Best Practices in Cosmetic Oculofacial Surgery

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About the Guests:

• Dr. Donovan Reed: An oculoplastic surgeon serving as the Surgical Director at Wilford Hall Eye Center and Brooke Army Medical Center in San Antonio, Texas.

• Dr. Tanuj Nakra: Associate professor at UT Austin Dell Medical School and at Texas Oculoplastics Consultants. He also serves as the Fellowship Director for the American Academy of Cosmetic Surgery Facial Cosmetic Surgery Fellowship.

• Dr. Catherine Hwang: Specialist at the Cleveland Clinic Cole Eye Institute with a focus on cutting-edge oculoplastic and aesthetic surgical techniques.

• Dr. Daniel Rootman: Esteemed surgeon at the Doheny Eye Institute at UCLA, known for his significant research contributions in oculoplastic surgery.

Episode Summary:

Welcome to another exciting episode of The Oculofacial Podcast with your host, Dr. Donovan Reed. Joining him in this episode are the esteemed Drs. Tanuj Nakra, Catherine Hwang, and Daniel Rootman. This episode delves into the latest research findings from journals beyond "OPRS" relevant to cosmetic and aesthetic surgery in the field of oculofacial surgery.

In this episode, the panel discusses anatomic insights from the article published in "Plastic and Reconstructive Surgery" including:

• Choi Y, Kim IB. Avoiding Pretarsal Denervation in Lower Blepharoplasty Incisions: Refined Pretarsal Motor Nerve Anatomy. Plast Reconstr Surg. 2024 Jul 1;154(1):81-93.
• Zhang, Yi MD; Li, Mengjuan MD; Lei, Shaorong PhD; Long, Jianhong PhD; Qi, Min PhD. Less Is Better: Full-Incision Double-Eyelid Blepharoplasty with Rapid Recovery. Plastic and Reconstructive Surgery 154(2):p 271e-274e, August 2024. | DOI: 10.1097/PRS.0000000000010700
• Blair J, Fasano M, Georgescu D. Single Barbed Suture Fat Pedicle Fixation for Fat Transposition Lower Blepharoplasty. Facial Plast Surg Aesthet Med. 2024 Jul-Aug;26(4):394-396. doi: 10.1089/fpsam.2023.0332. Epub 2024 Mar 19. PMID: 38502846.

Dr. Tanuj Nakra gives an in-depth summary and sparks a discussion about the practical applications and impacts of these new findings on common surgical techniques. Moving forward, Dr. Catherine Hwang introduces a refined method for double eyelid blepharoplasty from a group in China, emphasizing its potential to reduce postoperative swelling. Dr. Daniel Rootman wraps up with a novel approach using barbed sutures for fat transposition described in "Facial Plastic Surgery and Aesthetic Medicine."

Key Takeaways:

• New Findings on Orbicularis Innervation: The updated anatomical understanding shows the complexity and importance of the lower medial pretarsal branch, impacting lower blepharoplasty techniques.

• Innovative Double Eyelid Surgery: A modified technique introduces less trauma to the orbicularis muscle, aiming for rapid recovery and satisfactory outcomes in patients.

• Barbed Sutures for Efficiency: The single-barb suture method offers an innovative way to internalize fat pedicle fixation, though it needs careful patient selection to avoid complications like dimpling.

• Patient-Centric Techniques: Personalized approaches in aesthetic