Table of contents : Foreword Contents 1: Anatomy of the Orbit and Periorbital Region Osteology of the Orbit Dimensions Orbital Rim Topographic Relationships Roof of the Orbit Lateral Wall of the Orbit Medial Wall of the Orbit Floor of the Orbit Apertures Ethmoidal Foramina Superior Orbital Fissure Inferior Orbital Fissure Zygomaticofacial and Zygomaticotemporal Canals Nasolacrimal Canal Optic Canal Soft Tissues Periorbita Intraorbital Optic Nerve Extraocular Muscles and Orbital Fat Annulus of Zinn Vasculature of the Orbit Nerves Lacrimal Apparatus Periorbital Structures Nose and Paranasal Sinuses Eyelid Anatomy The Adult Eyebrow Frontalis Muscle Eye Lid Protractors Orbital Septum Orbital Fat Sub-orbicularis Oculi Fat Pad (SOOF) (Fig. 1.16) The Retro-Orbicularis Oculi Fat Pad (ROOF) The Post Orbicular Fascia (Fig. 1.17) Retractors Upper Eyelid Retractors Lower Eyelid Retractors Tarsus Conjunctiva Blood Supply of the Eye Lid (Fig. 1.20) Venous Drainage (Fig. 1.21) Lymphatic Drainage of the Lids (Fig. 1.22) Nerve Supply to the Lids and Face Motor Supply (Fig. 1.23) Sensory Supply References 2: Aging of the Orbit and Rejuvenation Options Introduction Intrinsic Facial Aging Main Periorbital Changes Seen with Aging Skin Special Consideration to Skin Discoloration with Age Fat Muscle and Ligaments Bone Extrinsic Facial Aging Photoaging and Ultraviolet (UV) Light Exposure Smoking and Tobacco Use Seasonal Allergies, Irritants and Contact Dermatitis Other Extrinsic Factors Rejuvenation Options for the Periorbital Area Chemical Peels Mechanical Resurfacing Lasers Nonablative Lasers Ablative Lasers CO2 Laser Er:YAG Laser Fractional Laser Radiofrequency Devices Injectables Fillers Neuromodulators Surgical Approaches Conclusion References 3: Eye Medications and Its Effect on Orbital Fat and Cosmesis Adverse Reactions to Preservatives Present in Different Eye Drops Adverse Reactions to Main Agents in Glaucoma Eye Drops Prostaglandin Analogs Ocular Adverse Reactions Beta Blockers Ocular Adverse Reactions Alpha Agonists Ocular Adverse Reactions Carbonic Anhydrase Inhibitors (CAIs) Ocular Adverse Reactions Parasympathomimetic Drugs, Cholinergic (Miotic) Ocular Adverse Reactions Rho Kinase Inhibitors Combined Medications Steroid Injection References 4: Soft Tissue Fillers for the Periorbital Region Introduction Indications Patient Selection and Planning Contraindications Treatment Plan Patient’s Awareness Management of Complications Pre-treatment Treatment Post Treatment Documentation References 5: Neuromodulators in Periorbital Rejuvenation Introduction: Periorbital Region and Botulinum Toxin (BoNT) Injections Practical Anatomy for Injecting the BoNTs Available BoNT Products Their Preparation and Dosage How to Inject: Dosage and Practical Important Points Possible Complications and How to Handle Them References 6: Chemical Peelings in the Periorbital Region Introduction Periorbital Rejuvenation Background Role of Chemical Peels in Periorbital Rejuvenation Classification History Segmental Peeling Technique Surgical and Chemical Peel Combined Periorbital Hyperpigmentation Background Physical Exam Treatment Options for POH Role of Chemical Peels in Treating POH Superficial Peels Medium Depth Peels Adverse Events References 7: Lasers and Energy Based Devised Assisted Periorbital Rejuvenation Introduction Periorbital Rejuvenation by Laser and EBDs Periorbital Wrinkles Traditional Laser Resurfacing Fractional Laser Resurfacing Radiofrequency Fractional Microneedling RF Intense Pulsed Light Plasma Skin Microneedling MFU/HIFU Dark Circles Q-Switched Lasers Intense Pulsed Light Pulsed Dye Lasers Ablative Laser Resurfacing Er:YSGG 2790 nm Droopy Eyebrow Infraorbital Veins Syringoma Xanthelasma Plasma Editor’s Notes References 8: Oculoplastic Surgery for Periorbital Rejuvenation Introduction Preoperative Assessment Surgical Procedures Brow Lift Preoperative Evaluation Blepharoplasty Preoperative Evaluation Surgical Techniques Fat Transfer Conclusion References 9: Cosmeceuticals for the Periorbital Region Primary Assessment Sun Protection Retinoids Antioxidants Alpha Hydroxy Acids (AHA) Collagen Enhancing Products Skin Lightening Agents Hydrating Products Hair Growth Products Herbal, Plant Derived and Other Compounds Role of Combination Treatments Concluding Remarks References 10: Editor’s Tips Index