Burnstine, Michael A.

Ophthalmic Plastic Surgery of the Upper Face : Eyelid Ptosis, Dermatochalasis, and Eyebrow Ptosis. - 1st ed. - 1 online resource (292 pages)

Ophthalmic Plastic Surgery of the Upper Face: Eyelid Ptosis, Dermatochalasis, and Eyebrow Ptosis -- MedOne Information -- Title Page -- Copyright -- Dedication -- Contents -- Foreword -- Preface -- Acknowledgements -- Contributors -- Section I Introduction -- 1 Ptosis Classification -- 1.1 Introduction -- 1.2 Ptosis Classification -- 1.3 Preoperative Assessment -- 1.3.1 History of Present Illness -- 1.3.2 Physical Examination -- 1.4 Upper Eyelid Ptosis Classification -- 1.4.1 Aponeurotic Ptosis -- 1.4.2 Myogenic Ptosis -- 1.4.3 Mechanical Ptosis -- 1.4.4 Neurogenic Ptosis -- 1.4.5 Pseudoptosis -- 1.5 Eyebrow Ptosis Classification -- 1.6 Clinical Decision-Making -- 1.7 Photographing the Patient -- 1.8 Informed Consent -- 1.9 Principles of Surgical Correction -- 1.10 When Not to Operate -- 1.11 Postoperative Complications -- 1.12 Aesthetic Concerns for Upper Eyelid and Eyebrow Rejuvenation -- References -- 2 Aesthetic Anatomy of the Upper Face -- 2.1 Introduction -- 2.2 Skin -- 2.3 Subcutaneous Tissue and Fat Compartments -- 2.4 Superficial Musculoaponeurotic System -- 2.5 Retaining Ligaments, Canthal Tendons, and Orbital Septum -- 2.6 Mimetic Muscles and Eyelid Retractors -- 2.7 Deep Fat Compartments -- 2.8 Nervous Innervation to the Upper Eyelid and Forehead -- 2.8.1 Sensory -- 2.8.2 Motor -- 2.9 Blood Supply -- 2.9.1 Forehead -- 2.9.2 Eyelid -- 2.10 Lymphatic Drainage -- 2.10.1 Forehead -- 2.10.2 Eyelid -- 2.11 Unique Considerations for the Upper Facial Surgeon: Facial Danger Zones -- 2.12 Unique Anatomical Considerations for the Eyelid Surgeon -- 2.12.1 Anterior Lamella -- 2.12.2 Middle Lamella -- 2.12.3 Posterior Lamella -- 2.12.4 Eye Protective Mechanisms -- References -- 3 Anatomic Considerations in the Aesthetic Surgery of the Upper Face -- 3.1 Introduction -- 3.2 Racial Differences -- 3.2.1 Eyelid Skin -- 3.2.2 Upper Eyelid Crease. 3.2.3 Epicanthal Fold -- 3.2.4 Tarsal Plate -- 3.2.5 Eyebrow Height and Contour -- 3.3 Gender Differences -- 3.3.1 Eyelid Skin -- 3.3.2 Eyelid Dimensions -- 3.3.3 Eyebrow Height and Contour -- 3.4 Conclusions -- References -- Section II Mechanical Ptosis -- 4 Mechanical Ptosis: Etiology and Management -- 4.1 Introduction -- 4.2 Benign Eyelid Lesions -- 4.3 Malignant Eyelid Lesions -- 4.4 Orbital Lesions -- 4.5 Periorbital Infections and Inflammation -- 4.6 Other Considerations -- 4.7 Summary -- References -- 5 Upper Blepharoplasty -- 5.1 Introduction -- 5.2 Goals of Treatment -- 5.3 Risks -- 5.4 Benefits -- 5.5 Informed Consent -- 5.6 Indications -- 5.7 Contraindications -- 5.8 The Procedure -- 5.8.1 Preoperative Checklist -- 5.8.2 Instruments Needed -- 5.8.3 Sutures Used -- 5.8.4 Operative Technique: Step by Step -- 5.8.5 Expert Tips/Pearls/Suggestions -- 5.8.6 Postoperative Care Checklist -- 5.9 Complications and Their Management -- References -- 6 Double Eyelid Surgery -- 6.1 Introduction -- 6.2 Anatomical Considerations -- 6.2.1 The Eyelid Crease and Fold -- 6.2.2 The Medical Canthal Area -- 6.2.3 The Lateral Canthal Area -- 6.3 Goals of