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Plast Reconstr Surg Glob Open 2021 Mar 22;9(3):e3480. Epub 2021 Mar 22.

Department of Plastic Reconstructive and Aesthetic Surgery, Koç University, Istanbul, Turkey.

Trichiasis is an acquired condition in which eyelashes are misdirected toward the ocular surface, resulting in eye irritation and ocular morbidities. Different treatment modalities have been described, including surgical and non-surgical methods. The goal of this article is to present a novel technique for treatment of trichiasis, with a brief review of treatment options. Read More

Graefes Arch Clin Exp Ophthalmol 2021 May 8. Epub 2021 May 8.

Department of Ophthalmology, Yeditepe University Medical School, Istanbul, Turkey.

Purpose: To evaluate the postoperative changes with a computer vision algorithm for anterior full-face photographs of patients who have undergone upper eyelid blepharoplasty surgery with, or without, a Müller's muscle-conjunctival resection (MMCR).

Methods: All patients who underwent upper eyelid blepharoplasty surgery (Group I), or upper eyelid blepharoplasty with MMCR (Group II) were included. Both preoperative and 6-month postoperative anterior full-face photographs of 55 patients were analyzed. Read More

J Craniofac Surg 2021 Apr 29. Epub 2021 Apr 29.

Department of Chemical and Materials Engineering, College of Engineering, Chang Gung University Craniofacial Research Centre, Department of Medical Research, Department of Plastic and Reconstructive Surgery and Department of Craniofacial Orthodontics, Chang Gung Memorial Hospital, Taoyuan, Taiwan Department of Plastic and Reconstructive Surgery, Skin Check Malaysia, Selangor, Malaysia Department of Plastic and Reconstructive Surgery, Xiamen Chang Gung Memorial Hospital, China.

Background: The main objective of contemporary orthognathic surgery is to correct dentofacial deformities. Nonetheless, many adjunct procedures to enhance the esthetic outcome in orthognathic surgical cases have been successfully incorporated to improve patient satisfaction. The authors report our preliminary experience of performing simultaneous orthognathic surgery with Asian double eyelid suture method blepharoplasty in the same surgical setting. Read More

J Med Case Rep 2021 Apr 29;15(1):248. Epub 2021 Apr 29.

Ophthalmology Unit, Humanitas Research Hospital, Rozzano, Milan, Italy.

Background: Dermatochalasis of the upper eyelids (blepharochalasis) is a typical age-related change in the upper third of the face and a major concern for facial aesthetics. Nowadays both surgical and nonsurgical interventions are available for patients complaining of upper eyelid dermatochalasis. Although nonsurgical treatments are often easier to perform, if they are not performed correctly, complications may ensue and worsen the condition. Read More

Facial Plast Surg Clin North Am 2021 May 24;29(2):179-193. Epub 2021 Apr 24.

W Aesthetic Plastic Surgery, 06 - 28/29, Mount Elizabeth Novena Specialist Center, 38 Irrawaddy Road, Singapore 329563, Singapore.

Given the central importance of the "eyes," meaning the periorbital region, to facial appearance, the motivated blepharoplasty patient has the opportunity to improve appearance significantly beyond the minimum of age reversal, to reveal inner beauty or add attractiveness. Bright and beautiful eyes have good three-dimensional contouring. The benefits of a quality eyelid crease enable the surgical focus to be on lid contouring with a reduced requirement for lid skin and fat excision. Read More

Front Med (Lausanne) 2021 24;8:619547. Epub 2021 Mar 24.

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

The present study was designed to observe the curative effect of early intralesional corticosteroid injection to treat unsatisfactory double eyelid. This retrospective, observational study included 30 female patients (age 22-35 years) receiving intralesional corticosteroid injection after complaining about the unsatisfactory double eyelid post-transcutaneous upper eyelid blepharoplasty. The postoperative double eyelid anomalies included multiple folds, sunken eyelids, and severe postoperative eyelid edema. Read More

Aesthetic Plast Surg 2021 Mar 15. Epub 2021 Mar 15.

16th department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, #33 Badachu Road, Shijingshan District, 100144, Beijing, China.

