Lower Lid Blepharoplasty by Skin–muscle Flap Approach The traditional lower blepharoplasty is indicated for patients who have aging changes, with underlying skin laxity and some gravitional descent of structures. It…
Upper lid blepharoplasty performed without correction of a lax or ptotic eyebrow results in postoperative residual upper lid folds and a narrowing of the spacing between the eyebrow and eyelashes…
Patient Selection Transconjunctival laser blepharoplasty is ideal for addressing isolated lower eyelid fat pad herniation ( Fig. 11.1 ). Compared to other approaches, the transconjunctival technique avoids any cutaneous stitches…
Traditionally, ptosis has been divided into either the congenital or acquired category. In the literature there have been publications reporting a 90% preponderance of congenital ptosis versus acquired ptosis; and…
Patient Selection The goal of cosmetic upper eyelid blepharoplasty in the Caucasian patient is usually to improve appearance by reducing the gravitational and age-related redundancy, descent, and herniation of the…
Clinton D McCord Anchoring techniques are the heart of not only the prevention of problems but also the correction of problems. The term ‘anchoring’ refers to the two main fixation points…
We currently live in a society that places a premium on youthful appearance. However, our busy lives limit the amount of time we can spend in pursuit of the fountain…
William PD Chen Classically, the normal eyelid anatomy can be conceptualized as consisting of two layers: the anterior skin–orbicularis oculi muscle layer, and the posterior layers of the levator muscle and…
In the evaluation of patients with upper eyelid skin redundancy and hooding, it is important to note the upper brow position and check for eyebrow ptosis. The upper eyebrow normally…
In suboptimal results of aesthetic surgery of the Asian upper eyelid, one may see spreading of the wound scar, high placement of the upper eyelid crease, induced lagophthalmos on downgaze,…
