materials and methods: All PCTs in England were asked for their funding policies for cosmetic procedures including breast reduction & augmentation, removal of implants, mastopexy, abdominoplasty, facelift, blepharoplasty, rhinoplasty, pinnaplasty, body lifting, surgery for gynaecomastia and tattoo removal.Results: Details of policies were received from 124/149 PCTs (83%). Guidelines varied widely; some refuse all procedures, whilst others allow a full range. Different and sometimes contradictory rules governing symptoms, body mass indices, breast sizes, weights, heights, and other criteria are used to assess patients for funding. Nationally produced guidelines were only followed by nine PCTs.Di...

Cosmetic Eyelid Surgery Can Boost Quality Of Life For Patients

Health News from Medical News Today — Tue, 06 Oct 2009 12:00:00 +0100

Cosmetic surgery that repairs droopy eyelids, also known as blepharoplasty, has an overall positive impact on patients' quality of life (QOL). (Source: Health News from Medical News Today)

Cosmetic eyelid surgery can boost quality of life for patients

EurekAlert! - Medicine and Health — Sun, 04 Oct 2009 04:00:00 +0100

(American Academy of Otolaryngology -- Head and Neck Surgery) Cosmetic surgery that repairs droopy eyelids, also known as blepharoplasty, has an overall positive impact on patients' quality of life. (Source: EurekAlert! - Medicine and Health)

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Performing blepharoplasty: Knowledge of ocular anatomy, sufficient training essential

Modern Medicine — Wed, 30 Sep 2009 23:00:00 +0100

Edmonton, Alberta, Canada — When performing a procedure like blepharoplasty, it?s most important to take into consideration the desires and wishes of the patients, says a dermatological surgeon. (Source: Modern Medicine)

Absorbable Suture Compared With Nonabsorbable Suture in Upper Eyelid Blepharoplasty Closure [Research Letters]

Archives of Facial Plastic Surgery — Mon, 21 Sep 2009 19:51:22 +0100

(Source: Archives of Facial Plastic Surgery)

RESEARCH LETTERS: Absorbable Suture Compared With Nonabsorbable Suture in Upper Eyelid Blepharoplasty Closure

Archives of Facial Plastic Surgery — Sun, 20 Sep 2009 23:00:00 +0100

(Source: Archives of Facial Plastic Surgery)

Standard guidelines for electrosurgery with radiofrequency current

Indian Journal of Dermatology, Venereology and Leprology — Wed, 12 Aug 2009 10:19:22 +0100

Mutalik SharadIndian Journal of Dermatology, Venereology, and Leprology 2009 75(8):83-89Definition: Radiofrequency (RF) induces thermal destruction of the targeted tissue by an electrical current at a frequency of 0.5 MHz (RF). As the electrode tip is not heated, there is minimal thermal damage to the surrounding tissues, producing good esthetic results. Therefore, RF ablation is also known as cold ablation or &quot;coblation.&quot; Modality: It has three modes of operation: (a) Cut, (b) cut and coagulate and (c) coagulate. Therefore, it can be used for various purposes like incision, ablation, fulguration, shave excision and coagulation. Because of the coagulation facility,...

Approach to eyebrow ptosis through the modified technique of Castanares

Indian Journal of Plastic Surgery — Thu, 30 Jul 2009 10:50:14 +0100

Pires Viana Giovanni, Pires Viana Giovanni AndreIndian Journal of Plastic Surgery 2009 42(1):58-62One of the first signs of facial ageing appears in the forehead, with the descent of the lateral part of the brow. This is a troubling condition for all patients and elevation of the lateral part of the brow becomes a more and more frequent demand. The authors present their experience in 350 consecutive cases of direct eyebrow lift (&quot;butterfly wing&quot; incision) alone or in combination with rhytidectomy and/or blepharoplasty. The majority of the patients were female (90%). The age ranged from 43 to 85 years. Eighty per cent of the cases were performed simultaneously with rhytidectomy and blepharoplasty, 16�...

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Blepharoplasty

MayoClinic.com Full Feed — Sat, 18 Jul 2009 05:00:00 +0100

— Overview covers definition, risks, results of this eyelid surgery. Sponsored by:Chemotherapy.com - http://www.chemotherapy.com (Source: MayoClinic.com Full Feed)

Asian Blepharoplasty

Seminars in Plastic Surgery — Tue, 14 Jul 2009 10:49:15 +0100

Seminars in Plastic Surgery 2009; 23: 185-197DOI: 10.1055/s-0029-1224798ABSTRACTOne of the defining features between an individual of Asian descent and someone of Western descent is the presence of an upper eyelid crease. Approximately 50% of Asians do not have an upper eyelid crease. The double eyelid operation, or creation of a supratarsal crease, is the most common cosmetic procedure requested in Asia and the third most common procedure requested by Asian Americans. In this comprehensive article, we explore the art of creating an eyelid crease in the individual who either does not have a crease or has an indistinct crease. We will review the history of the development of Asian blepharoplasty, explain the anatomy of the Asian eyelid and how it differs from the Caucasian eyelid, and clari...

