1,839 results match your criteria Eyelid Reconstruction Upper Eyelid

Outcomes of Single Suture Mueller's Muscle Conjunctival Resection: Ethnic Considerations.

Ophthalmic Plast Reconstr Surg 2021 Jun 4. Epub 2021 Jun 4.

Department of Ophthalmology, Hadassah Medical Organization and Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel Department of Ophthalmology, Dongguk University Ilsan Hospital, Goyang, Gyeonggido, Korea Division of Oculofacial Plastic and Reconstructive Surgery, Viterbi Family Department of Ophthalmology, UC San Diego Shiley Eye Institute, La Jolla, California, U.S.A. Division of Plastic Surgery, UC San Diego, La Jolla, California, U.S.A.

Purpose: To compare outcomes of Mueller's Muscle Conjunctival Resection (MMCR) between 2 groups of patients with different anatomy due to ethnic heritage.

Methods: The medical records of patients who underwent MMCR between 2013 and 2018 were retrospectively reviewed. Patients who underwent additional procedures, such as upper blepharoplasty and browplasty, were excluded from the study. Read More

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A Rare Case of Cutaneous Mucoepidermoid Carcinoma of the Eyelid: A Case Report and Literature Review.

Case Rep Ophthalmol 2021 May-Aug;12(2):380-385. Epub 2021 May 10.

Department of Oculoplastic and Reconstructive Surgery, Toledo Clinic, Toledo, Ohio, USA.

Mucoepidermoid carcinoma (MEC) is most commonly found to affect the salivary glands and rarely affects other organ systems. In this report, we present an especially rare case of cutaneous MEC affecting the eyelid. A 72-years-old female patient presented with a painless, cyst-like, progressively enlarging lesion of the left upper eyelid. Read More

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Ideal esthetic and functional full-thickness lower eyelid "like with like" reconstruction using a combined Hughes flap and swing skin flap technique.

J Plast Reconstr Aesthet Surg 2021 Apr 22. Epub 2021 Apr 22.

Department of Plastic and Reconstructive Surgery, Cancer Institute Hospital, Tokyo, Japan.

Background: A goal in ideal lower eyelid reconstruction is to achieve not only an esthetic recovery of the shape of the eyelid but also to obtain satisfactory eyelid function without damage to the corneal surface. In this report, we introduce our "Like with Like" reconstruction technique using a combined Hughes flap and swing skin flap. The Hughes flap is a tarsoconjunctival pedicled flap from the upper eyelid, and the swing skin flap is a kind of transposition flap based on the orbicularis muscle pedicle. Read More

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Simultaneous Orthognathic Surgery With Asian Double Eyelid Suture Blepharoplasty.

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

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Upper eyelid blepharoplasty following hyaluronic acid injection with improved facial aesthetics and eye symptoms: a case report.

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

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A modified method for upper eyelid reconstruction with innervated orbicularis oculi myocutaneous flaps and lower lip mucosal grafts.

JPRAS Open 2021 Jun 24;28:131-139. Epub 2021 Mar 24.

Department of Plastic Surgery, National Hospital Organization Osaka National Hospital, Osaka, Japan.

Background: Numerous reports have described methods for repairing full-thickness upper eyelid defects using lower eyelid tissue. To avoid sacrificing the lower eyelid and thereby prevent lower eyelid sagging or dysfunction, we used innervated orbicularis oculi myocutaneous flaps harvested from the upper eyelid for upper eyelid reconstruction.

Methods: We modified a method reported by Moschella and Cordova for repairing full-thickness upper eyelid defects using innervated bipedicled orbicularis oculi myocutaneous flaps mobilized from the upper eyelid and labial mucosal grafts. Read More

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A case report of reconstruction of ocular and complete upper eyelid avulsion with severe facial soft tissue injuries using anterolateral thigh free flap.

Int J Surg Case Rep 2021 May 1;82:105856. Epub 2021 Apr 1.

Reconstructive Microsurgery Section, Division of Plastic Surgery, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo National Hospital, Jakarta, Indonesia.

Introduction And Importance: Ocular injury is second mostly caused by motor vehicle accident (MVA) and often leads to severe ocular injury even to visual loss and various aesthetic problems. The outcome is determined by the magnitude of the initial damage and treatment availability. Treating ocular and facial injury due to MVA is challenging given the scope of the damage and may result in various outcomes. Read More

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Reconstruction of an Extensive Periocular and Bilamellar Defect of the Lower and Upper Eyelid Using Local, Regional and Free Chondral Graft Techniques: A Case Report.

