Transcutaneous blepharoplasty in blepharochalasis

Sacchidanand, S; Deepak, H; Vishal, Chugh; Revathy, Tumkur Narasimhan

doi:10.4103/0974-2077.104919

Cited by 4 publications

(2 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Con respecto al procedimiento quirúrgico, la técnica anestésica de preferencia fue la combinación de anestesia local más sedación (54,4% de los casos) utilizando como anestésico lidocaína al 2% con epinefrina 1:100.000 tal como se describe en la literatura 7 . En cuanto a la técnica quirúrgica en sí, para blefarochalasis utilizamos la técnica de blefaroplastía cuyo objetivo es reducir el colgamiento excesivo del pliegue del párpado por resección cutánea, con o sin reducción de la grasa orbitaria 8 , en el caso de blefaroptosis se realiza pexia del músculo elevador del párpado a través de una incisión similar a la blefaroplastía realizando la sección de una tira del músculo orbicular exponiendo la aponeurosis del músculo elevador con posterior sección de la misma y sutura de su borde al tarso 9 .…”

Section: Discussionunclassified

Patología oculoplástica: Experiencia de 7 años en Hospital del Sistema de Salud Público de Chile

et al. 2019

View full text Add to dashboard Cite

Introduction: The oculoplastic surgery studies and treats disorders of the eyelids, orbit and lacrimal ways. Among the most important pathologies by frequency and impact are: palpebral ptosis, blepharochalasis, ectropion and entropion. Aim: Analyze the experience of El Pino Hospital regarding the management of oculoplastic pathology in the hands of a plastic surgeon.Materials and Method: Descriptive and retrospective study. We reviewed files of patients operated with diagnosis of blepharochalasis, palpebral ptosis, ectropion and entropion between the years 2010 and 2017. Data were analyzed as age, sex, comorbidities, cause of the defect, oculoplastic surgery, type of anesthesia, postoperative complication, follow-up time and results. Results: Between the years 2010 and 2017, 79 patients with oculoplastic pathology operated, 17 for palpebral ptosis, 42 for blefarochalasis, 14 for ectropion and 6 for entropion, being the main senile cause (93,7%). The surgeries performed were: elevator pexis for palpebral ptosis, blepharoplasty for blefarochalasis and for ectropion-entropion tarsal strip. The main anesthetic technique used was local anesthesia + sedation (54,4%). Among the total postoperative complications, we have: lagophthalmos (2 cases), residual ectropion (3 cases), conjunctivitis (3 cases), wound dehiscence (2 cases) and palpebral hematoma (1 case). Six patients were reoperated due to complications. The results obtained according to the subjective evaluation of the plastic surgeon were regular (5 cases), good (20 cases) and very good (54 cases). Conclusion: Management of oculoplastic pathology requires mostly ambulatory surgeries with good results and low morbidity, which is feasible to perform in a public hospital. We believe it is necessary to use some objective instrument to better evaluate the palpebral defects and their correction.

show abstract

Section: Discussionunclassified

Patología oculoplástica: Experiencia de 7 años en Hospital del Sistema de Salud Público de Chile

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Eyelid tone, position and scleral show have been the most common limiting aspects of lower blepharoplasty. Dysfunction of the lateral canthal tendon can be caused by aging, iatrogenic damage, and so on (Sacchidanand et al 2012). Lower eyelid retraction might occur by dynamic imbalance in the lateral suspension system of the lower eyelid, lack of elasticity of mid facial soft tissue and etc.…”

Section: Discussionmentioning

confidence: 99%

Comparison of two transconjunctival and transcutaneous approaches in the incidence of scleral show during lower eyelid blepharoplasty

Hooshangi¹,

Sezavar²,

Bohluli³

et al. 2017

Biosci. Biotech. Res. Comm

View full text Add to dashboard Cite

Despite its effectiveness for the facial rejuvenation, blepharoplasty has been associated with several adverse effects. One of the most common side effects of this surgery is eyelid malposition and scleral show which is not suitable from esthetic point of view. Although some techniques have been used for the blepharoplasty of the lower eyelid, the effect of these techniques has not been defi nitely identifi ed in the incidence of scleral show. The present study compared the effects of lower eyelid blepharoplasty with transconjunctival and transcutaneous approaches in the incidence of scleral show in patients. 22 candidates of the lower eyelid blepharoplasty were studied. The patients had no history of systemic disease, previous lower eyelid blepharoplasty, trauma or dry eye syndrome. The patients were randomly assigned in 2 methods of transconjunctival and transcutaneous approaches. The surgeries were perform on 2 eyelids of the left and right sides and in total, 44 eyelids were subjected to blepharoplasty surgery in both sides of the patients in 2 approaches. The incidence of scleral show in both modalities was studied 2, 4 and 6 months post-surgery. In this study, 22 patients were included for eyelid blepharoplasty (44 eyelids). In the transconjuctival approach, 4 males and 7 females with average age of the 57.09 years old were included. For transcutaneous approach, 5 males and 5 females average age of the 56.18 years old were included. According to the results, no scleral was showed using transconjuctival approach after 2 months. Two months after transcutaneous approach only 2 (9%) scleral was observed (P<0.8). No

show abstract

Tarsal Sling: An Essential Stitch to Prevent Scleral Show in Lower Blepharoplasty

Pascali

Avantaggiato

Brinci

et al. 2015

Aesthetic Surgery Journal

View full text Add to dashboard Cite

show abstract

Transcutaneous blepharoplasty in blepharochalasis

Abstract: Blepharochalasis is a rare degenerative disease of skin of lids. We report 3 cases of blepharochalasis, out of which two involved upper eyelids and one involved lower eyelids. All the three cases were treated with transcutaneous blepharoplasty with acceptable cosmetic results.

Cited by 4 publications

References 3 publications

Patología oculoplástica: Experiencia de 7 años en Hospital del Sistema de Salud Público de Chile

Patología oculoplástica: Experiencia de 7 años en Hospital del Sistema de Salud Público de Chile

Comparison of two transconjunctival and transcutaneous approaches in the incidence of scleral show during lower eyelid blepharoplasty

Tarsal Sling: An Essential Stitch to Prevent Scleral Show in Lower Blepharoplasty

Contact Info

Product

Resources

About