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Aesthet Surg J 2020 Jun 1. Epub 2020 Jun 1.

Department of Plastic Surgery, Korea University College of Medicine, Seoul, Republic of Korea.

Background: Upper eyelid ectropion occurs as a post-blepharoplasty complication or involution change, and it causes dry eye symptoms that cannot be resolved with conservative management.

Objective: The aim of this study is to describe our surgical technique of anatomical correction of upper eyelid ectropion, including tarsal scoring incision.

Methods: The technique involves the following four steps: (1) adhesiolysis at the preaponeurotic layer; (2) undermining and re-draping of the pretarsal flap in a pretarsal plane; (3) optional, partial thickness tarsal scoring incision over the central two-thirds; and (4) downward re-positioning of the pretarsal flap and lower fixation to the tarsus. Read More

J Plast Reconstr Aesthet Surg 2019 Oct 10. Epub 2019 Oct 10.

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, China. Electronic address:

Background: Upper eyelid aging is common among middle-aged Asians. Apart from skin aging, there has been an increasing recognition for the role of sunken eyelid playing in upper eyelid aging. Various methods have been developed to deal with the upper eyelid volume deflation. Read More

Am J Ophthalmol 2020 May 5. Epub 2020 May 5.

Department of Ophthalmology, Cullen Eye Institute, Baylor College of Medicine, Houston, TX, USA. Electronic address:

Purpose: To compare outcomes between Müller muscle conjunctival resection (MMCR) ptosis repair and external levator resection (ELR) in patients with severe involutional blepharoptosis.

Design: Retrospective, interventional, comparative case series METHODS: A retrospective review was performed of patients who underwent ptosis repair between 2012 and 2019. Inclusion criteria were patients who underwent MMCR or ELR ptosis repair, patients with complete documentation of preoperative eyelid measurements, and patients with documentation of postoperative outcome. Read More

Int Ophthalmol 2020 Apr 22. Epub 2020 Apr 22.

Department of Biostatistics, Faculty of Medicine, Mugla Sitki Kocman University, Mugla, Turkey.

Purpose: Dermatochalasis is a clinical condition characterized by loss of elasticity of eyelid skin and soft tissue, which typically affects the elderly population. The aim of this study is to investigate the mRNA expression levels of collagen type 1 alpha 1 (COL1A1) and matrix metalloproteinase-9 (MMP9) genes in dermatochalasis tissue.

Methods: The study group consisted of 15 patients who underwent upper eyelid blepharoplasty and were above 40 years old. Read More

BMC Ophthalmol 2020 Apr 22;20(1):166. Epub 2020 Apr 22.

Department of Ophthalmology, Fudan Eye & ENT Hospital, Shanghai, China.

Background: Coexistence of thyroid-associated ophthalmopathy (TAO) and ocular myasthenia gravis (OMG) is very rare. Little is known about the orbital histopathology associated with this condition. The authors reported a case of TAO coexisting with OMG and explored the histopathologic changes in extraocular muscles. Read More

J Cosmet Dermatol 2020 Apr 21. Epub 2020 Apr 21.

The 3rd Department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Background: The ethnically characteristic upper eyelids of many Chinese individuals include medial epicanthal folds, substantial fatty tissue, a laxity of pretarsal skin, and a lack of superior palpebral folds. Different epicanthoplasty techniques have been described in the literature. However, postoperative medial canthal scarring remains a concern. Read More

Ophthalmic Plast Reconstr Surg 2020 Apr 3. Epub 2020 Apr 3.

Consultants in Ophthalmic and Facial Plastic Surgery, Southfield, Michigan.

Purpose: We evaluated the effects of aspirin versus placebo in patients undergoing upper eyelid blepharoplasty and/or levator advancement or plication blepharoptosis repair in this randomized, prospective study.

