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    Three Skin Zones in the Asian Upper Eyelid Pertaining to the Asian Blepharoplasty.
    J Craniofac Surg 2017 Apr 11. Epub 2017 Apr 11.
    *Choi Yeop Plastic Surgery Clinic †Department of Plastic and Reconstructive Surgery, Naju Community Health Center ‡Department of Anatomy, Catholic Institute for Applied Anatomy, College of Medicine, The Catholic University of Korea, Seoul, Korea.
    Background: Natural looking double fold is an essential and aesthetically pleasing masterpiece in Asian blepharoplasty. This study aims to emphasize the 3 skin zone concept in the Asian upper blepharoplasty.

    Methods: The authors examined the anterior lamella of each skin zone microscopically by performing 31 double-eyelid surgeries and 11 infrabrow lifts. Read More

    The Measurement of Palpebral Fissure Height Using the Intersection Angle (the Réal Angle) Between the Meeting Points of the Upper Eyelid and the Edge of the Cornea.
    Aesthetic Plast Surg 2017 Mar 8. Epub 2017 Mar 8.
    Réal Cosmetic Clinic, 2F, Asia Building, 580 Sinsa-dong, Gangnam-gu, Seoul, 135-892, Republic of Korea.
    Background: We evaluated a new palpebral fissure height measurement to evaluate medial, lateral, and overall ptosis.

    Methods: We photographed 250 Koreans (44 males, 206 females) and evaluated their Réal 1 angle (angle between the meeting points of the upper eyelid and the corneal edge), Réal 2 angle (angle between the meeting point of the upper eyelid, medial corneal edge and a vertical line through the center of the pupil), Réal 3 angle (angle between the meeting point of the upper eyelid, lateral corneal edge and a vertical line through the center of the pupil), and Réal 4 angle (Réal 2-Réal 3). Angles were compared between sexes and age groups. Read More

    Upper Eyelid Blepharoplasty: Evaluation, Treatment, and Complication Minimization.
    Semin Plast Surg 2017 Feb;31(1):51-57
    Division of Oculofacial Plastic and Reconstructive Surgery, Department of Ophthalmology, Shiley Eye Institute, UC San Diego School of Medicine, La Jolla, California; Division of Plastic Surgery, Department of Surgery, UC San Diego School of Medicine, La Jolla, California.
    Upper eyelid blepharoplasty is one of the most common procedures performed worldwide for both functional and cosmetic indications. There is a high rate of patient satisfaction; however, in this era of social media, patient expectations are higher than ever. Today's digitally savvy patients expect perfect outcomes with no complications and rapid recovery. Read More

    Association of Upper Eyelid Ptosis Repair and Blepharoplasty With Headache-Related Quality of Life.
    JAMA Facial Plast Surg 2017 Mar 2. Epub 2017 Mar 2.
    Oculoplastic Division, Department of Ophthalmology, Yeditepe University Medical School, Istanbul, Turkey.
    Importance: Headache can be a functional indication for ptosis repair and blepharoplasty.

    Objective: To evaluate the changes in headache-related quality of life in patients who underwent upper eyelid ptosis repair or blepharoplasty.

    Design, Setting, And Participants: A prospective cohort study was conducted among 108 patients who underwent standard upper eyelid blepharoplasty and 44 patients who underwent ptosis repair (levator resection, Müller muscle resection, or frontalis suspension) for obscuration of the superior visual field at an ophthalmology clinic's oculoplastic department from September 1, 2014, to September 1, 2015. Read More

    Functional benefits and patient satisfaction with upper blepharoplasty - evaluated by objective and subjective outcome measures.
    Acta Ophthalmol 2017 Feb 15. Epub 2017 Feb 15.
    Department of Ophthalmology, Thy-Mors Hospital, Thisted, Denmark.
    Purpose: To investigate the functional benefits and patient satisfaction with upper blepharoplasty in patients meeting the Danish visitation guidelines for upper blepharoplasty from the Danish Health and Medicines Authority (Sundhedsstyrelsen).