Intervention/Indications -- 6.4 Risks of the Procedure -- 6.5 Benefits of the Procedure -- 6.6 Informed Consent -- 6.7 Contraindications -- 6.8 The Procedure -- 6.8.1 Instruments Needed -- 6.8.2 Preoperative Checklist -- 6.8.3 The Operative Technique -- 6.8.4 Expert Tips/Pearls/Suggestions -- 6.8.5 Postoperative Care Checklist -- 6.9 Complications and Their Management -- 6.10 Alternative Approaches to Double Eyelid Surgery -- References -- 7 A Guide to Eyebrow Contouring Options -- 7.1 Introduction -- 7.2 Evolving Trends in Brow Beauty -- 7.2.1 History of Eyebrow Aesthetics -- 7.2.2 Volume and Facial Aging -- 7.2.3 Eyebrow Height and Proportions -- 7.3 Patient Assessment -- 7.3.1 History. 7.3.2 Physical Exam Checklist -- 7.4 Risks of Surgery -- 7.5 Choosing the Best Procedure/Physician Decision-Making -- 7.6 Expert Tips/Pearls/Suggestions -- 7.6.1 Upper Eyelid Considerations -- 7.6.2 The Role of Nonsurgical Adjuncts -- 7.6.3 Managing Asymmetry -- 7.6.4 Minimizing Hair Loss -- 8 Direct Eyebrow Elevation -- 8.1 Introduction -- 8.2 Relevant Anatomy -- 8.3 Goals of Intervention, Indications, and Benefits of the Procedure -- 8.4 Risks of the Procedure -- 8.5 Preoperative Considerations and Patient Selection -- 8.6 Informed Consent -- 8.7 Relative Contraindications -- 8.8 Procedure -- 8.8.1 Instrumentation -- 8.8.2 Preoperative Checklist -- 8.8.3 Operative Technique -- 8.8.4 Expert Tips/Pearls/Suggestions -- 8.8.5 Postoperative Care -- 8.9 Complications and Their Management -- References -- 9 Internal Eyebrow Lift -- 9.1 Introduction -- 9.2 Anatomic Considerations of the Upper Facial Continuum -- 9.3 Goals of Intervention -- 9.4 Risks -- 9.5 Benefits -- 9.6 Informed Consent -- 9.7 Indications -- 9.8 Contraindications -- 9.9 Patient Assessment -- 9.9.1 Medical History -- 9.9.2 Ophthalmic History -- 9.9.3 Ophthalmic Examination -- 9.9.4 Anatomic Evaluation: The Eyelid and Eyebrow Subunits -- 9.10 Preoperative Checklist -- 9.11 The Procedure -- 9.11.1 Instrumentation Needed -- 9.11.2 Sutures -- 9.11.3 Operative Technique -- 9.12 Expert Tips/Pearls/Suggestions -- 9.13 Postoperative Care Checklist -- 9.14 Complications and Their management -- 9.14.1 Bleeding -- 9.14.2 Infection -- 9.14.3 Nerve Damage -- 9.14.4 Postoperative Lagophthalmos and Dry Eye -- 9.14.5 Residual Aesthetic Deformity -- 9.14.6 Skin Dimpling -- 9.15 Summary -- References -- 10 Midforehead Browlift Technique -- 10.1 Introduction -- 10.2 Goals of Intervention/Indications -- 10.3 Risks of the Procedure -- 10.4 Benefits of the Procedure -- 10.5 Informed Consent. 10.6 Contraindications -- 10.7 Preoperative Assessment -- 10.8 The Procedure -- 10.8.1 Instruments Needed -- 10.8.2 Operative Technique -- 10.9 Expert Tips/Pearls/Suggestions -- 10.10 Postoperative Care Checklist -- 10.11 Complications and Their Management -- 10.12 Conclusion -- References -- 11 Open Coronal Pretrichial Browlift Surgery -- 11.1 Introduction -- 11.2 Unique Anatomical Considerations in Coronal Brow Lifting -- 11.2.1 The Eyebrow -- 11.2.2 The Anatomic Layers -- 11.2.3 The Muscles of Elevation and Depression -- 11.2.4 The Sensory Supply -- 11.2.5 The Facial Nerve -- 11.2.6 The Vascular Supply -- 11.3 Patient Evaluation -- 11.3.1 Forehead