Pearls and Pitfalls in Cosmetic Oculoplastic Surgery

Hardcover | April 28, 2009

EditorMorris E. Hartstein, John B. Holds, Guy G. Massry, MD

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This superbly practical quick-reference guide features high-yield snapshots of more than 200 cosmetic procedures. The editors and authors are all expert in their fields and offer "here's how I do it" advice on the most commonly performed procedures. The authors address pre-operative evaluation, procedural pearls, wound healing, complications, and common anesthesia issues. Nearly every case has full color illustrations that bring it to life. Each chapter serves as the voice of an expert and experienced colleague, reminding readers of the pearls and pitfalls of each procedure. These pearls will lead to quicker cases, fewer complications, and more satisfactory outcomes for physicians and patients.

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From the Publisher

This superbly practical quick-reference guide features high-yield snapshots of more than 200 cosmetic procedures. The editors and authors are all expert in their fields and offer "here's how I do it" advice on the most commonly performed procedures. The authors address pre-operative evaluation, procedural pearls, wound healing, complic...

From the Jacket

The dilemma is nearly universal among physicians with busy clinical practices: Information Overload. As textbooks, journal articles, CME programs and certification/recertification exams take time and energy away from practice, the need for cleanly distilled and clinically relevant information becomes more pronounced. Pearls and Pitfall...

Format:HardcoverDimensions:584 pages, 10 × 7.01 × 0.04 inPublished:April 28, 2009Publisher:Springer New YorkLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0387253890

