Facial Plastic Surgery in Asian Patients Workup

  • Author: Carlo P Honrado, MD; Chief Editor: Arlen D Meyers, MD, MBA   more...
 
Updated: Mar 16, 2011
 

Laboratory Studies

Obtain the following standard laboratory tests if required for medical clearance:

  • CBC count
  • Basic metabolic panel
  • Coagulation studies
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Imaging Studies

  • Chest radiography should be performed if required for medical clearance, and its performance is dependent upon the age of the patient.
  • Obtain standard facial photographs. According to the Clinical Photography Committee of the Plastic Surgery Education Foundation, the same camera, lens, setting, lighting, and patient positioning should be used for each photograph to ensure reproducibility. First, full-face views are taken of the patient in the frontal position, both oblique positions, and both lateral positions. The specifications include a 90-mm lens, a distance of 38 inches, reproduction ratio of 1:9, and vertical orientation of the camera. Next, close-up views are taken at a distance of 21 inches with a reproduction ratio of 1:4. Orienting the camera horizontally, the patient is photographed from the front with eyes open, from the front with eyes closed, and with a frontal gaze upward. The patient is photographed in both oblique positions, both lateral positions, and from a basal view with the tip of the nose aligned with the upper-eyelid crease.
  • Computer imaging can also be used to help the patient understand the goals and limitations of the treatment plan.
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Other Tests

  • ECG should be performed if required for medical clearance.
  • A Schirmer test is important to document tear production.
  • A snap test of the lower eyelid also is helpful, and the lid should spring quickly to contact the globe. If the lid remains away from the globe, a lid-shortening procedure is indicated.
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Contributor Information and Disclosures
Author

Carlo P Honrado, MD  Assistant Professsor, Department of Otolaryngology-Head and Neck Surgery; Consulting Staff, ENT Faculty Practice, LLP, Dermage Aesthetic Center and Spa and Westchester Laser Associates

Carlo P Honrado, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, and Medical Society of the State of New York

Disclosure: Nothing to disclose.

Coauthor(s)

Anthony Labruna, MD  Assistant Professor, Department of Otolaryngology, Department of Surgery and Plastic Surgery, Cornell University Medical Center

Anthony Labruna, MD is a member of the following medical societies: American Medical Association and American Rhinologic Society

Disclosure: Nothing to disclose.

Edward Kwak, MD  Clinical Assistant Professor, New York Medical College

Edward Kwak, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery and American Academy of Otolaryngology-Head and Neck Surgery

Disclosure: Nothing to disclose.

Melin Tan-Geller, MD  Assistant Professor, Department of Otorhinolaryngology-Head and Neck Surgery, Montefiore Medical Center and Albert Einstein College of Medicine

Disclosure: Nothing to disclose.

Specialty Editor Board

J David Kriet, MD, FACS  Associate Professor, Department of Otolaryngology-Head and Neck Surgery, Director of Facial Plastic and Reconstructive Surgery, University of Kansas School of Medicine

J David Kriet, MD, FACS is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American Cleft Palate/Craniofacial Association, American College of Surgeons, American Medical Association, AO Foundation, and Society of University Otolaryngologists-Head and Neck Surgeons

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD  Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Senior Pharmacy Editor, eMedicine

Disclosure: eMedicine Salary Employment

Dominique Dorion, MD, MSc, FRCSC, FACS  Vice Dean and Associate Dean of Resources, Professor of Surgery, Division of Otolaryngology-Head and Neck Surgery, University of Sherbrooke Faculty of Medicine, Canada

Disclosure: Nothing to disclose.

Christopher L Slack, MD  Otolaryngology-Facial Plastic Surgery, Private Practice, Associated Coastal ENT; Medical Director, Treasure Coast Sleep Disorders

Christopher L Slack, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association

Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA  Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine

Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Head and Neck Society

Disclosure: Covidien Corp Consulting fee Consulting; US Tobacco Corporation Unrestricted gift Unknown; Axis Three Corporation Ownership interest Consulting; Omni Biosciences Ownership interest Consulting; Sentegra Ownership interest Board membership; Syndicom Ownership interest Consulting; Oxlo Consulting; Medvoy Ownership interest Management position; Cerescan Imaging Honoraria Consulting; GYRUS ACMI Honoraria Consulting

References

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