Orbital Septum Attachment on the Levator Aponeurosis in Asians: In Vivo and Cadaver Study

Ophthalmology — Wed, 08 Jul 2009 23:00:00 +0100

Conclusions: Orbital septum attachment on the levator aponeurosis in Asians seems to be situated above the superior tarsal plate border in vivo, but the preaponeurotic fat extends beyond the DEALLA, sometimes reaching the tarsal plate. In some cadavers, the confluent part was found to be situated on the tarsus laterally.Financial Disclosure(s): The author(s) have no proprietary or commercial interest in any materials discussed in this article. (Source: Ophthalmology)

Asian Blepharoplasty: An 18-Year Experience in 6215 Patients

Aesthetic Surgery Journal — Tue, 30 Jun 2009 23:00:00 +0100

Conclusions: The short central incision is a semi-open blepharoplasty technique for creating the double eyelid that is suitable for all patients without loose upper eyelid skin. (Source: Aesthetic Surgery Journal)

Subbrow Blepharoplasty for Upper Eyelid Rejuvenation in Asians

Aesthetic Surgery Journal — Tue, 30 Jun 2009 23:00:00 +0100

Conclusions: SBB is a useful operation to rejuvenate the upper eyelids in selected patients while maintaining harmony with their ethnic facial features. This refinement overcomes some of the shortcomings of other upper blepharoplasty methods employed for the same purpose. (Source: Aesthetic Surgery Journal)

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Approach to eyebrow ptosis through the modified technique of Castanares

Indian Journal of Plastic Surgery — Mon, 29 Jun 2009 15:07:33 +0100

Giovanni Pires Viana, Giovanni Andre Pires VianaIndian Journal of Plastic Surgery 2009 42(1):58-62One of the first signs of facial ageing appears in the forehead, with the descent of the lateral part of the brow. This is a troubling condition for all patients and elevation of the lateral part of the brow becomes a more and more frequent demand. The authors present their experience in 350 consecutive cases of direct eyebrow lift (&quot;butterfly wing&quot; incision) alone or in combination with rhytidectomy and/or blepharoplasty. The majority of the patients were female (90%). The age ranged from 43 to 85 years. Eighty per cent of the cases were performed simultaneously with rhytidectomy and blepharoplasty, 16�...

Upper-Lip Augmentation by Graft of Preseptal Orbicularis Oculi Muscle Through Blepharoplasty

Aesthetic Plastic Surgery — Thu, 25 Jun 2009 07:15:07 +0100

Conclusion Both patients and surgeons were satisfied with the results because the muscle grafts produce a youthful appearance by adding natural, soft roundness and fullness to the upper lip without an artificial look or the use of synthetic material, providing long-term augmentation. Content Type Journal ArticleCategory Innovative TechniqueDOI 10.1007/s00266-009-9383-3Authors Mauro Tarallo, La Sapienza University of Rome Department of Plastic and Reconstructive Surgery Rome ItalyCristiano Monarca, La Sapienza University of Rome Department of Plastic and Reconstructive Surgery Rome ItalyMaria Ida Rizzo, La Sapienza University of Rome Department of Plastic and Reconstructive Surgery Rome ItalyNicolò Scuderi, La Sapienza University of Rome Department of Plastic and Reco...

Periorbital Rejuvenation: A Safe Subcutaneous Approach to Forehead, Eyebrow, and Orbicularis Oculis Muscle Mobilization

Aesthetic Plastic Surgery — Fri, 12 Jun 2009 11:24:41 +0100

Conclusions This technique allows a rational correction of all affected periorbital tissues, including forehead, eyebrow, eyelids, canthal ligaments, orbicularis muscle, malar fat and both periorbital and cheek skin with superior and superolateral vectors of traction. This is a safe and easy technique. Content Type Journal ArticleCategory Innovative TechniquesDOI 10.1007/s00266-009-9356-6Authors Jorge Orlando Guerrissi, Argerich Hospital Department of Plastic Surgery Pi y Margall 750, Ciudad Autónoma de Buenos Aires Buenos Aires Argentina Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery)

Aesthetic blepharoplasty

The British Journal of Oral & Maxillofacial Surgery — Sat, 30 May 2009 16:20:50 +0100

plays a vital role in periorbital rejuvenation. Mostly it is part of anti-ageing correcting measures and in some to resolve hereditary problems. It is also used as an access to other aesthetic procedures. The eyelids are divided into anterior, middle and posterior lamellae. They contain pre and retro septal fats. Orbicularis oculi, levator and Müller's muscles are closely involved. Tarsus and septum act as curtain rail and curtain respectively with the medial and lateral canthal ligaments playing a role in the stabilisation of the lids. The lacrimal glands and nasolacrimal apparatus are closely related anatomical structures. (Source: The British Journal of Oral & Maxillofacial Surgery)

Survey of Oculoplastic Surgeons Regarding Clinical Use of Tear Production Tests.

