Background: Cicatricial lower eyelid ectropion is caused by a shortening of the anterior lamella, with resultant eversion away from globe. Treatment typically surgical; however, author hypothesized that nonsurgical injection hyaluronic acid filler could stretch tethered skin and act as tissue expander to correct lid. Methods: Fifteen patients cicatricial were injected below surface affected skin. The followed prospectively for over 1 year outcomes complications. Results: All achieved...

The purpose of this study was to report the use aerosolized fibrin glue in face-lift surgery. A prospective conducted 48 patients undergoing surgery sequentially assigned into two groups. first 24 underwent face lifts without and next with glue. One surgeon (J.P.F.) performed all using same technique. Drains were only used those who did not receive amount bruising edema compared groups, as incidence complications, such hematomas. Operating time also assessed whom had significantly less...

To identify if isolated surgical violation of the orbital septum predisposes to "middle lamellar" scarring and subsequent postblepharoplasty lower eyelid retraction.A retrospective review patients who underwent transconjunctival blepharoplasty in either a postseptal (orbital undisturbed) or preseptal (septal incision required) plane was performed. Patients undergoing skin excision, orbicularis muscle plication, canthal suspension were excluded. The presence clinically apparent postoperative...

A numerical measurement of the length lower eyelid is valuable in understanding aging process lid. This study recorded multiple values for lid to provide average each age group. will allow surgeons better assess and treat lid.Female patients were studied groups every decade starting 20- 29-year-old group ending 90- 99-year-old Twenty assessed a total 160 patients. In group, an was length.The 10.4 mm increased 18.6 steady increase measurements numerically confirms that increases with age. For...

* PURPOSE: 5-FU administered systemically for cancer treatment can cause punctal and canalicular stenosis leading to symptoms of tearing. While some patients receiving have resolution their tearing with cessation the drug, many require surgical lacrimal outflow system. We studied severity in on various treatments required correct METHODS: Nineteen (16 colon 3 breast cancer) who were treated systemic complaints retrospectively. Treatment modalities based evaluated by slit lamp exam, probing...

In Brief Purpose: A youthful female upper eyelid contour includes a concave medial portion of the along with fuller, convex lateral eyelid. The skin in is tight without hooding. This sigmoid shape 3-dimensional terms. With aging, fatty herniation medially redundant, hooded, ptotic creates exact opposite curve. blepharoplasty novel surgical technique that recreates Method: retrospective chart review 142 patients who underwent was conducted. To recreate 3 dimensions, concavity achieved by...

Summary: Autologous fat grafting for blepharoplasty-induced lower eyelid retraction offers potential a long-term solution while avoiding the morbidity associated with posterior lamellar spacer grafts. By combining traditional methods of lifting retracted autologous grafting, both functional and aesthetic concerns can be successfully addressed in these patients.

To characterize satisfaction with current standard-of-care botulinum neurotoxin type A (BoNT/A) treatment for blepharospasm, we performed a cross-sectional, structured survey in subjects blepharospasm who had received ≥2 BoNT/A cycles. Subjects were interviewed immediately before re-injection to evaluate satisfaction, time course of effects, preferred injection intervals, Jankovic Rating Scale (JRS), and Blepharospasm Disability Index (BSDI). Subjects' (n=114) last was onabotulinumtoxinA...

Recently, drugs to treat diabetes, such as semaglutide (Ozempic and Wegovy), tirzepatide (Mounjaro), have been making headlines popular weight-loss drugs. These medications are glucagon-like peptide-1 (GLP-1) agonists stimulate the excretion of insulin, resulting in potential delayed gastric emptying.1 There is a growing body evidence that these delay emptying despite preoperative fasting, which supported by reports residual contents during elective esophagogastroduodenoscopy (EGD).2...

The authors sought to compare the newest U.S. Food and Drug Administration-approved botulinum toxin type A product, incobotulinumtoxinA, onabotulinumtoxinA for upper face wrinkles. This is first prospective, split-face, randomized, double-blind study addressing three types of facial wrinkles using a 1:1 dose ratio.The was designed, institutional review board approval obtained, 45 patients were enrolled. three-judge independent reviewer panel compared photographs validated assessment scales,...