Methods: Patients who presented between October 2017 and April 2019 requiring blepharoptosis repair and/or upper eyelid blepharoplasty who were taking 81 mg aspirin were randomized to receive 1 week of aspirin tablets or 1 week of placebo tablets prior to surgery. Postoperative complications, such as bleeding, hematoma, or hemorrhage, were noted as well as perioperative thromboembolic complications. Read More

Arch Plast Surg 2020 Mar 15;47(2):171-177. Epub 2020 Mar 15.

Department of Plastic and Reconstructive Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Background: Infrabrow blepharoplasty has become a common surgical method used to rejuvenate aged upper eyelids in Asians. In this paper, we describe the parallel excision method for infrabrow blepharoplasty as a useful alternative to the conventional elliptical excision method. The authors' experience over a 3-year period is presented and reviewed. Read More

Ophthalmic Res 2020 Mar 5. Epub 2020 Mar 5.

Purpose: To evaluate surgically induced refractive changes (SIRC) and visual acuity (VA) changes after blepharoplasty combined with posterior approach ptosis surgery (Müller's muscle-conjunctival resection [MMCR]) versus upper eyelid blepharoplasty alone.

Methods: This is a prospective, comparative clinical study. Patients undergoing MMCR and blepharoplasty surgeries underwent comprehensive ophthalmic examinations preoperatively and 3 months postoperatively. Read More

J Craniofac Surg 2020 Feb 25. Epub 2020 Feb 25.

The 15th Department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Backgrounds: Many aging women with upper lid dermatochalasis pluck their lower lateral eyebrows to combat lateral drooping. The authors present and evaluate outcomes of a modified excision blepharoplasty method performed using a transbrow excision approach instead of infra/suprabrow access to more efficiently correct upper eyelid dermatochalasis.

Methods: The authors conducted a retrospective review of 192 patients who underwent transbrow excision blepharoplasty (TBEB) between 2014 and 2019 at the Plastic Surgery Hospital of Beijing in China. Read More

J Oral Maxillofac Surg 2020 Jun 23;78(6):1006-1012. Epub 2020 Jan 23.

PhD of Biomaterials, Orthodontic Research Center, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran. Electronic address:

Purpose: Numerous methods have been developed for blepharoplasty, including carbon dioxide (CO) laser-assisted blepharoplasty. Although the superiority of CO laser compared with the scalpel for blepharoplasty has been proposed, to the best of our knowledge, no study has compared the clinical outcomes of blepharoplasty with the CO laser alone versus the combined use of a scalpel and CO laser.

Patients And Methods: In the present randomized clinical trial, 21 healthy patients underwent bilateral upper eyelid blepharoplasty. Read More

Aesthetic Plast Surg 2020 Feb 18. Epub 2020 Feb 18.

Department of Plastic and Reconstructive SurgeryXijing Hospital, Fourth Military Medical University, No. 127 Changle West Road, Xi'an, 710032, Shaanxi Province, China.

Background: Improving periorbital aging is, currently, of great concern. The previous literature has reported some surgical methods for periorbital aging. The purpose of this study was to compare subbrow blepharoplasty (SBB) with subbrow blepharoplasty combined with periorbital muscle manipulation (SBB-pm) with regard to improving periorbital aging. Read More

Arq Bras Oftalmol 2020 Jun 10;83(3):185-189. Epub 2020 Feb 10.

Ophthalmology Department, Mugla Sıtkı Koçman University, Turkey.

Purpose: To perform a long-term comparison of the quantitative efficacy of internal and external browpexy in combination with upper-lid blepharoplasty based on lateral and central eyebrow positions.

Methods: This retrospective study evaluated internal and external browpexy with upper-lid blepharoplasty surgeries that were performed during the period between January 2012 and December 2017 in the oculoplastic surgery department of our hospital. Patients who had undergone periorbital and forehead surgery, who had ophthalmologic or neurological diseases, and who were Botox users were not included in the study. Read More

J Craniofac Surg 2020 May/Jun;31(3):685-688

Department of Cleft Lip and Palate, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, China.

