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Blepharoplasty

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https://www.readbyqxmd.com/read/28095539/a-proposed-method-for-upper-eyelid-and-infrabrow-tightening-using-a-transcutaneous-temperature-controlled-radiofrequency-device-with-opaque-plastic-eye-shields
#1
Douglas J Key, Lauren Boudreaux
BACKGROUND: Laxity of the eyelid and periorbital area, a common manifestation of aging, is usually addressed via blepharoplasty and/ or fat transfer. Given the trend toward safer, less invasive treatments preferred by those patients reticent to undergo more invasive procedures, viable alternatives have been sought. Transcutaneous temperature controlled radiofrequency (TTCRF) integrates non- invasive super cial RF treatment with automatic temperature feedback control of energy deposition, as a stimulator of overall collagen remodeling; however, the globe of the eye is particularly sensitive to RF energy...
November 1, 2016: Journal of Drugs in Dermatology: JDD
https://www.readbyqxmd.com/read/28062962/necrotizing-fasciitis-in-aesthetic-surgery-a-review-of-the-literature
#2
REVIEW
Andrea Marchesi, Stefano Marcelli, Pier C Parodi, Rosario E Perrotta, Michele Riccio, Luca Vaienti
INTRODUCTION: Necrotizing fasciitis (NF) is a rare, potentially fatal, infective complication that can occur after surgery. Diagnosis is still difficult and mainly based on clinical data. Only a prompt pharmacological and surgical therapy can avoid dramatic consequences. There are few reports regarding NF as a complication after aesthetic surgical procedures, and a systematic review still lacks. MATERIALS AND METHODS: We have performed a systematic review of English literature on PubMed, covering a period of 30 years...
January 7, 2017: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/28039500/objective-outcome-measurement-after-upper-blepharoplasty-an-analysis-of-different-operative-techniques
#3
Ki-Soo Park, David Dae-Hwan Park
BACKGROUND: Upper blepharoplasty is indicated in Asians for double-eyelid fold creation, periorbital rejuvenation, and functional visual field improvement. This article introduces a technical classification for blepharoplasty methods and investigates approaches to evaluate its outcomes. METHODS: Of 535 patients undergoing aesthetic upper blepharoplasty in our institution in 1998-2011, 136 patients who were well followed up were retrospectively reviewed and categorized into four groups according to the techniques employed...
December 30, 2016: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/28027251/evidence-based-medicine-a-graded-approach-to-lower-lid-blepharoplasty
#4
Ahmed M Hashem, Rafael A Couto, Joshua T Waltzman, Richard L Drake, James E Zins
LEARNING OBJECTIVES: After studying this article, the participant should be able to: 1. Define the anatomy of the lower eyelid tarsoligamentous framework and the related periorbital retaining ligaments, and cite their surgical relevance. 2. Perform a systematic functional and aesthetic evaluation of the lower eyelid focusing on the lid-cheek junction, and clinical tests that predict the need for lateral canthal tightening. 3. Enumerate the different approaches to lower eyelid rejuvenation and discuss their merits/limitations...
January 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28017546/a-double-blind-randomized-prospective-study-comparing-prilocaine-versus-ropivacaine-in-upper-blepharoplasty
#5
Florian Ensat, Klemens Heinrich, Hassan Mahmoud Kholosy, Julia Wimbauer, Michaela Hladik, Gottfried Wechselberger
BACKGROUND: Upper blepharoplasties are a common procedure in plastic surgery. This procedure can be performed effectively under local anesthesia with or without sedation. The ideal local anesthetic should cause less intraoperative bleeding and less postoperative edema. Our study aimed to show the difference between the two local anesthetics 1% prilocaine (Xylonaest) in combination with epinephrine 1:100,000 and ropivacaine (Naropin) in combination with epinephrine 1:100,000 including sodium chloride, particularly in regard to swelling and bleeding in patients undergoing upper blepharoplasties...