    Methods: Before and 3 months after upper blepharoplasty, the following investigations were made: (i) a standard eye examination, (ii) photographic documentation with a normal camera and the infrared camera of a Spectralis Optical Coherence Tomograph and (iii) measurements of the upper visual fields using the blepharoptosis test of Octopus 900. Along with the pre- and postoperative examinations, the patients completed a questionnaire concerning the functional and psychosocial impact of their eyelids. Read More

    A New Approach to Upper Eyelid Reconstruction.
    Aesthetic Plast Surg 2017 Apr 15;41(2):346-351. Epub 2017 Feb 15.
    Department of Surgical, Microsurgical and Medical Sciences, Plastic Surgery Unit, University of Sassari, Viale San Pietro 43, 07100, Sassari, Italy.
    Background: Reconstruction of large defects of the upper eyelid is challenging because of its complex anatomy and specialized function. The aim of this work is to develop a single-stage reconstruction procedure based on a new approach. The technique consists of the advancement of an orbicularis oculi myocutaneous flap designed within the blepharoplasty skin excision pattern. Read More

    The Histopathological Findings of Patients Who Underwent Blepharoplasty Due to Dermatochalasis.
    Semin Ophthalmol 2017 Feb 6:1-5. Epub 2017 Feb 6.
    a Department of Ophthalmology , Ankara Training and Research Hospital , Ankara , Turkey.
    Purpose: To assess changes in lymphatic vessels, collagen, and elastic fiber structure in excised tissues with dermatochalasis (DC).

    Methods: In this prospective histopathological study, 70 upper eyelid skins of 35 patients operated on for dermatochalasis were compared with 10 eyelid skins of 10 patients operated on for other diagnoses. In histopathological examination, the two groups of patients were compared with respect to number of lymphatic vessels, largest lymphatic vessel diameter, number of elastic fibers, number of macrophages, edema between collagen fibers, and depth of stromal collagen bed. Read More

    Current Trends in Upper and Lower Eyelid Blepharoplasty Among American Society of Ophthalmic Plastic and Reconstructive Surgery Members.
    Ophthal Plast Reconstr Surg 2017 Feb 1. Epub 2017 Feb 1.
    *Department of Ophthalmology, Byers Eye Institute, Stanford University School of Medicine, Palo Alto, †Department of Otolaryngology-Head and Neck Surgery, Division of Facial Plastic and Reconstructive Surgery, Keck School of Medicine, University of Southern California, Los Angeles, ‡David Geffen School of Medicine at the University of California, Los Angeles, §Division of Facial Plastic Surgery, Beverly Hills, ‖Division of Head & Neck Surgery, David Geffen School of Medicine at the University of California, Los Angeles, ¶Center for Advanced Facial Plastic Surgery, Beverly Hills, #Department of Ophthalmology, Keck School of Medicine, University of Southern California, Los Angeles, and **Division of Ophthalmic Plastic and Reconstructive Surgery, Beverly Hills Ophthalmic Plastic Surgery, Beverly Hills, California, U.S.A.
    Purpose: To assess current practice patterns for management of upper and lower eyelid blepharoplasty by active American Society of Ophthalmic Plastic and Reconstructive Surgery members.

    Methods: An invitation to participate in a web-based anonymous survey was sent to the active American Society of Ophthalmic Plastic and Reconstructive Surgery membership via email. The survey consists of 34 questions, both multiple choice and free response, regarding upper and lower eyelid blepharoplasty surgery. Read More

    Upper Eyelid Reconstruction Using a Blepharoplasty Flap.
    Ophthal Plast Reconstr Surg 2017 Mar/Apr;33(2):147-149
    Cheltenham General Hospital, Cheltenham, Gloucestershire, United Kingdom.
    Purpose: The blepharoplasty flap is a relatively simple but under-recognized surgical technique for repairing defects that result from excision of broad-based lesions on the upper eyelid that lie between the eyelid crease and the eyelashes. As this has not been previously published in the literature, the authors aim to increase the awareness of this technique.

    Methods: The eyelid crease is marked. Read More

    A Proposed Method for Upper Eyelid and Infrabrow Tightening Using a Transcutaneous Temperature Controlled Radiofrequency Device With Opaque Plastic Eye Shields.
    J Drugs Dermatol 2016 Nov;15(11):1302-1305
    Background: Laxity of the eyelid and periorbital area, a common manifestation of aging, is usually addressed via blepharoplasty and/ or fat transfer. Given the trend toward safer, less invasive treatments preferred by those patients reticent to undergo more invasive procedures, viable alternatives have been sought. Transcutaneous temperature controlled radiofrequency (TTCRF) integrates non- invasive super cial RF treatment with automatic temperature feedback control of energy deposition, as a stimulator of overall collagen remodeling; however, the globe of the eye is particularly sensitive to RF energy. Read More

    Continuous Wave Fractional CO2 Laser for the Treatment of Upper Eyelid Dermatochalasis and Periorbital Rejuvenation.
    Photomed Laser Surg 2017 Jan 12. Epub 2017 Jan 12.
    Toyos Clinic , Nashville, Tennessee.
    Fractional continuous wave CO2 laser resurfacing is used to improve photodamage, wrinkles, and acne scarring by surface ablation and by using heat to activate natural collagen production and dermal remodeling. In this study, the author examined the efficacy and safety of nonincisional continuous wave fractional CO2 laser blepharoplasty in the upper lid. Standard lid measurements including marginal reflex distance, palpebral fissure, and upper lid crease were performed preoperatively and at 6 months by the surgeon. Read More

