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    1 OF 20

    The Effect of Upper Aging Blepharoplasty on Upper and Lower Eyelid Position.
    J Craniofac Surg 2018 Feb 7. Epub 2018 Feb 7.
    Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea.
    Purpose: Change in eyelid position after upper blepharoplasty is an important factor that can affect postoperative patient satisfaction. However, no one has investigated eyelid changes during follow-up for upper eyelid surgery. Thus, the purpose of this study was to investigate position changes in the upper and lower eyelids during the follow-up period after upper blepharoplasty in Korean. Read More

    Upper Lid Thick Skin Blepharoplasty.
    Facial Plast Surg 2018 Feb 6;34(1):43-49. Epub 2018 Feb 6.
    Department of Otolaryngology - Head/Neck Surgery, New York University School of Medicine, New York, New York.
    While many of the basic tenants of upper lid blepharoplasty remain constant regardless of skin type, the thick-skinned eyelid patient requires special consideration. The brow may be naturally lower in the thick-skinned patient. These patients are more prone to having the brow pulled downward while attempting to remove redundant skin. Read More

    Simultaneous Aesthetic Eyelid Surgery and Orbital Decompression for Rehabilitation of Thyroid Eye Disease: The One-Stage Approach.
    Aesthet Surg J 2018 Jan 24. Epub 2018 Jan 24.
    Dr Devoto is an oculoplastic surgeon in private practice in Buenos Aires, Argentina.
    Background: Aesthetic rehabilitation of thyroid orbitopathy includes orbital decompression, correction of eyelid retraction and aesthetic blepharoplasty, performed traditionally in separate stages.

    Objectives: To report the results of orbital decompression surgery associated with aesthetic eyelid surgery in one stage for aesthetic rehabilitation of patients affected by thyroid eye disease.

    Methods: Retrospective, multi centric study including 40 consecutive patients, who underwent orbital decompression surgery associated with aesthetic eyelid surgery in two centers: Genova (Group 1) + Buenos Aires (Group 2). Read More

    External Levator Advancement versus Müller Muscle-Conjunctival Resection for Aponeurotic Blepharoptosis: A Randomized Clinical Trial.
    Plast Reconstr Surg 2018 Feb;141(2):213e-219e
    Bangkok, Thailand From the Department of Ophthalmology, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Thai Red Cross Society.
    Background: The purpose of this study was to compare the efficacy of external levator advancement and Müller muscle-conjunctival resection in aponeurotic blepharoptosis repair.

    Methods: Mild to moderate blepharoptosis patients with good levator function and a positive phenylephrine test were randomized to upper blepharoplasty with either external levator advancement or Müller muscle-conjunctival resection. The primary outcome was marginal reflex distance 1 at 1 month after surgery. Read More

    Floppy Eyelid Syndrome: An Unfamiliar Entity for Plastic Surgeons.
    Ann Plast Surg 2018 Feb;80(2S Suppl 1):S40-S47
    Background: Floppy eyelid syndrome (FES) is typically characterized by chronic eye irritation and an increased laxity of the upper eyelid that can be easily everted by applying minimal upward traction. However, it is a clinical entity that is less known to most plastic surgeons. Blepharoptosis is one of the most common features, which links to FES, for which a thorough differential diagnosis has become important in directing proper medical treatment. Read More

    Tarsal platform show after upper eyelid blepharoplasty with or without brassiere sutures.
    Arq Bras Oftalmol 2017 Nov-Dec;80(6):345-349
    Department of Ocular Plastic Surgery, Universidade Federal de Goiás, Goiânia, GO, Brazil.
    Purpose: Increased tarsal platform show (TPS) and decreased brow fat span (BFS) are associated with favorable results in women undergoing cosmetic blepharoplasty. We conducted a study to evaluate the efficacy of upper blepharoplasty with or without a technique (brassiere sutures) to increase TPS and decrease BFS.

