Numerous aetiological factors can be involved in loss of eyelid substance and ideally, wherever possible, such deficits are closed by primary anastomosis. However, in the presence of extensive trauma, tumour formation, or congenital anomaly, a number of reconstructive techniques may have to be employed. These are outlined elsewhere (Smith, I959; Smith and English, 1970), but briefly to recapitu...

Division of Plastic and Reconstructive Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA, Hansjörg Wyss Department of Plastic Surgery, New York University Langone Medical Center, New York, NY, USA, Division of Plastic and Reconstructive Surgery, Department o...

A six year old crossbred male dog presented with non-pigmented, pale pink, unhaired, ulcerative tumor of the medial canthus and upper eyelid region. As treatment, surgery was proposed. During the surgery complete excision of the tumor was performed. The extent of skin loss, especially in the upper eyelid required plastic reconstruction by pedicle flap transposition. The soft skin of the cheek w...

Naohiro Ishii, Yusuke Shimizu, Jiro Ando, Michiko Harao, Masaru Takemae, Kazuo Kishi Department of Plastic and Reconstructive Surgery, Tochigi Cancer Center, Tochigi; Department of Plastic and Reconstructive Surgery, University of the Ryukyus Hospital, Okinawa; Department of Breast Surgery, Tochigi Cancer Center, Tochigi; Department of Plastic and Reconstructive Surgery, Keio University, Tokyo,...

Introduction Facial asymmetry is a common condition and only becomes a problem if there is a significant difference between both sides. In the Asian community, the difference between the height and width of the palpebral fissures and the skin creases is usually the most apparent on photographs. There has not been any reports on the prevalence of such differences between the various racial group...

The facial nerve is the most frequently damaged nerve in head and neck trauma. Patients undergoing facial nerve reconstruction often complain about disturbing abnormal synkinetic movements of the facial muscles (mass movements, synkinesis) which are thought to result from misguided collateral branching of regenerating motor axons and reinnervation of inappropriate muscles. Here, we examined whe...

INTRODUCTION Traditional upper blepharoplasty is a subtractive form of surgery that involves the excision of variable amounts of skin, muscle, and fat from the eyelid. The goal of surgery is to improve field of vision and/or appearance. While surgical debulking of the eyelid may improve appearance early on, the volume loss inherent to this process (especially fat excision) can contribute to a h...

Historically, lower eyelid blepharoplasty has been a challenging surgery fraught with many potential complications, ranging from ocular irritation to full-blown lower eyelid malposition and a poor cosmetic outcome. The prevention of these complications requires a detailed knowledge of lower eyelid anatomy and a focused examination of the factors that may predispose to poor outcome. A thorough p...

PURPOSE To determine whether taping of the lower eyelid laterally and upward onto the temple region (to mimic a lateral tarsal strip procedure) can effectively predict whether lateral tarsal strip surgery will lead to resolution or improvement in functional epiphora by correcting eyelid laxity. METHODS A case series of 28 eyes in 20 patients with symptomatic epiphora and equivocal lateral eye...