Master Techniques in Blepharoplasty
and Periorbital Rejuvenation
Guy G. Massry • Mark R. Murphy
Babak Azizzadeh
Editors
Master Techniques in
Blepharoplasty and
Periorbital Rejuvenation
Foreword by Allen Putterman, MD and Norman Pastorek, MD
Editors |
Mark R. Murphy, MD |
Guy G. Massry, MD |
|
Director |
Director |
Ophthalmic Plastic Surgery |
Palm Beach Facial Plastic Surgery |
Spaulding Drive Cosmetic Surgery and |
Palm Beach Gardens, Florida, USA |
Dermatology |
mrm9002@gmail.com |
Beverly Hills, California, USA |
|
gmassry@aol.com |
|
Babak Azizzadeh, MD |
|
Center for Advanced Facial Plastic Surgery |
|
Assistant Clinical Professor of Surgery |
|
Department of Facial Plastic and |
|
Reconstructive Surgery |
|
David Geffen School of Medicine at UCLA |
|
Beverly Hills, California, USA |
|
md@facialplastics.info |
|
ISBN 978-1-4614-0066-0 e-ISBN 978-1-4614-0067-7
DOI 10.1007/978-1-4614-0067-7
Springer New York Dordrecht Heidelberg London
Library of Congress Control Number: 2011933599
© Springer Science+Business Media, LLC 2011
All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden.
The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. While the advice and information in this book are believed to be true and accurate at the date of going to press, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein.
Printed on acid-free paper
Springer is part of Springer Science+Business Media (www.springer.com)
Foreword
In Master Techniques in Blepharoplasty and Periorbital Rejuvenation, the latest textbook on this specialized area of aesthetic facial surgery, Drs. Massry, Azizzadeh, and Murphy have skillfully combined the talent of various leaders in their fields to create a comprehensive and well-detailed reference. Other texts have described the many considerations and techniques of extended cosmetic blepharoplasty but this book is unique. It provides the most updated and comprehensive information on the discipline. The editors have reached out of the realm of their specific subspecialties and engaged in a multidisciplinary approach by adding the expertise of oculoplastic, facial plastic, and plastic surgeons, in addition to contributions from dermatologists. A textbook on the shared experience of authorities in these fields is a tremendous contribution, has been sorely lacking in the literature, and will add significantly to our approach to and performance of surgery.
I have been privileged to observe the evolution of blepharoplasty through a long career in oculoplastic surgery. During my initial introduction to this subject, there were short chapters on upper and lower blepharoplasty in several textbooks that dealt with all other aspects of oculoplastic surgery or general plastic surgery. The usual description of upper blepharoplasty was to excise large amounts of skin and fat with direct closure of the wound. Lower eyelid blepharoplasty was performed externally with excision of as much fat as could be prolapsed, in addition to significant skin excision. The elevation of the eyebrow was usually accomplished by a direct excision of an ellipse of skin above the brow. It took some time before the complications of lagophthalmos, lower lid retraction and ectropion, hollowing of the lower lid, lowering of the eyebrow, and significant eyebrow scars were noted as problems. With time, we learned to be more conservative in the excision of eyelid skin and fat, to reconstruct upper eyelid creases, to address the lower lid from a transconjunctival approach, to reposition fat, and to horizontally tighten the lower eyelid. We also learned to lift the forehead with small skin incisions in the hairline and with the use of endoscopic-guided technology. Finally, midface lifting and laser resurfacing the eyelid and periorbital areas were added to our armamentarium. This textbook “masterfully” covers all these topics and their evolution in a concise and clear way.
In this text Dr. Massry and colleagues have added chapters on the beautiful eye, the prominent globe, and wound modulation after surgery. These topics are not routinely covered in most standard texts, and are ones which provide information critical to our contemporary understanding of patient evaluation and surgery. In addition, the editors have included sections on brow lifting, blepharoplasty, midface lifting, neuromodulation, volume preservation/replacement with fat and fillers, the management of festoons, and laser incisional surgery and skin resurfacing. The book is truly comprehensive; and like the title of the first chapter, it is an “evolution” in the field. I commend Drs. Massry, Azizzadeh, and Murphy as they are master editors in creating this fine textbook.
Chicago, IL |
Allen M. Putterman, MD |
v
Foreword
This textbook, Master Techniques in Blepharoplasty and Periorbital Rejuvenation, is an anthology of great significance in the advancement of the art and science of aesthetic surgery and in the treatment of the eyelids and periorbita. Much has been written about this area of the face, as it is imperative that the initial recommendations and treatment options be accurate in planning, and exceedingly as perfect in execution. The textbook promotes this supposition. It is well known that no secondary surgery of the face is more difficult than that involving the eyelids. It is not hard to appreciate why in prose, poetry, and song, the eyes more than any other facial feature have been recognized through the ages as the portal of the soul, and a true reflection of our humanity. It is little wonder then, that so many medical and surgical disciplines, such as facial plastic surgery, plastic surgery, oculoplastic surgery, and dermatology, intersect at aesthetic eyelid and periorbital care.
Drs. Guy Massry, Babak Azizzadeh, and Mark Murphy have brought together in this book the brightest and most forward thinking physicians and surgeons whose interest, experience, expertise, and intellectual focus is on beautification and restoration of the aging eye and periorbita. Herein, these experts have given us a view of what is new, innovative, and progressive in aesthetic treatment of the eyelids and periorbital region. They also have looked back to remind us of the essential truths discovered by the masters who have gone before into surgical care of this precious facial real estate. This textbook is truly worthy of its title.
New York, NY |
Norman Pastorek, MD |
vii