TABLE OF CONTENTS

 

Pearls and Pitfalls of Cosmetic Oculoplastic Surgery, 2nd Edition

 

Volume Editor(s): Morris E. Hartstein, Guy G. Massry, John B. Holds

 

Part 1: Preoperative Evaluation

 

Ch. 1: Preoperative Evaluation of the Cosmetic Patient

            Jemshed A. Khan

 

Ch. 2: Evaluation of the Cosmetic Patient

            Rona Z. Silkiss

 

Ch. 3: Preoperative Patient Counseling for Cosmetic Blepharoplasty

            William P. Chen

 

 

Part 2: Anesthesia

 

Ch. 4: Cosmetic Oculofacial Pearls to Live By

            Kenneth D. Steinsapir

 

Ch. 5: Guide to Local Anesthetic Medications

            Vivian Schiedler

Bryan S. Sires

 

Ch. 6: Motor Nerve Blocks in Oculofacial Surgery

            Vivian Schiedler

Bryan S. Sires

 

Ch. 7: Regional Nerve Blocks in Oculofacial Surgery

            Vivian Schiedler

Bryan S. Sires

 

Ch. 8: Procedural Sedation in Oculofacial Surgery

            Vivian Schiedler

Bryan S. Sires

 

Ch. 9: Preoperative Preparation and Anesthesia in Blepharoplasty   

            William P. Chen

 

Ch. 10: “Digital Diffusion” Technique for the Administration of Local Anesthetic in Eyelid Surgery

            Rona Z. Silkiss

 

 

Ch. 11: Anesthesia for In-Office Oculoplastic Surgery: How We Do It

            Brent R. Moody

John B. Holds

 

 

Ch. 12: Pain Reduction Using Vibration in Aesthetic injections and in eye and facial plastic surgery

            Sonya Jairaj Wexler

Allan E. Wulc

 

Ch. 13: Tips for Safer, More Effective, and More Comfortable Periocular Anesthetic Injections and Sedation

            John Robert Burroughs

 

Part 3: Upper Lid Blepharoplasty

Section 1: Preoperative Evaluation

 

Ch. 14: Upper Eyelid Blepharoplasty: The Evaluation

            Evan H. Black

Ryan T. Scruggs

John D. Siddens

Frank A. Nesi

Geoffrey J. Gladstone

 

Ch. 15: Preoperative Examination Checklist for Upper Blepharoplasty

            Philip L. Custer

 

Ch. 16: Preoperative Evaluation and Documentation in Upper Blepharoplasty

            Cat Nguyen Burkat

 

Ch. 17: Ten Tips to Avoid the Perils, Pitfalls and Complications of Cosmetic Blepharoplasty

            William P. Mack

 

 

Section 2: Incision Planning

 

Ch. 18: Marking Strategies for Upper Blepharoplasty

            Guy G. Massry

 

Ch. 19: Orbit Size and Lid Marking in Upper Blepharoplasty

            Philip L. Custer

 

 

 

 

Ch. 20: 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

 

Ch. 21: Marking the Proposed Upper Eyelid Crease: Determining the Safe Amount of Skin Removal—The Pinch Technique

            Jemshed A. Khan

 

Ch. 22: Preoperative Measurements in Upper Blepharoplasty: Patient Selection

            Jemshed A. Khan

 

Ch. 23: Keys to Success When Marking the Skin in Upper Blepharoplasty

            John Robert Burroughs

Richard L. Anderson

 

Ch. 24: Skin Marking in Upper Blepharoplasty—Avoiding Pitfalls

            Cat Nguyen Burkat

 

 

Section 3: Upper Blepharoplasty Procedure Pearls

 

Ch. 25: A simple method for more efficient blepharoplasty surgery

            Morris E. Hartstein

Isam Amar

 

Ch. 26: Upper Blepharoplasty: Pearls for the Procedure

            Evan H. Black

Ryan T. Scruggs

John D. Siddens

Frank A. Nesi

Geoffrey J. Gladstone

 

Ch. 27: Blepharoplasty Pearls:  General Tips

            John Robert Burroughs

 

