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lower blepharoplasty

Matthias Aust, Hanno Pototschnig, Sarina Jamchi, Kay-Hendrik Busch
Background Treatment of the lower eyelid region to rejuvenate the skin or treat actinic elastosis often proves difficult. Established treatment options, such as hyaluronic acid injections, botulinum toxin injections, microneedling, skin resurfacing (microdermabrasion, chemical peel (exfoliation), laser treatment), as well as blepharoplasties and autologous fat transfers, can be associated with significant risks and increased patient burden. Furthermore, they may not be effective for treating the signs of skin aging or actinic elastosis, including dark rings under the eyes, a lack of volume and cutis laxa...
July 18, 2018: Curēus
Shiwei Guo, Mingyong Yang, Chuande Zhou, Wei Lv, Jiaqi Zhang, Congmin Gu, Xuan Fang
BACKGROUND: "European-style double eyelid" blepharoplasty often leads to a complex deformity, which includes one or more of the following features: a high fold, upper eyelid depression, multiple folds, an obvious scar, blepharoptosis, and lower flap tumidness. However, there is still a lack of comprehensive research on evaluation and treatment strategies for this complex deformity. METHODS: During a 6-year period, 65 patients (106 eyes) with a high fold and upper eyelid depression underwent corrective blepharoplasty...
November 19, 2018: Aesthetic Plastic Surgery
Karan Chopra, Georgios Kokosis, Benjamin Slavin, Eric Williams, A Lee Dellon
Background: Aesthetic procedures are among the most common surgeries performed by plastic surgeons. The prevalence of persistent pain remains unknown and underappreciated in the plastic surgery literature. Objectives: The purpose of this article was to increase awareness of this problem while describing the diagnostic and management strategies for patients with postoperative pain after aesthetic plastic surgery. Methods: A literature review of was performed using the PubMed database to identify painful complications of: brachioplasty, blepharoplasty, rhytidectomy, abdominoplasty, breast augmentation, mastopexy, and breast reduction...
October 22, 2018: Aesthetic Surgery Journal
Sang Min Lee, Sok Joong Chung, Jong Seo Park, Helen Lew
PURPOSE: The lower eyelid serves important roles in tear distribution and drainage. The purpose of this study was to measure the tear meniscus height (TMH) with anterior segment optical coherence tomography after lower blepharoplasty. METHODS: A total of 52 eyes from 26 patients treated between July 2012 and June 2015 were included in the study. A transcutaneous or transconjunctival approach was performed, depending on whether (1) the supportive lower lid orbicularis oculi muscle was tightened, (2) the middle lamella was elongated, (3) minimal fat was removed or transpositioned, and (4) lateral canthal support was established...
October 2018: Korean Journal of Ophthalmology: KJO
Christopher I Zoumalan
BACKGROUND: Hyaluronic acid (HA) fillers are extensively used in periocular volume augmentation. Although they have an excellent safety profile, filler-related issues such as visibility/palpability, contour abnormalities, malar edema, and blue-gray dyschromia can occur. Recognition and management of filler-related issues are critical prior to subsequent procedures. The clinical course of patients who had periocular HA filler-related issues and subsequently underwent lower eyelid blepharoplasty is described...
October 8, 2018: Aesthetic Plastic Surgery
Gaofeng Li, Wei Ding, Jun Tan, Bo Zhang, Xin Chen, Bin He
BACKGROUND: This article presents a new method using orbital septum for double-eyelid blepharoplasty. METHODS: During double-eyelid blepharoplasty, we incised the orbital septum horizontally. Using the attachment site of the levator aponeurosis as a pedicle, the lower part of the dissected orbital septum was turned downward and then sutured to the upper border of the lower orbicularis oculi muscle and posterior pretarsal fascia. We evaluated the efficacy of this double-eyelid surgical procedure in patients undergoing the procedure from December 2015 to October 2017...
