Innovations List Sutureless Conjunctiva-Sparing Posterior Ptosis Repair A Next-Generation Advancement in Ptosis Surgery Read More Conjunctivodacryomaxillostomy for Canalicular Stenosis A Novel Surgery for Severe Tear Duct Narrowing Read More Endoscopic Dacryocystorhinostomy for Monocanalicular Obstruction A Minimally Invasive Tear Drainage Surgery Read More Trochleaectomy for Chronic Trochlear Pain A Surgical Solution for Persistent Eye Pain Read More Orbital Floor & Rim Reconstruction with Titanium Implant Improving Reconstruction After Orbital Trauma Read More Two-Stage Rapid Orbital Exenteration Reconstruction Advancing Treatment for Aggressive Orbital Cancer Read More Cyanoacrylate Glue Casting for Periocular Skin Grafts A Modern Method for Stabilizing Skin Grafts Around the Eye Read More Shared Buccal Mucosal Graft for Severe Eyelid Entropion A Surgical Innovation for Complex Eyelid Reconstruction Read More Hyaluronic Acid Injection for Multiple Eyelid Folds in Asian Patients A Novel Non-Surgical Approach to Eyelid Contour Correction Read More The J-Curve Technique for Nasolacrimal Surgery A New Way to Navigate the Tear Drainage System Read More The “Tuck and Rise” Brow Lift Technique A Novel Advancement in Brow Rejuvenation Read More Punctum-Sparing Canaliculotomy for Canaliculitis A New Approach to Treating Tear Duct Infection Read More Conjunctiva-Sparing Posterior Ptosis Surgery A Breakthrough in Ptosis Repair Surgery Read More Upper Eyelid Approach to Lower Eyelid Blepharoplasty A Modern Advancement in Eyelid Rejuvenation Surgery Read More Hyaluronic Acid Gel Gold-Weight for Paralytic Lagophthalmos What Is the Hyaluronic Acid Gel Gold-Weight Technique? Read More

Expert upper blepharoplasty in Beverly Hills. Dr. Mancini removes drooping eyelid skin to improve vision and appearance with natural-looking results. Upper Blepharoplasty Surgery involves rejuvenation of the upper eyelids often involving removal of excess skin and sculpting of eyelid fat pads. BEFORE What is Upper Blepharoplasty? Dr. Mancini approaches upper blepharoplasty on an individualized patient basis. Removal of excess upper eyelid skin is often combined with eyelid fat sculpting and repositioning in an effort to create a natural, youthful upper eyelid appearance. Example : 51yo female before and after Upper and Lower Eyelid Blepharoplasty BEFORE Irregular platform show with redundant crepey skin Redundant lower eyelid skin AFTER Youthful appearing “short” lower eyelids with improved contour Symmetric platform show with no skin redundancy Patient Summary At 51, this patient wanted to address heaviness in her upper eyelids and under-eye concerns for a more refreshed appearance. She underwent upper and lower eyelid blepharoplasty to enhance eyelid contour, reduce puffiness, and brighten her eyes. The result is a naturally rejuvenated look that enhances her features while maintaining her unique expression. UPPER BLEPHORAPLASTY Functional & Aesthetic Benefits Improved Vision and Comfort: For patients whose upper‑lid skin overlaps the eyelashes or even the pupil, the surgery often relieves visual obstruction, eyelid fatigue, or the need to raise eyebrows continuously. Younger, Brighter Appearance: By lifting the lid platform and reducing hooding, the eyes appear more open and refreshed—yet retain their unique character. Hundreds of Global Lectures sharing expertise in aesthetics & reconstructive surgery CONTACT US Learn more about how Dr. Mancini can help you achieve refined, natural beauty. Beverly Hills Office (424)-319-1041 UCLA Office (310)-206-8250 contact@ronaldmancinimd.com Request an In-Person Consultation Request to Book Why Choose Dr. Mancini? With dual board‑certification in ophthalmology and oculoplastic surgery, Dr. Mancini brings refined surgical expertise and an aesthetic sensibility to upper‑eyelid rejuvenation. Serving Beverly Hills, Los Angeles, and Shanghai, his practice combines advanced techniques, global experience, and a commitment to natural‑looking, sustainable results. REQUEST TO BOOK Who Should Consider Upper Blepharoplasty? Upper blepharoplasty may be appropriate for individuals who experience persistent heaviness or sagging of the upper eyelids, often leading to visual fatigue or difficulty with peripheral vision. Patients who find themselves raising their eyebrows to see more clearly or who feel that their eyelids make them appear tired or older than they feel may benefit from this procedure. Ideal candidates are generally in good overall health and have realistic expectations about the outcomes of surgery.

