RESUMO
BACKGROUND: Skin cancers of the periocular tissue present formidable reconstructive challenges because of anatomic complexity, vital function, and cosmetic significance. OBJECTIVE: To review eyelid anatomy and reconstructive techniques from an oculoplastic surgery perspective. RESULTS: Eyelid structure and function are intimately linked, and good working knowledge is a prerequisite for successful reconstructive efforts. We discuss periocular anatomy, patient evaluation, and single-stage repair of both anterior lamellar and full-thickness defects. CONCLUSION: Despite the challenges of periocular skin cancer reconstruction, excellent cosmetic and functional results can be achieved with appropriate technique.
Assuntos
Neoplasias Palpebrais/cirurgia , Pálpebras/cirurgia , Procedimentos de Cirurgia Plástica/métodos , Neoplasias Cutâneas/cirurgia , Retalhos Cirúrgicos , Tecido Adiposo/cirurgia , Túnica Conjuntiva/cirurgia , Pálpebras/irrigação sanguínea , Humanos , Aparelho Lacrimal/cirurgia , Músculo Esquelético/cirurgia , Cuidados Pré-Operatórios , Transplante de Pele , Técnicas de Sutura , Resultado do TratamentoRESUMO
Soft tissue fillers continue to gain popularity in addressing volume loss and changes associated with facial aging. The rare but devastating complication from iatrogenic vascular occlusion can result in irreversible vision loss. This article discusses the complications of vision loss associated with fillers and reviews applicable treatment techniques and prevention methods.