    Evaluation of Long-term Outcomes of Correction of Severe Blepharoptosis with Advancement of External Levator Muscle Complex: Descriptive Statistical Analysis of the Results.
    In Vivo 2017 01;31(1):111-115
    Plastic and Reconstructive Microsurgery, Careggi Universital Hospital, Florence, Italy.
    Aim: Evaluation of long-term results after aponeurotic blepharoptosis correction with external levator muscle complex advancement.

    Patients And Methods: We carried out a retrospective study with medical record review of 20 patients (40 eyes) affected by bilateral aponeurotic moderate and severe ptosis who underwent primary surgery between January 2010 and December 2013. Criteria for outcome evaluations included 3-year postoperative follow-up of upper margin reflex index (uMRD) and symmetry. Read More

    Objective Outcome Measurement After Upper Blepharoplasty: An Analysis of Different Operative Techniques.
    Aesthetic Plast Surg 2017 Feb 30;41(1):64-72. Epub 2016 Dec 30.
    Department of Plastic and Reconstructive Surgery, College of Medicine, Daegu Catholic University Medical Center, 33, Duryugongwon-Ro 17-Gil, Nam-Gu, Daegu, Korea.
    Background: Upper blepharoplasty is indicated in Asians for double-eyelid fold creation, periorbital rejuvenation, and functional visual field improvement. This article introduces a technical classification for blepharoplasty methods and investigates approaches to evaluate its outcomes.

    Methods: Of 535 patients undergoing aesthetic upper blepharoplasty in our institution in 1998-2011, 136 patients who were well followed up were retrospectively reviewed and categorized into four groups according to the techniques employed. Read More

    A double-blind randomized prospective study comparing prilocaine versus ropivacaine in upper blepharoplasty.
    J Plast Reconstr Aesthet Surg 2017 Mar 19;70(3):375-379. Epub 2016 Nov 19.
    Department of Plastic and Reconstructive Surgery, Hospital of the Barmherzigen Brüder, Teaching hospital of the Paracelsus Medical University Salzburg, Kajetanerplatz 1, 5020 Salzburg, Austria.
    Background: Upper blepharoplasties are a common procedure in plastic surgery. This procedure can be performed effectively under local anesthesia with or without sedation. The ideal local anesthetic should cause less intraoperative bleeding and less postoperative edema. Read More

    Effects of orbicularis oculi flap anchorage to the periosteum of the upper orbital rim on the lower eyelid position after transcutaneous blepharoplasty: Statistical analysis of clinical outcomes.
    J Plast Reconstr Aesthet Surg 2017 Mar 11;70(3):385-391. Epub 2016 Nov 11.
    Department of Surgery and Translational Medicine, Plastic and Reconstructive Microsurgery, Careggi Universital Hospital, Largo Palagi 1, 50139 Florence, Italy.
    Background: The aging process affects the skin, muscle, and fat of the eyes in a different manner. Their individual rejuvenation would require specific surgical treatments according to their particular demands. In the present study, we analyzed the effect of an orbicularis oculi muscle flap fixed to the superior orbital rim to prevent lower eyelid dislocation during transcutaneous blepharoplasty. Read More

    The Brow Fat Pad Suspension Suture: Safety Profile and Clinical Observations.
    Ophthal Plast Reconstr Surg 2016 Dec 9. Epub 2016 Dec 9.
    *Oculoplastic Surgery, Inc., Salt Lake City, Utah; †Department of Otolaryngology, Head and Neck Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California; ‡Tufts University, Medford, Massachusetts; §Division of Oculoplastic Surgery, Department of Ophthalmology, University of Michigan Medical School, Ann Arbor, Michigan; ‖Beverly Hills Ophthalmic Plastic and Reconstructive Surgery, Beverly Hills, California; and ¶Division of Oculoplastic Surgery, Department of Ophthalmology, Keck School of Medicine, University of Southern California, Los Angeles, California, U.S.A.
    Purpose: To evaluate the safety, subjectively assess outcome, and emphasize surgical pearls and critical clinical observations of upper blepharoplasty performed in conjunction with the brow fat pad suspension suture procedure, previously referred to as a "browpexy variant" or "brassiere suture procedure."

