By Henry M. Spinelli
This new, full-color atlas beneficial properties useful suggestions at the administration of an entire variety of aesthetic eyelid issues. analyzing either sensible and beauty matters, it is helping readers opt for the main applicable administration thoughts and to provide their sufferers the very best results. Over 250 colour photos, together with a hundred beautiful unique illustrations, convey readers accurately the right way to practice the ideas described.
- Uses over 250 wealthy, complete colour illustrations and images that convey readers easy methods to practice the methods.
- Clearly explains anatomy, body structure and pathophysiology, that are necessary to the functionality of any surgery.
- Emphasizes id of the pathophysiology and the choice of definitely the right administration approach, as an reduction to reaching the very best consequence each time.
- Contains summaries of sufferer assessment and administration in each one bankruptcy, making details effortless to find.
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Extra resources for Atlas of Aesthetic Eyelid and Periocular Surgery
Examination of a lower eyelid malposition should include a thoughtful examination and assessment of the external, middle, or internal lamellae of the lower eyelid. Cases in which there is a frank deficiency require grafting of either skin (external layer), mucosa (internal layer), or structural support tissue such as tarsal analogues (middle layer). All other cases of lower eyelid malposition can be addressed using a canthopexy with or without other procedures (Figs. 3-3 and 3-4). CANTHOPEXY AND CANTHOPLASTY Because the mainstay of treatment in almost all cases of lower eyelid malposition includes tightening of either the inferior crus of the lateral canthal tendon or repositioning the entire lateral canthal tendon, it would be most appropriate to elaborate on several techniques that are useful in achieving this end.
Once division or disinsertion is performed, then I will use the term canthoplasty. EYELID MALPOSITIONS Figure 3-3 A 51-year-old man presented with lower lid ectropion and secondary conjunctival hyperplasia secondary to exposure. Note the lateral canthus is coplanar with the medial canthus and the intercommissure distance is not substantially shortened, indicating relative lower lid redundancy. Figure 3-4 In this patient ectropion was corrected with a lateral tarsal strip procedure only. Note that both low lid height and malrotation are corrected.
PHYSICAL EXAMINATION Gross physical examination of the patient can begin by simply viewing the patient at a comfortable distance and noting gross anatomic abnormalities and/or normalcy. For example, in viewing the general periocular region including the upper and lower eyelids, one may be looking for proper anatomic position of the upper and lower lids. The upper lid should divide the width of the upper iris in half. That is, the distance between the corneoscleral junction and the pupillary aperture should be bisected by the upper lid.
Atlas of Aesthetic Eyelid and Periocular Surgery by Henry M. Spinelli