Lower eyelid blepharoplasty: An overview

Bhattacharjee, Kasturi; Ghosh, Sripurna; Ugradar, Shoaib; Azhdam, Ariel M.

doi:10.4103/ijo.ijo_2265_19

Cited by 22 publications

(26 citation statements)

References 45 publications

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“…Deformity of the sulcus can be caused by hollowing or deepening of the superior sulcus from orbital volume changes that occur with age or iatrogenically as a result of blepharoplasty [12]. Extensive orbital fat sculpting in the upper eyelid sulcus can lead to a sunken or "skeletonized" appearance [15]. Management options for correcting superior sulcus deformities include various procedures.…”

Section: Deformation Of the Sulcusmentioning

confidence: 99%

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Surgical Upper Eyelid Blepharoplasty -Risks, Complications and Outcomes

2022

J Surg

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Regeneration of the periorbital area has always been a focus of plastic surgeons and especially facial surgeons. The eyes are a central feature of the face, for this reason, the mastery of anatomical knowledge and methods of aesthetic rejuvenation of the eyelids and adjacent areas is important for all surgeons who intervene in these very delicate structures. Blepharoplasty is one of the most commonly performed facial cosmetic procedures, alone or in combination with other cosmetic surgeries such as brow lifting or facial lifting or other facial and skin rejuvenation. The key to a successful eyelid surgery is a careful analysis of the face, a carefully conceived surgical plan and meticulous operative technique.

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Section: Deformation Of the Sulcusmentioning

confidence: 99%

“…Milia or inclusion cysts are common lesions seen along the incision line that result from epithelial debris trapped beneath a normal skin surface or possibly from occlusion of a glandular duct [15]. They are usually accompanied by simple or subdermal sutures.…”

Section: Suture Line Complicationsmentioning

confidence: 99%

Surgical Upper Eyelid Blepharoplasty -Risks, Complications and Outcomes

2022

J Surg

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“…Over the decade the demand for restoration and rejuvenation of lower eyelids, either by noninvasive procedures such as laser resurfacing, dermal fillers, and chemical peeling or by more invasive procedures like lower eyelid blepharoplasty. 2 Transconjunctival blepharoplasty is the management of lower eyelid structures via the conjunctival approach and is usually applied to the cosmetic improvement of the lower eyelid using this approach. 3 Transconjunctival approach is often also used for reconstructive surgery.…”

Section: Introductionmentioning

confidence: 99%

role of fractional carbon dioxide laser resurfacing in post-operative transconjunctival lower eyelid blepharoplasty

Taman

El-Sharkawey

Amin

2022

ijhs

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Background: Transconjunctival blepharoplasty is the management of lower eyelid structures via the conjunctival approach and is usually applied to the cosmetic improvement of the lower eyelid using this approach. Aim and objectives: The study aimed to evaluate and compare the aesthetic result for residual fine wrinkles after transconjunctival lower eyelid blepharoplasty alone or combined with post-operative fractional CO2 laser. Subjects and methods: The present study was carried out on 20 patients with lower eyelid puffiness without skin redundancy just fine wrinkles who were selected from patients that were admitted to department of plastic and reconstructive surgery, AL-Azhar University hospitals. Results: Skin tightening and residual wrinkles improvement in group (A) show that 9(90.0%) were improved and 1(10.0%) were not improved while in group (B) 6(60.0%) were not improved and 4(40.0%) were worsen. There was highly statistically significant differences between groups where P<0.001 with better result in group (A) in comparing with group (B). Conclusion: Our results demonstrated that both lower eyelid transconjunctival blepharoplasty alone or with combination with postoperative fractional CO2 laser were safe and effective in the treatment of lower eyelid puffiness. Both of the investigated methods had comparable outcomes in terms of complications and satisfaction.

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“…20 In these patients, surgical blepharoplasty with removal of the excess upper or lower eyelid skin is a possible treatment option. 21,22 The aim of the present study was to investigate the suitability of using free full-thickness skin grafts from the eyelid after upper or lower eyelid blepharoplasty for radial forearm free flap prelamination. This approach could minimize donor site morbidity after free flap harvesting and avoid the creation of an additional skin graft-related scar in another, generally healthy, anatomical region.…”

mentioning

confidence: 99%

“…Dermatochalasis of the upper or lower eyelid is a potential comorbidity in these patients because of the relaxation of aging skin and impaired skin elasticity, which leads to esthetic or functional impairments in the periorbital region 20 . In these patients, surgical blepharoplasty with removal of the excess upper or lower eyelid skin is a possible treatment option 21,22 . The aim of the present study was to investigate the suitability of using free full-thickness skin grafts from the eyelid after upper or lower eyelid blepharoplasty for radial forearm free flap prelamination.…”

mentioning

confidence: 99%

Prelamination of the Radial Forearm Free Flap Using Free Full-Thickness Eyelid Skin Grafts

et al. 2022

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Free flap transfer for reconstruction of intraoral defects is a common procedure in oral and maxillofacial surgery. For tumor-related defects, the radial forearm flap is widely used for soft tissue restoration. However, transfer of free skin grafts to the donor site region is often required for wound closure after free flap harvesting, resulting in esthetic disturbances due to shrinkage of the grafted skin, attendant scarring, or mismatches in skin texture or color. Furthermore, free flap transfer may result in hair follicle transfer into the oral cavity, causing unfavorable intraoral hair growth in adult men in particular. Free flap prelamination can help reduce the potential disadvantages of free flaps, in terms of both flap design and size and donor site morbidity. For surgical treatment of oral cancer in middle-aged and elderly patients, eyelid dermatochalasis may present as a comorbidity leading to esthetic impairments or, in cases involving the upper eyelid, even a reduced field of view. In these cases, bilateral blepharoplasty can reduce the excess eyelid skin. The present study is the first to attempt to use excised skin after bilateral blepharoplasty as full-thickness skin grafts for radial forearm free flap prelamination. This approach combined surgical therapy of eyelid dermatochalasis with free flap prelamination, thereby avoiding the need to harvest free skin grafts from other anatomically healthy regions to close the donor site defect and preventing the accompanying disadvantages. The reconstruction results and clinical outcomes of patients revealed that radial forearm free flap prelamination using bilateral free full-thickness eyelid skin grafts was an easy and feasible method for intraoral defect reconstruction. In particular, this approach could avoid intraoral hair growth and additional skin grafting from other healthy anatomical regions, yielding good esthetic and functional results at the flap's recipient and donor sites.

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Lower eyelid blepharoplasty: An overview

Cited by 22 publications

References 45 publications

Surgical Upper Eyelid Blepharoplasty -Risks, Complications and Outcomes

Surgical Upper Eyelid Blepharoplasty -Risks, Complications and Outcomes

role of fractional carbon dioxide laser resurfacing in post-operative transconjunctival lower eyelid blepharoplasty

Prelamination of the Radial Forearm Free Flap Using Free Full-Thickness Eyelid Skin Grafts

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