    Methods: A retrospective 4-year analysis of patients who underwent the brow fat pad suspension suture with upper blepharoplasty was performed. Adjunctive procedures (brow lift and ptosis repair) were categorized. Read More

    Aesthetic Lateral Canthoplasty Using Tarso-Conjunctival Advancement Technique.
    J Craniofac Surg 2017 Jan;28(1):40-45
    *Lee Jung Aesthetic Plastic Surgery Clinic †Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Yonsei University College of Medicine, Seoul ‡Department of Plastic and Reconstructive Surgery, Chungnam National University Hospital, Daejeon §Department of Plastic and Reconstructive Surgery, Konkuk University School of Medicine ||Department of Medicine, Yonsei University Graduate School of Medicine, Seoul, Korea.
    Reduced horizontal length of the palpebral fissure is a distinctive characteristic of Asian eyelids, and aesthetic lateral canthal lengthening techniques have been performed for a refinement. The aim of this study is to describe a novel lateral canthoplasty using tarso-conjunctival advancement with a lid margin splitting procedure on the upper eyelids and to report the postoperative results. From December 2011 to June 2014, patients who underwent lateral canthoplasty using the tarso-conjunctival advancement procedure for aesthetic purposes were reviewed retrospectively. Read More

    Occurrence of Bruise, Hematoma, and Pain in Upper Blepharoplasty Using Blunt-Needle vs Sharp-Needle Anesthetic Injection in Upper Blepharoplasty: A Randomized Clinical Trial.
    JAMA Facial Plast Surg 2017 Mar;19(2):128-132
    Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Plastic and Reconstructive Surgery, Shanghai, China.
    Importance: Though it has been a common practice to use sharp needles to administer local anesthesia for upper blepharoplasty, the evidence for their benefit is lacking.

    Objective: To evaluate whether there is any benefit of using blunt-needle injection for local anesthesia when performing upper blepharoplasty to reduce postoperative bruise, hematoma, and pain.

    Design, Setting, And Participants: Randomized clinical trial of 44 patients who underwent bilateral upper blepharoplasty in an academic medical setting were randomized to receive local anesthesia injections (lidocaine, 2%; 27-gauge needle) with a blunt needle in one eyelid and a sharp needle in the other eyelid. Read More

    Effects of Muller's muscle-conjunctival resection for ptosis on ocular surface scores and dry eye symptoms.
    Orbit 2017 Feb 8;36(1):1-5. Epub 2016 Nov 8.
    a Department of Ophthalmology , Grupo Hospitalar Conceição and Hospital de Clínicas de Porto Alegre (HCPA) , Porto Alegre , RS , Brazil.
    This article evaluates the effects of Muller's muscle-conjunctival resection (MMCR) on ocular surface scores and dry eye symptoms. Forty-six patients were enrolled in the study. Eighteen underwent bilateral upper eyelid skin excision with MMCR and 28 underwent bilateral upper eyelid skin-only excision (control group). Read More

    Wingtip Flap for Reconstruction of Full-Thickness Upper and Lower Eyelid Defects.
    Ophthal Plast Reconstr Surg 2017 Mar/Apr;33(2):144-146
    *TOC Eye and Face, Austin, Texas, and †Department of Ophthalmology, Walter Reed National Military Medical Center, Bethesda, Maryland, U.S.A.
    Purpose: Pentagonal wedge resection is a technique used to address a wide variety of eyelid pathology. This procedure frequently results in excess skin at the apex of the wound, commonly known as a "dog ear." A variety of methods have been described to address the cutaneous redundancy, the most classic of which is the Burow's triangle repair. Read More

    Comparison of Colorado Microdissection Needle Versus Scalpel Incision for Aesthetic Upper and Lower Eyelid Blepharoplasty.
    Ophthal Plast Reconstr Surg 2016 Nov 2. Epub 2016 Nov 2.
    *Department of Ophthalmology, Hacettepe University Hospital, Ankara, Turkey; †Department of Ophthalmology, Baskent University Hospital, Ankara, Turkey; ‡Oculoplastica Bernardini, Genova, Italy; §North Texas Ophthalmic Plastic Surgery, Ft. Worth, Texas, U.S.A.; ‖Department of Pathology, Baskent University Hospital, Ankara, Turkey; and ¶Section of Ophthalmology, Department of Head and Neck Surgery, MD Anderson Cancer Center, Houston, Texas, U.S.A.
    Purpose: Traditionally, eyelid skin incisions with electro-cautery devices have been avoided due to the concerns of aesthetically unacceptable scar formation. The purpose of this study is to compare ecchymosis, cosmesis, and histologic tissue damage of incisions made with a scalpel or Colorado needle in patients undergoing upper and lower aesthetic blepharoplasty. To the best of authors' knowledge, no previous study has been performed before to compare these 2 modalities in aesthetic blepharoplasty surgery. Read More

    The prevalence of glaucoma in patients undergoing surgery for eyelid entropion or ectropion.
    Clin Interv Aging 2016 12;11:1429-1432. Epub 2016 Oct 12.
    Division of Orbital and Ophthalmic Plastic Surgery, Department of Ophthalmology, Tel Aviv Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
    Purpose And Design: The aim of this study was to establish the prevalence of known glaucoma in patients undergoing ectropion or entropion surgical repair. In this study, retrospective review of case series was performed.

