Posts Tagged ‘preoperative evaluation’

Complications in Periocular Rejuvenation

Thorough preoperative evaluation with meticulous surgical planning to achieve facial aesthetic balance between the forehead, eyelids, and midface is imperative to avoid or decrease potential functional and/or cosmetic complications in cosmetic periocular surgery. Before performing surgery, the physician should be aware of the patient’s history of dry eyes, previous facial trauma, previous injection of Botox Cosmetic, history of previous laser-assisted in situ keratomileusis, and past facial surgery. A full evaluation should be performed on the upper eyelid/brow region to assess for the presence of brow ptosis, brow/eyelid asymmetry, dermatochalasis/pseudodermatochalasis, eyelid ptosis, and deep superior sulcus. On the lower eyelid/cheek examination, special attention should be directed to …

Comprehensive Lower Eyelid Rejuvenation

Facial plast Surg 2010; 26: 209-221DOI: 10.1055/s-0030-1254331ABSTRACTHistorically, lower eyelid blepharoplasty has been a challenging surgery fraught with many potential complications, ranging from ocular irritation to full-blown lower eyelid malposition and a poor cosmetic outcome. The prevention of these complications requires a detailed knowledge of lower eyelid anatomy and a focused examination of the factors that may predispose to poor outcome. A thorough preoperative evaluation of lower eyelid skin, muscle, tone, laxity, fat prominence, tear trough deformity, and eyelid vector are critical for surgical planning. When these factors are analyzed appropriately, a natural and aesthetically pleasing outcome is more likely to occur. I have found that performing lower eyelid blepharoplasty…

Comprehensive Lower Eyelid Rejuvenation

Facial plast Surg 2010; 26: 209-221DOI: 10.1055/s-0030-1254331ABSTRACTHistorically, lower eyelid blepharoplasty has been a challenging surgery fraught with many potential complications, ranging from ocular irritation to full-blown lower eyelid malposition and a poor cosmetic outcome. The prevention of these complications requires a detailed knowledge of lower eyelid anatomy and a focused examination of the factors that may predispose to poor outcome. A thorough preoperative evaluation of lower eyelid skin, muscle, tone, laxity, fat prominence, tear trough deformity, and eyelid vector are critical for surgical planning. When these factors are analyzed appropriately, a natural and aesthetically pleasing outcome is more likely to occur. I have found that performing lower eyelid blepharoplasty…