Search Our Scientific Publications & Authors

J Plast Reconstr Aesthet Surg 2022 May 2. Epub 2022 May 2.

Department of Plastic and Reconstructive Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, Japan.

Introduction: The primary goal of blepharoplasty for blepharoptosis and blepharochalasis is to elevate the upper eyelid to restore a full field of vision, although many surgeons also aim to provide a better aesthetic outcome. Several facial configuration changes may occur following blepharoplasty. This study examined the effectiveness of vessel clips to preoperatively predict facial configuration alterations. Read More

Facial Plast Surg 2022 Jun 23. Epub 2022 Jun 23.

Otolaryngology - Head and Neck Surgery, University of Kansas Medical Center, Kansas City, United States.

Brow ptosis is an abnormal descent of the eyebrow resulting in a displeased appearance and/or functional deficit. While most cases of brow ptosis do not result in a functional impairment, functional brow surgery is generally reserved for individuals with severe brow asymmetry or visual field deficit related to excess soft tissue pushing downwards on the eyelid. A combination of both intrinsic and extrinsic anatomic factors contributes to an unfavorable brow shape, contour, and position. Read More

Middle East Afr J Ophthalmol 2021 Oct-Dec;28(4):216-220. Epub 2022 Apr 30.

Centre for Ocular Regeneration, LV Prasad Eye Institute, Hyderabad, Telangana, India.

Purpose: To present the outcomes of levator plication (levatorpexy) surgery by posterior approach for correction of ptosis of different aetiologies in Indian eyes.

Methods: Retrospective review of clinical notes and clinical photos of consecutive ptosis patients who underwent levatorpexy from January 2017 to September 2018. Surgery was considered successful if the following four criteria were simultaneously met: a postoperative MRD1 of ≥2 mm and ≤4. Read More

Clin Plast Surg 2022 Jul;49(3):409-414

Cleveland Clinic Foundation, Cole Eye Institute, 9500 Euclid Avenue, Cleveland, OH 44195, USA.

Direct browlifting comprises various techniques to lift the brows using incisions on or around the brows. The classic direct browlift involves removing an ellipse of skin and subcutaneous tissue within or just above the brow cilia. However, the technique can be modified to address only lateral brow ptosis, to place the incision in the midforehead or the eyelid crease, and to place the incisions in different areas during bilateral surgery to attempt to improve symmetry. Read More

Clin Plast Surg 2022 Jul;49(3):389-397

Private Practice, 660 Glades Road, Suite 210, Boca Raton, FL 33431, USA.

Brow lifting, when indicated, can significantly improve upper eyelid aesthetics. Brow lifting is a powerful maneuver to shape and lateralize the curvature of the brow arc and directly influences the upper eyelid fold height and the curvature of the upper eyelid crease. This article reviews the importance of upper periorbital aesthetic assessment because it lays the foundation to tailor the appropriate operative intervention. Read More

BMC Ophthalmol 2022 Jun 8;22(1):256. Epub 2022 Jun 8.

Department of Ocular Plastic, Hebei Provincial Key Laboratory of Ophthalmology, Hebei Provincial Eye Institute, Hebei Eye Hospital, Xingtai, 054001, Hebei, China.

Background: To investigate the expression of elastin in the conjoint facial sheath (CFS) in patients with severe unilateral congenital blepharoptosis in different age groups.

Methods: Twenty-seven cases of severe unilateral congenital blepharoptosis (27 eyes) were treated with CFS + LM complex suspension from January 2020 to July 2020. Within that sample, 9 patients were over 18 years old, 9 patients were 13 to 17 years old and 9 patients were 5 to 12 years old. Read More

Ann Plast Surg 2022 06 18;88(6):606-611. Epub 2022 Feb 18.

From the Department of Plastic and Reconstructive Surgery, Xijing Hospital, Forth Military Medical University, Xi'an, Shaanxi, China.

Background: Fifty percent of Asians are born without a supratarsal fold (also called single eyelid), and double eyelid blepharoplasty is one of the most commonly performed and most popular facial cosmetic surgeries in the Asian population. However, patients with single eyelid frequently present with concomitant mild blepharoptosis (degree of ptosis, ≤2 mm), which often fails to cause the attention of surgeons and misses correction.

Methods: A retrospective study of all patients who underwent double eyelid blepharoplasty and blepharoptosis correction simultaneously with the modified levator aponeurosis plication technique was performed from June of 2017 to June of 2020. Read More

Digit J Ophthalmol 2021 14;27(4):60-63. Epub 2021 Nov 14.

Department of Ophthalmology and Visual Sciences, University of Maryland School of Medicine, Baltimore, Maryland.

Congenital ptosis is one of the most common oculoplastic diseases of infancy. Where there is poor levator function, a frontalis sling is the procedure of choice. Here, we describe 2 cases of frontalis sling extrusion that were managed by segmental sling removal, with favorable results. Read More

Br J Oral Maxillofac Surg 2021 Nov 16. Epub 2021 Nov 16.

Department of Medical Cosmetology, The First Clinical Medical College of China Three Gorges University, Yichang Central People's Hospital, Institute of Medical Cosmetology, China Three Gorges University, Yichang 443003, China.

