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Inferior blepharoplasty: external approach

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External Approach to inferior blepharoplasty: Francesco Bernardini (american academy of ophthalmology Chicago 2010)

Published in: Health & Medicine
  • Blefaroplastica: http://www.giuseppespinelli.it/chirurgia-estetica-maxillo-facciale/blefaroplastica.html
    Intervento di blefaroplastica. Blefaroplastica superiore, blefaroplastica inferiore.
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Inferior blepharoplasty: external approach

  1. 1. Inferior blepharoplasty: External Approach External Approach <ul><li>Francesco P Bernardini, Genova. Italy </li></ul>American Academy of Ophthalmology
  2. 2. Surgical Indications <ul><li>Classical indications: </li></ul><ul><ul><li>Skin excess </li></ul></ul><ul><ul><li>Excessive fat prolapse </li></ul></ul>
  3. 3. My Preference <ul><li>Eyelid-cheeck junction restoration </li></ul><ul><ul><li>All cases of malar descent associated with tear trough deformity </li></ul></ul><ul><ul><li>Eyelid skin loose (even without true excess)..... ‘saggy’ </li></ul></ul>
  4. 4. .......in all cases where a t-conj wouldn’t get a good result
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  6. 8. Surgical technique
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  19. 26. Results
  20. 30. Mini-pinch Technique <ul><li>Combination of t-conj fat excision/repositioning + skin excision </li></ul><ul><ul><li>a very good alternative to improve the skin, shortening the eyelid </li></ul></ul><ul><ul><li>safe </li></ul></ul>
  21. 37. Risks
  22. 38. Beware of lid laxity..... <ul><li>....when approaching the eyelid externally, even without skin excision! </li></ul>Data
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  24. 41. Always combine with eyelid suspension (LTS) when lids are lax or negative vectors
  25. 44. Thank you Video available at www.oculoplasticabernardini.it

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