Background: Nowadays, a sharp, well-defined supratarsal fold and appropriate fullness of the upper eyelid tissue are considered important features of beautiful and youthful eyes. Individuals with thin upper eyelid tissue are at high risk of developing multiple upper eyelid folds and/or sunken appearance after upper blepharoplasty. Innovatively, the authors propose the application of free orbital fat grafting to the postorbicularis oculi space during upper blepharoplasty in order to achieve better aesthetic results. Read More

J Craniofac Surg 2020 Mar/Apr;31(2):456-459

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.

Background: Double eyelid operation has become the most popular cosmetic procedure in China, while how to make sure the acquired double eyelids the same as congenital ones is still a problem.

Objective: This study aimed to explore a design and operation procedure to obtain natural and dynamic double eyelids, which are accordant with the congenital double eyelids both in appearance and movement.

Methods: The authors conducted a retrospective review of 352 patients who underwent our operation from October 2012 to October 2018. Read More

Am J Ophthalmol Case Rep 2020 Mar 17;17:100579. Epub 2019 Dec 17.

Department of Ophthalmology, Centre Hospitalier Universitaire de Martinique, Martinique, French West Indies, France.

Purpose: Nevus comedonicus is a rare developmental abnormality of the infundibulum of the hair follicle.

Observation: We report here an unusual case of bilateral extensive nevus comedonicus of the eyelids complicated by bilateral ptosis and ectropion of the lower eyelids. Blepharoplasty was performed on both upper eyelids. Read More

Aesthetic Plast Surg 2020 04 2;44(2):373-378. Epub 2020 Jan 2.

Gyalumhan Plastic Surgery, Seoul, South Korea.

Background: There is an anecdotal belief among some surgeons performing Asian eyelid surgery that double eyelid surgery itself decreases eyebrow position. However, the exact amount of descent and the specific changes in the proportion of facial aesthetics are unknown.

Purpose: The goal of this study is to determine whether there indeed is a change in brow position after double eyelidplasty and to quantify the proportional differences associated with the change. Read More

Ophthalmic Plast Reconstr Surg 2020 May/Jun;36(3):272-276

Department of Ophthalmology and Visual Sciences, Montefiore Medical Center, Bronx, New York, U.S.A.

Purpose: Before and after images are an important part of aesthetic counseling, but no studies have examined ways to optimize change detection through the layout of displayed images. This study compares 3 different image layouts to determine which presentation style improves perception of postprocedure changes.

Methods: In this prospective, randomized study, participants viewed sequential images of patients who either had or had not undergone upper eyelid blepharoptosis repair or blepharoplasty ("change" and "no-change," respectively). Read More

J Craniofac Surg 2020 May/Jun;31(3):e228-e230

Department of Plastic and Reconstructive Surgery, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Background: M fortuitum and M chelonae are commonly reported in surgical site infections caused by nontuberculous mycobacterium, but M septicum is rarely known. Herein, the authors report the first case of surgical site infection caused by M septicum in an immunocompetent patient after blepharoplasty.

Methods: A 37-year-old woman had persisting bilateral masses on the upper eyelids at 3 months after a blepharoplasty. Read More

Ophthalmic Plast Reconstr Surg 2020 Mar/Apr;36(2):191-193

Aesthetic Surgery Centre.

Purpose: To evaluate the ability of preoperative phenylephrine testing to predict postoperative upper eyelid tarsal platform show in patients undergoing Müller muscle-conjunctival resection (MMCR) ptosis repair without concurrent blepharoplasty.

Methods: A retrospective chart review was performed on 52 eyelids of patients who underwent MMCR without external skin incision. Photographs were reviewed to objectively and subjectively compare the results of phenylephrine testing to postoperative appearance. Read More

Clin Ophthalmol 2019 17;13:2035-2042. Epub 2019 Oct 17.

Oculoplastic and Orbital Surgery Division, Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Background: The anatomical basis for eyelid changes after upper blepharoplasty is largely uninvestigated. The post upper blepharoplasty syndrome (PUBS) is here defined as upper eyelid ptosis, hollow sulcus, high or absent upper eyelid crease, eyelash ptosis, loose eyelid platform skin, and compensatory brow elevation.