Background: The awareness and treatment of lacrimal gland prolapse (LGP) have been primarily improved with a further understanding of lateral eyelid bulging over the decades. However, for Asian single-eyelid females with LGP, a tailor-made procedure applicable to their comparatively young puffy eyes is needed.

Methods: This is a retrospective study. Read More

Curr Eye Res 2021 Mar 12:1-5. Epub 2021 Mar 12.

Sheba Medical Center, Goldschleger Eye Institute, Ramat Gan, Israel.

: To examine whether Müller's-muscle-conjunctival-resection (MMCR) changes the position of the lower eyelid.: Retrospective controlled-cohort study. All patients who underwent MMCR (study group) or blepharoplasty (control group) between January 2016 and September 2018 were recruited. Read More

Ann Plast Surg 2021 03;86(3S Suppl 2):S253-S258

From the Department of Plastic and Reconstructive Surgery, Beijing University 3rd Hospital, Beijing, China.

Objective: The aim of this study was to explore the effective technique of double eyelid surgery for mild, moderate, and severe sunken upper eyelid in Chinese.

Methods: According to the degree of the sunken upper eyelid, different procedures were performed. For mild sunken upper eyelid, the key technique was named eyelid volume redistribution (EVR)-1 technique, which was advancing or folding the pretarsal orbicularis oculi muscle flap toward up to the upper margin of the incision. Read More

Ann Plast Surg 2021 03;86(3S Suppl 2):S235-S238

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

Purpose: To introduce the experience of comprehensive 3-dimensional epicanthoplsty with upper blepharoplasty in Asian patients.

Methods: The patients who underwent comprehensive 3-dimensional epicanthoplsty with upper blepharoplasty at the Shanghai Ninth People's hospital from January 2018 to January 2019 were included in our study. The interepicanthal distance was evaluated preoperatively and 6 months after the surgery, scar visibility and patient's satisfaction were documented 6 months after the surgery. Read More

Aesthet Surg J 2021 04;41(5):NP210-NP213

Department of Plastic Surgery, NYU Grossman School of Medicine, New York, NY, USA.

J Cosmet Dermatol 2021 Feb 18. Epub 2021 Feb 18.

Farabi Eye Hospital, Tehran University of Medical Sciences (TUMS), Tehran, Iran.

Background: Eyebrow tattooing (ET) is a relatively common cosmetic procedure for middle-aged women which can hide age-related ptosis.

Aims: We aimed to evaluate the periocular soft tissue changes following ET and its effects on upper eyelid blepharoplasty (UEBL).

Patients/methods: In this non-randomized prospective case-controlled study, 28 subjects recruited, 14 with ET for at least 5 years and 14 without ET. Read More

J Plast Reconstr Aesthet Surg 2021 Feb 10. Epub 2021 Feb 10.

School of Medicine, European University Cyprus, Nicosia, Cyprus; Ophthalmos Research and Educational Institute, Nicosia, Cyprus.

Ophthalmic Plast Reconstr Surg 2021 Feb 11. Epub 2021 Feb 11.

University Hospital Coventry and Warwickshire NHS Trust, Coventry, United Kingdom.

Purpose: To describe a simple alternative surgical approach to treat patients with Meibomian gland inversion (MGI; posterior migration of the Meibomian gland orifices) in the upper eyelid, secondary to cicatricial Meibomian gland dysfunction (MGD) not responding to maximal medical management.

Methods: This was a retrospective, noncomparative, interventional case series of all patients with MGI not responding to conservative MGD treatment who underwent anterior lamellar repositioning through a skin crease incision with or without Blepharoplasty, between July 2017 and July 2019.

Results: Eleven eyes of 7 patients were included in the study. Read More

J Plast Surg Hand Surg 2021 Feb 14:1-4. Epub 2021 Feb 14.

Department of Plastic Surgery and Hand Surgery, University Hospital Zurich, Zurich, Switzerland.

Over the last years, the layout of surgical training has significantly changed. Surgical residents rely on YouTube videos to prepare for upcoming cases. Eyelid surgery including blepharoplasty ranks among the 5 most often performed cosmetic surgeries. Read More

Aesthet Surg J 2021 04;41(5):NP196-NP197

Weill-Cornell Medical College, New York, NY, USA.