Ch. 28: Fat Excision in Upper Blepharoplasty

            Sheri L. DeMartelaere

            Todd R. Shepler

Sean M. Blaydon

Russell W. Neuhaus

John W. Shore

 

 

Ch. 29: Mobilizing and Excising the Nasal Fat Pad in Upper Blepharoplasty

            Jemshed A. Khan

 

Ch. 30: The Sigmoid Upper Lid Blepharoplasty

            John P. Fezza

 

Ch. 31: Tissue Removal Considerations in Blepharoplasty Surgery

            Rona Z. Silkiss

 

Ch. 32: Fewer Hematomas in Upper Blepharoplasty

            Martin H. Devoto

 

Ch. 33: Blepharoplasty Incisional Modalities: 4.0 Radiowave Surgery vs. CO2 Laser        

            Joseph Niamtu, III

 

Ch. 34: Doing Safe Upper Blepharoplasty Surgery:  When Less is Better

            John Robert Burroughs

 

Ch. 35: Upper Blepharoplasty Pearls

            Morris E. Hartstein

 

Ch. 36: Fat Preservation and Other Tips for Upper Blepharoplasty

            Cat Nguyen Burkat

 

Ch. 37: Upper Eyelid Fat Repositioning

            Donald B. Yoo

Guy G. Massry

 

Ch. 38: Asian Blepharoplasty

            Samuel M. Lam

 

Ch. 39: Upper Lid Blepharoplasty in the Asian Patient

            Cat Nguyen Burkat

Pimkwan Jaru-ampornpan

 

Ch. 40: Recognizing the Differences in Asian Eyelid Anatomy

            Cat Nguyen Burkat

Pimkwan Jaru-ampornpan

 

 

Section 4: Adjunctive Procedures in Upper Blepharoplasty

 

Ch. 41: Transblepharoplasty Internal Brow Elevation with Corrugator Removal

            John Robert Burroughs

Richard L. Anderson

 

Ch. 42: Transblepharoplasty Incision Lower Eyelid Canthoplasty

            John Robert Burroughs

Richard L. Anderson

John D. McCann

 

 

Section 5: Wound Closure and Postoperative Care

 

Ch. 43: Avoiding Dog Ears During Upper Blepharoplasty Closure

            Peter S. Levin

 

Ch. 44: Crease Formation in Upper Blepharoplasty

            Philip L. Custer

 

Ch. 45: Use of Dermabond Tissue Adhesive for Oculoplastic Incision Closure

            Charles B. Slonim

 

Ch. 46: Reducing Postoperative Swelling

            John Robert Burroughs

Richard L. Anderson

 

Ch. 47: Management of Postblepharoplasty Dry Eye

            Morris E. Hartstein

 

Ch. 48: Bump Thermoplasty for Small Benign Eyelid Lesions and Wound Artifacts

            John Robert Burroughs

            Richard L. Anderson

John D. McCann

M. Reza Vagefi

 

Ch. 49: Scar Management

            John Robert Burroughs

Reagan Anderson       

 

 

Part 4: Lower Lid Blepharoplasty

Section 1: Preoperative Considerations

 

Ch. 50: Lower Eyelid Blepharoplasty: The Evaluation

            John D. Siddens

 

 

 

 

 

 

Ch. 51: Lower Eyelid Blepharoplasty Evaluation: Avoid the Cookie Cutter Approach

            Sheri L. DeMartelaere

Todd R. Shepler

Sean M. Blaydon

Russell W. Neuhaus

John W. Shore

 

 

Section 2: Lower Blepharoplasty Procedure Pearls

 

Ch. 52: Lower Eyelid Blepharoplasty: Procedure Pearls and Pitfalls

            John D. Siddens

 

Ch. 53: Lower Lid Blepharoplasty: Transcutaneous verses transconjunctival approach

            Raf Ghabrial

 

Ch. 54: Incising the Septum over the Nasal, Central, and Lateral Fat Pads in Lower Blepharoplasty

            Jemshed A. Khan

 