November 19, 2016: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/28008460/treatment-of-tear-trough-deformity-fat-repositioning-versus-autologous-fat-grafting
#6
Chiao-Yun Chiu, Yi-Chen Shen, Qing-Fang Zhao, Fu-Liang Hong, Jing-Hong Xu
BACKGROUND: Fat-preserving lower blepharoplasty techniques and filling techniques using autologous or non-autologous materials are increasingly used to treat tear trough deformity. However, there has been no definitive comparison of the results of fat repositioning versus autologous fat grafting for this condition. The authors used statistical analysis to compare the results of the two methods. METHODS: From October 2013 to September 2015, a total of 101 patients, aged 20-43 years, underwent fat repositioning or autologous fat grafting in our department...
December 23, 2016: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/28002273/letter-response-to-dr-putterman-regarding-the-article-pretarsal-augmented-lower-blepharoplasty
#7
Yeo Reum Jeon, Hong Lim Choi
No abstract text is available yet for this article.
December 16, 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27996195/histological-and-clinical-evaluation-of-the-hard-palate-mucous-membrane-graft-for-treatment-of-lower-eyelid-retraction
#8
Sofie D H Larsen, Steffen Heegaard, Peter B Toft
PURPOSE: To evaluate the histological appearances of the epithelial cells and the clinical effect of the hard palate mucous membrane (HPM) graft for the treatment of lower eyelid retraction (LER). METHODS: This was a follow-up study involving 15 patients, with a total of 16 eyes operated. Five patients had LER as a result of Graves' ophthalmopathy and/or inferior rectus recession, six patients because of wearing an eye prosthesis, two patients because of previous tumour excision, one patient because of proptosis due to sphenoid wing meningioma and one patient because of previous lower eyelid blepharoplasty...
December 20, 2016: Acta Ophthalmologica
https://www.readbyqxmd.com/read/27994395/lower-eyelid-retraction-repair-with-resorbable-polydioxanone-implants
#9
Adel H Alsuhaibani, Yasser H Al-Faky
PURPOSE: To report a unique technique to repair lower eyelid retraction using resorbable polydioxanone implants. PATIENTS AND METHODS: This was a retrospective, consecutive, nonrandomized interventional case series. Patients with lower eyelid retraction after trauma repaired facial fracture, thyroid eye disease, lower eyelid blepharoplasty, and long-standing facial palsy were treated with middle lamellar spacer using absorbable polydioxanone implant. All patients were recruited from the King Abdulaziz University Hospital, Riyadh, Saudi Arabia...
October 2016: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/27986527/effects-of-orbicularis-oculi-flap-anchorage-to-the-periosteum-of-the-upper-orbital-rim-on-the-lower-eyelid-position-after-transcutaneous-blepharoplasty-statistical-analysis-of-clinical-outcomes
#10
Alessandro Innocenti, Francesco Mori, Dario Melita, Emanuela Dreassi, Marco Innocenti
BACKGROUND: The aging process affects the skin, muscle, and fat of the eyes in a different manner. Their individual rejuvenation would require specific surgical treatments according to their particular demands. In the present study, we analyzed the effect of an orbicularis oculi muscle flap fixed to the superior orbital rim to prevent lower eyelid dislocation during transcutaneous blepharoplasty. METHODS: The study was conducted retrospectively comparing pre- and postoperative images of two different groups of patients: group A (20 patients) treated with an orbicularis oculi flap and group B (17 patients) treated without the flap...
November 11, 2016: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/27941471/the-brow-fat-pad-suspension-suture-safety-profile-and-clinical-observations
#11
Kian Eftekhari, Grace L Peng, Hannah Landsberger, Raymond Douglas, Guy G Massry
PURPOSE: To evaluate the safety, subjectively assess outcome, and emphasize surgical pearls and critical clinical observations of upper blepharoplasty performed in conjunction with the brow fat pad suspension suture procedure, previously referred to as a "browpexy variant" or "brassiere suture procedure." METHODS: A retrospective 4-year analysis of patients who underwent the brow fat pad suspension suture with upper blepharoplasty was performed. Adjunctive procedures (brow lift and ptosis repair) were categorized...
