The Subgaleal Endoscopic Browlift Experiences With Transconjunctival Upper Blepharoplasty Anatomic Considerations in the Management of the Hanging Columella Eric M. Joseph, MD and Alvin I. Glasgold, MD describe a consecutive series of 10 patients with a hanging columella. The authors' individual technique includes dividing the lower lateral cartilages at the angle of the medial and lateral crura. They propose that the primary cause of the hanging columella is the C-shaped curvature of the medial crura in relationship to the lateral crura. Peter A. Adamson, MD discusses their approach and places it in perspective. This approach avoids external incisions and diminishes the edema and trauma sometimes seen with an isolated lateral canthotomy incision.
Exposure is excellent.
Orbital Fibrous Dysplasia John L. Frodel, MD, et al discuss the evaluation and management of aggressive midfacial fibrous dysplasias in a series of 8 patients. The more invasive of these lesions were treated with aggressive resection and various degrees of reconstruction. The authors present algorithms for management of these relatively uncommon lesions. The Subgaleal Endoscopic Browlift Mimi S. Kokoska, MD and J. Regan Thomas, MD present their experience with the subgaleal endoscopic browlift. Currently, most endoscopic browlifts are performed in the subperiosteal plane, but the authors' technique uses the subgaleal plane without periosteal release and adds suture fixation at the brow level.