ABSTRACT
Objective To explore the clinical classification of upper lid dermatochalasis in mid dle-aged and elderly women for choosing appropriate surgical methods and evaluating the efficacy of the treatment.Methods A lot of 98 cases of middle-aged and elderly women above 40,who underwent surgical treatment between January 2005 and September 2015,were retrospectively analyzed.The dermatochalasis was classified according to the relaxation of upper lid soft tissue,eyebrow ptosis and the effect of eye function.Therefore,four surgical treatments were designed for patients-upper eyelid incision,infraeyebrow incision,eyebrow lifting and upper eyelid incision plus eyebrow lifting.Results Of the 133 treated cases,the post-operative cosmetic result was assessed as very satisfactory in 107 (80.4％) cases;as satisfactory in 19 (14.3％) cases,and as dissatisfactory in 7 (5.3％) cases.Conclusions The key to satisfactory treatment of upper lid blepharoplasty for middle aged and elderly women lies in designing personalized treatments and choosing appropriate surgical methods according to the classification of upper lid relaxation.
ABSTRACT
PURPOSE: The present study investigated the outcomes of browlift using various surgical methods including direct browplasty, endoscopic browlift and transblepharoplasty browlift. METHODS: Twenty-eight brow ptosis cases in 19 patients were treated in the present study. The mean patient age was 67.9 +/- 9.7 years, and the mean observation period was 9.0 +/- 3.8 months. Nine cases were treated with direct browplasty, eight cases with endoscopic browlift and 11 cases with transblepharoplasty browlift. Photographs of patients were taken before surgery and two months, six months and on the final follow-up after surgery. The brow-to-pupil distance (BPD), brow-to-medial canthus distance (BMCD), and brow-to-lateral canthus distance (BLCD) were analyzed by the Image J Program. RESULTS: BPD increased 1.88 +/- 0.99 mm, BMCD increased 1.06 +/- 1.21 mm and BLCD increased 1.36 +/- 1.17 mm in all patients six months after surgery. Regarding the change in BPD, direct browplasty increased 1.79 +/- 1.29 mm, endoscopic browlift increased 1.94 +/- 0.80 mm and transblepharoplasty browlift increased 1.90 +/- 0.94 mm without significant difference among the groups on the final follow-up. In terms of brow shape, direct browplasty effectively elevated the lateral brow and endoscopic browlift effectively elevated the medial brow compared to other procedures. No significant complications were observed in any patient. CONCLUSIONS: Browlift techniques such as direct browplasty, endoscopic browlift and transblepharoplasty browlift are safe and effective surgical methods to correct brow height and shape in patients with brow ptosis without any significant complications.