INNOVATIONS The J-Curve Technique for Nasolacrimal Surgery Functional Benefits The J-Curve technique , developed by Dr. Ronald Mancini , is a surgical method designed to help surgeons safely navigate the nasolacrimal outflow tract , the delicate system responsible for draining tears from the eyes into the nasal cavity. Tear duct obstruction is a common condition that can cause excessive tearing (epiphora), infections, and chronic irritation . Surgical treatment requires careful navigation through a complex anatomical pathway. The J-Curve approach provides surgeons with a more predictable and controlled path through the tear drainage system, improving surgical access while reducing the risk of damage to surrounding tissues. This technique was described in: Sobti D, Walk D, Mancini R. (2016) The J-Curve for Navigating the Nasolacrimal Outflow Tract. Beyond Scars: The Evolution of Ptosis Repair Conjunctiva-Sparing Posterior Ptosis Surgery by Dr. Ronald Mancini, MD. Watch the video below to learn more about Dr. Mancini's innovation for Conjunctiva-Sparing Posterior Ptosis Surgery. REQUEST A CONSULTATION Functional Benefits • Improves surgical access to the tear drainage system • Enhances precision during lacrimal surgery • May reduce complications during tear duct procedures REQUEST A CONSULTATION Who May Benefit from This Approach? Patients suffering from tear duct obstruction, chronic tearing, or recurrent infections of the tear drainage system may benefit from surgical treatment using advanced techniques developed by leading oculoplastic surgeons like Dr. Mancini. Ready to Enhance Your Natural Beauty? Schedule a Consultation Today SCHEDULE A CONSULTATION Previous Item Next Item

DR. RONALD MANCINI MD, FACS Innovations At Dr. Ronald Mancini, MD, FACS, we believe that true beauty lies in balance, precision, and individuality. Every face tells a unique story, and our approach is centered on enhancing your natural features—not altering them. With decades of expertise and a passion for surgical artistry, Dr. Mancini blends science and aesthetics to achieve results that are both refined and timeless. 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

INNOVATIONS Punctum-Sparing Canaliculotomy for Canaliculitis Functional Benefits Canaliculitis is a painful infection of the tear drainage system that can cause redness, discharge, and persistent irritation of the eye. Dr. Mancini introduced a punctum-sparing canaliculotomy technique, designed to treat the infection while preserving the natural tear drainage opening of the eyelid. Traditional canaliculotomy procedures often enlarge or disrupt the punctum. This new method focuses on removing infection while maintaining the normal anatomy of the tear drainage system. The technique was published in: Khu J, Mancini R. Punctum-sparing canaliculotomy for the treatment of canaliculitis. Ophthalmic Plast Reconstr Surg. 2012;28(1):63-65. doi:10.1097/IOP.0b013e318244a367 Beyond Scars: The Evolution of Ptosis Repair Conjunctiva-Sparing Posterior Ptosis Surgery by Dr. Ronald Mancini, MD. Watch the video below to learn more about Dr. Mancini's innovation for Conjunctiva-Sparing Posterior Ptosis Surgery. REQUEST A CONSULTATION Functional Benefits • Effectively treats tear duct infections • Preserves the natural tear drainage system • Reduces risk of long-term tearing complications REQUEST A CONSULTATION Who Should Consider This Procedure? Patients suffering from chronic tear duct infections, persistent discharge, or tear drainage blockage may benefit from this specialized surgical approach performed by an oculoplastic surgeon. Ready to Enhance Your Natural Beauty? Schedule a Consultation Today SCHEDULE A CONSULTATION Previous Item Next Item

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. Beyond Scars: The Evolution of Ptosis Repair Conjunctiva-Sparing Posterior Ptosis Surgery by Dr. Ronald Mancini, MD. Watch the video below to learn more about Dr. Mancini's innovation for Conjunctiva-Sparing Posterior Ptosis Surgery. REQUEST A CONSULTATION 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

