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. 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 Endoscopic Dacryocystorhinostomy for Monocanalicular Obstruction Functional Benefits Dr. Mancini helped describe the use of endoscopic dacryocystorhinostomy (DCR) for patients with isolated monocanalicular obstruction , a specific type of tear duct blockage. This minimally invasive approach creates a new drainage pathway using endoscopic techniques through the nasal cavity. The technique was published in: Mueller AJ, Scofield-Kaplan SM, Tenzel PA, Winward B, Clair BC, Mancini R. (2021). Functional Benefits • Treats chronic tearing caused by tear duct obstruction • Minimally invasive surgical approach • Avoids external facial incisions REQUEST A CONSULTATION Who Should Consider This Procedure? Patients suffering from chronic tearing (epiphora), tear duct blockage, or recurrent infections of the tear drainage system may benefit from endoscopic tear duct surgery. 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 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. (2017) Use of Cyanoacrylate Glue Casting for Stabilization of Periocular Skin Grafts and Flaps. 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 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 helped introduce 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. (2012) Punctum-Sparing Canaliculotomy for Canaliculitis. 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 Upper Eyelid Approach to Lower Eyelid Blepharoplasty Functional & Aesthetic Benefits Dr. Ronald Mancini helped pioneer a novel surgical approach to lower eyelid blepharoplasty that utilizes the upper eyelid incision rather than a traditional lower eyelid incision . Blepharoplasty, or eyelid surgery, is one of the most commonly performed facial rejuvenation procedures. Traditional techniques typically involve incisions along the lower eyelid. This innovative approach allows surgeons to access the lower eyelid fat compartments through the upper eyelid incision. By doing so, surgeons may reduce visible scarring and preserve delicate lower eyelid structures while still achieving aesthetic rejuvenation of the lower eyelid. This technique was published in: Taban M, Mancini R, Hwang C, Goldberg RA. (2010) Upper Eyelid Approach to Lower Eyelid Blepharoplasty. Plastic and Reconstructive Surgery. Functional & Aesthetic Benefits • Reduces visible lower eyelid scarring • Allows precise fat repositioning for natural results • Preserves delicate lower eyelid support structures REQUEST A CONSULTATION Who Should Consider This Surgical Technique? Patients seeking lower eyelid rejuvenation, correction of under-eye bags, or smoother eyelid contours may benefit from advanced blepharoplasty techniques. An oculoplastic surgeon such as Dr. Mancini can determine whether this specialized approach is appropriate based on facial anatomy and cosmetic goals. 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 helped develop 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. (2023) Sutureless Conjunctiva-Sparing Posterior Ptosis Repair. 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

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, et al. (2009) Use of Hyaluronic Acid Gel in the Management of Paralytic Lagophthalmos: The Hyaluronic Acid Gel Gold-Weight. Ophthalmic Plastic and Reconstructive Surgery. 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

Read Dr. Ronald Mancini's peer-reviewed publications and research contributions to oculoplastic surgery and facial aesthetic procedures. PUBLICATIONS Explore Dr. Ronald Mancini’s Latest Work in Aesthetic & Functional Surgery Stay informed with Dr. Mancini’s published research, case studies, and industry insights. For the past 20 years, Dr. Mancini has advanced the field of aesthetic and functional oculoplastic surgery. Click below to see details of his experience and work. 112 Invited Lectures 10 Professional Societies 6 Editorial Activities 9 Committee Service 2 Missions Trips 164 Bibliography 17 Honors and Awards 15 Innovations 112 Invited Lectures 10 Professional Societies 6 Editorial Activities 9 Committee Service 2 Humanitarian 164 Bibliography 17 Honors and Awards 15 Innovations For the past 20 years, Dr. Mancini has advanced the field of aesthetic and functional oculoplastic surgery. Click below to see details of his experience and work. 112 Invited Lectures 10 Professional Societies 6 Editorial Activities 9 Committee Service 2 Missions Trips 164 Bibliography 17 Honors and Awards 15 Innovations Just Published Advanced Oculoplastic Techniques SEE ADDITIONAL PUBLICATIONS

