Sample records for blepharoplasty

  1. Aging Blepharoplasty

    Directory of Open Access Journals (Sweden)

    Inchang Cho


    Full Text Available In performing upper blepharoplasty in the elderly, looking younger and keeping the eyelidsharmonious with the rest of the face have to be achieved at the same time. The most importantgoal in upper blepharoplasty for aging is correcting the drooping upper eyelid skin, and inthis process, the surgeon may or may not create a double eyelid fold. The pros and cons haveto be fully discussed with the patient, but the author personally prefers creating a doublefold unless the patient refuses, because it is efficient in correcting and preventing furtherdrooping of the skin. In most patients, the brow is elevated to compensate for the droopingeyelid, and when the drooping is corrected, brow ptosis may ensue. The surgeon has to preparefor these consequences before performing the procedure, and estimate the exact amountof skin to be excised. In the elderly, the skin and the orbicularis oculi muscle is thin, with adecreased amount of subcutaneous fat and retro-orbicularis oculi fat, and in most cases,excision of the skin alone is enough to correct the deformity. Removing large portions ofsoft tissue may also prolong the recovery period. Unlike younger patients, the lower skinflap should not be stretched too much in the elderly, as it may create an aggressive lookingappearance. A few wrinkles in the lower flap should remain untouched to create a naturallook. In this article, the author’s own methods of performing an aging blepharoplasty aredescribed specifically, with a step-by-step guide and surgical tips.

  2. Transconjunctival upper blepharoplasty. (United States)

    Januszkiewicz, J S; Nahai, F


    Transconjunctival lower lid blepharoplasty now has an established role as an option in rejuvenation of the lower eyelid. Transconjunctival upper lid blepharoplasty, or transconjunctival removal of medial upper eyelid fat, also has a role in rejuvenation of the upper eyelid. However, this is a rather limited role. We have found this approach safe and efficacious as a primary as well as a secondary procedure for removal of excess medial upper eyelid fat. We report on 20 patients who have undergone this operation: 5 as a primary procedure and 15 as secondary. There were no complications, no revisions, and the patients have been uniformly happy with their results.

  3. Complications of blepharoplasty. (United States)

    Morax, Serge; Touitou, Valerie


    The complications of blepharoplasty are infrequent, most often minor and transient, and rarely major and permanent with functional or aesthetic consequences. Treatment is above all preventive with screening of "at risk" patients in whom blepharoplasty would be contra-indicated. Patients must be informed of possible risks through informative booklets stressing the most important points. The complications may affect vision. Partial or complete visual loss due to ischemic optic neuropathy, or rarely to compression of the ocular globe by intraorbital hemorrhage, is the most serious complication. Other visual complications include oculomotor disorders, keratoconjunctivitis sicca, epiphora, and chemosis of lymphatic origin. Eyelid complications are more frequent: ptosis of the upper eyelid or lagophthalmia caused by incorrect resection of the skin, scarring, and eyelid fold anomalies. The most severe aesthetic complication is the malposition of the lower eyelid resulting in retraction, lagophthalmia, ectropion, deformation of the external canthus, or lower eyelid tissue relaxation. These malpositions are often minor, sometimes reversible, but they can be major, with psychological, aesthetic, and functional consequences. Other local complications include enophthalmia and hypo- or hypercorrection. General complications may include pigmentation anomalies or infections extending as far as the orbital fat tissue. Finally, complications observed after the newer procedures of laser surgery include ectropion, burns and residual redness. Complications related to periocular injections of filling material are also mentioned. The discussion of these complications is followed by a comprehensive review of the prevention, diagnosis and management of the complications after blepharoplasty.

  4. [Complications of blepharoplasty]. (United States)

    Morax, S


    Blepharoplasty complications are infrequent, most often minor and transitory, rarely major and permanent with functional or esthetic consequences. Treatment is above all preventive: screening at risk patients with a history of ophthalmic problems, but also general illnesses that would contraindicate blepharoplasty. Patients must be informed of possible risks through informative booklets with the most important points underlined. Complications can be purely ophthalmological, the more serious sequelae being partial or complete visual loss due to ischemic optical neuropathy, with very poor prognosis, or more rarely compression of the ocular globe by intraorbital hemorrhage, which has a better prognosis provided the origins are quickly recognized and treated immediately. Other visual complications include oculomotor problems, keratoconjunctivitis sicca, epiphora, and chemosis of lymphatic origin. Eyelid complications are more frequent: ptosis on the upper eyelid or lagophthalmia caused by incorrect resection of the skin, scarring and eyelid fold anomalies. The most serious esthetic complication is the malposition of the lower eyelid, which can manifest as retraction, lagophthalmia, ectropion, deformation of the external canthus, or lower eyelid tissue relaxation. These malpositions are quite often minor, sometimes reversible, but at times major, with psychological, esthetic and functional consequences that are difficult for the patient. Other local complications also arise: enophthalmia with a sunken lid, as well as under- and overcorrection. General complications can include scarring related to pigmentation problems and residual hematomas, and exceptionally infections going as far as the orbital fat tissue. Finally, other complications are related to new laser surgical techniques that are responsible for ectropion of the lower eyelid and even burns or residual redness, or complications related to periocular injections of filling material. A comprehensive review of

  5. Blepharoplasty Basics for the Dermatologist. (United States)

    Scawn, Richard; Gore, Sri; Joshi, Naresh


    Blepharoplasty is amongst the more frequently performed aesthetic procedures with surgery performed by physicians and surgeons across a variety of sub-specialities. This paper, aimed at a dermatology audience, describes patient selection, eyelid anatomy, clinical examination and surgical steps to achieve successful upper and lower lid blepharoplasty outcomes. Recommendations for minimising complications are made and photographs used to illustrate important clinical and surgical features.

  6. Blepharoplasty basics for the dermatologist

    Directory of Open Access Journals (Sweden)

    Richard Scawn


    Full Text Available Blepharoplasty is amongst the more frequently performed aesthetic procedures with surgery performed by physicians and surgeons across a variety of sub-specialities. This paper, aimed at a dermatology audience, describes patient selection, eyelid anatomy, clinical examination and surgical steps to achieve successful upper and lower lid blepharoplasty outcomes. Recommendations for minimising complications are made and photographs used to illustrate important clinical and surgical features.

