Dr. Alex Blandford

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Dr. Alex Blandford Contact information, map and directions, contact form, opening hours, services, ratings, photos, videos and announcements from Dr. Alex Blandford, Plastic surgeon, .
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***** EYEBROW/EYELID RECONSTRUCTION AFTER SKIN CANCER SURGERY *****This patient had a long-standing growth in his eyebro...
18/03/2024

***** EYEBROW/EYELID RECONSTRUCTION AFTER SKIN CANCER SURGERY *****

This patient had a long-standing growth in his eyebrow hairs that he thought was a mole. The lesion was biopsied and found to be a basal cell carcinoma. After skin cancer removal, this patient required reconstruction of his eyebrow and upper eyelid.

Defects involving the and can be challenging for multiple reasons. In terms of function, this particular defect required careful reconstruction to ensure that the upper eyelid could still open and close normally. Cosmetically, it is critical to place incisions at aesthetic borders is important to create a less conspicuous scar.

In this patient, a local flap was developed to conceal the incisions as best as possible, and properly align the brow hairs

He is healing well and happy to be free of skin cancer.



☎️ 772-299-1404
🌎Website: www.caec.info
📍Location: Vero Beach, Florida
🔷Individual results may vary
🙏These are actual patients of Dr. Blandford, please do not reproduce

BEFORE AND AFTER UNDER EYE BAG SURGERY LOWER BLEPHAROPLASTY 👇👇👇This wonderful patient was bothered by the appearance of ...
16/03/2024

BEFORE AND AFTER UNDER EYE BAG SURGERY LOWER BLEPHAROPLASTY 👇👇👇

This wonderful patient was bothered by the appearance of her lower eyelids. She noted under eye bags that were present no matter how much she slept the night before.

To address the under eye bags, the patient had lower blepharoplasty with fat repositioning. This was done all from the inside of the lower eyelid with NO SKIN INCISION.

She is happy with the natural improvement.

What do you think 🤔 ???





☎️ 772-299-1404
🌎Website: www.caec.info
📍Location: Vero Beach, Florida
🔷Individual results may vary
🙏These are actual patients of Dr. Blandford, please do not reproduce

**** BEFORE AND AFTER UPPER EYELID LIFT ⬆️ (PTOSIS SURGERY) AND LOWER EYELID LASER ⚡️ RESURFACING ****  👇 👇 👇This lovely...
15/03/2024

**** BEFORE AND AFTER UPPER EYELID LIFT ⬆️ (PTOSIS SURGERY) AND LOWER EYELID LASER ⚡️ RESURFACING **** 👇 👇 👇

This lovely patient was bothered by drooping upper eyelids (Left lower than right) where the eyelids crossed closer to her pupil. She was also bothered by fine lines on her lower eyelid skin. This conveyed a tired appearance that did not match her vibrant self!

surgery was performed all from the inside the upper eyelid with NO SKIN incision. was performed on the lower eyelid skin to improve texture.

She is shown at 2-3 months after surgery and happy with the results she obtained with out and incisions on the skin!

The patient was very happy, which makes me very happy 😊




☎️ 772-299-1404
🌎Website: www.caec.info
📍Location: Vero Beach, Florida
Center for Advanced Eye Care
🔷Individual results may vary
🙏These are actual patients of Dr. Blandford, please do not reproduce

***** BEFORE AND AFTER FILLER FOR VERTICAL LIP 💋 LINES/LIPSTICK 💄 LINES/SMOKER’S 💨 🚬 LINES👇👇👇 *****This patient presente...
06/03/2024

***** BEFORE AND AFTER FILLER FOR VERTICAL LIP 💋 LINES/LIPSTICK 💄 LINES/SMOKER’S 💨 🚬
LINES👇👇👇 *****

This patient presented with the complaint of vertical lip lines, often harshly named smokers lines. These lines form for a variety of reasons that vary from genetics, repetitive mouth movements such as drinking from a straw, soft tissue atrophy, dentition changes, and others. They are also sometimes referred to lipstick lines as the product can run into the crevices and smear.

