Plastic Construction of the Superior Palpebral Fold

Boo-Chai, Khoo

doi:10.1097/00006534-196301000-00010

Cited by 67 publications

(21 citation statements)

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“…Thus, after removal of the pretarsal fat and orbicularis muscle to form a dynamic connection or adhesion of the levator aponeurosis or tarsus and skin or dermis, pretarsal soft tissue is pulled up by adhesion with the tarsus upper margin and aponeurosis with a decrease of lid fullness. Additionally, when orbital fat is removed, the upper-eyelid burden decreases, which makes upper-eyelid excursion easier [16].…”

Section: Discussionmentioning

confidence: 99%

Measurement of the Exposed Eyeball Area and Vertical Dimension of Palpebral Fissure after Double Eyelidplasty.

Yeo

Han

2017

Arch Aesthetic Plast Surg

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Background Although the technique of double eyelidplasty is well recognized, there have been a few reports on the measurement of the eyelid after the operation. Herein, we measured the changes of the eyelids photogrammatically and compared them with others. Methods Database of patients who had undergone double eyelidplasty using a threepartial-incision technique, along with a follow-up of more than 6 months, were identified. The changes of eyelid were measured by exposed eyeball area (EEA) and vertical dimension of palpebral fissure (VDPF) using preoperative and postoperative photographs. Results Between January 2012 and December 2013, there were 28 patients who were followed-up for more than 6 months. All patients were female between the age of 16 and 37 years; the average follow-up period was 11.4 months. The mean preoperative value of EEA was 74.6±9.1% and that of VDPF was 7.4±1.0 mm. Conversely, the mean postoperative value of EEA was 83.9±6.3% and that of VDPF was 8.5±1.0 mm. ConclusionsThe mean values of EEA and VDPF after double eyelidplasty had changed with statistical significance.

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Section: Discussionmentioning

confidence: 99%

Measurement of the Exposed Eyeball Area and Vertical Dimension of Palpebral Fissure after Double Eyelidplasty.

Yeo

Han

2017

Arch Aesthetic Plast Surg

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“…In the open technique, a long incision is made. A sheet of skin, muscle and fat along the fold are removed, and sutures are used to attach the skin to tarsal plate (14,15). The manoeuvre has the effect of fixing the dermis to the underlying tarsal plate.…”

Section: Discussionmentioning

confidence: 99%

A modified mini-incisional technique for double-eyelid blepharoplasty

Xue

et al. 2016

J Plastic Surgery

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It is commonly accepted that double-eyelid surgery results in largerappearing eyes, a soft and womanly appearance, clear-cut features and a refreshed appearance to the face (1). Upper eyelid blepharoplasty is one of the most popular cosmetic surgeries in Asia because nearly one-half of the Asian population lacks a supratarsal fold (2). The first cutaneous suture technique was devised by Mikamo (reported by Lam [3]). Various methods have been described, broadly including the incisional, nonincisional and mini-incisional methods (4). The present article introduces a modified mini-incisional technique. METHODSA total of 372 patients (325 women and 47 men) were involved in the study between July 2008 and August 2014. Their age ranged from 16 to 34 years (mean 24 years of age), and all underwent the modified mini-incisional upper blepharoplasty. Bilateral surgeries were performed in 341 patients and unilateral procedures in 31 patients. The follow-up period was three to 12 months (mean nine months) to evaluate the effect. Patient satisfaction was evaluated three months postoperatively. Satisfactory results indicated no multiple eyelids, no shifting or disappearance of the fold, and symmetrical heights of the fold when the difference between the bilateral heights was <1 mm. Complications were recorded. Preoperative evaluationThe desires of the patients were understood during consultation and they were taken into consideration before the operative design. With the patient sitting, the height and shape of the desired double-eyelid line were simulated. A probe was used to push the upper eyelid upward to form a crease in front of a mirror. The crease position was confirmed when the patient was satisfied with the simulated crease, which was usually approximately 7 mm to 10 mm above the ciliary margin. The symmetry of the line on the bilateral upper eyelid was verified. The proposed double-eyelid line was marked using a marker pen. All patients were photographed pre-and postoperatively. Surgical procedureThe operation was performed under local anesthesia. 1% lidocaine (5 mL) containing 1:100,000 of epinephrine was injected into each eyelid. Four 2 mm incisions were made along the double-eyelid line. BACkGROUND: Double-eyelid blepharoplasty is one of the most popular cosmetic surgeries in Asia. OBjECTIVE: To introduce a modified mini-incisional technique to form a double eyelid. METHODS: A total of 372 patients (325 women, 47 men) were involved in the study between July 2008 and August 2014. Their age ranged from 16 to 34 years, with a mean age of 24 years. All patients underwent the modified mini-incisional upper blepharoplasty. In the technique, four 2 mm incisions were made along the designed fold. The orbicularis muscle overlying the levator aponeurosis was removed. The removal of the lateral fat pad was completed accordingly. The medial fat pad was also removed if necessary. Suture was used to fix the skin to pretarsal fascia along the double-eyelid line. The double-eyelid crease was formed after the operation. RESULTS:...

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“…En Asie, la chirurgie des paupières supérieures, aussi appelée chirurgie des doubles paupières, est devenue la procédure chirurgicale la plus pratiquée [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18]. En Europe, elle reste une chirurgie méconnue malgré la demande croissante.…”

Section: Introductionunclassified

“…Dans la paupière asiatique (à droite), l'aponévrose et le septum orbitaire s'insèrent très bas dans la paupière, en dessous du bord supérieur du tarse. des incisions partielles [12] et des méthodes sans incisions [13][14][15][16][17][18]. Cependant, les méthodes sans incisions ne sont pas réalisables dans tous les cas, notamment lors d'une contraction faible du muscle releveur de la paupière.…”

Section: Introductionunclassified