  7. Lacrimal gland fistula after upper eyelid blepharoplasty

    Directory of Open Access Journals (Sweden)

    Mohsen Bahmani Kashkouli


    Full Text Available To report the first case of lacrimal gland fistula after upper eyelid blepharoplasty for blepharochalasis. Standard upper blepharoplasty and the hooding excision were performed in a female with blepharochalasis. The patient developed a fistulous tract with tearing from the incision few days after hooding excision. Fistula excision and lacrimal gland repositioning were performed. There were no complications after the repositioning procedure (6 months follow up. Prolapsed lacrimal gland and fistula formation can occur after upper blepharoplasty hooding excision.

  8. Blepharoplasty (United States)

    ... Lines and Forehead Furrows Hair Loss Hyperpigmentation Melasma Sagging Skin Scars Skin Growths Skin Lesions Spider Veins ... Lines and Forehead Furrows Hair Loss Hyperpigmentation Melasma Sagging Skin Scars Skin Growths Skin Lesions Spider Veins ...

  9. Bimatoprost-induced chemical blepharoplasty. (United States)

    Sarnoff, Deborah S; Gotkin, Robert H


    We report significant changes in the appearance of the periorbital area, beyond eyelash enhancement, induced by the topical application of bimatoprost ophthalmic solution, 0.03% (Latisse®, Allergan, Inc., Irvine, CA). To our knowledge, this is the first report in the dermatology or plastic surgery literature describing the rejuvenating effect and overall improvement in the appearance of the periorbital area resulting from applying Latisse to the upper eyelid margins. To date, reports in the literature discuss side-effects and potential complications of topical bimatoprost therapy causing a constellation of findings known as PAP (prostaglandin-associated periorbitopathy). While periorbitopathy implies pathology or a state of disease, we report changes that can be perceived as an improvement in the overall appearance of the periorbital area. We, therefore, propose a name change from PAP to PAPS - prostaglandin- associated periorbital syndrome. This better describes the beneficial, as well as the possible negative effects of topical bimatoprost. Although there is a risk for periorbital disfigurement, when used bilaterally, in properly selected candidates and titrated appropriately, bimatoprost can be beneficial. The striking improvement in the appearance of some individuals warrants further research into the potential use of topical bimatoprost to achieve a "chemical blepharoplasty."

  10. Complications of lower blepharoplasty and midface lifting. (United States)

    Schwarcz, Robert M; Kotlus, Brett


    Lower eyelid blepharoplasty and midface lifting share a complex anatomy, which should be mastered before attempting these types of surgeries. In recent years, there have been significant contributions to rejuvenating this area. A thorough understanding of the rejuvenative approaches and their outcomes is imperative. Thus, the problem must be preoperatively evaluated to offer the appropriate technique and minimize complications.

  11. Cervicofacial necrotizing fasciitis. A devastating complication of blepharoplasty. (United States)

    Ray, A M; Bressler, K; Davis, R E; Gallo, J F; Patete, M L


    We report a case of cervicofacial necrotizing fasciitis that developed after blepharoplasty, an occurrence that, to our knowledge, has not previously been reported in the medical literature. A patient who presented to our institution 3 days after undergoing blepharoplasty of the upper eyelid was diagnosed as having fulminant fasciitis involving extensive areas of the face, scalp, and neck. We review the case in detail and discuss clinical and radiological clues to diagnosis, surgical and medical management, wound care, and subsequent scar contracture. This case emphasizes the need for individualized, appropriate postoperative care and for an awareness of this rare, potentially fatal complication. Early recognition and aggressive treatment of cervicofacial fasciitis can arrest its rapid progression and prevent devastating sequelae.

  12. Angle closure glaucoma following a combined blepharoplasty and ectropion repair. (United States)

    Gayton, J L; Ledford, J K


    This paper reports an occurrence of angle closure glaucoma following a combined blepharoplasty and ectropion repair. We are unaware of any previous reports of such an incident. Specific to this case was the coexistence of a cataract that contributed to the narrowing of the anterior chamber. This condition, along with pupil dilation secondary to the anesthetic, precipitated a phacomorphic angle closure glaucoma attack, necessitating emergency cataract surgery. Because other procedures involve pupillary dilation as a potential side effect, we recommend an increased awareness of this potential postoperative complication.

  13. A case of 18p deletion syndrome after blepharoplasty

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    Xu LJ


    Full Text Available Li-juan Xu,1 Lv-xian Wu,2 Qing Yuan,3 Zhi-gang Lv,1 Xue-yan Jiang2 1Department of Opthalmology, 2Department of Pediatrics, 3Department of Clinical Laboratory, Jinhua Central Hospital, Jinhua, Zhejiang, People’s Republic of China Objective: The deletion of the short arm of chromosome 18 is thought to be one of the rare chromosomal aberrations. Here, we report a case to review this disease.Case report: The proband is a five-and-a-half-year-old girl who has had phenotypes manifested mainly by ptosis, broad face, broad neck with low posterior hairline, mental retardation, short stature, and other malformations. Chromosomal analysis for her mother showed a normal karyotype. Her father and younger brother were phenotypically normal.Result: Phenotypical features were quite similar throughout other cases and in accordance with the usual phenotype of del(18p suggested within the same cases and among the del(18p cases described. She underwent blepharoplasty, which improved her appearance.Conclusion: 18p deletion syndrome is diagnosed by gene analysis. Plastic surgeries for improving the appearance might be an option for these patients. Keywords: chromosome, deletion, blepharoplasty

  14. [Cosmetic blepharoplasty complicated by necrotizing periorbital fasciitis: a case report]. (United States)

    Laouar, K; Ruban, J-M; Baggio, E; Dupeyron, G


    Necrotizing periorbital or palpebro-orbital fasciitis represents a unique anatomical site for necrotizing fasciitis, which is an extremely rare and very severe, potentially devastating bacterial infection, rapidly leading to facial necrosis with loss of vision and even death of the patient from toxic shock. In this paper, we report a case of necrotizing periorbital fasciitis as a complication of cosmetic lower eyelid blepharoplasty. Necrotizing fasciitis most often affects the upper and lower limbs, the trunk and the perineal area. It is rarely observed in the facial region due to the rich blood supply in this area. The most commonly implicated pathogen is group A, β-hemolytic "pyogenic"Streptococcus, either alone or in combination with other bacteria, such as staphylococcus or pseudomonas. Mortality varies according to the series and anatomical site. The mortality rate for necrotizing fasciitis is approximately 28 %. It is slightly lower in the periorbital area (15 %). Risk factors for death include alcoholism, diabetes mellitus, immunocompromise, hematologic or pulmonary diseases, and the identity of the causative agent (group A Streptococcus), although approximately 50 % of patients have no predisposing conditions. Management of periorbital necrotizing fasciitis is based on early detection of initial symptoms and on aggressive multidisciplinary treatment including surgical debridement of necrotic areas and antibiotic coverage. The timeliness of treatment and the multidisciplinary approach are considered to be the two essential factors in influencing the mortality and morbidity of this condition.