INNOVATIONS Shared Buccal Mucosal Graft for Severe Eyelid Entropion Functional Benefits Severe cicatricial entropion is a condition where scarring causes the eyelid to turn inward, allowing eyelashes to rub against the eye and potentially damage the cornea. Dr. Mancini helped develop a shared buccal mucosal graft technique , which uses tissue from the inside of the cheek to reconstruct damaged eyelids. This innovative method allows surgeons to simultaneously repair both the upper and lower eyelids , improving surgical efficiency while restoring eyelid structure and function. The procedure was described in: Kerr T, Mancini R. (2016) Shared Buccal Mucosal Graft for Simultaneous Repair of Severe Upper and Lower Eyelid Cicatricial Entropion. Functional Benefits • Restores proper eyelid position • Protects the cornea from damage • Allows reconstruction of both eyelids in a single surgical procedure REQUEST A CONSULTATION Who May Need This Surgery? Patients with severe eyelid scarring, chronic eyelid inversion, or complications from trauma, surgery, or autoimmune disease may benefit from advanced reconstructive techniques like this one. Ready to Enhance Your Natural Beauty? Schedule a Consultation Today SCHEDULE A CONSULTATION Previous Item Next Item

Expert ptosis repair surgery including many techniques pioneered by Dr. Mancini. Correct drooping eyelids and restore vision. Request your consultation at our Los Angeles location today. Ptosis Repair Surgery Surgery involves lifting and opening of the upper eyelid and is typically performed on the back surface of the eyelid with a small incision and no visible external scar. BEFORE Ptosis Repair Surgery Dr. Mancini is considered by many one of the world’s authorities on ptosis surgery. He has pioneered many techniques that have been published in the medical literature and he has lectured around the world describing and teaching his techniques. His posterior approach sutureless surgery can be titrated to achieve the desired level of eyelid elevation and can be performed under local anesthesia in just minutes. Example : 63yo female s/p upper eyelid micro-ptosis repair and upper and lower blepharoplasty Patient Summary At 63, this patient sought to address eyelid heaviness and signs of aging around her eyes. She underwent upper eyelid micro-ptosis repair along with upper and lower blepharoplasty to improve eyelid function, restore a more youthful contour, and refresh her overall appearance. The result is a natural, rejuvenated look that enhances her features while preserving their unique expression. BEFORE AFTER PTOSIS REPAIR SURGERY Functional & Aesthetic Benefits Restores vision by lifting drooping eyelids that obstruct the upper visual field Relieves eyelid fatigue and forehead strain caused by constant brow elevation Improves facial symmetry and eyelid contour, enhancing natural appearance Creates a more alert, rested look while maintaining unique facial expression Who Should Consider Ptosis Repair Surgery? Ptosis repair may be appropriate for individuals who notice one or both upper eyelids appear lower than normal—sometimes covering the pupil or creating asymmetry between the eyes. Patients may report eye fatigue, brow strain, difficulty reading, or frequent squinting. In many cases, ptosis worsens with age but may also be congenital or the result of trauma, previous surgery, or neurologic conditions. Ideal candidates are in good general health and may have been referred for evaluation after failed visual field testing or noted asymmetry. Dr. Mancini performs a comprehensive examination, including eyelid measurements, muscle function tests, and visual field assessments when needed, to determine the most appropriate surgical plan. Why Choose Dr. Mancini? With dual board‑certification in ophthalmology and oculoplastic surgery, Dr. Mancini brings refined surgical expertise and an aesthetic sensibility to upper‑eyelid rejuvenation. Serving Beverly Hills, Los Angeles, and Shanghai, his practice combines advanced techniques, global experience, and a commitment to natural‑looking, sustainable results. REQUEST TO BOOK CONTACT US Learn more about how Dr. Mancini can help you achieve refined, natural beauty. Beverly Hills Office (424)-319-1041 UCLA Office (310)-206-8250 contact@ronaldmancinimd.com Request an In-Person Consultation Request to Book

