Editorial |

The Shift Toward Minimally Invasive Aesthetic Facial Rejuvenation

Robert Alan Goldberg, MD
Arch Ophthalmol. 2010;128(9):1200-1201. doi:10.1001/archophthalmol.2010.182.
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There is a subtle revolution occurring in the field of cosmetic surgery, and ophthalmologists who incorporate aesthetic ocular facial surgery into their practice are central participants. Aesthetic facial rejuvenation has traditionally focused on surgical procedures, which are based on a paradigm of removing “excess” tissue and lifting tissues against gravity. The lay names for 2 common procedures exemplify and reinforce this paradigm among public and physicians: blepharoplasty is known as an eyelid lift, and facial rhytidectomy is known as a face lift. Ophthalmologists have subscribed to this emphasis on surgery. We have been consistent contributors, teachers, and practitioners of blepharoplasty, and more recently we have been innovators in facial rhytidectomy, which is now a core procedure in many American Society of Ophthalmic Plastic and Reconstructive Surgery oculofacial fellowships.1

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Figure 1.

Forty-one–year-old woman with lower eyelid hollows. Before (A) and 6 months after (B) hyaluronic acid gel filling to address lower orbital volume loss.

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Figure 2.

Forty-six–year-old woman demonstrating fat pad deflation, leading to appearance of dermatochalasis. Before (A) and 9 months after (B) hyaluronic acid gel filling.

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