Lower Blepharoplasty

2020 ◽  
Author(s):  
Branko Bojovic ◽  
Martin Buta
Keyword(s):  
Cosmetic Surgery ◽  
Surgical Techniques ◽  
Aesthetic Surgery ◽  
Lower Eyelid ◽  
Surgical Approaches ◽  
Patient Evaluation ◽  
Orbital Fat ◽  
Tear Trough Deformity ◽  
Effects Of Aging ◽  
Lid Surgery

This review provides an overview of lower eyelid blepharoplasty, with discussion focused on relevant anatomy, the effects of aging on the lower eyelid and lid/cheek junction, patient evaluation, the most common surgical techniques, complications from surgery, and outcomes assessment. Emphasis is placed on tailoring surgical approaches to the specific aesthetic and functional concerns for each patient.  Keywords: blepharoplasty, lower lid surgery, transconjunctival blepharoplasty, transcutaneous blepharoplasty, pseudoherniation, cosmetic surgery, surgery techniques, aesthetic surgery, tear trough deformity, orbital fat, eyelid laxity, canthoplasty This review contains 6 figures, 2 tables, and 50 references.

scholarly journals Management of Scarring Following Aesthetic Surgery

2020 ◽  
pp. 385-395
Author(s):  
Alexandra Chambers
Keyword(s):  
Patient Selection ◽  
Cosmetic Surgery ◽  
Surgical Techniques ◽  
Aesthetic Surgery ◽  
Care Process ◽  
Preoperative Preparation ◽  
Proactive Management ◽  
Proper Patient Selection ◽  
Tissue Healing ◽  
The Aesthetic

AbstractPatients undergo cosmetic surgery to improve their appearance and so, even though surgical scars cannot be avoided, they must be minimized as part of the aesthetic care process. The challenge is to make scars as inconspicuous as possible, and there are many techniques to be considered, including proper patient selection, preoperative preparation, the choice of surgical techniques, and postoperative care. The proactive management of tissue healing with prophylaxis of pathological scarring is particularly important. As the scarring process passes through multiple phases over a 6-week to 6-month period, cosmetic surgeons should not only plan to prepare patients well in advance of surgery but also be prepared to provide support to patients well after.

Surgery of the Eyelid, Lacrimal System, and Orbit

2011 ◽  
Keyword(s):  
Botulinum Toxin ◽  
Surgical Techniques ◽  
Aesthetic Surgery ◽  
Lower Eyelid ◽  
Orbital Surgery ◽  
Upper Eyelid ◽  
Laser Resurfacing ◽  
Eyelid Reconstruction ◽  
Lacrimal System ◽  
Botulinum Toxin Injections

Surgery of the Eyelids, Lacrimal System, and Orbit, second edition is a richly illustrated text of oculofacial plastic surgery, with contributions from over 50 nationally and internationally recognized expert authors. Extensively updated from the first edition, this comprehensive text details the evaluation and surgical management of conditions ranging from basic functional eyelid malpositions to complex aesthetic facial reconstructions. It is an excellent resource for those in training as well as seasoned practitioners wanting to be updated on the newest techniques in eyelid, lacrimal, and orbital surgery. The added section in aesthetic surgery includes both surgical and nonsurgical techniques for facial rejuvenation such as botulinum toxin injections, facial fillers, and chemical and laser resurfacing. With over 350 figures, the reader will be able to gain an in-depth understanding and step-by-step instruction of basic and advanced oculofacial plastic surgical procedures. The recognized expert contributing authors provide readers with trusted insight into new and advanced surgical techniques. The text is intuitively organized into functional sections including eyelid malpositions, eyelid reconstruction, lacrimal surgery, orbital surgery, and aesthetic facial surgery. Topics include eyelid lacerations and acute adnexal trauma, clinical presentation of eyelid lesions, management of periocular neoplasms, reconstruction of the lower eyelid, reconstruction of the upper eyelid, reconstruction of canthal defects, management of entropion and trichiasis, management of ectropion and floppy eyelids, management of blepharoptosis, management of eyelid retraction, management of blepharospasm and hemifacial spasm, management of facial palsy, evaluation of the lacrimal system, management of pediatric nasolacrimal duct obstruction, surgery of the lacrimal system, orbital and periorbital fracture, evaluation & spectrum of orbital disease, surgical exploration of the orbit, surgical decompression of the orbit, optic nerve sheath decompression, management of orbital cellulitis, enucleation and evisceration, orbital Exenteration, complications of the anophthalmic socket, rejuvenation of the forehead and eyebrows, upper eyelid blepharoplasty, lower eyelid and midfacial rejuvenation, chemical and laser resurfacing of the eyelids and face, botulinum toxin injections for facial rhytids, soft tissue fillers for facial aesthetics, and face-lifting techniques.

