7. Lower Blepharoplasty
p 80 primary cosmetic issues – herniated orbital fat , lower eyelid rhytides
consider – pt’s age , appearance , skin type , anatomy
excison / reposition herniated orbital fat
direct skin excision , CO2 laser skin resurfacing , mid-face lifting ,
😛Evaluation
horizontal laxity , skin laxity – ทำ horizontal tightening procedure
ถ้า skin light pigmentatio – มี role CO2 laser – minor skin tightenign , ลด fine rhytide
3 fat – medial , middle , latr fat pad
herniated fat pad , palpated
p 81 , document scale of at – 0-4 ในแต่ละ fat pad
gentle retropulsion globe – เพื่อให้ fat pad more obvious
p 82
p 83
p 84
p 85
p 86