Ptosis Repair in Aesthetic Blepharoplasty

Martin, John J.

doi:10.1016/j.cps.2012.06.007

Cited by 20 publications

(10 citation statements)

References 22 publications

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“…The anchoring suture for fixation of the dermis to deep structures is a common practice in many reconstructive procedures. 9 – 14 In breast reconstruction, it is a crucial step to reproduce submammary folds by holding the inserted flap or implant to gain a favorable aesthetic result. 9 – 11 For buried penis correction, anchoring the dermis in the penis root to the deep ligament plays an essential role in maintaining the static length of the penis.…”

Section: Discussionmentioning

confidence: 99%

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A Method to Reproduce Symmetry in Midfacial Reconstruction: A Report of 19 Cases

Lou

Xue

Molnár

et al. 2020

Adv Skin Wound Care

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BACKGROUND Reconstruction of facial skin defects remains a clinical challenge. With aging, ptosis of tissue over fixed structures creates an important facial feature known as the tear trough. This study aimed to evaluate the efficacy and aesthetic outcome of a novel surgical technique that reproduced this facial feature while avoiding ectropion during midfacial skin defect repair. METHODS Nineteen patients with midfacial skin defects received local flap reconstruction combined with an anchoring suture. The flap was designed in a unilateral pedicled V-Y pattern. When the flap was advanced to cover the defect, one or two sutures that connected the dermis of the flap with the infraorbital periosteum were made to reproduce the tear trough line. RESULTS: Midfacial defects were successfully repaired with the V-Y flap in all 19 patients. No lower eyelid ectropion or conspicuous scars were noted in any of the patients. Further, the tear trough was successfully reconstructed in each patient. Facial symmetry was maintained with static positioning and animation. CONCLUSIONS The combination of local V-Y flap reconstruction with anchoring sutures to reproduce facial feature lines is an effective technique in midfacial skin defect repair.

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Section: Discussionmentioning

confidence: 99%

“… 12 In aesthetic blepharoplasty, the anchoring suture is well established in the literature as an important means to prevent ectropion. 13 , 14 These above examples make the anchoring suture a reasonable approach for flap surgery. 15 – 20 …”

Section: Discussionmentioning

confidence: 99%

A Method to Reproduce Symmetry in Midfacial Reconstruction: A Report of 19 Cases

Lou

Xue

Molnár

et al. 2020

Adv Skin Wound Care

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“…In this technique, dermatochalasis is treated by an excision of the re- dundant skin and orbicularis oculi muscle. It is also possible to manipulate the aponeurosis structure through an incision along the upper eyelid crease [1,2,[12][13][14]. However, the incision along the lid crease or supraciliary incision has numerous shortcomings in East Asian patients.…”

Section: Discussionmentioning

confidence: 99%

Medial Crease Formation in Unfavorable Subbrow Excision: Medial Crease in Subbrow Excision

Kwon

Jeong

2015

Arch Aesthetic Plast Surg

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Background Various surgical techniques have been developed to address senile upper eyelids. Upper blepharoplasty has limited efficacy in natural periorbital rejuvenation for severe lateral hooding of the upper eyelids, as well as often producing a 'surprised look'. Subbrow excision is a popular method in East Asia for the correction of eyelid drooping, especially on the lateral side as periorbital rejuvenation. However, medial upper eyelid skin redundancy often tends to be undercorrected. Here, we present a few cases of revisional blepharoplasty, especially for medial crease formation, to improve aesthetic results. Methods Five patients, for a total of 10 eyelids, who underwent revisional blepharoplasty from January 2011 to January 2015 after a previous subbrow excision, were included. Patients were dissatisfied with uncorrected excessive skin on the medial part of the upper eyelid after a previous subbrow excision; thus, they underwent revisional blepharoplasty for medial crease formation. Results During the follow-up period, patients were aesthetically satisfied with the postoperative results. No patients suffered from any complications during the follow-up period. Conclusions After a previous unfavorable subbrow excision, medial crease formation, via a very minimally invasive technique, could be a favorable option to improve patient satisfaction without postoperative complication or discomfort.

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“…Surgical procedures designed to correct ptosis should be directed toward correction of the underlying pathologic condition. The 3 categories of surgical procedures most commonly used in ptosis repair are external (transcutaneous) levator advancement, internal (transconjunctival) levator/ tarsus/Müller muscle resection approaches and frontalis muscle suspensions [3] .…”

Section: Introductionmentioning

confidence: 99%

Corneal Topographic Changes after Correction of Ptosis by Levator Muscle Resection Measured by Scheimpflug Imaging

RAHMAN¹,

ELREDY²

2022

The Medical Journal of Cairo University

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Background: Blepharoptosis is a drooping of the upper eyelid. The effect of ptosis surgery on corneal topography is debatable and needs to be identified. Aim of Study:To evaluate the corneal topographic changes after levator resection surgery in patients affected by congenital or acquired ptosis.Patients and Methods: This is a prospective study included 20 eyes with moderate to severe ptosis and a levator function range of 6-10mm and with the probability to be subjected to clinical examination and topographic investigations. Patients underwent between 14 to 20mm of transcutaneous levator muscle resection. The patients underwent complete ophthalmological examination, routine lid examination for ptosis and corneal topography. Topographic parameters included K1, K2, astigmatic axis and power and pachy apex.Results: After surgical ptosis repair, corneal topography demonstrated a reduction in K1 of 0.12 ±0.28 diopters (D) which was non statistically significant, also k2 showed a reduction of -0.12±0.28 diopters (D) and that difference is not considered statistically significant. Regarding corneal astigmatism it increased by 0.02 ±0.29 diopters (D) and by measuring the p-value of that change it is not considered statistically significant. Both corneal astigmatism axis and pachy apex didn't show statistically significant change. Conclusion:Correction of ptosis by levator muscle resection increased corneal astigmatism six weeks after surgery with non-significant degree.

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Ptosis Repair in Aesthetic Blepharoplasty

Cited by 20 publications

References 22 publications

A Method to Reproduce Symmetry in Midfacial Reconstruction: A Report of 19 Cases

A Method to Reproduce Symmetry in Midfacial Reconstruction: A Report of 19 Cases

Medial Crease Formation in Unfavorable Subbrow Excision: Medial Crease in Subbrow Excision

Corneal Topographic Changes after Correction of Ptosis by Levator Muscle Resection Measured by Scheimpflug Imaging

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