  15. Arnica Ointment 10% Does Not Improve Upper Blepharoplasty Outcome : A Randomized, Placebo-Controlled Trial

    NARCIS (Netherlands)

    van Exsel, Denise C. E.; Pool, Shariselle M. W.; van Uchelen, Jeroen H.; Edens, Mireille A.; van der Lei, Berend; Melenhorst, Wynand B. W. H.


    Background: It has been suggested that arnica can reduce postoperative edema and ecchymosis associated with cosmetic surgical procedures and improve outcome. Despite a high incidence of arnica use among upper blepharoplasty patients, evidence to support its treatment effect is lacking. The authors p

  16. Arnica Ointment 10% Does Not Improve Upper Blepharoplasty Outcome : A Randomized, Placebo-Controlled Trial

    NARCIS (Netherlands)

    van Exsel, Denise C E; Pool, Shariselle M W; van Uchelen, Jeroen H; Edens, Mireille A; van der Lei, Berend; Melenhorst, Wynand B W H


    BACKGROUND: It has been suggested that arnica can reduce postoperative edema and ecchymosis associated with cosmetic surgical procedures and improve outcome. Despite a high incidence of arnica use among upper blepharoplasty patients, evidence to support its treatment effect is lacking. The authors p

  17. The Effect of Eyelid Cooling on Pain, Edema, Erythema, and Hematoma after Upper Blepharoplasty : A Randomized, Controlled, Observer-Blinded Evaluation Study

    NARCIS (Netherlands)

    Pool, Shariselle M. W.; van Exsel, Denise C. E.; Melenhorst, Wynand B. W. H.; Cromheecke, Michel; van der Lei, Berend


    Background: The purpose of this study was to investigate the efficacy of eyelid cooling to reduce postoperative pain, edema, erythema, and hematoma after upper blepharoplasty. Methods: After bilateral upper blepharoplasty in 38 consecutive patients, one eyelid per patient was randomized for cooling

  18. [Advantages of a double approach to upper blepharoplasty associated with eyelid malpositions]. (United States)

    Morax, S; Ben Ayed, H; Pereira-Nunes, T; Hamedani, M


    During upper blepharoplasty, myocutaneous excess and fat pads are treated using an anterior approach. Eyelid malpositions such as involutional ptosis or lid retraction could be associated and should be treated with associated procedures. Aponeurotic surgery on the levator muscle can make use of the same anterior approach, with the major difficulty of dosage. In cases of ptosis with a positive epinephrine test or minor muscular retraction, the Müller muscle-conjunctival surgery via a posterior approach seems to be more reproducible. Double-approach techniques are described.

  19. A randomised double-blinded crossover study comparing pain during anaesthetising the eyelids in upper blepharoplasty : First versus second eyelid and lidocaine versus prilocaine

    NARCIS (Netherlands)

    Pool, Shariselle M. W.; Struys, Michel M. R. F.; van der Lei, Berend


    Aim: The aim of this study was to investigate whether infiltration of the upper eyelid skin is less painful with prilocaine than with lidocaine. Methods: In 40 consecutive patients scheduled for bilateral upper blepharoplasty, one upper eyelid was anaesthetised with lidocaine with epinephrine and th

  20. Blepharoplasty - series (image) (United States)

    ... will not remove wrinkles around the eyes, lift sagging eyebrows, or eliminate dark circles under the eyes. ... Sagging eyelids are a normal part of aging. Fat deposits may increase as skin thins and wrinkles.

  1. Blepharoplasty (Eyelid Surgery) (United States)

    ... may gather above and below your eyelids, causing sagging eyebrows, droopy upper lids and bags under your eyes. Besides making you look older, severely sagging skin around your eyes can reduce your side ...

  2. Blefaroplastia inferior: poderia a cirurgia proporcionar satisfação aos pacientes? Lower blepharoplasty: would the surgery provide satisfaction to the patient?

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    Giovanni André Pires Viana


    Full Text Available OBJETIVO: Foi realizado um estudo prospectivo com objetivo de avaliar os resultados de cinquenta pacientes submetidos a blefaroplastia inferior transcutânea, visando a análise do resultado clínico e a satisfação dos pacientes na Universidade Federal de São Paulo, entre abril de 2005 e maio de 2007. MÉTODOS: Os pacientes foram alocados aleatoriamente em dois grupos cirúgicos. O Grupo Cirúrgico 1 (Grupo Controle foi composto por 25 pacientes submetidos a blefaroplastia inferior tradicional e cantopexia lateral de rotina. O Grupo Cirúrgico 2 (Grupo Experimental foi composto por 25 pacientes submetidos a blefaroplastia inferior com transposição das bolsas adiposas e cantopexia lateral de rotina. Para avaliar os resultados obtidos foi utilizado a avaliação da autoestima dos pacientes, por meio da Escala de Autoestima de Rosenberg UNIFESP/EPM. O outro método utilizado foi solicitar a participação de três cirurgiões independentes que avaliaram as fotografias de pré e pós-operatório e com auxílio de uma escala topográfica, quantificaram os resultados. RESULTADOS: A média de idade foi de 48,8 anos, com predomínio do sexo feminino (96%. A análise das fotografias mostrou que 96% dos pacientes apresentaram melhora significativa. A autoestima melhorou de um escore médio no pré-operatório de 5,1 (desvio padrão = 4,1 para um valor médio de 3,6 (desvio padrão = 3,5 após 6 meses da cirurgia (p=0,001. CONCLUSÃO: Os autores concluíram que ambos os procedimentos seriam seguros e eficazes, com baixo índice de complicação, apresentando melhora da autoestima, visível após seis meses da cirurgia.PURPOSE: The purpose of this study was to analyze prospectively fifty patients submitted to lower eyelid blepharoplasty at the Federal University of São Paulo, between April 2005 and May 2007. METHODS: Fifty patients were assigned to interventions into two surgical groups by using random allocation. The Surgical Group1 (control group