She was NOT looking for a significant increase in volume and wanted it to look NATURAL.

Shown immediately after one syringe of Restylane Kysse she now has improvement in those vertical lip lines and more hydrated lips. She was very happy with the result 😊

What do you think?? 🤔



☎️ 772-299-1404
🌎Website: www.caec.info
📍Location: Vero Beach, Florida
🔷Individual results may vary
🙏These are actual patients of Dr. Blandford, please do not reproduce

BEFORE AND AFTER UNDER EYE BAG 👁️ 👁️ 🧳 🧳 SURGERY LOWER BLEPHAROPLASTY 👇👇👇📣📣 Public Service Announcement:If there are tru...
02/03/2024

BEFORE AND AFTER UNDER EYE BAG
👁️ 👁️ 🧳 🧳 SURGERY LOWER BLEPHAROPLASTY 👇👇👇

📣📣 Public Service Announcement:
If there are true under eye bags (prolapse of orbital fat), then under eye filler is almost NEVER the solution.

Prior filler can result in prolonged swelling and bump or cyst formation. Important to attempt to dissolve it before surgery.

This beautiful patient was bothered by puffy under eyes/ bags that created the appearance of dark circles even after a full night’s rest. She felt great and was still very active, but felt that this was a feature that didn’t match her energy level and was not able to cover it up with any kind of makeup. Attempts at under eye filler were unsuccessful and caused excessive swelling. The under eye filler was dissolved before surgery.

To improve her lower eyelid appearance without hollowing the lid cheek junction, lower blepharoplasty with fat repositioning was performed. This was done all from the inside of the lower eyelid. Light laser ⚡️ resurfacing was performed for improvement in lower eyelid skin texture.

Note the improved transition from her eyelid to cheek. The goal of this and any plastic surgery is “better” not “different”. She and I agree this was achieved 😊

Results are shown a few months later and will continue to improve!

She is happy with her results and I am very happy for her!

*** Note the first image is with the same lighting with a flash in the before and after. In the second image the before is without a flash and the after is with a flash. Unfortunately, no after photo without a flash 🤦‍♂️





☎️ 772-299-1404
🌎Website: www.caec.info
📍Location: Vero Beach, Florida
🔷Individual results may vary
🙏These are actual patients of Dr. Blandford, please do not reproduce

**** IMPROVING EYELID SYMMETRY WITH UPPER EYELID LIFT ****  👇 👇 👇This awesome patient was bothered by drooping upper eye...
20/02/2024

**** IMPROVING EYELID SYMMETRY WITH UPPER EYELID LIFT **** 👇 👇 👇

This awesome patient was bothered by drooping upper eyelids where the eyelids crossed close to his pupil. This made the patient appear less awake and limited the amount of light into the eyes, impacting his vision.

surgery and were performed to achieve these results shown at 2 months after surgery.

Lower eyelid surgery was NOT performed in this case.

Happy for our patient! 😊




☎️ 772-299-1404
🌎Website: www.caec.info
📍Location: Vero Beach, Florida
Center for Advanced Eye Care
🔷Individual results may vary
🙏These are actual patients of Dr. Blandford, please do not reproduce

IMPROVING EYELID AND BROW SYMMETRY WITH EYELID SURGERY/BROW SURGERY👇👇👇This beautiful patient was bothered by heavy upper...
07/02/2024

IMPROVING EYELID AND BROW SYMMETRY WITH EYELID SURGERY/BROW SURGERY👇👇👇

This beautiful patient was bothered by heavy upper eyelids and asymmetry. This made her look more tired than she felt and very difficult to wear mascara. Her previously radiant blue 👁️ 👁️ were disappearing.

She underwent upper to help remove extra upper eyelid skin/fat for an and to support the tail of the brow on the right > left side.

She is pleased with her and I am very happy for her! Note the return of the baby blue eyes :)

What do you think 🤔 ???

I often combine this surgery with lower eyelid surgery and laser resurfacing, but it was not performed in this case.