The study aimed to evaluate a new method of periorbital rejuvenation in which periorbital muscle manipulation is utilised. Patients (n = 82) who underwent eyebrow lifting surgery in Yichang Central People's Hospital were retrospectively included. All the patients had drooping eyebrows and lateral hooding of the upper eyelids combined with a flat or depressed outer-upper side of the eyebrow arch. Read More

Ophthalmic Plast Reconstr Surg 2022 May-Jun 01;38(3):307. Epub 2022 May 11.

Department of Plastics & Cosmetic, The Eye Hospital of Wenzhou Medical University, Wenzhou City, People's Republic of China.

Ophthalmic Plast Reconstr Surg 2022 May-Jun 01;38(3):306-307. Epub 2022 May 11.

Department of Orbit and Oculoplasty, Aravind Eye Hospital, Madurai, Tamil NaduIndia.

J Am Acad Dermatol 2022 07 28;87(1):44. Epub 2022 Apr 28.

Department of Dermatology, University of Connecticut School of Medicine, Farmington, Connecticut. Electronic address:

Clin Plast Surg 2022 Apr;49(2):197-212

University of British Columbia and Vancouver Plastic Surgery Center, 777 West Broadway, Suite 1000, Vancouver, British Columbia V5Z4J7, Canada. Electronic address:

The upper lid-brow junction is a complex anatomic zone that undergoes many interconnected age-related changes. Although considerable effort has gone into defining the ideal female eye and brow, no such work has been done for the male. Typically, men develop forehead and glabellar lines in conjunction with either upper lid hooding, brow ptosis, or blepharoptosis, whereas some men develop hollowing of the upper lid sulcus. Read More

Ann Plast Surg 2022 05;88(3 Suppl 3):S214-S218

Plastic and Reconstructive Surgery, Saint Barnabas Medical Center, Livingston, NJ.

Background: The most common reason for dissatisfaction and reoperation in lower blepharoplasty patients is persistent bulging of the lateral fat pad. This compartment contributes the most to fat herniation and yet is the most commonly overlooked. The addition of a septal window, a small opening of the septum on the most prominent part of the lateral fat compartment, helps with precise removal of lateral fat and allows for additional fat excision after septal reset without disrupting the arcuate expansion. Read More

Turk J Ophthalmol 2022 02;52(1):50-56

Eye Foundation Bayrampaşa Eye Hospital, İstanbul, Turkey

Objectives: To evaluate the effect of upper eyelid surgery on ocular surface and corneal topography.

Materials And Methods: Patients who underwent upper eyelid blepharoplasty and/or blepharoptosis repair were evaluated prospectively. Tear film break-up time (TBUT), Schirmer tests, corneal staining pattern, Ocular Surface Disease Index questionnaire, corneal topography, and autorefractor parameters were measured preoperatively and at 1 day, 1 week, 1 month, 3 months, and 6 months postoperatively. Read More

J Plast Reconstr Aesthet Surg 2022 Jun 31;75(6):1993-2000. Epub 2022 Jan 31.

Department of Ophthalmology, Shanghai Tongji Hospital, Tongji University School of Medicine, 389 Xin Cun Road, Putuo district, Shanghai 200065, China. Electronic address:

Background: In East Asians, a common method to ameliorate puffy eyelids is to resect the excess orbital fat and the orbicularis. However, in some patients, a satisfactory improvement cannot be achieved because of the thick submuscular fibroadipose tissue (SMFAT) and minimal orbital fat. The SMFAT lies between the orbicularis and the orbital septum and can also be found in the pretarsal area. Read More

Aesthetic Plast Surg 2022 Feb 15. Epub 2022 Feb 15.

Department of Plastic and Reconstructive Surgery, Shanghai 9th People's Hospital, Shanghai Jiaotong University School of Medicine, 639 Zhi Zao Ju Road, Shanghai, 200011, China.

Background: Conjoint fascial sheath suspension can achieve pleasing surgical efficacy and dynamic eyelid movement in the treatment of severe ptosis. In recent years, the palpebral margin incision technique has been applied for double-eyelid blepharoplasty, which is characterized by inconspicuous scarring, short convalescence, and natural-looking outcome. However, studies of the application of this technique in the treatment of ptosis are scarce. Read More

Arch Plast Surg 2022 Jan 15;49(1):19-24. Epub 2022 Jan 15.

Department of Plastic and Reconstructive Surgery, Daegu Fatima Hospital, Daegu, Korea.

Background: Blepharoplasty has both aesthetic and functional benefits in patients with pseudoptosis; however, previous studies could not demonstrate its beneficial effects quantitatively and objectively. The authors objectively analyzed the visual field before and after surgery and investigated whether measurements of the visual field can be applied as a suitable predictor of surgical outcomes.

Methods: In total, 18 eyelids in nine patients with pseudoptosis who had undergone simple skin excision blepharoplasty were evaluated prospectively from February to May 2016. Read More

Orbit 2022 Jan 24:1-4. Epub 2022 Jan 24.

Department of Ophthalmology, Hong Kong Eye Hospital, Hong Kong, China.