  3. Analysis and treatment of an acquired blepharoptosis after blepharoplasty%上睑成形术后继发睑下垂的诊治与预防

    Institute of Scientific and Technical Information of China (English)

    李东; 谢宏彬; 李比; 薛宏宇; 秦荣生; 李健宁


    Objective To analyze the reasons of the blepharoptosis caused after blepharoplasty in order to search the proper method to correct the problem. Methods Eighteen patients of the blepharoptosis with 20eyes were undergoing for this study. The ptosis was determined with the measurement of the function of the levator muscle. The proper surgical technique selected was performed mainly to focus on the repair of the orbital septum and the levator muscle. All of the patients were followed up from 1 week to 4 years after the operation. Results Eighteen acquired blepharoptosis patients with 20 eyes were repaired after the analyzing the reasons. The results were satisfactory in 16 eyes,improved in 3 eyes and recurrent in 1 eye. Conclusions It is necessary to evaluate the function of the injured levator muscle and analyze the surgical-induced reasons of the ptosis eye before to repair the acquired ptosis. It is also reminded of the surgeons to pay more attention in order to prevent the occurrence of the problem when they do the blepharoplasty.%目的明确睑成形术后继发上睑下垂的病因,正确选择修复方法。方法根据术前、术中上睑提肌的功能状况以及术中所见上睑的解剖关系确定修复方案,修复的关键是眶隔整形和重建上睑提肌的生理解剖结构。结果临床治疗18例,20只眼。随访时间为1周~4年。16只效果良好,3只效果较满意,1只效果欠佳。结论术前、术中上睑提肌肌力测定对评判导致上睑下垂综合因素的作用具有定量诊断意义。以此为依据制定的修复方案经临床实践证明比较合理,并提出上睑成形术后继发上睑下垂的预防措施。

  4. “等腰三角形去皮法”在经皮睑袋切除术中的应用%Application of isosceles trangle skin excision in transcutaneous lower eyelid blepharoplasty

    Institute of Scientific and Technical Information of China (English)

    薛紫涵; 曾玮; 陶然; 李桂珍; 韩岩


    0bjective To introduce the experience of transcutaneous lower eyelid blepharoplasty by isosceles trangle skin excision. Methods A total of 36 cases were recruited in this study and received lower eyelid blepharoplasty with isosceles trangle skin excision. Stitches were removed one week after surgery. Results All patients were satisfied during a follow-up period between 1-24 months. The tear trough deformity was obviously improved with mild mid-face rejuvenation. The eyelid shape was good with no hematoma, ectropion, depression or retraction. Conclusion The application of isosceles trangle skin excision in lower eyelid blepharoplasty was simple,safe and effective.%目的:介绍“等腰三角形去皮法”睑袋切除术的经验和体会。方法:对36例(72眼)下睑皮肤松弛、睑袋明显的患者进行“等腰三角形去皮法”睑袋切除术,术后1周拆除切口缝线。结果:36例患者术后下睑皮肤松弛、睑袋形成均得到满意的修复,术后随访1~24个月,未出现术后血肿或眼睑外翻,下睑皮肤平展、切口愈合好,切口上下皮肤无皱褶、猫耳朵、瘢痕隐蔽,并且不同程度合并有面中部提升的效果,患者均对术后效果满意。结论:等腰三角形去皮法睑袋切除术方法简便、安全、效果良好。

  5. The Combination of Lower Lid Blepharoplasty and Mid-Face Lift%睑袋和面中部松垂联合矫正术

    Institute of Scientific and Technical Information of China (English)

    陈贵敏; 黄恒平; 陈义华


    目的:探讨应用睑袋和面中部联合手术改善面中部老化的方法与效果.方法:采用睑袋常规切口,从眼轮匝肌及面中部SMAS下分离.使颧脂肪垫复位固定,并将眶肌筋膜韧带牵拉缝合于外眦部骨膜上.结果:本组共69例,其中58例术后1-18个月获得随访,睑袋、加深的鼻唇沟基本消失,面中部松垂明显改善,效果良好.结论:本术式操作简便,年轻化效果满意,创伤轻,并发症少,是一个临床可以选用的较好手术方法.%Objective: To evaluate the combination of lower lid blepharoplasty and mid-face lift. Methods: A lower lid subciliary incision was made extending to a point just lateral to the canthus. Dissection was suborbicularis to the inferior lateral orbital rims. The malar soft tissue complex including malar fat pat was fixed to the periosteum just lateral to the lateral canthus. Results: Sixty-nine cases were treated, and 58 cases were followed for 1-18 monthes, good results were achieved. Conclusions: This technique which can be performed safely and effectively is a good choice for the correction of aging face.

  6. 上下眼睑同时退缩(突眼症)整复术%Blepharoplasty for both upper and lower eyelid retraction (exophthalmos)

    Institute of Scientific and Technical Information of China (English)

    邹毓超; 邹毓美; 鞠福娟; 万兴波


    Objective To explore the feasibility and curative effect of blepharoplasty for the treatment of oth upper and lower eyelid retraction. Methods Incision was performed from the extended line of lower palpe-bral margin, then lower lid retractor was partly dissected and released to retract the lateral tarsal ligaments, lateral orbitofrontal every fat and inferior orbicularis oculi muscle for the lateral direction, and to pull the superior orbicularis oculi muscle for the lower direction. Therefore, the tension of myofascial system for constricting pal-pebral fissure and the force for eyes close were enhanced to repair the deformity of exophthalmos. Results All 7 cases received satisfactory results with palpebral fissure contraction as 3. 6 mm averagely after 3 to 25 months follow-up without recurrence. Conclusion It is an optimal surgical method with such advantages as easy performing, reliable effect, slight swell and fast recovery. It is worth spreading in clinic.%目的 探讨上下眼睑同时退缩畸形简单高效整形方法的可行性和疗效.方法 通过下睑睫毛延长切口,松解、切断下睑缩肌,并将外眦韧带、外侧眶隔向外及下睑眼轮匝肌向外上侧紧缩,上睑眼轮匝肌向外下牵拉、固定,增加使睑裂宽度缩小的肌筋膜系统的张力及闭目的 动力,以矫正上下眼睑同时退缩的外观畸形.结果 本组7例患者,术后每只眼睑裂宽度平均缩小3.6mm,随访3~25个月,无复发,效果均满意.结论 本手术操作简单,创伤小,疗效可靠,术后肿胀轻、恢复快,值得临床推广.