Ophthalmic Plastic and Reconstructive Surgery — Thu, 21 May 2009 04:42:46 +0100

The evaluation of blepharoplasty patients should not rely on Schirmer testing alone to determine predisposition to postoperative dry eye or exposure keratopathy.Page: 197DOI: 10.1097/IOP.0b013e3181a1d4a5Authors: Espinoza, Gabriela M. M.D. *; Israel, Heidi Ph.D. +; Holds, John B. M.D. *++ (Source: Ophthalmic Plastic and Reconstructive Surgery)

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ORIGINAL ARTICLE: Nitrogen Plasma Skin Regeneration and Aesthetic Facial Surgery: Multicenter Evaluation of Concurrent Treatment

Archives of Facial Plastic Surgery — Mon, 18 May 2009 04:00:00 +0100

Conclusions Combining nitrogen plasma skin regeneration with aesthetic facial surgery enhances outcomes for procedures in the forehead and in the periorbital, midface, and perioral regions. It does not seem to increase the risk of dermatologic or surgical complications for the procedures described herein. (Source: Archives of Facial Plastic Surgery)

[The palpebromalar suspension by the use of the orbicularis oculi muscle.]

Annales de Chirurgie Plastique et Esthetique — Wed, 13 May 2009 23:00:00 +0100

Authors: Kestemont P The usual techniques of lower blepharoplasty do not include the treatment of the palpebromalar junction. The various options of vertical facelift of the average third of the face in general require a temporal or temporofrontal approach. The technique of suspension of the orbicularis oculi muscle within the framework of a blepharoplasty of the four eyelids, described by Adamson in the USA and conveyed by Botti in Europe, allows a treatment of the ageing of the eyelids and a vertical rise of the malar area. This muscular suspension ensures a solidity in the fixing of soft tissues, authorizing a cutaneous section higher than that authorized in a traditional blepharoplasty. It does not require any orbital perished osseous gesture. The operational continuations are comp...

Recent advances in blepharoplasty

International Journal of Oral and Maxillofacial Surgery — Fri, 01 May 2009 04:00:00 +0100

Blepharoplasty is one of the commonest facial aesthetic procedures. Although it has crossed boundaries it is one procedure where ethnic clinical presentation and requirement plays a major role towards outcome. Caucasianising oriental eyelids is a controversial advance. (Source: International Journal of Oral and Maxillofacial Surgery)

The Easy Pull-Out Suture

Aesthetic Surgery Journal — Thu, 30 Apr 2009 23:00:00 +0100

We report a technique of knot tying that facilitates ease of removal with minimal trauma to the wound. (Source: Aesthetic Surgery Journal)

Blending of the eyelid–cheek junction and removal of protruding fat: an intraoral approach to blepharoplasty of the lower eyelid

The British Journal of Oral & Maxillofacial Surgery — Thu, 30 Apr 2009 23:00:00 +0100

Abstract: Blepharoplasty is one of the most common aesthetic procedures done today. The protruding fat and lid–cheek junction are the most conspicuous signs of aging that need attention. During zygomatic reduction by an intraoral approach we found occasionally that the orbital fat can be exposed through the perforated periosteum at the inferior obital rim. We therefore developed a new blepharoplasty procedure using an oral approach.Seventeen patients aged from 26 to 38 years, of whom six had had a previous unsuccessful blepharoplasty and one had a history of injury to the lower lid, were studied. The operation was done under an infraorbital nerve block and local anaesthesia through an intraoral incision at the upper vestibular groove. The periosteum was raised on the surface of the maxil...

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Resecting orbicularis oculi muscle in upper eyelid blepharoplasty – A review of the literature

Journal of Plastic, Reconstructive and Aesthetic Surgery — Sun, 12 Apr 2009 23:00:00 +0100

Conclusions: A lack of consensus about what is to be done with the orbicularis oculi muscle in upper lid blepharoplasty is demonstrated. This amounts to a shortcoming, especially in training young plastic surgeons. Therefore, an algorithm is proposed. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)

Sutureless Closure of the Upper Eyelids in Blepharoplasty: Use of Octyl-2-Cyanoacrylate

Aesthetic Surgery Journal — Sun, 01 Mar 2009 05:00:00 +0100

Conclusions: Closure of the upper eyelids using octyl-2-cianoacrylate and temporary stitches removed immediately after glue crust formation is a safe and easily reproduced technique, with no differences in aesthetic outcome compared with suture closure. (Aesthetic Surg J 2009;29:87–92.) (Source: Aesthetic Surgery Journal)

Operative treatment of large periocular xanthelasma.

