By Timothy J Sullivan (auth.), Rudolf F. Guthoff, James A. Katowitz (eds.)
The 3rd quantity of Oculoplastic and Orbital surgical procedure keeps within the first-class culture of this designated sequence. the hot quantity deals readers a accomplished replace on a couple of advanced and demanding orbital issues, together with idiopathic orbital irritation, ocular adnexal lymphoproliferative issues, metastatic orbital tumors, and the most recent cures within the administration of capillary hemangiomas, periorbital infections, and orbital and periorbital malignancies utilizing particular designated treatments. sleek thoughts in orbital imaging also are highlighted, as are controversies in enucleation suggestions with feedback concerning the leading ocular implants.
Management of advanced eyelid and periorbital difficulties is gifted. This comprises chapters on coping with orbitofacial neurofibromatosis 1 and forehead suspension for classy unilateral ptosis. moreover, systemic and ophthalmic anomalies in congenital anophthalmos and microphthalmos are comprehensively reviewed.
Lacrimal issues, together with the analysis and administration of canalicular obstruction and lesions of the lacrimal drainage process encountered with dacryocystorhinostomy, also are presented.
The zone of plastic surgery is punctiliously lined in an in depth bankruptcy discussing pearls in beauty oculofacial cosmetic surgery and one other bankruptcy proposing the most recent innovations in utilizing fillers for quantity enhancement within the orbit and periorbit.
As with the former volumes, the presentation of the newest ideas and administration recommendations within the box of oculofacial cosmetic surgery will end up to be a useful source for either the great ophthalmologist and the subspecialist with a specific curiosity in problems of the orbit, eyelids, and lacrimal system.
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Additional info for Oculoplastics and Orbit: Aesthetic and Functional Oculofacial Plastic Problem-Solving in the 21st Century
Lower Blepharoplasty: The goal of lower blepharoplasty is restoration of the youthful contour of the eyelid and midface. This consists of a vertically short lower eyelid and a full, convex midface. Analysis of the lower eyelid involves the relationship between the globe and inferior orbital rim projection, orbital fat protrusion, and midfacial fat loss and skin elasticity versus excess. Today, we are blessed with an array of options to rejuvenate the periocular region. There are multiple surgical and nonsurgical options.
Use a standard facelift scissors to cut this tendon. This will elevate the lateral brow. (f) The Central Brow: Do not overelevate the central brow. This will result in a surprised look. Aggressive release or excision of the corrugator muscle will cause the medial brow to drift upward. I usually do not cut the periosteum medial to the supratrochlear nerves (Fig. 9). (g) Up-and-In Vector: After the entire scalp is mobile and the brow is ready for fixation, the direction of Endoscopic Browlift Postoperative Care Pearls (a) Postop Nausea: Nausea after a brow lift is often attributed to the anesthesia.
The eyelids are unique in that they are regarded in both their aesthetic and functional sense. It is imperative that the surgeon prioritize function over beauty. 2 Patient Evaluation Patients presenting for blepharoplasty are evaluated in a similar manner to those patients presenting for brow lift. The eyelids are evaluated in layers: skin, muscle, fat, and bone. The skin of the eyelid is extremely thin and stretches over time. When considering the amount of skin that is “redundant,” it is important to keep in mind that there is a minimal amount of skin that is necessary to ensure proper eyelid function .