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Eyelid & Periorbital Surgery, 2nd Edition

Alghoul, Mohammed S. M.D.

Plastic and Reconstructive Surgery: March 2017 - Volume 139 - Issue 3 - p 771–772
doi: 10.1097/PRS.0000000000003162

Disclosure: The author has no financial interest to declare in relation to the content of this review.

As a service to our readers, Plastic and Reconstructive Surgery® reviews books, DVDs, practice management software, and electronic media items of educational interest to reconstructive and aesthetic surgeons. All items are copyrighted and available commercially. The Journal actively solicits information in digital format for review.

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Arun K. Gosain, M.D.

Review Editor



This is the second edition of Eyelid & Periorbital Surgery, a comprehensive textbook on oculoplastic surgery for the plastic surgeon. The book is edited and written mostly by two well-known experts in the field, Mark Codner, M.D., a plastic surgeon, and Clinton “Sonny” McCord, M.D., an oculoplastic surgeon. It details their surgical principles, approaches, techniques, and teachings on eyelid and periorbital surgery accumulated over several decades. The first edition of this book was published in 2008 and became an instant hit, as it represented a rare collaboration between an oculoplastic surgeon and a plastic surgeon and provided a unique perspective on a highly subspecialized field in plastic surgery. This second edition is more organized and expanded with new sections, new chapters, and 30 new videos.

The book is divided into two volumes and five sections. Volume I is on aesthetic surgery and has three sections. The first section is on fundamentals of periorbital anatomy, eyelid function, and basic techniques and principles of eyelid surgery. It details periorbital anatomy and innervation in beautiful illustrations and cadaver dissections and shows basic suturing techniques including local flaps and a rewritten chapter on tissue grafts. The second section focuses on comprehensive aesthetic surgery of the periorbital area and covers facial aging in addition to surgery of the forehead and brow, upper lid, lower lid, midface, and lid-tightening procedures. The third section is on nonsurgical periorbital rejuvenation with separate chapters dedicated to skin care and resurfacing, fillers, botulinum toxin, and fat grafting. Volume II is on reconstructive surgery and has two sections, one on eyelid reconstruction and the other on orbital and lacrimal surgery. Eyelid reconstruction is comprehensive and covers ptosis repair, eyelid tumors, reconstruction after cancer resection and trauma, ectropion and entropion repair, and eyelid reconstruction in Graves disease.

There are several useful changes and new additions in the second edition. To help orient the reader, the Key Points section was moved to the front of each chapter, compared with the end of the chapter as was the case in the first edition. There are several new cases and beautiful illustrations in each chapter. The section on aesthetic surgery is more detailed, with separation of lower lid blepharoplasty and midface lift and addition of a new chapter on treatment of malar bags and festoons. The chapter on male blepharoplasty is another new chapter focusing on the subtle variations from female blepharoplasty planning and technique. The postblepharoplasty complications are more detailed and organized, with whole chapters dedicated to lateral canthal dysfunction, lateral canthal anchoring, and management of chemosis. The new section on aesthetic nonsurgical periorbital treatment includes chapters from the first edition but also expands this important and growing area with skin care, skin resurfacing, and use of energy devices in the periorbital area. Perhaps the most important change in this book is the addition of a much-needed section, the section on orbital and lacrimal surgery. This section has several chapters on management of orbital trauma, evaluation of neuroophthalmologic injuries, evisceration and enucleation, and management of the anophthalmic socket. The book concludes with an excellent chapter on the lacrimal system, with detailed anatomy and physiology, and comprehensive evaluation and treatment of epiphora. Finally, there are 80 aesthetic and reconstructive oculoplastic videos, 30 of which are new, which makes this a one-of-a-kind video library. What I liked about the videos, especially the new ones, is the high quality, clarity, and details of technique provided by the authors who do the voiceovers themselves. They really show it all, even the subtle technical steps that are shown in short videos. I liked the fact that Dr. Codner included new lower blepharoplasty videos that showed the evolution of his lateral canthal anchoring technique. In addition, there are three excellent videos on Asian blepharoplasty by Dr. William Pai-Dei Chen. The book comes with an electronic access to the text and the entire video library on Vital

The authors are to be congratulated for putting together this comprehensive second edition of Eyelid & Periorbital Surgery. This is an easy-to-read textbook that makes a very complex topic in plastic surgery relatively simplified. It is suited to surgeons at different level of experience, from residents to more seasoned surgeons who want to enhance and advance their surgical skills. It is, however, the techniques and teachings of Sonny McCord and Mark Codner. Expect to learn about the “open-sky technique” for upper blepharoplasty, “skin-muscle flap” for lower blepharoplasty, lateral canthal anchoring and orbicularis suspension, and tarsolevator advancement and the “three-step technique” for ptosis repair. The authors focus on reliable techniques and approaches that they developed and that have passed the test of time through their experience and evaluation of the techniques over the years. This will not be the book to read to learn about Müllerectomy or transconjunctival lower blepharoplasty with a skin pinch. However, the book is still an outstanding resource of anatomy, principles, and techniques that cover all aspects of oculoplastic surgery. Performing oculoplastic surgery myself, I find that everything I do is a combination of different steps and techniques regardless of the approach. Handling the delicate periorbital tissue requires knowledge of anatomy, a high level of meticulousness and precision, use of the right instruments, and fundamental techniques for safe execution. This book teaches those principles and will serve to guide the readers to perform eyelid surgery well.

©2017American Society of Plastic Surgeons