Asian Blepharoplasty and the Eyelid Crease

Description

Ideal for plastic surgeons, ophthalmologists (oculoplastic), facial plastic and cosmetic dermatologic surgeons, Dr. Chen's Asian Blepharoplasty and the Eyelid Crease was designed to help you master the latest techniques used in this highly popular surgery. Comprehensively updated, this multimedia resource features the addition of eight new chapters covering today's most advanced concepts; 30 video cases with author narration; and enhanced full-color artworks. You'll have access to all the core knowledge necessary in offering spectacular results for those patients undergoing this complex and intricate procedure. Key Features Offers comprehensive coverage of anatomy, surgical approaches, and revision surgery from complications. Over 450 illustrations deliver step-by-step visual guidance. Extensive collection of case studies with before and after patient photos. Appendix tables and comprehensive references provide quick access to key information. Pearls and pitfalls throughout highlight the most important aspects of each chapter. Asian Blepharoplasty and the Eyelid Crease......Page 2 Copyright Page......Page 5 With a contribution from......Page 6 Dedication......Page 7 Video Table of Contents......Page 8 Preface......Page 9 Acknowledgments......Page 11 1 What Is an Upper Lid Crease?......Page 12 References......Page 26 Cosmetic Oculoplastic Surgery: Evolution of Double-Eyelid Cosmetic Surgery in the Japanese Literature......Page 27 References......Page 28 The Upper Lid and Crease......Page 29 Individuals with a Lid Crease......Page 31 The Fat Pads of the Upper Lids......Page 32 The Medial Canthus......Page 39 Upper Tarsus......Page 42 Vascular Supply of the Upper Eyelid......Page 43 Concept of Facial Symmetry......Page 46 References......Page 48 4 The Eyelid Crease......Page 49 External Incision Methods......Page 52 Reference......Page 53 5 Consultation and Counseling......Page 54 The Consultation......Page 55 Shape......Page 56 Continuity and Permanence......Page 57 References......Page 58 Evolution of Double-Eyelid Cosmetic Surgery in the Japanese Literature......Page 59 Variations among Suture Ligation Methods......Page 62 Alternative 1: Full-Thickness Suture Technique (Figure 6-2)......Page 63 Alternative 2: Full-Thickness Suture Technique with Stab Incisions (Figure 6-3)......Page 64 Alternative 3: Transconjunctival Intramuscular Suture Technique (Figure 6-5)......Page 67 Alternative 4: Transcutaneous Intramuscular Suture Technique (without Piercing the Conjunctiva) (Figure 6-6)......Page 68 Alternative 5: Twisted Needle and Compression Method (Transcutaneous and Intratarsal Suturing with Twisted Needle Tracking Method) (Figure 6-7)......Page 69 Alternative 6: Transcutaneous Intradermal and Intratarsal Suturing Technique (Figure 6-8)......Page 71 References......Page 73 7 External Incision Methods......Page 75 Skin–Levator–Skin Approach......Page 76 Levator Aponeurosis to Inferior Subcutaneous Plane......Page 78 References......Page 82 9 Asian Blepharoplasty II: The Second Vector......Page 83 Rotation of Myocutaneous Strip Away From Underlying Levator Aponeurosis and Preaponeurotic Fat Pad, Hinging It Along Superior Tarsal Border......Page 84 Partial Excision of Preaponeurotic Fat (Figure 9-4)......Page 86 Advanced Discussion......Page 87 Treatment of Inferior Edge of Wound (Orbicularis Oculi) (Figure 9-6)......Page 88 Formation of Lid Crease and Closure of Wound......Page 89 Further Reading......Page 91 Depth of Crease......Page 92 Involutional Changes......Page 93 Local Care, Dietary Advice......Page 94 Opening of Orbital Septum......Page 96 Concept of Triangular, Trapezoidal and Rectangular Debulking of Eyelid Tissues......Page 97 References......Page 101 The Concept of a Dynamic Versus a Static Crease......Page 