By Raul Loeb M.D. (auth.)
At final, a whole reference detailing the most in general played beauty facial strategies - aesthetic blepharoplasty. In Aesthetic surgical procedure of the Eyelids, Dr. Loeb stocks his 30 years of expertise within the box. This precise quantity distills the confirmed ideas of an across the world revered plastic physician. The "Scleral express" 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 imperative software for all beauty and reconstructive plastic surgeons.
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Additional resources for Aesthetic Surgery of the Eyelids
3. Elongate the incisions laterally. When correcting accentuated "crow's-feet," the incisions should be prolonged laterally to permit ample resection of the tissues there as well as in the malar and zygomatic areas (Fig. 18). Undermining These are the techniques by which the surgeon liberates the palpebral tissue from its subjacent planes to permit easy mobilization. Upper Eyelid. There is no need for undermining in the upper eyelid because the skin can easily be separated from the plane below it.
One univeral trap is gravity, which is basic to the etiology of scleral show and ectropion. It must be treated as a major factor. It is always present, insidiously pulling the lid down whenever the head is upright. With any technical error on the part of the surgeon, gravity will promote or aggravate scleral show. When faced with this defect, the surgeon will have to explain to the patient its cause, and how it can be corrected. For all these reasons, we have dedicated special attention to the problem of scleral show.
C. After having determined the amount of tissue to be resected from the lower lids, one suture is placed in the flap. The head of the patient is then raised to a vertical position. It is then possible to evaluate the level of the lid margin and to detect any eventual scleral show. One can observe the raw area in the lateral third of the lower lid. This raw area results from the suturing of the upper eyelid, which raises the tissues of the lateral third of the lower lid, and also from the action of gravity, which pulls the lower border of the undermined flap downward.