Modified Selective Neurectomy
All patients with postparalytic facial paralysis are at risk of developing synkinesis due to aberrant nerve regeneration. Synkinesis can result in smile dysfunction, tension, and eyelid aperture narrowing due to…
Aesthetic plastic surgery
Temporalis Tendon Transfer Versus Gracilis Free Muscle Transfer
Temporalis tendon transfer (T3) and gracilis free muscle transfer (GFMT) are popular techniques in lower facial rehabilitation when reinnervation techniques are unavailable. T3 involves a single-stage outpatient procedure resulting in…
Nonsurgical Light and Energy–Based Devices
Periorbital rejuvenation is a common reason for patients to seek cosmetic treatment. There are several nonsurgical light and energy–based devices available to treat various aspects of periorbital rejuvenation without risks…
Anatomic Trends and Directions in Periorbital Aesthetic Surgery
The anatomy of the eyelids and periorbital region is delicate. The individual anatomic variations determine each person’s eyelid appearance and function. It is essential that every surgeon that evaluates and…
Perceptions of Patients with Facial Paralysis
The goal of this article is to better understand the social impact of facial paralysis. Patients with facial paralysis may suffer from impaired social interactions, disruption of self-concept, psychological distress,…
Strategies to Improve Cross-Face Nerve Grafting in Facial Paralysis
Cross-face nerve grafting enables the reanimation of the contralateral hemiface in unilateral facial palsy and may recover a spontaneous smile. This chapter discusses various clinically applicable strategies to increase the…
Blepharoptosis Repair: External Versus Posterior Approach Surgery: Why I Select One over the Other
Ptosis surgery is performed via an anterior/external or posterior/internal approach, primarily defined by the eyelid elevator muscle surgically addressed: the levator complex anteriorly or Muller muscle posteriorly. Posterior ptosis surgery…
Transconjunctival Lower Lid Blepharoplasty with and Without Fat Preservation and Skin Resurfacing
Transconjunctival lower lid blepharoplasty is a safe and effective procedure with a low complication rate. Success with this procedure depends on proper patient analysis and selection. The lower lid periorbital…
Treatment Options for Lower Eyelid Festoons
Festoons represent a combination of fluid accumulation and soft tissue laxity in the superolateral cheek. They remain a difficult entity to treat. The ideal treatment for festoons would possess minimal…
A Segmental Approach in Dorsal Preservation Rhinoplasty
Rhinoplasty has become a detail-dependent surgery. With precise techniques better results have been achieved. We are continually searching for the ideal technique to offer predictable, accurate, and desired long-term results….
