The effect of upper eyelid blepharoplasty on eyelid and brow position

Nakra, Tanuj; Modjtahedi, Sara P.; Vrcek, Ivan; Mancini, Ronald; Saulny, Stan; Goldberg, Robert A.

doi:10.1080/01676830.2016.1193541

Cited by 37 publications

(27 citation statements)

References 12 publications

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“…Only a few authors have studied the brow position after blepharoplasty. [24][25][26][27][28][29][30][31] Frankel and Kamer compared postoperative brow position after upper blepharoplasty to brow position in the control group, which included subjects who had not undergone blepharoplasty or any other surgery that could have affected brow measurement. This study included 54 patients in the treatment group and 28 patients in the control group; no significant difference was observed in brow height between patients who had undergone blepharoplasty and those who had not.…”

Section: Brow Position After Blepharoplastymentioning

confidence: 99%

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Effect of Orbicularis Muscle Resection during Blepharoplasty on the Position of the Eyebrow

Patrocínio

Patrocı́nio

2018

Facial plast Surg

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Dermatochalasis is a skin excess in the upper eyelid which may be associated with either an aesthetic and functional defect, blocking the peripheral vision. Upper blepharoplasty is the gold standard procedure for correction of dermatochalasis and to restore youthful contours to the periorbita. It is one of the most commonly performed procedures in aesthetic plastic surgery; however, there is still a lack of consensus about this procedure. The excess skin is sometimes removed alone or in conjunction with a strip of orbicularis oculi muscle. The rationale for both muscle and skin resection or skin alone preserving the muscle is uncertain. Some authors have studied the aging influence in brow position, and a few studies pointed out the influence of the upper blepharoplasty on brow height. The true effects, regarding the position of the eyebrow, of both techniques, with or without resection of the preseptal orbicularis oculi muscle, are unclear. The authors present a review of the literature to find the rationale for resecting or preserving the orbicularis oculi muscle in upper eyelid blepharoplasty and its relation to eyebrow position.

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Section: Brow Position After Blepharoplastymentioning

confidence: 99%

“…There was no description of orbicularis oculi muscle treatment. 29 Troilius found a descent of the brow height after blepharoplasty, but have not described the amount or if the orbicularis muscle was resected. He blamed the decrease on the frontal muscle activity when the weight of the heavy eyelid skin is removed.…”

Section: Brow Position After Blepharoplastymentioning

confidence: 99%

Effect of Orbicularis Muscle Resection during Blepharoplasty on the Position of the Eyebrow

Patrocínio

Patrocı́nio

2018

Facial plast Surg

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“…Recognition and elimination of eyebrow ptosis may eliminate the need for blepharoplasty by providing stretching of the upper eyelid skin upwards. Performing blepharoplasty alone in individuals with eyebrow ptosis causes an increase in eyelid ptosis and may lead to a worse cosmetic appearance by converging the eyelash margin and eyebrow (9)(10)(11). Correction of eyebrow ptosis is more important especially in asymmetric cases, because blepharoplasty without correction of eyebrow ptosis would render eyebrow asymmetry more prominent (2).…”

Section: Discussionmentioning

confidence: 99%

Perioküler Yaşlanma İçin Yapilan Kombine Cerrahinin Kozmetik Ve Fonksiyonel Sonuçlari; Görme Alani Ve Kornea Topografisindeki Değişiklikler

Çelik¹,

Şingar²,

Katircioğlu³

et al. 2021

Ankara Eğitim Ve Araştırma Hastanesi Tıp Dergisi

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To evaluate the visual field and corneal topographic findings which occur with combined surgeries in patients who have other involutional periocular changes in association with dermatochalasis.Material and Method: Eighty eyelids of 40 patients were included in the study and the subjects were divided into 2 groups as additional eyelid pathology (Group 1) and additional eyebrow ptosis (Group 2). In the preoperative and postoperative 3rd month, Margin Reflex Distance-1 (MRD-1), corneal parameters obtained by high base topography device and visual field findings obtained by a visual field device were recorded and detailed ophtalmologic examination was performed. RESULTS:A mean elevation of 0.5 mm was observed in the MRD-1 values in both groups. Postoperatively, a marked reduction was observed in the rate of observing scotoma in the visual field and in MD and PSD values (p<0.001)in both groups. Among the corneal topography data, no significant change was observed in the anterior chamber depth and astigmatism axis, whereas a statistically significant increase was found in the strenght of refractivity of the most flat (K1), the most steep meridian (K2) (p<0.05). The postoperative astigmatism value was significantly higher in Group 1 (p<0.001) while the increase in Group 2 was not statistically significant (p=0.599). CONCLUSIONS:More successful functional and cosmetic outcomes can be obtained following combined surgeries directed to different pathologies in involutional eyelid and eyebrow changes.

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“…This study shows that eyelids must be examined in detail. Also, it is a helpful study about eliminating false ptosis [9]. When the treatment is planned, patient should be looked as a whole.…”

Section: Discussionmentioning

confidence: 99%

Algorithm of Periorbital Area Rejuvenation

2017

Medical &Amp; Clinical Research

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Purpose: Representing the algorithm of periorbital area rejuvenation Materials: As part of the research, 1216 eyes of 608 patients were included. According to patients’ complaints and evaluating their situation, treatments were carried out as medical and surgical. Treatment was not applied to 75 patients that their request and the cure were not compromise. Patients were followed approximately 11,3 months (1-32 months). The study is evaluated according to patients’ reason of request, their general characteristics and the treatments that are applied. Findings: Age average of 608 patients who are applied to my clinic with the intent of periorbital area rejuvenation and enhancing eyelid deformity between the dates of March 2014-January 2017 is 38. 81,25% patients were female and 18,75% was male. 538 patients (88,5%) were applied medical treatment. 260 patients (42,8%) got surgical treatment and to 31,3% patients, combined treatment was applied. The treatment that I applied and the complaints of 89% patients harmonized with each other. 11% of patients were not treated since their complaints and their treatment request were not corresponded to each other. Result: The most important phase is pre-treatment to become successful in the treatment. First thing to do is listening and understanding the patient carefully, because the problem we observe and patient’s complaint may not be the same. In this case, no matter how successful the treatment is, we can not satisfy the patient. Sometimes, patient has unrealistic expectations. When such a patient like this is encountered, it must be kept away from him or her and the treatment should not be applied.

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The effect of upper eyelid blepharoplasty on eyelid and brow position

Cited by 37 publications

References 12 publications

Effect of Orbicularis Muscle Resection during Blepharoplasty on the Position of the Eyebrow

Effect of Orbicularis Muscle Resection during Blepharoplasty on the Position of the Eyebrow

Perioküler Yaşlanma İçin Yapilan Kombine Cerrahinin Kozmetik Ve Fonksiyonel Sonuçlari; Görme Alani Ve Kornea Topografisindeki Değişiklikler

Algorithm of Periorbital Area Rejuvenation

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