Abstract:
:A straightforward approach to ptosis in a patient interested in aesthetic blepharoplasty is presented. Beginning with an explanation of how ptosis often becomes apparent after an aesthetic surgery of the upper lid, this article describes functional anatomy of the eyelid relevant to ptosis, and discusses the various causes of ptosis, examination of the patient presenting with a drooping lid, aspects the surgeon should be aware of from the patient's perspective of this problem, and surgical options and techniques. The author describes in step-by-step detail external levator aponeurosis resection, pretarsal aponeurosis resection, Müller muscle-conjunctival resection, the complications that can arise with these procedures, and aftercare required.
journal_name
Clin Plast Surgjournal_title
Clinics in plastic surgeryauthors
Martin JJ Jrdoi
10.1016/j.cps.2012.06.007subject
Has Abstractpub_date
2013-01-01 00:00:00pages
201-12issue
1eissn
0094-1298issn
1558-0504pii
S0094-1298(12)00084-3journal_volume
40pub_type
杂志文章,评审abstract::The deep-plane midface lift offers many advantages in midface rejuvenation. Anatomic analysis of aging and embryologic evidence both support surgical facial “degloving” in the sub-SMAS plane and resuspension of the platysma/SMAS unit. This approach offers more complete repositioning of facial soft tissue compared with...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2014.08.009
更新日期:2015-01-01 00:00:00
abstract::In our litigious medical environment, and particularly after the breast implant debacle, plastic surgeons must understand the regulatory implications of devices they implant in their patients. This article reviews the regulatory aspects of ultrasound-assisted lipoplasty and the regulatory fundamentals that apply to al...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1999-04-01 00:00:00
abstract::Clinically objective assessment of the occlusal function remains largely, even today, in the research laboratory instead of in the clinical setting, as part of the routine assessment along with the morphologic documentation. Functional outcomes of the stomatognathic system can be measured in terms of occlusal contact ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2007.04.003
更新日期:2007-07-01 00:00:00
abstract::An 18-month experience with an endoscopically assisted "closed" technique of modified transblepharoplasty lower lid and midface rejuvenation is presented. In the modified approach, preseptal dissection in the body of the lower lid is eliminated to decrease the incidence of septal scarring and lower lid retraction. The...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:2001-10-01 00:00:00
abstract::The early experience of hand transplantation has yielded a mixture of successes and failures. No life-threatening adverse effects have been encountered from immunosuppression, yet additional medications were required in some cases with unknown long-term efficacy or side effects. Limited functional returns have been ob...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2005.05.005
更新日期:2005-10-01 00:00:00
abstract::Human bites of the lips are very common. If less than 10 mm in size, they are treated conservatively and if greater, are treated surgically. Many lip bites are treated immediately, when infection is present, surgery is performed a few days later. ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1984-10-01 00:00:00
abstract::An angiosome is a composite block of tissue that is supplied anatomically by source (segmental or distributing) vessels that span between the skin and bone. In addition to supplying the deep tissues, the source vessels of these angiosomes supply branches to the overlying skin, which pass either between the deep tissue...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/s0094-1298(03)00034-8
更新日期:2003-07-01 00:00:00
abstract::This article presents our approach to performing an endoscopically assisted facelift. The advantages of the subperiosteal dissection are discussed. The procedure is expoused considering different approaches and variations depending on each particular case. Surgical procedures for the forehead, cheeks, and neck are dis...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1997-04-01 00:00:00
abstract::Diabetes mellitus is a complex metabolic disorder whose components have several direct and indirect effects on the healing of wounds. This article examines how diabetes affects wound healing from the standpoint of alterations in the microvasculature, nerve function, and the immune system. ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1990-07-01 00:00:00
abstract::Although breast augmentation is a procedure with a high patient satisfaction rate, at some point in time, some patients will need a revision. A better understanding of what leads to revisions is desirable to determine whether the frequency of revisions can be reduced. With that in mind, we reviewed all revisions in a ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:10.1016/j.cps.2008.07.001
更新日期:2009-01-01 00:00:00
abstract::Although the weight of evidence generally indicates that improved contracture rates with retropectoral placement of the prosthesis and excellent aesthetic results can be obtained with this approach, there remains a significant cadre of surgeons who believe their own retromammary results are equal to or better than the...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1988-10-01 00:00:00
abstract::Our favorable experience with use of porous hydroxyapatite granules to augment the craniofacial skeleton (more than 200 patients during an 8-year period) has led us to use this method to augment the nasal skeleton in selected cases. Extensive experience has been achieved in augmenting the perialar, maxilla, and glabel...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1996-04-01 00:00:00
abstract::Facial feminization surgery was pioneered in the 1980s to provide options for trans women who were having difficulty with their outward appearance. This process presented a novel application of craniofacial surgery at the time. This text outlines the basic differences between male and female facial morphology, as well...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2018.03.005
更新日期:2018-07-01 00:00:00
abstract::The advantages rendered by corrective osteotomies that mobilize large segments of the craniofacial complex, including the forehead, orbits, and maxillae, exceed those of any partial correction in this particular region. This fact has been fully demonstrated in recent years by different authors. An inconvenience of ear...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1989-01-01 00:00:00