☎️ 772-299-1404
🌎Website: www.caec.info
📍Location: Vero Beach, Florida
🔷Individual results may vary
🙏These are actual patients of Dr. Blandford, please do not reproduce

*** FACIAL PARALYSIS LOWER EYELID SURGERY *** 👇👇👇Patient with paralytic ectropion repaired with eyelid/cheek lifting.   ...
03/02/2024

*** FACIAL PARALYSIS LOWER EYELID SURGERY *** 👇👇👇

Patient with paralytic ectropion repaired with eyelid/cheek lifting.

This wonderful patient was referred for eye pain, irritation, and tearing 😭 from a severe out turned lower eyelid . She developed this from a rare type of cancer that also caused double vision. She was unable to close her eye and this caused pain, eye watering, and disfigurement.

She underwent to repair her lower eyelid by supporting the cheek vertically and tightening the lid horizontally. She now notes that her irritation and tearing 😭 are resolved 😀!

She is very happy with her result!

What do you think?? 🤔

☎️ 772-299-1404
🌎Website: www.caec.info
📍Location: Vero Beach, Florida
🔷Individual results may vary
🙏These are actual patients of Dr. Blandford, please do not reproduce

BEFORE AND AFTER UNDER EYE BAG 👁️ 👁️ 🧳 🧳 SURGERY LOWER BLEPHAROPLASTY 👇👇👇This beautiful patient was bothered by puffy un...
31/01/2024

BEFORE AND AFTER UNDER EYE BAG
👁️ 👁️ 🧳 🧳 SURGERY LOWER BLEPHAROPLASTY 👇👇👇

This beautiful patient was bothered by puffy under eyes/ bags that created the appearance of dark circles even after a full night’s rest. She felt great, but felt that this was a feature that didn’t match her energy level and was not able to cover it up with any kind of makeup.

To improve her lower eyelid appearance without hollowing the lid cheek junction, lower blepharoplasty with fat repositioning was performed. This was done all from the inside of the lower eyelid. Light laser ⚡️ resurfacing was performed for improvement in lower eyelid skin texture.

Note the improved transition from her eyelid to cheek. The goal of this and any plastic surgery is “better” not “different”. She and I agree this was achieved 😊

Results are shown at 2-3 months and will continue to improve!

She is happy with her results and I am very happy for her!






☎️ 772-299-1404
🌎Website: www.caec.info
📍Location: Vero Beach, Florida
🔷Individual results may vary
🙏These are actual patients of Dr. Blandford, please do not reproduce

BEFORE AND AFTER UNDER EYE BAG SURGERY, PTOSIS SURGERY, AND UPPER BLEPHAROPLASTY 👇👇👇This stunning patient was bothered b...
22/01/2024

BEFORE AND AFTER UNDER EYE BAG SURGERY, PTOSIS SURGERY, AND UPPER BLEPHAROPLASTY 👇👇👇

This stunning patient was bothered by her under eye bags and heavy upper eyelids and looking for a refresher to match her active lifestyle.

To improve the lower eyelid appearance without hollowing the under eye, lower blepharoplasty with fat repositioning was performed. This was done all from the inside of the lower eyelid with NO SKIN INCISION. Light laser ⚡️ resurfacing was performed on the skin to improve texture.

An upper and surgery was also performed to decrease the excess skin and lift the eyelids to get rid of the

The patient is happy with the natural improvement.

What do you think 🤔 ???





☎️ 772-299-1404
🌎Website: www.caec.info
📍Location: Vero Beach, Florida
🔷Individual results may vary
🙏These are actual patients of Dr. Blandford, please do not reproduce

***** BEFORE AND AFTER FILLER FOR LIP 💋 AUGMENTATION 👇👇👇 *****This incredible patient presented with the complaint of vo...
20/01/2024

***** BEFORE AND AFTER FILLER FOR LIP 💋 AUGMENTATION 👇👇👇 *****

This incredible patient presented with the complaint of volume loss in her lips and a deflated appearance. She was hoping for more definition and pout.

