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Contents

        Preface: Rejuvenation of the Facial Upper Third xi

        Faisal A. Quereshy

        Analysis and Diagnosis of Upper Facial Region 87

        Hardeep Dhaliwal
        Introduction 87
        Patient evaluation 87
        Photo documentation 87
        Anatomic analysis 87
        Esthetic analysis by region 88
        Summary 93

        Botulinum Toxin Use in the Upper Face 95

        Clement Qaqish
        Introduction 95
        Preoperative planning and pretreatment assessment 95
        Procedural technique 98
        Complications 100
        After procedure care 101
        Outcomes 101
        Summary 102

        Injectable Fillers in the Upper Face 105

        Jacob Haiavy and Husam Elias
        Video content accompanies this article at http://www.oralmaxsurgeryatlas.theclinics.com.
        Introduction 105
        Surgical technique 105
        Glabellar folds 106
        Forehead lines 106
        Lateral canthal lines: (crow’s feet) 106
        Periorbital, tear trough, nasojugal groove 107
        Temporal wasting hollowing 107
        Surgical technique of fat transfer 107
        Preoperative planning 107
        Preparation and patient positioning 107
        Surgical approach 108
        Surgical procedure 108
        Immediate postoperative care 110
        Potential complications 110
        Rehabilitation and recovery 112
        Clinical results in the literature 113
        Hyaloronic acid soft tissue fillers 114
        Sculptra-Poly-L-Lactic acid 115
        Autologous fat transfer 115
        Summary 115

        Skin Resurfacing Procedures of the Upper Face 117

        Douglas L. Johnson and Frank Paletta
        Video content accompanies this article at http://www.oralmaxsurgeryatlas.theclinics.com.
        Introduction 117
        Surgical technique 119
        Rehabilitation and recovery 120
        Summary 122

        Upper Eyelid Blepharoplasty 125

        Michael J. Will
        Introduction 125
        Anatomy of the periorbital region 125
        Eyelid esthetics 127
        Age-related changes of the periorbital region 127
        Preoperative assessment 129
        Selection of surgical procedure 129
        Surgical planning and skin markings 129
        Anesthesia considerations 129
        Upper blepharoplasty procedure 130
        Ancillary periorbital procedures 130
        Postoperative care 131
        Complications 131
        Periorbital rejuvenation pearls 133

        Lower Transcutaneous Blepharoplasty 135

        Christopher Blake Smith and Peter Daniel Waite
        Introduction 135
        Preoperative planning 135
        Preparation and patient markings 136
        Patient positioning and surgical technique 137
        Transconjuctival approach 137
        Skin pinch technique 138
        Skin-muscle flap approach 139
        Incision and flap elevation 139
        Orbital fat management 139
        Orbicularis oculi muscle 141
        Lower lid support 141
        Skin excision 141
        Complications 142
        Bleeding 142
        Lower eyelid malposition 143
        Chemosis 144
        Dry eyes 144
        Postoperative care 144
        Follow-up care 144
        Summary 144

        Transconjunctival Lower Blepharoplasty 147

        Sean Pack, Faisal A. Quereshy, Mehmet Ali Altay, and Dale A. Baur
        Introduction 147
        Anatomy 147
        Pathophysiology of aging 148
        Indications 149
        Advantages and disadvantages 150
        Technique 150
        Complications 151
        Discussion 151

        Management of Lower Eyelid Laxity 153

        Gary Linkov and Allan E. Wulc
        Introduction 153
        Lateral canthal anatomy 153
        Pathogenesis of eyelid laxity 154
        Assessment 154
        Procedures 156
        Complications 158
        Summary 159

        Open Brow Lift Surgery for Facial Rejuvenation 161

        Tirbod Fattahi
        Introduction 161
        Patient selection 161
        Surgical technique 162
        Postoperative care 163
        Summary 164

        The Endoscopic Brow Lift 165

        Jon D. Perenack
        Brow lift general considerations 165
        Indications 165
        Contraindications 165
        Relative contraindications 165
        Evaluation and diagnosis 165
        Brow ptosis 165
        Cosmetic botulinum toxin therapy 166
        Skin 166
        Clinical technique 166
        Complications and controversies 172
        Other considerations 173

        Management of Complications Associated with Upper Facial Rejuvenation 175

        Angelo Cuzalina and Manik Bedi
        Introduction 175
        Preoperative evaluation 175
        Complications in browlift 176
        Brow malposition 176
        Nerve damage 177
        Scars 178
        Alopecia 178
        Bleeding 179
        Summary 179