Aesthet Surg J 2021 Feb 9. Epub 2021 Feb 9.

Plastic Surgery, Division of Plastic Surgery, University of California Davis Medical Center, Sacramento, CA.

Background: Asian upper blepharoplasty is the most popular cosmetic procedure for Asian women. However, there is lack of standardized approach to this procedure and less than optimal results are still common.

Objectives: In this article, we introduce our comprehensive approach to Asian upper blepharoplasty in women and report our clinical outcomes with this approach. Read More

Ann Plast Surg 2021 03;86(3):340-344

Eye Research Center, The Five Senses Institute.

Objectives: Three prior studies (2008, 2011, 2018) histopathologically compared the eyelid specimens of patients with dermatochalasis (DC, undergoing blepharoplasty) with a control group and proposed that DC may begin with subclinical inflammation leading to elastolysis and lymphostasis. With growing number of younger patients consulting for blepharoplasty, the unanswered question is whether histopathologic changes of DC differ between the younger and the older.

Patients And Methods: In this prospective case series, 20 right upper eyelid skin of 20 nonsmoker, class 3 Fitzpatrik skin type women (30-68 years old) were histopathologically examined. Read More

J Curr Ophthalmol 2020 Oct-Dec;32(4):408-413. Epub 2020 Dec 12.

Department of Dermatology, Shiraz University of Medical Sciences, Shiraz, Iran.

Purpose: To compare the effectiveness of onion extract, topical steroid, and petrolatum emollient in the prevention of scars in cases who underwent bilateral upper eyelid blepharoplasty.

Methods: A prospective, interventional, comparative, double-blinded case series was designed on cases who underwent upper lid blepharoplasty. After suture removal (1 week following the surgery), the eyelids of participants were randomly allocated into the three groups: The first group used onion extract on the right eyelids ( = 18), and the second group used topical steroid on the right eyelids ( = 19). Read More

J Craniofac Surg 2021 Jan 28. Epub 2021 Jan 28.

Eye Hospital of Wenzhou Medical University, Wenzhou, China Sydney Hospital and Sydney Eye Hospital, Sydney, NSW, Australia.

Background: Conventional assessment of the height of upper eyelid skin excision in dermatochalasis correction is performed with patient's eyes closed in supine position. It is not able to consider the effects of gravity on the upper eyelid, thus may lead to asymmetric postoperative appearance. The authors herein report a novel preoperative upright design (PUD) that can accurately determine the amount of skin excision with patients' eyes open in dermatochalasis correction. Read More

Facial Plast Surg 2021 Apr 31;37(2):194-197. Epub 2021 Jan 31.

Department of Otolaryngology, Head and Neck Surgery, Northwestern Medical Group, Chicago, Illinois.

Upper eyelid surgery is a common procedure performed by a variety of subspecialists including facial plastic surgeons, oculoplastic surgeons, general otolaryngologists, and plastic surgeons. Traditionally, a skin incision is marked in the preoperative setting to allow for an excision that eliminates upper eyelid hooding while preventing lagophthalmos. Many different methodologies have been proposed to maximize results and minimize complications. Read More

Ophthalmic Plast Reconstr Surg 2021 Jan 19. Epub 2021 Jan 19.

Department of Ophthalmology Department of Dermatology, Duke University, Durham, North Carolina.

Purpose: To describe postoperative management following ablative carbon dioxide laser resurfacing of the lower eyelids.

Methods: A retrospective review of patients who consecutively underwent bilateral lower eyelid ablative carbon dioxide laser resurfacing by a single experienced oculoplastic surgeon over a 6-year period was conducted. Patient satisfaction, aesthetic outcomes, and postoperative complications were evaluated as adjunctive or monotherapy. Read More

Dermatol Surg 2021 02;47(2):241-244

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

Background: Perceived pain during local anesthesia injections can be effected by the injection sequence.

Objective: We sought to compare pain levels during local anesthesia injections during upper lid blepharoplasty (ULB) using 2 surgical sequences.

