Watch Richard Hopper's video

Conducting an Infratarsal Anterior Approach to the Orbit

06 September 2017

Richard Hopper Video

Conducting an Infratarsal Anterior Approach to the Orbit

Professor Richard Hopper is the Chief of the Division of Plastic Surgery at Seattle Children’s Hospital in the United States, and the Surgical Director of the Craniofacial Center, a 40 member interdisciplinary team dedicated to craniofacial care. He is also a Professor in the Division of Plastic Surgery at the University of Washington.

Professor Hopper’s clinical practice focuses on the surgical treatment of cleft lip and palate, craniosynostosis, rare and severe birth deformities of the bones and soft tissues of the face.

In this AOCMF video, the expert surgeon shares:

  • Key elements of the infratarsal anterior approach to the orbit (mid-lid approach)
  • Reasons why this approach provides reliable access to the lower orbit with the minimum risk of lower eyelid complications compared to other approaches
  • Why this approach is ideal for patients with existing infratarsal creases, where wide exposure is required, and for educational situations, when a reproducible low risk approach to the orbit will be performed by a trainee
  • Key anatomical landmarks for the incision
  • Appropriate planes of dissection
  • A reliable method for closure



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