Pearls and Pitfalls in Cosmetic Oculoplastic Surgery

Part I. Preoperative Evaluation

1. Preoperative Evaluation of the Cosmetic Patient
Jemshed A. Khan

2. Evaluation of the Cosmetic Patient
Rona Z. Silkiss

3. Preoperative Patient Counseling for Cosmetic Blepharoplasty
William P. D. Chen

Part II. Anesthesia

4. Guide to Local Anesthetic Medications
Vivian Schiedler, Bryan S. Sires

5. Motor Nerve Blocks in Oculofacial Surgery
Vivian Schiedler, Bryan S. Sires

6. Regional Nerve Blocks in Oculofacial Surgery
Vivian Schiedler, Bryan S. Sires

7. Procedural Sedation in Oculofacial Surgery
Vivian Schiedler, Bryan S. Sires

8. Preoperative Preparation and Anesthesia
William P. D. Chen

9. “Digital Diffusion” Technique for the Administration of Local Anesthetic in Eyelid Surgery
Rona Z. Silkiss

10. Anesthesia for In-Office Oculoplastic Surgery: How We Do It
Brent R. Moody, John B. Holds

Part III. Upper Lid Blepharoplasty

11. Upper Eyelid Blepharoplasty: The Evaluation
Evan H. Black, John D. Siddens, Frank A. Nesi, Shoib Myint, Geoffrey J. Gladstone

12. Preoperative Examination Checklist for Upper Blepharoplasty
Philip L. Custer

13. Preoperative Evaluation and Documentation in Upper Blepharoplasty
Cat Nguyen Burkat

14. Marking Strategies for Upper Blepharoplasty
Guy G. Massry

15. Orbit Size and Lid Marking in Upper Blepharoplasty
Philip L. Custer

16. Incisional Guidelines When Marking the Skin in Upper Eyelid Blepharoplasty
Sheri L. DeMartelaere, Todd R. Shepler, Sean M. Blaydon, Russell W. Neuhaus, John W. Shore

17. Marking the Proposed Upper Eyelid Crease: Determining the Safe Amount of Skin Removal—The Pinch Technique
Jemshed A. Khan

18. Preoperative Measurements in Upper Blepharoplasty: Patient Selection
Jemshed A. Khan

19. Keys to Success When Marking the Skin in Upper Blepharoplasty
John R. Burroughs, Richard L. Anderson

20. Skin Marking in Upper Blepharoplasty—Avoiding Pitfalls
Cat Nguyen Burkat

21. Upper Blepharoplasty: Pearls for the Procedure
Evan H. Black, John D. Siddens, Frank A. Nesi, Shoib Myint, Geoffrey J. Gladstone

22. Fat Excision in Upper Blepharoplasty
Sheri L. DeMartelaere, Todd R. Shepler, Sean M. Blaydon, Russell W. Neuhaus, John W. Shore

23. Mobilizing and Excising the Nasal Fat Pad in Upper Blepharoplasty
Jemshed A. Khan

24. Tissue Removal Considerations in Blepharoplasty Surgery
Rona Z. Silkiss

25. Fewer Hematomas in Upper Blepharoplasty
Martin H. Devoto

26. Blepharoplasty Incisional Modalities: 4.0 Radiowave Surgery vs. CO2 Laser
Joseph Niamtu

27. Fat Preservation and Other Tips for Upper Blepharoplasty
Cat Nguyen Burkat

28. Asian Blepharoplasty
Samuel M. Lam

29. Internal Brow Elevation with Corrugator Removal
John R. Burroughs, Richard L. Anderson

30. Excision of ROOF During Upper Blepharoplasty
Jemshed A. Khan

31. Addressing the Brow During Upper Blepharoplasty
Philip L. Custer

32. Transblepharoplasty Incision Lower Lid Canthopexy
John R. Burroughs, Richard L. Anderson

33. Lower Lid Canthopexy Through Upper Lid Incision
Guy Ben Simon, John D. McCann

34. Avoiding Dog Ears During Upper Blepharoplasty Closure
Peter S. Levin

35. Crease Formation in Upper Blepharoplasty
Philip L. Custer

36. Use of Tissue Adhesive for Oculoplastic Incision Closure
Charles B. Slonim

37. Avoiding or Minimizing Postoperative Swelling
John R. Burroughs, Richard L. Anderson

38. Management of Postblepharoplasty Dry Eye
Morris E. Hartstein

Part IV. Lower Lid Blepharoplasty

39. Lower Eyelid Blepharoplasty: The Evaluation
John D. Siddens

40. Lower Eyelid Blepharoplasty Evaluation: Avoid the Cookie Cutter Approach
Sheri L. DeMartelaere, Todd R. Shepler, Sean M. Blaydon, Russell W. Neuhaus, John W. Shore

