Upper Eyelid Blepharoplasty: A Novel Method to Predict and Improve Outcomes
| Autor: | Geoffrey J Gladstone, Jessie Wang, Anne Barmettler, Moonseong Heo |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Blepharoplasty Male medicine.medical_specialty medicine.medical_treatment Eye disease 030230 surgery 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Eyelid surgery medicine Blepharoptosis Humans Prospective Studies Aged Aged 80 and over business.industry Eyelids General Medicine Middle Aged medicine.disease eye diseases Surgery body regions Treatment Outcome medicine.anatomical_structure Female sense organs Eyelid business |
| Zdroj: | Aesthetic Surgery Journal. 38:NP156-NP164 |
| ISSN: | 1527-330X 1090-820X |
| DOI: | 10.1093/asj/sjy167 |
| Popis: | Background In some upper eyelid blepharoplasties, maximal skin removal may not result in desired outcomes; raising crease height can therefore be considered. Currently, there is no method to determine the amount of skin to be excised and/or crease elevation required to achieve a specific outcome. Objective This study extrapolated an equation to determine amount of skin excision and/or lid crease elevation needed to achieve a specific eyelid margin to fold distance (MFD). Methods This institutional review board-approved, HIPAA-compliant study was a prospective, nonrandomized clinical trial. Patients were included if aged 30 to 100 years old and underwent upper eyelid blepharoplasty with one surgeon between 2012 and 2014. Exclusion criteria were thyroid eye disease, myasthenia gravis, myotonic dystrophy, pregnancy, blepharoptosis, prior eyelid surgery or trauma, concurrent brow surgery, and topical alpha-agonists. The following data were collected preoperatively and at postoperative months 1 and 6: age, gender, BMI, brow position, MFD, margin to crease distance (distance between eyelid margin and crease, MCD), and vertical skin distance (distance between eyelid margin and brow, VSD). Results A total 322 eyelids of 164 patients underwent 208 skin excisions, 26 crease elevations, and 88 combined skin excision and crease elevation. Age, gender, and BMI category were all nonsignificant and excluded from the final model. This equation was extrapolated with regression analysis: Change in MFD = -0.40 + (-0.28 × Change VSD) + (0.53 × Change MCD) with |R| = 0.28. Conclusion To better predict and obtain desired upper eyelid blepharoplasty outcomes, the authors created an equation. Level of Evidence 4 |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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