Objective: The anatomical basis for the post-upper blepharoplasty syndrome was investigated. Read More

Plast Reconstr Surg Glob Open 2019 Oct 29;7(10):e2464. Epub 2019 Oct 29.

Hamilton Eye Institute, University of Tennessee Health Science Center, Memphis, Tenn.

The purpose of this article is to present a modified approach to the reconstruction of the upper and lower eyelids in floppy eyelid syndrome. A retrospective chart review was performed on all floppy eyelid patients who underwent simultaneous tightening of the upper and lower eyelid with a lateral tarsal strip, using a V-shaped incision in the lateral canthus, at University of Tennessee Hamilton Eye Institute from 2011 to 2012. Preoperative symptoms, surgical outcomes, complication rates, and postoperative symptoms were recorded. Read More

Plast Reconstr Surg Glob Open 2019 Oct 15;7(10):e2365. Epub 2019 Oct 15.

Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital and Chang Gung University, School of Medicine, Taoyuan, Taiwan.

Background: Contemporary periorbital rejuvenation is undergoing a paradigm shift to an approach that prioritizes volume preservation and/or augmentation. However, the technical difficulties of using traditional fat grafting techniques in this area and the distinct ethnic features make periorbital rejuvenation in Asians especially challenging. Here, the authors present their approach to enhance the periorbita and outcomes. Read More

Am J Ophthalmol 2020 04 23;212:1-6. Epub 2019 Nov 23.

Goldschleger Eye Institute, Sheba Medical Center, Tel Hashomer, Israel, affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. Electronic address:

Purpose: To examine the effect of combined blepharoplasty and Müller muscle-conjunctival resection (MMCR) compared to an upper blepharoplasty on dry eye syndrome.

Design: Prospective, comparative clinical study.

Methods: This is prospective, comparative case series. Read More

Ophthalmic Plast Reconstr Surg 2020 Jan/Feb;36(1):e21-e23

Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami, Miami, Florida, U.S.A.

A 64-year-old woman underwent bilateral upper eyelid blepharoplasty and subsequently presented with decreased vision at her first postoperative visit 1 week later. She was found to have an 8-mm partial-thickness corneal laceration of her left eye and underwent immediate surgical laceration repair. The laceration etiology was thought to be related to damage from the initial blepharoplasty incision or Bovie cautery tip-induced laceration. Read More

Int J Oral Maxillofac Surg 2019 Nov 10. Epub 2019 Nov 10.

Department of Oral and Maxillofacial Surgery, University of Groningen and University Medical Centre Groningen (UMCG), Groningen, The Netherlands.

Although upper blepharoplasty is a common cosmetic surgical intervention, a better scientific understanding of the aesthetic results and the preferred surgical technique to achieve the best aesthetic results is still needed. A systematic search using four search engines (PubMed, Embase, CINAHL, and Cochrane) was performed to identify any study on the aesthetic outcome of a solitary upper blepharoplasty; these were subjected to quality assessment for possible inclusion. Eligible studies were randomized controlled trials, controlled trials, cohort studies, and case series (n ≥ 10). Read More

Zhonghua Yan Ke Za Zhi 2019 Nov;55(11):828-833

Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology & Visual Science Key Lab., Beijing 100730, China.

To report the clinical features and surgical treatment of orbitotemporal neurofibromatosis. It was a retrospective case series study. The clinical records of 24 patients who were treated for orbitotemporal neurofibromatosis between April 2007 and July 2017 at Beijing Tongren Hospital, Capital Medical University were analyzed. Read More

Aesthet Surg J 2020 May;40(6):597-602

Maxillofacial Surgery Department 2, Department No. 16. of Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Background: In patients with mild superior sulcus deformity, pseudoptosis, or multiple eyelid folds, several bulky fibers can be found anterior to the orbital septum. These fibers, called preorbital septum fibers, may constrict protrusion of the fat pad and movement of the levator palpebrae muscle.

