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

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 !

GALLERY Upper & Lower Blepharoplasty PATIENT # 11 AFTER Procedure Description 67yo male before and after Upper and Lower Blepharoplasty with lower eyelid elevation 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 67, this patient sought to address eyelid heaviness and lower eyelid laxity that contributed to a tired appearance. He underwent upper and lower blepharoplasty with lower eyelid elevation to restore structure, reduce puffiness, and create a more rested, alert look. The result is a refreshed yet natural appearance, while preserving the patient’s character and 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 # 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 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 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

GALLERY Upper Eyelid Blepharoplasty and Ptosis Surgery PATIENT # 12 AFTER Procedure Description 62yo female s/p prior Asian Upper Eyelid Blepharoplasty before and after Bilateral Upper Eyelid blepharoplasty and left upper eyelid Ptosis surgery BEFORE AFTER BEFORE Asymmetric upper eyelid platform with micro-ptosis AFTER Symmetric upper eyelids 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 62, this patient presented with a history of prior Asian upper eyelid blepharoplasty and was seeking further refinement. She underwent bilateral upper blepharoplasty to address residual heaviness and asymmetry, along with left upper eyelid ptosis repair to restore eyelid position and improve balance between the eyes. The result is a more open, refreshed appearance while maintaining her natural features and prior surgical contours. 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 # 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 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 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 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 contributed 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. (2018) Two-Stage Rapid Exenteration Reconstruction. 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 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. 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

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

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 helped develop 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. (2019) Orbital Floor and Rim Reconstruction With Titanium Orbital Implant and Acellular Dermis. 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 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 helped develop 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. (2021) Trochleaectomy: An Effective Treatment of Trochlear Pain. 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