Problems in periorbital surgery : a repair manual

330 Pages·2019·21.771 MB·English

by  Nahai, Foad, Wojno, Ted H.

Problems in Periorbital Surgery
A Repair Manual
Foad Nahai, MD, FACS, FRCS (HON)
Maurice. J Jurkiewicz Chair in Plastic Surgery
Professor of Surgery
Emory University School of Medicine
Atlanta, Georgia
Ted H. Wojno, MD
James and Shirley Kuse Professor of Ophthalmology
Director
Oculoplastic and Orbital Surgery
Department of Ophthalmology
Emory University School of Medicine
Atlanta, Georgia
276 illustrations
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Names: Nahai, Foad, 1943- editor. | Wojno, Ted H., editor. mentioned therein or the contraindications stated by the manufac-
Title: Problems in periorbital surgery : a repair manual / [edited by] turers differ from the statements made in the present book. Such
Foad Nahai, Ted H. Wojno. examination is particularly important with drugs that are either
Description: New York : Thieme, [2019] | Includes bibliographical rarely used or have been newly released on the market. Every dosage
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Identifiers: LCCN 2018041465 (print) | LCCN 2018041933 (ebook) |
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ISBN 9781626237704 (eISBN)
Subjects: | MESH: Blepharoplasty—adverse effects | Reconstructive noticed. If errors in this work are found after publication, errata will
Surgical Procedures | Eyelids—surgery | Rejuvenation | Dermal be posted at www.thieme.com on the product description page.
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To Clinton “Sonny” McCord
Our friend and mentor, who shared his knowledge and expertise with us all.
A gift that enables all who undertake periorbital rejuvenation to minimize morbidity and promote patient safety.

