Sub-brow blepharoplasty for simultaneous correction of dermatochalasis with upper eyelid hooding and sunken eyelids
Archives of Aesthetic Plastic Surgery
;
: 27-31, 2019.
Article
in English
| WPRIM
| ID: wpr-739168
ABSTRACT
Periorbital dermatochalasis with upper eyelid hooding, brow ptosis, and sunken eyelids may appear with age. Because classic blepharoplasty is unable to correct all these issues, we developed a single operation, which we present herein, to correct dermatochalasis accompanied by sunken eyelids. This sub-brow approach is used with simultaneous browpexy by fixing the orbital portion of the orbicularis oculi muscle (OOM) to the periosteum immediately above the supraorbital rim using sutures with 3 or 4 points of fixation and correcting sunken eyelids by burying the elevated dermis, fat, and OOM after de-epithelization in the lower flap of the sunken upper eyelid along the submuscular plane. This method enables the correction of sunken eyelids during the same operation without requiring an additional procedure, and offers the advantages of a shortened operation time and decreased cost. The presence of sunken eyelids in patients with dermatochalasis and severe lateral hooding may be corrected by the procedure described herein, thereby achieving periorbital rejuvenation while maintaining the original shape of the eyes.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Orbit
/
Periosteum
/
Rejuvenation
/
Sutures
/
Skin Aging
/
Blepharoplasty
/
Dermis
/
Eyelids
/
Methods
Limits:
Humans
Language:
English
Journal:
Archives of Aesthetic Plastic Surgery
Year:
2019
Type:
Article
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