Orbit — Sun, 22 Feb 2009 18:46:27 +0100

Conclusions: In lack of the setting for xanthelasma laser treatment, operative approach of a single-step or sequential excision using lid skin graft combined with local flaps proved its value for large periocular xanthelasma. PMID: 19229739 [PubMed - in process] (Source: Orbit)

Oriental Upper Blepharoplasty

Seminars in Plastic Surgery — Tue, 10 Feb 2009 23:15:07 +0100

This article will discuss Oriental eyelid characteristics, preoperative patient assessment, commonly used corrective techniques for the “double-eyelid” creation, and complications and how to avoid them.[...]© Thieme Medical PublishersGet connected:Table of contents | Abstract | Full text (Source: Seminars in Plastic Surgery)

The orbicularis oculi muscle flap: Its use for treatment of lagophthalmos and a review of its use for other applications

Journal of Plastic, Reconstructive & Aesthetic Surgery — Thu, 15 Jan 2009 00:00:00 +0100

Conclusions: The authors believe that the switching of upper blepharoplasty technique from the upper eyelid to the paralysed and scarred lower lid can be used as a tool to treat lagophthalmos. (Source: Journal of Plastic, Reconstructive & Aesthetic Surgery)

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"Oriental anthropometry" in plastic surgery

Indian Journal of Plastic Surgery — Sun, 11 Jan 2009 03:55:43 +0100

Conclusion : The data suggested that the use of aesthetic-loci may be a useful tool for PS as an anatomical reference for surgical marking. However, further investigation is required to assess the efficacy of the OA by providing the patients more reliable balance and harmony in facial and body contours surgeries. (Source: Indian Journal of Plastic Surgery)

Clinicopathologic Comparison of Radiofrequency Versus Scalpel Incision for Upper Blepharoplasty.

Ophthalmic Plastic and Reconstructive Surgery — Fri, 21 Nov 2008 08:10:06 +0100

No differences in sensation recovery and scar were found between radiofrequency versus scalpel eyelid incision for upper blepharoplasty.Page: 450DOI: 10.1097/IOP.0b013e31818acfceAuthors: Kashkouli, Mohsen Bahmani M.D. *; Kaghazkanai, Reza M.D. *; Mirzaie, Ali Zare M.D. +; Hashemi, Masih M.D. *; Parvaresh, Mohammad Mehdi M.D. *; Sasanii, Leila M.D. * (Source: Ophthalmic Plastic and Reconstructive Surgery)

Blepharoplasty

Indian Journal of Plastic Surgery — Sun, 26 Oct 2008 07:45:25 +0100

Subramanian NirmalaIndian Journal of Plastic Surgery 2008 41(3):88-92 (Source: Indian Journal of Plastic Surgery)

[Which treatment for the malar bags?]

Annales de Chirurgie Plastique et Esthetique — Sat, 18 Oct 2008 04:00:00 +0100

This study underlines the importance of clinical analysis of the malar bags to appreciate the contribution of each element. So the surgeon will be able to choose the most adapted treatment, which is most often a midface sub-periosteal lift associated with a blepharoplasty. PMID: 18938016 [PubMed - as supplied by publisher] (Source: Annales de Chirurgie Plastique et Esthetique)

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Mag-5: a magnificent approach to upper and midfacial "magic".

Clinics in Plastic Surgery — Wed, 01 Oct 2008 04:00:00 +0100

Mag-5: a magnificent approach to upper and midfacial "magic". Clin Plast Surg. 2008 Oct;35(4):489-515, v Authors: Flowers RS, Ceydeli A MAG-5 is an operation with five surgical components: (1) a lateral emphasis frontal lift with (2) corrugator resection, (3) lower blepharoplasty, (4) extended two-layered canthopexy, and (5) a full (or partial) subperiosteal malar release and midcheek lift assisted by an absorbable suture securing the malar tuft periosteum and fibrous tissue to the orbital rim. The procedure rejuvenates and restores the face or transforms it when, and if, transformation is the desire. PMID: 18922303 [PubMed - in process] (Source: Clinics in Plastic Surgery)

Arcus Marginalis Release II Via Endoscopic Midface-Lift

Aesthetic Plastic Surgery — Sat, 27 Sep 2008 13:35:47 +0100

Abstract Tear troughs in combination with midfacial ptosis may be early and synergistic signs of aging. Premaxillary and suborbicularis oculi fat (SOOF) descent decreases soft tissue volume covering the orbital rim, while prolapsing retroseptal fat actually underscores the resulting tear trough shadow. This volume change precedes skin redundancy. Thus, volume redistribution avoiding external skin incisions is the adequate treatment. De la Plaza’s transconjunctival lower lid blepharoplasty is a reliable tool for arcus marginalis release. For patients also requiring an endoscopic midface-lift, even the transconjunctival incision for intraorbital fat compartment realignment can be avoided by performing the release of the lower orbita septum via the buccal mucosa incision. ...