Contents
Video Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . x
Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi
Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xii
Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiii
I Clinical Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
1 Management of Complications of Aesthetic Eyelid Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Foad Nahai and Ted H. Wojno
2 Evaluation of the Eyelid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Foad Nahai and Ted H. Wojno
II General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
3 General: Clinical Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Ted H. Wojno
4 Retrobulbar Hemorrhage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Denise S. Kim
5 Periocular Infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Ted H. Wojno
6 Blindness with Blepharoplasty and Injectables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Francesco M. Egro and Foad Nahai
7 Ocular Motility Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Ted H. Wojno
III Upper Eyelid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
8 Upper Eyelid: Clinical Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Ted H. Wojno
9 Scars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Kathleen F. Petro and Brent Hayek
10 The Eyelid Crease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Ted H. Wojno
11 Upper Eyelid Crease Malposition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
William Pai-Dei Chen
12 Postblepharoplasty Ptosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
Andrew Anzeljc and Brent Hayek
13 Full-Thickness Eyelid Resection in the Treatment of Secondary Ptosis . . . . . . . . . . . . . . . . . . . . . . . . . . 83
Allen M. Putterman
vii
Contents
14 The Missed Ptosis in Upper Eyelid Blepharoplasty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
Richard L. Scawn, Sri Gore, and Naresh Joshi
15 Postblepharoplasty Lagophthalmos . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95
H. Joon Kim
16 Correction of Upper Blepharoplasty Overresection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
Oren Tepper, Sergei Kalsow, Elizabeth B. Jelks, and Glenn W. Jelks
17 Upper Blepharoplasty Overresection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
Hisham Seify
18 Underresection of Skin and Fat in Blepharoplasty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
Oren Tepper, Brian Mikolasko, Elizabeth B. Jelks, and Glenn W. Jelks
19 Coronal Foreheadplasty Improves Periorbital Appearance and
Rejuvenation Not Achieved by Facial and Eyelidplasties Alone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118
Jack A. Friedland
IV Chemosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123
20 Chemosis: Clinical Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125
Foad Nahai
21 Chemosis in the Aesthetic Surgery Setting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133
Farzad R. Nahai and Foad Nahai
V Lower Lid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137
22 Lower Lid: Clinical Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139
Ted H. Wojno
23 The Dry Eye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144
Ted H. Wojno
24 Prevention and Treatment of Irregularities of the Lower Eyelids following Fat Grafts . . . . . . . . . . . . . 152
Juan Diego Mejia and Foad Nahai
25 Autogenous Tissue Augmentation: Lower Eyelid Malposition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 158
Glenn W. Jelks and Elizabeth B. Jelks
26 Lower Eyelid Malposition following Aesthetic Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 166
Richard D. Lisman and Alison B. Callahan
27 Round Eye Deformity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173
Gabriele Cáceres Miotto and Clinton McCord
28 Lateral Canthoplasty: Lateral Canthal Tendon Tightening and
Malar Fat Pad Elevation (Mini-Cheek Lift) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 182
Michael Patipa, Michael A. Connor, and Patrick Tenbrink
29 Treatment of Vertical Lower Lid Restriction with Spacers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 192
Dirk Richter and Nina Schwaiger
30 Trauma-Related Lower Eyelid Retraction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 204
Alison B. Callahan and Richard D. Lisman
viii
Contents
31 Lower Lid Retraction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 210
Sri Gore, Richard L. Scawn, and Naresh Joshi
32 Recurrent Lower Eyelid Ectropion: Mastering the Sling Technique . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 222
Jose Rodríguez-Feliz and Mark A. Codner
33 Cicatricial Ectropion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 233
Michelle Barbara Locke
34 The Spectrum of Postblepharoplasty Lower Eyelid Retraction (PBLER) Repair . . . . . . . . . . . . . . . . . . . 241
Raymond Scott Douglas and Guy G. Massry
VI Filler Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 251
35 Filler Problems: Clinical Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 253
Foad Nahai
36 Complications of Periocular Injection: Nodules and Edema . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 255
Carisa K. Petris, Joseph A. Eviatar, and Richard D. Lisman
37 Filler Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 263
Hema Sundaram, Mark R. Magnusson, and Tim Papadopoulos
38 Filler Problems: Vascular Complications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 287
Joseph A. Eviatar, Carisa K. Petris, and Richard D. Lisman
VII Resurfacing Complications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 293
39 Resurfacing Complications: Clinical Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 295
Foad Nahai
40 Laser Resurfacing Burn to the Lower Lid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 296
Ryan Scot Burke and T. Roderick Hester Jr.
VIII Epiphora . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 303
41 Epiphora: Clinical Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 305
Ted H. Wojno
42 Epiphora . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 306
Ted H. Wojno
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 311
ix
Video Contents
4 Retrobulbar Hemorrhage
Video 4 .1 Canthotomy Cantholysis
10 The Eyelid Crease
Video 10 .1 Eyelid Crease
11 Upper Eyelid Crease Malposition
Video 11 .1 Revisional Asian Bleph 28F, prefer nasally-tapered crease, and medium crease height
21 Chemosis in the Aesthetic Surgery Setting
Video 21 .1 “Snipping” to treat chemosis (Reused with permission from Clinton D . McCord, MD Peter
Kreymerman, MD Foad Nahai, MD Joseph D . Walrath, MD . Management of Postblepharoplasty Chemosis .
Aesthetic Surgery Journal; 33(5): 2013:654–661)
27 Round Eye Deformity
Video 27 .1 Lower lid blepharoplasty approach with drill hole cantopexy for correction of round eye d eformity
28 Lateral Canthoplasty: Lateral Canthal Tendon Tightening and Malar Fat Pad Elevation (Mini-Cheek Lift)
Video 28 .1 Canthotomy for repair of lower eyelid retraction
Video 28 .2 Elevation of the midface via resuspension of the orbitomalar ligament (suborbicularis oculi fat lift)
37 Filler Problems
Video 37 .1 Dissolving intravascular hyaluronic acid with hyaluronidase
Video 37.2 Removal of permanent filler with naked optic fiber diode laser (Video courtesy of Daniel Cassuto, MD)
Video 37.3 Outcome of fillers injected above and below the orbitomalar ligament
x