Ch. 55: Prolapsing the Inferior Fat Pads and Fornix in Lower Blepharoplasty

            Jemshed A. Khan

 

Ch. 56: Identifying the Inferior Oblique in Transconjunctival Blepharoplasty

            Jemshed A. Khan

 

Ch. 57: The ”GRED (Globe Retropulsion and Eyelid Depression)” Maneuver to Access Post-septal Fat in Transconjunctival Lower Blepharoplasty

            Donald B. Yoo

Garrett Griffin

Guy G. Massry

 

Ch. 58: Achieving Symmetry in Lower Blepharoplasty Fat Removal

            Jemshed A. Khan

 

 

Ch. 59: The Treatment of Festoons in Lower Blepharoplasty

            Sheri L. DeMartelaere

Todd R. Shepler

Sean M. Blaydon

Russell W. Neuhaus

John W. Shore

 

Ch. 60: Step by step treatment of post blepharoplasty chemosis

            Martin H. Devoto

Francesco P. Bernardini

Altug Cetinkaya

 

Ch. 61: Chemosis:  Avoidance and Management Tips

            John Robert Burroughs

 

Ch. 62: Making Lower Eyelid Transconjunctival Blepharoplasty Easier, Safer, and More Comfortable

            John Robert Burroughs

 

Ch. 63: Management of Severe Postoperative Bleeding with Hemostatic Matrix

            John Robert Burroughs

 

 

Section 3: Repositioning in Lower Blepharoplasty

 

Ch. 64: Fat Repositioning in Lower Blepharoplasty: Less Is More

            Sheri L. DeMartelaere

Todd R. Shepler

Sean M. Blaydon

Russell W. Neuhaus

John W. Shore

 

Ch. 65: Fat Repositioning in Lower Blepharoplasty: Does the Plane of Fat Transposition Affect The Outcome?

            Donald B. Yoo

Guy G. Massry

 

Ch. 66: Transconjunctival Lower Lid Blepharoplasty with and Without Fat Repositioning

            Garrett R. Griffin

Guy G. Massry

Paul S. Nassif

 

Ch. 67: Fat Pedicle Isolation During Transconjucntival Lower Blepharoplasty With Fat Repositioning: “The Inverse Shoe Shine Sign”

            Guy G. Massry

 

Ch. 68: Transconjunctival Pre-periosteal Fat Repositioning Blepharoplasty

            John B. Holds

Yasaman Mohadjer

 

Ch. 69: Lower Lid Blepharoplasty with Fat Repositioning Using a Foam Bolster

            Eric A. Steele

Roger A. Dailey

 

Ch. 70: Use of Tisseel in Lower Eyelid Blepharoplasty with Fat Repositioning

            Asa D. Morton, III

 

Ch. 71: Lower Blepharoplasty with Non-Suture Fat Repositioning

            John Robert Burroughs

Richard L. Anderson

John D. McCann

 

Ch. 72: The Bustier Lower Lid Blepharoplasty

            John P. Fezza

 

Ch. 73: Lower blepharoplasty: Lift and Fill

            Morris E. Hartstein

Guy G. Massry

 

 

Section 4: Management of Postblepharoplasty Lid Retraction

 

Ch. 74: Managing Postblepharoplasty Lower Eyelid Malposition

            Michael T. Yen

 

Ch. 75: Retroauricular Dermal Spacer Graft for Lower Lid Retraction Repair

            Francesco P. Bernardini

 

Ch. 76: Mid-Lower Eyelid Tarsoconjunctival Flap-Skin Graft: Treatment of Cicatricial Lower Lid Retraction

            John Pak

 

Ch. 77: Treatment of Postblepharoplasty Lower Eyelid Retraction with Dermis Fat Spacer Grafting

            Bobby S. Korn

Don O. Kikkawa

 

Ch. 78: Lateral Canthal Webs

            Guy G. Massry

 

Ch. 79: True Lower Eyelid Retractor Recession as an Adjunct to Lower Lid Recession Surgery

            Donald B. Yoo

Guy G. Massry

 

 

Part 5: Forehead Rejuvenation

Section 1: Preoperative Considerations

 

Ch. 80: Which Browlift to Do?