GALLERY Lower Blepharoplasty with Fat Transposition PATIENT # 1 AFTER Procedure Description 44yo female before and after lower blepharoplasty with fat transposition BEFORE AFTER BEFORE “Long” appearing lower eyelids with fat prolapse and tear trough hollowing AFTER Youthful appearing “short” lower eyelids with improved contour Patient Summary At 44, this patient wanted to address under-eye hollowness and tired-looking eyes. She underwent lower blepharoplasty with fat transposition to smooth and restore volume to the under-eye area, creating a more refreshed and youthful appearance. The results enhance her natural features while maintaining her unique expression. REQUEST A CONSULTATION VIEW MORE Related Galleries of Patient PATIENT # 2 PATIENT # 3 PATIENT # 4 PATIENT # 5 PATIENT # 6 PATIENT # 7 PATIENT # 2 PATIENT # 3 PATIENT # 4 PATIENT # 5 PATIENT # 6 PATIENT # 7 PATIENT # 2 PATIENT # 3 PATIENT # 4 PATIENT # 5 PATIENT # 6 PATIENT # 7 PATIENT # 2 PATIENT # 3 PATIENT # 4 PATIENT # 5 PATIENT # 6 PATIENT # 7 PATIENT # 2 PATIENT # 3 PATIENT # 4 PATIENT # 5 PATIENT # 6 PATIENT # 7 VIEW MORE Related Galleries of Patients PATIENT #2 PATIENT #3 PATIENT #4 PATIENT # 5 PATIENT #6 PATIENT #7 PATIENT #2 PATIENT #3 PATIENT #4 PATIENT # 5 PATIENT #6 PATIENT #7 PATIENT #2 PATIENT #3 PATIENT #4 PATIENT # 5 PATIENT #6 PATIENT #7 PATIENT #2 PATIENT #3 PATIENT #4 PATIENT # 5 PATIENT #6 PATIENT #7 PATIENT #2 PATIENT #3 PATIENT #4 PATIENT # 5 PATIENT #6 PATIENT #7

INNOVATIONS The “Tuck and Rise” Brow Lift Technique Functional & Aesthetic Benefits Dr. Ronald Mancini developed the “Tuck and Rise” technique , a surgical enhancement of traditional internal brow pexy used to elevate the brow and improve upper eyelid aesthetics. The method incorporates partial orbicularis muscle resection , allowing surgeons to achieve greater brow elevation while maintaining natural facial movement. The technique was described in: Armstrong, Blair K. M.D.; Sobti, Deepak M.D.; Mancini, Ronald M.D., F.A.C.S.. Partial Orbicularis Resection for the Augmentation of Traditional Internal Brow Pexy: The “Tuck and Rise”. Ophthalmic Plastic and Reconstructive Surgery 32(6):p 473-476, November/December 2016. | DOI: 10.1097/IOP.0000000000000749 Functional & Aesthetic Benefits • Improves brow position and eyelid appearance • Enhances results of traditional brow lift techniques • Maintains natural facial expressions REQUEST A CONSULTATION Who Should Consider Brow Lift Surgery? Patients experiencing low or heavy brows, upper eyelid hooding, or facial aging around the eyes may benefit from brow lift surgery. Advanced techniques like the “Tuck and Rise” allow surgeons to achieve natural and long-lasting rejuvenation. Ready to Enhance Your Natural Beauty? Schedule a Consultation Today SCHEDULE A CONSULTATION Previous Item Next Item

INNOVATIONS Two-Stage Rapid Orbital Exenteration Reconstruction Functional Benefits Orbital exenteration is a complex surgical procedure used to treat aggressive cancers affecting the eye socket. Dr. Mancini developed to a two-stage rapid reconstruction technique designed to allow patients to begin radiation therapy sooner , which can be critical for controlling aggressive tumors. This surgical approach focuses on reconstructing the orbital area quickly and effectively so that cancer treatment can proceed without delay. The innovation was described in: Patel SY, Tamboli DA, Mancini R. Two-stage rapid exenteration reconstruction to allow early radiation therapy for an aggressive orbital cancer. Int Ophthalmol. 2018;38(2):833-836. doi:10.1007/s10792-017-0525-3 Functional Benefits • Allows earlier radiation therapy after cancer surgery • Improves reconstruction after orbital tumor removal • Supports more effective cancer treatment timelines REQUEST A CONSULTATION Who May Require This Procedure? Patients diagnosed with aggressive orbital cancers may require complex reconstructive surgery as part of their treatment plan. Ready to Enhance Your Natural Beauty? Schedule a Consultation Today SCHEDULE A CONSULTATION Previous Item Next Item