Multi-modality skin rejuvenation by Dr. Mancini using Pico Glow Laser, RF microneedling, hydro-facial & LED therapy. Improve texture, tone and radiance. What is Skin Rejuvenation? Skin Rejuvenation by Dr. Ronald Mancini, MD is a groundbreaking, multi-modality facial treatment protocol designed to restore youthful, healthy skin using the most advanced technologies in dermatologic aesthetics. This step-by-step approach includes: 3D Photography – Captures a full facial map for precise before-and-after documentation Visia Skin Analysis – Provides an in-depth scan of wrinkles, pores, pigmentation, and more Hydro-facial – Deeply cleanses and hydrates the skin using vortex-extraction technology Pico Glow Laser (Pico-second Resurfacing) – Stimulates collagen and targets pigment with no downtime RF Microneedling with Vitamin C + Hyaluronic Acid Infusion – Boosts elasticity and skin renewal Red and Blue LED Light Therapy – Calms inflammation, kills bacteria, and promotes healing This layered approach creates a cumulative effect that dramatically improves skin texture, tone, and vitality. 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. Skin Rejuvenation Dr. Mancini approaches skin rejuvenation in a multi-modality approach. AFTER SKIN REJUVENATION Functional & Aesthetic Benefits Targets Signs of Aging: Smooths fine lines, reduces dark spots, and shrinks large pores Restores Skin Radiance: Improves brightness and clarity for a youthful glow 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 Skin Rejuvenation? This treatment is ideal for anyone experiencing visible skin changes such as red spots, wrinkles, enlarged pores, or sun/dark spots. Whether you're preparing for a special occasion, addressing years of environmental damage, or simply want to maintain a healthy glow, Dr. Mancini’s multi-step skin rejuvenation is a game-changing solution for luminous, youthful skin.

Learn about Dr. Mancini's surgical philosophy: achieving natural, refined results through precision techniques and personalized care in oculoplastic surgery. Frequently Asked Questions Everything you need to know before your journey begins. What is an oculoplastic surgeon? An oculoplastic surgeon is an ophthalmologist (a microsurgeon who operates on the eye itself) who’s had extra fellowship training to specialize in plastic and reconstructive surgery around the eye. This area may be small in size, but our training is comprehensive and rigorous. We cover everything from orbital fracture repairs caused by trauma to cosmetic procedures. There aren’t many oculoplastic specialists; our professional organization, the American Society of Ophthalmic Plastic and Reconstructive Surgery, has fewer than 600 members worldwide. Is surgery the only option for patients seeking to improve the signs of aging around the eye? What are some examples of nonsurgical alternatives to rejuvenating the skin around the eye? Frequently asked questions General What is an oculoplastic surgeon? An oculoplastic surgeon is an ophthalmologist (a microsurgeon who operates on the eye itself) who’s had extra fellowship training to specialize in plastic and reconstructive surgery around the eye. This area may be small in size, but our training is comprehensive and rigorous. We cover everything from orbital fracture repairs caused by trauma to cosmetic procedures. There aren’t many oculoplastic specialists; our professional organization, the American Society of Ophthalmic Plastic and Reconstructive Surgery, has fewer than 600 members worldwide. Is surgery the only option for patients seeking to improve the signs of aging around the eye? No, surgery is not the only option for improving signs of aging around the eyes. There are also non-surgical treatments, such as injectable fillers, and Botox. What are some examples of nonsurgical alternatives to rejuvenating the skin around the eye? Non-surgical alternatives to rejuvenating the skin around the eyes include injectable treatments, and topical products. Professional Affiliations & Recognitions Dr. Mancini is an active member of prestigious medical societies, reinforcing his dedication to excellence in patient care and innovation. Post-Op Recovery Patient “selfie series” of healing from upper and lower blepharoplasty with transblepharoplasty brow lift. This series represents average normal healing after eyelid surgery to help understand the average progression of bruising and swelling that can be anticipated. Pre-op prior to Upper and Lower Blepharoplasty Transblepharoplasty “Tuck and Rise” Brow Lift Post-op Day 0 Car ride home Post-op Day 0 evening Post-op Day 1 Post-op Day 3 Post-op Day 4 Post-op Day 5 Post-op Day 6 Post-op Day 7 Post-op Day 14 Post-op Month 1 Post Op: Month 6 Pre-op prior to Upper and Lower Blepharoplasty Transblepharoplasty “Tuck and Rise” Brow Lift Post-op Day 0 Car ride home Post-op Day 0 evening Post-op Day 1 Post-op Day 3 Post-op Day 4 Post-op Day 5 Post-op Day 6 Post-op Day 7 Post-op Day 14 Post-op Month 1 Post Op: Month 6 Pre-op prior to Upper and Lower Blepharoplasty Transblepharoplasty “Tuck and Rise” Brow Lift Post-op Day 0 Car ride home Post-op Day 0 evening Post-op Day 1 Post-op Day 3 Post-op Day 4 Post-op Day 5 Post-op Day 6 Post-op Day 7 Post-op Day 14 Post-op Month 1 Post Op: Month 6 Post-Op Philosophy Your post-op journey begins in the recovery room with a combination of blue light therapy (anti-bacterial) and red and infrared light therapy (to help with bruising and skin tightening). You will then have applied Dr. Mancini’s patented Eyemask MD, a cooling eye mask infused with the healing properties of Manuka honey (sourced from the Manuka tree in New Zealand and created by bees that pollinate the native leptospermum scoparium bush). You will be provided a supply to take home with you for continued healing over the crucial first 3 days. Dr. Mancini, in collaboration with a group of scientists, spent 6 years perfecting a superior post-surgical treatment that is available to his patients. The product underwent rigorous safety and efficacy testing and is now available as Eyemask MD LEARN MORE A Patient-Centered Approach Your journey begins with understanding your goals. Dr. Mancini takes the time to listen, educate, and guide you through every step of the process—ensuring you feel confident in your decisions. Honest Consultations – We prioritize transparency and realistic expectations. Precision & Innovation – Every treatment is backed by the latest surgical techniques. Global Expertise – A world-class approach, with care tailored to diverse backgrounds. REQUEST A CONSULTATION PHILOSPOPHY Artistry. Precision. Timeless Beauty. 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. Enhancing, Not Changing Our philosophy is simple: natural, harmonious results. Whether through surgical or non-surgical procedures, we focus on subtle enhancements that preserve your essence while restoring a youthful, refreshed look. Never Overdone Premier cosmetic surgical procedures Facial Harmony Proportion, symmetry, and balance are key. Longevity in Results A thoughtful approach for lasting beauty.