            Andrea Nowotny Hass

 

Ch. 81: Browlifting: Patient Evaluation

            Andrea Nowotny Hass

 

Ch. 82: Preoperative Botox for Endoscopic Browlifting

            Andrea Nowotny Hass

 

Ch. 83: Forehead and Eyebrow Anatomy and its Continuity with the Eyelid

Guy G. Massry

 

 

Section 2: Endoscopic Forehead Rejuvenation

 

Ch. 84: Five Tips for Endoscopic Browlift

            Sheri L. DeMartelaere

Todd R. Shepler

Sean M. Blaydon

Russell W. Neuhaus

John W. Shore

 

Ch. 85: Anesthesia Options in Endoscopic Forehead Lifting

            Andrew S. Eiseman

 

Ch. 86: Endoscopic Forehead Rejuvenation: How to Set Up the Operating Room and Trouble Shooting

            Asa D. Morton, III

 

Ch. 87: Endoscopic Forehead Rejuvenation: Equipment and Setup

            Asa D. Morton, III

 

Ch. 88: Incision Technique for Endoscopic Forehead Elevation

            Andrew S. Eiseman

 

Ch. 89: Endoscopic Forehead Elevation: Patient Marking and Preparation

            Geva Mannor

 

Ch. 90: Endoscopic Midforehead Techniques: Improved Outcomes with Decreased Operative Time and Cost

            Asa D. Morton, III

 

Ch. 91: Fifteen Principles of Enhanced Success in Endoscopic Browlift

Guy G. Massry

 

Ch. 92: Dissection of Central Forehead and Temporal Pocket with Periosteal Release

            Don O. Kikkawa

 

 

Ch. 93: Endoscopic Forehead Lifting: Dealing with the Central Brow Depressors

            Asa D. Morton, III

 

 

Ch. 94: Elevation and Fixation of the Lateral Brow and Canthus

            Robert G. Fante

 

Ch. 95: Fixation Methods in Endoscopic Browlifting

            Andrea Nowotny Hass

 

Ch. 96: Endoscopic Browlift with Deep Temporal Fixation Only

            Garrett R. Griffin

Paul S. Nassif

 

Ch. 97: Tridimensional Brow, Glabella, and Temple Enhancement with Micro Fat Injection During Endoscopic Forehead Rejuvenation

            Oscar M. Ramirez

Umran Ileri

 

Ch. 98: Scalp Fixation in Endoscopic Browlift

            Robert G. Fante

 

Ch. 99: Closing and Dressing the Wounds in Endoscopic Browlift

            Robert G. Fante

 

Ch. 100: Endoscopic Forehead Rejuvenation: Avoiding and Managing Complications

            Asa D. Morton, III

 

 

Section 3: Nonendoscopic Browlifting

 

Ch. 101: The Direct Browlift: Focus on the Tail

            John B. Holds

 

Ch. 102: Soft Tissue Augmentation of the Temporal Brow in Browlifting Surgery

            David E.E. Holck

Jill Foster

Manuel A. Lopez

Kevin A. Kalwerisky

 

Ch. 103: In-Office Brow and Forehead Lifting By A Quick Multi-Incision Trichophytic Approach

            John Robert Burroughs

 

 

 

Ch. 104: Temporal Subcutaneous Brow Lift

            Morris E. Hartstein

Isam Amar

 

Ch. 105: The external browpexy: A minimally invasive brow lifting or stabilization procedure

            Guy G. Massry

 

 

Part 6: Mid-Face Lift

 

Ch. 106: Mid-Face Lift: General Considerations and How I Do It

            Guy G. Massry

 

Ch. 107: Ten Rules for Mid-Face Lifting for the Repair of Lid Retraction

            Morris E. Hartstein

Guy G. Massry

 

Ch. 108: The Subperiosteal Mid-Face Lift Using Bioabsorbable Implants for Fixation

            David E.E. Holck

Jill Foster

Kevin A. Kalwerisky

Manuel A. Lopez

 

Ch. 109: Cheeklifting Pearls

            Clinton D. McCord, Jr.