December 2018: Annals of Plastic Surgery
Stefania Guida, Steven Paul Nisticò, Francesca Farnetani, Ester Del Duca, Nathalie De Carvalho, Flavia Persechino, Tommaso Verdina, Luca Giannetti, Martina D'Alessandro, Giacomo Giovanni Urtis, Giovanni Pellacani, Giovanni D'Alessandro
OBJECTIVES AND BACKGROUND: Nowadays, several approaches for skin rejuvenation of the lower eyelid are available. We present a new technique of resurfacing with ablation of periorbital skin (RAP) performed in a single session. METHODS: This is a retrospective study involving 20 patients showing skin elastosis with or without evidence of the nasojugal fold and atrophic and dyschromic skin or needing a combined approach of transconjuntival lower blepharoplasty for fat bag removal...
October 2018: Photomedicine and Laser Surgery
Sarmila Nepali, Mira Park, Helen Lew, Okjoon Kim
Adipose tissue contains abundant multipotent mesenchymal stem cells with strong proliferative and differentiating potential into adipocytes, osteocytes, and chondrocytes. However, adipose-derived mesenchymal stem cells (ASCs) showed variable characteristics based on the tissue-harvesting site. This study aimed at comparing human adipose-derived mesenchymal stem cell from the orbit (Orbital ASCs) and abdomen (Abdominal ASCs). Orbital and abdominal ASCs were isolated during an upper or lower blepharoplasty operation and liposuction, respectively...
2018: Stem Cells International
Weiyi Sun, Yongqian Wang, Tao Song, Di Wu, Haidong Li, Ningbei Yin
BACKGROUND: Incisional double-eyelid blepharoplasty is widely applied because of its extensive indications and robust results. The orbicularis-levator fixation method is an incisional approach that provides stronger adhesion than traditional techniques. However, there remains the risk of postoperative relapse or suture spitting out. METHODS: The authors introduced a modified technique for supratarsal crease formation. When necessary soft tissue removal was completed, the orbicularis oculi muscle was anchored on the tarsus...
September 6, 2018: Aesthetic Plastic Surgery
Stelios C Wilson, David A Daar, Samantha G Maliha, Salma A Abdou, Steven M Levine, Daniel C Baker
Background: Lower eyelid blepharoplasty has continued to evolve with an ongoing debate regarding optimal techniques. Despite large case series publishing excellent results and minimal complications, the true longevity of these procedures remains unclear. Objective: To determine how thoroughly the aesthetic surgery literature assesses the longevity of the lower blepharoplasty. Methods: A 20-year comprehensive literature review from May 1997 to September 2017 was conducted...
July 31, 2018: Aesthetic Surgery Journal
Fabio Nicoli, Georgios Orfaniotis, Pedro Ciudad, Michele Maruccia, Davide Lazzeri, Lorenzo Costabile, Ke Li, Yi Xin Zhang, Valerio Cervelli, Alberto Balzani
Lower eyelid malposition is the most frequent and severe complication after blepharoplasty and ectropion is observed in 1% of patients after surgery. This article describes a non-surgical method to treat lower eyelid cicatricial ectropion using a non-ablative laser as an alternative to surgery. Twelve patients with unilateral or bilateral lower lid cicatricial ectropion, following surgery or trauma, underwent laser therapy from 2012 to 2016. Laser therapy was performed with a fractional non-ablative laser emitting at a wavelength of 1540 nm...
July 28, 2018: Lasers in Medical Science
Ran Stein, John B Holds, Allan E Wulc, Arthur Swift, Morris E Hartstein
PURPOSE: The Golden ratio, or Phi, has been used to explain the substrates of two-dimensional beauty utilizing the faces of models. A "Phi point" has been identified at the apex of the cheek mound that can be targeted in filler injections. The authors report herein how they have applied this algorithm for surgical shaping of the "beautiful" cheek as a routine part of their lower blepharoplasty procedure. The authors present their technique and results with patients undergoing lower blepharoplasty along with the adjunct of liposculpture to areas of volume deficiency in the midface with a particular goal of enhancing the Phi point...