GALLERY Upper & Lower Blepharoplasty & Upper Eyelid Ptosis Repair PATIENT # 5 AFTER Procedure Description 75yo Asian male before and after Upper and Lower Blepharoplasty and Upper Eyelid Ptosis Repair BEFORE AFTER BEFORE Redundant upper eyelid skin with multiple folds and ptosis “Long” appearing lower eyelids with fat prolapse and tear trough hollowing AFTER Youthful appearing “short” lower eyelid with improved contour Elevated eyelids with single low fold maintaining Asian morphology Patient Summary At 75, this patient wanted to improve vision and achieve a more refreshed appearance by addressing eyelid heaviness and sagging. He underwent upper and lower blepharoplasty along with upper eyelid ptosis repair to enhance his natural eye contour while restoring a more youthful, well-rested look. The results provide functional and aesthetic improvement while preserving his unique features. REQUEST A CONSULTATION VIEW MORE Related Galleries of Patients PATIENT #1 PATIENT #2 PATIENT #3 PATIENT #4 PATIENT #6 PATIENT #7 PATIENT #1 PATIENT #2 PATIENT #3 PATIENT #4 PATIENT #6 PATIENT #7 PATIENT #1 PATIENT #2 PATIENT #3 PATIENT #4 PATIENT #6 PATIENT #7 PATIENT #1 PATIENT #2 PATIENT #3 PATIENT #4 PATIENT #6 PATIENT #7 PATIENT #1 PATIENT #2 PATIENT #3 PATIENT #4 PATIENT #6 PATIENT #7 VIEW MORE Related Galleries of Patient PATIENT # 1 PATIENT # 2 PATIENT # 3 PATIENT # 4 PATIENT # 6 PATIENT # 7 PATIENT # 1 PATIENT # 2 PATIENT # 3 PATIENT # 4 PATIENT # 6 PATIENT # 7 PATIENT # 1 PATIENT # 2 PATIENT # 3 PATIENT # 4 PATIENT # 6 PATIENT # 7 PATIENT # 1 PATIENT # 2 PATIENT # 3 PATIENT # 4 PATIENT # 6 PATIENT # 7 PATIENT # 1 PATIENT # 2 PATIENT # 3 PATIENT # 4 PATIENT # 6 PATIENT # 7