 

Ch. 110: Preperiosteal Midface Lift Through Transtemporal Approach

            Allan E. Wulc

Dallas R. Buchanan

 

Ch. 111: Maintaining Lateral Wound and Canthal Regularity in External Midface Lifts

            Jeremiah P. Tao

Guy G. Massry

 

Ch. 112: Cheek Implants

            Joseph Niamtu, III

 

 

Part 7: Botox

 

Ch. 113: Introduction to Botulinum Toxin

            John Robert Burroughs

Richard L. Anderson

 

 

Ch. 114: Evaluating Potential Patients for Neurotoxin

            Samuel M. Lam

 

Ch. 115: Neurotoxin: General Principles of Treatment

            Samuel M. Lam

 

Ch. 116: Botox: Where It Works Best

            Jemshed A. Khan

 

Ch. 117: Preparation of Botox

            Jemshed A. Khan

 

Ch. 118: Documentation of Treatment: Botox

            Jemshed A. Khan

 

Ch. 119: Botulinum Toxin Injection Technique

            John Robert Burroughs

Richard L. Anderson

 

Ch. 120: Cosmetic Botulinum Toxin Applications:  General Considerations and Dosing

            John Robert Burroughs

Richard L. Anderson

 

Ch. 121: Botulinum Toxin: Avoiding Pitfalls

            John Robert Burroughs

Richard L. Anderson

 

Ch. 122: Botox Injection Techniques: Minimizing Bruising and Discomfort

            Jemshed A. Khan

 

Ch. 123: Botulinum Toxin Injections Pearls

            Rona Z. Silkiss

 

Ch. 124: Botox Complications

            Jemshed A. Khan

 

Ch. 125: Glabella Treatment with Neurotoxin

            Samuel M. Lam

 

Ch. 126: Corrugator and Procerus Rhytid Treatment with Botox

            Jemshed A. Khan

 

Ch. 127: Frontalis Injection with Botox

            Jemshed A. Khan

 

 

Ch. 128: Frontalis Treatment with Neurotoxin

            Samuel M. Lam

 

Ch. 129: Shaping of the Eyebrows with Botulinum Toxin Type A (BoNT-A)

            Deanne Mraz Robinson

David F. Horne

Thomas E. Rohrer

 

Ch. 130: Botox Injection Techniques: Crow’s Feet

            Jemshed A. Khan

 

Ch. 131: Orbicularis Oculi Treatment with Neurotoxin

            Samuel M. Lam

 

 

Ch. 132: Perioral Botox Injections

            Jemshed A. Khan

 

Ch. 133: Botulinum Toxin Type A Cosmetic:  How to Achieve Precise and Predictable Results

            José Raúl Montes

 

Ch. 134: Botox Injection to the Lacrimal Gland for the Treatment of Epiphora

            R. Jeffrey Hofmann

 

Ch. 135: Botox Therapy for Hyperhydrosis: How I Do It

            Charles B. Slonim

 

Ch. 136: Other Uses of Botulinum Toxins

            John Robert Burroughs

Richard L. Anderson

John D. McCann

 

Ch. 137: Botox for Axillary Hyperhydrosis

            R. Jeffrey Hofmann

 

Ch. 138: Use of Incobotulinum toxin A (Xeomin) for cosmetic facial rejuvenation

            Steven M. Couch

 

Ch. 139: Management of Benign Essential Blepharospasm

            Julie A. Woodward

Veena Rao

 

 

 

 

Part 8: Fillers

 

Ch. 140: Optimizing Outcome from Facial Cosmetic Injections and Promoting Realistic Expectations

            Leslie Baumann

 

Ch. 141: Pearls and Pitfalls of Injectable Facial Fillers

            Nicholas A. Ramey

Cat Nguyen Burkat

 

Ch. 142: Table of Fillers

            Brad T. Kovach

 

Ch. 143: Dermal Filler Pearls:  The Hyaluronic Acids

            John Robert Burroughs

Richard L. Anderson

John D. McCann

 

