African American patients who are in the consultation are almost equally concerned about the formation of keloid. Since most surgeons are aware, the term is often used to describe a slightly raised scar keloids, widened scars or hyper pigmented scar. However unpleasant fear is of great concern. Often, African-American patients on familiarity with African American surgeon surgery. As with Asian patients, these patients are extremely worried abouta natural appearance. Relatively thicker skin in the area subbrow subbrow and fatty lumps are often present when the upper eyelid surgery is performed. Many surgeons extension of the fold of the upper eyelid beyond the lateral canthus area of crows feet in the Caucasian patients. This rule is not ideal in African-American patients, as the scar is probably too obvious.
Assuming that the incision is healed or hyperpigmentation or hypopigmentation is a good wayto keep the memory of the upper eyelid incisions design, within the limits of the orbit. It 'also important to note that many patients of African origin have epicanthus and need special attention to the design of the upper eyelid creases.
Although the presence of ptosis face is common, especially in patients who come to the age-related changes there are often reluctant to undergo surgery on his face - endoscopic or otherwise. I found that the implementation of limited cutaneous excision topretration lower eyelids and eyelid resection with bulging eyes and corneal exposure may be large and lead to keratitis or ulceration. If the lower eyelid spacer graft is necessary, I use biomaterial processed from donated human tissue successfully.
Sarcoidosis, which is often in African-American population, often presenting with enlargement of the lacrimal gland, or prolapse. Many of these patients come for cosmetic surgery, non-consciousness or who have sarcoidosisThis is a manifestation of sarcoidosis.
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