Canthopexy As A Routine Blepharoplasty Component

Flowers, Robert S.

doi:10.1016/s0094-1298(20)31227-x

Cited by 132 publications

(18 citation statements)

References 6 publications

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“…Dysfunction of the lower eyelid is typically attributable to malposition rather than to excess tissue, and resection of one or more layers of the eyelid can cause recurrence or exacerbation of the problem. 6 Furthermore, disruption of the lateral canthal angle can lead to dehiscence, overlapping of the eyelids, failure of proper eyelid positioning, trichiasis, alteration of eyelid contour, 7 obtrusive scarring, rounding of the canthus, and loss of cilia. 4 Also, excision of tissue is not reversible should overcorrection occur.…”

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confidence: 99%

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The Lateral Transorbital Canthopexy for Correction and Prevention of Ectropion

Moe

Linder

2000

Archives of Facial Plastic Surgery

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Background: There are numerous approaches to correcting laxity of the lateral canthal tendon, each with advantages and drawbacks. Critical evaluation of these techniques is not possible, however, as there is no grading system currently in use to describe this condition or to report outcomes, and prospective trials are lacking.Objectives: To report and assess a new procedure for repair of the lateral canthus (lateral transorbital canthopexy) and to describe the Ectropion Grading Scale (EGS), with a prospective outcome analysis of their use.Design: Prospective outcome study of 15 consecutive patients (16 procedures).

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confidence: 99%

“…In this procedure, through anterior incisions in the upper or lower eyelids, the LCT is fixed to the lateral orbital wall in a somewhat elevated position without resection of the components of the eyelid or canthus. 6,8,9 Anterior canthopexy prevents many of the complications that are associated with resection techniques. But the procedure is still suboptimal.…”

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confidence: 99%

The Lateral Transorbital Canthopexy for Correction and Prevention of Ectropion

Moe

Linder

2000

Archives of Facial Plastic Surgery

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“…Lateral Canthopexy: According to Flowers,[ 32 ] there is a periorbitary site which is 9 mm caudal to the center of the orbital rim prominence near the frontozigomatic suture, or choose a location where the preoperative supratarsal fold crosses the orbital rim to guide the periosteal fixation of the lateral canthal tendon in canthopexy. However, this measure may be difficult to be reached symmetrically.…”

Section: Discussionmentioning

confidence: 99%

“…In the periorbital region (AU 4 ), the loci PO 1 (TE.23, Sizhukong ) and PO 2 (UB.1, Jingming ) were used to determine the extremities extension of the upper eyelid scar in blepharoplasty. Also in AU 4 , the locus PO 1 (TE.23 Sizhukong ) was used to guide the periostal fixation of the lateral canthus tendon in canthopexy[ 6 29 32 ] [ Figure 7 ].…”

Section: Methodsmentioning

confidence: 99%

"Oriental anthropometry" in plastic surgery

Senna-Fernandes¹

2008

Indian J Plast Surg

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Background:According to Chinese medicine, the acupuncture-points' (acupoints) locations are proportionally and symmetrically distributed in well-defined compartment zones on the human body surface Oriental Anthropometry” (OA). Acupoints, if considered as aesthetic-loci, might be useful as reference guides in plastic surgery (PS).Aim:This study aimed to use aesthetic-loci as anatomical reference in surgical marking of Aesthetic Plastic Surgery.Method:This was an observational study based on aesthetic surgeries performed in private clinic. This study was based on 106 cases, comprising of 102 women and 4 men, with ages varying from 07 to 73 years, and with heights of between 1.34 m and 1.80 m. Patients were submitted to aesthetic surgical planning by relating aesthetic-loci to conventional surgical marking, including breast surgeries, abdominoplasty, rhytidoplasty, blepharoplasty, and hair implant. The aesthetic-surgical-outcome (ASO) of the patients was assessed by a team of plastic surgeons (who were not involved in the surgical procedures) over a follow-up period of one year by using a numeric-rating-scale in percentage (%) terms. A four-point-verbal-rating-scale was used to record the patients' opinion of therapeutic-satisfaction (TS).Results:ASO was 75.3 ± 9.4% and TS indicated that most patients (58.5%) obtained “good” results. Of the remainder, 38.7% found the results “excellent”, and 2.8% found them “fair”.Discussion and Conclusion:The data suggested that the use of aesthetic-loci may be a useful tool for PS as an anatomical reference for surgical marking. However, further investigation is required to assess the efficacy of the OA by providing the patients more reliable balance and harmony in facial and body contours surgeries.

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“…It eliminates unnecessary skin resection, and is believed to restore tone and youthful contour of the lower eyelid. [ 4 11 12 ]…”

Section: Lower Eyelid Blepharoplastymentioning

confidence: 99%

Blepharoplasty: An overview

Naik

Honavar

Das

et al. 2009

J Cutan Aesthet Surg

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Blepharoplasty plays a vital role in facial rejuvenation, with direct aesthetic relation to the brow and the cheek. Upper and lower eyelid blepharoplasty are indicated for the treatment of excess skin and/or orbital fat. Preoperative evaluation should include a thorough medical and ophthalmic history, along with a detailed cutaneous and eye examination. Symptoms of preexisting dry eye should be elicited preoperatively, as they directly correlate with postoperative complications. Physical examination should take into account brow position, eyelid ptosis, lower eyelid position, and cheek projection. Blepharoplasty can be performed by many operative approaches. This review highlights the standard skin-only upper blepharoplasty and lower eyelid conservative fat excision or repositioning.

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Canthopexy As A Routine Blepharoplasty Component

Cited by 132 publications

References 6 publications

The Lateral Transorbital Canthopexy for Correction and Prevention of Ectropion

The Lateral Transorbital Canthopexy for Correction and Prevention of Ectropion

"Oriental anthropometry" in plastic surgery

Blepharoplasty: An overview

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