INNOVATIONS Sutureless Conjunctiva-Sparing Posterior Ptosis Repair Functional Benefits Dr. Ronald Mancini developed a sutureless version of conjunctiva-sparing posterior ptosis repair , further advancing the original surgical technique he pioneered. This innovative approach corrects drooping eyelids (ptosis) without requiring sutures, potentially reducing surgical trauma and improving recovery time. By preserving delicate eyelid tissues and minimizing manipulation, the procedure helps restore normal eyelid position while maintaining natural eyelid function. The technique was published in: Mancini R, Forouzan P, Keenum ZG, Tenzel PA, Petroll WM. Sutureless Conjunctiva-Sparing Posterior Ptosis Repair Surgery: A Novel Technique. Am J Ophthalmol. 2023;251:77-89. doi:10.1016/j.ajo.2023.03.001 Functional Benefits • Corrects drooping eyelids affecting vision • Avoids sutures in the surgical repair • May improve healing and surgical precision REQUEST A CONSULTATION Who Should Consider Ptosis Repair? Patients experiencing drooping upper eyelids, visual obstruction, eyelid fatigue, or asymmetry may benefit from advanced ptosis repair techniques developed by experienced oculoplastic surgeons. Ready to Enhance Your Natural Beauty? Schedule a Consultation Today SCHEDULE A CONSULTATION Previous Item Next Item

Non-surgical eye rejuvenation with Botox and dermal fillers. Dr. Mancini softens fine lines, restores volume to tear troughs for a natural, refreshed look. Non-Surgical Periocular Rejuvenation Botox and dermal fillers in combination can often nicely rejuvenate the eye area with the advantage of minimal downtime as a “lunchtime” procedure. BEFORE Non-Surgical Periocular Rejuvenation Dr. Mancini has lectured worldwide and extensively published in the medical literature techniques for non-surgical periocular rejuvenation using a combination of botox and dermal fillers. The goal is a natural, not “overdone” look. Example : 36yo female with a history of prior lower eyelid filler s/p Bilateral Lower Eyelid Blepharoplasty with fat transposition and botulinum toxin Patient Summary At 36, this patient sought improvement in the appearance of her lower eyelids after previous filler treatment. She underwent bilateral lower eyelid blepharoplasty with fat transposition, combined with botulinum toxin, to smooth under-eye contours and refine expression lines. The result is a refreshed, natural look that enhances her features while maintaining their unique character. BEFORE “Long” appearing lower eyelids with irregular filler AFTER Smooth forehead and “crow’s feet” areas with elevated brow position from botox Youthful appearing “short” lower eyelids with improved contour NON-SURGICAL PERIOCULAR REJUVENATION Functional & Aesthetic Benefits Softens fine lines and crow’s feet around the eyes with neuromodulators like botulinum toxin (e.g., Botox®) Restores volume to tear troughs and under-eye hollows using advanced dermal filler techniques Improves skin tone and texture with targeted chemical peels or light resurfacing treatments Delays the need for surgery while maintaining a refreshed and natural appearance Who Should Consider Non-Surgical Periocular Rejuvenation? Non-surgical periocular rejuvenation is well-suited for individuals experiencing early signs of aging around the eyes—such as fine lines, volume loss, and subtle hollowness—who are not yet ready for or do not require surgical intervention. It’s an excellent option for patients looking to refresh their appearance with minimal downtime, while maintaining a natural look and preserving facial expression. This approach also benefits those who have previously undergone eyelid surgery and want to maintain or fine-tune their results over time. Patients often choose non-surgical treatments to address under-eye shadows, tear trough hollows, or mild skin texture changes, especially when they prefer a gradual, maintenance-oriented approach to rejuvenation. Dr. Mancini tailors each non-surgical treatment plan with the same precision and aesthetic sensitivity that defines his surgical work—making it an ideal choice for those who value subtle, high-quality results. Why Choose Dr. Mancini? With dual board‑certification in ophthalmology and oculoplastic surgery, Dr. Mancini brings refined surgical expertise and an aesthetic sensibility to upper‑eyelid rejuvenation. Serving Beverly Hills, Los Angeles, and Shanghai, his practice combines advanced techniques, global experience, and a commitment to natural‑looking, sustainable results. REQUEST TO BOOK CONTACT US Learn more about how Dr. Mancini can help you achieve refined, natural beauty. Beverly Hills Office (424)-319-1041 UCLA Office (310)-206-8250 contact@ronaldmancinimd.com Request an In-Person Consultation Request to Book

