China
Africa
Explore chapters and articles related to this topic
Cosmetic Facial Interventions
Published in R James A England, Eamon Shamil, Rajeev Mathew, Manohar Bance, Pavol Surda, Jemy Jose, Omar Hilmi, Adam J Donne, Scott-Brown's Essential Otorhinolaryngology, 2022
In the upper lid skin excess (dermatochalasis), in the early stages it obliterates the natural skin crease, and when advanced results in visual field defects (peripheral in particular) as well as aesthetic changes. In the lower eyelid generally, the aesthetic concerns relate to fat prolapse, resulting in bags under the eyes and elongation of the eyelids, imparting tired a look.
Volumetric Approach to Midfacial Rejuvenation
Published in Neil S. Sadick, Illustrated Manual of Injectable Fillers, 2020
Robert A. Glasgold, Justin C. Cohen, Mark J. Glasgold, Sachin M. Shridharani, Jason D. Meier
Patients seeking rejuvenation of the lower eyelid are usually focused on the appearance of lower lid “bags,” “dark circles” or “hollows” under their eyes, or lower lid skin texture (i.e., rhytides). The earliest signs of aging in the lower lid relate primarily to volume loss with development of shadowing under the eyes. This is usually first noted in the tear trough, at the medial aspect of the orbital rim, before progressing to involve the entire inferior orbital rim. Filling the concavity along the inferior orbital rim will eliminate shadowing and re-establish the smooth contour at the lid–cheek junction (Figure 7.3a and b). However, restoring volume does not improve skin pigment or texture. Patients must understand what will and will not be addressed by the procedure to optimize their satisfaction. At the pretreatment consultation, patient evaluation includes assessing the degree of pseudoherniated lower eyelid fat, volume loss in the orbital rim, skin pigmentation, and presence (and degree) of redundant lower-lid skin/rhytides.
Blepharoplasty
Published in John C Watkinson, Raymond W Clarke, Terry M Jones, Vinidh Paleri, Nicholas White, Tim Woolford, Head & Neck Surgery Plastic Surgery, 2018
The patient’s complaints, goals and expectations should be determined. The patient may be concerned about: loose folds of skinlower eyelid ‘bags’dark circles beneath the eyesskin wrinkles and/or signs of photodamagemalar moundslower eyelid ‘festoons’.
Lower eyelid margin reconstruction: results of five different techniques
Published in Orbit, 2023
Philip L. Custer, Robi N. Maamari, Tiffany C. Ho, Julia B. Huecker, Steven M. Couch
Other methods of eyelid margin reconstruction have been reported and were not included in the current study. Free tarsoconjunctival grafting may be the most popular of these alternative procedures. In 1996 Hawes reported a series of patients undergoing either upper (n = 9) or lower eyelid (n = 36) repair with tarsoconjunctival grafts.9 Minor complications developed in 73% and major complications after 11% of cases. In a later publication, this same author found that patients undergoing lower eyelid reconstruction with free tarsoconjunctival grafts and myocutaneous flaps had a lower incidence of marginal erythema and need for subsequent revision than when a tarsoconjunctival flap was used.10 Lower eyelid malposition (retraction, ectropion) was seen after 9% of tarsoconjunctival graft placement. Paridaens achieved “good or excellent results” in 10/12 patients undergoing lower eyelid reconstruction with an orbicularis flap, supporting both skin and tarsoconjunctival grafts.11 Lower eyelid retraction (marked: n = 1; mild: n = 6) was the most common complication. Other described methods of lower eyelid margin repair include the use of composite grafts, hard palate grafts, full thickness eyelid advancement flaps, and lower eyelid tarsoconjunctival flaps.12
Long term ophthalmic complications of distal arthrogryposis type 5D
Published in Ophthalmic Genetics, 2023
Dana Cohen, Ronen Sloma, Hadas Pizem, Ayalla Fedida, Limor Kalfon, Relli Ovadia, Zvi Segal, Yanir Kassif, Tzippi Falik Zaccai
Their detailed ophthalmology exam showed the DA5D ophthalmic phenotypic features that were considered part of the ECEL1 gene phenotype in the past: myogenic ptosis with poor levator palpebrae function, limitation in up gaze, lagophthalmos, and refractive errors. In addition, a significant lower lid retraction, and inferior scleral show were noted. We have noticed these findings in figures of patients from previous publications (14,16–18)), however they were never reported as part of the phenotypic spectrum of DA5D. Lower lid retraction is most probably due to lower eyelid retractors’ fibrosis. This fibrosis is probably progressive and thus is more pronounced as patients age. Looking at childhood photos of our index patients (Figures 2a and 3a), no inferior scleral show was seen. Furthermore, symptoms of dry eyes and tearing first appeared in their twenties, suggesting that the inferior scleral show developed over time.
Periocular invasive melanoma manifestation in a patient using bimatoprost: case report and literature review
Published in Orbit, 2023
Adam P. Deveau, Flávia Nagel da Silva, Thai Yen Ly, Ahsen Hussain
A 71-year-old female Caucasian patient, with a 3-year history of open-angle glaucoma using bimatoprost exclusively in her right eye, noticed a right lower eyelid/upper cheek area dark lesion. She stated that this lesion had appeared during the period of eye drop use and had grown in size with gradual darkening. Medical records indicated that bimatoprost 0.03% was started in January 2011 and treatment was terminated in November 2014. In June 2014, a dark area of pigmentation on the right lower eyelid was first noted. Our patient confirmed regular use of bimatoprost, including during evolution of the unilateral pigmentation of her skin. This was confirmed with patient photography prior to the period of topical treatment. On account of eye irritation, she was told to discontinue bimatoprost and start a combination of travoprost and timolol maleate eye drops bilaterally.