ORIGINAL ARTICLE: Aging of Orbicularis Oculi: Anatomophysiologic Consideration in Upper Blepharoplasty

Archives of Facial Plastic Surgery — Mon, 15 Sep 2008 04:00:00 +0100

Conclusion Our results suggest that the anatomophysiologic characteristics of the orbicularis oculi muscle remain intact through advancement of age. (Source: Archives of Facial Plastic Surgery)

Lacrimal Gland Prolapse: Management During Aesthetic Blepharoplasty: Review of the Literature and Case Reports

Aesthetic Plastic Surgery — Tue, 05 Aug 2008 07:14:35 +0100

This report describes two clinical cases of patients with lacrimal gland prolapse associated with dermatochalasis and their treatment. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00266-008-9222-yAuthors Henri Friedhofer, Sao Paulo University Medical School Division of Plastic Surgery Sao Paulo SP BrazilMaurício Orel, Sao Paulo University Medical School Division of Plastic Surgery Sao Paulo SP BrazilFábio Lopes Saito, Sao Paulo University Medical School Division of Plastic Surgery Sao Paulo SP BrazilHélio Ricardo Nogueira Alves, Sao Paulo University Medical School Division of Plastic Surgery Sao Paulo SP BrazilMarcus Castro Ferreira, Sao Paulo University Medical School Division of Plastic Surgery Sao Paulo SP Brazil Journal Aesthetic Plastic SurgeryOnline ...

Significant necrosis after abdominoplasty, secondary correction

European Journal of Plastic Surgery — Fri, 25 Jul 2008 06:59:20 +0100

Discussion about the causes of this complication. Provisional treatment by excision and skin grafting, definite treatment by tissue expansion and psychological support, partially due to concomitant successful blepharoplasty. Content Type Journal ArticleCategory ComplicationsDOI 10.1007/BF02892691Authors G. F. Maillard, 17, avenue de la Dôle CH-1005 Lausanne SwitzerlandP. Meredith, 17, avenue de la Dôle CH-1005 Lausanne Switzerland Journal European Journal of Plastic SurgeryOnline ISSN 1435-0130Print ISSN 0930-343X Journal Volume Volume 12 Journal Issue Volume 12, Number 2 / March, 1989 (Source: European Journal of Plastic Surgery)

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ORIGINAL ARTICLE: Lower Eyelid Aesthetics After Endoscopic Forehead Midface-lift

Archives of Facial Plastic Surgery — Mon, 21 Jul 2008 04:00:00 +0100

Conclusions The endoscopic forehead midface-lift can reduce the vertical height of the lower eyelid by an average of 5 mm and allows more skin excision over blepharoplasty alone. The endoscopic forehead midface-lift is a powerful tool for decreasing the vertical height of the lower eyelid, lessening infraorbital hollowing, and improving dermatochalasis. (Source: Archives of Facial Plastic Surgery)

Management of the lower lid in male blepharoplasty.

Facial Plastic Surgery Clinics of North America — Thu, 17 Jul 2008 11:33:07 +0100

Authors: Barrera JE, Most SP Rejuvenation of the lower eyelid blepharoplasty in men requires consideration of different esthetic norms than those considered in women. Although both require a thorough understanding of anatomy, and the process of aging in each includes descent of the globe, pseudoherniation of the orbital fat, and skeletonization of the inferior bony rim, the goals for male blepharoplasty differ. The authors review the primary surgical approaches in lower lid blepharoplasty (transconjunctival skin-muscle flap) and the currently described techniques used to address displaced orbital fat, with special consideration of the male patient. PMID: 18620982 [PubMed - in process] (Source: Facial Plastic Surgery Clinics of North America)

Arcus Marginalis Release in Blepharoplasty I: Technical Facilitation

Aesthetic Plastic Surgery — Wed, 09 Jul 2008 05:57:40 +0100

Abstract Resection of intraorbital fat compartments in lower-lid blepharoplasty has been widely replaced by their realignment over the orbital rim. For older patients this usually includes an open subciliary approach with skin resection and orbicularis muscle modification. In younger patients this may be done transconjunctivally. Fixation of the adipose tissue is controversial. Whereas reliance of realignment on spontaneous prolapse may be unpredictable, suture fixations may be tedious and even cause scleral show or ectropion. A monofilament, double-armed, polypropylene suture on bent straight needles can be used safely to transfix the three compartments across maxilla and zygoma. These transcutaneous pullout sutures are simply fixed with steri-strips. After only 2 da...

The Subcutaneous Brow- and Forehead-Lift: A Face-Lift for the Forehead and Brow

Dermatologic Surgery — Tue, 08 Jul 2008 04:00:00 +0100

The purpose is to present a less invasive and technically simpler method for brow and forehead rejuvenation and literature review on the subject. Fifty consecutive female patients were treated with the subcutaneous brow-lift technique over a 30-month period by the same surgeon. This surgical technique is performed under direct vision utilizing an extreme beveled incision made 4 to 5 mm into the anterior hairline with subcutaneous dissection of the anterior forehead only with the excision of 1.5 to 2.0 cm of excess skin. This technique provided stable brow and forehead rejuvenation without hairline elevation. All patients were pleased with the result. No patients complained of problematic scars, permanent dysesthesia, or need to alter their hair style. Patients that were treated with simult...

