Age-related eyelid changes

Mupas-Uy, Jacqueline; Kitaguchi, Yoshiyuki; Takahashi, Yasuhiro; Kakizaki, Hirohiko

doi:10.25056/jcm.2017.1.1.16

Cited by 9 publications

(3 citation statements)

References 38 publications

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“…Sunken eyelids frequently result from a deficiency in soft tissue or a prominent orbital rim in the Asian population and tend to worsen with age 13 . The hollow or recessed area beneath sunken eyelids can create shadows that give the eyes a darker, more fatigued appearance.…”

Section: Discussionmentioning

confidence: 99%

Surgical correction of sunken upper eyelid with upper arcus marginalis release and precision fat distribution technique

Hong,

Choi,

Baek

et al. 2024

J of Cosmetic Dermatology

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BackgroundSunken upper eyelids, characterized by hollowing in the upper orbital effects, involving the release of the arcus marginalis of the upper eyelid and the precise distribution of orbital fat.MethodsFrom December 2021 to March 2023, a total of 84 eyelids from 42 patients who underwent surgical correction for sunken upper eyelids, utilizing the upper arcus marginalis release and precision fat distribution technique, were included in this study. Preoperative and postoperative sunken depths were measured and statistically analyzed. Aesthetic satisfaction was assessed through patient questionnaires.ResultsPreoperative and postoperative sunken depths measured 9.2 ± 2.2 mm and 5.9 ± 2.3 mm, respectively. The mean improvement was 3.3 mm, a change of statistical significance. Aesthetic outcomes and patient satisfaction yielded favorable results. No major complications were observed during the follow‐up period.ConclusionThe upper arcus marginalis release and orbital fat distribution technique demonstrated favorable outcomes in correcting sunken upper eyelids. This procedure ensures stable placement of orbital fat at the deepest sunken point, resulting in aesthetically pleasing and enduring results. This technique serves as a valuable alternative for patients with moderate to severe sunken eyelids.

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Section: Discussionmentioning

confidence: 99%

Surgical correction of sunken upper eyelid with upper arcus marginalis release and precision fat distribution technique

Hong,

Choi,

Baek

et al. 2024

J of Cosmetic Dermatology

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“…Clinical manifestations of aging lower lids include deflation and laxity with wrinkles, protruding orbital fat, increased vertical length of the lid-cheek junction (LCJ) with development of tear trough deformity, palpebromalar groove, and continuation of mid-cheek furrows [5]. The challenges with lower lid rejuvenation are the anatomical abutments of the eye and surrounding regions, such as the midface and temple.…”

Section: Introductionmentioning

confidence: 99%

Rejuvenating and contouring effect of bipolar fractional microneedle radiofrequency on the lower eyelid

Kwon

Maschamadol

Chang³

et al. 2022

J Cosmet Med

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Background: Fractional microneedle radiofrequency (FMR) devices are used for non-invasive facial rejuvenation, with aging lower eyelids a popular area for improvement. However, treating lax eyelid skin, particularly determining the exact depth to insert the needle, remains challenging.Objective: To evaluate Inus-an FMR device that uses a bipolar current with a specialized vacuum edge line for optimal needle insertion in lax skin-on aging lower eyelids.Methods: Eleven Korean women (22 eyes) with aging lower eyelids who visited the Seoul Cosmetic Surgery Clinic in 2017 were included. After applying topical anesthesia, an Inus disposable tip with 25 insulated microneedles was used on the lower lids and lateral canthal regions, including temporal hollows. Microneedles of depth 1.0 mm or 0.8 mm were used to apply FMR of 0.5 MHz or 2.0 MHz, respectively, to the entire lower lid during three sessions at 2-week intervals. Morphological and statistical analyses of changes in the horizontal palpebral width, canthal tilt, and distance of the lid-cheek junction were performed using pre-and postoperative photographs.Results: Improvements in lax, deflated, wrinkles on the lower eyelids with scarring, and syringoma were observed. The lower lid contour changed from round to straighter, indicating improved laxity. Decreased lid-cheek junction (p<0.05) and increased canthal tilt (p<0.05) and horizontal palpebral width (p<0.05) were estimated. The mild erythema disappeared within 1-2 days. Mild ectropion (one case) in the case of protruded eyes with thin skin and unexpected transverse wrinkles at the medial part of the lids (two cases) were observed. Conclusion:Total rejuvenation of aging lower lids without serious complications was demonstrated. Therefore, Inus is suitable for treating aging lower eyelids safely.

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“…Moreover, the transmitted light through the eyelids can suppress the secretion of melatonin and phase shift dim light melatonin onset [2]. Visible iris sign (VIS) is usually found in individuals from Western countries who have severe involutional aponeurotic ptosis [3] with extremely thin upper lid, and eventually, the iris contour and color can be seen through the eyelid skin [4]. However, until now, preoperative VIS is still not reported in Korean patients who have aponeurotic ptosis.…”

Section: Introductionmentioning

confidence: 99%

Intraoperative visible iris sign detected during ptosis surgery in seven Korean patients who wore eye masks when sleep

Kang¹

2019

J Cosmet Med

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Background: A visible iris sign (VIS) is the apparent visibility of iris color or contour through a closed upper eyelid in patients with aponeurotic ptosis from Western countries. This has been popularly reported in individuals from Western countries because the soft tissue of their lids is much thinner than that in individuals of Oriental descent. There is no report on VIS in individuals of Oriental descent pre-and intraoperatively. Objective: This study aimed to evaluate patients who wore eye masks when sleeping at night and assess the association between VIS and habitual wearing of sleeping mask while dissecting the eye lids to correct ptosis. Methods: Among the patients who visited the clinic for cosmetic blepharoplasty from 2018 to 2019, seven patients complained about the inconvenience of wearing eye masks for sleeping at night. Of these, two patients were diagnosed with pseudoptosis, and the others were diagnosed with aponeurotic ptosis preoperatively. Moreover, they presented with allergy, contact lens use, habitual eye rubbing, and dry eye syndrome. VIS was assessed pre-and intraoperatively, and pre-and intraoperative images were obtained. VIS was analyzed intraoperatively. Conventional blepharoplasty with ptosis correction was performed, and morphological characteristics of the lid layers were observed. Results: Preoperative VIS was not observed in all patients. However, positive intraoperative VIS was detected in six patients, which appeared as a black-colored region due to the defect from the orbital septum, aponeurosis, and Müller muscle. Five patients were diagnosed with aponeurotic ptosis. Moreover, two patients were finally diagnosed with subclinical aponeurotic ptosis because the anatomical defects were observed in these two patients who were preoperatively diagnosed with pseudoptosis. Conclusion: A sleeping eye mask was most likely used to decrease light transmission through the anatomical defects in patients with positive intraoperative VIS.

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Age-related eyelid changes

Cited by 9 publications

References 38 publications

Surgical correction of sunken upper eyelid with upper arcus marginalis release and precision fat distribution technique

Surgical correction of sunken upper eyelid with upper arcus marginalis release and precision fat distribution technique

Rejuvenating and contouring effect of bipolar fractional microneedle radiofrequency on the lower eyelid

Intraoperative visible iris sign detected during ptosis surgery in seven Korean patients who wore eye masks when sleep

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