41. Three-Step Technique for Lower Lid Blepharoplasty
Joseph A. Mauriello

42. Lower Eyelid Blepharoplasty: Procedure Pearls and Pitfalls
John D. Siddens

43. Lower Blepharoplasty: The Bilamelar Approach
Guy G. Massry

44. The Skin in Lower Lid Blepharoplasty: General Principles
Guy Ben Simon, John D. McCann

45. Incising the Septum over the Nasal, Central, and Lateral Fat Pads in Lower Blepharoplasty
Jemshed A. Khan

46. Prolapsing the Inferior Fat Pads and Fornix in Lower Blepharoplasty
Jemshed A. Khan

47. Identifying the Inferior Oblique in Transconjunctival Blepharoplasty
Jemshed A. Khan

48. Achieving Symmetry in Lower Blepharoplasty Fat Removal
Jemshed A. Khan

49. Hemostasis in Lower Blepharoplasty
Erin L. Holloman, Sterling S. Baker

50. The Treatment of Festoons in Lower Blepharoplasty
Sheri L. DeMartelaere, Todd R. Shepler, Sean M. Blaydon, Russell W. Neuhaus, John W. Shore

51. Fat Repositioning in Lower Blepharoplasty: Less Is More
Sheri L. DeMartelaere, Todd R. Shepler, Sean M. Blaydon, Russell W. Neuhaus, John W. Shore

52. Fat Repositioning in Lower Lid Blepharoplasty: General Principles
Guy Ben Simon, John D. McCann

53. Transconjunctival Lower Lid Blepharoplasty with and Without Fat Repositioning
Guy G. Massry, Paul S. Nassif

54. Transconjunctival Lower Blepharoplasty with Intra-SOOF Fat Repositioning
Yasaman Mohadjer, John B. Holds

55. Lower Lid Blepharoplasty with Fat Repositioning Using a Foam Bolster
Eric A. Steele, Roger A. Dailey

56. Use of Tisseel in Lower Eyelid Blepharoplasty with Fat Repositioning
Asa D. Morton

57. Lower Blepharoplasty with Fat Repositioning Without Sutures
John R. Burroughs, Richard L. Anderson

58. Managing Postblepharoplasty Lower Eyelid Malposition
Michael T. Yen

59. Retroauricular Dermal Spacer Graft for Lower Lid Retraction Repair
Francesco P. Bernardini

60. Mid-Lower Eyelid Tarsoconjunctival Flap-Skin Graft: Treatment of Cicatricial Lower Lid Retraction
John Pak

61. Treatment of Postblepharoplasty Lower Eyelid Retraction with Dermis Fat Spacer Grafting
Bobby S. Korn, Don O. Kikkawa

Part V. Forehead Rejuvenation

62. Which Browlift to Do?
Andrea N. Hass

63. Browlifting: Patient Evaluation
Andrea N. Hass

64. Preoperative Botox for Endoscopic Browlifting
Andrea N. Hass

65. Five Tips for Endoscopic Browlift
Sheri L. DeMartelaere, Todd R. Shepler, Sean M. Blaydon, Russell W. Neuhaus, John W. Shore

66. Anesthesia Options in Endoscopic Forehead Lifting
Andrew S. Eiseman

67. Endoscopic Forehead Rejuvenation: How to Set Up the Operating Room and Trouble Shooting
Asa D. Morton

68. Endoscopic Forehead Rejuvenation: Equipment and Setup
Asa D. Morton

69. Incision Technique for Endoscopic Forehead Elevation
Andrew S. Eiseman

70. Endoscopic Forehead Elevation: Patient Marking and Preparation
Geva Mannor

71. Endoscopic Midforehead Techniques: Improved Outcomes with Decreased Operative Time and Cost
Asa D. Morton

72. Fifteen Principles of Enhanced Success in Endoscopic Browlift
Guy G. Massry

73. Dissection of Central Forehead and Temporal Pocket with Periosteal Release
Don O. Kikkawa

74. Endoscopic Forehead Lifting: Dealing with the Central Brow Depressors
Asa D. Morton

75. Elevation and Fixation of the Lateral Brow and Canthus
Robert G. Fante

76. Fixation Methods in Endoscopic Browlifting
Andrea N. Hass

77. Endosocopic Browlift with Deep Temporal Fixation Only
Paul S. Nassif

78. Tridimensional Brow, Glabella, and Temple Enhancement with Micro Fat Injection During Endoscopic Forehead Rejuvenation
Oscar M. Ramirez, Camilo O. Reyes