December 9, 2016: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27930752/prevalence-of-body-dysmorphic-disorder-and-surgeon-diagnostic-accuracy-in-facial-plastic-and-oculoplastic-surgery-clinics
#12
Andrew W Joseph, Lisa Ishii, Shannon S Joseph, Jane I Smith, Peiyi Su, Kristin Bater, Patrick Byrne, Kofi Boahene, Ira Papel, Theda Kontis, Raymond Douglas, Christine C Nelson, Masaru Ishii
Importance: Body dysmorphic disorder (BDD) is a relative contraindication for facial plastic surgery, but formal screening is not common in practice. The prevalence of BDD in patients seeking facial plastic surgery is not well documented. Objective: To establish the prevalence of BDD across facial plastic and oculoplastic surgery practice settings, and estimate the ability of surgeons to screen for BDD. Design, Setting, and Participants: This multicenter prospective study recruited a cohort of 597 patients who presented to academic and private facial plastic and oculoplastic surgery practices from March 2015 to February 2016...
December 8, 2016: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/27893019/occurrence-of-bruise-hematoma-and-pain-in-upper-blepharoplasty-using-blunt-needle-vs-sharp-needle-anesthetic-injection-in-upper-blepharoplasty-a-randomized-clinical-trial
#13
Wenxin Yu, Yunbo Jin, Jingyan Yang, Gang Ma, Yajing Qiu, Hui Chen, Xi Yang, Lei Chang, Xiaoxi Lin
Importance: Though it has been a common practice to use sharp needles to administer local anesthesia for upper blepharoplasty, the evidence for their benefit is lacking. Objective: To evaluate whether there is any benefit of using blunt-needle injection for local anesthesia when performing upper blepharoplasty to reduce postoperative bruise, hematoma, and pain. Design, Setting, and Participants: Randomized clinical trial of 44 patients who underwent bilateral upper blepharoplasty in an academic medical setting were randomized to receive local anesthesia injections (lidocaine, 2%; 27-gauge needle) with a blunt needle in one eyelid and a sharp needle in the other eyelid...
November 23, 2016: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/27830206/a-novel-technique-for-full-thickness-medial-canthal-reconstruction-playing-with-broken-lines
#14
Mohammad Taher Rajabi, Seyedeh Simindokht Hosseini, Mohammad Bagher Rajabi, Syed Ziaeddin Tabatabaie
PURPOSE: To introduce a new modification of transposition flap technique for reconstruction of the medial canthal region. METHODS: This prospective study included 58 patients with the full thickness involvement of both upper and lower lid in the medial canthal area. Reconstruction of posterior lamella was performed by utilizing periosteal flaps and tarsoconjunctival grafts, and anterior lamellar reconstruction was performed using transposition of multiple full-thickness skin flaps, a modified form of rhomboid flap technique...
December 2016: Journal of Current Ophthalmology
https://www.readbyqxmd.com/read/27826480/aesthetic-surgery-in-patients-with-lung-cancer-a-paradigm-shift
#15
David A Hidalgo, Jan Baranski, Sammy Sinno
BACKGROUND: Lung cancer is the most common cancer worldwide and the leading cause of cancer death. With the development of targeted therapy against causative driver mutations, some patients have experienced dramatic responses that have converted their disease into a chronic, stable form. Shifting concerns away from survival and back to quality-of-life issues has led some of these patients to seek aesthetic surgery. METHODS: Three patient examples are presented to illustrate current lung cancer treatment modalities, disease responses, and subsequent experiences with aesthetic surgical procedures...