    Participants: All patients who underwent ectropion or entropion surgery in a tertiary medical center between 2007 and 2014 were included. Read More

    Evaluation of the eyebrow position after levator resection.
    J Plast Reconstr Aesthet Surg 2017 Jan 5;70(1):85-90. Epub 2016 Oct 5.
    Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital, 3-9 Fukuura, Kanazawa-ku, Yokohama-shi, Kanagawa 236-0004, Japan.
    Although we commonly observe eyebrow drooping during and after blepharoptosis surgery, it may not occur in some cases. After levator resection was performed in 47 patients (84 eyelids) with blepharoptosis, the eyebrow heights at the medial canthus, the center of the pupil, and the lateral canthus were measured using scanned photographs obtained preoperatively and 3 months postoperatively. In the 84 eyelids, after levator resection, the eyebrow position was lowered at the medial canthus in 76 patients (90%), at the center of the pupil in 75 (89%), and at the lateral canthus in 76 (90%). Read More

    Determinants of crease width in inherent double eyelid of Asian young women.
    J Plast Reconstr Aesthet Surg 2017 Jan 20;70(1):91-95. Epub 2016 Sep 20.
    Department of Plastic Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, People's Republic of China. Electronic address:
    Background: The creation of a superior palpebral crease has been the most popular plastic surgery procedure in Asians for several decades. The most important criterion for judging the success of this procedure is the achievement of the desired size and shape of this crease or the perfect crease width. However, the determinants of crease width remain unclear, which may account for the high rate of unsatisfactory results. Read More

    Effects of upper lid blepharoplasty on visual quality in patients with lash ptosis and dermatochalasis.
    Int J Ophthalmol 2016 18;9(9):1320-4. Epub 2016 Sep 18.
    Department of Ophthalmology, Dong-A University College of Medicine, Busan 602-715, Korea.
    Aim: To assess the effects of upper lid blepharoplasty on visual quality.

    Methods: Seventy-three eyelids of 39 patients were subjected to upper lid blepharoplasty. Pre- and post-operative contrast sensitivity, visual acuity, vertical palpebral aperture and the degree of lash ptosis were measured. Read More

    Assessment of the Abbreviated National Eye Institute Visual Function Questionnaire (NEI VFQ 9) in blepharoptosis and dermatochalasis.
    Arq Bras Oftalmol 2016 Jul-Aug;79(4):226-8
    Department of Ophthalmology, Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan, USA.
    Purpose: To evaluate the Abbreviated National Eye Institute Visual Function Questionnaire (NEI VFQ 9), which is shorter than those previously published, as a tool for assessing vision-related quality of life in patients with ptosis and dermatochalasis.

    Methods: This is a cohort study of 46 patients who underwent blepharoptosis and/or upper eyelid blepharoplasty surgery by a single surgeon (CN) in 2013 in a public, academic, ambulatory care referral center. Patients included 29 who underwent blepharoplasty, 11 who underwent ptosis surgery, and 6 who underwent combined surgery. Read More

    Treatment of Suture-related Complications of Buried-suture Double-eyelid Blepharoplasty in Asians.
    Plast Reconstr Surg Glob Open 2016 Aug 12;4(8):e839. Epub 2016 Aug 12.
    Anesis Biyou Clinic, Nagoya, Japan.
    Background: Double-eyelid blepharoplasty is a popular aesthetic surgery in Asians. However, the buried suture technique is associated with complications related to implantation of the suture thread. The present study was performed to identify optimal surgical suture removal techniques in Japanese patients with suture-related complications after buried suture double-eyelid blepharoplasty. Read More

    [Classification and corrective methods of obviously asymmetric palpebral fissure of single-fold eyelid].
    Zhonghua Shao Shang Za Zhi 2016 Aug;32(8):484-8
    Department of Burns and Plastic Surgery, Linyi People's Hospital, Linyi 276000, China.
    Objective: To discuss the classification of obviously asymmetric palpebral fissure of single-fold eyelid and their corrective methods performed with double-fold eyelid blepharoplasty simultaneously.