    Methods: This is a prospective, randomized, comparative, case series study of 100 eyelids (50 consecutive women patients) treated with cosmetic upper blepharoplasty performed by a single surgeon. Read More

    A waiting time of 7 min is sufficient to reduce bleeding in oculoplastic surgery following the administration of epinephrine together with local anaesthesia.
    Acta Ophthalmol 2017 Dec 13. Epub 2017 Dec 13.
    Department of Clinical Sciences, Lund, Ophthalmology, Skane University Hospital, Lund University, Lund, Sweden.
    Objective: The time taken to reach maximal haemostatic effect following local anaesthesia with epinephrine is generally believed to be <10 min. This is based on clinical experience and indirect measurements of perfusion using methods such as laser Doppler flowmetry and oxygen spectroscopy. However, the only study in which bleeding has been measured quantitatively in an intra-operative setting in humans showed that the full haemostatic effect was not achieved until 30 min after anaesthesia. Read More

    The Aesthetic Analyzing of Midface Ratio After Folding Aponeurosis of Levator Palpebrae Superioris Muscle in the Ptosis Correction.
    J Craniofac Surg 2017 Dec 6. Epub 2017 Dec 6.
    *Department of Plastic Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou City†Department of Plastic Surgery, Foshan Sanshui District People's Hospital, Foshan City, China.
    Background: Some fordless-eyelid patients with moderate upper lid ptosis characterize in a higher eyebrow position which leads to an increased midfacial ratio. Apart from performing blepharoplasty to create dynamic folds, additional procedures such as folding aponeurosis of levator palpebrae superioris muscle were effective to revise the enlarged ratio of midface through lowering eyebrow, which gains good aesthetic results. However, the specific changes in the proportion of facial aesthetics and the importance of these change were serious lack in the literature as far as the authors know. Read More

    [Laser-assisted blepharoplasty].
    Ophthalmologe 2017 Nov 6. Epub 2017 Nov 6.
    Augenklinik Hagen, St. Josefs-Hospital Katholische Krankenhaus gem. GmbH, Dreieckstr. 17, 58097, Hagen, Deutschland.
    Blepharoplasty is one of the most frequently performed plastic cosmetic interventions. For this purpose the COlaser is an instrument that can be used as a laser scalpel to cut as well as in its ablative function to remove skin irregularities, such as scars and tumors and also to treat changes of the skin due to aging. Fractionated laser irradiation reduces the duration of skin redness and the postoperative rehabilitation time after a resurfacing. Read More

    Modifications of Z-Epicanthoplasty Combined with Double-Eyelid Blepharoplasty in Asians.
    Aesthetic Plast Surg 2018 Feb 3;42(1):226-233. Epub 2017 Nov 3.
    Department of Plastic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan, 430022, China.
    Background: Epicanthoplasty combined with double-eyelid blepharoplasty is one of the most popular cosmetic procedures in Asians. However, the postoperative medial canthal scar is a concerned issue. Here the authors adopted some modifications of Z-epicanthoplasty to minimize the canthal scar. Read More

    Optimizing Male Periorbital Rejuvenation.
    Dermatol Surg 2017 Nov;43 Suppl 2:S196-S202
    *Charlotte Plastic Surgery, Charlotte, North Carolina; †Hofstra University Northwell School of Medicine, New York, New York; ‡Dallas Plastic Surgery Institute, Dallas, Texas.
    Background: Facial rejuvenation continues to be an increasing trend among males. The periorbital region deserves special mention given the overall differences in aesthetics between sexes.

