Complications in Ophthalmic Plastic Surgery by Brian G. Brazzo

By Brian G. Brazzo

This multi-contributed textual content intends to fill a void in ophthalmic literature via taking a look into eyelid and lacrimal surgical procedure problems and their respective remedies. A large variety of ophthalmologists, together with citizens and basic ophthalmologists, will enjoy the direct and concise insurance of the main generally encountered tactics. Key suggestions and examples of issues & remedy, coupled with a variety of colour illustrations, will current the fabrics sincerely to the reader. The textual content addresses problems and provides how you can determine, right, deal with and stop negative effects.

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However, even when such precautions are employed, the device may become dislodged during surgery, thereafter failing to provide adequate protection. It is not always possible to judge the exact location of the underlying shield during eyelid surgery, and injury may occur when deep dissection is performed beyond the edge of the protective device. This is especially concerning when one is working superior to the insertion of the septum onto the levator aponeurosis. If globe perforation occurs, the eye must be protected from undue pressure, which might result in expulsion of ocular contents.

One-third of all patients experience pigmentary changes. 9 Pigmentary changes, though usually transient, can be prolonged and quite noticeable. Regimens to reduce the hyperpigmentation include the use of bleaching agents such as hydroquinone, kojic acid, and 20% azelaic acid (Azelex, Allergan), with or without facial glycolic acid or TCA peeling treatments. Care must be taken to avoid inducing erythema with these treatments, which can result in increased hyperpigmentation. com Hypopigmentary changes are usually permanent and manifest several months after resurfacing.

Com 4 FOREHEAD LIFT •Brian G. Brazzo T he eyebrows and forehead are distinct features of the face. When aesthetically pleasing, they can convey a sense of restfulness, attractiveness, and health. However, with drooping of the eyebrows and contraction of the frontalis muscle, the upper face may appear sad, tired, or angry. Furthermore, a sagging forehead can create heavy upper eyelids, brow ache, and functional eyelid problems. The goals of rejuvenation surgery of the brow and upper forehead include elevation of drooping eyebrows, reduction of excess upper lid skin, elevation of the forehead, reduction of forehead wrinkles, softening of lateral crow’s feet, and correction of eyebrow asymmetry.

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