Purpose: A new cross-linked hyaluronic acid (xlHA) gel occlusive device was assessed for safety and efficacy in the treatment of dry eyes. Methods: This an institutional review board-approved, single-site, open-label, prospective study to assess placing xlHA lower canaliculus. Seventy-four participants aged 25–95 years with eyes, who failed artificial tears, were included. Patients corneal slit lamp examination fluorescein staining Schirmer's test, breakup time (TBUT), tear meniscus height...

Precise injection technique is vital for avoiding suboptimal eyebrow position when treating glabellar lines with botulinum toxin type A.The aim of this study was to evaluate the impact on in patients treated DaxibotulinumtoxinA Injection (DAXI).This retrospective post hoc analysis involved 60 adults who received a single treatment DAXI 40 U glabella and had standardized facial photography. Median vertical horizontal displacement brows (at rest) at baseline 2 weeks after were measured. Brow...

Purpose: To describe the management of foreign bodies in orbit and frontal lobe. Methods: Reports two cases. Results: Both patients underwent successful removal an orbital-cerebral body by anterior orbitotomy. Conclusion: Computed tomography was useful to confirm preoperatively that not adjacent cerebral blood vessels monitor postoperatively for hemorrhage. A team approach is necessary orbital-frontal lobe bodies.

Facial filler injection techniques that help decrease the risk of vascular occlusion are an important growing area study. This study demonstrates a model injecting fillers into simulated bifurcated arterial system, using different sized needle gauges at constant pressure.Three facial were injected intravenous tubing with continuous irrigation pressure to simulate system. Videography was used observe for retrograde flow through supratrochlear artery bifurcation point, where redirected by...

<h3>Background</h3> The surgical placement of orbital implants for eviscerations, enucleations, and secondary implantations can cause severe postoperative pain that may not be relieved with high doses narcotics. We analyzed the effectiveness a method control in implant surgery using an epidural catheter connected to patient-controlled analgesia bupivacaine hydrochloride pump. <h3>Methods</h3> One hundred nineteen patients undergoing hydroxyapatite received infusion local anesthetics at...

Background: The purpose of this study was to assess the efficacy laserbrasion (the combination carbon dioxide laser and dermasanding) in removal heavy perioral wrinkles. Methods: Ninety patients underwent for treatment They were assessed clinically by surgeon staff wrinkle reduction, healing, complications. A subset 26 followed more than 1 year long-term effects, especially hypopigmentation. Results: Laserbrasion successful reducing 95 percent wrinkles as compared with 75 seen previously...

Summary: Most choroidal melanomas are diagnosed when the tumor is still relatively small and confined to globe. Rarely, these tumors can escape detection extend through sclera. They reach a large size create significant orbital inflammation. The authors describe 71-year-old man with cellulitis secondary necrotic melanoma that invaded orbit. This had minimal intraocular involvement extrascleral component. On histopathologic analysis, lesion was best classified as spindle B epithelioid areas...

Advanta is a new expanded polytetrafluoroethylene implant with dual porosity that can be used to enhance facial features. It marketed for use in the areas of nasolabial folds, marionette lines, and glabella also augment lips. implants provide quick effective method augmentation. The feel soft natural complication rate low.

Purpose: Tetanus toxin can cause localized neuromuscular weakness, but it also produce systemic tetany. The action of tetanus on the orbicularis muscle has not been studied in animals immunized to prevent Our objective was determine whether could be used treat oculi spasms. Methods: We analyzed clinical, electrophysiologic, and histopathologic effects injected into rabbits with passive immunity toxin. In six rabbits, function both eyes assessed clinically, baseline potential measured...

To study the efficacy of eyelid tissue removed during upper blepharoplasty as a filler graft to augment lips.A prospective involving 14 female patients who underwent lip enhancement with tissue. All CO2 laser and desired fuller lips. The was deepithelialized before implantation in Patients were followed for 6 months, an objective grading scale based on photographs used assess outcomes.In each case, patient's lips substantially at months after surgery. pleased natural feel appearance their...