Current Strategies in the Management of Spinal Metastatic Disease

Swiss Surgery ◽  
2003 ◽  
Vol 9 (2) ◽  
pp. 55-62 ◽  
Author(s):  
Bartanusz ◽  
Porchet
Keyword(s):  
Spinal Cord ◽  
Surgical Techniques ◽  
Cord Compression ◽  
Treatment Modalities ◽  
Surgical Approaches ◽  
Spinal Stabilization ◽  
Management Algorithm ◽  
Specific Manner ◽  
Extensive Surgery ◽  
Selection Of

The treatment of metastatic spinal cord compression is complex. The three treatment modalities that are currently applied (in a histologically non-specific manner) are surgery, radiotherapy and the administration of steroids. The development of new spinal instrumentations and surgical approaches considerably changed the extent of therapeutic options in this field. These new surgical techniques have made it possible to resect these tumours totally, with subsequent vertebral reconstruction and spinal stabilization. In this respect, it is important to clearly identify those patients who can benefit from such an extensive surgery. We present our management algorithm to help select patients for surgery and at the same time identifying those for whom primary non-surgical therapy would be indicated. The retrospective review of surgically treated patients in our department in the last four years reveals a meagre application of conventional guidelines for the selection of the appropriate operative approach in the surgical management of these patients. The reasons for this discrepancy are discussed.

Facelift Part II: Surgical Techniques and Complications

2021 ◽  
Author(s):  
Ahmed M Hashem ◽  
Rafael A Couto ◽  
Chris Surek ◽  
Marco Swanson ◽  
James E Zins
Keyword(s):  
Plastic Surgery ◽  
Surgical Techniques ◽  
Aesthetic Surgery ◽  
Program Directors ◽  
Recent Survey ◽  
Critical Reading ◽  
Neck Lift ◽  
Macs Lift ◽  
Face And Neck Lift

Abstract Although previous publications have reviewed face and neck-lift anatomy and technique from different perspectives, seldom were the most-relevant anatomical details and widely practiced techniques comprehensively summarized in a single work. As a result, the beginner is left with a plethora of varied publications that require sorting, re-arrangement, and critical reading. A recent survey of US plastic surgery residents and program directors disclosed less facility with facelift surgery when compared to aesthetic surgery of the breast and trunk. To this end four of the widely practiced facelift techniques (ie, MACS-lift, lateral-SMASectomy, extended-SMAS, and composite rhytidectomy) are described in an easy review format. The highlights of each are formatted followed by a summary of complications. Finally, the merits and limitations of these individual techniques are thoroughly compared and discussed.

scholarly journals The concept of “Four Walls, Two Poles” in the lesions of the thalamus and ganglion regions: case report and literature review

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Haiyang Yang ◽  
Gang Bai ◽  
Yongli Zhang ◽  
Guolong Chen ◽  
Lei Duan ◽  
...  
Keyword(s):  
Basal Ganglia ◽  
Literature Review ◽  
Surgical Resection ◽  
Three Dimensional ◽  
Surgical Techniques ◽  
Surgical Approaches ◽  
Surgical Results ◽  
Case Presentation ◽  
Operation Process ◽  
Thalamic Glioma

Abstract Background There are few articles about the surgical techniques of thalamic glioma and the lesions in the basal ganglia area. According to three existing cases and the literature review (Twelve articles were summarized which mainly described the surgical techniques), we discuss the surgical characteristics of lesions of the thalamus and basal ganglia area and summarize the relevant surgical skills. Case presentation Of the three cases, two were thalamic gliomas and one was brain abscess in basal ganglia. According to the three-dimensional concept of the “Four Walls, Two Poles”, lesions of the thalamus and basal ganglia were surgically removed, and the operative effect was analysed by relevant surgical techniques. Surgical resection of the lesions of the thalamus and basal ganglia area according to the three-dimensional concept of the “Four Walls, Two Poles” has achieved good surgical results. Relevant surgical techniques, such as the use of retractors, the use of aspirators, the choice of surgical approaches, and the haemostasis strategy, also played an important role in the operation process. Conclusions In the presented three cases the three-dimensional concept of the “Four Walls, Two Poles” allowed for safe surgical resection of lesions of the thalamus and basal ganglia.

scholarly journals Primary Malignant Orbital Tumors

2021 ◽  
Vol 82 (01) ◽  
pp. 081-090
Author(s):  
Jacquelyn Laplant ◽  
Kimberly Cockerham
Keyword(s):  
Multimodal Therapy ◽  
Surgical Techniques ◽  
Surgical Approaches ◽  
Imaging Features ◽  
Orbital Surgery ◽  
Diagnosis And Management ◽  
Microsurgical Techniques ◽  
Invasive Techniques ◽  
Traditional Approaches ◽  
Orbital Imaging

