The author describes how he augments Endotine Forehead device fixation with a temporary external cortical screw. This prevents the elevated and advanced skin flap from becoming detached from the Endotine, causing a relapse of brow ptosis. This double fixation endobrow technique places initial tension on the cortical screw, allowing tension-free fixation to the Endotine. Early results have been ...

The time is ripe to start a science of identities for their own sake, without paying lip-service to high-brow mathematics. Although putting combinatorial, (abstract-) algebraic or analytic flesh and blood on identities did lead and will lead to considerable insight as well as new identities, there is also much to be gained in forgetting advanced mathematics, and starting a new sub-discipline of...

We study a branching Brownian motion (BBM) with absorption, in which particles move as Brownian motions with drift −ρ, undergo dyadic branching at rate β > 0, and are killed on hitting the origin. In the case ρ > √ 2β the extinction time for this process, ζ, is known to be finite almost surely. The main result of this article is a large-time asymptotic formula for the survival probability P (ζ ...

In patients presenting with eyelid ptosis the clinician considers a differential diagnosis of 3rd nerve palsy, Horner’s syndrome, mitochondrial myopathy, oculopharyngeal muscular dystrophy, levator dehiscence, myotonic dystrophy and myasthenia gravis. The presence of moment to moment fluctuation in severity of ptosis (fatigable ptosis) typically suggests a neuromuscular junction disorder of whi...

OBJECTIVES To define the postoperative time interval required for elevated periosteum to readhere to the skull and regain its preoperative strength, and to evaluate whether fixation of the periosteum affects this interval or the strength of postoperative readhesion. DESIGN Prospective analysis of variance and covariance with repeated measures. SUBJECTS Thirty-six New Zealand white rabbits, ...

In a noteworthy 1935 book, Ludwik Fleck wrote that what science accepts and interprets as “fact” is not purely objective, but is a product of the history and underlying theory of the science at the time.1,2 Contextual and even subjective factors drive, mold, and constrain scientific inference more than we may realize. Fleck showed how scientific illustrations serve as ideograms that reflect but...

Stigma is a potentially destructive phenomenon that may result in negative consequences for individuals diagnosed or labeled as having a mental illness. Several recent studies suggest that contact with various stigmatized out-group members result in psychophysiological reactions indicative of negative affect. It is unclear whether such reactions extend to encounters with individuals with mental...

Unilateral blepharoptosis with poor or no levator action can be corrected properly only by suspending the eyelid from the brow or frontalis muscle. This method lifts the eyelid adequately but often results in undesirable asymmetry, since the brow-frontalis lift on one side is so different from the levator lift on the other. Beard offered one solution. He cut the normal palpebral levator muscle ...

UPPER EYELIDS When considering rejuvenating the upper eyelids, it must be understood that with age, the eyebrow (Table 1) gravitates downward, causing a pseudodermachalasis of the upper eyelids. This, in turn, is responsible for static crow’s feet, and with a receding hairline we get widening of the forehead. Because the eyebrow is low, it is raised to improve the appearance (in front of the mi...