Length and Contour -- 11.3.2 Eyebrow Shape and Contour -- 11.3.3 Forehead Rhytids -- 11.3.4 Nasal Root -- 11.4 Goals of Intervention/Indications -- 11.5 Risks of the Procedure -- 11.6 Benefits of the Procedure -- 11.7 Contraindications -- 11.8 Informed Consent -- 11.9 The Procedure -- 11.9.1 Instruments Needed -- 11.9.2 Sutures Used -- 11.9.3 Preoperative Checklist -- 11.9.4 The Operative Technique -- 11.10 Expert Tips/Pearls/Suggestions -- 11.11 Postoperative Care Checklist -- 11.12 Complications and Their Management -- 11.12.1 Expanding Hematoma -- 11.12.2 Scarring -- 11.12.3 Postoperative Brow Asymmetry -- 11.12.4 Facial Nerve Damage -- 11.12.5 Scalp and Forehead Numbness -- 11.12.6 Alopecia -- 11.13 Alternative Approaches to the Open Browlift -- References -- Bibliography -- 12 Pretrichial Temporal Browlift -- 12.1 Introduction -- 12.2 Goals of Intervention/Indications -- 12.3 Risks of Procedure -- 12.4 Benefits of Procedure -- 12.5 Contraindications -- 12.6 Informed Consent -- 12.7 Preoperative Evaluation -- 12.8 The Procedure -- 12.8.1 Instrumentation -- 12.8.2 Preoperative Checklist -- 12.8.3 Surgical Technique -- 12.9 Expert Tips/Pearls/Suggestions -- 12.10 Postoperative Care Checklist. 12.11 Complications -- 12.11.1 Scarring -- 12.11.2 Suture Granuloma -- 12.11.3 Undercorrection -- 12.11.4 Overcorrection -- 12.12 Conclusion -- References -- 13 Minimally Invasive Su-Por-Suture Temporal Brow Suspension: The Lift and Fill Technique -- 13.1 Introduction -- 13.2 Goals of Intervention/Indications -- 13.2.1 Risks of the Procedure -- 13.2.2 Benefits of the Procedure -- 13.2.3 Informed Consent -- 13.3 Contraindications -- 13.4 The Procedure -- 13.4.1 Instruments Needed -- 13.4.2 Preoperative Checklist -- 13.4.3 Operative Technique -- 13.5 Expert Tips/Pearls/Suggestions -- 13.6 Postoperative Care Checklist -- 13.7 Complications and Their Management -- References -- 14 Endoscopic Upper Face and Eyebrow Lifting -- 14.1 Introduction -- 14.2 Goals of Intervention -- 14.3 Risks -- 14.4 Informed Consent -- 14.5 Indications -- 14.6 Contraindications -- 14.7 The Procedure -- 14.7.1 Preoperative Checklist -- 14.7.2 Instruments Needed -- 14.7.3 Closure -- 14.7.4 Local Anesthetic -- 14.7.5 Fat Grafting -- 14.7.6 Incision Placement -- 14.7.7 Operative Technique -- 14.8 Postoperative Care Checklist -- 14.9 Expert Tips/Pearls/Suggestions -- 14.10 Complications and Their Management -- 14.11 Conclusions -- References -- 15 Nonsurgical Management Techniques: Fillers and Neuromodulators -- 15.1 Introduction -- 15.2 Properties of Botulinum Toxins and Periocular Fillers -- 15.2.1 Botulinum Toxin Properties -- 15.2.2 Periocular Fillers Properties -- 15.3 Single Therapy and Combination Treatments in the Upper Face -- 15.3.1 Glabellar Frown Lines -- 15.3.2 Crow's-Feet -- 15.3.3 Horizontal Forehead Lines -- 15.3.4 Brow Lifting and Shaping -- 15.3.5 Hypertrophic Orbicularis Oculi -- 15.3.6 Midface -- 15.3.7 Temple -- 15.4 Conclusion -- References -- 16 Fat Augmentation of the Brow -- 16.1 Introduction -- 16.2 Goals of Intervention -- 16.3 Risks of Fat Grafting. 16.4 Benefits of Fat Grafting.

9781626239227


Ophthalmic plastic surgery.


Electronic books.

RE87 .B876 2020