• Oct 2011Surgery Spotlight

    Surgery Spotlight: Blepharoplasty and Fat Injection

    Julius W. Few, MD
    0.75 AMA PRA Category 1 Credit

    0.50 Patient Safety Credits
    Member: $50
    Non-Member: $100
    Sponsored by the American Society of Plastic Surgeons® (ASPS®)
    Accreditation Statement
    The American Society of Plastic Surgeons (ASPS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
    Designation Statement
    The ASPS designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
    Patient Safety credit: 0.5
    Media: video
    Release Date: 10/26/2011
    Expiration Date: 10/26/2019
    Estimated time to complete this course: 45 minutes
    Minimum Post-test Score to Claim Credit: 80%
    Intended Audience
    This educational activity is intended for plastic surgery practitioners, residents, and other healthcare professionals interested in translating expanded knowledge into practice for the improvement of patient outcomes in plastic and reconstructive surgery.
    Educational Overview
    In this video-based CME activity, Julius W. Few, MD demonstrates the Blepharoplasty technique and focuses on relevant considerations to avoid complications while achieving optimal outcomes.   A series of videos puts you in the operating room with Dr. Few as he prepares and performs this procedure in real-time.  Learn how this expert practitioner makes an objective evaluation of periorbital relationships pertinent to aesthetic periorbital surgery, and how he demonstrates techniques to ensure optimal aesthetic outcomes in blepharoplasty on a patient with dark skin.  Additionally, Dr. Few performs a common fat injection technique to supplement the blepharoplasty work, to restore the volume of the cheek and improve the overall facial rejuvenating effect.
    Learning Objectives
    Upon completion of the online course, the participant should be able to:

    1. Plan goals for the procedure from the patient's view point, as well as documenting during a physical exam the potential risks involved from performing blepharoplasty by considering the patient's medical history.
    2. Prepare a patient immediately prior to surgery, including identifying and measuring the shape, size and asymmetry of the upper eyelid and its crease, the position of the brow, and the separation from the upper lid margin.
    3. Explain the steps that require positioning and repositioning, demanding utmost precision to prevent complications such as lagophthalmos (if there was removal of even a millimeter too much of skin), malposition, canthoplasty, excessive ptosis, or even the loss of vision.
    4. Know when it is appropriate to correct tear trough asymmetries with use of fat injection.
    5. Prepare and harvest the fat and perform injections to the tear trough regions to  improve the volume of the cheek.

    Julius W. Few, MD has nothing to disclose. All ASPS staff members managing this activity have no relevant financial relationships or affiliations to disclose.  All identified conflicts of interest have been resolved and the educational content thoroughly vetted by ASPS for fair balance, scientific objectivity, and appropriateness of patient care recommendations.  The ASPS also requires faculty/authors to disclose when off-label/unapproved uses of a product are discussed in a CME activity or included in related materials.

    Medical Disclosures:
    The Surgery Spotlight program was created to bridge a difficult gap between classroom theory and clinical application. Every month, PSEN seeks out experts in the clinical field to demonstrate their approach to a given surgical problem. By presenting the Surgical Spotlight program, the PSEN does not suggest that any one surgeon's operative method is the sole or only appropriate approach that should be considered. Every surgeon should use their own judgment in planning their operative approach to suit their own skill set and the needs of their patients. The views expressed in the Surgery Spotlight programs are the views of the operating surgeons and do not necessarily reflect the views of PSEN.
    Note: After purchasing online courses, you will get an email from onlineeducation@plasticsurgery.org with confirmation of purchase and instructions on how to access your online courses. You will be able to verify or change your email when you checkout.