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Файл:Ординатура / Офтальмология / Английские материалы / Pearls and Pitfalls in Cosmetic Oculoplastic Surgery_Hartstein, Holds, Massry_2009.pdf
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- •Foreword
- •Preface
- •Contributors
- •Reference
- •2 Evaluation of the Cosmetic Patient
- •The Eightfold Path to Patient Happiness
- •Listen to Your Patient Before Surgery (or you will surely have to listen to them after)
- •Document and Demonstrate
- •Ensure Appropriate Patient Motivation
- •Determine Realistic Surgical Goals
- •Conduct a Thorough Informed Consent
- •Create an Aesthetic Environment
- •Topical Ocular Anesthetics
- •Lidocaine
- •Bupivacaine
- •Epinephrine
- •EMLA
- •Other Topical Anesthetics
- •Bicarbonate
- •Benzyl Alcohol
- •References
- •Facial Nerve Blocks
- •Retrobulbar and Peribulbar Blocks
- •References
- •Sensory Nerve Blocks
- •Lacrimal Nerve Block
- •Frontal Nerve Block
- •Nasociliary Nerve Block
- •Infraorbital Nerve Block
- •Zygomaticofacial Nerve Block
- •Staff
- •Monitoring
- •Minimal Sedation
- •Moderate Sedation
- •Antagonists/Reversal Agents
- •References
- •Selection of Local Anesthesia
- •Selection of Oral Sedative Agent
- •Procedure
- •References
- •19 Keys to Success When Marking the Skin in Upper Blepharoplasty
- •26 Blepharoplasty Incisional Modalities: 4.0 Radiowave Surgery vs. CO2 Laser
- •Study
- •Results
- •References
- •27 Fat Preservation and Other Tips for Upper Blepharoplasty
- •28 Asian Blepharoplasty
- •29 Internal Brow Elevation with Corrugator Removal
- •41 Three-Step Technique for Lower Lid Blepharoplasty
- •Step 1: Transconjunctival Fat Removal
- •Step 3: Resuspension of the Anterior Lamella and Adjacent Malar Fat Pad to the Lateral Orbital Periosteum
- •Rationale for the Three-Step Procedure
- •Pearls
- •References
- •Divide Each Fat Pad Flush with the Orbital Rim—Nasal and Central Fat Pads
- •Divide Each Fat Pad Flush with the Orbital Rim—Lateral Fat Pad
- •Surgical Technique
- •Postoperative Care
- •Complications
- •Comments
- •References
- •54 Transconjunctival Lower Blepharoplasty with Intra-SOOF Fat Repositioning
- •Patient Selection
- •Procedure
- •Postoperative
- •Conclusion
- •References
- •56 Use of Tisseel in Lower Eyelid Blepharoplasty with Fat Repositioning
- •57 Lower Blepharoplasty with Fat Repositioning Without Sutures
- •Fat-Repositioning Procedure
- •References
- •Indications
- •Complications
- •Procedure
- •Stage 1
- •Stage 2
- •Conclusions
- •References
- •61 Treatment of Postblepharoplasty Lower Eyelid Retraction with Dermis Fat Spacer Grafting
- •Surgical Technique
- •References
- •Tumescent Technique
- •Avoiding Anesthetic Toxicity
- •Tumescent Technique
- •References
- •69 Incision Technique for Endoscopic Forehead Elevation
- •Central Incision
- •Paracentral Incisions
- •Temporal Incisions
- •Prevention of Alopecia
- •71 Endoscopic Midforehead Techniques: Improved Outcomes with Decreased Operative Time and Cost
- •Suggested Reading
- •Dissection of Central Forehead Space and Scalp
- •Dissection of Temporal Space
- •Release of Periosteum
- •77 Endosocopic Browlift with Deep Temporal Fixation Only*
- •Endoscopic Browlift with Deep Temporal Fixation Only
- •Temporal Lift
- •Surgical Technique
- •Incisions
- •Release of the Brow Depressor Muscles
- •Brow Elevation and Fixation
- •Results (Before and After Photographs)
- •Introduction
- •Surgical Technique
- •Conclusions
- •References
- •79 Scalp Fixation in Endoscopic Browlift
- •Suggested Reading
- •82 The Direct Browlift: Focus on the Tail
- •Patient Selection
- •Procedure
- •Postoperative
- •Complications
- •Conclusion
- •Introduction
- •Procedure
- •Conclusions
- •References
- •86 The Subperiosteal Mid-Face Lift Using Bioabsorbable Implants for Fixation*
- •References
- •88 Mid-Face Implants
