Search Our Scientific Publications & Authors

J Cosmet Dermatol 2022 May 4. Epub 2022 May 4.

Department of Plastic and Reconstructive Surgery, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong-si, Republic of Korea.

Background: Up to date, many surgical techniques have been introduced for upper eyelid rejuvenation. Despite those technical advances, little attention has been put on objective preoperative analysis methods.

Objectives: The current study introduces our simplified, versatile, and predictable upper eyelid analysis method for upper blepharoplasty patients. Read More

Ophthalmic Plast Reconstr Surg 2022 Apr 25. Epub 2022 Apr 25.

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

A 59-year-old woman presented with iritis and uveitis in the OD approximately 3 weeks after she underwent a bilateral upper and lower blepharoplasty by an outside oculoplastic specialist. Examination revealed a visual acuity of hand motion in the OD, scleral ulceration suspicious for prior globe perforation, dense vitritis, and loculations and membranes on echography. The patient was diagnosed with acute onset exogenous endophthalmitis. Read More

J Cosmet Dermatol 2022 Apr 22. Epub 2022 Apr 22.

Department of Oculoplastic and Orbital Surgery, Hospital Universitario y Politécnico La Fe, Valencia, Spain.

Background: Treatment with hyaluronic acid (HA) fillers as a strategy for rejuvenation has experienced a significant growth in recent years, accompanied by a parallel increase in its complications, the treatment of which, such as hyaluronidase, we must be aware of.

Patients/methods: 14 patients (28 eyes) had indication for upper blepharoplasty surgery in the Hospital Universitario y Politécnico La Fe. After surgery, periocular skin of one eye of each patient was infiltrated with 300 U of hyaluronidase (14 cases) while the skin of the fellow eye was preserved untreated (14 controls). Read More

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

Aesthetic Plast Surg 2022 Mar 30. Epub 2022 Mar 30.

Department of Plastic Surgery, Medical College, Chang Gung University, Chang Gung Memorial Hospital, Taoyuan City, Taiwan.

Asian upper blepharoplasty is one of the most commonly requested procedures in Asian patients. Many incisional and suture methods have been described in the literature. While the suture method is advantageous for its simplicity and quick recovery, the incision method is more versatile and able to deliver predictable and reproducible results for Asian patients presenting with a diverse range of anatomy and requests. Read More

Ann Plast Surg 2022 04;88(4):375-380

Department of Plastic and Reconstructive Surgery, Shinshu University School of Medicine and Graduate School of Medicine, Matsumoto, Japan.

Abstract: A puffy eyelid without a crease, also known as single eyelid, is a common characteristic in East Asians. Existence of a lid crease is generally considered an aesthetic concern for both patients and surgeons, and postoperative evaluations have mainly focused on the appearance of the eye. The aim of this study was to clarify the functionality of the superior visual field (SVF) with single eyelid. Read More

Graefes Arch Clin Exp Ophthalmol 2022 Mar 16. Epub 2022 Mar 16.

Pathology Department, Ankara Training and Research Hospital, University of Health Science, Ankara, Turkey.

Purpose: To evaluate the histopathological effects of collagen cross-linking (CCL) on excised skin samples of patients undergoing upper eyelid blepharoplasty due to dermatochalasis.

Methods: This study examined 74 excised eyelid skin samples from 37 dermatochalasis patients. Following an upper eyelid blepharoplasty, CCL with hypotonic riboflavin (0. Read More

Ann Plast Surg 2022 Mar 9. Epub 2022 Mar 9.

From the Department for Oral and Maxillofacial Surgery, Hannover Medical School, Hannover, Germany.

Abstract: Free flap transfer for reconstruction of intraoral defects is a common procedure in oral and maxillofacial surgery. For tumor-related defects, the radial forearm flap is widely used for soft tissue restoration. However, transfer of free skin grafts to the donor site region is often required for wound closure after free flap harvesting, resulting in esthetic disturbances due to shrinkage of the grafted skin, attendant scarring, or mismatches in skin texture or color. Read More

Beyoglu Eye J 2022 18;7(1):18-24. Epub 2022 Feb 18.

Department of Ophthalmology, Adiyaman University Training and Research Hospital, Adiyaman, Turkey.

Objectives: To compare upper eyelid blepharoplasty patients' suture techniques with interrupted cutaneous in one eye and running cutaneous in the other in terms of edema, ecchymosis, and scar index.

