Ptosis and Blepharoplasty Surgery

Millay, Donna J.; Larrabee, Wayne F.

doi:10.1001/archotol.1989.01860260072017

Cited by 26 publications

(10 citation statements)

References 7 publications

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“…Transcutaneous aponeurotic repair for upper eyelid ptosis was developed by Jones et al and many variations on this technique have been well described in the literature. 2,[6][7][8][9][10][11][12][13][14][15] In our practice, upper blepharoplasty with anterior plication technique is the only and preferred technique for correction of upper eyelid ptosis.…”

Section: Discussionmentioning

confidence: 99%

Surgical Outcomes of Aesthetic Upper Blepharoplasty With Anterior Plication Ptosis Repair Performed Under General Anesthesia in Facial Plastic Surgery Private Practice

Archer¹,

Perkins²

2018

Am J Cosmet Surg

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Anterior plication ptosis repair is a well-recognized technique but there is a paucity of literature using this technique in a Facial Plastic Surgery private practice where the majority of ptosis patients are having their repair in conjunction with other major cosmetic facial surgery under general anesthesia. The objective is to evaluate revision rates of combined aesthetic upper blepharoplasty with anterior plication ptosis repair in this practice setting. This study is a retrospective review of patients between 2010 and 2015 in a private practice Facial Plastic Surgery office who underwent primary upper blepharoplasty with and without anterior plication ptosis repair by the senior author (S.W.P). Patients were identified by Current Procedural Terminology (CPT) code. Average follow-up was 15 months with a range of 3 months to 63 months. Main outcome measure was need for skin pinch revision and/or ptosis revision. Three hundred twenty-six patients were identified. Patients were excluded who had previous upper blepharoplasty (n = 48) and less than 3 months of follow-up (n = 53). Patients were categorized into 2 groups: upper blepharoplasty with anterior plication ptosis repair (33 eyelids, 23 patients) and upper blepharoplasty without ptosis repair (402 eyelids, 202 patients). Of patients who underwent upper blepharoplasty with anterior plication ptosis repair, 15% of eyelids (5/33 eyelids) required revision ptosis repair for abnormal eyelid contour. Seventy percent of patients who underwent this technique were under general anesthesia for multiple procedures. Overall, there was a 7% dermatochalasis revision rate (31/435 eyelids). There was no significant difference in dermatochalasis revision rates of upper blepharoplasty with or without anterior plication ptosis repair (P = .07). In our Facial Plastic Surgery private practice, upper blepharoplasty with anterior plication ptosis repair may be safely and effectively performed in conjunction with major cosmetic facial surgery under general anesthesia to address aging dermatochalasis and ptosis.

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Section: Discussionmentioning

confidence: 99%

Surgical Outcomes of Aesthetic Upper Blepharoplasty With Anterior Plication Ptosis Repair Performed Under General Anesthesia in Facial Plastic Surgery Private Practice

Archer¹,

Perkins²

2018

Am J Cosmet Surg

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“…Acquired involutional ptosis of the upper lid is a common condition, and dermatochalasis may conceal the true degree of ptosis. 3 At the preoperative evaluation, the upper eyelid skin should be manually elevated to determine if blepharoptosis is present. Blepharoplasty alone, without ptosis repair, may unmask a ptotic lid, resulting in an unsatisfactory outcome.…”

Section: Upper Lid Blepharoplasty Preoperative Evaluation For Upper Lid Blepharoplastymentioning

confidence: 99%

Eyelid Malposition after Blepharoplasty: An Ounce of Prevention

Williams

Allen

2021

Semin Plast Surg

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Upper and lower eyelid blepharoplasty are common procedures performed to provide a more youthful and rejuvenated appearance. However, this seemingly straightforward procedure may result in lid malpositions, frustrating the patient and surgeon alike, which ultimately require further treatment. We review preoperative assessment pearls to avoid these lid malpositions, as well as options for treating any postoperative complications related to lid position. Many of the techniques discussed in this article, in addition to many other oculoplastic procedures, are available to view in Dr. Richard C. Allen's operative video library at: http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/.

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“…A ptose involucional é induzida por deiscência ou desinserção do tendão do músculo levantador da pálpebra superior (MLPS) e é caracterizada pelos seguintes sinais: sulco palpebral alto ou ausente, afinamento da pálpebra superior e função normal do MLPS (FMLPS) (1)(2)(3)(4)(5)(6)(7)(8) . Sua freqüên-cia foi reportada como sendo 39,1% em brasileiros acima de 50 anos provenientes de ambulatórios de especialidades ou de enfermarias (9) .…”

Section: Resumo Introduçãounclassified

“…Outro fator possível é a presença de cirurgia ocular prévia, como extração de catarata (10) , cirurgia para glaucoma (11) ou mesmo cirurgia refrativa (12) . Também o trauma mecânico na pálpebra de usuários de lentes de contato ou o coçar freqüente, nos casos de alergia, podem causar desinserção do tendão do MLPS, mesmo em indivíduos jovens (1,13) . A avaliação da FMLPS é muito importante e uma das bases para o bom planejamento cirúrgico da correção da ptose palpebral.…”

Section: Resumo Introduçãounclassified