    Objective: To examine the aesthetics of the upper eyelid, lower eyelid, lateral canthus, and brow with respect to male periorbital rejuvenation. Read More

    Aseptic surgical preparation for upper eyelid blepharoplasty via full-face octenidine antiseptic without antibiotic medication shows effective prophylaxis against post-surgical wound infection.
    Int Wound J 2018 Feb 23;15(1):84-89. Epub 2017 Oct 23.
    Department of Plastic, Reconstructive and Aesthetic Surgery, Innsbruck Medical University, Innsbruck, Austria.
    Blepharoplasty is the third most common plastic surgical procedure in the USA. Due to the emergence of multiresistant bacteria, optimising the antiseptic procedure is crucial. Choice of antiseptics plays an important role as they may cause skin irritation and colouring of disinfected areas. Read More

    Autologous fat transfer with SEFFI (superficial enhanced fluid fat injection) technique in periocular reconstruction.
    Orbit 2017 Oct 17:1-5. Epub 2017 Oct 17.
    d Oculoplástica , Consultores Oftalmológicos , Buenos Aires , Argentina.
    Purpose: To evaluate the aesthetic and functional outcomes of autologous fat transfer using the SEFFI (superficial enhanced fluid fat injection) technique for reconstruction of the periocular area.

    Methods: Autologous fat injections prepared with the 0.5 mL and 0. Read More

    Temporal brow lift vs internal browpexy in females undergoing upper blepharoplasty: Effects on lateral brow lifting.
    J Cosmet Dermatol 2017 Oct 3. Epub 2017 Oct 3.
    Department of Ophthalmology, Isfahan Eye Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
    Background: Lateral brow-lifting surgical procedures in conjunction with upper blepharoplasty may prevent secondary descent following upper blepharoplasty.

    Objective: To compare the results of internal browpexy (IBP) and temporal brow lift (TBL) in patients with dermatochalasis undergoing simultaneous upper blepharoplasty.

    Methods: This study was a single-center, parallel-group randomized controlled trial conducted on 32 female patients suitable for upper blepharoplasty. Read More

    Clinical and Confocal Microscopy Study of Plasma Exeresis for Nonsurgical Blepharoplasty of the Upper Eyelid: A Pilot Study.
    Dermatol Surg 2018 Feb;44(2):283-290
    Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy.
    Background: Plasma exeresis is an evolving technique for nonsurgical treatment of several skin conditions. Reflectance confocal microscopy (RCM) is a noninvasive tool that allows the "in vivo" imaging of the skin.

    Objective: To evaluate the clinical improvement and collagen remodeling of the upper eyelid dermatochalasis after plasma exeresis. Read More

    Periorbital facial rejuvenation; applied anatomy and pre-operative assessment.
    J Curr Ophthalmol 2017 Sep 25;29(3):154-168. Epub 2017 Apr 25.
    Eye Research Center, Oculo-Facial Plastic Surgery, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
    Purpose: Since different subspecialties are currently performing a variety of upper facial rejuvenation procedures, and the level of knowledge on the ocular and periocular anatomy and physiology is different, this review aims to highlight the most important preoperative examinations and tests with special attention to the eye and periocular adnexal structures for general ophthalmologist and specialties other than oculo-facial surgeons in order to inform them about the fine and important points that should be considered before surgery to have both cosmetic and functional improvement.

    Methods: English literature review was performed using PubMed with the different keywords of "periorbital rejuvenation", "blepharoptosis", "eyebrow ptosis", "blepharoplasty", "eyelid examination", "facial assessment", and "lifting". Initial screening was performed by the senior author to include the most pertinent articles. Read More

    Investigation of goldmann perimetry in evaluation of patients for upper eyelid blepharoplasty.
    Orbit 2018 Feb 16;37(1):48-52. Epub 2017 Aug 16.
    a College of Medicine , University of Arkansas for Medical Sciences , Little Rock , Arkansas , USA.
    Purpose: To determine if preoperative Goldmann Visual Field (GVF) testing in patients with functional dermatochalasis accurately depicts the postoperative superior visual field (SVF) outcome.