    Methods: Forty patients with obviously asymmetric palpebral fissure of single-fold eyelid of two eyes were admitted to Linyi People's Hospital in Shandong province from January 2010 to September 2014, asking for double-fold eyelid blepharoplasty. The preoperative difference of palpebral fissure width between two eyes reached 1. Read More

    The effect of upper eyelid blepharoplasty on eyelid and brow position.
    Orbit 2016 Dec 25;35(6):324-327. Epub 2016 Aug 25.
    e Jules Stein Eye Institute and Department of Ophthalmology, Division of Orbital and Ophthalmic Plastic Surgery , David Geffen School of Medicine, University of California-Los Angeles , Los Angeles , California , USA.
    This article evaluates the effect of upper eyelid blepharoplasty on eyelid margin position and brow height. This study is a retrospective analysis of patients who underwent upper eyelid blepharoplasty without concurrent blepharoptosis repair or brow surgery. The medical records of the participants were retrospectively reviewed and an established image analysis software was used to quantify the upper margin reflex distance (MRD1) as well as brow height using high quality standardized clinical photographs. Read More

    A modified mini-incisional technique for double-eyelid blepharoplasty.
    Plast Surg (Oakv) 2016 27;24(2):80-2. Epub 2016 May 27.
    Plastic Surgery Department, China Japan Friendship Hospital, Beijing, China.
    Background: Double-eyelid blepharoplasty is one of the most popular cosmetic surgeries in Asia.

    Objective: To introduce a modified mini-incisional technique to form a double eyelid.

    Methods: A total of 372 patients (325 women, 47 men) were involved in the study between July 2008 and August 2014. Read More

    Evaluation of the Surgical Treatment for Congenital Blepharoptosis Using Mustarde's Modified Method.
    Pol Przegl Chir 2016 May;88(3):155-9
    Unlabelled: The aim of the study was evaluation of the results of surgical treatment of congenital blepharoptosis (CBP) using Mustarde's modified method.

    Material And Methods: Between 2005-2014 forty eight children with CBP underwent surgical correction of CBP by Mustarde's modified method. Basing on the results of ophthalmic and orthoptic examination, and standard measurements, we estimated postoperative difference in the position and symmetry of the upper eyelids, and postoperative complications in our patients. Read More

    Effect of Manuka Honey on Eyelid Wound Healing: A Randomized Controlled Trial.
    Ophthal Plast Reconstr Surg 2016 Jul 13. Epub 2016 Jul 13.
    Corneoplastic Unit, Queen Victoria Hospital, East Grinstead, United Kingdom.
    Purpose: To report outcomes of a randomized trial on the role of "active" Manuka honey on eyelid surgical wound healing.

    Method: Prospective, randomized, single-blinded study was performed for patients undergoing bilateral upper blepharoplasty. Vaseline was applied 4 times a day to both sides for 6 weeks and in addition, one eyelid was randomized to receive Manuka honey twice daily. Read More

    Safety and efficacy of a growth factor and cytokine-containing topical product in wound healing and incision scar management after upper eyelid blepharoplasty: a prospective split-face study.
    Clin Ophthalmol 2016 30;10:1223-8. Epub 2016 Jun 30.
    Bascom Palmer Eye Institute, Department of Ophthalmology, University of Miami Miller School of Medicine, Miami, FL, USA.
    Purpose: To evaluate the efficacy and safety of a topical product containing a mixture of growth factors and cytokines on the incision scar following upper eyelid blepharoplasty.

    Methods: This is a prospective, single-blinded, and split-face study on patients who underwent bilateral upper eyelid blepharoplasty. Two weeks after surgery, one eye of each subject was randomized to receive Lumière Bio-Restorative Eye Cream on one eyelid incision for 12 weeks and no treatment on the other eyelid. Read More

    Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2016 Apr;30(4):457-60
    Objective: To evaluate the effectiveness of an arc-shaped frontalis aponeurosis flap for the treatment of moderate to severe blepharoptosis.