Objectives: In this study, the authors illustrated the anatomy of these fibers and described the double-eyelid procedure to correct pseudoptosis, mild superior sulcus deformity, and multiple eyelid folds, which may be caused by these fibers. Read More

Dermatol Ther 2019 11 19;32(6):e13119. Epub 2019 Nov 19.

Department of Dermatology and Venereology, Military Medical Academy, Belgrade, Serbia.

The eyes are an important component of facial aesthetics. They are in the center of an anatomical area of the face very important for rejuvenation procedures, the so-called "periorbital region." The appearance of the eyes therefore decisively influences the perception of the aesthetics and aging of the entire face. Read More

Middle East Afr J Ophthalmol 2019 Apr-Jun;26(2):120-122. Epub 2019 Aug 26.

Ocular Tissue Engineering Research Center, Tehran, Iran.

Persistent chemosis is an uncommon complication of blepharoplasty, and its treatment is challenging. Herein, the authors report a case of persistent chemosis after a cosmetic upper lid blepharoplasty and present a simple, noninvasive, inexpensive, and successful method of treatment that uses hand-held cautery. Read More

Br J Ophthalmol 2019 Sep 5. Epub 2019 Sep 5.

Department of Ophthalmology, Soonchunhyang University Bucheon Hospital, Bucheon, Gyeonggi-do, Republic of Korea

Purpose: To investigate the characteristics of human orbital fibroblasts (OFs) cultivated from intraconal, nasal and central adipose tissues.

Methods: Intraconal adipose tissues were obtained during orbital decompression surgery for severe proptosis in nine patients with Graves' orbitopathy (GO). Nasal and central adipose tissues were obtained during upper eyelid blepharoplasty in nine patients with no history of GO. Read More

J Plast Reconstr Aesthet Surg 2020 Feb 8;73(2):357-362. Epub 2019 Aug 8.

Department of Orbital and Ophthalmic Plastic Surgery, Doheny Eye Institute and Stein Eye Institute - UCLA, USA.

Background: In the setting of upper eyelid ptosis, asymmetric eyebrow position may be observed and may contribute to overall facial asymmetry. In this study, the authors aim to elucidate the prevalence and predictors of brow height asymmetry in the setting of ptosis and to determine the effect of eyelid surgery on brow height asymmetry to guide preoperative evaluation and informed consent.

Methods: In this cohort study, patients undergoing posterior approach ptosis surgery, unilateral or bilateral, with or without blepharoplasty, were included. Read More

J Neuroophthalmol 2020 Jun;40(2):193-197

Department of Ophthalmology and Visual Sciences (MHO, THO, TO, RB), Paulista School of Medicine/EPM, Federal University of São Paulo/UNIFESP, São Paulo, São Paulo, Brazil; University of São Paulo Medical School (GRG), University of São Paulo/USP, São Paulo, São Paulo, Brazil; and Laboratory of Molecular and Cellular Biology (SKNM), Department of Neurology, University of São Paulo/USP, São Paulo, São Paulo, Brazil.

Background: Although the nonaffected side appears to be clinically normal in hemifacial spasm (HFS), it is not known whether this side can be considered normal regarding histopathological findings. The purpose of this study was to objectively evaluate and compare orbicularis oculi samples of patients with HFS (not previously treated with botulinum toxin) and control patients undergoing cosmetic upper eyelid blepharoplasty.

Methods: Orbicularis oculi samples from 22 eyelids were evaluated. Read More

Plast Reconstr Surg 2019 11;144(5):760e-769e

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

Background: With advancing age, Asian women are often plagued by lateral hooding of the upper eyelid skin, eyebrow ptosis, and obvious periorbital wrinkles. The authors propose a novel technique to revive the natural eyelid shape with a stable eyebrow position and alleviate periorbital wrinkles in Asian women.

Methods: Sixty-six patients underwent subbrow blepharoplasty combined with periorbital muscle manipulation. Read More

JAMA Facial Plast Surg 2019 Sep;21(5):458-459

Department of Otolaryngology-Head and Neck Surgery, University of Minnesota, Minneapolis.

