Periorbital facial rejuvenation; applied anatomy and pre-operative assessment

Purpose: Since different subspecialties are currently performing a variety of upper facial rejuvenation procedures, and the level of knowledge on the ocular and periocular anatomy and physiology is different, this review aims to highlight the most important preoperative examinations and tests with s...

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Main Authors: Mohsen Bahmani Kashkouli, Parya Abdolalizadeh, Navid Abolfathzadeh, Hamed Sianati, Maria Sharepour, Yasaman Hadi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-09-01
Series:Journal of Current Ophthalmology
Online Access:http://www.sciencedirect.com/science/article/pii/S245223251630213X
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author Mohsen Bahmani Kashkouli
Parya Abdolalizadeh
Navid Abolfathzadeh
Hamed Sianati
Maria Sharepour
Yasaman Hadi
author_facet Mohsen Bahmani Kashkouli
Parya Abdolalizadeh
Navid Abolfathzadeh
Hamed Sianati
Maria Sharepour
Yasaman Hadi
author_sort Mohsen Bahmani Kashkouli
collection DOAJ
description Purpose: Since different subspecialties are currently performing a variety of upper facial rejuvenation procedures, and the level of knowledge on the ocular and periocular anatomy and physiology is different, this review aims to highlight the most important preoperative examinations and tests with special attention to the eye and periocular adnexal structures for general ophthalmologist and specialties other than oculo-facial surgeons in order to inform them about the fine and important points that should be considered before surgery to have both cosmetic and functional improvement. Methods: English literature review was performed using PubMed with the different keywords of “periorbital rejuvenation”, “blepharoptosis”, “eyebrow ptosis”, “blepharoplasty”, “eyelid examination”, “facial assessment”, and “lifting”. Initial screening was performed by the senior author to include the most pertinent articles. The full text of the selected articles was reviewed, and some articles were added based upon the references of the initial articles. Included articles were then reviewed with special attention to the preoperative assessment of the periorbital facial rejuvenation procedures. Results: There were 254 articles in the initial screening from which 84 articles were found to be mostly related to the topic of this review. The number finally increased to 112 articles after adding the pertinent references of the initial articles. Conclusion: Static and dynamic aging changes of the periorbital area should be assessed as an eyelid-eyebrow unit paying more attention to the anthropometric landmarks. Assessing the facial asymmetry, performing comprehensive and detailed ocular examination, and asking about patients' expectation are three key elements in this regard. Furthermore, taking standard facial pictures, obtaining special consent form, and finally getting feedback are also indispensable tools toward a better outcome. Keywords: Blepharoplasty, Cheek, Eyebrow, Eyelid, Lifting, Rejuvenation
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spelling doaj.art-140769dee6924758a14a38655aa408192022-12-21T17:25:32ZengWolters Kluwer Medknow PublicationsJournal of Current Ophthalmology2452-23252017-09-01293154168Periorbital facial rejuvenation; applied anatomy and pre-operative assessmentMohsen Bahmani Kashkouli0Parya Abdolalizadeh1Navid Abolfathzadeh2Hamed Sianati3Maria Sharepour4Yasaman Hadi5Corresponding author. Rassoul Akram Hospital, Sattarkhan-Niayesh St., Tehran 14455-364, Iran.; Eye Research Center, Oculo-Facial Plastic Surgery, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, IranEye Research Center, Oculo-Facial Plastic Surgery, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, IranEye Research Center, Oculo-Facial Plastic Surgery, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, IranEye Research Center, Oculo-Facial Plastic Surgery, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, IranEye Research Center, Oculo-Facial Plastic Surgery, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, IranEye Research Center, Oculo-Facial Plastic Surgery, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, IranPurpose: Since different subspecialties are currently performing a variety of upper facial rejuvenation procedures, and the level of knowledge on the ocular and periocular anatomy and physiology is different, this review aims to highlight the most important preoperative examinations and tests with special attention to the eye and periocular adnexal structures for general ophthalmologist and specialties other than oculo-facial surgeons in order to inform them about the fine and important points that should be considered before surgery to have both cosmetic and functional improvement. Methods: English literature review was performed using PubMed with the different keywords of “periorbital rejuvenation”, “blepharoptosis”, “eyebrow ptosis”, “blepharoplasty”, “eyelid examination”, “facial assessment”, and “lifting”. Initial screening was performed by the senior author to include the most pertinent articles. The full text of the selected articles was reviewed, and some articles were added based upon the references of the initial articles. Included articles were then reviewed with special attention to the preoperative assessment of the periorbital facial rejuvenation procedures. Results: There were 254 articles in the initial screening from which 84 articles were found to be mostly related to the topic of this review. The number finally increased to 112 articles after adding the pertinent references of the initial articles. Conclusion: Static and dynamic aging changes of the periorbital area should be assessed as an eyelid-eyebrow unit paying more attention to the anthropometric landmarks. Assessing the facial asymmetry, performing comprehensive and detailed ocular examination, and asking about patients' expectation are three key elements in this regard. Furthermore, taking standard facial pictures, obtaining special consent form, and finally getting feedback are also indispensable tools toward a better outcome. Keywords: Blepharoplasty, Cheek, Eyebrow, Eyelid, Lifting, Rejuvenationhttp://www.sciencedirect.com/science/article/pii/S245223251630213X
spellingShingle Mohsen Bahmani Kashkouli
Parya Abdolalizadeh
Navid Abolfathzadeh
Hamed Sianati
Maria Sharepour
Yasaman Hadi
Periorbital facial rejuvenation; applied anatomy and pre-operative assessment
Journal of Current Ophthalmology
title Periorbital facial rejuvenation; applied anatomy and pre-operative assessment
title_full Periorbital facial rejuvenation; applied anatomy and pre-operative assessment
title_fullStr Periorbital facial rejuvenation; applied anatomy and pre-operative assessment
title_full_unstemmed Periorbital facial rejuvenation; applied anatomy and pre-operative assessment
title_short Periorbital facial rejuvenation; applied anatomy and pre-operative assessment
title_sort periorbital facial rejuvenation applied anatomy and pre operative assessment
url http://www.sciencedirect.com/science/article/pii/S245223251630213X
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