    Methods: Between January 2011 and December 2014, 80 cases (140 eyes) of moderate to severe blepharoptosis were treated, including 31 males and 49 females with a median age of 16 years (range, 6-45 years). One eye was involved in 20 cases and both eyes in 60 cases. Read More

    Blepharoplasty Basics for the Dermatologist.
    J Cutan Aesthet Surg 2016 Apr-Jun;9(2):80-4
    Department of Oculoplastics, Chelsea and Westminster Hospital, London, United Kingdom.
    Blepharoplasty is amongst the more frequently performed aesthetic procedures with surgery performed by physicians and surgeons across a variety of sub-specialities. This paper, aimed at a dermatology audience, describes patient selection, eyelid anatomy, clinical examination and surgical steps to achieve successful upper and lower lid blepharoplasty outcomes. Recommendations for minimising complications are made and photographs used to illustrate important clinical and surgical features. Read More

    Frontalis Sling Surgery With IBCN-Ritleng Probe: A New Technique With a 20-Gauge Catheter.
    J Craniofac Surg 2016 Jul;27(5):1187-9
    ENT, Maxillo-Facial Surgery and Ophtalmology Department, Hospital "Des Escartons" - Briançon (France), PACA Region, Briancon, France.
    Introduction: Frontalis sling surgery is the reference procedure for severe ptosis due to poor Levator function. Autologous or synthetic materials are used for lifting the upper eyelid.

    Objective: To describe a new technique of passage of a silicon wire through a 20-gauge intravenous catheter and to explore literature. Read More

    Arnica Ointment 10% Does Not Improve Upper Blepharoplasty Outcome: A Randomized, Placebo-Controlled Trial.
    Plast Reconstr Surg 2016 Jul;138(1):66-73
    Zwolle, Utrecht, and Groningen, The Netherlands From the Departments of Plastic Surgery and Innovation and Science, Isala; the Department of Plastic Surgery, Diakonessenhuis Utrecht; the Department of Plastic Surgery, University of Groningen and University Medical Center Groningen; and the Bergman Clinics.
    Background: It has been suggested that arnica can reduce postoperative edema and ecchymosis associated with cosmetic surgical procedures and improve outcome. Despite a high incidence of arnica use among upper blepharoplasty patients, evidence to support its treatment effect is lacking. The authors performed a randomized, double-blind, placebo-controlled trial to investigate the efficacy of arnica ointment after upper blepharoplasty. Read More

    Brow Ptosis after Upper Blepharoplasty: Findings in 70 Patients.
    World J Plast Surg 2016 Jan;5(1):58-61
    Department of Plastic and Reconstructive Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
    Background: Brow ptosis is a potential complication after upper eyelid blepharoplasty. The aim of this study was to analyze the effect of upper blepharoplasty on eyebrow position.

    Methods: In this Between April 2011 and March 2013, eighty three patients (166 eyes with mean age of 49. Read More

    Free tarsomarginal graft for large congenital coloboma repair in patients with Tessier number 10 clefts.
    J Plast Reconstr Aesthet Surg 2016 Aug 4;69(8):1046-51. Epub 2016 May 4.
    Department of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai 200011, People's Republic of China. Electronic address:
    Aim: The aim of this study was to evaluate the long-term outcome when a free tarsomarginal graft is used to repair a large congenital coloboma in patients with a Tessier number 10 cleft.

    Materials And Methods: This was a retrospective, interventional case series. The medical records were reviewed for five children (six eyes) diagnosed as having Tessier number 10 cleft with large upper eyelid defects and symblepharon. Read More

    A Novel U-Flap Epicanthoplasty for Asian Patients.
    Aesthetic Plast Surg 2016 Aug 10;40(4):458-65. Epub 2016 Jun 10.
    Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, 639 Zhizaoju Road, Shanghai, 200011, People's Republic of China.
    Background: The epicanthal fold is a distinct characteristic of the Asian upper eyelid, which may impair the beauty of the eyes and the outcome of double eyelid blepharoplasty. Although many surgical procedures have been reported, their main drawbacks include a conspicuous scar in the medial canthal area and an unnatural palpebral contour. We devised a novel surgical approach to correct the epicanthal fold with acceptable scarring. Read More

    Variations of the Double Eyelid and the Upper Tarsus in Asians.
    J Med Assoc Thai 2015 Nov;98 Suppl 10:S61-5
    Objective: To identify the variations of the double eyelid shapes and the tarsal shapes in Asians and find the association between them.

    Material And Method: Healthy subjects with natural double eyelid and age between 20-40 years were enrolled. Characteristics and variations of the eyelid shapes and the tarsal shapes were evaluated. Read More

    Analysis of Surgical Outcome After Levator Advancement by Assessing Changes in Eyelid Contour.
    J Craniofac Surg 2016 Jul;27(5):1147-50
    *Department of Ophthalmology, Korea University College of Medicine †Department of Ophthalmology, KEPCO Medical Center, Seoul, Korea.
    Purpose: The authors analyzed changes in eyelid contour after levator advancement by measuring multiple radial midpupil lid distance (MPLD).