    Methods: A prospective cohort study was done to compare preoperative and postoperative GVF field tests in patients undergoing upper eyelid blepharoplasty for treatment of dermatochalasis. This study was conducted in accordance with the Declaration of Helsinki and approved by the University of Arkansas for Medical Sciences institutional review board. Read More

    [Tufted angiomas of the head and neck. German version].
    HNO 2017 Dec;65(12):981-986
    Klinik und Poliklinik für Hals‑, Nasen- und Ohrenheilkunde, Kopf- und Halschirurgie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland.
    Background: Tufted angiomas (TAs) are uncommon benign vascular tumors mostly located cutaneously or subcutaneously in the skin of the neck and upper trunk, which appear during childhood and grow slowly. TAs are a variant of lobular capillary hemangiomas. This is the first study to provide an overview of the current literature in combination with the authors' own clinical experience on this rare entity in the head and neck area with non-dermatological localization. Read More

    "Fat Grafting in the Hollow Upper Eyelids and Volumetric Upper Blepharoplasty".
    Plast Reconstr Surg 2017 Jul 27. Epub 2017 Jul 27.
    1. División Cirugía Plástica, Hospital de Clínicas José de San Martín, Universidad de Buenos Aires, Buenos Aires, Argentina.
    Background: Periorbital volume loss creates a shadow frame, where traditional excisional blepharoplasties may aggravate the situation. Divergence in filling treatments establishes a demand for simple and reproducible techniques to achieve consistent results. Here, the author's hollow upper eyelid evaluation and treatment approach are presented. Read More

    Facial Nerve Supply to the Orbicularis Oculi around the Lower Eyelid: Anatomy and Its Clinical Implications.
    Plast Reconstr Surg 2017 Aug;140(2):261-271
    Seoul and Naju, Republic of Korea From the Department of Anatomy, Institute for Applied Anatomy, College of Medicine, The Catholic University of Korea; Choi-Yeop Plastic Surgery Clinic; the Department of Plastic and Reconstructive Surgery, Naju Community Health Center; and the Department of Otolaryngology-Head and Neck Surgery, National Medical Center.
    Background: The motor innervation of the lower orbicularis oculi has not been clearly established. There is a discrepancy between anatomical descriptions and clinical outcomes of the motor innervation of the pretarsal orbicularis oculi muscle. Therefore, the purposes of this study were to identify every motor and sensory nerve of the lower eyelid, and to reveal the detailed motor nerve pathways toward the medial canthal area. Read More

    A Case of Everolimus-Induced Eyelid Edema.
    Ophthal Plast Reconstr Surg 2018 Jan/Feb;34(1):e21-e22
    Hofstra Northwell Health School of Medicine, Department of Ophthalmology, Great Neck and Department of Ophthalmology, Mount Sinai Healthcare System, New York, New York, U.S.A.
    Everolimus is a newer generation mammalian target of rapamycin inhibitor approved for immunosuppressive use in a number of advanced medical conditions. The authors report a unique case of persistent eyelid edema believed to be related to the immunosuppressive therapy. The therapy was being well tolerated despite the persistent eyelid edema, so the patient underwent a bilateral upper eyelid blepharoplasty. Read More

    Updates on upper eyelid blepharoplasty.
    Indian J Ophthalmol 2017 Jul;65(7):551-558
    Department of Ophthalmic Plastic and Reconstructive Surgery and Oculofacial Aesthetic Services, Sri Sankaradeva Nethralaya, Guwahati, Assam, India.
    The human face is composed of small functional and cosmetic units, of which the eyes and periocular region constitute the main point of focus in routine face-to-face interactions. This dynamic region plays a pivotal role in the expression of mood, emotion, and character, thus making it the most relevant component of the facial esthetic and functional unit. Any change in the periocular unit leads to facial imbalance and functional disharmony, leading both the young and the elderly to seek consultation, thus making blepharoplasty the surgical procedure of choice for both cosmetic and functional amelioration. Read More

    Tufted angiomas of the head and neck.
    HNO 2018 Jan;66(Suppl 1):1-6
    Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
    Background: Tufted angiomas (TAs) are uncommon benign vascular tumors mostly located cutaneously or subcutaneously in the skin of the neck and upper trunk, which appear during childhood and grow slowly. TAs are a variant of lobular capillary hemangiomas. This is the first study to provide an overview of the current literature in combination with the authors' own clinical experience on this rare entity in the head and neck area with non-dermatological localization. Read More