J Craniofac Surg 2019 Nov-Dec;30(8):e790-e793

Department of Plastic and Reconstructive Surgery, The First Hospital of Jilin University.

Conjunctival prolapse may occur following ocular, eyelid, and orbital surgeries. Conjunctival prolapse usually results as a complication of maximal levator resection or cosmetic lower eyelid blepharoplasty. Here, we describe conjunctival prolapse as an unexpected complication of frontalis muscle flap transfer for severe ptosis. Read More

Plast Reconstr Surg Glob Open 2019 May 23;7(5):e2271. Epub 2019 May 23.

Department of Ophthalmology, UCLA School of Medicine, Harbor-UCLA Medical Center, Torrance, Calif.; Department of Surgery (WOS), Aesthetic and Plastic Surgery Institute, UCI College of Medicine, Irvine, Calif.

Background: Asian blepharoplasty is a deceptively simple procedure where the goal is to create an upper lid crease. The author presents a retrospective self-analysis of 362 cases performed over the past 12 years.

Methods: 362 cases that fits the inclusion criteria were tabulated into spreadsheet data format. Read More

Semin Ophthalmol 2019 17;34(6):442-445. Epub 2019 Jul 17.

a Department of Ophthalmology, Rio Hortega University Hospital , Valladolid , Spain.

: To objectively measure the upper eyelid position following phacoemulsification cataract surgery and to identify the determinants of postoperative transient ptosis. : This is a single arm prospective study of patients who underwent cataract surgery from January to May 2017 at a tertiary Eye Hospital in Spain. Data comprised of: the type of anesthesia, the duration that the speculum remained in place and the total surgical time (duration of the procedure). Read More

J Craniofac Surg 2019 Jul;30(5):e406-e408

Department of Plastic, Reconstructive and Aesthetic Surgery, Ankara Numune Training and Research Hospital, Ankara.

The ugly face of civil war shows itself in the desperate patients and their extreme sequellae. The options for reconstruction of patients with late-term serious sequellae decrease and their treatments also become more difficult. A 31-year-old male patient was injured 18 months ago due to a bomb explosion and received long-term treatment through local wound care in his country. Read More

J Craniofac Surg 2019 Oct;30(7):2181-2183

Department of Ophthalmology and Visual Science, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Purpose: To report long-term surgical outcomes of Cutler-Beard reconstructive surgery in patients with large full-thickness upper eyelid defects following malignant tumor excision.

Methods: The medical records of 5 consecutive patients with full-thickness upper eyelid defects following tumor resection who underwent Cutler-Beard surgery were reviewed retrospectively between April 2005 and November 2018. Surgical procedure comprises 2 stages: first, complete tumor resection followed by bridged full-thickness lower eyelid advancement flap; second, separation of the closed eyelid with eyelid margin repair 7 to 9 weeks later. Read More

J Craniofac Surg 2019 Nov-Dec;30(8):2425-2428

Department of Ophthalmology, Meir Medical Center, Kfar Sava, Israel.

Purpose: Transcutaneous internal browpexy can provide patients with mild-to-moderate lateral brow ptosis, stabilization and modest lift of the lateral brow. Questions regarding effectiveness of this procedure and appropriate indications remain.

Methods: The authors measured consecutive patients who underwent upper eyelid blepharoplasty with transblepharoplasty internal browpexy (TIB) September 2014 to December 2017. Read More

Eur J Ophthalmol 2019 Jun 17:1120672119857501. Epub 2019 Jun 17.

Department of Ophthalmology, Izmir Katip Celebi University Ataturk Training and Research Hospital, Izmir, Turkey.

Objective: To evaluate the changes of visual acuity, contrast sensitivity, astigmatism, and higher order aberrations after blepharoplasty in patients with dermatochalasis.