79. Scalp Fixation in Endoscopic Browlift
Robert G. Fante

80. Closing and Dressing the Wounds in Endoscopic Browlift
Robert G. Fante

81. Endoscopic Forehead Rejuvenation: Avoiding and Managing Complications
Asa D. Morton

82. The Direct Browlift: Focus on the Tail
John B. Holds

83. Soft Tissue Augmentation of the Temporal Brow in Browlifting Surgery
David E.E. Holck, Jill A. Foster, Manuel A. Lopez, Kevin A. Kalwerisky

Part VI. Mid-Face Lift

84. Mid-Face Lift: General Considerations and How I Do It
Guy G. Massry

85. Ten Rules for Mid-Face Lifting for the Repair of Lid Retraction
Morris E. Hartstein, Guy G. Massry

86. The Subperiosteal Mid-Face Lift Using Bioabsorbable Implants for Fixation
David E. E. Holck, Jill A. Foster, Kevin A. Kalwerisky, Manuel A. Lopez

87. Cheeklifting Pearls
Clinton D. McCord

88. Mid-Face Implants
Joseph Niamtu

Part VII. Botox

89. Introduction to Botox
John R. Burroughs, Richard L. Anderson

90. Evaluating Potential Botox Patients
Samuel M. Lam

91. Botox: General Principles of Treatment
Samuel M. Lam

92. Botox: Where It Works Best
Jemshed A. Khan

93. Preparation of Botox
Jemshed A. Khan

94. Documentation of Treatment: Botox
Jemshed A. Khan

95. Botox Injection Technique
John R. Burroughs, Richard L. Anderson

96. Cosmetic Botox Applications: General Considerations and Dosing
John R. Burroughs, Richard L. Anderson

97. Botox: Avoiding Pitfalls
John R. Burroughs, Richard L. Anderson

98. Botox Injection Techniques: Minimizing Bruising and Discomfort
Jemshed A. Khan

99. Botulinum Toxin Injections Pearls
Rona Z. Silkiss

100. Botox Complications
Jemshed A. Khan

101. Glabella Treatment with Botox
Samuel M. Lam

102. Corrugator and Procerus Rhytid Treatment with Botox
Jemshed A. Khan

103. Frontalis Injection with Botox
Jemshed A. Khan

104. Frontalis Treatment with Botox
Samuel M. Lam

105. Shaping of the Eyebrows with Botox
David F. Horne, Thomas E. Rohrer

106. Botox Injection Techniques: Crow’s Feet
Jemshed A. Khan

107. Orbicularis Oculi Treatment with Botox
Samuel M. Lam

108. Perioral Botox Injections
Jemshed A. Khan

109. Botox Injection to the Lacrimal Gland for the Treatment of Epiphora
R. Jeffrey Hofmann

110. Botox Therapy for Hyperhydrosis: How I Do It
Charles B. Slonim

111. Other Uses of Botox
John R. Burroughs, Richard L. Anderson

112. Botox for Axillary Hyperhydrosis
R. Jeffrey Hofmann

Part VIII. Fillers

113. Optimizing Outcome from Facial Cosmetic Injections and Promoting Realistic Expectations
Leslie Baumann

114. Filler Pearls: General Considerations
John R. Burroughs, Richard L. Anderson

115. List of Fillers
Bradley T. Kovach

116. Dermal Filler Pearls: the Hyaluronic Acids
John R. Burroughs, Richard L. Anderson

117. Radiesse Pearls
John R. Burroughs, Richard L. Anderson

118. Juvederm Pearls: Fine and Superficial Lines
John R. Burroughs, Richard L. Anderson

119. Achieving Beautiful Lip Augmentation
Kimberly J. Butterwick

120. Restylane Injection for the Lower Eyelid Tear Trough
R. Jeffrey Hofmann

121. Liquid Injectable Silicone for the Upper Third of the Face
Derek H. Jones

122. Periocular Injectables with Hyaluronic Acid and Calcium Hydroxyapatite
Robert A. Glasgold, Samuel M. Lam

123. Pearls and Pitfalls of Botox and Filler Substances in the Upper Third of the Face
Seth L. Matarasso

124. Periorbital-Facial Volume Rejuvenation for Focal Deficits
John R. Burroughs, Richard L. Anderson

125. Pearls for Periorbital Fat Transfer
Lisa M. Donofrio

126. Complementary Fat Grafting in the Periorbital Region
Samuel M. Lam, Mark J. Glasgold, Robert A. Glasgold

127. Autogenous Orbicularis and Fat as a Filler
John R. Burroughs, Michael T. Yen, Richard L. Anderson

Part IX. Skin Rejuvenation

128. Skin Care 101: The Basics
Diane S. Berson

129. Retinoids for the Cosmetic Patient
Kenneth R. Beer