    Correction of sunken upper eyelid with orbital fat transposition flap and dermofat graft.
    J Plast Reconstr Aesthet Surg 2017 Dec 24;70(12):1768-1775. Epub 2017 May 24.
    Dept. of Plastic and Reconstructive Surgery, Cheil General Hospital and Women's Healthcare Center, Dankook University College of Medicine, South Korea. Electronic address:
    Background: Sunken upper eyelid is a commonly found deformity among Asians, mostly due to the aging process and excessive orbital fat removal during oriental blepharoplasty procedures. This deformity is frequently accompanied by multiple, poorly defined upper eyelid folds and blepharoptosis. To date, autologous fat graft has been the treatment of choice for this group of patients. Read More

    Previously undescribed palpebral branch from the infraorbital canal: Application to surgery of the eyelid and treatment of orbital floor fractures.
    Clin Anat 2017 Sep 6;30(6):835-838. Epub 2017 Jul 6.
    Seattle Science Foundation, Seattle, Washington, 98122, USA.
    The sensory innervation of the inferior eyelid is mainly derived from the inferior palpebral branch (IPb) of the infraorbital nerve (ION). This study aimed to investigate another, to our knowledge, previously unknown branch, and elucidate its location and distribution. Twelve sides from seven fresh frozen cadaveric Caucasian heads were used in this study. Read More

    Comparison of Revision Rates of Anterior- and Posterior-Approach Ptosis Surgery: A Retrospective Review of 1519 Cases.
    Ophthal Plast Reconstr Surg 2017 Jun 2. Epub 2017 Jun 2.
    *TOC Eye and Face, Austin, Texas, †Ophthalmic Plastic and Reconstructive Surgery, Ophthalmology Service, Department of Surgery, Walter Reed National Military Medical Center Bethesda, Bethesda, Maryland, and ‡Department of Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas, U.S.A.
    Purpose: To compare revision rates for ptosis surgery between posterior-approach and anterior-approach ptosis repair techniques.

    Methods: This is the retrospective, consecutive cohort study. All patients undergoing ptosis surgery at a high-volume oculofacial plastic surgery practice over a 4-year period. Read More

    Measuring satisfaction with appearance: Validation of the FACE-Q scales for double-eyelid blepharoplasty with minor incision in young Asians- retrospective study of 200 cases.
    J Plast Reconstr Aesthet Surg 2017 08 20;70(8):1129-1135. Epub 2017 May 20.
    The First Hospital Affiliated to the People's Literative Army Hospital, 51#, Fucheng Road, Haidian District, Beijing, 100048, China.
    Background: Double eye-lid surgery is one of the most popular performed aesthetic procedures in young Asians. Reliable measurement of patient reported outcomes is crucial for facial aesthetics. The FACE-Q is a new patient-reported outcome tool (PRO) composed of numerous independently functioning scales and checklists designed to measure outcomes. Read More

    Asymmetry of Preoperative Incision Design Markings for Upper Blepharoplasty.
    J Craniofac Surg 2017 Jul;28(5):e419-e422
    *Department of Ophthalmology, Soonchunhyang University College of Medicine, Soonchunhyang University Bucheon Hospital, Bucheon †Department of Ophthalmology, Myung-Gok Eye Research Institute, Konyang University College of Medicine, Kim's Eye Hospital, Seoul, Korea.
    Purpose: To compare preoperative incision design markings between both eyelids in upper blepharoplasty.

