Facial anatomy eyelid crease defect

Facial anatomy eyelid crease defect - Messy facial pics


Defect of the Eyelids Eyelid defects disrupt the complex natural form and function of the eyelids and present a surgical challenge. Detailed knowledge of eyelid anatomy is essential in evaluating a defect and composing a reconstructive plan. Face, Mid-face, Cheek, Eyelid and Orbit Anatomy. Understanding Facial Anatomy. Your face is made up of layers of tissues varying in texture and consistency. These tissue layers overlie the bony skull, which provides the support for and structure of your face. resulting in the formation of the skin crease in the upper eyelid. Fat Pads. May 26,  · Reconstruction of facial defects is a challenging endeavor. Successful reconstruction requires a thorough understanding of skin anatomy and physiology, careful analysis of the defect, thoughtful consideration of multiple options for donor tissue, and skillful and meticulous soft tissue–handling techniques. These multilayered slips maintain the close approximation of the skin, muscle, aponeurosis, and tarsal lamellae, thus integrating the distal eyelid as a single functional unit. This relationship defines the upper eyelid crease of the western eyelid. A variety of defects of the upper and lower eyelids can be encountered after Mohs surgery. The goals of eyelid reconstruction are to provide structural and functional restoration with an acceptable aesthetic result. A thorough knowledge of the intricate anatomy of the eyelids combined with. Reconstruction of the Eyelids. Chapter Detailed understanding of the anatomy of the eyelids and ocular adnexa will aid the surgeon in selecting reconstructive approaches that will best restore ocular function while optimizing aesthetic outcome. eyelid crease, eyelid margin, and canthal angles. of a lid defect to be reconstructed3• These values, however, vary with age and race4. While the upper eyelid and eyebrow dimensions are well documented in healthy White individuals2,5,G no such data is Med J Malaysia Vol 50 No 4 December available for Malays. Hence this study was undertaken to document the above data in Malay population. Embryology and Anatomy of the Eyelid Edward H. Bedrossian Jr. In this chapter, eyelid anatomy is discussed in a layered structural fashion. Coloboma of the eyelid is a defect in the lid margin, with absence of lashes and glands. It often is associated with loss of the eyelid crease and may be partly caused by a lack of deep anchoring of. EYES Asian eyelid surgery. Asian eyelid surgery refers to a procedure to create a double eyelid fold that is typically absent in many Asians. The goal is to create an aesthetic eyelid crease that appears natural and balanced to a patients eye shape and ethnicity. Characteristics are: half of the face or body doesn't develop the same as the other side (can include organs). - Unilateral hypoplasia (underdevelopment) - Weakness of Facial nerve - microphthalmia (small eyes) - Colobomas on the upper eyelid. Reconstruction - lip anatomy •skin, muscle, obicularis oris •vermillion - modified mucosa, anterior limit vermillion line, post innermost contact with closed mouth •upper lip - base of nose, melolabial sulcus, commisure •lower lip - mental crease to commisure. Dr. Kenneth Steinsapir offers facial anatomy diagrams to provide information for the client. Patients travel from all over the world to our beautiful office facility in order to undergo cosmetic surgery and noninvasive procedures with Dr. Steinsapir- a top eyelid surgeon in Beverly Hills/5(30). Units are designated based upon their similarity in topographic anatomy, texture and color, solar exposure, hair density, and sebaceous features. The forehead, temples, eyelids, nose, cheeks, upper and lower lips, chin, and ears represent the major cosmetic subunits of the face. Eyelid problems range from benign, self-resolving processes to malignant, possibly metastatic, tumors. Inflammation, infection, benign and malignant tumors, and structural problems such as.

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Defect of the Eyelids Eyelid defects disrupt the complex natural form and function of the eyelids and present a surgical challenge. Detailed knowledge of eyelid anatomy is essential in evaluating a defect and composing a reconstructive plan. Reconstruction of facial defects is a challenging endeavor. Successful reconstruction requires a thorough understanding of skin anatomy and physiology, careful analysis of the defect, thoughtful consideration of multiple options for donor tissue, and skillful and meticulous soft tissue–handling techniques. The upper eyelid crease can range from 6 to 12 mm above the eyelashes, depending on an individual's ethnicity. (In Asians, the crease may be absent or found up to 6 mm above the eyelashes.) The lower eyelid rests near the level of the inferior limbus. The lower eyelid crease can be seen, inconsistently, at 3 to 5 mm below the eyelid margin. The upper eyelid crease is 6- to mm above the eyelashes in blacks and whites (mm above the eyelashes in Asians) and is formed by the cutaneous insertion of the aponeurosis of the levator palpebrae superioris muscle. The lower eyelid crease is inconsistently present at approximately 3- to 5-mm below the eyelid margin. The goal is to create an aesthetic eyelid crease that appears natural and balanced to a patients eye shape and ethnicity. There are 2 main techniques: Incisional and Suture. Patients may be candidates for one or the other depending on their eyelid anatomy, age, and expectations. The upper eyelid crease runs parallel to the eyelid margin. This crease is 8 to 9 mm superior to the margin in men and 8 to 11 mm superior to the margin in women. 2 In the Asian eyelid, the upper eyelid crease is 2 to 3 mm superior to the margin and usually poorly defined because of the absence of the fascial extensions of the levator. Several lines on the skin serve to anatomically define the periocular and facial anatomy. The upper eyelid skin crease separates the upper eyelid skin fold from the flat pretarsal component of the upper eyelid. In your study of oculoplastic surgery, you will see that the upper eyelid crease is an anatomic landmark that is commonly referred to. The eyelid crease height plays a significant role in pretarsal skin height which in turn affects the. symmetry and general appearance of the upper eyelids. The upper eyelid crease represents an indentation caused by superficial insertion of levator palpebrae superioris muscle fibres8• The eyelid crease in the.

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A superior eyelid crease incision and an inferior transcon junctival incision with subperiosteal dissection were used to achieve access to the bony defects (Figure 9 and Figure 10). Postoperative assessment demonstrates significant improvement of the hypoglobus, superior sulcus defect, and enophthalmos (Figure 7 B and C). Another aberrant regeneration phenomenon, more common in adults, can follow a facial palsy. In this scenario the eyelid height varies with facial expression (e.g., the eyelid rises on recruiting muscles of facial expression); this would be a relative contraindication to surgery as the results will be unpredictable.

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