Methods: Among patients whose suture techniques with interrupted cutaneous in one eye and running cutaneous in the other, 34 patients in the vicryl group and 46 patients in the polypropylene group were included in the study. The patients' edema and ecchymosis levels on postoperative days 1, 7, and 30 days and 3 months were selected. Read More

Ann Plast Surg 2022 03;88(1s Suppl 1):S68-S72

From the Division of Plastic Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan.

Background: Double-eyelid blepharoplasty is the most popular cosmetic surgery in Taiwan. The creation of a small palpebral fold along with reduction of eyelid fullness makes the eye look slightly larger, thereby leading to an appearance of youthfulness, alertness, and vitality. Herein, we propose a method of combining the techniques of arcade buried suture and forceps, which is designed to create a more physiologically natural double eyelid. Read More

Int J Oral Maxillofac Surg 2022 Feb 23. Epub 2022 Feb 23.

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

It is not yet established whether additional orbicularis oculi muscle excision leads to better patient-reported aesthetic outcomes (PRO) compared to a skin-only resection blepharoplasty. A double-blind randomized controlled trial of upper blepharoplasty, with or without muscle excision, was performed on 54 White European patients who assessed the procedure via PRO. FACE-Q questionnaires covering eyes in general, upper eyelids, forehead and eyebrows, overall face, age appearance appraisal, age appraisal, social functioning, satisfaction with the outcome, and adverse effects were completed preoperatively and at 6 and 12 months after upper blepharoplasty. 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 Jan 31. 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

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

Ophthalmic Plast Reconstr Surg 2022 Jan 13. Epub 2022 Jan 13.

Department of Ophthalmology, Mayo Clinic, Rochester, Minnesota Department of Health Sciences Research, Mayo Clinic, Jacksonville, Florida, U.S.A.

Purpose: Outpatient visits and surgeries for nonurgent indications in ophthalmology have intermittently been restricted during the COVID-19 pandemic. Telemedicine services have rapidly gained acceptance during this period, and could improve patient access for routine oculoplastic evaluations in the future. The objective of this study is to investigate interobserver and intraobserver reliability of eyelid and brow position assessment and surgical plan when comparing photography-based and face-to-face evaluation. Read More

Aesthetic Plast Surg 2022 Jan 11. Epub 2022 Jan 11.

Department of Ophthalmology, Adiyaman University Education and Research Hospital, Adiyaman, Turkey.

Purpose: To investigate the effects of blepharoplasty on intraocular pressure (IOP) and ocular biometric parameters.

Methods: A total of 112 eyelids of 56 patients undergoing bilateral blepharoplasty due to upper eyelid dermatochalasis was included. The patients were classified into three groups according to margin reflex distance (MRD) (Group 1 >4 mm MRD, Group 2 2-4 mm MRD, and Group 3 <2 mm MRD). Read More

J Plast Reconstr Aesthet Surg 2022 Apr 27;75(4):1431-1437. Epub 2021 Nov 27.

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

Background: Many people are characterized by a swollen appearance and loose skin of upper eyelids, especially Asians. Retro-orbicularis oculus fat (ROOF) lying in the lateral canthus area is a critical factor of the bulkiness formation. Although several approaches have been reported, most of them intend to remove orbicularis muscle and preaponeurotic fat through a double-eyelid incision, leaving ROOF untreated. Read More

Am J Ophthalmol Case Rep 2022 Mar 30;25:101236. Epub 2021 Nov 30.

Department of Ophthalmology, Louisiana State University Health Sciences Center, Shreveport, LA, 71130, USA.

Purpose: To underscore the importance of histopathological evaluation in cases presenting with a constellation of unusual ocular inflammation and physical findings.

Observation: A 51-year-old male, presented with a chief complaint of worsening visual field loss due to droopy eyelids two months post excision of a right upper eyelid squamous cell carcinoma. His past medical history included chronic edematous facial features, chronic sinusitis, unexplained peripheral neuropathy, and worsening fatigue. Read More

J Plast Reconstr Aesthet Surg 2022 03 14;75(3):1224-1229. Epub 2021 Nov 14.

Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100141 China.