After one syringe of Restylane Kysse she now has fuller lips that look more hydrated, but still look very natural. Note the improved reflection of light off the vermillion border and more defined Cupid’s bow.

What do you think?? 🤔



☎️ 772-299-1404
🌎Website: www.caec.info
📍Location: Vero Beach, Florida
🔷Individual results may vary
🙏These are actual patients of Dr. Blandford, please do not reproduce

***** FACIAL PLASTIC SURGERY RECONSTRUCTION AFTER MOHS SURGERY *****👇👇👇The patient is shown 2 month after surgery and is...
17/01/2024

***** FACIAL PLASTIC SURGERY RECONSTRUCTION AFTER MOHS SURGERY *****👇👇👇

The patient is shown 2 month after surgery and is still healing but off to a good start.

This wonderful patient was referred for reconstruction after surgery skin cancer removal that involved the upper eyelid and brow.

After a carefully designed local flap, the patient is able to open and close his eyes normally. His incisions are well concealed and he is very happy with his early outcome.

Reminder to wear your sunscreen even as we are in winter 🥶!!

What do you think 🤔?





☎️ 772-299-1404
🌎Website: www.caec.info
📍Location: Vero Beach, Florida
🔷Individual results may vary
🙏These are actual patients of Dr. Blandford, please do not reproduce

***** BEFORE AND AFTER EYELID 👀, NOSE 👃, AND CHEEK RECONSTRUCTION FROM SKIN CANCER 👇👇 ******** Warning swipe ➡️ to see s...
13/01/2024

***** BEFORE AND AFTER EYELID 👀, NOSE 👃, AND CHEEK RECONSTRUCTION FROM SKIN CANCER 👇👇 *****

*** Warning swipe ➡️ to see surgical photos.

can present all over the body and the is no exception. The medial canthus is a complex area to reconstruct due to the meeting of several aesthetic subunits of the face (eyelid, nose, and cheek), the dynamic movement/contours that occur here, and the risk of functional deficits if not carefully performed (inability to close eye, pulled down lid, tearing, etc)

To repair this defect the patient had a combination of a facial flap and a full thickness skin graft. The flap was used to reconstruct the eyelid/cheek component of the defect and the graft was used for the nasal sidewall component of the defect.

At 3 months, she has a nice functional and cosmetic outcome. Most importantly the skin cancer is gone!!

What do you think 🤔 ??!!



☎️ 772-299-1404
🌎Website: www.caec.info
📍Location: Vero Beach, Florida
🔷Individual results may vary
🙏These are actual patients of Dr. Blandford, please do not reproduce

BEFORE AND AFTER UNDER EYE “DOUBLE” BAG SURGERY 👇👇👇This patient was bothered by under eye bags that created the appearan...
12/01/2024

BEFORE AND AFTER UNDER EYE “DOUBLE” BAG SURGERY 👇👇👇

This patient was bothered by under eye bags that created the appearance of dark circles even after a full night’s rest.

In this patient’s case, the puffiness was the result of “2 bags”. The first bag was from pr*****ed orbital fat. The second bag, below, is called a festoon or malar mound. This second bag, is not fat but more related to fluid retention and can fluctuate.

To improve her lower eyelid appearance from the bag caused by fat prolapse- lower blepharoplasty with fat repositioning was performed. This was done all from the inside of the lower eyelid.

To treat the second bag, or festoon, a custom laser resurfacing procedure was performed to tighten the skin with no cuts on the skin.

Results are shown at 2 months and will continue to improve!

She is happy with her results and I am very happy for her!