  7. Prevention and treatment of complications of blepharoplasty for double eyelids%切开法重睑成形术后并发症的预防及处理

    Institute of Scientific and Technical Information of China (English)

    施问国; 郭宗科; 于冰; 马小军


    Objective To investigate the prevention and the treatment of the complications of blepharoplasty for double eyelids. Methods With the comprehensive grasp of operational details,162 cases, who were 17 to 61 years old with average 29 years,men 17 cases and women 145 cases,were performed blepharoplasty for double eyelids. Results All of these patients underwent these perfect procedures with satisfied anesthesia. Incisions were all healed in one stage with no infection. Double eyelid width were (7.50±0.80)mm with natural and smooth linesafter 3 months operation, slight scars and good bilateral symmetry. Conclusions In order to achieve the natural and smooth double eyelids,it is important for plastic surgeons to have the comprehensive grasp of operational details in blepharoplasty for double eyelids.%目的:探讨切开法重睑成形术后并发症的预防及处理.方法:注重手术每一环节的细节处理技术并注重整体把握的处理策略行重睑成形术162例,其中合并内眦赘皮47例,上睑脂肪较多30例,上睑皮肤松弛17例,泪腺脱垂6例,14例为第2次手术,5例为第4次手术.年龄17~61岁,平均29岁,男17例,女145例.结果:所有就医者麻醉满意,各手术操作步骤动作到位,稳、准、轻、快,术后无感染,切口一期愈合.重睑中间部分距睑缘平均宽度为(7.50±0.80)mm,重睑线自然流畅,闭眼时切痕不明显,两侧的对称性较好.结论:注重切开法重睑成形术的操作细节并整体把握对取得自然的重睑效果非常重要,可显著减少术后并发症.

  8. Treatment on Lower Blepharoplasty in Middle-aged and Elderly Patients with Combined Conjunctivae-road Operation and Fractional Laser Rhytidectomy%内路法手术联合点阵激光治疗中老年眼袋

    Institute of Scientific and Technical Information of China (English)

    唐建兵; 程飚; 李勤; 蔡金辉; 苑凯华; 吴燕虹; 柳大烈


    目的 探讨内路法手术联合点阵激光治疗中老年眼袋的临床疗效.方法 对52例不愿意行外切口眼袋整复术的中老年患者,先采用内路法手术祛除眶隔多余脂肪,术后2周开始采用点阵激光收紧松弛的下睑和外眦皮肤以减轻皱纹,视情况共治疗1~3次,治疗后1个月进行疗效评估.结果 全部病例术后下睑基本平整,皮肤皱纹明显减轻.4例在点阵激光治疗后出现暂时性色素沉着,2-3个月后自行消退.未出现其他并发症.结论 内路法手术联合点阵激光治疗中老年眼袋效果良好,无切口瘢痕,并发症少,手术恢复快,值得推广.%Objective To investigate the clinicsl effects of combind trans-conjunctivae road operation and fractional laser rhytidectomy on lower blepharoplasty in middle-aged and elderly patients.Methods Conjunctivae-road blepharoplasty was carried out in 52 patients who were unwill to endure trans-skin road operation.The excess fat was removed within orbital septum first.Fractional laser was used to tighten the relaxed skin and reduce wrinkles on the lower eyelid and the outer canthns 2 weeks after operation.The patients were treated 1 to 3 times according to the condition of patients.The treatment effect was assessed 1 month after treatment.Results After the conjunctivae-road operation combined with fractional laser rhytidectomy, the lower eyelid skin became flat and the wrinkles were reduced in all patients.Temporary pigmentation occurred in 4 patients after fractional laser treatment, which regressed spontaneously after 2 to 3 months, no other complications occurred.Conclusions The clinical effects of trans-conjunctivae operation combined with fractional laser rhytidectomy on lower blepharoplasty in middle-ged and elderly patients are good, with no scar and fewer complications.The patients recover quickly.The combined treatment is worth to recommend.

  9. Analysis of the effect of modiifed correction combined blepharoplasty on involutional entropion%改良退行性睑内翻矫正术同期行下睑袋整形术临床应用分析

    Institute of Scientific and Technical Information of China (English)

    马朝霞; 刘德成


    Objective To explore an effective treatment of Involutional Entropion and pouch correction.Methods We removed the orbital adipose through the parallel incision 2mm under the eyelashes, tightened the orbicularis oculi muscle, and then corrected the involutional entropion by removing some skin and blepharoplasty. Results In 180 cases (269 eye cases), there were 2 cases with recidivation, which were being cured after the following operations. The others were shaping well without entropion and trichiasis.Conclusion Good results can be obtained by combined surgery. Combined surgery aims at correcting the involutional entropion through and blepharoplasty by removing the orbital adipose, tightening the orbicularis oculi muscle, and meanwhile removing some skin.%目的:探讨一种治疗退行性睑内翻,同时行下睑袋整形术的有效方法。方法:采用下睑缘睫毛下2mm平行睑缘切口,去除眶脂肪,提紧眼轮匝肌,去除部分皮肤以矫正退行性下睑内翻及并矫治下睑袋。结果:本组180例(269眼)患者,除2例复发并经2次手术后治愈外,其余均下睑形态良好,无下睑内翻、倒睫等并发症。结论:采用去除眶脂肪的同时行眼轮匝肌提紧并去除部分皮肤的联合手术方法,矫正退行性下睑内翻及下睑袋效果良好。

  10. Correction of lower eyelids tear trough deformity via multiple techniques used synthetically in lower blepharoplasty%多技术综合应用下睑成形术矫正下睑泪槽畸形

    Institute of Scientific and Technical Information of China (English)

    刘志坤; 蒋晟; 杨锋; 蒋斌; 肖霞; 惠品香


    Objective To investigate the feasibility of correction of lower eyelids tear trough deformity via multiple techniques used synthetically in lower blepharoplasty, and to summarize operation skills and experience. Methods Through skin incision muscle -skin flap operation approach,arcus marginalis orbital septum fat release,orbital fat preservation, orbital septum tighten and reset, fascia ligament of orbicularis lifting suspension combined operation method. Results In 56 obvious bleeding, petechiae in postoperative,without eyelid ball separation, ectropion complications. Follow up of 2 months to 30 months,lower eyelid skin was smooth, the tear trough deformity was significantly improved, patients perceived appearance satisfaction. Conclusion Correction of lower eyelids tear trough deformity via multiple techniques used synthetically in lower blepharoplasty, was a effective operation method to obtain the mid-face rejuvenation.%目的:探讨多项技术综合应用下睑成形术矫正下睑泪槽畸形的可行性,总结手术操作技巧及经验.方法:经皮肤肌皮瓣手术入路,采用弓状缘眶隔脂肪释放、眶内脂肪保留、眶隔紧缩重置技术及眶肌筋膜韧带提紧悬吊相结合的综合手术方法. 结果:本组56例患者,术后无明显出血、瘀斑,无睑球分离、下睑外翻等并发症出现.随访2~30个月,下睑部皮肤平整,泪槽畸形明显改善,患者自感外观效果满意.结论:多项技术综合应用下睑成形术矫正下睑泪槽畸形是获得面中部年轻化的行之有效的手术方法.