Background: In buried suture methods, the levator aponeurosis is fixed to the subcutaneous tissue in the pretarsal region using a suture. However, loosening of the suture occurs frequently and causes regression or disappearance of the double-eyelid folds. To avoid potential loosening of the suture after surgery, we modified the horizontal suture technique commonly used in buried suture double-eyelid blepharoplasty. Read More

Front Med (Lausanne) 2021 22;8:732041. Epub 2021 Nov 22.

Department of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, China.

This study aimed to investigate the effect of transcutaneous upper eyelid blepharoplasty on lipid layer thickness (LLT) and blink parameters in young women during the early postoperative period. This prospective study included 110 eyes of 55 young female patients (age range, 19-31 years) who underwent transcutaneous upper eyelid blepharoplasty. The LLT and blink parameters measured using a LipiView interferometer were recorded before the surgery and 1 week and 1 month after the surgery. 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.

J Cosmet Dermatol 2022 Mar 21;21(3):1111-1119. Epub 2021 Nov 21.

No. 3 Department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Introduction: Double-eyelid blepharoplasty and epicanthoplasty is usually performed concurrently in Asian patients to achieve aesthetically pleasing eye appearance, but the epicanthal area is prone to scarring. This article introduces an integrated four-step technique that enlarges the eyes with minimal scarring risk.

Methods: One hundred and thirty-five patients who underwent Asian upper blepharoplasty and dual-plane epicanthoplasty between January 2019 and September 2020 were retrospectively reviewed. Read More

Aesthet Surg J 2022 03;42(4):340-348

Department of Plastic and Reconstructive Surgery, Radboud University Medical Center, Nijmegen, the Netherlands.

Background: To determine the success of an upper blepharoplasty, a popular cosmetic procedure, it is essential to measure outcomes from the patient perspective because these often outweigh objective outcomes.

Objectives: This study aimed to assess patient-reported satisfaction with facial appearance, psychological well-being, and aging appraisal after upper blepharoplasty with validated questionnaires.

Methods: This prospective cohort study included upper blepharoplasty patients from 8 outpatient clinics. Read More

Aesthetic Plast Surg 2022 Feb 5;46(1):231-236. Epub 2021 Nov 5.

AID BeauCare Clinic, Huanghe Street# 16, Shahekou District, Dalian, Liaoning, China.

Background: This article presents a new method using a dermis-outer orbicularis fascia-orbicularis-levator (DOOL) fixation technique for double-eyelid blepharoplasty.

Methods: Our surgical technique preserves the preorbicular venous network (POVN) and uses mattress sutures to fix the dermis, outer fascia of the orbicularis oculi muscle, and orbicularis oculi muscle with pretarsal levator aponeurosis (DOOL). Between January 2016 and July 2018, 335 patients were treated with this POVN-preserving DOOL technique (321 women and 14 men; mean age, 29. Read More

Cureus 2021 Sep 6;13(9):e17765. Epub 2021 Sep 6.

Ophthalmology, Dow International Medical College, Dow University of Health Sciences, Karachi, PAK.

A 14-year-old boy presented with a right orbital lid mass, which had slowly grown over the last 4.5 years, as well as some impaired visual acuity in the affected (right) eye. We assessed the patient by taking a detailed history and physical examination. Read More

Ophthalmic Plast Reconstr Surg 2022 Mar-Apr 01;38(2):e36-e38

Department of Ophthalmology, New York University, New York, New York, U.S.A.

A newborn male with cat eye syndrome presented with progressively worsening bilateral upper eyelid imbrication, floppy eyelids, and ptosis. Despite conservative management, he remained unable to open his eyelids. Surgical correction was planned to prevent bilateral sensory deprivation amblyopia and was delayed until 5 months of age due to systemic health concerns. Read More

Aesthet Surg J 2022 Feb;42(3):239-248

Division of Ocular Imaging, Department of Ophthalmology and Visual Sciences, Paulista School of Medicine, Federal University of São Paulo (UNIFESP/ EPM), São Paulo, SP, Brazil.

Background: Periorbital fractional CO2 laser resurfacing has been employed for facial rejuvenation purposes. However, to the best of our knowledge, no study has objectively assessed periorbital neoformation and remodeling of local cutaneous collagen, in a split-face model, from skin samples obtained during upper blepharoplasty.

Objectives: The authors sought to objectively evaluate neoformation and remodeling of local cutaneous collagen after periorbital skin fractional CO2 laser resurfacing. Read More