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• Blepharoplasty
• Blepharoplasty 2
• Blepharoplasty 3
• Blepharoplasty 4
• Ptosis (drooping of upper eyelid)

Facelift / Neck lift (rhytidectomy)

• Facelift 1
• Facelift 2
  

Ptosis of the eyelid (drooping of the upper eyelid)

• Simple congenital
• Acquired Myogenic (muscle related)
• Ptosis associated with Blepharophimosis (congenital eyelid deformity)
• Ptosis associated with paralyzed eyebrow muscle

Blepharoplasty (Cosmetic surgery of the eyes)

Ectropion (Drooping of the lower eyelid)

Recurrent ectropion after multiple cancer resections and then skin cancer excision with Mohs' chemosurgery and full thickness skin grafts.

Reconstruction of the lower eyelid

• More eyelid Reconstruction
• Eyebrow cancer and Reconstruction

Mustarde Reconstruction

• after surgery results
• after surgery movie

Facelift surgery (rhytidectomy)

• What makes a face look older?
• Facelift patient 1
• Facelift patient 2
• Facelift and blepharoplasty patient before and after photographs
• SMAS Face lift surgical details
• Neck Lift surgical details

PlasticWeb

• Eyelid
• Check out the various sites under nasal cancer, basal cell cancer, and sun protection.

PlasticArt

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Eyelid Reconstruction

 

Tumor Before Surgery 86 year old male biopsy proven cancer lower eyelid. tearing started about 2 weeks ago lower punctum (tear drain hole) pulled from eye surface

 

Close up of tumor shows that it is very close to the punctum (the hole that the tears drain from the eye). Basal cell carcinoma tends to grow much more rapidly when mucosa is involved.

Tumor Excised Modified Mohs' Technique

Defect after first specimen The metal probe is in the punctum and into the caniculus- the drainage system for the eye's tears.

After second specimen, the orbital fat is seen in the center of the wound.

Three separate excisions were needed until all margins were clear of tumor. This was a sclerosing basal cell carcinoma. The wire is in the tear drainage system (punctum and caniculus). Pathology cleared the margins and this did not need to be excised.

Reconstruction - Graft from nose

This is a 17 mm piece of cartilage and mucosa from the nasal septum (wall between the nasal passages. It will be placed under the cheek flap to add support to the eyelid. Normal eyelid has cartilage support (tarsus) and mucosal lining to protect the eye. The black protector behind the eyelids protects the eye during surgery.

 

Mustarde Cheek Reconstruction

Tape keeps suture away from eye after surgery

Reconstruction by sliding remaining eyelid towards nose. Cheek skin then slid to provide remaining eyelid outer skin Cartilage and mucosa from nose add support for the cheek flap.

The forehead flap is a second area of reconstruction for another cancer (squamous cell carcinoma).

See how this reconstruction improves over time.

• After surgery results
• After surgery results part II with movie