GALLERY Lower Eyelid Blepharoplasty with Fat Transposition & Botulinum Toxin PATIENT # 2 AFTER Procedure Description 36yo female with a history of prior lower eyelid filler s/p Bilateral Lower Eyelid Blepharoplasty with fat transposition and botulinum toxin BEFORE AFTER 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 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. REQUEST A CONSULTATION VIEW MORE Related Galleries of Patients PATIENT #1 PATIENT #3 PATIENT #4 PATIENT # 5 PATIENT #6 PATIENT #7 PATIENT #1 PATIENT #3 PATIENT #4 PATIENT # 5 PATIENT #6 PATIENT #7 PATIENT #1 PATIENT #3 PATIENT #4 PATIENT # 5 PATIENT #6 PATIENT #7 PATIENT #1 PATIENT #3 PATIENT #4 PATIENT # 5 PATIENT #6 PATIENT #7 PATIENT #1 PATIENT #3 PATIENT #4 PATIENT # 5 PATIENT #6 PATIENT #7 VIEW MORE Related Galleries of Patient PATIENT # 1 PATIENT # 3 PATIENT # 4 PATIENT # 5 PATIENT # 6 PATIENT # 7 PATIENT # 1 PATIENT # 3 PATIENT # 4 PATIENT # 5 PATIENT # 6 PATIENT # 7 PATIENT # 1 PATIENT # 3 PATIENT # 4 PATIENT # 5 PATIENT # 6 PATIENT # 7 PATIENT # 1 PATIENT # 3 PATIENT # 4 PATIENT # 5 PATIENT # 6 PATIENT # 7 PATIENT # 1 PATIENT # 3 PATIENT # 4 PATIENT # 5 PATIENT # 6 PATIENT # 7

GALLERY Upper & Lower Blepharoplasty with Fat Sculpting, Transposition, & Skin Pinch Blepharoplasty PATIENT # 8 AFTER Procedure Description 54yo male before and after Upper and Lower Blepharoplasty with fat sculpting and transposition and skin pinch blepharoplasty BEFORE AFTER BEFORE “Long” appearing lower eyelids with fat prolapse and tear trough hollowing and crepey skin Redundant upper eyelid skin AFTER Symmetric platform show with no skin redundancy Youthful appearing “short” lower eyelids with improved contour and skin quality BEFORE “Long” appearing lower eyelids with fat prolapse and tear trough hollowing and crepey skin Redundant upper eyelid skin AFTER Symmetric platform show with no skin redundancy Youthful appearing “short” lower eyelids with improved contour and skin quality Patient Summary At 54, this patient sought to improve the appearance of eyelid heaviness, under-eye hollowing, and excess skin. He underwent upper and lower blepharoplasty with fat sculpting and transposition, along with a skin pinch blepharoplasty to refine the lower eyelid contour. The result is a more rested, balanced appearance that enhances his natural features while preserving his unique expression. VIEW MORE Related Galleries of Patients PATIENT #1 PATIENT #2 PATIENT #3 PATIENT #4 PATIENT # 5 PATIENT #6 PATIENT #1 PATIENT #2 PATIENT #3 PATIENT #4 PATIENT # 5 PATIENT #6 PATIENT #1 PATIENT #2 PATIENT #3 PATIENT #4 PATIENT # 5 PATIENT #6 PATIENT #1 PATIENT #2 PATIENT #3 PATIENT #4 PATIENT # 5 PATIENT #6 PATIENT #1 PATIENT #2 PATIENT #3 PATIENT #4 PATIENT # 5 PATIENT #6 VIEW MORE Related Galleries of Patient PATIENT # 1 PATIENT # 2 PATIENT # 3 PATIENT # 4 PATIENT # 5 PATIENT # 6 PATIENT # 7 PATIENT # 8 PATIENT # 9 PATIENT # 10 PATIENT # 11 PATIENT # 12 PATIENT # 13 PATIENT # 14 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 Endoscopic Dacryocystorhinostomy for Monocanalicular Obstruction Functional Benefits Dr. Mancini described 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. Endoscopic dacryocystorhinostomy as an option for symptomatic epiphora in isolated monocanalicular obstruction. Orbit. 2021;40(5):419-422. doi:10.1080/01676830.2020.1799420 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

INNOVATIONS Upper Eyelid Approach to Lower Eyelid Blepharoplasty Functional & Aesthetic Benefits Dr. Ronald Mancini pioneered 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 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

