Horizontal Forehead Lines: A Reflection of Eyelid Ptosis or Blepharodermachalasia

Wu-Fienberg, Yuewei; Bafna, Kunaal R.; Guyuron, Bahman

doi:10.1007/s00266-018-1198-7

Cited by 9 publications

(3 citation statements)

References 9 publications

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“…Our surgical method also alleviated the forehead wrinkles because the full release of fibers reduces the levator muscle load and the upper eyelid’s aponeurosis. The dynamic system of the eyelid is released, and the adipose tissue transferred above the tarsal plate plays a sliding role and reduces friction resistance, thereby reducing the compensatory contraction of the frontal muscle 33. Orbicularis-tarsus fixation approach tightens the anterior orbicularis oculi muscle of the tarsal plate, preventing tissue sagging with aging.…”

Section: Discussionmentioning

confidence: 99%

Anatomic and Magnetic Resonance Imaging-Based Correction of Upper-Eyelid Depression and Blepharoptosis in Senile Patients

et al. 2023

Journal of Craniofacial Surgery

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In senile patients with sunken superior sulcus, involutional ptosis, and higher eyelid crease, a single operation to correct depression or ptosis cannot achieve good results. We demonstrated the anatomy of periorbital septum fibers, which may contribute to the levator muscle's volume depletion and dynamic power transmission disorder, and described a procedure for correcting upper-eyelid depression and blepharoptosis in senile patients. The fibrous webs in these patients connected the posterior aspect of the orbicularis and the orbital septum and extended to the orbital fat and levator aponeurosis. These fibers were dissected to release the periorbital septal fibers, and the orbital septal fat flap was transferred to the depressed region. Advancement or plication of the levator aponeurosis was performed in patients with uncorrected blepharoptosis after the procedures described above. The technique was applied to 13 Chinese patients (25 eyes) between May 2021 and April 2022. Postoperative magnetic resonance imaging revealed that the preaponeurotic fat was displaced forward and down to the upper margin of the tarsus, and the curvature of the upper-eyelid depression was significantly improved. Moreover, the superior sulcus deformity improved, the ptosis was corrected, and the uppermost crease decreased in all patients. No recurrence of ptosis or abnormal adhesion was observed. We believe this is the first study using magnetic resonance imaging to evaluate eyelid anatomy and the effects of surgery in this patient group. Releasing periorbital septum fibers is crucial for correcting a portion of the sunken eyelid and ptosis in Asians.

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Section: Discussionmentioning

confidence: 99%

Anatomic and Magnetic Resonance Imaging-Based Correction of Upper-Eyelid Depression and Blepharoptosis in Senile Patients

et al. 2023

Journal of Craniofacial Surgery

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“…As the frontalis muscle is mainly responsible for lifting the eyebrow and partly for lifting the upper eyelid, it is recruited to compensate to expand the field of view . The frontalis muscle's hyperactivity usually leads to the development of horizontal forehead rhytids as well as an appearance of higher eyebrows. Therefore, it is necessary to consider eyebrow position and frontalis muscle hyperactivity when it comes to upper eyelid ptosis …”

Section: Discussionmentioning

confidence: 99%

Auxiliary usage of botulinum toxin A in plastic surgery in China

Sun

Shen

et al. 2020

J of Cosmetic Dermatology

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Background: Currently, botulinum toxin A (BTA) is mainly used in the treatment of muscle spasms and in cosmetic procedures, and its cosmetic indications are expanding rapidly. There have been sporadic reports focused on the preoperative usage of BTA complementing plastic surgery. We briefly summarize the current experience of BTA complementing plastic surgery in China based on clinical experience. Methods:We reported a brief review of the preoperative use of BTA as an accessory to plastic surgery (blepharoplasty, chin augmentation, mandibular angle ostectomy, rhinoplasty, hyaluronic acid fillers injection for wrinkle reduction) based on previous studies and our experience.Results: Preoperative treatment with BTA in plastic surgery helps surgeons operate and results in better cosmetic results. Conclusions:Preoperative BTA treatment can reduce the occurrence of surgical complications as well as improve the surgical results in some plastic surgeries. The procedure is suitable for clinical application and worth promoting. K E Y W O R D Sbotulinum toxin A, cosmetic surgery, preoperative

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“…• High-risk patients: First, we must identify patients who are not going to feel satisfied after the procedure. Examples include: patients with subtle palpebral ptosis, patients who use the frontalis muscle to open their eyes, patients with a wide and strong frontalis who after the BT injection usually show asymmetries of the eyebrows, patients with horizontal forehead lines that are the result of a compensation for having eyelid ptosis 6 or elderly patients with excessive cutaneous laxity and deep wrinkles who usually are not happy with the results as flaccidity is not improved using BT and the risk of palpebral ptosis in these patients is high. Lastly, we should include patients with unrealistic expectations.…”

mentioning

confidence: 99%

Do you want more satisfied Botox patients? Classify them correctly

Ruiz‐Rodríguez

Rodríguez‐Jiménez

2020

Dermatologic Therapy

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Horizontal Forehead Lines: A Reflection of Eyelid Ptosis or Blepharodermachalasia

Abstract: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Cited by 9 publications

References 9 publications

Anatomic and Magnetic Resonance Imaging-Based Correction of Upper-Eyelid Depression and Blepharoptosis in Senile Patients

Anatomic and Magnetic Resonance Imaging-Based Correction of Upper-Eyelid Depression and Blepharoptosis in Senile Patients

Auxiliary usage of botulinum toxin A in plastic surgery in China

Do you want more satisfied Botox patients? Classify them correctly

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