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Richter, DF; Schwaiger, N; Wiedner, M.
Aesthetic Refinements in Patients with Prominent Eyes.
Facial Plast Surg. 2015; 31(6):633-644 Doi: 10.1055/s-0035-1568136
Web of Science PubMed FullText FullText_MUG

Co-authors Med Uni Graz: Wiedner Maria
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Abstract:: The treatment of prominent eyes is still a challenging task. As well as the surgery, proper preoperative diagnosis differentiating between patients with and without Graves ophthalmopathy plays an important role. In functionally asymptomatic patients with Graves disease suffering from the aesthetic impairment of prominent eyes, the transpalpebral decompression by intraorbital fat removal technique has been proved to be reliable, effective, safe, and easily performed by a trained and experienced oculoplastic surgeon. This technique provides long-lasting results, leading to improvement not only in visual function but also in personal well-being and in the patient's social life, with a high benefit-to-risk ratio. The most powerful tool to treat the lower lid deformity and malar bags in patients without Graves disease is the subperiosteal midface lift. It shortens the lid-cheek junction and blends the retaining periorbital ligaments. Furthermore, it adds volume to the lower lid and gives a stable support. By the nature of the procedure, it also turns a negative into a positive vector. In experienced hands, Olivari's orbital decompression and Hester's midface lift are ideal options for the treatment of prominent eyes. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
Find related publications in this database (using NLM MeSH Indexing): Esthetics -; Graves Disease - surgery; Humans -; Ophthalmologic Surgical Procedures - methods; Surgery, Plastic - methods
Find related publications in this database (Keywords): prominent eye; orbital decompression; midface lift