Download Atlas of Aesthetic Eyelid and Periocular Surgery by Henry M. Spinelli PDF

By Henry M. Spinelli

This new, full-color atlas positive aspects useful counsel at the administration of an entire variety of aesthetic eyelid issues. interpreting either practical and beauty matters, it is helping readers pick out the main applicable administration options and to supply their sufferers the absolute best results. Over 250 colour photos, together with a hundred beautiful unique illustrations, convey readers accurately how you can practice the thoughts described.

  • Uses over 250 wealthy, complete colour illustrations and images that express readers the right way to practice the approaches.
  • 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 the right administration approach, as an reduction to reaching the absolute best end result at any time when.
  • Contains summaries of sufferer overview and administration in each one bankruptcy, making details effortless to find.

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Additional info for Atlas of Aesthetic Eyelid and Periocular Surgery

Sample text

H, The internal orbital rim periosteal flap is engaged and tied down. In this photograph both arms of the sutures have been passed through the periosteum at Whitnall’s tubercle and the lower lid has only been partially pulled into appropriate position. This allows visualization of de-epithelialized tarsus, orbital rim (blackened by cautery use) sutures, and the lower lid being pulled cephalad and posterior. Orbicularis muscle and skin may be repaired following this step. I, Preoperative photograph of patient with lower lid laxity, scleral show, and ectropion.

Also note that intercommissure distance is maintained. 37 A T L A S O F A E S T H E T I C E Y E L I D A N D P E R I O C U L A R S U R G E RY THE MODIFIED LATERAL TARSAL STRIP PROCEDURE The most useful procedure in addressing lower lid malposition and laxity is probably the lateral tarsal strip or tarsal tongue procedure. Although there is a shortening of the lower eyelid in this procedure, it differs from a wedge resection in that a tarsal strip is created, and this will serve as the new inferior crus of the lateral canthal tendon.

I prefer to anchor the tarsal strip to the orbital rim periosteum utilizing a double-armed braided nonabsorbable 4-0 suture on a spatulated semicircular needle; however, other sutures, depending on the surgeon’s preference, are acceptable. The lateral tarsal strip is engaged with the double-armed suture, and each arm of the suture is brought through the internal orbital rim periosteum from Whitnall’s tubercle anteriorly. The path of the sutures will ride between the orbital rim periosteum and the internal orbital bony surface.

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