Definitive Treatment for Crow’s Feet Wrinkles by Total Myectomy of the Lateral Orbicularis Oculi

Aesthetic Plastic Surgery — Fri, 04 Jul 2008 05:59:48 +0100

Conclusion The enlarged myectomy allowed the treatment of a larger area in the wrinkled region without increasing the complications and with excellent results. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-008-9206-yAuthors Francisco de Assis Montenegro Cido Carvalho, Instituto Doutor José Frota de Fortaleza (IJF) Plastic and Reconstructive Surgery Service Rua Barão do Rio Branco Fortaleza CE BrazilValderi Vieira da Silva, Instituto Doutor José Frota de Fortaleza (IJF) Plastic and Reconstructive Surgery Service Rua Barão do Rio Branco Fortaleza CE BrazilAndré Alencar Moreira, Instituto Doutor José Frota de Fortaleza (IJF) Plastic and Reconstructive Surgery Service Rua Barão do Rio Branco Fortaleza CE BrazilFabrício Oliveira Viana, Inst...

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Necrobiotic xanthogranuloma occurring in an eyelid scar.

Orbit — Wed, 25 Jun 2008 23:40:21 +0100

We present a case report of necrobiotic xanthogranuloma (NXG) in a 76-year-old Caucasian lady occurring as a nodule in a blepharoplasty scar. NXG is a rare histiocytic disease with progressive orbital and systemic features. Management options of excision biopsy or chemotherapy are discussed. PMID: 18569827 [PubMed - in process] (Source: Orbit)

A new concept in blepharoplasty

Aesthetic Plastic Surgery — Sun, 01 Jun 2008 06:00:43 +0100

Abstract Apart from what may be considered complications, the intervention of any aesthetic surgery can have undesired effects (scar sequelae, normal regional dynamic disorders, edema, iatrogenic acceleration of the aging process in the area). The orbital region is particularly sensitive to these undesirable effects due to its situation and the importance of the eyelids in facial sign language. The sum of these undesirable effects and not infrequent complications often place the plastic surgeon in a compromising situation. It is for this reason that in recent years we have made a special effort to analyze causes, to design new techniques, and to evaluate the combination of different techniques in an attempt to minimize these undesirable effects, so as to be able to offer p...

Subconjunctival Injection of Tetracycline 2% for Chronic Bulbar Chemosis After Transcutaneous Four-Eyelid Blepharoplasty.

Ophthalmic Plastic and Reconstructive Surgery — Sat, 31 May 2008 14:46:24 +0100

Chronic conjunctival chemosis, an uncommon complication of transcutaneous 4-eyelid blepharoplasty, can be successfully treated with serial subconjunctival injections of tetracycline 2%.Page: 219DOI: 10.1097/IOP.0b013e31816e2f27Authors: Moesen, Ingemarie M.D.; Mombaerts, Ilse M.D., Ph.D. (Source: Ophthalmic Plastic and Reconstructive Surgery)

Facial Rejuvenation with SMASectomy and FAME Using Vertical Vectors

Aesthetic Plastic Surgery — Wed, 28 May 2008 05:56:45 +0100

Abstract The quest for better results in the midface after a face lift has led to the repositioning of a structure called the malar fat pad. Finger-assisted malar elevation (FAME) consists of detaching the malar fat pad from the underlying SMAS, which allows for the elevation of this structure. Two hundred five patients (189 females and 16 males) from January 2002 to August 2007 underwent a facial rejuvenation procedure comprising short-scar rhytidoplasty, SMASectomy, and FAME, with or without a simultaneous endobrow, blepharoplasty, and lipofilling. The midface fixation technique consisted of a stitch from the malar fat pad and SMAS flap to the periosteum at the zygomatic arch which was performed in every case. Elevation of the midface and improvement of the nasolabial fo...

RESEARCH LETTERS: Bump Thermoplasty as a Simple Treatment for Lateral Incision Closure Artifacts After Upper Eyelid Blepharoplasty

Archives of Facial Plastic Surgery — Mon, 19 May 2008 04:00:00 +0100

(Source: Archives of Facial Plastic Surgery)

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Power of the Pinch: Pinch Lower Lid Blepharoplasty.

Annals of Plastic Surgery — Thu, 24 Apr 2008 08:45:38 +0100

Page: 532DOI: 10.1097/SAP.0b013e318172f60eAuthors: Kim, Elizabeth M. MD; Bucky, Louis P. MD, FACS (Source: Annals of Plastic Surgery)

Use of the orbicularis retaining ligament in lower eyelid reconstruction

Journal of Plastic, Reconstructive & Aesthetic Surgery — Tue, 22 Apr 2008 23:00:00 +0100

Conclusion: In cases of isolated cutaneous deficit where the lid support mechanisms are intact, the procedure is both successful and aesthetically favourable for resurfacing this challenging area. (Source: Journal of Plastic, Reconstructive & Aesthetic Surgery)

The Efficacy of Melilotus Extract in the Management of Postoperative Ecchymosis and Edema After Simultaneous Rhinoplasty and Blepharoplasty

Aesthetic Plastic Surgery — Thu, 17 Apr 2008 15:07:26 +0100

Conclusion We suggest the appropriate use of melilotus extract based on its beneficial effects on the postoperative results after simultaneous rhinoplasty and blepharoplasty. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-008-9149-3Authors Fengzhi Xu, Zhejiang University Department of Plastic and Reconstructive Surgery, 2nd Affiliated Hospital, School of Medicine Zhejiang ChinaWei Zeng, Zhejiang University Department of Plastic and Reconstructive Surgery, 2nd Affiliated Hospital, School of Medicine Zhejiang ChinaXiaohong Mao, Zhejiang University Department of Dermatology, 2nd Affiliated Hospital, School of Medicine Zhejiang ChinaGuo-Kang Fan, Zhejiang University Department of Otorhinolaryngology, 2nd Affiliated Hospital, School of Medicine Jie-...