INNOVATIONS Cyanoacrylate Glue Casting for Periocular Skin Grafts Functional Benefits Skin grafts and reconstructive flaps are often necessary after eyelid cancer removal, trauma, or reconstructive surgery . Dr. Mancini developed a cyanoacrylate glue casting technique to stabilize delicate periocular skin grafts during healing. Instead of relying solely on sutures, this technique uses medical adhesive to create a protective cast over the graft, helping it remain stable during the critical healing phase. The technique was described in: Jackson CM, Nguyen M, Mancini R. Use of Cyanoacrylate Glue Casting for Stabilization of Periocular Skin Grafts and Flaps. Ophthalmic Plast Reconstr Surg. 2017;33(3):218-220. doi:10.1097/IOP.0000000000000827 Functional Benefits • Stabilizes skin grafts during healing • Reduces movement that could disrupt graft attachment • May improve surgical outcomes in eyelid reconstruction REQUEST A CONSULTATION Who May Benefit from This Approach? Patients undergoing eyelid reconstruction after tumor removal, trauma, or severe eyelid damage may benefit from this technique designed to improve graft success. Ready to Enhance Your Natural Beauty? Schedule a Consultation Today SCHEDULE A CONSULTATION Previous Item Next Item

GALLERY Upper Eyelid Blepharoplasty & Botox PATIENT # 4 AFTER Procedure Description 55yo female before and after Upper Eyelid Blepharoplasty and Botox BEFORE AFTER BEFORE Redundant upper eyelid skin AFTER Smooth forehead and “crow’s feet” areas with elevated brow position from botox Symmetric platform show with no skin redundancy Patient Summary At 55, this patient wanted to address heaviness in her upper eyelids and smooth fine lines for a more youthful appearance. She underwent upper eyelid blepharoplasty combined with Botox to lift and refresh her eyes, softening expression lines for a naturally rejuvenated look. The results enhance her features while maintaining her unique expression. VIEW MORE Related Galleries of Patients PATIENT #1 PATIENT #2 PATIENT #3 PATIENT # 5 PATIENT #6 PATIENT #7 PATIENT #1 PATIENT #2 PATIENT #3 PATIENT # 5 PATIENT #6 PATIENT #7 PATIENT #1 PATIENT #2 PATIENT #3 PATIENT # 5 PATIENT #6 PATIENT #7 PATIENT #1 PATIENT #2 PATIENT #3 PATIENT # 5 PATIENT #6 PATIENT #7 PATIENT #1 PATIENT #2 PATIENT #3 PATIENT # 5 PATIENT #6 PATIENT #7 VIEW MORE Related Galleries of Patient PATIENT # 1 PATIENT # 2 PATIENT # 3 PATIENT # 5 PATIENT # 6 PATIENT # 7 PATIENT # 1 PATIENT # 2 PATIENT # 3 PATIENT # 5 PATIENT # 6 PATIENT # 7 PATIENT # 1 PATIENT # 2 PATIENT # 3 PATIENT # 5 PATIENT # 6 PATIENT # 7 PATIENT # 1 PATIENT # 2 PATIENT # 3 PATIENT # 5 PATIENT # 6 PATIENT # 7 PATIENT # 1 PATIENT # 2 PATIENT # 3 PATIENT # 5 PATIENT # 6 PATIENT # 7

INNOVATIONS Conjunctivodacryomaxillostomy for Canalicular Stenosis Functional Benefits Canalicular stenosis is a condition in which the tear drainage channels become severely narrowed or blocked. Dr. Mancini introduced conjunctivodacryomaxillostomy , a new surgical procedure designed to bypass the obstructed tear ducts and restore tear drainage. This innovative technique provides a solution for patients who cannot be successfully treated with traditional tear duct procedures. The procedure was presented at: American Society of Ophthalmic Plastic and Reconstructive Surgery Annual Meeting. Functional Benefits • Restores tear drainage in complex cases • Treats severe canalicular obstruction • Provides an alternative when other procedures fail REQUEST A CONSULTATION Who May Need This Surgery? Patients with severe tear duct obstruction, scarring, or canalicular stenosis may benefit from this specialized surgical approach. Ready to Enhance Your Natural Beauty? Schedule a Consultation Today SCHEDULE A CONSULTATION Previous Item Next Item