September 2018: Ophthalmic Plastic and Reconstructive Surgery
Alessandro Innocenti, Dario Melita, Serena Ghezzi, Francesco Ciancio
No abstract text is available yet for this article.
August 2018: Plastic and Reconstructive Surgery
Chin-Ho Wong, Bryan C Mendelson
No abstract text is available yet for this article.
August 2018: Plastic and Reconstructive Surgery
Rod J Rohrich, Monali Mahedia, Nilay Shah, Paul Afrooz, Lavanya Vishvanath, Rana K Gupta
BACKGROUND: Fat grafting has been used extensively in plastic surgery in the past two decades. Here, the authors report the retrospective comparison of patients who underwent fractionated fat injection to blend the lid-cheek junction with those who had regular fat injection. METHODS: After obtaining institutional review board approval, a retrospective review of patients who underwent lower blepharoplasty with fractionated fat injection for blending the lid-cheek junction from January of 2014 through October of 2015 was performed...
July 2018: Plastic and Reconstructive Surgery
Rod J Rohrich, Monali Mahedia, David Hidalgo, Nilay Shah
BACKGROUND: Lower blepharoplasty has evolved from traditional lower blepharoplasty involving skin-muscle flaps and fat resection to newer concepts that emphasize blending the lid-cheek junction. It is the objective of this review to evaluate these new concepts for their efficacy in blending the lid-cheek junction. METHODS: A comprehensive review of literature was performed using PubMed/MEDLINE to identify studies evaluating fat conservation, fat augmentation, fat repositioning, orbicularis retaining ligament (ORL) release, septal reset, and use of fillers in deep cheek fat compartments to obtain aesthetically pleasing lid-cheek junction...
August 2018: Plastic and Reconstructive Surgery
Sam T Hamra
No abstract text is available yet for this article.
June 13, 2018: Aesthetic Surgery Journal
Mokhtar Asaadi
BACKGROUND: Festoons and malar bags present a particular challenge to the plastic surgeon and commonly persist after the traditional lower blepharoplasty. They are more common than we think and a trained eye will be able to recognize them. Lower blepharoplasty in these patients requires addressing the lid-cheek junction and midcheek using additional techniques such as orbicularis retaining ligament (ORL) and zygomaticocutaneous ligament (ZCL) release, midface lift, microsuction, or even direct excision (Kpodzo e al...
August 2018: Aesthetic Plastic Surgery
Jeenam Kim, Hyojeong Shin, Myungchul Lee, Donghyeok Shin, Soonheum Kim, Dongin Jo, Cheolkeun Kim, Heonjoon Kim, Hyungon Choi
Tear trough deformity has been an area that has received much attention in terms of esthetic improvements. Fat transposition has been commonly used for the treatment of tear trough deformity. As some patients have had minimal improvement by that method, we propose the use of fat grafting combined with open blepharoplasty to complement the sunken area, including some of anterior maxilla region, and evaluate and precisely remove the excessive tissue.Lower blepharoplasty was performed by separating the skin and muscle flap...
July 2018: Journal of Craniofacial Surgery
Changsik Pak, Sangjun Yim, Heeyeon Kwon, Yujin Myung, Baek-Kyu Kim, Chan-Yeong Heo, Jae Hoon Jeong
Background: Numerous techniques have been used for lower blepharoplasty. The techniques can be classified into four principles: excision of excess fat, septal reset, orbital fat repositioning, and reinforcement of the attenuated orbital septum. Objectives: We modified the conventional approach of septal reinforcement to utilize an inverted T-shaped plication with preservation of the orbital fat, repositioning the septum below the arcus marginalis to refine tear-trough deformity...
June 13, 2018: Aesthetic Surgery Journal
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