By Raul Loeb M.D. (auth.)
At final, an entire reference detailing essentially the most quite often played beauty facial techniques - aesthetic blepharoplasty. In Aesthetic surgical procedure of the Eyelids, Dr. Loeb stocks his 30 years of expertise within the box. This special quantity distills the confirmed options of an the world over revered plastic doctor. The "Scleral convey" bankruptcy is the main whole remedy in this subject and the part on surgical correction of melancholy deformities masterfully demonstrates the author's unique thoughts. Aesthetic surgical procedure of the Eyelids is an quintessential device for all beauty and reconstructive plastic surgeons.
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Additional resources for Aesthetic Surgery of the Eyelids
Dislocated upward the tissue of the lateral third In the upper eyelids the marking, incision, of the lower lid, (Fig. 28D, upper arrow), and resection, and suturing are done similarly to that also from the force of gravity, which is acting in a of first-degree wrinkles, that is, in the septal por- contrary direction, pulling the lower border of tion and with a greater width taken from the lat- the undermined flap downward (Fig. 28D, eral third. lower arrow). However, sufficient skin still exists The risks of scleral show and ectropion in the to cover this raw area, as long as there is no tislateral third the lower lids are great because sue resection at this level.
In this patient the defect appears extremely exacerbated. FIGURE always cause for alarm, since the defect can disappear spontaneously and the palpebral border return to its normal position. In some cases, however, the scleral show does not improve and can even become worse, depending on the cause of the problem (Fig. 14). Iatrogenic scleral show will corred itself if it has been caused by edema or hematoma. With healing, these disappear, and the palpebral rim returns to its normal position. If there has been too much skin resected, or if there is improper suturing of the orbital fascia, recovery does not necessarily take place, and the defect can become permanent.
Tion. 5). Other individuals do not have this oblique movements can reach intensities equivaenhanced bone structure, and the skin of the lent to the vertical contractions, thus accounting eyelids tends to wrinkle more rapidly because of for the oblique slant of the wrinkles of the lower lack of sufficient support. lids. The contractions of the orbicularis oculi Because of the opening and closing of the pal- muscle have great influence on the etiology of pebral rim by the action of the levator and the looseness of the skin of the lids because of orbicularis oculi muscles, there are vertical the intimate connections of the muscle with the movements in the upper lids that contribute palpebral skin.