Subtle Eyelid Retraction after Lower Blepharoplasty
| Autor: | Jonathan A. Harounian, Allan E. Wulc, Sathyadeepak Ramesh, Alan B. Brackup |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Blepharoplasty Male medicine.medical_specialty Esthetics medicine.medical_treatment Risk Assessment Cohort Studies 03 medical and health sciences Postoperative Complications 0302 clinical medicine medicine Blepharoptosis Humans Oculoplastics Canthus Surgery Plastic 030223 otorhinolaryngology Retrospective Studies EYELID RETRACTION business.industry Entropion Suture Techniques Significant difference Lower eyelid retraction Eyelids Middle Aged eye diseases Surgery body regions Treatment Outcome medicine.anatomical_structure Patient Satisfaction 030221 ophthalmology & optometry Reflex Female sense organs Eyelid business |
| Zdroj: | Journal of Plastic, Reconstructive & Aesthetic Surgery. 72:1682-1687 |
| ISSN: | 1748-6815 |
| DOI: | 10.1016/j.bjps.2019.06.024 |
| Popis: | Summary Background Lower blepharoplasty is one of the commonest cosmetic surgeries performed in the United States. The delicate balance of the lower eyelid may be detrimentally altered in lower blepharoplasty, leading to lower eyelid retraction with the attendant functional and cosmetic consequences. Marginal reflex distance-2 (MRD2) is an insensitive measure for subtle lower eyelid retraction, and the MRD2 at the lateral limbus (MRD2limbus) and tarsal marginal show (TMS) may be more sensitive in identifying eyelid retraction and eversion. Methods This is a cohort study of consecutive patients undergoing lower blepharoplasty with skin pinch removal, laser resurfacing, or skin pinch removal with prophylactic lateral canthal resuspension. Mean follow-up was 22.1 weeks. Results There was no significant difference in MRD2 after surgery after either laser resurfacing, skin pinch, or skin pinch with canthoplasty, either after surgery or between groups. MRD2limbus was significantly increased after surgery in the skin pinch only group (p Conclusions MRD2limbus and TMS are more sensitive markers for lower eyelid retraction than MRD2. Subtle eyelid retraction and eversion occur after anterior lamellar work and can be prevented with prophylactic lateral canthal resuspension. |
| Databáze: | OpenAIRE |
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