Periorbital non-tuberculous mycobacterium (NTM) infections are uncommon. To the best of our knowledge, NTM infection as a complication following Müller's muscle-conjunctival resection (MMCR) surgery has not been reported before. We report a case of left upper lid infection following MMCR surgery. Read More

Korean J Ophthalmol 2022 04 24;36(2):159-167. Epub 2022 Jan 24.

Department of Ophthalmology, Seoul National University Bundang Hospital, Seongnam, Korea.

Purpose: To evaluate the results of the frontalis sling operation using a silicone rod for the correction of ptosis in patients with third nerve palsy with a focus on corneal safety.

Methods: Patients with third nerve palsy who underwent the frontalis sling operation using a silicone rod between 2008 and 2019 were included in this study. The medical records of all patients were reviewed, and their clinical characteristics and postoperative outcomes were analyzed. Read More

Aesthetic Plast Surg 2022 Apr 20;46(2):752-753. Epub 2022 Jan 20.

Cleveland Clinic Foundation, Oculofacial Plastic Surgery, Cole Eye Institute, Cleveland, OH, 44195, USA.

Ophthalmic Plast Reconstr Surg 2022 Jan-Feb 01;38(1):94-95

Ophthalmic Plast Reconstr Surg 2022 Jan-Feb 01;38(1):94

J Plast Reconstr Aesthet Surg 2022 May 30;75(5):1744-1749. Epub 2021 Nov 30.

Department of Ophthalmology, Osaka Medical College, Takatsuki, Japan.

This study aimed to determine the effectiveness of triamcinolone acetonide in suppressing inflammation after blepharoptosis surgery. The study was designed as prospective, randomized, two medical centers' clinical trial. Thirty-two patients with involutional blepharoptosis of the same degree in both eyelids underwent bilateral transcutaneous levator advancement. Read More

Semin Ophthalmol 2022 May 26;37(4):509-514. Epub 2021 Dec 26.

Department of Ophthalmology, University of California, San Francisco, CA, USA.

Purpose: To determine the incidence and risk factors for developing blepharoptosis after vitrectomy surgery.

Methods: This prospective observational study conducted in patients who had vitrectomy surgery at the University of California, San Francisco. The patients' eyelids were photographed before, surgery and follow-up visits at 1 day, 1 week, 1 month, 3 months, and 6 months after surgery. Read More

J Plast Reconstr Aesthet Surg 2022 03 28;75(3):1230-1238. Epub 2021 Nov 28.

Department of Dermatology, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Taoyuan, Taiwan; Department of Aesthetic Medicine, Chang Gung Clinic, Taipei, Taiwan; Graduate Institute of Biochemical and Biomedical Engineering, College of Engineering, Chang Gung University, Taoyuan, Taiwan. Electronic address:

Background: Many Oriental eyes feature single eyelid fold and ptotic eyelid. Performing the double eyelid blepharoplasty (DEB) in a minimally invasive manner with simultaneous blepharoptosis correction (BPC) is important to achieve an aesthetic pleasing outcome.

Objective: To demonstrate an effective mini-invasive transcutaneous and transconjunctival dual approach technique for simultaneous DEB and BPC. Read More

J Neuroophthalmol 2022 06 22;42(2):230-233. Epub 2021 Oct 22.

Ophthalmology Department (TJ, SA, SJ, PH), King Chulalongkorn Memorial Hospital, Bangkok, Thailand; and Department of Ophthalmology (TJ, SA, SJ, PH), Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

Background: Lid fatigability test (LFT), Cogan lid twitch (CLT), and forced eyelids closure test (FECT) are simple clinical screening tests for ocular myasthenia gravis (OMG). However, these tests are subjectively interpreted. We thus evaluated the interobserver and intra-observer reliability of each test. Read More

J Fr Ophtalmol 2022 Jan 26;45(1):53-56. Epub 2021 Nov 26.

Ophthalmology Department, Botucatu Medical School, State University of São Paulo-UNESP, avenida Professor Mário Rubens Montenegro, Botucatu, 18618-970 São Paulo, Brazil.

Purpose: To present combined procedures performed for cosmesis in patients with dermatochalasis who underwent upper lid blepharoplasty (ULB).

Method: This retrospective cross-sectional study evaluated patients who underwent ULB with associated surgical procedures from 2012 to 2016. Data were collected on patient demographics and types of procedures. Read More

Biomed Res Int 2021 19;2021:1837458. Epub 2021 Nov 19.

Department of Plastic Surgery, Hefei Second People's Hospital, China.

Objective: To explore the role of conjoint fascial sheath (CFS) suspension in the treatment of severe ptosis.

Methods: A total of 110 patients with severe ptosis who were admitted to our hospital from May 2018 to December 2020 were included. Fifty-seven patients treated with frontalis suspension were assigned into group A, and the remaining 53 patients treated with CFS suspension were assigned into group B. Read More

Aesthetic Plast Surg 2022 Apr 22;46(2):742-743. Epub 2021 Nov 22.

Cole Eye Institute, Cleveland Clinic Foundation, Cleveland, OH, 44195, USA.