October 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27824507/effects-of-muller-s-muscle-conjunctival-resection-for-ptosis-on-ocular-surface-scores-and-dry-eye-symptoms
#16
Bruna L Rymer, Diane R Marinho, Cristina Cagliari, Samara B Marafon, Fernando Procianoy
This article evaluates the effects of Muller's muscle-conjunctival resection (MMCR) on ocular surface scores and dry eye symptoms. Forty-six patients were enrolled in the study. Eighteen underwent bilateral upper eyelid skin excision with MMCR and 28 underwent bilateral upper eyelid skin-only excision (control group). The Salisbury Eye Evaluation Questionnaire and an ocular surface evaluation protocol consisting of Schirmer's test, tear break-up time (TBUT), fluorescein and rose bengal corneal staining were performed during the pre-operative consultation and on postoperative days 7, 30, and 90...
November 8, 2016: Orbit
https://www.readbyqxmd.com/read/27811630/comparison-of-colorado-microdissection-needle-versus-scalpel-incision-for-aesthetic-upper-and-lower-eyelid-blepharoplasty
#17
Yonca O Arat, Almila S Sezenoz, Francesco P Bernardini, Mark A Alford, Merih Tepeoglu, Richard C Allen
PURPOSE: Traditionally, eyelid skin incisions with electro-cautery devices have been avoided due to the concerns of aesthetically unacceptable scar formation. The purpose of this study is to compare ecchymosis, cosmesis, and histologic tissue damage of incisions made with a scalpel or Colorado needle in patients undergoing upper and lower aesthetic blepharoplasty. To the best of authors' knowledge, no previous study has been performed before to compare these 2 modalities in aesthetic blepharoplasty surgery...
November 2, 2016: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27785003/the-prevalence-of-glaucoma-in-patients-undergoing-surgery-for-eyelid-entropion-or-ectropion
#18
Shani Golan, Gilad Rabina, Shimon Kurtz, Igal Leibovitch
PURPOSE AND DESIGN: The aim of this study was to establish the prevalence of known glaucoma in patients undergoing ectropion or entropion surgical repair. In this study, retrospective review of case series was performed. PARTICIPANTS: All patients who underwent ectropion or entropion surgery in a tertiary medical center between 2007 and 2014 were included. The etiology of eyelid malpositioning was involutional or cicatricial. METHODS: The medical files of the study participants were reviewed for the presence and type of glaucoma, medical treatment, duration of treatment, and the amount of drops per day...
2016: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/27769607/determinants-of-crease-width-in-inherent-double-eyelid-of-asian-young-women
#19
Yang Li, Zhen-Zhen Hu, Yong-Xing Du, Bing Chen, Jin-Huang Wang, Xian-Yue Quan, Da-Lie Liu
BACKGROUND: The creation of a superior palpebral crease has been the most popular plastic surgery procedure in Asians for several decades. The most important criterion for judging the success of this procedure is the achievement of the desired size and shape of this crease or the perfect crease width. However, the determinants of crease width remain unclear, which may account for the high rate of unsatisfactory results. METHODS: Standard images were used to study the anatomic parameters, including crease width, crease height, and upper eyelid movement distance (ULMD) at the midpupillary axis, of the inherent double eyelid crease in 32 Chinese women aged 19-26 years...
January 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/27743085/secondary-blepharoplasty-correction-of-the-high-fold
#20
Kamol Wattanakrai, Nattawut Chiemchaisri, Penpun Wattanakrai
BACKGROUND: Blepharoplasty is a common aesthetic surgery performed worldwide. In Asians, too high eyelid folds after blepharoplasty cause an unsatisfactory aesthetic outcome that is difficult to correct. In this article, the authors propose surgical techniques to correct the high eyelid fold after blepharoplasty. METHODS: During a 4-year period, 213 secondary blepharoplasties were performed to correct high folds. Postoperative results were reviewed, graded, and analyzed...
December 2016: Aesthetic Plastic Surgery
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