abstract::The temporal fossa, zygomatic arch, and malar-midface should be considered jointly when augmentation of the temporal area or reduction of the zygomatic arch are to be carried out. These anatomic areas relate so closely to one another that altering one affects the other. In addition, augmentation of the malar-midface a...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1991-01-01 00:00:00
abstract::The aim of reconstruction after resection of head and neck tumors is to achieve acceptable functional and esthetic results with minimal donor site morbidity. Although many flaps have been developed for bone and soft tissue reconstructions, our experience in the past years has identified the anterolateral thigh flap (c...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2005.02.006
更新日期:2005-07-01 00:00:00
abstract::Diagnosis and proper initial management of acute fractures of the carpal bones is critical because of the limited blood supply of many bones of the wrist and the role of the carpus in optimizing hand function. Pathology is correctly diagnosed by a focused history and examination. Injuries may be missed with a cursory ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2019.03.007
更新日期:2019-07-01 00:00:00
abstract::Cancer of the nose is very common and lesions seen by reconstructive surgeons are often recurrent and extensive. Surgical removal of cancer of the nasal skin can usually be accomplished under local anesthesia, and in most instances frozen section histologic examination should be used to confirm the adequacy of excisio...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1976-07-01 00:00:00
abstract::Anatomic implants provide useful alternatives to breast augmentation for the discerning surgeon, particularly in breasts with tight skin envelopes or deficient lower poles. ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:2001-07-01 00:00:00
abstract::The apparent simplicity of liposuction and the ease with which it is performed, may lull the novice plastic surgeon into overlooking the evolutionary developments that have brought it to today's level of popularity in body contouring surgery. Patients who may benefit from liposuction range widely from the thin patient...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:10.1016/j.cps.2005.09.003
更新日期:2006-01-01 00:00:00
abstract::Assessing risk and avoiding complications in breast reduction requires a meticulous history, systematic physical examination, management of expectations, and careful consideration and execution of operative technique. Attention should be paid to comorbidities. Shape, symmetry, contours, scar location, skin quality, ni...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2015.12.007
更新日期:2016-04-01 00:00:00
abstract::Asian rhinoplasty differs from traditional rhinoplasty approaches in preoperative analysis, patient expectations, nasal anatomy, and surgical techniques used. Platyrrhine nasal characteristics are common, with low dorsum, weak lower lateral cartilages, columellar retraction, and thick sebaceous skin often noted. Typic...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:10.1016/j.cps.2009.12.008
更新日期:2010-04-01 00:00:00
abstract::Fundamental principles of management of breast burns begin with recognition and preservation of any viable breast bud tissue. Reconstruction begins when the burned breast envelope is insufficient to allow unrestricted breast development. Complete contracture release is obtained by incision or excision of the restricti...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:2000-01-01 00:00:00
abstract::Over the past 3 years the authors have used modified minimally invasive endoscopic techniques in the surgical correction of craniosynostosis. For selected patients, these techniques offer an alternative to traditional techniques, minimizing postoperative morbidity and the need for cranial banding. Long-term follow-up ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:10.1016/j.cps.2004.03.007
更新日期:2004-07-01 00:00:00
abstract::In the past 3 years, more than 125 patients have undergone primary and secondary lower blepharoplasty by the transconjunctival method. The ability to adequately remove fat with this approach has been impressive. Exposure of the central and medial fat compartments is excellent. The lateral fat pad area is not as easy t...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1992-04-01 00:00:00
abstract::Phalloplasty represents the most complete genitoperineal transformation for trans men. Although voiding while standing is a priority for most trans men, most patients want to use the neophallus for sexual experience after they are accustomed to their new voiding abilities. Different techniques have been used to obtain...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2018.03.012
更新日期:2018-07-01 00:00:00
abstract::This article presents the author's personal philosophy for treatment of various abdominal wall defects resulting from surgical complications and unfavorable results of previous abdominal interventions. The purpose is not to discuss and analyze care and management of all soft tissue complications encountered after abdo...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:10.1016/j.cps.2005.12.003
更新日期:2006-04-01 00:00:00
abstract::The surgical correction of post-traumatic enophthalmos is among the most challenging problems for the surgeon. A thorough understanding of orbital anatomy and the purposed mechanisms of enophthalmos is crucial to the ultimate success or failure of the procedures. The successful orbital reconstruction begins with a car...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1997-07-01 00:00:00
abstract::The success of a denture is dependent on a good foundation; therefore, construction of the prosthesis begins with extraction of the teeth. The teeth should be maintained as long as possible if they can be restored. When the teeth are extracted, bone resorption usually starts, owing to systemic and local factors. Good ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1989-10-01 00:00:00
abstract::In response to facial skeletal differences across race, and cultural differences in what patients feel to be aesthetically desirable, surgical procedures continue to evolve. Mandibular angle reduction and zygoma reduction are powerful procedures for affecting facial skeletal change to achieve a softer, less angular, f...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2007.05.005
更新日期:2007-07-01 00:00:00