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Applied Anatomy of the Lower Eyelid Preseptal Space for Treating Ectropion and Retraction with Soft-Tissue Fillers.
[BACKGROUND] Lower eyelid malposition can result from age-related changes, such as ectropion, or postsurgical changes, such as retraction after lower lid blepharoplasty. The current accepted treatment is surgical, but soft-tissue fillers ha…
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Applicability of a sheep model for training in plastic surgery of eyelids and orbit.
[OBJECTIVE] To test the applicability of a fresh tissue model for teaching facial plastic techniques and approaches to the eyelids and orbit. [DESIGN] Observational animal experiments. [SUBJECTS] Ten prepubescent sheep heads harvested fol…
- Corrigendum to "Subtle Eyelid Retraction after Lower Blepharoplasty" [Journal of Plastic, Reconstructive & Aesthetic Surgery, 72 (10), 2019, 1682-1687].
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Observations on the Tear Trough.
[BACKGROUND] The tear trough is a prominent structure of the midface. Many surgical and nonsurgical techniques have been devised to efface this feature. [OBJECTIVES] The aim of this study was to define an aesthetically pleasing tear trough…
- Reply Re: "Orbicularis Retaining Ligament Release in Lower Blepharoplasty: Assessing Efficacy and Complications".
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Objective Comparison of Nasojugal Fold Depth and Lower Eyelid Length After Fat Excision Versus Fat Transpositional Lower Blepharoplasty.
[BACKGROUND] Lower blepharoplasty is one of the most commonly performed aesthetic surgeries in the world. However, there are no studies to directly compare patients who had fat excision vs fat transposition. [OBJECTIVES] The authors sought…
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Subtle Eyelid Retraction after Lower Blepharoplasty.
[BACKGROUND] Lower blepharoplasty is one of the commonest cosmetic surgeries performed in the United States. The delicate balance of the lower eyelid may be detrimentally altered in lower blepharoplasty, leading to lower eyelid retraction w…
- Facial Contouring by Targeted Restoration of Facial Fat Compartment Volume: The Midface.
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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…
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Phi, Fat, and the Mathematics of a Beautiful Midface.
[PURPOSE] The Golden ratio, or Phi, has been used to explain the substrates of two-dimensional beauty utilizing the faces of models. A "Phi point" has been identified at the apex of the cheek mound that can be targeted in filler injections.…
- Management of Lower Eyelid Laxity.
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Vibration anesthesia for the reduction of pain with facial dermal filler injections.
[BACKGROUND] Vibration anesthesia is an effective pain-reduction technique for facial cosmetic injections. The analgesic effect of this method was tested in this study during facial dermal filler injections. The study aimed to evaluate the …
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Breast reduction performed by liposuction.
[BACKGROUND] Large breasts and their functional sequelae can be remedied via breast reduction. This procedure has undergone frequent modification to decrease complications inherent in the large flap-based procedures. Liposuction has fewer c…
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Intraoperative tissue expansion in eyelid reconstruction.
[OBJECTIVE] Chronic tissue expansion is a well-accepted modality for increasing available tissue for reconstructive surgery. In rapid intraoperative tissue expansion (RITE), a tissue expander is used intraoperatively to increase the availab…
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Simultaneous lateral, anterior, and posterior (SLAP) lower-lid blepharoplasty.
We report a hybrid of procedures for correcting the aging lower eyelid--transconjunctival blepharoplasty, skin blepharoplasty, and skin-muscle blepharoplasty--that maximizes the strengths of these procedures while minimizing their shortcomi…
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Monopolar cautery for graft cartilage sculpting in reconstructive eyelid surgery.
We describe a technique for using the monopolar cautery to sculpt ear cartilage to prepare it for use as a graft to reconstruct or support the posterior lamella of the eyelid in oculoplastic procedures. We have used this simple, rapid, and …
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Oculoplastic surgery. An overview.
BACKGROUND. The interface between the subspecialties of dermatologic surgery and oculoplastic surgery is broad. However, there are many commonly seen oculoplastic conditions that are not foremost in the mind of the dermatologic surgeon. OBJ…
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Bulbous-lysing underminers.
The blunt dissection offered by liposuction cannulas has greatly aided surgical undermining such as in face-lift surgery. Herein, we propose a new line of instruments that combines bulbous or blunt dissection with intervening lysing segment…
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A new technique of indirect ophthalmoscopy for the eye plastic surgeon.
The coaxial fiberoptic headlight used by the lacrimal and orbital surgeon is an excellent light source for visualization of the retina. When employed in conjunction with a condensing lens, an inverted stereoscopic aerial image is produced. …
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The preauricular skin graft in eyelid reconstruction.
The skin obtained from the preauricular graft for reconstruction of eyelid and midfacial defects is an excellent tissue and color match for the lower eyelid and medial canthus. This area is an excellent alternative graft site, and its usage…