By Raul Loeb M.D. (auth.)
At final, an entire reference detailing some of the most usually played beauty facial tactics - aesthetic blepharoplasty. In Aesthetic surgical procedure of the Eyelids, Dr. Loeb stocks his 30 years of expertise within the box. This specified quantity distills the confirmed thoughts of an across the world revered plastic health practitioner. The "Scleral exhibit" bankruptcy is the main whole therapy in this subject and the part on surgical correction of melancholy deformities masterfully demonstrates the author's unique recommendations. Aesthetic surgical procedure of the Eyelids is an imperative instrument for all beauty and reconstructive plastic surgeons.
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2) can also include part of the orbicularis oculi muscle and may be located in both tarsal and septal portions of the lid. Sometimes the slackening is great enough to be confused with underlying fat or muscle hypertrophy. Skin looseness can range from light undulations to large cutaneous waves or festoons (Furnas, 1978) (Fig. 3A). Bulges caused by loose skin can easily be grasped between the thumb and the forefinger and pulled forward without causing ectropion, 30 3. 4. Patient approximately 50 years old presenting with blepharochalasis.
17). 17. At times the exposed portion of the sclera is so large that its correction requires the use of free skin grafts as in repairing an ectropion. A. Preopera- tive view. B-C. Evidence of loss of cutaneous tissue. D. Free skin graft to close the raw area. E. Brown's dressing in place. F. Free graft integrated. 17 2. Scleral Show 26 Additional Reading ASTON SJ: Orbicularis oculi muscle flaps: A technique to reduce crow's feet and lateral canthal skin folds. Plast Reconstr Surg, 1980; 65:206.
D. Bony, at the level of the medial and central thirds of the lower palpebral border. 2. Typical case of loose skin. 3. Skin looseness in both the upper and lower lids. A. Gravity has formed festoons. Those of the upper lids have formed "curtains" in front of the ocular globe. Those of the lower lid are not only in the tarsal but also in the septal portion. B. The palpebral skin is pinched between the thumb and forefinger and pulled forward. One can thus evaluate the excess skin and test its tension and the slackness of the orbicularis oculi muscle.
Aesthetic Surgery of the Eyelids by Raul Loeb M.D. (auth.)