    Methods: This retrospective study examined 22 patients who underwent bilateral upper blepharoplasty surgery resulting from senile dermatochalasis and/or blepharoptosis. The initial preoperative incision design markings were drawn with the patient sitting upright. Read More

    Blepharoplasty Effect on a Described Algorithmic Approach to External Ptosis Repair: Is It Time for Unbundling?
    Ophthal Plast Reconstr Surg 2017 May 17. Epub 2017 May 17.
    *Allure Laser Center and Medispa, Kirkland, Washington, and †University of Washington, Department of Ophthalmology, Seattle, Washington, U.S.A.
    Purpose: To investigate the effects of performing a previously described algorithmic levator resection for involutional ptosis with a blepharoplasty instead of through a small incision.

    Methods: Eyelids with involutional ptosis and normal levator function were included in the study. An upper blepharoplasty was performed first. Read More

    Minimally invasive brow lifting techniques.
    Curr Opin Ophthalmol 2017 Sep;28(5):539-543
    aDepartment of Ophthalmology bDepartment of Ophthalmology and Otolaryngology, University of Minnesota, Minneapolis, Minnesota, USA.
    Purpose Of Review: Aesthetic concerns about upper eyelid and brow position are very common in ophthalmic practice. Management of brow descent and devolumization requires an approach customized to each patient taking into consideration preoperative examination and patient desires. This article will review several minimally invasive techniques that can be used to address the needs of patients with mild-to-moderate brow ptosis. Read More

    Differences in Wait Times for Cosmetic Blepharoplasty by ASOPRS Members.
    Ophthal Plast Reconstr Surg 2017 May 2. Epub 2017 May 2.
    *Ophthalmic Plastic Surgery, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, and †Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts, U.S.A.
    Purpose: Adequate access to subspecialty care is of concern to patients and physicians alike. One measure of availability is the wait time for cosmetic procedures. The authors investigated geographical differences in wait times for cosmetic upper eyelid blepharoplasty of American Society of Ophthalmic Plastic and Reconstructive Surgery members across the country. Read More

    Wiedemann-Rautenstrauch Syndrome With Bilateral Tarsal Kink: Three Sutures for Correction.
    J Craniofac Surg 2017 May;28(3):831-832
    *Department of Ophthalmology, Medical Faculty, Yüzüncü Yil University, Van †Department of Ophthalmology, Medical Faculty, Gazi University, Ankara, Turkey.
    The authors describe a 5-month-old male infant with Wiedemann-Rautenstrauch syndrome, which is an extremely rare condition. He had tarsal kink in upper eyelids in both eyes. The authors treated bilateral tarsal kink with an everting suture via a transconjunctival approach under local anesthesia. Read More

    Conjunctival granuloma with necrosis associated with exposed suture in upper double lid masquerading as ocular surface squamous neoplasia: a case report.
    BMC Ophthalmol 2017 Apr 26;17(1):55. Epub 2017 Apr 26.
    Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea.
    Background: This study reports two cases of conjunctival granuloma with necrosis caused by an exposed suture in the upper palpebral conjunctiva masquerading as ocular surface squamous neoplasia.

    Case Presentation: Two patients presented with chronic conjunctival ulcerative and granulomatous lesions on the superior bulbar conjunctiva that repeatedly recurred after the mass was removed. The pathologic findings revealed the absence of malignant cells and presence of many lymphocytes, plasma cells, and histiocytes. Read More

    Three Skin Zones in the Asian Upper Eyelid Pertaining to the Asian Blepharoplasty.
    J Craniofac Surg 2017 Jun;28(4):892-897
    *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

    Glaucoma Drainage Device Erosion Following Ptosis Surgery.
    J Glaucoma 2017 Sep;26(9):e200-e201
    *School of Medicine †Department of Ophthalmology, Queen's University ‡Department of Ophthalmology, Hotel Dieu Hospital §Kingston General Hospital, Kingston ∥Institute for Clinical Evaluative Sciences, Kingston, ON, Canada.
    Purpose: To highlight the potential risk of glaucoma drainage device erosion following ptosis surgery.

    Methods: Case report.