☎️ 772-299-1404
🌎Website: www.caec.info
📍Location: Vero Beach, Florida
🔷Individual results may vary
🙏These are actual patients of Dr. Blandford, please do not reproduce

#32960 #32963

***** BEFORE AND AFTER EYELID 👀 RECONSTRUCTION FROM SKIN CANCER 👇👇 ******** Warning swipe ➡️ to see surgical photos.  ca...
20/12/2023

***** BEFORE AND AFTER EYELID 👀 RECONSTRUCTION FROM SKIN CANCER 👇👇 *****

*** Warning swipe ➡️ to see surgical photos.

can present all over the body and the is no exception. This patient underwent reconstruction of a full thickness defect in her upper eyelid after Mohs surgery. She was missing skin as well as the structural component of the eyelid called tarsus (I often refer to this as the cartilage of the eyelid to patients). Prior skin removal from an upper blepharoplasty elsewhere made it a little trickier.

The full thickness component of the defect was repaired with a sliding tarsus flap and then a transposition flap was used to repair the skin component of the defect. (swipe to see surgery photos)

Upper eyelid reconstruction is less common and more difficult that a defect in the lower eyelid. This is due to typically less laxity and the zero margin for error for function as the upper eyelid is critical to protecting the eye.

She is shown only 2 months after surgery and will continue to improve. Form and function have been restored. I am so happy for her!

What do you think 🤔 ??!!



☎️ 772-299-1404
🌎Website: www.caec.info
📍Location: Vero Beach, Florida
🔷Individual results may vary
🙏These are actual patients of Dr. Blandford, please do not reproduce

BEFORE AND AFTER MALE UNDER EYE BAG SURGERY 👇👇👇This gentleman was bothered by under eye bags that created the appearance...
16/12/2023

BEFORE AND AFTER MALE UNDER EYE BAG SURGERY 👇👇👇
This gentleman was bothered by under eye bags that created the appearance of dark circles even after a full night’s rest.
To improve his lower eyelid appearance lower blepharoplasty with fat repositioning was performed. This was done all from the inside of the lower eyelid. No laser was used in this case. No upper eyelid surgery was performed. Results shown at 2 months and will continue to improve!
He is happy with his results and I am very happy for him!



☎️ 772-299-1404
🌎Website: www.caec.info
📍Location: Vero Beach, Florida
🔷Individual results may vary
🙏These are actual patients of Dr. Blandford, please do not reproduce

#32960 #32963

🔥 NATURAL RESULTS AFTER UPPER AND LOWER EYELID REJUVENATION SURGERY🔥👇👇👇This amazing patient was bothered by under eye ba...
12/12/2023

🔥 NATURAL RESULTS AFTER UPPER AND LOWER EYELID REJUVENATION SURGERY🔥
👇👇👇

This amazing patient was bothered by under eye bags and heavy upper eyelids/brows. This made her feel that her eyes were heavy and that they looked more tired than she felt. No matter how much she slept the night before, she felt that the under eye dark circles remained.

She also was bothered by the inability to apply makeup or mascara to the upper eyelids and lashes.

To improve her lower eyelid appearance without hollowing the under eye, lower blepharoplasty with fat repositioning was performed. This was done all from the inside of the lower eyelid WITH NO SKIN INCISION.

To improve the drooping upper eyelids the patient had an upper blepharoplasty with the standard incision placed in the eyelid crease. Her right brow is lower than her left but a formal brow lift was more than what she desired at this time.

What do you think 🤔 ???




☎️ 772-299-1404
🌎Website: www.caec.info
📍Location: Vero Beach, Florida
🔷Individual results may vary
🙏These are actual patients of Dr. Blandford, please do not reproduce

🔥 NATURAL RESULTS AFTER UPPER AND LOWER EYELID REJUVENATION SURGERY🔥This amazing patient was bothered by under eye bags ...
27/10/2023

🔥 NATURAL RESULTS AFTER UPPER AND LOWER EYELID REJUVENATION SURGERY🔥

This amazing patient was bothered by under eye bags and heavy upper eyelids/brows. This made her feel that her eyes were heavy and that they looked more tired than she felt. No matter how much she slept the night before, she felt that the under eye dark circles remained.

She also was bothered by the inability to apply makeup or mascara to the upper eyelids and lashes.

To improve her lower eyelid appearance without hollowing the under eye, lower blepharoplasty with fat repositioning was performed. This was done all from the inside of the lower eyelid.