130. Evaluation of Skin Lesions in the Cosmetic Patient Made Simple: Actinic Keratosis
Brent R. Moody

131. Chemical Peels for Facial Rejuvenation
Andrew J. Kaufman

132. Nonablative Laser and Light Facial Rejuvenation
Jeffrey S. Dover

133. Mesotherapy for Cosmetic Periocular Enhancement
Samuel M. Lam, Gustavo H. Leibaschoff

134. Skin Rejuvenation Techniques: General Considerations
Erin L. Holloman, Sterling S. Baker

135. CO2 Laser Skin Resurfacing Prophylaxis
Jemshed A. Khan

136. CO2 Laser Resurfacing Immediate Postoperative Care Prior to Complete Epithelialization
Jemshed A. Khan

137. Products Used in CO2 Laser Resurfacing Wound Care: Late Postoperative Care After Complete Epithelialization
Jemshed A. Khan

138. Monopolar Radiofrequency Tissue Tightening
Elizabeth F. Rostan

139. Dual-Mode Erbium-YAG Laser Skin Resurfacing
John B. Holds

140. Fraxel Treatment
Howard Conn

Part X. Thread Lift

141. Pros and Cons of Contour Threads for Upper Facial Rejuvenation
Michael S. Kaminer

142. Periocular Suture Lifts: Brow and Malar Repositioning
Samuel M. Lam

143. Contour Threads Technique Pearls
Michael S. Kaminer

144. Combined Modalities for the Correction of Asymmetric Brow Position
William P. Mack

Part XI. Other Cosmetic Procedures

145. Repair of the Torn Earlobe
Yoash R. Enzer

146. Upper Lip Lift as a Complementary Technique in Facial Rejuvenation
Oscar M. Ramirez, Camilo O. Reyes

147. SMAS Malar Fat Pad Lift with Short Scar Face Lift
Paul S. Nassif, Guy G. Massry

148. Ten Tips for a Reliable and Predictable Deep Plane Facial Rhytidectomy
David E. E. Holck, Jill A. Foster, Kevin A. Kalwerisky, O. Bailey Robertson

Part XII. Functional Lid Malpositions

149. Advantages of Sequential Versus Simultaneous Bilateral Levator Advancement Surgery
Herbert J. Glatt

150. Considerations in Simultaneous vs. Sequential Bilateral Levator Repair
Robert A. Mazzoli

151. Unilateral Levator Resection for Jaw-Winking Ptosis
Stuart R. Seiff

152. Ten Steps to Making Ptosis Surgery More Predictable
Russell S. Gonnering

153. Adjustable Suture Technique for Levator Surgery
Morris E. Hartstein, John J. Woog

154. Tarsal Switch Levator Resection for the Treatment of Myopathic Blepharoptosis
Sheri L. DeMartelaere, Todd R. Shepler, Sean M. Blaydon, Russell W. Neuhaus, John W. Shore

155. Modified Levator Advancement Ptosis Technique
Rona Z. Silkiss

156. Minimally Invasive Ptosis Repair
Francesco P. Bernardini

157. Small Incision External Levator Repair
Mark J. Lucarelli

158. Ptosis Repair by a Single-Stitch Levator Advancement
Don Liu

159. Postoperative Care in Ptosis Surgery
Edsel Ing

160. Pearls for Müller’s Muscle-Conjunctival Resection-Ptosis Procedure Combined with Upper Blepharoplasty
Allen M. Putterman

161. Müller’s Muscle-Conjunctival Resection Pearls: Phenylephrine and Resection Considerations
Melanie H. Erb, Steven C. Dresner

162. Avoiding Lid Contour Abnormalities in Müller’s Muscle-Conjunctival Resection: Recognizing the Lateral Shift
Michael E. Migliori

163. Müller’s Muscle-Conjunctival Resection Procedure Tips
Melanie H. Erb, Steven C. Dresner

164. Minimally Invasive, Three-Step, Transconjunctival Entropion Repair
Francesco P. Bernardini

165. Simple Entropion Repair Using the Orbicularis Strip
Don Liu

166. Simple “Bedside” Cautery Entropion Repair
David J. Singer

167. “Simple-Dimple” Lateral Tarsus Fixation
William L. Walter

168. Lower Lid Retractor Dissection
Jeffrey P. Edelstein

169. Simple Lower Lid Tightening Without Tarsal Strip
Don Liu

170. Technique for Medical Canthal Flap to Correct Lid Retraction/Medial Ectropion
Kathleen M. Duerksen

171. Medial Canthorraphy
Francesco P. Bernardini

172. Myocutaneous Flaps and Canthopexy for Repair of Severe Cicatricial Ectropion
James Leong, Raf Ghabrial

173. Pearls and Pitfalls in Cosmetic Oculoplastic Surgery

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