Prophylactic Lateral Canthopexy in Lower Blepharoplasties

Jacobs, Sheila M.

doi:10.1001/archfaci.5.3.267

Cited by 28 publications

(11 citation statements)

References 8 publications

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“…This results in pretarsal fullness, and we were also able to achieve additional rejuvenation effects other than the basic effects of canthopexy, such as changing the canthal tilt more positively or tightening the lidcheek segment. This procedure was also reported to be effective in previous studies, one of which reported that the rate of postlower blepharoplasty lid malposition decreased from 10% to 1% after adopting the procedure [ 10 ].…”

Section: Discussionmentioning

confidence: 88%

Algorithm for the management of ectropion through medial and lateral canthopexy

et al. 2018

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BackgroundPatients with ectropion experience devastating symptoms. Therefore, the preventionand management of this condition are of utmost importance. To treat ectropion, it is important to perform medial and lateral canthopexy in an effective way. In this study, we propose a comprehensive algorithm for the prevention and management of ectropion based on a new classification of ectropion according to its signs and causes.MethodsCanthopexy was performed in 68 cases according to the proposed algorithm, which starts with a categorization of the types of ectropion and ends with the recommended operative technique. To assess the results, we reviewed clinical preoperative and postoperative photographs. To evaluate improvements in patients’ symptoms, we conducted a survey with responses scored on a Likert scale.ResultsNone of the patients had scleral show postoperatively. The average patient satisfaction score was satisfied or higher for all symptoms, and the most improved symptom was aesthetic appearance. No major complications were reported.ConclusionsFor the comprehensive management of ectropion, it is crucial to consider both treatment and prevention. Through the simple surgical algorithm proposed in this study, both medically acceptable results and high levels of patient satisfaction were achieved without significant postoperative complications. We recommend using this algorithm for the comprehensive management of ectropion.

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Section: Discussionmentioning

confidence: 88%

Algorithm for the management of ectropion through medial and lateral canthopexy

et al. 2018

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“…Lower eyelid malposition is one of the most common complications of blepharoplasty, occurring at a reported rate of 1 to 35%. [91][92][93][94][95] Overresection of skin, denervation of orbicularis, and disruption and scarring of the septum and orbicularis have been noted as contributing factors to this problem. Many authors routinely include lateral canthoplasty or canthopexy as a component of their lower lid blepharoplasty, citing improved eyelid shape and decreased incidence of scleral show and ectropion.…”

Section: Advances In Lower Lid Blepharoplastymentioning

confidence: 99%

Evolution of Blepharoplasty

2019

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The eyes and periorbital region are central components of facial beauty and harmony, but the periorbital region is also one of the earliest to show signs of aging. Over the past few decades, significant progress has been made in our understanding of the anatomy in this area, as well as the deleterious effects of aging in this region. In turn, surgical philosophy and techniques have evolved to better combat changes in this area to achieve a more youthful, natural appearance.

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“…Lower lid tightening procedures were developed to prevent or treat eyelid malposition, which was the most common complication of the conventional technique. 6,7,8 The transconjunctival approach subsequently became popular in blepharoplasty, as it could prevent postoperative eyelid retraction and leave no visible scar while providing wide exposure. 9 Since the transconjunctival approach was applicable only to patients who did not need skin excision, the concomitant skin pinch technique was used to address the excess skin in transconjunctival blepharoplasty.…”

Section: Tear Trough Depression and Palpebromalar Groovementioning

confidence: 99%

“…6 To prevent these complications, preoperative evaluation of the lower eyelid laxity is important. 8 First of all, the eyelid position needs to be recorded as margin-to-reflex distance 2 (MRD2), which is defined as the distance from the lower eyelid to the corneal light reflex, to document the amount of preoperative eyelid retraction, if present.…”

Section: Lower Eyelid Laxitymentioning

confidence: 99%

16 Lower Blepharoplasty

Jin¹

2016

Aesthetic Plastic Surgery of the East Asian Face

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Prophylactic Lateral Canthopexy in Lower Blepharoplasties

Cited by 28 publications

References 8 publications

Algorithm for the management of ectropion through medial and lateral canthopexy

Algorithm for the management of ectropion through medial and lateral canthopexy

Evolution of Blepharoplasty

16 Lower Blepharoplasty

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