ISBN - 13:9780387253893

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Table of Contents

Part I. Preoperative evaluation.- 1. Preoperative evaluation of the cosmetic patient.- 2. Evaluation of the Difficult Cosmetic Patient.- 3. Preoperative patient counseling for cosmetic blepharoplasty.- Part II. Anesthesia.- 4. Guide to Local Anesthetic Medications.- 5. Motor nerve blocks in oculofacial surgery.-6. Regional nerve blocks in oculofacial surgery.- 7. Procedural Sedation in oculofacial surgery.- 8. Pre-operative preparation and Anesthesia.- 9. Maximizing patient comfort for blepharoplasty with straight local anesthesia.- 10. How to minimize discomfort to the patient when injecting the lids.- 11. Achieving patient comfort in blepharoplasty surgery.- 12. Enhancing patient comfort with local anesthetic.- 13. "Digital Diffusion" Technique for the Administration of Local Anesthetic.- 14. Oculofacial Anesthesia.- 15. Anesthesia for in-office oculoplastic surgery.- Part III: Upper Lid Blepharoplasty.- Section One: Preoperative evaluation.- 16. Upper Eyelid Blepharoplasty: The Evaluation.- 17. Preoperative examination checklist for upper blepharoplasty.- 18. Preoperative measurements in upper blepharoplasty.- 19. Patient evaluation for upper blepharoplasty.- 20. Preoperative Evaluation and documentation in upper blepharoplasty.- Section Two: Incision planning.- 21. Marking strategies for upper blepharoplasty.- 22. Orbit size and lid marking in upper blepharoplasty.- 23. Incisional guidelines when marking the skin in Upper Eyelid Blepharoplasty.- 24. Marking the Proposed Upper Eyelid Crease: Determining the Safe Amount of Skin Removal:The Pinch Technique.- 25. Keys to success when Marking the skin in Upper Blepharoplasty.- 26. Skin marking adjustments in upper lid blepharoplasty.- 27. Preventing web formation during skin marking in upper blepharoplasty.- 28. Skin marking in upper blepharoplasty-avoiding pitfalls.- Section Three: Upper blepharoplasty procedure pearls.- 29. Upper blepharoplasty: Pearls for the Procedure.- .30. Fat excision in upper blepharoplasty.- 31. Mobilizing and Excising the Nasal Fat Pad in upper blepharoplasty.- 32. Tissue removal considerations in Blepharoplasty surgery.- 33. Less hematomas in upper blepharoplasty.- 34. Ellman vs. CO2: which Is better?.- 35. Fat preservation and other tips for Upper blepharoplasty.- Section four: Adjunctive procedures in upper blepharoplasty.- 36. Internal brow lift with corrugator removal.- 37. Trans-blepharoplasty incision browpexy.- 38. Addressing the brow during upper blepharoplasty.- 39. The ROOF in upper blepharoplasty.- 40. Excision of ROOF Fat during upper blepharoplasty.- 41. Transblepharoplasty incision lower lid canthopexy.- 42. Lower lid canthopexy through Upper lid incision.- Section five: Wound closure and post-op care.- 43. Avoiding Dog Ears during Upper Blepharoplasty Closure.- 44. Crease formation in upper blepharoplasty.- 45. Use of Tissue adhesive for blepharoplasty incision closure.- 46. Postoperative care following upper blepharoplasty.- 47. Avoiding or minimizing Postoperative Swelling.- Section six: Special Topics.- 48. Management of post-blepharoplasty dry eye.- 49. Asian Blepharoplasty.- PART IV: Lower Lid Blepharoplasty.- Section One: Preoperative considerations.- 50. Lower Eyelid Blepharoplasty: The Evaluation.- 51. Lower Eyelid Blepharoplasty evaluation-avoid the cookie cutter approach.- 52. The skin in lower lid blepharoplasty-general principles.- Section Two: Procedure pearls.- 53. The treatment of festoons in lower blepharoplasty.- 54. Achieving symmetry in lower blepharoplasty fat removal.- 55. Lower Eyelid Blepharoplasty: Procedure Pearls and Pitfalls.- 56. Incising the septum over the nasal, central, and lateral fat pads in lower blepharoplasty.- 57. Hemostasis in Lower blepharoplasty.- 58. Prolapsing the inferior fat pads and fornix in lower blepharoplasty.- 59. Identifying the inferior oblique in transconjunctival blepharoplasty.- 60. Lower blepharoplasty: the bilamellar approach.- 61. Three-step technique for lower lid blepharoplasty.- Section three: Fat repositioning in lower blepharoplasty.- 62. Fat repositioning in lower blepharoplasty: less is more.- 63. Fat repositioning in lower lid blepharoplasty: general principles.- 64. Transconjunctival Intra-SOOF Fat Repositioning Blepharoplasty.