Methods: Two hundred six eyelids of 103 patients with dermatochalasis were prospectively studied. Visual acuity, contrast sensitivity, corneal topography, astigmatism degree, and higher order aberrations were examined and recorded before and at 1 month after upper eyelid blepharoplasty. Read More

J Drugs Dermatol 2019 May;18(5):440-446

PURPOSE: Silicone cream has been shown to improve the appearance of postoperative scars. Nevertheless, surgeons may incorporate intralesional wound modulators such as a triamcinolone and/or 5-fluorouracil (5-FU) for scars that do not completely heal well or those that do not completely respond to other treatment options such as silicone cream. This study sought to determine whether a silicone-based topical scar cream that incorporates selective growth factors can help reduce the incidence of postoperative cicatricial and hypertrophic changes in upper eyelid blepharoplasty incisions. Read More

Am J Otolaryngol 2019 Sep - Oct;40(5):776-778. Epub 2019 May 14.

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology - Head and Neck Surgery, Boston University School of Medicine, Boston, MA 02118, United States of America; The Spiegel Center Newton, MA 02459, United States of America. Electronic address:

Foreign body granulomas can develop even several years after autologous fat or filler injection. In some instances the foreign body granulomas have been found at sites other than the original injection site. We present a case of a 48-year-old male with reported "hyaluronic acid fillers" injected into his upper and lower eyelids several years prior. Read More

Ophthalmic Plast Reconstr Surg 2019 Sep/Oct;35(5):509-512

TOC Eye and Face, Austin, Texas, U.S.A.

Purpose: Volume restoration is an important component of aesthetic facial rejuvenation, particularly in the brow and upper eyelid regions. In this study, the authors describe transposition of the central, preaponeurotic fat pad in the sub-brow preperiosteal plane with full release of the brow during upper blepharoplasty.

Methods: A retrospective review including all patients who underwent transposition of the upper eyelid central, preaponeurotic fat pad at the time of upper blepharoplasty. Read More

Ophthalmic Plast Reconstr Surg 2019 Nov/Dec;35(6):581-585

Eye Department, Eye Research Center, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.

Purpose: To introduce a new (Supine) test and assess the values of lateral eyelid bulging for diagnosis of lacrimal gland (LG) prolapse before upper blepharoplasty.

Methods: In a prospective case series (2011-2017), lateral eyelid bulging and Supine Test were recorded, preoperatively. Lacrimal gland prolapse was graded as mild (<4 mm), moderate (4-7 mm), and severe (>7 mm). Read More

J Plast Reconstr Aesthet Surg 2019 Aug 20;72(8):1373-1378. Epub 2019 Apr 20.

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

Background: Puffy upper eyelids are normal in Asians, and full-incision blepharoplasty is commonly performed to remove some orbital fat to ameliorate the problem, but not all patients would exhibit obvious improvement. Local retro-orbicularis oculus fat (ROOF) is a layer of fibrofatty soft tissue that lies much deep into the orbicularis oculi in the upper eyelid, which is an important factor in the formation of puffy upper eyelids. This study was carried out to evaluate the clinical application (including the evaluation of photographs for the thickness of upper eyelid) of upper blepharoplasty combined with ROOF resection for correcting puffy upper eyelids. Read More

Clin Anat 2020 Apr 22;33(3):338-342. Epub 2019 May 22.

Department of Orthopaedics, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, People's Republic of China.

The Asian eyelid has distinctive anatomical properties. Although the upper eyelid is reported in the literature to have no subcutaneous fat layer, we have often noticed adipose tissue below the upper eyelid skin during ophthalmic plastic surgeries. The aim of the present study was to examine the anatomical and histological features of subcutaneous adipose tissue in Asian upper eyelids using biopsies and microscopic morphological analysis. Read More

Ophthalmic Plast Reconstr Surg 2019 Nov/Dec;35(6):578-580

Department of Ophthalmology and Vision Science, University of California Davis Health.

Purpose: To determine the safety and efficacy of resident-performed functional upper eyelid blepharoplasty.

Methods: The authors retrospectively looked at functional upper eyelid blepharoplasty surgery performed on 836 eyes of 448 patients under the supervision of one oculoplastic surgery attending at the University of California Davis Eye Center from January 1, 2013, to December 31, 2017. The primary surgeon was a resident on 427 eyes and was an attending on 409 eyes. Read More