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 Beyond Scars: The Evolution of Ptosis Repair Conjunctiva-Sparing Posterior Ptosis Surgery by Dr. Ronald Mancini, MD. Watch the video below to learn more about Dr. Mancini's innovation for Conjunctiva-Sparing Posterior Ptosis Surgery. REQUEST A CONSULTATION 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 Trochleaectomy for Chronic Trochlear Pain Functional Benefits The trochlea is a small structure in the upper eye socket that guides the movement of the superior oblique muscle. In rare cases, patients may develop severe trochlear pain syndrome , which can cause chronic discomfort and eye movement pain. Dr. Mancini developed trochleaectomy , a surgical procedure that removes the trochlea to relieve persistent pain in select patients. The technique was published in: Mettu P, Mancini R, Friedman DI, Garrity JA. Trochleaectomy: An Effective Treatment of Trochlear Pain in Monocular Patients. J Neuroophthalmol. 2021;41(2):246-250. doi:10.1097/WNO.0000000000000916 Beyond Scars: The Evolution of Ptosis Repair Conjunctiva-Sparing Posterior Ptosis Surgery by Dr. Ronald Mancini, MD. Watch the video below to learn more about Dr. Mancini's innovation for Conjunctiva-Sparing Posterior Ptosis Surgery. REQUEST A CONSULTATION Functional Benefits • Provides relief from chronic trochlear pain • Restores comfortable eye movement • Offers a surgical option when other treatments fail REQUEST A CONSULTATION Who Should Consider This Surgery? Patients with persistent trochlear pain that does not respond to medical therapy may be candidates for this specialized surgical procedure. Ready to Enhance Your Natural Beauty? Schedule a Consultation Today SCHEDULE A CONSULTATION Previous Item Next Item

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. Beyond Scars: The Evolution of Ptosis Repair Conjunctiva-Sparing Posterior Ptosis Surgery by Dr. Ronald Mancini, MD. Watch the video below to learn more about Dr. Mancini's innovation for Conjunctiva-Sparing Posterior Ptosis Surgery. REQUEST A CONSULTATION 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

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 Beyond Scars: The Evolution of Ptosis Repair Conjunctiva-Sparing Posterior Ptosis Surgery by Dr. Ronald Mancini, MD. Watch the video below to learn more about Dr. Mancini's innovation for Conjunctiva-Sparing Posterior Ptosis Surgery. REQUEST A CONSULTATION 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

INNOVATIONS Hyaluronic Acid Gel Gold-Weight for Paralytic Lagophthalmos Functional & Clinical Benefits The Hyaluronic Acid Gel Gold-Weight technique , developed by Dr. Ronald Mancini , is a novel surgical approach used to treat paralytic lagophthalmos , a condition in which patients cannot fully close their eyelids due to facial nerve paralysis. Traditional treatments often involve surgically implanting a small gold weight into the upper eyelid to help gravity close the eye. Dr. Mancini’s innovation uses hyaluronic acid gel as a functional alternative , allowing physicians to temporarily restore eyelid closure while preserving eyelid anatomy and function. This minimally invasive approach can help protect the cornea, improve eye comfort, and reduce complications associated with permanent eyelid implants. The technique was first described in: Mancini R, Taban M, Lowinger A, et al. Use of hyaluronic Acid gel in the management of paralytic lagophthalmos: the hyaluronic Acid gel "gold weight". Ophthalmic Plast Reconstr Surg. 2009;25(1):23-26. doi:10.1097/IOP.0b013e318192568d Beyond Scars: The Evolution of Ptosis Repair Conjunctiva-Sparing Posterior Ptosis Surgery by Dr. Ronald Mancini, MD. Watch the video below to learn more about Dr. Mancini's innovation for Conjunctiva-Sparing Posterior Ptosis Surgery. REQUEST A CONSULTATION Functional & Clinical Benefits • Provides temporary eyelid closure restoration without permanent implants • Helps protect the cornea and reduce exposure keratopathy • Offers a reversible, minimally invasive treatment option REQUEST A CONSULTATION Who May Benefit from This Procedure? Patients experiencing facial nerve paralysis, Bell’s palsy, or eyelid weakness that prevents complete eye closure may benefit from this innovative approach. The technique is particularly useful for patients who need temporary eyelid support while nerve function recovers or while planning long-term surgical reconstruction. Ready to Enhance Your Natural Beauty? Schedule a Consultation Today SCHEDULE A CONSULTATION Previous Item Next Item

