Morris E. Hartstein, MD, FACS Department of Ophthalmology and Division of Plastic Surgery, Saint Louis University School of Medicine, , Director, Eye Plastics, Assaf Harofeh Medical Center, Zerifin, Israel


Guy G. Massry, MD, Spaulding Cosmetic Surgery, 120 South Spaulding Drive,Suite 315Beverly Hills, Ca 90212


John B Holds, MD,FACS, Professor, Department of Ophthalmology and Otolaryngology, Saint Louis University School of Medicine 12990 Manchester Road, Suite 102, St. Louis, MO 63131

Addresses the need among physicians for cleanly distilled and clinically relevant information on the field of facial cosmetic surgery

Updates to popular topics such as advances in blepharoplasty techniques, advances in brow lifting techniques, and advances in midface rejuvenation

Each chapter, complete with color illustrations, serves as the voice of an expert, reminding readers of the pearls and pitfalls of each procedure

Includes videos of various procedures on Springer Images

TABLE OF CONTENTSPearls and Pitfalls of Cosmetic Oculoplastic Surgery, 2nd Edition Volume Editor(s): Morris E. Hartstein, Guy G. Massry, John B. Holds Part 1: Preoperative Evaluation Ch. 1: Preoperative Evaluation of the Cosmetic Patient Jemshed A. Khan Ch. 2: Evaluation of the Cosmetic Patient Rona Z. Silkiss Ch. 3: Preoperative Patient Counseling for Cosmetic Blepharoplasty William P. Chen Part 2: Anesthesia Ch. 4: Cosmetic Oculofacial Pearls to Live By Kenneth D. Steinsapir Ch. 5: Guide to Local Anesthetic Medications Vivian SchiedlerBryan S. Sires Ch. 6: Motor Nerve Blocks in Oculofacial Surgery Bryan S. Sires Ch. 7: Regional Nerve Blocks in Oculofacial Surgery Vivian SchiedlerBryan S. Sires Ch. 8: Procedural Sedation in Oculofacial Surgery Vivian SchiedlerBryan S. Sires Ch. 9: Preoperative Preparation and Anesthesia in Blepharoplasty William P. Chen Ch. 10: ¿Digital Diffusion¿ Technique for the Administration of Local Anesthetic in Eyelid Surgery Rona Z. Silkiss Ch. 11: Anesthesia for In-Office Oculoplastic Surgery: How We Do It Brent R. MoodyJohn B. Holds Ch. 12: Pain Reduction Using Vibration in Aesthetic injections and in eye and facial plastic surgery Sonya Jairaj WexlerAllan E. Wulc Ch. 13: Tips for Safer, More Effective, and More Comfortable Periocular Anesthetic Injections and Sedation John Robert Burroughs Part 3: Upper Lid BlepharoplastySection 1: Preoperative Evaluation Ch. 14: Upper Eyelid Blepharoplasty: The Evaluation Evan H. BlackRyan T. ScruggsJohn D. SiddensFrank A. NesiGeoffrey J. Gladstone Ch. 15: Preoperative Examination Checklist for Upper Blepharoplasty Philip L. Custer Ch. 16: Preoperative Evaluation and Documentation in Upper Blepharoplasty Cat Nguyen Burkat Ch. 17: Ten Tips to Avoid the Perils, Pitfalls and Complications of Cosmetic Blepharoplasty William P. Mack Section 2: Incision Planning Ch. 18: Marking Strategies for Upper Blepharoplasty Guy G. Massry Ch. 19: Orbit Size and Lid Marking in Upper Blepharoplasty Philip L. Custer Ch. 20: Incisional Guidelines When Marking the Skin in Upper Eyelid Blepharoplasty Sheri L. DeMartelaereTodd R. SheplerSean M. BlaydonRussell W. NeuhausJohn W. Shore Ch. 21: Marking the Proposed Upper Eyelid Crease: Determining the Safe Amount of Skin Removal¿The Pinch Technique Jemshed A. Khan Ch. 22: Preoperative Measurements in Upper Blepharoplasty: Patient Selection Jemshed A. Khan Ch. 23: Keys to Success When Marking the Skin in Upper Blepharoplasty John Robert BurroughsRichard L. Anderson Ch. 24: Skin Marking in Upper Blepharoplasty¿Avoiding Pitfalls Cat Nguyen Burkat Section 3: Upper Blepharoplasty Procedure Pearls Ch. 25: A simple method for more efficient blepharoplasty surgery Morris E. HartsteinIsam Amar Ch. 26: Upper Blepharoplasty: Pearls for the Procedure Evan H. BlackRyan T. ScruggsJohn D. SiddensFrank A. NesiGeoffrey J. Gladstone Ch. 27: Blepharoplasty Pearls: General Tips John Robert Burroughs Ch. 28: Fat Excision in Upper Blepharoplasty Sheri L. DeMartelaere Todd R. SheplerSean M. BlaydonRussell W. NeuhausJohn W. Shore Ch. 29: Mobilizing and Excising the Nasal Fat Pad in Upper Blepharoplasty Jemshed A. Khan Ch. 30: The Sigmoid Upper Lid Blepharoplasty John P. Fezza Ch. 31: Tissue Removal Considerations in Blepharoplasty Surgery Rona Z. Silkiss Ch. 32: Fewer Hematomas in Upper Blepharoplasty Martin H. Devoto Ch. 33: Blepharoplasty Incisional Modalities: 4.0 Radiowave Surgery vs. CO2 Laser Joseph Niamtu, III Ch. 34: Doing Safe Upper Blepharoplasty Surgery: When Less is Better John Robert Burroughs Ch. 35: Upper Blepharoplasty Pearls Morris E. Hartstein Ch. 36: Fat Preservation and Other Tips for Upper Blepharoplasty Cat Nguyen Burkat Ch. 37: Upper Eyelid Fat Repositioning Donald B. YooGuy G. Massry Ch. 38: Asian Blepharoplasty Samuel M. Lam Ch. 39: Upper Lid Blepharoplasty in the Asian Patient Cat Nguyen BurkatPimkwan Jaru-ampornpan Ch. 40: Recognizing the Differences in Asian Eyelid Anatomy Cat Nguyen BurkatPimkwan Jaru-ampornpan Section 4: Adjunctive Procedures in Upper Blepharoplasty Ch. 41: Transblepharoplasty Internal Brow Elevation with Corrugator Removal John Robert BurroughsRichard L. Anderson Ch. 42: Transblepharoplasty Incision Lower Eyelid Canthoplasty John Robert BurroughsRichard L. AndersonJohn D. McCann Section 5: Wound Closure and Postoperative Care Ch. 43: Avoiding Dog Ears During Upper Blepharoplasty Closure Peter S. Levin Ch. 44: Crease Formation in Upper Blepharoplasty Philip L. Custer Ch. 45: Use of Dermabond Tissue Adhesive for Oculoplastic Incision Closure Charles B. Slonim Ch. 46: Reducing Postoperative Swelling John Robert BurroughsRichard L. Anderson Ch. 47: Management of Postblepharoplasty Dry Eye Morris E. Hartstein Ch. 48: Bump Thermoplasty for Small Benign Eyelid Lesions and Wound Artifacts John Robert Burroughs Richard L. AndersonJohn D. McCannM. Reza Vagefi Ch. 49: Scar Management John Robert BurroughsReagan Anderson Part 4: Lower Lid BlepharoplastySection 1: Preoperative Considerations Ch. 50: Lower Eyelid Blepharoplasty: The Evaluation John D. Siddens Ch. 51: Lower Eyelid Blepharoplasty Evaluation: Avoid the Cookie Cutter Approach Sheri L. DeMartelaereTodd R. SheplerSean M. BlaydonRussell W. NeuhausJohn W. Shore Section 2: Lower Blepharoplasty Procedure Pearls Ch. 52: Lower Eyelid Blepharoplasty: Procedure Pearls and Pitfalls John D. Siddens Ch. 53: Lower Lid Blepharoplasty: Transcutaneous verses transconjunctival approach Raf Ghabrial Ch. 54: Incising the Septum over the Nasal, Central, and Lateral Fat Pads in Lower Blepharoplasty Jemshed A. Khan Ch. 55: Prolapsing the Inferior Fat Pads and Fornix in Lower Blepharoplasty Jemshed A. Khan Ch. 56: Identifying the