To improve the drooping upper eyelids the patient had an upper blepharoplasty with the standard incision placed in the eyelid crease.

What do you think 🤔 ???




☎️ 772-299-1404
🌎Website: www.caec.info
📍Location: Vero Beach, Florida
🔷Individual results may vary
🙏These are actual patients of Dr. Blandford, please do not reproduce

**** COMPLEX RECONSTRUCTIVE SURGERY OF THE NOSE/NOSTRIL/CHEEK****WARNING!! Swipe ➡️ to see surgical photos/steps.This pa...
21/10/2023

**** COMPLEX RECONSTRUCTIVE SURGERY OF THE NOSE/NOSTRIL/CHEEK****

WARNING!! Swipe ➡️ to see surgical photos/steps.

This patient was referred for after for involving his right nasal ala, alar groove, medial cheek.

Defects involving the nasal ala and alar groove are complex. The ala lacks true cartilage so deeper defects require placement of a cartilage substitute, otherwise the external nasal valve (nostril) may collapse and make it difficult to breathe. The cartilage graft must then be covered by a vascularized flap (skin with blood supply).

You can see in the photo looking up into the nostril (“worm’s eye” view) that before repair the nostril is collapsed inward.

To rebuild the nostril support, I took a cartilage graft from his ear. The cartilage graft was then covered with an interpolated paramedian forehead flap. While this flap looks extreme and requires a second stage, it is necessary in cases like this to cover the cartilage graft with a vascularized flap and avoid distortion of the nasal alar groove. ➡️ to see the inset of the cartilage in the ala (nostril area) and coverage with forehead flap.

The forehead flap was separated 3 weeks later and the after photo is 6 weeks after flap division.

There is a small web at the lateral alar groove and this happens in the majority of cases where the defect extends across the alar groove and requires a third stage procedure to remedy. The patient was very happy already and elected to not have a 3rd stage contouring procedure.

He is healing very nicely and is very happy with the results! He can breath perfectly, has a well formed ala and alar groove (importantly, he is !


Reminder to wear !!

☎️ 772-299-1404
🌎Website: www.caec.info
📍Location: Vero Beach, Florida
🔷Individual results may vary
🙏These are actual patients of Dr. Blandford, please do not reproduce

***** FACIAL PLASTIC SURGERY RECONSTRUCTION AFTER MOHS SURGERY *****The patient is shown ONLY 1 month after surgery and ...
19/10/2023

***** FACIAL PLASTIC SURGERY RECONSTRUCTION AFTER MOHS SURGERY *****

The patient is shown ONLY 1 month after surgery and still healing but off to a good start.

This wonderful patient was referred for reconstruction after Mohs surgery skin cancer removal that involved the lower eyelid and cheek. The patient had tight skin from extensive sun damage and the defect was very close to the lid margin, making the risk of the lid getting pulled down high

A transposition flap was used to repair the defect to keep incisions in the smile lines and avoid a skin graft.

Reminder to wear your sunscreen even as we are entering fall 🍁 !!

What do you think 🤔?





☎️ 772-299-1404
🌎Website: www.caec.info
📍Location: Vero Beach, Florida
🔷Individual results may vary
🙏These are actual patients of Dr. Blandford, please do not reproduce

BEFORE AND AFTER COSMETIC UPPER BLEPHAROPLASTY AND INTERNAL BROWPEXY 👇👇👇This wonderful patient was bothered by heavy upp...
18/10/2023

BEFORE AND AFTER COSMETIC UPPER BLEPHAROPLASTY AND INTERNAL BROWPEXY 👇👇👇

This wonderful patient was bothered by heavy upper eyelids. This made her look more tired than she felt and very difficult to wear mascara.

She underwent upper to help remove extra upper eyelid skin/fat and internal to sculpt the brow fat pad and support the tail of the brow from the same incision as the

She loves her and I am very happy for her!

What do you think 🤔 ???

I often combine this surgery with lower eyelid surgery and laser resurfacing, but it was not performed in this case.




