By Raul Loeb M.D. (auth.)
At final, an entire reference detailing some of the most in most cases played beauty facial strategies - aesthetic blepharoplasty. In Aesthetic surgical procedure of the Eyelids, Dr. Loeb stocks his 30 years of expertise within the box. This certain quantity distills the confirmed options of an across the world revered plastic physician. The "Scleral convey" bankruptcy is the main entire therapy in this subject and the part on surgical correction of melancholy deformities masterfully demonstrates the author's unique thoughts. Aesthetic surgical procedure of the Eyelids is an critical software for all beauty and reconstructive plastic surgeons.
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Additional resources for Aesthetic Surgery of the Eyelids, 1st Edition
Incisions sutured. B extensions of the cutaneous incisions should be prolonged. D. Prolongation of the incision and wide undermining, permitting the exposure of the orbital septum and the orbicularis oculi muscle. E. Flap undermined and raised. F. Complementary incision 51 Skin Bulges (Looseness) c o E G being done, cutting the untermined flap perpendicularly. G. Suturing completed. The head of the patient is now raised to a vertical position to detect any eventual scleral show or ectropion. In their absence, the excess cutaneous tissue can be resected.
The resections in the upper eyelids are done in a manner similar to that already described for the correction of firstdegree wrinkles. In these cases of third-degree wrinkles, the tension achieved by the resection and suturing in the upper lid is not sufficient to correct completely the looseness of the lateral third of the lower lid (Fig. 31). Thus, tissue resection is also required there, in addition to that done in the mesial and central thirds (Fig. 31C). Suturing is completed (Fig. 31D). 50 3.
Either subcutaneous ormyocutaneous undermining is used (Rees, 1981), but the former is rare because it can cause major scleral show or ectropion. 16. In the upper lid, the incision above the mesial angle of the eye should have an upward trend in order not to coincide with the epicanthal fold. 18. 17. Recommended distance between the lateral extremities of the incisions in the upper and lower lids. This will help to prevent contractures. FIGURE The dotted lines show the lateral extention of the incision lines used in the correction of "crow's- 1967), and is the preferred procedure.