- •105 Shaping of the Eyebrows with Botox
- •Modifying the Position of the Medial Eyebrows
- •Modifying the Position of the Lateral Eyebrows
- •Arching and Lifting the Eyebrows
- •Lowering and Flattening the Eyebrows
- •Treating Eyebrow Asymmetry
- •Pitfalls
- •Conclusion
- •References
- •109 Botox Injection to the Lacrimal Gland for the Treatment of Epiphora
- •113 Optimizing Outcome from Facial Cosmetic Injections and Promoting Realistic Expectations
- •Preparations
- •Posttreatment
- •Expectations
- •115 List of Fillers
- •Consultation
- •Anesthesia
- •Choice of Filler
- •Anatomic Guidelines
- •Technique
- •Summary
- •References
- •121 Liquid Injectable Silicone for the Upper Third of the Face
- •References
- •122 Periocular Injectables with Hyaluronic Acid and Calcium Hydroxyapatite
- •General Principles
- •Hyaluronic Acid (HA)
- •Calcium Hydroxyapatite
- •References
- •125 Pearls for Periorbital Fat Transfer
- •129 Retinoids for the Cosmetic Patient
- •Background
- •Suggested Reading
- •Patient Selection
- •Infrared vs. Pulsed Dye
- •Postoperative Care
- •Choosing a Device
- •KTP or Frequency-Doubled Nd:YAG laser (532 nm)
- •Pulsed-Dye Laser (585 nm, 595 nm)
- •Intense-Pulsed Light Device (500–1200 nm)
- •Long-Pulsed Nd:YAG laser (1064 nm)
- •Fractional Resurfacing Lasers
- •Low Intensity Sources
- •Laser and Light Sources for Skin Rejuvenation
- •Patient Evaluation
- •Surgical Planning
- •Anesthetic Techniques
- •Surgical Procedure
- •Postoperative Care
- •Background
- •Technology
- •Patient Selection
- •Treatment
- •Conclusion
- •Key Elements of Procedure
- •Patient Selection and Preparation
- •Procedure
- •Postoperative
- •Conclusion
- •References
- •145 Repair of the Torn Earlobe
- •Questions to Ask the Patient
- •Basic Principles
- •Surgical Technique for Complete Earlobe Tears
- •Surgical Repair for Partial Torn Earlobes
- •References
- •Introduction
- •Preoperative Markings
- •Technique
- •Discussion
- •Conclusion
- •Reference
- •147 SMAS Malar Fat Pad Lift with Short Scar Face Lift
- •148 Ten Tips for a Reliable and Predictable Deep Plane Facial Rhytidectomy
- •Introduction
- •Tip 1. Marking (Figure 148.1)
- •Tip 2. Skin Flap Dissection (Figure 148.2)
- •Tip 3. Marking the Zygomatic Arch (Figure 148.3)
- •Tip 4. SMAS Flap Creation (Figure 148.4)
- •Tip 5. Creating the SMAS Flap (Figure 148.5 and 148.6)
- •Tip 6. SMAS Flap Fixation (Figure 148.7)
- •Tip 7. Skin Flap Fixation (Figure 148.8)
- •Tip 8. Addressing the Earlobe (Figure 148.9)
- •Tip 9. Skin Excision Tips (Figure 148.10)
- •Tip 10. Addressing the Neck (Figure 148.11)
- •References
- •153 Adjustable Suture Technique for Levator Surgery
- •Surgical Technique
- •Reference
- •154 Tarsal Switch Levator Resection for the Treatment of Myopathic Blepharoptosis
- •Surgical Technique
- •Suggested Reading
- •156 Minimally Invasive Ptosis Repair
- •Mini-invasive Ptosis Surgery
- •Suggested Reading
- •Further Reading
- •158 Ptosis Repair by a Single-Stitch Levator Advancement
- •Reference
- •References
- •171 Medial Canthorraphy
- •Index
Chapter 78 Tridimensional Brow, Glabella, and Temple Enhancement 253
Figure 78.8. Postoperative 3/4 view. Observe the plump and convex glabella as well as the subtle fullness of the brows.
References
1.Ramirez OM. Anchor subperiosteal forehead lift: from open to endoscopic lift. Endoscop Plast Reconstr Surg 2001;107:868–873.
2.Ramirez OM. Why I prefer the endoscopic forehead fift. 1997; Plast Reconstr Surg 100:1033–1039.
3.Ramirez OM. Classification of facial rejuvenation techniques based on the subperiosteal approach and ancillary procedures.Plast Reconstr Surg 1996;97:45–55.
4.Ramirez OM. Endoscopic forehead and face lift: step by step. Plast Reconstr Surg 1995;2:129–136.
5.Ramirez OM. Endoscopic full facelift. Aesth Plast Surg 1994;18:363–371.
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