Radiowave Surgery versus CO2 Laser for Upper Blepharoplasty Incision: Which Modality Produces the Most Aesthetic Incision?

Dermatologic Surgery — Wed, 02 Apr 2008 18:15:24 +0100

Dermatologic Surgery, Volume 0, Issue 0, Page ???, OnlineEarly Articles. INTRODUCTION For years, traditional upper blepharoplasty incisions have been made with scalpel and or scissors. Although effective, increased intraoperative bleeding can be problematic. Bleeding slows the surgery; obscures the surgical field; and can ... (Source: Dermatologic Surgery)

Mini-Incision Lower Lid Blepharoplasty.

Techniques in Ophthalmology — Tue, 18 Mar 2008 08:16:03 +0100

Page: 18DOI: 10.1097/ITO.0b013e31816b37cfAuthors: Bouzouaya, Chedly MD (Source: Techniques in Ophthalmology)

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Acute angle closure glaucoma after oculoplastic surgery.

Orbit — Sat, 01 Mar 2008 05:00:00 +0100

Conclusions: Acute angle closure glaucoma is a possible complication of oculoplastic surgery. PMID: 18307147 [PubMed - in process] (Source: Orbit)

Extended Preseptal Fat Resection in Asian Blepharoplasty.

Annals of Plastic Surgery — Thu, 24 Jan 2008 10:46:23 +0100

Page: 121DOI: 10.1097/01.sap.0000263094.74682.5fAuthors: Ichinose, Akihiro MD, PhD; Tahara, Shinya MD, PhD (Source: Annals of Plastic Surgery)

Lower Eyelid Position After Transconjunctival Lower Blepharoplasty With Versus Without A Skin Pinch.

Ophthalmic Plastic and Reconstructive Surgery — Tue, 22 Jan 2008 10:30:36 +0100

Transconjunctival lower blepharoplasty with or without a skin pinch results in a stable lower eyelid position.Page: 7DOI: 10.1097/IOP.0b013e318160f3a0Authors: Taban, Mehryar M.D.; Taban, Mehran M.D.; Perry, Julian D. M.D. (Source: Ophthalmic Plastic and Reconstructive Surgery)

CLINICAL SCIENCES: Effect of Upper Eyelid Surgery on Corneal Topography

Archives of Opthalmology — Mon, 10 Dec 2007 05:00:00 +0100

Conclusions We found a statistically significant correlation between the severity of upper eyelid abnormality and topographical corneal changes after surgery. These findings emphasize the importance of advising patients, especially those with ptosis and severe dermatochalasis, that upper eyelid repositioning procedures may induce vision changes. (Source: Archives of Opthalmology)

Localized Cutis Laxa and Blepharoplasty

Dermatologic Surgery — Fri, 07 Dec 2007 10:47:05 +0100

Dermatologic Surgery, Volume 33, Issue 12, Page 1510-1512, December 2007. The authors have indicated no significant interest with commercial supporters. (Source: Dermatologic Surgery)

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Treatment of Lower Eyelid Malposition with Dermis Fat Grafting.

Ophthalmology — Wed, 05 Dec 2007 05:00:00 +0100

CONCLUSIONS: Dermis fat is a novel posterior lamellar spacer graft and offers numerous advantages over conventional lower eyelid spacer grafts for repair of lower eyelid malposition. PMID: 18067964 [PubMed - as supplied by publisher] (Source: Ophthalmology)

Re: "Deepening of the Superior Sulcus After Isolated Lower Transconjunctival Blepharoplasty".

Ophthalmic Plastic and Reconstructive Surgery — Wed, 21 Nov 2007 01:26:13 +0100

Page: 498DOI: 10.1097/IOP.0b013e318159d20eAuthors: Kakizaki, Hirohiko M.D., Ph.D. (Source: Ophthalmic Plastic and Reconstructive Surgery)

Balanced Rhinoplasty in an Oriental Population

Aesthetic Plastic Surgery — Tue, 20 Nov 2007 15:33:36 +0100

Conclusions The authors believe that simultaneous blepharoplasty and rhinoplasty are a simple and reliable method for effecting better results for Asians. Content Type Journal ArticleCategory ORIGINAL ARTICLEDOI 10.1007/s00266-006-0137-1Authors Wen-Chieh Liao, Taipei Veterans General Hospital and National Yang-Ming University Division of Plastic Surgery, Department of Surgery 19F, No. 201, Sec. 2, Shih-Pai Road Taipei TaiwanHsu Ma, Taipei Veterans General Hospital and National Yang-Ming University Division of Plastic Surgery, Department of Surgery 19F, No. 201, Sec. 2, Shih-Pai Road Taipei TaiwanChiu-Hwa Lin, Celebrity Cosmetic Center Taipei Taiwan Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X Journal Volume Volume 31 Journal...

