A Retrospective Review of Patients Undergoing Lateral Canthoplasty Techniques to Manage Existing or Potential Lower Eyelid Malposition

Tepper, Oren M.; Steinbrech, Douglas S.; Howell, Melanie; Jelks, Elizabeth B.; Jelks, Glenn W.

doi:10.1097/prs.0000000000001363

Cited by 41 publications

(20 citation statements)

References 20 publications

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“…According to Shin and Hwang [4], surgery tends to be less effective when there is a small amount of space between the lateral canthus and the lateral bony orbital wall. Moreover, a distance of more than 4 mm should be observed from the orbital rim to the lateral canthal angle in exophthalmometry [1,2,4]. The canthal tilt assessment has been proposed by Tepper et al [2] as 1 of 7 steps in the lower eyelid checklist.…”

Section: Discussionmentioning

confidence: 99%

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A Quick and Easy Technique for Lateral Canthoplasty Using Reverse V-Y Advancement: A Case Report

Park

Kim

Lee

et al. 2018

Arch Aesthetic Plast Surg

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Cosmetic lateral canthoplasty has become popular among Asians in the last few decades, but few techniques have withstood the test of time to be accepted as both effective and noninvasive, with minimal complications. Novel techniques have been developed, but are not free from complications. Moreover, these methods often have limited indications and may require a rather long learning curve to master. Herein, the authors present their experiences performing a simple lateral canthoplasty procedure in 61 patients using a slightly modified V-Y advancement flap, previously known as the Uchida method.

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Section: Discussionmentioning

confidence: 99%

“…Of the 7 items on the lower eyelid checklist proposed by Tepper et al [2], the canthal tilt and lateral canthal orbital rim (distance from the lateral canthus to the orbital rim) [3] can be assessed before undertaking cosmetic lateral canthoplasty. This preoperative evaluation is performed by many plastic surgeons (Fig.…”

Section: Preoperative Evaluationmentioning

confidence: 99%

A Quick and Easy Technique for Lateral Canthoplasty Using Reverse V-Y Advancement: A Case Report

Park

Kim

Lee

et al. 2018

Arch Aesthetic Plast Surg

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“…Specifically, the following items should be evaluated: (1) vector analysis, (2) tarsoligamentous integrity, (3) scleral show, (4) canthal tilt, (5) lateral canthus-to-orbital rim soft tissue distance, (6) midface position, and (7) vertical position. 29 Vector analysis refers to the relationship between the most anterior projection of the globe and the most anterior projection of the malar eminence. A positive vector is when the most anterior projection of the globe is posterior to the most anterior projection of the malar eminence.…”

Section: Preoperative Evaluationmentioning

confidence: 99%

“…Negative vectors have been shown to predispose patients to postoperative scleral show and lower eyelid malposition. 29 To further evaluate the lower eyelid, snap-back testing and distraction testing should be performed. Patients with negative vectors or horizontal lower eyelid laxity may benefit from concurrent lateral canthal procedures (e.g., canthoplasty) and/or periorbital volume augmentation at the time of blepharoplasty.…”

Section: Preoperative Evaluationmentioning

confidence: 99%

Selecting the Best Eyelid Techniques

2018

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The periorbital region is a focal point on the face. Dermatochalasis, fat herniation, blepharoptosis, brow ptosis, deep tear troughs, and malar fat pad descent are all age-related changes that occur around the eyes, and successful rejuvenation involves addressing all of these changes. Restoring a youthful, vibrant appearance to the eyes and periorbital areas can often only be accomplished with a combination of surgical and nonsurgical interventions. Facial plastic surgeons should have a comprehensive knowledge of all of these options and their applications to ensure good patient outcomes and satisfaction.

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“…It is common that these age-related changes are superimposed by anatomical variations such as a negative vector anatomy which has found to be a frequent cause for prominent eye deformity. 9 Are these types of deformities associated with orbital diseases, a rather complicated field of surgery originates. This is especially true for patients with Graves disease.…”

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confidence: 99%

Aesthetic Refinements in Patients with Prominent Eyes

Richter¹,

Schwaiger²,

Wiedner

2015

Facial plast Surg

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The treatment of prominent eyes is still a challenging task. As well as the surgery, proper preoperative diagnosis differentiating between patients with and without Graves ophthalmopathy plays an important role. In functionally asymptomatic patients with Graves disease suffering from the aesthetic impairment of prominent eyes, the transpalpebral decompression by intraorbital fat removal technique has been proved to be reliable, effective, safe, and easily performed by a trained and experienced oculoplastic surgeon. This technique provides long-lasting results, leading to improvement not only in visual function but also in personal well-being and in the patient's social life, with a high benefit-to-risk ratio. The most powerful tool to treat the lower lid deformity and malar bags in patients without Graves disease is the subperiosteal midface lift. It shortens the lid-cheek junction and blends the retaining periorbital ligaments. Furthermore, it adds volume to the lower lid and gives a stable support. By the nature of the procedure, it also turns a negative into a positive vector. In experienced hands, Olivari's orbital decompression and Hester's midface lift are ideal options for the treatment of prominent eyes.

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A Retrospective Review of Patients Undergoing Lateral Canthoplasty Techniques to Manage Existing or Potential Lower Eyelid Malposition

Abstract: Therapeutic, IV.

Cited by 41 publications

References 20 publications

A Quick and Easy Technique for Lateral Canthoplasty Using Reverse V-Y Advancement: A Case Report

A Quick and Easy Technique for Lateral Canthoplasty Using Reverse V-Y Advancement: A Case Report

Selecting the Best Eyelid Techniques

Aesthetic Refinements in Patients with Prominent Eyes

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