  11. Corrección de ptosis palpebral por la incisión de blefaroplastia Upper eyelid ptosis treatment using blepharoplasty incision

    Directory of Open Access Journals (Sweden)

    A. Novo Torres


    y por tanto la recuperación es mas rápida; posibilita también la cirugía de rescate en caso de correcciones insuficientes y evita el problema de sobrecorrección con exceso de resección de tejido conjuntival. En resumen se trata de una modificación quirúrgica que facilita la técnica, disminuye las complicaciones postoperatorias, mejora la recuperación y evita la sensación de cuerpo extraño intraocular de una resección conjuntivalBlepharoptosis is the abnormally low of the top eyelid during the direct look. Best results are obtained by resection or advance of the elevator muscle or aponeurosis, whenever the elevator has a suitable function. We present a modification to the Blaskovics´s technique for correction of moderate blepharoptosis, with good function of the elevator muscle. We present a serie of 10 cases where we used a variant of Blaskovics’s technique of resection of the elevator for surgical correction of ptosis. Seven were bilateral cases and 3 unilateral ones. In all the cases the elevator function was between 4 and 8 mm and ptosis was major than 4mm with visual field decrease in the direct look. Surgical technique included a cutaneous horizontal incision of Blepharoplasty, wide exhibition of elevator muscle and aponeurosis, respecting orbicular fatty bags and separating it from the palpebral conjunctive. In all the cases correction of the ptosis were obtained. The grade of asymmetry was lower than 0,3 cm. One case presented in the inmediate postoperatory opening of the suture in his medial side and had to be re-taken after 10 days. The palpebral postoperative edema was solved between 2 – 8th day allowing evaluation in that moment. Patient’s satisfaction was good or very good and the visual field was complete in all patients Classic surgical techniques and its modifications for correction of ptosis keep on being valid. With this modification that respects conjuctive we avoid to add morbidity to the surgical process. We think that

  12. Avaliação do impacto da blefaroplastia superior na qualidade de vida utilizando questionário padronizado (Qblefaro: estudo piloto Assessing the impact of upper blepharoplasty on quality of life with a standardized questionnaire (QBleflaro: a pilot study

    Directory of Open Access Journals (Sweden)

    Maurício Pedreira Paixão


    Full Text Available FUNDAMENTOS: Há escassa literatura sobre a avaliação dos resultados cirúrgicos e do impacto da cirurgia de blefaroplastia superior na qualidade de vida dos pacientes. OBJETIVO: Avaliar o impacto na qualidade de vida dos pacientes submetidos à cirurgia de blefaroplastia superior. MÉTODOS: Estudo prospectivo com questionário padronizado, em mulheres adultas submetidas à blefaroplastia superior e avaliadas após 90 dias para estimativa do impacto cirúrgico na qualidade de vida e de complicações. RESULTADOS: Foram avaliadas 41 mulheres adultas saudáveis (idade mediana 53 anos no período de junho de 2005 a março de 2006. O questionário apresentou alta consistência interna. O elemento de qualidade de vida de maior impacto na primeira semana foi relacionado à percepção da aparência física, e o de menor impacto foi relacionadoà convivência com as pessoas próximas. A cicatrização hipertrófica foi a principal complicação tardia. O grau de satisfação com a cirurgia relacionou-se significativamente com a ausência de efeitos indesejados (pBACKGROUND: There is scarce literature on assessing surgical results and the impact of upper blepharoplasty on quality of life of patients. OBJECTIVE: To evaluate the impact on quality of life of patients submitted to upper blepharoplasty. METHODS: A prospective study using a standardized questionnaire applied to adult women submitted to upper blepharoplasty and evaluated 90 days later to estimate the surgical impact on quality of life and complications. RESULTS: Forty-one healthy adult females (median age of 53 years were evaluated from June 2005 to March 2006. The questionnaire showed high internal consistency. The quality of life element with greater impact on the first postoperative week was related to physical appearance perception and that of lesser impact was associated to relationship with relatives and close friends. Hypertrophic scar was the main late complication. Satisfaction

  13. Effect of improved lower lid blepharoplasty for different types of eyelids%下睑成形改良术治疗不同类型睑袋的疗效

    Institute of Scientific and Technical Information of China (English)

    韩敏杰; 谢文


    目的:探讨改进后的下睑成形术治疗不同类型睑袋的疗效。  方法:选取2010-05/2015-05间我院实施下睑成形术的患者67例67眼,按照睑袋情况进行分型,并采取不同改进术式:A组:单纯脂肪膨出型12眼采用经结膜切口入路法;B组:皮肤或(和)轮匝肌松弛型19眼,采用经皮肤入路法,需在手术过程中切除下睑皮肤、眼轮匝肌;C组:皮肤肌层松弛合并眶脂膨出型13眼,采用经皮肤入路法,术中切除眶隔脂肪、皮肤及眼轮匝肌;D组:混合型23眼,采用经皮肤入路法,需在手术中切除眶隔脂肪、皮肤及眼轮匝肌。  结果:术后5 d拆线,术后随访3~6 lo。四组患者手术效果优良率分别为100%、95%、100%及96%,差异无统计学意义(P>0.05)。患者下睑外观平坦,眶脂膨出消退,有1眼出现轻度睑外翻,2眼眶下缘凹陷以及4眼切口对合欠佳,术后2 lo均自行恢复。未出现斜视复视、下睑退缩等严重并发症。四组患者术后并发症发生率分别为8%、11%、8%及13%,差异无统计学意义( P>0.05)。  结论:改进后的下睑成形术治疗不同类型睑袋术后效果满意。%AlM: To observe the improvements and operation results of lower lid blepharoplasty for patients of different ages and eyelids. METHODS:Sixty-seven patients ( 67 eyes ) received the lower lid blepharoplasty from May 2010 to May 2015 in our hospital were selected. The patients were classified according to the type of eyelids. They received the different improved operations:12 eyes in group A with bulging fat adopted the trans-conjunctival approach;all the other patients adopted the trans-cutaneous approach. Nineteen eyes in group B with loosing orbicularis oculi muscle and/or loosing skin were required to remove the lower eyelid skin and orbicularis oculi muscle;13 eyes in group C with loosing skin and bulging orbital fat and 23 eyes in group D with combined cases were both required to