    Results: A 71-year-old man underwent uncomplicated superotemporal Ahmed glaucoma valve implantation in the left eye in 2008. Read More

    Topographic analysis of eyelid position using digital image processing software.
    Acta Ophthalmol 2017 Nov 9;95(7):e625-e632. Epub 2017 Apr 9.
    Department of Ophthalmology, Chung-Ang University College of Medicine, Chung-Ang University Hospital, Seoul, Korea.
    Purpose: To propose a novel analysis technique for objective quantification of topographic eyelid position with an algorithmatically calculated scheme and to determine its feasibility.

    Methods: One hundred normal eyelids from 100 patients were segmented using a graph cut algorithm, and 11 shape features of eyelids were semi-automatically quantified using in-house software. To evaluate the intra- and inter-examiner reliability of this software, intra-class correlation coefficients (ICCs) were used. Read More

    Tangent screen perimetry in the evaluation of visual field defects associated with ptosis and dermatochalasis.
    PLoS One 2017 29;12(3):e0174607. Epub 2017 Mar 29.
    Department of Ophthalmology, Mayo Clinic, Rochester, Minnesota, United States of America.
    Purpose: To determine if tangent visual fields gathered during assessment of superior visual field deficits caused by blepharoptosis and dermatochalasis offer good correlation to clinical exam in a time and cost efficient manner.

    Methods: Prospective, observational case series. Subjects included all patients referred to a single surgeon (CCN) who underwent surgical correction of blepharoptosis and/or dermatochalasis. Read More

    Enhanced Fasanella-Servat Procedure for the Graded Repair of Blepharoptosis.
    Ophthal Plast Reconstr Surg 2017 Nov/Dec;33(6):474-476
    *Ophthalmic Plastic and Reconstructive, and Orbital Surgery Division, Department of Ophthalmology, New York Presbyterian Hospital, Columbia University Medical Center, New York, New York, U.S.A.; and †Ocular Plastics Unit, Department of Ophthalmology, Prince of Wales Hospital, University of New South Wales, Sydney, New South Wales, Australia.
    Purpose: To describe in detail a technique for a modified Fasanella-Servat procedure that provides a simplified method for graded Mueller muscle excision with minimal and controlled tarsal excision.

    Methods: A retrospective study of 71 patients (102 eyelids) who underwent the modified Fasanella-Servat procedure is reported. Measurements include the preoperative, post-phenylephrine, and postoperative margin-to-reflex distance-1, and postoperative upper eyelid height symmetry as determined by the absolute difference between right- and left-sided margin-to-reflex distance-1. Read More

    Reconstruction of Combined Upper and Lower Eyelid Defects in a Patient With Lentigo Maligna.
    Dermatol Surg 2017 05;43 Suppl 1:S111-S114
    *Department of Ophthalmology, Hospital de l´Espearnça, Parc de Salut Mar, Barcelona, Spain; †Department of Dermatology, Hospital Universitario de Donostia, San Sebastian, Spain; and ‡Department of Dermatology, Hospital del Mar, Parc de Salut Mar, Barcelona, Spain.

    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 Jun 8;41(3):573-579. 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 Jul;19(4):293-297
    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 Dec 15;95(8):820-825. 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

    Rethinking Our Definition of Postoperative Success: A Comparative Analysis of Three Upper Eyelid Retraction Repair Techniques Using Novel Metrics to Capture Functional and Aesthetic Outcomes.
    Ophthal Plast Reconstr Surg 2018 Jan/Feb;34(1):55-63
    Purpose: To compare 3 upper eyelid retraction repair techniques and introduce novel metrics, which enhance the analysis of postoperative aesthetic outcomes.

    Methods: Retrospective review with Image J 1.48 digital analysis of patients who underwent repair of thyroid-related upper eyelid retraction at the University of Iowa from 1996 to 2014 via 1 of 3 surgical techniques, septum-opening levator recession with Muellerectomy, modified septum-preserving levator recession with Muellerectomy, and modified septum-preserving full-thickness blepharotomy, was conducted. Read More

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