☎️ 772-299-1404
🌎Website: www.caec.info
📍Location: Vero Beach, Florida
🔷Individual results may vary
🙏These are actual patients of Dr. Blandford, please do not reproduce

BEFORE AND AFTER UNDER EYE BAG SURGERY AND LASER RESURFACING 👇👇👇This wonderful patient was bothered by the appearance of...
13/10/2023

BEFORE AND AFTER UNDER EYE BAG SURGERY AND LASER RESURFACING 👇👇👇

This wonderful patient was bothered by the appearance of her lower eyelids. She noted puffy bags and wrinkled skin that make up could not cover up.

Some patients have more fullness or more of a “bag” under their eyes. Some patients have more texture issues or wrinkles to the skin. Some patients have both.

To address both, the patient had #1 lower blepharoplasty with fat repositioning. This was done all from the inside of the lower eyelid with NO SKIN INCISION. She also had #2 laser ⚡️ resurfacing to the lower eyelid skin to help smooth and tighten the skin to address the texture component.

The patient is happy with the natural improvement.

What do you think 🤔 ???





☎️ 772-299-1404
🌎Website: www.caec.info
📍Location: Vero Beach, Florida
🔷Individual results may vary
🙏These are actual patients of Dr. Blandford, please do not reproduce

*** NOSE 👃 SKIN CANCER RECONSTRUCTION 👇👇👇  ***** WARNING, SWIPE ➡️ FOR SURGICAL PHOTOSThis wonderful patient was referre...
26/08/2023

*** NOSE 👃 SKIN CANCER RECONSTRUCTION 👇👇👇 ***

** WARNING, SWIPE ➡️ FOR SURGICAL PHOTOS

This wonderful patient was referred by her dermatologist after for reconstruction of her nasal inferior dorsum/supratip.

Caudal (inferior) nasal defects can pose challenges due to lack of local skin mobility and may require 2-stage surgeries (paramedian forehead flap) or skin grafts.
was performed in this patient in a single stage with a trilobe flap to spread the tension out over a greater surface area and recruit local skin to repair the defect. While the incision is longer in this type of repair, if carefully done it can lead to a nice result due to less tension on the leading edge of the incision.

She is shown 2 months after surgery and healing well.

What do you think?? 🤔



☎️ 772-299-1404
🌎Website: www.caec.info
📍Location: Vero Beach, Florida
🔷Individual results may vary
🙏These are actual patients of Dr. Blandford, please do not reproduce

The Carolina Lilly is beautiful. It’s also the North Carolina state wild flower.
11/08/2023

The Carolina Lilly is beautiful. It’s also the North Carolina state wild flower.

*** EYELID RECONSTRUCTION  ***👇👇👇SWIPE ➡️ to see defect photo and immediate reconstruction result. Reconstruction after ...
10/08/2023

*** EYELID RECONSTRUCTION ***👇👇👇

SWIPE ➡️ to see defect photo and immediate reconstruction result. Reconstruction after Mohs surgery with free tarsal graft and local eyelid flap.

This wonderful patient was referred for reconstruction after removal of a basal cell carcinoma of her lower eyelid.

The skin cancer removal resulted in a full thickness defect of ~40% of the lower eyelid.

Several reconstructive options were discussed with the patient. She had minimal horizontal laxity which limited our options. One option would be a Hughes flap from the inside of her upper eyelid that is left connected and then separated 3-4 weeks later.

In this case, a free tarsal (“cartilage-like” part of eyelid) graft was taken from the inside of the upper eyelid and then a local skin flap was designed to cover the tarsal graft. These incisions were placed under the eyelashes to conceal the scar.

This allowed for a one-stage surgery that restored function to the eyelid and maintained cosmesis.

While this technique is not the best for every patient, in this case The patient was very happy with her result!




☎️ 772-299-1404
🌎Website: www.caec.info
📍Location: Vero Beach, Florida
🔷Individual results may vary
🙏These are actual patients of Dr. Blandford, please do not reproduce

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