  14. 四步法眼袋整形术在老年眼部整形中的应用分析%Four-step blepharoplasty plastic surgery in elderly Eye Surgery Application Analysis

    Institute of Scientific and Technical Information of China (English)



    Objective To investigate the application of eye surgery for elderly four-step analysis of the efficacy. Methods In our hospital ophthalmology patients in need of eye surgery were randomly selected elderly patients 80 cases as the study, patients were divided into a control group of 40 patients with the study group of 40 patients in the control group were treated with traditional surgical methods that lower eyelid skin into the road method to remove bags under the eyes;study group were treated with four-step blepharoplasty plastic surgery to remove bags under the eyes, and all patients in the postoperative one week stitches, observed under different plastic surgery patients in each group and eye bags removal recovery. Results All patients in the postoperative ocular conditions have improved, patients in the control group occurred ectropion two cases, one case of wound infection, hematoma in one case a small study group of patients with no complications. Conclusion The application of four-step pouch bags have plastic surgery to remove the safety, efficacy, is more suitable for elderly patients with an ocular plastic surgery.%目的:探讨老年眼部整形中应用四步法的疗效。方法将我院眼部整形老年患者80例分为两组各40例,对照组应用下睑皮肤入路法去除眼袋;研究组应用四步法(疝出眶隔脂肪切除、眶隔加固、外眦韧带悬吊和多余皮肤切除)眼袋整形术去除眼袋,术后1周拆线,观察两组眼袋去除效果及眼部恢复情况。结果所有患者术后眼部状况都得到改善,对照组患者中有2例发生眼睑外翻、1例切口感染、1例小血肿,研究组无并发症发生。结论四步法眼袋整形术去除眼袋安全有效,是目前比较适合老年患者的一种眼部整形术。

  15. 观察改良 Y-V内眦成形联合重睑成形术治疗单睑合并内眦赘皮的临床疗效%The effects of improved Y-V inner canthoplasty combined double-lid blepharoplasty on oriental eyelid and epi-canthus

    Institute of Scientific and Technical Information of China (English)



    目的通过改良Y-V内眦成形联合重睑成形术治疗单睑合并内眦赘皮,并观察其疗效。方法自2014年1月至2014年12月,根据Y-V成形原理,应用改良内眦成形术联合重睑成形术治疗单睑合并内眦赘皮78例。结果术后随访3~18个月,观察术后重睑、睑裂开大情况及瘢痕形成情况,1例内眦部皮肤疤痕明显,2例内眦角略有回退,其余均效果满意。结论采用改良Y-V内眦成形联合重睑成形术治疗单睑合并内眦赘皮的患者,效果满意,稳定,简单易行,值得临床推广应用。%Objective To evaluate the clinical outcomes of improved Y-V inner canthoplasty combined double-lid blepharoplasty on oriental eyelid and epicanthus .Methods In this study, seventy-eight patients with oriental eyelid and epicanthus were enrolled from January 2014 to December 2014 .Patients received improved Y-V inner canthoplasty com-bined with double-lid blepharoplasty .The follow-up period ranged from 3 to 18 months.Rates of postoperative double-lid formation, eyelid fissure width and scar formation were observed .Results Obvious skin scar was seen in inner canthus in only 1 eye.Inner canthus slightly recessed in 2 eyes.All other patients were satisfied with the results .Conclusions Im-proved Y-V inner canthoplasty combined with double-lid blepharoplasty is a simple , safe and reliable surgical procedure to correct oriental eyelid and epicanthus.

  16. The effectives of releasing the fibrous bundles across levator muscle in double eyelid blepharoplasty with mild blepharoptosis%限制韧带松解在矫正先天性轻度上睑下垂的重睑术中的应用

    Institute of Scientific and Technical Information of China (English)

    任冲; 马力; 胡晓根; 马海欢


    目的:在重睑术前应重视先天性轻度上睑下垂的诊断并探讨应用限制韧带松解术在治疗先天性轻度上睑下垂中的临床意义.方法:对临床要求重睑的患者,通过“抬眉/额纹增多、仰颏、抬眼费力”三联症初步判断是否同时有轻度上睑下垂的存在;对确诊为先天性轻度上睑下垂患者,通过单纯松解限制韧带即可矫正大部分患者,不完善者加行上睑提肌腱膜缩短术.结果:本组2 3例3 3只眼,19例26只眼在重睑术中行单纯限制韧带松解术,4例7只眼行限制韧带松解术+上睑提肌腱膜折叠缩短术.随访3个月~2年,所有患者对上睑下垂矫正效果均满意,左右对称,外形自然.抬眼明显轻松,无复发.结论:在重睑术前应重视对先天性轻度上睑下垂的诊断,限制韧带松解术是治疗先天性轻度上睑下垂的首选方法,对于大部分患者可达到完全矫正的效果,且形态自然,不易复发.%Objective To stress the importance of diagnosis of mild blepharoptosis before double eyelid blepharoplasty and to investigate the role of releasing the fibrous bundles across levator muscle in correction of mild blepharoptosis. Methods For patients seeking double eyelid blepharoplasty, tne diagnosis of mild blepharoptosis was based on the three symptoms including " lifting eyebrow with more frontal wrinkes, lifting jawjifting upper eyelid with efforts". For patients with mild blepharoptosis, simply releasing the fibrous bundles across levator muscle could correct most mild blepharoptosis. A further procedure can be added to shortening the levator aponeurosis if necessary. Results Of the 33 eyes in 23 cases, 26 eyes in 19 cases received simple release of the fibrous bundles across levator muscle,7 eyes in 4 cases received both releasing and shortening the fibrous bundles across levator muscle. The follow-up ranged from 3 months to 2 years. All patients gained complete recovery, symmetry,and natural appearance

  17. Corrección de ptosis palpebral por la incisión de blefaroplastia Upper eyelid ptosis treatment using blepharoplasty incision


    A. Novo Torres; J.F. Salvador Sanz; E. Lorda Barraguer; C. Laredo Ortiz


    Se entiende por blefaroptosis el nivel anormalmente bajo del párpado superior durante la mirada directa. Los mejores resultados se obtienen con las técnicas de resección o avance del músculo elevador o su aponeurosis, siempre que el elevador posea una función adecuada. Nuestra intención es presentar una modificación a la técnica de Blaskovics para la corrección de blefaroptosis moderadas, con buena función del elevador Presentamos una serie de 10 casos donde se utilizó una variante de la oper...