World J Plast Surg 2021 Jan;10(1):125-131

Beverly Hills Sunset Surgery Center at Valiant Clinic Dubai, United Arab Emirates.

A 65-year-old female patient with a histologically confirmed basal cell carcinoma located at the right lateral lower eyelid was referred for surgical tumour excision and reconstruction of the periorbital area. The periocular zone was reconstructed in a two-staged procedure with bilamellar repair of both eyelids. An autologous chondral graft, mucosal advancement techniques and a periosteum-temporalis fascia hinged turnover flap were used for reconstruction of the posterior lamellae. Read More

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January 2021

Reconstruction of total upper eyelid defects using a myocutaneous advancement flap and a composite contralateral upper eyelid tarsus and hard palate grafts.

JPRAS Open 2021 Jun 5;28:52-55. Epub 2021 Feb 5.

Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami, Miller School of Medicine, Miami, FL, United States.

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Recurrent contracted sockets treated with personalized, three-dimensionally printed conformers and buccal grafts.

Eur J Ophthalmol 2021 Mar 11:11206721211000013. Epub 2021 Mar 11.

Amsterdam UMC, Department of Ophthalmology, Amsterdam Orbital Center, University of Amsterdam, Meibergdreef 9, Amsterdam, the Netherlands.

Purpose: Recurrent contracted sockets are complex situations where previous surgeries have failed, disabling the wear of an ocular prosthesis. A combined method of surgery and long-term fixation using custom-made, three-dimensional (3D) printed conformers is evaluated.

Methods: Retrospective case series of nine patients with recurrent excessive socket contraction and inability to wear a prosthesis, caused by chemical burns ( = 3), fireworks ( = 3), trauma ( = 2) and enucleation and radiotherapy at childhood due to optic nerve glioma ( = 1) with three average previous socket surgeries (range 2-6). Read More

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Blepharoplasty Approach to the Orbital Rim: A Novel Approach for Select Patients Presenting for Gender Affirming Facial Plastic Surgery.

J Craniofac Surg 2021 Mar-Apr 01;32(2):705-707

Department of Otolaryngology--Head and Neck Surgery, University of Washington.

Background: Gender affirming facial surgery is a valuable option for patients with gender dysphoria. Traditionally, procedures for the upper third of the face focus on hairline position and contour of bony prominences via a coronal or trichophytic incision. These traditional approaches require large incisions and extensive dissection, which is not desirable for many patients and potentially avoidable in specific situations. Read More

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Primary Reconstruction of Extensive Forehead Defects Using Supraorbital Artery Propeller Perforator Flap.

J Oral Maxillofac Surg 2021 Feb 9. Epub 2021 Feb 9.

Professor, Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing, China. Electronic address:

Purpose: Extensive resection of skin carcinomas in the periorbital and forehead regions often results in complicated defects involving the upper eyelid, superciliary arch, and nasal dorsum. The aim of this study is to report our experience with the use of supraorbital artery perforator propeller flaps for primary repair of complicated forehead defects.

Methods: A total of 6 patients underwent carcinoma resection with primary surgical reconstruction using supraorbital propeller flap at the Peking University School and Hospital of Stomatology from December 2015 to December 2018. Read More

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February 2021

Usefulness of full-thickness skin grafting from the infraclavicular area for facial reconstruction.

Arch Craniofac Surg 2020 Dec 20;21(6):357-362. Epub 2020 Dec 20.

Department of Plastic and Reconstructive Surgery, Jeju National University School of Medicine, Jeju, Korea.

Background: Full-thickness skin grafts (FTSGs) have been widely used after facial skin cancer resection, for correcting defects that are too wide to be reconstructed using a local flap or if structural deformation is expected. The preauricular, posterior auricular, supraclavicular, conchal bowl, nasolabial fold, and upper eyelid skin areas are known as the main donor sites for facial FTSG. Herein, we aimed to describe the effectiveness of using infraclavicular skin as the donor site for specific cases. Read More

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December 2020

A Retrospective Study of Double Eyelid Surgery for Sunken Upper Eyelid in Chinese.

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

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Experience of Comprehensive Three Dimensional Epicanthoplasty With Upper Blepharoplasty in Asian Patients.

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

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Commentary on: Current Upper Blepharoplasty and Ptosis Management Practice Patterns Among The Aesthetic Society Members.

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

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

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Commentary on: Secondary Upper Blepharoplasty: Converting Static Folds Into Dynamic Folds.

Edmund Kwan

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

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

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Dermatochalasis Through Decades: A Histopathologic Study.

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

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An Accurate Upper Lid Blepharoplasty: A Key Component of Facial Rejuvenation.

