The Clinical Problem: Prominent Bulging Suborbicularis Oculi Fat Pad and Retro-Orbicularis Oculi Fat Pad ( Fig. 9.1 ) The aging lower eyelid can be a complex and difficult problem to improve aesthetically. There is considerable risk of over-resection of both…
The Clinical Problem ( Fig. 8.1 ) Rejuvenation of the midface was formerly limited to a lower lid blepharoplasty in conjunction with some form of a face lift. Neither adequately addresses the nasojugal groove (also referred to as the tear…
The Clinical Problem Synopsis Upper eyelid blepharoplasty in Asians often refers to double-eyelid plasty and epicanthoplasty because about half of Asians lack an upper eyelid crease, so-called single eyelids. Many procedures for double-eyelid plasty have been reported since the suture…
The Clinical Problem ( Fig. 6.1 ) Introduction The primary physical function of the upper eyelids is protection of the eyes but, together with the eyebrows and forehead, they form an expressive aesthetic unit, with significant social function. Anatomy and…
The Clinical Problem The aging brow that requires an endo brow lift has to be considered within the aging face as a whole if a rejuvenation procedure is to be successful. A high frontal hairline, a brow ptosis causing visual…
The Clinical Problem ( Fig. 4.1 ) Introduction Any patients requesting upper blepharoplasty must have an accurate assessment of the brow, and each portion must be treated according to its merits. Over-resection of the upper eyelid to compensate for brow…
The Clinical Problem—The Aging Face ( Fig. 3.1 ) How Does the Face Age? Each face ages in its own way according to genetics and external factors, such as sun, tobacco, diet, life stress, and illness. ▪ The main phenomena…
Introduction Aesthetic medicine comprises all medical procedures that are aimed at improving the physical appearance and satisfaction of the patient, using noninvasive to minimally invasive cosmetic procedures. These aesthetic procedures consist of: ▪ injections of neurotoxins ▪ dermal fillers/fat grafting…
The Process of Informed Consent Neal R. Reisman MD, JD, FACS The process of informed consent is very important to the practice of plastic surgery. Not only is it a requirement from a legal standpoint, but it should assist in…