2 prof sung joo kim oculoplasty final en
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Recent trends in Oculoplasty
Kim Sungjoo MD. PhD.
Kim’s Eye & Dasom polyclinic, Q7 TPHCM
Kim’s Eye hospital, Seoul, Korea
OCULOPLASTY
Oculoplasty, also known as Ophthalmic Plastic & Reconstructve
Surgery(OPRS), is surgery with relation to the eye and its surrounding
structures. Oculoplastic surgery may be performed to improve function, comfort
and appearance.
Who Needs
an
Ophthalmic
Plastic
Surgery?
Although oculoplastic doctor is the best judge for suggesting patients
a surgery, the following are the symptoms which they may
experience and know that they are in need of oculoplasty:
▪
Blinking of eyes more than necessary
▪
Eyelids Hanging Downwards (Ptosis)
▪
Twitching of eyes
▪
Wrinkles, scars or folds around the eyes
▪
Eyelids tearing in or out (Entropion/Ectropion)
▪
Blocked Tear Ducts (NLD Block)
▪
Tumors growing inside or surrounding the eye
▪
Blepharoplasty or excessive fat in eyelids
▪
Bulging Eyes
▪
The absence of an eye
▪
Orbit Tumors
▪
Orbital trauma
Blepharoplasty
(Eyelid Surgery)
Why????
▪ plastic surgeon do blepharoplasty? -- Eyelid is ours !!!!!
▪ orbital wall fracture and tumors? -- Orbit is our territory!!!
▪ filler or botox on eyelid? -- We ophthalmologist do know
better for eyelid anatomy!!!
▪ Eyelid area and orbit are our territory and we must take it back
from other department.
▪
Let’s do more oculoplasty!!!
▪ Dedicated to the health and beauty of the eyes and face
Disorders of the eyelids, tear drainage system, orbit and eye socket
▪ Founded in 1988
▪ Over 230 members
International fellows in over 15 countries around the world
▪ Hosts
Annual members-only spring and autumn conference
Every autumn blepharoplasty workshop since 2005
▪ Published Korean textbook
PAST PRESIDENTS
▪
2018 Jae Woo Jang
▪
2017 Suk-Woo Yang
▪
2016 Kyung In Woo
▪
2014 Sang Duck Kim
▪
2012 Sang In Khwarg
▪
2010 Sungjoo
▪
2006 Yoon-Duck Kim
▪
2002 Sang Yeul Lee
▪
2000 Wha-Sun Chung
▪
1996 Tae Soo Lee
▪
1988 Ouk Choi
Kim
30th Anniversary International Symposium, Oct. 2018, Seoul, Korea
Let’s make a VSORPS
▪ KSOPRS will help to make a VSOPRS in Vietnam.
▪ Blepharoplasty (Eyelid Surgery)
▪ Tearing Disorders
▪ Thyroid eye disease
▪ Trauma
▪ Other Cosmetic Services
- facial rejuvenation
Lower Blepharoplasty
Periocular aging change
▪ evaluation
Prolapse of orbital fat
Tear trough depression
Eyelid laxity
Orbicularis laxity
Deflation or descent of the
malar and periorbital tissues
Lower blepharoplasty
▪ Traditional method is just remove fat and skin.
▪ but recent trend is consider aging change of face, not
eyelid only
▪ because ~~~
Lower blepharoplasty
▪ Contemporary esthetic trends in lower eyelid blepharoplasty focus on reducing “eye-bag” prominence, thereby
effacing the lower lid-cheek junction and recreating a smooth transition of lower lid cheek interface. (This prolapse or
herniation of the orbital fat in the lower eyelids also known as steatoblepharon often gives the appearance of “bags under
the eyes.”)
= facial rejuvenation --- ‘back to my young face’ even better??
Orbital fat repositioning
• Transconjunctival or transcutaeous
• Preseptal or postseptal
• subperiosteal or supraperiosteal
• Interneal fixation or
pull out suture method
2009 Apr;123(4):1332-1340.
The tear trough and lid/cheek junction: anatomy and implications for surgical correction.
Nicholas T Haddock
Transconjunctival Orbital Fat Repositioning for Tear Trough Deformity in Young Asians
Aesthet Surg J, Volume 28, Issue 3, May 2008, Pages 265–271
The conjunctival vascular arcades and the position of the
postseptal incision in lower eyelid transconjunctival
blepharoplasty
Master Techniques in Facial Rejuvenation
subperiosteal
Transconjunctival orbital fat repositioning:
transposition of orbital fat pedicles into a subperiosteal
pocket.
supraperiosteal
Modified Lower Blepharoplasty with Fat Repositioning via
Transconjunctival Approach to Correct Tear Trough Deformity
Lower eyelid blepharoplasty: An overview
Kasturi Bhattacharjee,
2020 Indian Journal of Ophthalmology
Fat repositioning blepharoplasty
Fat repositioning blepharoplasty
Fat repositioning blepharoplasty
Pre op.
Post op. 1 year
Fat repositioning blepharoplasty
Preop
Postop
Fat repositioning blepharoplasty
Preop
Postop
