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Aesthetic Blepharoplasty.
Aesthetic blepharoplasty has undergone a transformative shift from subtractive techniques to those emphasizing tissue preservation and augmentation. This article gives an overview on modern techniques on upper and lower eyelid blepharoplast…
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The Spectrum of Aesthetic Canthal Suspension.
Aesthetic canthal suspension can be an effective adjunct to lower eyelid blepharoplasty. Understanding the anatomy and function of the lateral canthal tendon is critical for preoperative evaluation and surgical decision making. In this arti…
- Invited Discussion on: Mini-incision Blepharoplasty with Pretarsal Fasciectomy for Double Eyelid Surgery.
- Commentary on: The Zoom Boom: How Video Calling Impacts Attitudes Towards Aesthetic Surgery in the COVID-19 Era.
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Modified Selective Neurectomy for the Treatment of Post-Facial Paralysis Synkinesis.
[BACKGROUND] To address functional and smile dysfunction associated with post-facial paralysis synkinesis, the senior author (B.A.) has offered "modified selective neurectomy" of the lower division of the facial nerve as a long-term solutio…
- Commentary on: Objective Comparison of Nasojugal Fold Depth and Lower Eyelid Length After Fat Excision Versus Fat Transpositional Lower Blepharoplasty.
- Commentary on: Achieving a Youthful Midface: Examination of Midface Anatomy Improvement Following Lower Blepharoplasty With Fat Transposition and Transtemporal Midface Lift With Lower Lid Skin Pinch.
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Management of Postblepharoplasty Lower Eyelid Retraction.
Postblepharoplasty lower eyelid retraction is challenging and multifactorial and may occur after transcutaneous lower eyelid surgery. Surgical correction is difficult and unpredictable. Patient psyche is often negatively affected. This comb…
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Complications Associated with Fat Grafting to the Lower Eyelid.
Fat grafting is effectively used in the lower eyelid and periorbital area for rejuvenation of the aging face. Several complications may occur with fat grafting, including volume undercorrection or overcorrection, contour irregularities, pro…
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The Brow Fat Pad Suspension Suture: Safety Profile and Clinical Observations.
[PURPOSE] To evaluate the safety, subjectively assess outcome, and emphasize surgical pearls and critical clinical observations of upper blepharoplasty performed in conjunction with the brow fat pad suspension suture procedure, previously r…
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Current Trends in Upper and Lower Eyelid Blepharoplasty Among American Society of Ophthalmic Plastic and Reconstructive Surgery Members.
[PURPOSE] To assess current practice patterns for management of upper and lower eyelid blepharoplasty by active American Society of Ophthalmic Plastic and Reconstructive Surgery members. [METHODS] An invitation to participate in a web-base…
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Orbicularis Retaining Ligament Release in Lower Blepharoplasty: Assessing Efficacy and Complications.
[PURPOSE] Release of the orbicularis retaining ligament (ORL) has been advocated as a technique to address tear trough deformities. This study sought to compare the effectiveness and morbidity of lower blepharoplasty with and without ORL re…
- Commentary on: Preoperative Use of Neuromodulators to Optimize Surgical Outcomes in Upper Blepharoplasty and Brow Lift.
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Xanthelasma-Like Reaction to Filler Injection.
[PURPOSE] The purpose of this study is to describe a new complication of a xanthelasma-like reaction which appeared after dermal filler injection in the lower eyelid region. [METHODS] A retrospective case analysis was performed on 7 patien…
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Quantitative efficacy of external and internal browpexy performed in conjunction with blepharoplasty.
Browpexy surgery is a minimally invasive surgical adjunct to upper blepharoplasty. The traditional internal (IB) approach is well documented, while the newer external (EB) variant has only recently been described. To date, there is little q…
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Stop Blaming the Septum.
[PURPOSE] To identify if isolated surgical violation of the orbital septum predisposes to "middle lamellar" scarring and subsequent postblepharoplasty lower eyelid retraction. [METHODS] A retrospective review of patients who underwent tran…
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Quantified Incision Placement for Postseptal Approach Transconjunctival Blepharoplasty.
[PURPOSE] This study quantifies the incision location in transconjunctival lower eyelid blepharoplasty to optimize postspetal (direct) access to the eyelid/orbital fat. [METHODS] A retrospective chart review of patients undergoing transcon…
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Minimally invasive surgical adjuncts to upper blepharoplasty.
A variety of surgical adjuncts can be added to upper eyelid blepharoplasty with the goal of enhancing surgical results and patient satisfaction. All of these procedures are minimally invasive and most are performed through a standard eyelid…
- Preface. Lower eyelid and midface aesthetics and rejuvenation: views from four disciplines.
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The minimally invasive, orbicularis-sparing, lower eyelid recession for mild to moderate lower eyelid retraction with reduced orbicularis strength.
IMPORTANCE Identifying a procedure to address lower eyelid retraction (LER) in the presence of an orbicularis deficit is a useful tool for aesthetic and reconstructive eyelid surgery. OBJECTIVE To describe and evaluate a surgical technique …
- Globe retropulsion and eyelid depression (GRED)-a surgeon-controlled, unimanual maneuver to access postseptal fat in transconjunctival lower blepharoplasty.
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New insights into physical findings associated with postblepharoplasty lower eyelid retraction.
[BACKGROUND] Postblepharoplasty lower eyelid retraction (PBLER) has been linked to anterior lamellar shortage, unaddressed eyelid laxity, and middle lamellar scarring. The authors believe there are other, less-appreciated physical findings …
- Brow and upper lid aesthetics and rejuvenation: views from four disciplines.
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Comprehensive lower eyelid rejuvenation.
Historically, lower eyelid blepharoplasty has been a challenging surgery fraught with many potential complications, ranging from ocular irritation to full-blown lower eyelid malposition and a poor cosmetic outcome. The prevention of these c…