- 65. Use of Tisseel in Lower Eyelid Blepharoplasty with fat repositioning.- 66. Lower Blepharoplasty with fat repositioning without sutures.- 67. Lower Lid Blepharoplasty with fat repositioning with sutures.- 68. Subperiosteal Fat repositioning in lower blepharoplasty.- Section four: management of post-blepharoplasty Lid retraction.- 69. Managing Post-Blepharoplasty Lower Eyelid Malposition.- 70. Retroauricular dermal spacer graft for lower lid retraction repair.- 71. Mid-Lower Eyelid Tarsoconjunctival Flap-Skin Graft: Treatment of Cicatricial Lower Lid Retraction.- 72. Treatment of post-blepharoplasty lower eyelid retraction with dermis fat spacer grafting.- PART V: forehead rejuvenation.- Section One: Preoperative considerations.- 73. Which Brow Lift to Do?.- 74. Brow lifting: patient evaluation.- Section two: endoscopic forehead rejuvenation.- 75. Endobrow lifting: Procedure pearls.- 76. Preoperative Botox for endoscopic browlifting.- 77. Endoscopic Forehead Rejuvenation: How to set up the operating room and trouble- shooting.- 78. Endoscopic Forehead Rejuvenation: Equipment and set up.- 79. Endoscopic forehead elevation: Patient Marking and Preparation.- 80. Anesthesia Options in Endoscopic Forehead Lifting.- Section three: Surgery and fixation pearls.- 81. Incision Technique for Endoscopic Forehead Elevation.- 82. Dissection of Central Forehead and Temporal Pocket With Periosteal Release.- 83. Elevation and Fixation of the Lateral Brow and Canthus.- 84. Elevation and Fixation of the Mid/Central Forehead.- 85. Endoscopic forehead lifting. Dealing With The Central Brow Depressors.- 86. Fixation Methods in endoscopic browlifting.- 87. Endobrow fixation.- 88. 5 tips for Endoscopic Brow Lifting.- 89. Endoscopic Midforehead Techniques: Improved Outcomes With Decreased Operative Time and Cost.- 90. 15 principles of the Endoscopic Browlift.- 91. Endsocopic Brow Lift with Deep Temporal Fixation Only (DTFO).- 92. Tridimensional Brow, Glabella and Temple Enhancement with Micro Fat Injection during Endoscopic Forehead Rejuvenation.- Section four: Closure and postop.- 93. Closing and Dressing the Wounds in endoscopic brow lift.- 94. Endoscopic Forehead Rejuvenation. Avoiding and Managing Complications.- Section five: non-endoscopic brow lifting.- 95. Direct brow lift.- 96. Soft Tissue Augmentation of the Temporal Brow in Brow-lifting Surgery.- Part VI: Midface lift.- 97. Midface lift-general considerations and how I do it.- 98. 10 Rules for Midface lifting for the repair of lid retraction.- 99. The Subperiosteal Midface Lift Using Bioabsorbable Implants for Fixation.- 100. Cheeklifting pearls.- 101. Midface implants.- Part VII: Botox.- Section One: Introduction to Botox.- 102. Introduction to Botox.- 103. Botulinum Toxin Type A: general principles of treatment.- 104. Botox: where it works best.- 105. Evaluating potential Botox patients.- 106. Preparation of Botox.- 107. Botox injection technique.- 108. Botox Injection Techniques: Minimizing bruising and discomfort.- 109. Botulinum Toxin Injections pearls.- Section Two: Cosmetic applications of Botox.- 110. Cosmetic botox applications:general considerations and dosing.- 111. Glabella treatment with Botox.- 112. Perioral botox injections.- 113. Frontalis injection with botox.- 114. Frontalis treatment with Botox.- .115 Corrugator and Procerus Rhytid Treatment with Botox.- 116. Botox Injection Techniques: Crows'-feet injection.- 117. Botulinum Toxin Type A for Cosmetic Periocular Enhancement:general treatmentprinciples.- 118. Orbicularis Oculi treatment with Botox.- 119. Shaping of the eyebrows with botulinum toxin.- 120. Botox Avoiding Pitfalls.- 121. Avoiding Botox complications.- 122. Documentation of Treatment: Botox.- Section Three: Other uses of Botox.- 123. Botox injection to the lacrimal gland for the treatment of epiphora.- 124. Botox for axillary hyperhydrosis.- 125. Botox therapy for hyperhydrosis: how I do it.- 126. Other uses of botox.- Part IX: Fillers.- Section one:Synthetic fillers.- 127. Optimizing Outcome from Facial Cosmetic Injections and Promoting Realistic Expectations.- 128. Filler Pearls: general considerations.- 129. List of fillers.- 130. Restylane Pearls.- 131. Radiesse Pearls.- 132. Captique pearls.- 133. Achieving Beautiful Lip Augmentation.