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Anne Barmettler, Jessie Wang, Moonseong Heo, Geoffrey J Gladstone
Background: In some upper eyelid blepharoplasties, maximal skin removal may not result in desired outcomes and raising crease height can be considered. Currently, there is no method to determine the amount of skin to be excised and/or crease elevation required to achieve a specific outcome. Objective: This study extrapolates an equation to determine amount of skin excision and/or lid crease elevation needed to achieve a specific eyelid margin to fold distance (MFD)...
July 10, 2018: Aesthetic Surgery Journal
Guangpeng Liu, Caihe Liao, Xi Chen, Yipin Xu, Jian Tan, Fang Han, Xinhai Ye
Skeletal muscle stem cell (SMSC) transplantation has shown great therapeutical potential in repairing muscle loss and dysfunction, but the muscle acquisition is usually a traumatic procedure causing pain and morbidity to the donor. In the present study, we investigated the feasibility of isolating SMSCs from human orbicularis oculi muscle (OOM), which is routinely discarded during ophthalmic cosmetic surgeries. OOM fragments were harvested from 18 female healthy donors undergoing upper eyelid blepharoplasties...
July 11, 2018: Tissue Engineering. Part C, Methods
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...
June 21, 2018: Ophthalmic Plastic and Reconstructive Surgery
William P D Chen
The video illustrates the steps of Asian blepharoplasty of the upper eyelids, using the author's principle of beveled approach and trapezoidal debulking of preaponeurotic platform to allow safe access, minimization of wound injury, and creating a physiologically dynamic crease, without resorting to the use of buried sutures.
May 2018: Plastic and Reconstructive Surgery. Global Open
Alessandro Innocenti, Dario Melita, Serena Ghezzi, Francesco Ciancio
No abstract text is available yet for this article.
May 21, 2018: Plastic and Reconstructive Surgery
Chin-Ho Wong, Bryan C Mendelson
No abstract text is available yet for this article.
May 21, 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
A Escudero Villanueva, A Morales Paciencia, J Ráez Balbastre, A Fernández García, J Argaya Amigo
No abstract text is available yet for this article.
May 26, 2018: Archivos de la Sociedad Española de Oftalmología
Jun Wan, Huicai Wen
Objective: To introduce a modified transsection and longitudinal suture in epicanthoplasty and summarize its effectiveness. Methods: The clinical data of 119 patients underwent epicanthoplasty with modified transsection and longitudinal suture and with a follow-up time over 6 months between February 2014 and December 2016 were retrospectively analyzed. There were 8 males and 111 females with an average age of 22.7 years (range, 18-38 years). The epicanthus was as eyebrow type in 12 cases, as eyelid type in 57 cases, as tarsalis type in 39 cases, and as backward type in 11 cases...
March 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
Rod Rohrich, Monali Mahedia, David Hidalgo, Nilay Shah
No abstract text is available yet for this article.
May 16, 2018: Plastic and Reconstructive Surgery
Ali Asilian, Behzad Bafandeh, Zabihollah Shahmoradi, Gita Faghihi, Anis Bostakian, Samaneh Mozafarpoor, Sayed Mohsen Hosseini
INTRODUCTION: Periocular rejuvenation is the most common aesthetic plastic surgery. The aim of this study was to determine effects of micropunch blepharopeeling (MBP) approach vs blepharoplasty (BP) in periocular rejuvenation. METHODS AND MATERIALS: This is a clinical trial study on 22 patients who underwent periorbital rejuvenation referred to University Skin Clinics. Patients were randomly divided into two groups of blepharoplasty or micropunch blepharopeeling...
May 17, 2018: Journal of Cosmetic Dermatology
Mingqi Zhang, Zhuoshi Wang, Yan Zhao, Lirong Zhang, Ling Xu, Liu Cao, Wei He
Human eyelid adipose-derived stem cells (HEASCs) are a new source of autologous mesenchymal stem cells, which are derived from neuroectoderm and potentially applied in the tissue regeneration and cell therapies. Based on the prevalence of blepharoplasty in Asia and the availability of HEASCs, we investigated the effect of donor age on their characteristics and regenerative potential of HEASCs in vitro. The HEASCs were isolated from patients of three groups: (1) <20 years ( n = 4), (2) >20 years, <45 years ( n = 5), and (3) >55 years ( n = 4)...
2018: Stem Cells International
I-Hsin Ma, Bo-I Kuo, Yu-Chih Hou
PURPOSE: To present recurrent corneal erosion (RCE) caused by late suture exposure after blepharoplasty. METHODS: Four patients who have unilateral RCE were found to have previous blepharoplasty. The RCE was associated with late suture exposure. The clinical courses, characteristics, methods to identify the suture exposure and treatment were presented. RESULTS: The clinical presentations including local erosion of upper bulbar conjunctiva, corneal abrasion lines, local corneal epithelial defects with rough border, and subepithelial opacity were noticed in all four patients...
April 27, 2018: International Ophthalmology
Sam T Hamra
No abstract text is available yet for this article.
June 13, 2018: Aesthetic Surgery Journal
Rod J Rohrich, Nathaniel L Villanueva, Paul N Afrooz
Periorbital tissues are a keystone in facial beauty and a representation of youth. The aesthetically pleasing and youthful upper eyelids are full, with a defined tarsal upper lid crease and with smooth, taut pretarsal and preseptal skin. The upper blepharoplasty is a critical component of any facial rejuvenation procedure. This five-step procedure provides key steps in the correction of upper lid age-related changes and provides a reliable and reproducible method of achieving excellent results. Furthermore, the addition of fractionated fat restores volume and youthfulness of the upper lid, and also improves the skin quality of the upper lid...
May 2018: Plastic and Reconstructive Surgery
Guy G Massry
No abstract text is available yet for this article.
April 19, 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...
April 18, 2018: Aesthetic Plastic Surgery
Oren Tessler, Lynn Bourn, Samuel J Lin, Charles Dupin, Gerhard S Mundinger, Charles Patterson, Hugo St Hilaire, Matthew Bartow, Radbeh Torabi, Michael Hanemann
BACKGROUND: Previous studies revealed that patients preferred plastic surgeons over cosmetic surgeons for surgical procedures, but few knew that any physician with a medical degree was legally qualified to perform cosmetic surgery. Results also indicated that a primary consideration for patients in selecting a surgeon was board certification. Although patient preferences concerning aesthetic surgery have previously been surveyed, no study examined a consumer's ability delineate between specialties based on Web sites...
June 2018: Annals of 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...
March 30, 2018: Journal of Craniofacial Surgery
Uthman Alamoudi, Benjamin Taylor, Colin MacKay, Matthew H Rigby, Robert Hart, Jonathan R B Trites, S Mark Taylor
BACKGROUND: Patients who have undergone treatment for head and neck cancer are at risk for neck lymphedema, which can severely affect quality of life. Liposuction has been used successfully in cancer patients who suffer from post-treatment limb lymphedema. The purpose of our study was to review the outcomes of head and neck cancer patients at our center who have undergone submental liposuction for post-treatment lymphedema and compare their subsequent results with a control group. METHODS: All head and neck cancer patients at an oncology center in tertiary hospital setting who complained to their attending surgeon or radiation oncologist regarding cervical lymphedema secondary to head and neck cancer treatment, and had been disease-free for a minimum of one year, with no previous facial plastic surgical procedures were eligible for inclusion into the study...
March 26, 2018: Journal of Otolaryngology—Head & Neck Surgery
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