GALLERY Upper and Lower Eyelid Blepharoplasty PATIENT # 3 AFTER Procedure Description 51yo female before and after Upper and Lower Eyelid Blepharoplasty BEFORE AFTER 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. REQUEST A CONSULTATION VIEW MORE Related Galleries of Patient PATIENT # 1 PATIENT # 2 PATIENT # 4 PATIENT # 5 PATIENT # 6 PATIENT # 7 PATIENT # 1 PATIENT # 2 PATIENT # 4 PATIENT # 5 PATIENT # 6 PATIENT # 7 PATIENT # 1 PATIENT # 2 PATIENT # 4 PATIENT # 5 PATIENT # 6 PATIENT # 7 PATIENT # 1 PATIENT # 2 PATIENT # 4 PATIENT # 5 PATIENT # 6 PATIENT # 7 PATIENT # 1 PATIENT # 2 PATIENT # 4 PATIENT # 5 PATIENT # 6 PATIENT # 7 VIEW MORE Related Galleries of Patients PATIENT # 1 PATIENT #2 PATIENT #4 PATIENT # 5 PATIENT #6 PATIENT #7 PATIENT # 1 PATIENT #2 PATIENT #4 PATIENT # 5 PATIENT #6 PATIENT #7 PATIENT # 1 PATIENT #2 PATIENT #4 PATIENT # 5 PATIENT #6 PATIENT #7 PATIENT # 1 PATIENT #2 PATIENT #4 PATIENT # 5 PATIENT #6 PATIENT #7 PATIENT # 1 PATIENT #2 PATIENT #4 PATIENT # 5 PATIENT #6 PATIENT #7

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 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

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

INNOVATIONS Hyaluronic Acid Injection for Multiple Eyelid Folds in Asian Patients Functional & Aesthetic Benefits Dr. Ronald Mancini introduced a novel hyaluronic acid injection technique to address multiple eyelid folds in Asian patients , a condition that can affect eyelid symmetry and aesthetic balance. Traditional surgical correction may require invasive eyelid surgery. Dr. Mancini’s technique utilizes precise hyaluronic acid filler injections to improve eyelid contour and restore a natural, smooth eyelid crease. This minimally invasive approach can provide aesthetic improvement while avoiding surgical downtime. The technique was published in: Tamboli D, Mancini R. (2016) Hyaluronic Acid Gel Injection for Multiple Eyelid Folds in Asian Patients. Functional & Aesthetic Benefits • Minimally invasive alternative to eyelid surgery • Improves eyelid symmetry and contour • Creates more natural appearing eyelid folds REQUEST A CONSULTATION Who Should Consider This Procedure? Patients with multiple eyelid folds, eyelid asymmetry, or aesthetic concerns related to eyelid crease formation may benefit from this innovative injection technique. 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

View before and after photos of eyelid surgery, blepharoplasty, ptosis repair and facial rejuvenation results by Dr. Ronald Mancini in Beverly Hills. GALLERY Real Patients. Real Results. We strictly comply with patient privacy standards and our discerning patients demand the utmost in privacy. This gallery is a representative sample of patients’ generous enough to share their photos. If desired further before and after photos can be viewed during your consultation. REQUEST A CONSULTATION Unique Needs. Excellent Results. We uphold the highest standards of patient privacy, ensuring complete confidentiality for our valued clients. Our before-and-after gallery features a select group of patients who have generously shared their results. For a more comprehensive review, additional photos can be provided during your private consultation. Patient 14- Upper and Lower Blepharoplasty SEE THE CASE STUDY Patient 13- Upper and Lower Blepharoplasty and Ptosis Surgery SEE THE CASE STUDY Patient 12- Upper Eyelid Blepharoplasty and Ptosis Surgery SEE THE CASE STUDY Patient 11- Upper & Lower Blepharoplasty SEE THE CASE STUDY Patient 10- Ptosis Repair SEE THE CASE STUDY Patient 9- Upper Blepharoplasty SEE THE CASE STUDY Patient 8- Upper & Lower Blepharoplasty with Fat Sculpting, Transposition, & Skin Pinch Blepharoplasty SEE THE CASE STUDY Patient 7- Upper & Lower Blepharoplasty with Chemical Peel & Botulinum Toxin SEE THE CASE STUDY Patient 6- Filler and Botox SEE THE CASE STUDY Patient 5- Upper & Lower Blepharoplasty & Upper Eyelid Ptosis Repair SEE THE CASE STUDY Patient 4- Upper Eyelid Blepharoplasty & Botox SEE THE CASE STUDY Patient 3- Upper and Lower Eyelid Blepharoplasty SEE THE CASE STUDY Patient 2- Lower Eyelid Blepharoplasty with Fat Transposition & Botulinum Toxin SEE THE CASE STUDY Patient 1- Lower Blepharoplasty with Fat Transposition SEE THE CASE STUDY