Eyelid aging: the historical evolution of its management.

The evolution of blepharoplasties is reviewed. By better understanding the mechanism of herniated lower eye lid fat pads, one can understand the interrelated enophthalmia, tear trough deformities, and sunken upper lid. The authors use a technique of relocating the herniated fat pad that reverses this process.

Nose surgery: how to prevent a middle vault collapse--a review of 50 patients 3 to 21 years after surgery.

There is a conception, likely a misconception, that when performing a nasal osteotomy with a concomitant dorsal hump removal, the upper lateral cartilages are detached or damaged and, over the long-term, respiratory difficulties result because of a middle vault collapse or interference with the internal nasal valve. A follow-up of 50 patients between 3 and 21 years postoperatively provides evidence that this can be prevented. The vast majority (82 percent) reported they were breathing very well for an average of 6.