102 Dynamic Interaction of the Pretarsal Platform and the Preaponeurotic Zone......Page 103 Suture Type.......Page 105 Crease-Enhancing Eye Exercises for Patients without a Pre-Existing Crease......Page 106 13 Primary Asian Blepharoplasty Results (Before and After)......Page 116 14 Suboptimal Factors......Page 155 Height......Page 156 Shape......Page 159 Continuity and Permanence......Page 162 The Circle of Suboptimal Parameters, Etiology and Interrelatedness......Page 165 Crease Asymmetry......Page 166 Repair of a Low Crease......Page 167 Repair of Late Obliteration......Page 168 Repair of a Hollow Supratarsal Sulcus......Page 169 A. Patients with Some Redundancy of Skin.......Page 171 A. Patients with Some Redundancy of Skin.......Page 172 Summary of Solutions in Revisional Blepharoplasty......Page 173 Further Reading......Page 177 16 Revisions in Suboptimal Cases......Page 178 17 Advanced Concept of a Glide Zone as It Relates to Upper Lid Crease, Lid Fold and Application in Asian Blepharoplasty......Page 237 References......Page 247 Anesthetic Mixture and Injections......Page 248 Measure Tarsal Height......Page 250 Design of Nasally Tapered Crease Shape (Figure 8-4)......Page 251 Design of Parallel Crease Shape (Figure 8-5)......Page 252 Incision......Page 254 References......Page 256 18 Advanced: Beveled Approach and Mid-Lamellar Clearance in Revisional Asian Blepharoplasty......Page 257 Dynamics of the Upper Eyelid Crease......Page 261 References and Further Reading......Page 265 Anatomic Definition of an Upper Eyelid Crease......Page 266 Upgaze (Figure 19-4)......Page 267 Positive ao......Page 269 Negative ao......Page 270 Angle of Observation (ao)......Page 271 20 Advanced: The Concept of Trasal Tilt - Its Effects in Normal and Abnormal Clinical Conditions......Page 272 Discrepancy between Observed Apparent Crease Height and True Anatomic Crease Height......Page 275 Asian Anatomy......Page 276 Normal Eye Schema......Page 278 Caucasian with 10 mm Tarsus (Figure 20-5)......Page 279 Caucasian with 4 mm Ptosis (Figure 20-6)......Page 280 Caucasian with 2 mm of Upper Lid Retraction (Figure 20-7)......Page 281 Asian with Upper Lid Tarsus of 7 mm (Figure 20-8)......Page 282 Asian Eye with 7 mm Tarsus, with 4 mm Ptosis (Figure 20-9)......Page 283 Asian with 2 mm of Upper Lid Retraction (Figure 20-10)......Page 284 Clinical Applications......Page 285 High Crease......Page 287 Low Crease, Poor Crease Formation......Page 288 Further Mathematical Modeling......Page 289 21 Advanced: Effect of Higt Anchoring of the Crease, Faden-like Effect and Use of Buried Sutures......Page 291 References......Page 300 What Is an Upper Eyelid Crease?......Page 301 Height of Crease......Page 303 Predictors of Crease......Page 308 References......Page 316 23 Advanced Concept of the Eyelid Crease......Page 317 Variation in Function of the Unipoints......Page 322 In Conclusion......Page 323 24 Asian Eyelid Surgery: My Thoughts......Page 324 Medications and Instruments......Page 326 Further Reading......Page 331 25 Treatment of Medial Upper Lid Fold and the Fog Surrounding Epicanthoplasty......Page 332 Solutions for Reduction of Medial Upper Lid Fold in Relation to Crease Shape Design......Page 333 References......Page 337 Surgical Steps......Page 338 A Look to the Future......Page 342 Reference......Page 343 Appendix 1 Pre-1952 Japanese Literature on Cosmetic Eyelid Surgery (in Japanese)......Page 344 Appendix 2 Modern Literature on Asian Eyelid Surgery (in English)......Page 346 Appendix 3 Recent Literature (1998–2014) on Asian Eyelid Surgery (in English)......Page 358 Appendix 4 Recent Literature on Epicanthoplasty (in English)......Page 365 Appendix 5 Aesthetic Effects of Asian Blepharoplasty......Page 371 Appendix 6 Recent Literature on Anatomy......Page 372 Blank Page......Page 1