Recent trends in Oculoplasty Kim Sungjoo MD PhD Kim’s Eye & Dasom polyclinic, Q7 TPHCM Kim’s Eye hospital, Seoul, Korea OCULOPLASTY Oculoplasty, also known as Ophthalmic Plastic & Reconstructve Surgery(OPRS), is surgery with relation to the eye and its surrounding structures Oculoplastic surgery may be performed to improve function, comfort and appearance Who Needs an Ophthalmic Plastic Surgery? Although oculoplastic doctor is the best judge for suggesting patients a surgery, the following are the symptoms which they may experience and know that they are in need of oculoplasty: ▪ Blinking of eyes more than necessary ▪ Eyelids Hanging Downwards (Ptosis) ▪ Twitching of eyes ▪ Wrinkles, scars or folds around the eyes ▪ Eyelids tearing in or out (Entropion/Ectropion) ▪ Blocked Tear Ducts (NLD Block) ▪ Tumors growing inside or surrounding the eye ▪ Blepharoplasty or excessive fat in eyelids ▪ Bulging Eyes ▪ The absence of an eye ▪ Orbit Tumors ▪ Orbital trauma Blepharoplasty (Eyelid Surgery) Why???? ▪ plastic surgeon blepharoplasty? Eyelid is ours !!!!! ▪ orbital wall fracture and tumors? Orbit is our territory!!! ▪ filler or botox on eyelid? We ophthalmologist know better for eyelid anatomy!!! ▪ Eyelid area and orbit are our territory and we must take it back from other department ▪ Let’s more oculoplasty!!! ▪ Dedicated to the health and beauty of the eyes and face  Disorders of the eyelids, tear drainage system, orbit and eye socket ▪ Founded in 1988 ▪ Over 230 members  International fellows in over 15 countries around the world ▪ Hosts  Annual members-only spring and autumn conference  Every autumn blepharoplasty workshop since 2005 ▪ Published Korean textbook PAST PRESIDENTS ▪ 2018 Jae Woo Jang ▪ 2017 Suk-Woo Yang ▪ 2016 Kyung In Woo ▪ 2014 Sang Duck Kim ▪ 2012 Sang In Khwarg ▪ 2010 Sungjoo ▪ 2006 Yoon-Duck Kim ▪ 2002 Sang Yeul Lee ▪ 2000 Wha-Sun Chung ▪ 1996 Tae Soo Lee ▪ 1988 Ouk Choi Kim 30th Anniversary International Symposium, Oct 2018, Seoul, Korea Let’s make a VSORPS ▪ KSOPRS will help to make a VSOPRS in Vietnam Facial Aging Process Volume Loss (Tissue Atrophy) Sagging (Skin Laxity) Facial Aging Process Volume Loss (Tissue Atrophy) Sagging (Skin Laxity) Periorbital Aging Sunken eyes Periorbital wrinkles Periorbital Changes Fat Reduction Valley (tear trough/ sunken eyes) Hill (eye bag) Static Fine Lines (skin thinning) Skin Scaffolding Filling Dynamic Wrinkles (skin laxity) Dark Circles (pigmentation & shading) Muscle Relaxant Skin Brightening Under-Eye Enhancement Using HA Fillers Other Treatment Modalities Eyelid filler injection ▪ The main indication for eyelid filler injection is for cosmetic reasons to add volume around the eyes, although it is also used for functional reasons (such as mechanically altering the eyelid to help close the eye better) ▪ Eyelid filler is injected into the hollows under eyes (tear trough area) to improve or eliminate dark circles or a tired appearance It can also be injected into a hollow upper eyelid/brow area ▪ The hollowness around the eyes can be inherited but it is almost always worsened by continued fat loss around the eyes/face that occurs in the aging process Adding volume in these hollow areas around the eyes (and face) can help create more youthful, rested appearance with natural results Treatment of Dark Circles ▪ Laser therapy: lightening of dark skin tone, neocollagenesis ▪ EBD: RF, HIFU ▪ Chemical peels: glycolic acid, retinoic acid, hydroquinone ▪ Neuromodulator: wrinkles soothing effect ▪ HA filler injection: tear trough deformity correction ▪ Threads: skin tightening (biostimulation) + vol replacement ▪ Skin boosters (PN, multicomponent solution): dermal remodeling ▪ Surgical correction: removal of bulging fat, lower blepharoplasty ▪ Home remedies: moisturizer, cold compression, cucumber, Vit K, tea bags Ideal HA Filler for Superficial Tear Trough Correction • Small sized particle • Low HA concentration • High cohesiveness • Low viscosity (Easy spread) • Easy to mold • Less injection force Multilayered of Tear Trough Injection FOUNDATION REFINEMENT Tear Trough + Ant Malar Injection B&A B&A B&A TWO MOST IMPOTNANT THINGS FOR OCULOPLASTY As like all other surgery, we should know Anatomy well During the operation what we should always think about is~ ▪ Where am I now? (Tôi đâu?) ▪ What I am doing now? (Tôi làm vậy) Thank you for listening I hope see you next time as a member of VSOPRS If you need any help for Oculoplasty case, not hesistate to contact me ~~ we can solve the problem together cybereyedoc@kimeye.com M: 096-229-1016