Atlas of Aesthetic Eyelid and Periocular Surgery, 1e by Henry M. Spinelli

By Henry M. Spinelli

This new, full-color atlas gains useful advice at the administration of a whole variety of aesthetic eyelid problems. interpreting either useful and beauty matters, it is helping readers opt for the main acceptable administration concepts and to provide their sufferers the absolute best results. Over 250 colour photos, together with a hundred beautiful unique illustrations, express readers accurately tips to practice the innovations described.

  • Uses over 250 wealthy, complete colour illustrations and pictures that exhibit readers find out how to practice the methods.
  • Clearly explains anatomy, body structure and pathophysiology, that are necessary to the functionality of any surgery.
  • Emphasizes identity of the pathophysiology and the choice of the right administration method, as an reduction to attaining the very best end result whenever.
  • Contains summaries of sufferer review and administration in each one bankruptcy, making info effortless to find.

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Extra info for Atlas of Aesthetic Eyelid and Periocular Surgery, 1e

Sample text

Therefore, it is only applicable in very mild cases of laxity. Fat may be transposed over the orbital rim. I prefer a supraperiosteal tunnel with transcutaneous fixation sutures. The access may be transcutaneous or transconjunctival. The amount of viable filler available is limited in all pedicled fat transposition procedures and usually promises more than is deliverable. The inserts depict the subtle changes in the lower lid that may be achieved with a tarsal tuck and fat transposition. Access incision–common canthopexy Closeup of tarsal tuck Access incision–tarsal tuck Fat redistribution from lateral pocket Fat redistribution from medial pocket Completed canthopexy 45 A T L A S O F A E S T H E T I C E Y E L I D A N D P E R I O C U L A R S U R G E RY An effective alternative approach to the inferior canthal or common canthal complex is by way of an upper lid approach.

She has had a number of past surgical procedures by other surgeons, including a lower lid blepharoplasty at 44 years of age (7 years before presentation) and an endoscopic browlift and lower lid blepharoplasty 4 months before presentation. Approximately 1 month before presentation she underwent a lower lid suspension procedure (type unknown) that did not correct her problem. She presents with significant signs and symptoms of corneal exposure, including corneal edema and decreased visual acuity.

Redundancy in the lateral one third of the upper eyelid presents as a hooding that can only be eliminated in two ways. Either the surgeon may elevate the lateral one third of the eyebrow and then perform a more conservative blepharoplasty, or a very aggressive lateral blepharo- 60 plasty extending beyond the orbital rim is necessary in addressing this hooding. The constraint for the surgeon is that incisions that extend beyond the lateral orbital rim become proportionately more noticeable the more laterally they extend.

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