INNOVATIONS Conjunctiva-Sparing Posterior Ptosis Surgery Functional & Aesthetic Benefits Ptosis , or drooping of the upper eyelid, can affect both vision and facial appearance. Dr. Ronald Mancini helped develop a conjunctiva-sparing posterior approach to ptosis surgery , designed to correct eyelid drooping while preserving key tissues inside the eyelid. Traditional ptosis repair techniques often involve removing or altering the conjunctiva. This innovative method avoids conjunctival disruption while still allowing precise adjustment of the eyelid-lifting muscle. Preserving the conjunctiva may reduce surgical trauma, improve healing, and maintain the natural structure of the eyelid. The technique was published in: Vrcek I, Hogan RN, Rosen J, Mancini R. (2016) Conjunctiva-Sparing Posterior Ptosis Surgery. It was further advanced with a sutureless version in 2023. Beyond Scars: The Evolution of Ptosis Repair Conjunctiva-Sparing Posterior Ptosis Surgery by Dr. Ronald Mancini, MD. Watch the video below to learn more about Dr. Mancini's innovation for Conjunctiva-Sparing Posterior Ptosis Surgery. REQUEST A CONSULTATION Functional & Aesthetic Benefits • Corrects drooping eyelids that interfere with vision • Preserves important eyelid tissues for natural function • May allow faster healing and improved surgical outcomes REQUEST A CONSULTATION Who Should Consider Ptosis Surgery? Patients who experience drooping upper eyelids, vision obstruction, eyelid fatigue, or asymmetry may benefit from ptosis repair surgery. A consultation with Dr. Mancini can determine the most effective surgical approach based on eyelid anatomy and functional needs. Ready to Enhance Your Natural Beauty? Schedule a Consultation Today SCHEDULE A CONSULTATION Previous Item Next Item

INNOVATIONS Orbital Floor & Rim Reconstruction with Titanium Implant Functional Benefits Orbital fractures affecting the orbital floor and rim can occur after trauma such as accidents or sports injuries. Dr. Mancini developed a technique using titanium orbital implants combined with acellular dermis , allowing surgeons to restore the structural integrity of the eye socket. This approach provides strong support for the orbital bones while promoting natural tissue healing. The procedure was described in: Scofield-Kaplan SM, Patel SY, Mancini R. Orbital Floor and Rim Reconstruction With a Titanium Orbital Implant and Acellular Dermis. Ophthalmic Plast Reconstr Surg. 2019;35(1):e19-e21. doi:10.1097/IOP.0000000000001285" Beyond Scars: The Evolution of Ptosis Repair Conjunctiva-Sparing Posterior Ptosis Surgery by Dr. Ronald Mancini, MD. Watch the video below to learn more about Dr. Mancini's innovation for Conjunctiva-Sparing Posterior Ptosis Surgery. REQUEST A CONSULTATION Functional Benefits • Restores the shape of the eye socket • Supports proper eye positioning • Improves outcomes after orbital fractures REQUEST A CONSULTATION Who May Benefit from Orbital Reconstruction? Patients who experience orbital trauma, facial fractures, or damage to the eye socket may require reconstructive surgery to restore both appearance and function. 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 Beyond Scars: The Evolution of Ptosis Repair Conjunctiva-Sparing Posterior Ptosis Surgery by Dr. Ronald Mancini, MD. Watch the video below to learn more about Dr. Mancini's innovation for Conjunctiva-Sparing Posterior Ptosis Surgery. REQUEST A CONSULTATION 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