CHAPTER 1 SURGICAL ANATOMY OF THE EYELID&Eugene A.Chu,MD,Theda C.Kontis,MD and Ira D.Papel,MD 1
Introduction 1
Surface Anatomy 1
Eyelid Skin and Subcutaneous Tissue 1
Orbicularis Oculi Muscle 3
Submuscular Areolar Tissue 3
Tarsal Plates 3
Lid Margins 4
Septum 4
Preaponeurotic Fat Pads 5
Lid Retractors 6
Conjuctiva 7
Neurovascular Anatomy 7
Related Anatomy 8
Asian Eyelid 11
Suggested Readings 12
CHAPTER 2 AESTHETIC EVALUATION OF THE PERIORBITAL REGION&Kofi Boahene,MD 13
The Periorbital Region in Youth 13
General Evaluation of Patients Seeking Aesthetic Periorbital Rejuvenation 14
Assessing for Dynamic Changes around the Eye 14
Analysis of the Upper Eyelid 15
Analysis of the Eyebrow 16
Analysis of the Lower Eyelid 17
The Positive and Negative Vector Globe-Orbital Relationship 18
Photo Documentation 18
Summary 18
Suggested Readings 18
CHAPTER 3 UPPER EYELID BLEPHAROPLASTY&Lisa A.Earnest,MD and Ira D.Papel,MD 19
Introduction 19
Facial Analysis 19
Preoperative Considerations 20
Technique 20
Postoperative Care 21
Complications 21
Suggested Readings 22
CHAPTER 4 LOWER EYELID BLEPHAROPLASTY&Theda C.Kontis,MD 23
Introduction 23
Facial Analysis 23
Preoperative Considerations 24
Technique 26
Complications 31
Suggested Readings 34
CHAPTER 5 MANAGEMENT OF ECTROPION,LAXAITY,AND RETRACTION IN THE BLEPHAROPLASTY PATIENT&Marc J.Hirschbein,MD,FACS and James Karesh,MD 35
Anatomy 35
Classification 36
Evaluation 38
Surgical Management 38
Suggested Readings 47
CHAPTER 6 ASIAN BLEPHAROPLASTY&Samuel M.Lam,MD 49
Introduction 49
Facial Analysis 50
Preoperative Considerations 51
Technique 55
Postoperative Care 60
Complications 62
Suggested Readings 63
CHAPTER 7 PERIORBITAL AESTHETIC PROCEDURES&Paul S.Nassif,MD,FACS and Guy G.Massry,MD 65
Introduction 65
Periorbital Fat Grafting 65
Facial Analysis & Preoperative Considerations 66
Surgical Technique 66
Postoperative Care 68
Complications 69
Periorbital Volume Augmentation By Fillers 70
Periorbital Skin Rejuvenation 70
Botulinum Toxin Type A 72
Conclusion 73
Suggested Readings 74
CHAPTER 8 DIAGNOSIS AND MANAGEMENT OF PTOSIS IN THE BLEPHAROPLASTY PATIENT&Marc J.Hirschbein,MD,FACS 75
Anatomy 75
Conclusion 87
Suggested Readings 87
CHAPTER 9 COMPLICATIONS OF BLEPHAROPLATY&Ifeolumipo O.Sofola,Christopher Cote,and Ira D.Papel 89
Anatomy of the Eyelids 89
History and Physical Examination 90
General Complications 92
Suture Line and Wound Healing Complications 97
Upper Eyelid Complications 98
Complications of the Lower Lid 102
Suggested Readings 109
CHAPTER 10 AESTHETICS OF THE BROW&Stephen Smith,Jr.,MD,Sumit Bapna,MD,and Edwin F.Williams,III,MD 111
Anatomy 111
Aesthetics of the Orbital Complex 112
Mechanisms for Aging of the Brow 113
Patient Evaluation 114
Conclusion 114
Suggested Readings 115
INDEX 117