Inferior Oblique in Transconjunctival Blepharoplasty Jemshed A. Khan Ch. 57: The ¿GRED (Globe Retropulsion and Eyelid Depression)¿ Maneuver to Access Post-septal Fat in Transconjunctival Lower Blepharoplasty Donald B. YooGarrett GriffinGuy G. Massry Ch. 58: Achieving Symmetry in Lower Blepharoplasty Fat Removal Jemshed A. Khan Ch. 59: The Treatment of Festoons in Lower Blepharoplasty Sheri L. DeMartelaereTodd R. SheplerSean M. BlaydonRussell W. NeuhausJohn W. Shore Ch. 60: Step by step treatment of post blepharoplasty chemosis Martin H. DevotoFrancesco P. BernardiniAltug Cetinkaya Ch. 61: Chemosis: Avoidance and Management Tips John Robert Burroughs Ch. 62: Making Lower Eyelid Transconjunctival Blepharoplasty Easier, Safer, and More Comfortable John Robert Burroughs Ch. 63: Management of Severe Postoperative Bleeding with Hemostatic Matrix John Robert Burroughs Section 3: Repositioning in Lower Blepharoplasty Ch. 64: Fat Repositioning in Lower Blepharoplasty: Less Is More Sheri L. DeMartelaereTodd R. SheplerSean M. BlaydonRussell W. NeuhausJohn W. Shore Ch. 65: Fat Repositioning in Lower Blepharoplasty: Does the Plane of Fat Transposition Affect The Outcome? Donald B. YooGuy G. Massry Ch. 66: Transconjunctival Lower Lid Blepharoplasty with and Without Fat Repositioning Garrett R. GriffinGuy G. MassryPaul S. Nassif Ch. 67: Fat Pedicle Isolation During Transconjucntival Lower Blepharoplasty With Fat Repositioning: ¿The Inverse Shoe Shine Sign¿ Guy G. Massry Ch. 68: Transconjunctival Pre-periosteal Fat Repositioning Blepharoplasty John B. HoldsYasaman Mohadjer Ch. 69: Lower Lid Blepharoplasty with Fat Repositioning Using a Foam Bolster Eric A. SteeleRoger A. Dailey Ch. 70: Use of Tisseel in Lower Eyelid Blepharoplasty with Fat Repositioning Asa D. Morton, III Ch. 71: Lower Blepharoplasty with Non-Suture Fat Repositioning John Robert BurroughsRichard L. AndersonJohn D. McCann Ch. 72: The Bustier Lower Lid Blepharoplasty John P. Fezza Ch. 73: Lower blepharoplasty: Lift and Fill Morris E. HartsteinGuy G. Massry Section 4: Management of Postblepharoplasty Lid Retraction Ch. 74: Managing Postblepharoplasty Lower Eyelid Malposition Michael T. Yen Ch. 75: Retroauricular Dermal Spacer Graft for Lower Lid Retraction Repair Francesco P. Bernardini Ch. 76: Mid-Lower Eyelid Tarsoconjunctival Flap-Skin Graft: Treatment of Cicatricial Lower Lid Retraction John Pak Ch. 77: Treatment of Postblepharoplasty Lower Eyelid Retraction with Dermis Fat Spacer Grafting Bobby S. KornDon O. Kikkawa Ch. 78: Lateral Canthal Webs Guy G. Massry Ch. 79: True Lower Eyelid Retractor Recession as an Adjunct to Lower Lid Recession Surgery Donald B. YooGuy G. Massry Part 5: Forehead RejuvenationSection 1: Preoperative Considerations Ch. 80: Which Browlift to Do? Andrea Nowotny Hass Ch. 81: Browlifting: Patient Evaluation Andrea Nowotny Hass Ch. 82: Preoperative Botox for Endoscopic Browlifting Andrea Nowotny Hass Ch. 83: Forehead and Eyebrow Anatomy and its Continuity with the EyelidGuy G. Massry Section 2: Endoscopic Forehead Rejuvenation Ch. 84: Five Tips for Endoscopic Browlift Sheri L. DeMartelaereTodd R. SheplerSean M. BlaydonRussell W. NeuhausJohn W. Shore Ch. 85: Anesthesia Options in Endoscopic Forehead Lifting Andrew S. Eiseman Ch. 86: Endoscopic Forehead Rejuvenation: How to Set Up the Operating...