Materials And Methods: We conducted a prospective, randomized clinical trial. Read More

Arq Bras Oftalmol 2021 Jan-Feb;84(1):11-16

Hospital Oftalmológico de Sorocaba, Sorocaba, Brazil.

Purpose: To determine the effect of upper blepharoplasty on corneal topography and intraocular lens power calculation using Galilei and IOLMaster.

Methods: Thirty patients submitted to upper blepharoplasty from May 2014 to March 2017 at the Hospital Oftalmológico de Sorocaba (São Paulo, Brazil) were included in this observational case series. All patients underwent imaging sessions with Galilei and IOLMaster preoperatively (baseline) and at 1 and 6 months postoperatively. Read More

Klin Monbl Augenheilkd 2021 Jan 14;238(1):33-40. Epub 2021 Jan 14.

Augenklinik, Klinikum der Universität München, Deutschland.

Patients with Graves' orbitopathy often develop eyelid changes. These may be the result of a volume effect or a malposition. Both dermatochalasis with fat tissue increase and eyelid retraction may lead to functional or aesthetic impairment. Read More

J Craniofac Surg 2021 Jan 5;Publish Ahead of Print. Epub 2021 Jan 5.

Department of Plastic and Reconstructive Surgery, The First Bethune Hospital of Jilin University, Chang Chun, China.

Background: Although Park's "orbicularis-levator fixation technique" has been widely used as a mature double-eyelid surgery in China recently. Shortcomings related to this method cannot be ignored. Thus, a reverse orbicularis-tarsus fixation technique in double-eyelid blepharoplasty has now been devised. Read More

J Plast Reconstr Aesthet Surg 2020 Dec 14. Epub 2020 Dec 14.

Department of Plastic and Reconstructive Surgery, Xijing Hospital, The Fourth Military Medical University, Xi'an 710032, China. Electronic address:

Background: In Asian women, upper eyelid skin laxity, lateral hooding, and upper eyelid and brow asymmetry in the aging upper eyelid are prominently and frequently seen. It is difficult to completely resolve these problems with the classical single-incision method. In this study, we investigate the utility of a double-incision approach to address aging-related changes of the upper eyelid. Read More

Facial Plast Surg 2020 Oct 24;36(5):563-574. Epub 2020 Dec 24.

Plastic Cosmetic Surgery, Myoung Eye Plastic Surgery, Gangnam Gu, Seoul, Republic of Korea.

Differences between Oriental and Caucasian eyelids have been explained in great detail in several reports in the past. The purpose of this article is to discuss the functional aspects of Asian double fold upper blepharoplasty and to present techniques that help to improve both the functional and cosmetic outcomes and satisfaction after surgery. The eyes of Asians are relatively small with thick skin in the eyelids and periorbital area. Read More

Aesthet Surg J 2021 04;41(5):NP198-NP209

Division of Plastic & Reconstructive Surgery, Northwestern Feinberg School of Medicine, Chicago, IL, USA.

Background: Patients presenting for upper blepharoplasty can exhibit different aging patterns and we have anecdotally observed wide variability in upper blepharoplasty approaches among surgeons. However, upper blepharoplasty practice patterns have not been systematically analyzed among members of The Aesthetic Society.

Objectives: The aim of this study was to report upper blepharoplasty practice patterns, the recognition of different patient presenting features, and to assess the incidence and management of ptosis as reported by members of The Aesthetic Society. Read More

Ophthalmic Plast Reconstr Surg 2020 Dec 9. Epub 2020 Dec 9.

Ophthalmology Department, Ankara Ulucanlar Eye Training and Research Hospital, Ankara, Turkey.

Purpose: This study investigated the preoperative and postoperative pupillary and anterior chamber (AC) characteristics of patients undergoing upper eyelid blepharoplasty.

Methods: This prospective, cross-sectional study examined 32 eyes from 20 dermatochalasis patients. Following a detailed ophthalmological examination, quantitative pupillometry and Scheimpflug corneal topography were used to evaluate the pupil and AC characteristics of eyes on the day of operation and postoperative days 1 and 7. Read More