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February 1992

Eyelid Surgery

Arch Dermatol. 1992;128(2):285. doi:10.1001/archderm.1992.01680120161035

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Periorbital skin surgery is a specialized topic in its own right and deserves careful review and examination by the dermatologic surgeon. Because of the unique anatomy and pathophysiology of the eyelids, a careful understanding of their structure and functional peculiarities is necessary. This text provides the basics of surgical technique in the periorbital area as well as a grounding of anatomy and pathophysiology. The author also provides a compendium of periorbital surgical procedures performed by ophthalmic plastic surgeons. Some of these are of interest to the dermatologist and some are not. The chapters that are applicable for the skin surgeon will be found useful, informative, and very readable.

The "Eyelid Anatomy" chapter is basic and understandable. It explains simply, in both text and illustrations, the unique relationship of eyelid skin to the obicularis musculature and its support structure over the orbital septum. These concepts are used in the ensuing chapters

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