ORIGINAL ARTICLE: Prevention of Lower Eyelid Malposition After Blepharoplasty: Anatomic and Technical Considerations of the Inside-Out Blepharoplasty

Archives of Facial Plastic Surgery — Mon, 19 Nov 2007 05:00:00 +0100

Conclusion Using photographic analysis, the study found no difference in lateral canthal shape or MRD2 before and after surgery in patients who underwent inside-out blepharoplasty. (Source: Archives of Facial Plastic Surgery)

Strategies for Simultaneous Double Eyelid Blepharoplasty in Asian Patients With Congenital Blepharoptosis

Aesthetic Plastic Surgery — Tue, 23 Oct 2007 14:41:56 +0100

Conclusion In blepharoptosis surgery, different techniques for double eyelids must be applied according to the method of ptosis correction used. Usually, the height of the double eyelid on the ptotic side should be a little less than the normal double eyelid height on the nonptotic side. However, it is difficult to achieve symmetric double eyelids in blepharoptosis patients. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-007-9050-5Authors Dae Hwan Park, Catholic University of Daegu, College of Medicine Department of Plastic and Reconstructive Surgery 3056-6 Dae Myung 4, Dong Nam Gu Daegu 705-718 KoreaChan Woo Kim, Catholic University of Daegu, College of Medicine Department of Plastic and Reconstructive Surgery 3056-6 Dae Myung 4, Dong Nam Gu ...

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Evaluation and Treatment of the Tear Trough Deformity in Lower Blepharoplasty*

Seminars in Plastic Surgery — Sun, 21 Oct 2007 01:23:59 +0100

Seminars in Plastic Surgery 2007; 21: 057-064DOI: 10.1055/s-2007-967750ABSTRACTThe tear trough deformity is a natural consequence of the anatomic attachments of the periorbital tissues. A variety of techniques have evolved to address this cosmetic issue including subtractive blepharoplasty techniques, elevation of ptotic eyelid and midface tissues, and the injection or implantation of autogenous or alloplastic materials to diminish its appearance. Greater anatomic understanding of the pathogenesis of the tear trough deformity has led to more anatomically conservative and appropriate cosmetic surgical treatments. The decline in purely subtractive surgical techniques in blepharoplasty surgery and the advent of fat-repositioning techniques and new subdermal fillers have improved surgical outc...

Management of Cosmetic Eyelid Surgery Complications

Seminars in Plastic Surgery — Sun, 21 Oct 2007 01:23:59 +0100

Seminars in Plastic Surgery 2007; 21: 080-093DOI: 10.1055/s-2007-967753ABSTRACTThere is a broad spectrum of complications that can occur following cosmetic eyelid surgery. The experienced eyelid surgeon should be able to avoid most serious complications through proper patient selection, a comprehensive preoperative assessment and surgical plan, meticulous surgical technique, and appropriate postoperative care. The aesthetic eyelid surgeon must counsel a patient contemplating blepharoplasty surgery regarding typical expectations including edema, eyelid numbness, dry eyes, and mild blurred vision. Patients must also be aware of the risks and the signs of serious complications such as infection, hematoma, or severe vision loss. Oculofacial surgeons must be capable of managing these adverse ou...

Superior Oblique Tendon Damage Resulting from Eyelid Surgery.

American Journal of Ophthalmology — Sat, 20 Oct 2007 04:00:00 +0100

CONCLUSIONS: The SO tendon may be damaged as a result of eyelid surgery. The anatomy of the SO tendon should be kept in mind while performing surgery in the superomedial aspect of the upper eyelid. PMID: 17953939 [PubMed - as supplied by publisher] (Source: American Journal of Ophthalmology)

Lower Lid Blepharoplasty: The Use of Lockwood’s Ligament for Orbicularis Oculi Suspension and Orbital Fat Preservation—A New Technique

Aesthetic Plastic Surgery — Thu, 04 Oct 2007 18:00:30 +0100

Abstract A new technique of lower lid blepharoplasty is presented. The technique consists of suspending the skin–muscle flap of the lower lid on the suspensory Lockwood’s ligament in all the orbit length, with preservation of the orbital fat behind the created anatomic layer. The anatomic base of the technique is analyzed by a study of the literature, by personal observations of the changes in the anatomic elements of the orbit in a large number of operations the authors performed for patients with endocrinic exophthalmos using Olivari’s method (transpalpepral orbital decompression by removal of the orbital fat), and by fresh cadaver dissections. The technique is described in detail, and the results are presented. After 8 years of follow-up evaluation, it can be conf...