Ch. 144: Radiesse® Pearls:  General Tips for Safer, More Comfortable, and Better Results

            John Robert Burroughs

Richard L. Anderson

 

Ch. 145: Belotero Pearls

            Morris E. Hartstein

 

Ch. 146: Hyaluronic Acid Pearls:  Fine and Superficial Lines

            John Robert Burroughs

Richard L. Anderson

 

Ch. 147: Achieving Beautiful Lip Augmentation

            Kimberly J. Butterwick

 

Ch. 148: Restylane Injection for the Lower Eyelid Tear Trough

            R. Jeffrey Hofmann

 

Ch. 149: Liquid Injectable Silicone for the Upper Third of the Face

            Derek H. Jones

 

Ch. 150: Periocular Injectables with Hyaluronic Acid and Polymethyl Methacrylate using  microcannulas

            Samuel M. Lam

 

Ch. 151: Novel Uses for Hydroxylapatite (Radiesse®) Filler:  Beyond the Facial Folds

            John Robert Burroughs

Richard L. Anderson

John D. McCann

 

Ch. 152: Pearls and Pitfalls of Botox and Filler Substances in the Upper Third of the Face

            Seth L. Matarasso

 

Ch. 153: Lower Eyelid Rejuvenation:  A Pictorial Management Guide

            John Robert Burroughs

Richard L. Anderson

 

Ch. 154: Upper Eyelid Volumization with Hyaluronic Acid

            Robert A. Glasgold

Mark J. Glasgold

David J. Gerth

 

Ch. 155: Correcting the upper eyelid hollow with filler

            Morris E. Hartstein

 

Ch. 156: Pearls for Periorbital Fat Transfer

            Lisa M. Donofrio

 

Ch. 157: Volumetric Rejuvenation of the Tear Trough with fat transfer to Ristow’s space

            Morris E. Hartstein

 

Ch. 158: Complementary Fat Grafting in the Periorbital Region

            Samuel M. Lam

Mark J. Glasgold

Robert A. Glasgold

 

Ch. 159: Autogenous Orbicularis and Fat as a Filler

            John Robert Burroughs

Michael T. Yen

Richard L. Anderson

John D. McCann

 

 

Part 9: Skin Rejuvenation

Section 1: Skin Care

 

Ch. 160: Skin Care 101: The Basics

            Diane S. Berson

 

Ch. 161: Retinoids for the Cosmetic Patient

            Kenneth R. Beer

Jacob I. Beer

 

Ch. 162: Evaluation of Skin Lesions in the Cosmetic Patient Made Simple: Actinic Keratosis

            Brent R. Moody

 

 

Section 2: Nonablative Therapy

 

Ch. 163: Chemical Peels for Facial Rejuvenation

            Andrew J. Kaufman

 

Ch. 164: Nonablative Laser and Light Facial Rejuvenation

            Jeffrey Steven Dover

 

 

Section 3: Ablative Therapy

 

Ch. 165: Ablative resurfacing-general considerations

            Morris E. Hartstein

 

Ch. 166: CO2 Laser Skin Resurfacing Prophylaxis

            Jemshed A. Khan

 

Ch. 167: CO2 Laser Resurfacing Immediate Postoperative Care Prior to Complete Epithelialization

            Jemshed A. Khan

 

Ch. 168: Products Used in CO2 Laser Resurfacing Wound Care: Late Postoperative Care After Complete Epithelialization

            Jemshed A. Khan

 

Ch. 169: Ablative Fractional Laser Skin Resurfacing

            E. Jason Sabet-Peyman

Julie A. Woodward

 

Ch. 170: Fractionated CO2 Laser Skin Resurfacing

            John B. Holds

 

Ch. 171: Monopolar Radiofrequency Tissue Tightening

            Elizabeth F. Rostan

 

Ch. 172: Dual-Mode Erbium-YAG Laser Skin Resurfacing

            John B. Holds

 

Ch. 173: Fraxel Treatment

            Howard Conn

 

Part 10: Other Cosmetic Procedures

 

Ch. 174: Repair of the Torn Earlobe

       &