By Henry M. Spinelli
Cornell Univ., big apple urban, long island. Atlas addresses either practical and beauty matters with step by step systems. essentially explains the anatomy, body structure, and pathophysiology and contours summaries of sufferer assessment and administration. makes use of greater than 250 full-color figures, together with a hundred unique clinical illustrations. DNLM: Blepharoplasty--methods--Atlases.
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Extra info for Atlas of Aesthetic Eyelid and Periocular Surgery
My recommendation for correction of involutional entropion uses a few basic techniques already described in this text. The principle is to first address the lower lid laxity and second to address the preseptal orbicularis override. This procedure can be performed quickly, reproducibly, and safely with the patient under 52 local anesthesia and with or without sedation. A lateral canthotomy and cantholysis of the inferior crus of the lateral canthal tendon is performed. The lower eyelid is mobilized with a subtarsal dissection lysing the lateral inferior lid retractors.
A scissors may be introduced to complete the transection, or one may simply use a scalpel. B, Cantholysis is completed with scissors. All the lateral retinacular components are lysed with complete mobilization of the lower eyelid. Note how high the lid can be displaced. A back-cut is created in the mobilized lateral lid just below the tarsal plate margin. C, Beginning with skin, circumferential de-epithelialization of the tarsal strip is undertaken with scissor dissection. Care should be taken to maintain the integrity of the tarsus.
Recurrent herpes zoster may serve as a contraindication to periocular laser therapy, and prophylactic antiviral agents may be indicated before embarking on surgical procedures in patients who are predisposed to these outbreaks. Refractive surgery, which has enjoyed recent popularity, predisposes some patients to dry eyes and glare, which may alter indications and choices for cosmetic procedures. The most important aspect of obtaining a good history is to tailor the surgical procedure to the individual patient.