    Methods: The study enrolled 61 eyes of 61 patients with involutional ptosis who underwent levator advancement from 2 oculoplastic surgeons from September 2008 to December 2013. An analysis of upper lid contours was performed using front gaze photographs of the preoperative and postoperative states and comparing them to the front gazes of normal patients. Read More

    Blepharoptosis and hypertrophic osteoarthropathy: A case report.
    Indian J Ophthalmol 2016 Apr;64(4):317-9
    Cagdas Medical Center, Ankara, Turkey.
    A 52-year-old male patient presented to our hospital with a history of secondary hypertrophic osteoarthropathy (HOA) associated with an abdominal neoplasia and blepharoptosis. He had finger clubbing, hyperhidrosis, and hypertrichosis. He also had a recent history of extensive abdominal surgery with a pathology report of myelolipoma. Read More

    Key Issues When Reconstructing Extensive Upper Eyelid Defects With Description of a Dynamic, Frontalis Turnover Flap.
    Ophthal Plast Reconstr Surg 2016 Jul-Aug;32(4):249-51
    *Oxford Eye Hospital, and †Department of Plastic and Reconstructive Surgery, John Radcliffe Hospital, Oxford University Hospitals NHS Trust, Oxford, United Kingdom.
    Reconstruction of full thickness, total upper eyelid defects represents a significant challenge in terms of recreating an upper eyelid which has acceptable cosmesis and a degree of dynamic function. Options include bridging, eyelid-sharing techniques (e.g. Read More

    [Gold weight implants for lagophthalmos correction in chronic facial nerve paralysis (late results)].
    Vestn Oftalmol 2016 Mar-Apr;132(2):26-32
    Research Institute of Eye Diseases, 11 A, B Rossolimo St., Moscow, Russian Federation, 119021.
    Unlabelled: Upper eyelid weigh gold implant is the widely accepted standard for the treatment of paralytic lagophthalmos (PL).

    Aim: To evaluate late outcomes of PL correction with chain gold implants.

    Material And Methods: Chain gold implants were inserted in the upper eyelids of 70 patients with lagophthalmos due to chronic facial paralysis. Read More

    Blepharoplasty with a Buried Double Twisted Suture Technique to Correct Upper Eyelid Epiblepharon.
    Plast Reconstr Surg Glob Open 2016 Apr 21;4(4):e685. Epub 2016 Apr 21.
    Department of Ophthalmology, CHA Bundang Medical Center, CHA University, Seongnam, South Korea; and Division of Orbital and Ophthalmic Plastic Surgery, Jules Stein Eye Institute, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, Calif.
    Background: The authors evaluated the clinical efficacy of blepharoplasty using a newly developed, buried double twisted suture (BDTS) technique to correct upper eyelid epiblepharon.

    Methods: This retrospective study was conducted from October 2013 to July 2015 at the Oculoplastic Clinic, Bundang CHA Medical Center, CHA University, Seongnam, Korea. A total of 122 eyes from 61 patients with upper eyelid epiblepharon were enrolled. Read More

    Complications in Eyelid Surgery.
    Facial Plast Surg Clin North Am 2016 May;24(2):193-203
    Department of Otolaryngology-Head and Neck Surgery, Saint Louis University, 3635 Vista Avenue, 6FDT, St Louis, MO 63110, USA. Electronic address:
    Eyelid surgery consists of challenging reconstructive and cosmetic procedures. Because of the complex anatomy and corresponding vital functions of the upper and lower eyelids, the avoidance of eyelid complications is of vital importance. Complications after eyelid surgery include basic complications (infection, granuloma) and vision-threatening complications. Read More

    Upper Eyelid Reconstruction.
    Facial Plast Surg Clin North Am 2016 May;24(2):173-82
    Department of Ophthalmology, Saint Louis University Eye Institute, Saint Louis University School of Medicine, 1755 South Grand Boulevard, St Louis, MO 63104, USA.
    Reconstruction of the upper eyelid is complicated because the eyelid must retain mobility, flexibility, function, and a suitable mucosal surface over the delicate cornea. Defects of the upper eyelid may be due to congenital defects or traumatic injury or follow oncologic resection. This article focuses on reconstruction due to loss of tissue. Read More

    Correction of Eyelid Crease Asymmetry and Ptosis.
    Facial Plast Surg Clin North Am 2016 May;24(2):153-62
    Department of Ophthalmology and Visual Sciences, Washington University in St. Louis, 660 South Euclid Avenue, Campus Box 8096, St Louis, MO 63110, USA. Electronic address:
    Upper eyelid ptosis and crease abnormalities can lead to significant cosmetic deformity. An intimate knowledge of the anatomic structures responsible for eyelid height, contour, and pretarsal show will allow precise surgical correction. Read More

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