Upper Eyelid Blepharoplasty: A Novel Method to Predict and Improve Outcomes.

Background: In some upper eyelid blepharoplasties, maximal skin removal may not result in desired outcomes; raising crease height can therefore be considered. Currently, there is no method to determine the amount of skin to be excised and/or crease elevation required to achieve a specific outcome.

Objective: This study extrapolated an equation to determine amount of skin excision and/or lid crease elevation needed to achieve a specific eyelid margin to fold distance (MFD).

A solution to the Jones tube continuous positive airway pressure (CPAP) dilemma?

A 49-year-old woman, who had previously undergone bilateral Jones tube placement, began nasal continuous positive airway pressure for obstructive sleep apnea. The patient's use of continuous positive airway pressure was limited by intolerance of the transfer of air through the Jones tube to her ocular surface resulting in irritation and discomfort. A change from nasal continuous positive airway pressure to a full face mask, including both Jones tubes in the pressure circuit, resolved the problem.

A simplified marking technique for eyebrow reconstruction using composite grafts.

Eyebrows can be damaged in facial burns, trauma, skin cancer, herpes zoster and other conditions. Some of these patients will demand eyebrow reconstruction surgery. This can be done using free composite grafts from the scalp or flaps from the temporal area.

Fundamentals of facelift surgery.

A multitude of techniques exists for facelift surgery (rhytidectomy). These techniques range from simple skin undermining to complex procedures involving superficial musculoaponeurotic system (SMAS) manipulation and subperiosteal dissection. Most surgeons agree that some type of modification of the SMAS is necessary to achieve an acceptable result.

Eyelid sensation after supratarsal lid crease incision.

Purpose: To determine the severity and duration of the loss of eyelid sensation after upper eyelid crease incision.

Methods: This clinic-based case study was performed by analyzing observational measurements of patients undergoing upper blepharoplasty or ptosis surgery. Eighty-three eyelids of 50 patients were studied.