Abstract Objective Primary orbital malignancy is rare. Awareness of the characteristic clinical and imaging features is imperative for timely identification and management. Surgery remains an important diagnostic and treatment modality for primary orbital malignancy, but determining the optimal surgical approach can be challenging. The purpose of this article is to explore recent advances in the diagnosis, management, and surgical approaches for primary orbital malignancies. Design In this review, the clinical presentation, imaging features, and medical and surgical management of primary orbital malignancies with representative cases will be discussed. Setting Outpatient and inpatient hospital settings. Participants Patients with diagnosed primary orbital malignancies. Main Outcome Measures Descriptive outcomes. Results Advancements in orbital imaging, microsurgical techniques, and multimodal therapy have improved the diagnosis and management of primary orbital malignancies. Special considerations for biopsy or resection are made based on the tumor's location, characteristics, nearby orbital structures, and goals of surgery. Minimally invasive techniques are supplanting traditional approaches to orbital surgery with less morbidity. Conclusions Advances in imaging technologies and surgical techniques have facilitated the diagnosis and management of primary orbital malignancies. Evolution toward less invasive orbital surgery with focus on preservation and restoration of function is underway.

The Role of Orbital Fat Preservation in Facial Aesthetic Surgery

1996 ◽  
Vol 23 (1) ◽  
pp. 17-28 ◽  
Author(s):  
Sam T. Hamm
Keyword(s):  
Aesthetic Surgery ◽  
Orbital Fat

scholarly journals Ethical and legal issues in aesthetic surgery

2012 ◽  
Vol 45 (03) ◽  
pp. 547-549 ◽  
Author(s):  
Suresh Gupta
Keyword(s):  
Cosmetic Surgery ◽  
Aesthetic Surgery ◽  
General Medical Council ◽  
Medical Council ◽  
Criminal Proceedings ◽  
The Past ◽  
Supreme Court Of India ◽  
The Supreme Court ◽  
Ethical And Legal Issues ◽  
Lay Public

ABSTRACTRapid growth and expansion of plastic surgery in general and aesthetic surgery in particular in the past decade has brought in its wake some confusions particularly raising questions for the surgeons conduct towards his colleagues and the patients in the light of ethical requirements. Some thoughts from eminent thinkers form a backdrop to consideration of theories of medical ethics. In this article raging and continuous debates on these subjects have been avoided to maintain the momentum. Apart from the western thoughts, directions from our old scriptures on ethical conduct have been included to accommodate prevelant Indian practices. The confusion created by specialists advertising their abilities directly to the lay public following removal of ethical bars by the American Courts as also latitudes allowed by the General Medical Council of Great Britain have been discussed. The medical fraternity however has its reservations. Unnecessary skirmishes with the law arose in cosmetic surgery from the freedom exercised by the police to file criminal proceedings against attending doctors in the event of a patient′s death with or without any evidence of wrong doing. This has now been curtailed in the judgement of the Supreme Court of India[1] where norms have been laid down for such prosecution. This has helped doctors to function without fear of harassment. An effort has been made to state a simple day-to-day routine for an ethical doctor-patient relationship.

Plastic Surgery: Review on Screening of Psychiatric Disorder

2021 ◽  
Vol 1 (5) ◽  
pp. 91-94
Author(s):  
Angeline Fenisenda
Keyword(s):  
Psychiatric Disorder ◽  
Plastic Surgery ◽  
Cosmetic Surgery ◽  
Psychiatric Patients ◽  
Emotional Adjustment ◽  
Aesthetic Surgery ◽  
Well Being ◽  
Pilot Studies ◽  
Cosmetic Procedure ◽  
Poor Outcomes

Recently the popularity of plastic surgical procedure has been increased. Many people surgically alter their physical appearance with the intent of boosting their social and psychological well-being; however, the long-term effectiveness of aesthetic surgery on improving well-being is unconfirmed. To have successful cosmetic plastic surgery result, it is imperative to assess candidates for predictors of poor outcomes. These include the following factor : psychiatric disorder, demographic factors (male and younger age), relationship issues, unrealistic expectations, previous dissatisfied surgery, and minimal deformity. For psychiatric patients, despite having technically satisfactory cosmetic surgery, poor emotional adjustment and social functioning were seen post procedure. Proper screening and evaluation of these patients could save money and resources. In this brief review we discuss about psychiatric disorder screen on plastic surgery to prevent unwanted outcome. A literature review was conducted in the electronic database PubMed using keyword “Psychiatric Disorder”, “Plastic surgery”, “Prevention” and “Screening”. All type of studies were included for this study, such as controlled trials, systematic reviews, literature reviews, and pilot studies published between 2011 and 2021. Articles which not written in English were excluded from the study. This search resulted in 18 papers. Some patient who undergo cosmetic surgery suffer from underdiagnosed or untreated psychiatric disorder. To avoid unnecessary expense and resource it is advisable that all patient who seek cosmetic procedure undergo psychiatric screen such as PHQ-9, GAD-7, BDDQ and other test to avoid un-necessary expense and resource.

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