Sunday, December 23, 2012
Tuesday, December 18, 2012
Thursday, December 13, 2012
Ever since the invention of syringe and hypodermic needles, various substances have been injected into human faces in the name of beauty. Some of these substances were initially embraced with great enthusiasm only to be discovered later that they cause delayed and serious side effects. One of the these substances is liquid silicone as mentioned in the previous post. Unfortunately, it is still being used by unscrupulous unlicensed personnels due to their cheapness. Many of these gullible victims are left with disfigurements years later and when they tried to get answers from the perpetrators they are often told that the problems have nothing to do with the initial injections as the complications did
not occur immediately.
The history of seeking the perfect filler began with miner oil (Vaseline). It was first injected in Austria in 1899 to replace a patient’s testicle removed because of TB infection. The initial report was favourable which led to the use of Vaseline and similar product such as paraffin in the first 20 years of the 20th century. However, even with initial good results, seoncdary or late severe complications appeared due to their dispersion causing nodule formations. The most famous victim of paraffin injection was Gladys Spencer-Churchill (1881- 1977), second wife of the 9th Duke of Marlborough. She was an American beauty and was regarded as the most beautiful woman in the West. However, she was unhappy with a kink on her nose and had paraffin injection. The paraffin later migrated to her chin producing paraffinomas (inflammation of tissues caused by paraffin) throughout her face. She became so distressed by her appearance that she did not permit any mirrors in her house. She became a recluse and develop ed mental illness.
Saturday, December 1, 2012
Monday, November 26, 2012
Friday, November 23, 2012
Thursday, November 22, 2012
Wednesday, November 21, 2012
Tuesday, November 20, 2012
Monday, November 19, 2012
- simple fat excision (usually performed from behind the eyelid ie transconjunctival lower blepharoplasty)
- simple fat excision with lower lid skin excision (transcutaneous lower blepharoplasty)
- lateral canthal tightening suspension with limited fat and skin excision
- fat transposition
- release of retaining structures to abolish the tear trough
- lower lid bony augmentation with implantation
The photo of this young patient is a good example of the complexity of the lower lid anatomy. The surgeon need to analyse the importance of each anatomical structure contributing to the lower lid blemish in order to get good aesthetic results.