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

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Lower eyelid fornix deepening: A new indication for the facial artery myomucosal flap.

Arch Plast Surg 2021 Jan 20;48(1):80-83. Epub 2021 Jan 20.

Department of Ophthalmology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Malaysia.

Eye socket contracture is a well-known late complication of enucleation surgery, and the additional insult of radiotherapy at an early age causes even further fibrosis and scarring of the socket. Management of the contracted socket is challenging, and several methods have been proposed. We report a case of eye socket contracture after enucleation and radiotherapy in which multiple reconstructive procedures failed. Read More

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January 2021

Local Anesthesia Injection in Upper Blepharoplasty Surgery: A Side at a Time or Both Sides at Once? A Prospective Randomized Study.

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

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February 2021

Influence of upper blepharoplasty on intraocular lens calculation.

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

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February 2021

Eyelid Surgery in Graves' Orbitopathy.

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

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January 2021

A Comprehensive Approach to Upper Eyelid Rejuvenation Surgery.

Aesthetic Plast Surg 2021 06 5;45(3):1047-1055. Epub 2021 Jan 5.

Department of Plastic Surgery, Mylike Medical Cosmetic Hospital, 789 West Yan'an Road, Shanghai, 200050, China.

Background: Upper eyelid aging results from comprehensive changes, and studies have failed to comprehensively address these changes.

Objectives: This study proposes a comprehensive approach to the surgical treatment of aging upper eyelids.

Methods: Data of 116 patients with aging upper eyelids were analyzed. Read More

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Treatment of Recurrent Primary Cutaneous Mucinous Carcinoma of the Eyelid with Modified Wide Local Excision.

Case Rep Ophthalmol Med 2020 18;2020:6668640. Epub 2020 Dec 18.

Department of Ophthalmology, University of Florida, Gainesville, FL, USA.

Primary cutaneous mucinous carcinoma (PCMC) is a rare, low-grade malignant neoplasm of the sweat gland, whose history has been controversial regarding eccrine versus apocrine origin. This case report describes a 53-year-old male who presented to the University of Florida, Gainesville, ophthalmology clinic and was referred to the oculoplastics service with a painless, subcentimeter mass on the lateral right upper eyelid including the canthus, consistent with recurrent primary cutaneous mucinous carcinoma of the eyelid. Four years prior, the patient had undergone excisional biopsy of the lesion in a clinic, which revealed residual tumor, but the patient deferred further surgery at the time. Read More

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December 2020

Intricacies of Upper Blepharoplasty in Asian Burden Lids.

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

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October 2020

Cowpox: How dangerous could it be for humans? Case report.

Int J Infect Dis 2021 Mar 24;104:239-241. Epub 2020 Dec 24.

Department of Ophthalmology, Medical University of Warsaw, Ophthalmic University Hospital (SPKSO), Marszałkowska 24/26, 00-576 Warsaw, Poland.

Cowpox is a rare zoonosis transmitted to humans mainly from cats. The disease usually causes skin lesions; however, the ocular form may lead to other serious complications. We describe a case of cowpox in a rare location of the upper eyelid of an immunocompetent male, which lead to necrosis of the upper eyelid, keratitis and leucomatous opacity, and the neovascularization of the cornea. Read More

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The anterior layer of the levator aponeurosis in blepharoptosis correction.

J Plast Reconstr Aesthet Surg 2021 Jun 14;74(6):1309-1315. Epub 2020 Nov 14.

Department of Plastic and Reconstructive Surgery, Inje University, Ilsan Paik hospital, Korea.

Background: Conventional aponeurotic surgery for blepharoptosis has many advantages, but there is a potential for recurrence and lagophthalmos. The anatomy of the levator palpebrae muscle is relatively well studied, but the relationship of levator aponeurosis with surrounding layers is still controversial. This study aims to prove the presence of an anterior layer of the levator aponeurosis in clinical cases and to describe a technique involving its use for obtaining predictable outcomes in blepharoptosis correction. Read More

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Sebaceous Carcinoma of the Eyelid: A Systematic Review and Meta-Analysis.

Dermatol Surg 2021 01;47(1):104-110

Department of Otolaryngology, Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina.

Background: Sebaceous carcinoma (SC) of the eyelid is a rare, aggressive malignancy associated with high rates of recurrence, metastasis, and tumor-related mortality.

Objective: Provide a collective analysis of clinical presentations, management techniques, and outcomes, and compare outcomes of common treatment methods.

Methods And Materials: Observational studies reporting management and outcomes of SC of the eyelid were included. Read More

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January 2021