By Raul Loeb M.D. (auth.)

At final, a whole reference detailing some of the most normally played beauty facial approaches - aesthetic blepharoplasty. In Aesthetic surgical procedure of the Eyelids, Dr. Loeb stocks his 30 years of expertise within the box. This precise quantity distills the confirmed innovations of an the world over revered plastic general practitioner. The "Scleral convey" bankruptcy is the main whole remedy in this subject and the part on surgical correction of melancholy deformities masterfully demonstrates the author's unique ideas. Aesthetic surgical procedure of the Eyelids is an vital instrument for all beauty and reconstructive plastic surgeons.

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This document should be present in the operating room and easily available during surgery. The success of the blepharoplasty will depend on careful patient examination, an analysis of hislher medical history, and a thorough planning of every procedure. Sedation should always be such that the patient remains calm and can respond to requests to open or close the eyes, to breathe deeply, or to complain of pain when further anesthesia becomes necessary. The progress of the sedation should be planned so that at the end of the surgery the patient is able to care for him/herself.

B, D. Postoperative views. Two Examples of the Treatment of Third Degree Wrinkles in the Septal and Malar Regions Through a Low Elongated Incision Are Shown in Figs. 36. 35. A. Patient needing improvement in palpebral appearance for artistic-professional reasons. There are fat pockets and looseness in both upper and lower lids. In the lower lids the looseness also occupies the lower portion of the lid, invading the upper part of the cheek region. B. Upper eyelids completed. In the lower eyelids we use a low and prolonged incision and do wide undermining.

We will not deal with this subject here, as it has been studied extensively by others. resections. The worst consequences are scleral show and ectropion. In our practice we have managed largely to avoid these, although patients with them are frequently referred to us. In this chapter we will demonstrate the details we use to prevent their occurrence. These procedures should be preceded by careful planning and cautious marking to reduce any possible margin of error. In some cases, in order to eliminate palpebral looseness completely, it is necessary to perform such extra palpebral procedures as peelings and brow liftings (Baker, 1962).

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