- 134. Restylane injection for the lower eyelid.- 135. Liquid Injectable Silicone for the Upper Third of the face.- 136. Periocular Injectables with Hyaluronic Acid and Calcium Hydroxylapatite,- 137. Pearls and Pitfalls of Botox and Filler Substances in the Upper Third of the Face.- 138. Periorbital-Facial Volume Rejuvenation for Focal Deficits.- Section two: Autologous fillers.- 139. Pearls for Periorbital Fat Transfer.- 140. Introduction to to Complementary Fat Grafting in the Periorbital Region.- 141. Autogenous orbicularis and fat as a filler.- PART X: Skin Rejuvenation.- Section One: skin care.- 142. Skin Care 101: The Basics.- 143. Retinoids for the cosmetic patient.- 144. Evaluation of skin lesions /in the cosmetic patient/made simple: Actinic keratosis.- Section two: Non-ablative.- 145. Chemical Peels for Facial Rejuvenation.- 146. Non-Ablative Laser and Light Facial Rejuvenation.- 147. Mesotherapy for Cosmetic Periocular Enhancement.- Section three: ablative.- 148. Skin Rejuvenation Techniques: general considerations.- 149. CO2 Laser skin resurfacing prophylaxis.- 150. CO2 laser Resurfacing Immediate Post-operative Care - prior to complete epithelialization.- 151. Products used in CO2 laser Resurfacing Wound Care; Late Post-operative Care - after complete epithelialization.- 152. Monopolar Radiofrequency Tissue Tightening.- 153. Dual-mode Erbium laser resurfacing.- 154. Fraxel treatment.- Part XI: Thread Lift.- 155. Pros and Cons of contour threads for upper facial rejunenation.- 156. Periocular Suture Lifts: Brow and Malar Repositioning.- 157. Contour Threads Technique Pearls.- 158. Combined Modalities for the Correction of Asymmetrical Brow Position.- Part XII: Other Cosmetic Procedures.- 159. Repair of the Torn Earlobe.- 160. Upper Lip lift as a Complementary Technique in Facial Rejuvenation.- 161. SMAS malar fat pad lift (SMFPL) with short scar face lift.- 162. Ten Tips for a Reliable and Predictable Deep Plane Facial Rhytidectomy.- PART XIII: Fuctional lid malpositions.- Section One: Ptosis: Anterior approach.- 163. Advantages of sequential vs. simultaneous bilateral levator advancement surgery.- 164. Considerations in Simultaneous vs Sequential Bilateral Levator Repair.- 165. Unilateral levator resection for Jaw Wink Ptosis.- 166. Ten steps to making ptosis surgery more predictable.- 167. Adjustable Suture Technique for Levator Surgery.- 168. Tarsal Switch Levator Resection for the Treatment of Myopathic Blepharoptosis.- 169. Modified levator advancement Ptosis Technique.- 170. Minimally invasive ptosis repair.- 171. Small Incision External Levator Repair.- 172. Ptosis Repair by a Single-Stitch Levator Advancement.- 173. Postoperative care in ptosis surgery.- Section Two: Ptosis: Posterior approach.- 174. Pearls for Muller's Muscle-Conjunctival Resection-Ptosis Procedure Combined With Upper Blepharoplasty.- 175. Muller's muscle-conjunctival resection pearls: Phenylephrine and resection considerations.- 176. Avoiding lid contour abnormalities in Mueller's muscle conjunctival resection (MMCR)-Recognizing the lateral shift.- 177. MMCR procedure tips.- Section three: Entropion.- 178. Minimally-invasive, three-step, transconjunctival entropion repair.- 179. Entropion: Patient Evaluation.- 180. Simple Entropion Repair using orbicularis strip.- 181. Simple "bedside" cautery entropion repair.- 182. Simple Dimple.- Section four: Ectropion.- 183. Lower lid retractor dissection.- 184. Simple lower lid tightening without tarsal strip.- 185. Technique for medical canthal flap to correct lid retraction/medial ectropion.- 186. Medial canthorraphy.- 187. Myocutaneous Flaps and Canthopexy for Repair of Severe Cicatricial Ectropion

Editorial Reviews

From the reviews:"The editors . provide insight that may allow surgeons to perform more efficient, productive, and successful surgeries. . The book is intended for both aspiring surgeons and established surgeons in oculofacial plastic surgery. It is most suitable for those in the more advanced stages of their training . . It would also be of benefit to established surgeons wishing to broaden their knowledge of treating a particular surgical problem. . useful for more experienced surgeons seeking additional insight . to treat a particular surgical problem." (M. Reza Vagefi, Doody's Review Service, September, 2009)