  18. The application of the Medpor porons polyethylene flexblock implant in blepharoplasty%Medpor种植体在眼科重建术中的应用

    Institute of Scientific and Technical Information of China (English)

    陈松; 陈冬红



  19. Application of “The Addition Theory" lower blepharoplasty combined with mid-face lift%“加法理论”在下睑袋整复术中的应用

    Institute of Scientific and Technical Information of China (English)

    张兵; 王英霞


    目的:探讨改良传统下睑袋整形术式,摒弃传统眼袋术式中去除正常组织的方法,利用眼袋切口提升中面部,尽量达到术后自然,减少并发症的出现.方法:沿用传统的外切眼袋入路,眶隔浅层剥离,释放眶隔脂肪填充下眶缘沟,递进式提升眶区下垂软组织,保留眼轮匝肌折叠并固定,去除多余皮肤缝合切口,术后加压包扎24h.结果:95例术后回访基本满意,术后2例为二次眼袋手术的病例,双眼出现睑球分离现象,1例出现单侧睑球分离现象.分析原因为反复眼袋手术损伤后,眼轮匝肌瘢痕挛缩及下睑缘张力下降所致,重新按修复手术加固后壁防止粘连;外眦锚着术收紧下睑缘使其张力加强后均得到满意改善.结论:该术式尽量保留了正常组织不被去除,膨出的脂肪添加在凹陷的下眶缘沟处,提升后的眼轮匝肌被叠加利用,因此也称加法术式,术后外观自然效果明显;并发症减少,“递进”式中面部提升确保了提升效果,顾客满意度很高.%Objective Discuss the improvement of traditional method of baggy eyelids plastic,abandoning the removal methods of normal tissues in traditional baggy eyelids plastic,and lifting mid-face through incisions in eye bags,in order to naturally reduce the complications after surgery as far as possible.Methods First,the operation were performed by continue to use traditional method to circumscribe bags.Secondly,dissect the superficial layer of the orbital septum,release orbital fat to fill the lachrymal groove,progressively promote sagging organization,retain the orbicular is oculi muscle folded and fixed that,remove excess skin and suture incisions.Finally,use compression bandage for 24 hours after operation.Results Ninty-five cases are satisfied learned by the postoperative reviews.Two cases have taken two pouch surgeries and underwent the eyelid ball separation in the two eyes.One case underwent eyelid ball separation in one eye.The reason is the contracture of the orbicular is oculi muscle and the decline of the eyelid margin tension after repeated surgeries.Reinforce the back through repayment surgery to prevent adhesion and tighten the lower eyelid through the lateral can thus anchor technique to reinforce its tension.In the end,they all satisfied with the improvements.Conclusions "The Addition Theory" operation keep the normal tissue is not removed as far as possible,receives natural postoperative effects and reduce the complications.Progressive mid-face lifting ensures the improvement effect thus gain more customers' satisfaction.

  20. 面中部提升术结合睑袋整形术对眶周皮肤皱纹的疗效与美容影响%Curative effect of midface lifting combined blepharoplasty for periorbital skin wrinkles

    Institute of Scientific and Technical Information of China (English)



    0bjective To explore the facial lift and eyelid bag of plastic surgery in patients with peri-orbit skin wrinkles the effect analysis and beauty effect. Methods select our hospital from January 2013 to January 2014,60 patients with orbital periderm skin wrinkles, randomly divided into observation group and control group,30 cases in each group,control group adopts the eyelid bag of plastic surgery patients with peri-orbit skin wrinkles,in the observation group used facial lift and lower eyelid bag plastic surgery combined with treatment of patients, observation curative effect of two groups of patients. Results After treatment of the complications of observation group was significantly less than the control group, the difference is statistically significant,P<0.05.Observation group of patients treatment effect is significantly better than the control group, the difference is statistically significant,P<0.05; The prognosis of patients with observation group was significantly better than control group, the difference is statistically significant, P<0.05. Conclusion Facial lift and eyelid bag of plastic surgery in patients with combined treatment of peri-orbit skin wrinkles,less trauma, better recovery,the duration of the treatment effect is longer,can effectively improve the condition of relaxation eyelid.%目的:探究面中部提升术与睑袋整形术对眶周皮肤皱纹患者的疗效分析与美容影响。方法:选取我院2013年1月-2014年1月收治的60例眶周皮肤皱纹患者,随机分为观察组和对照组,每组30例患者,对照组采用睑袋整形术治疗眶周皮肤皱纹患者,观察组采用面中部提升术结合睑袋整形术治疗患者,观察两组患者疗效。结果:治疗后观察组并发症的情况显著少于对照组,差异具有统计学意义,P<0.05;观察组患者治疗效果显著优于对照组,差异具有统计学意义,P<0.05;观察组患者预后情况显著优于对照组,差异具有统计学意义,P<0.05。结论:面中部提升术与睑袋整形术结合治疗眶周皮肤皱纹患者,创伤较小,恢复较好,治疗效果的持续时间较长,可有效改善下睑松弛的状况。

  1. 经下睑缘切口行睑袋切除同期鱼尾纹除皱术%Union execution lowen blepharoplasty and fish tail wrinkles facelift through the lowen eyelid margin cut

    Institute of Scientific and Technical Information of China (English)

    黎宁; 陈彦伟; 池刚毅; 覃春丽



  2. 利用眶下软组织提升修复下睑袋整复术后并发症%Repairing lower eyelid blepharoplasty complication by lifting infraorbital soft tissue

    Institute of Scientific and Technical Information of China (English)

    张兵; 王英霞


    Objective To discuss the solutions to solve the problems such as the lower eyelid shrinks even ectropion after the operation through mid-face lifting and other methods to treat complications.Methods The operations were performed by incisions in the eye bags.Then retain 5mm orbicular is oculi muscle,dissect the superficial layer of the orbital septum to the bone,strip under the periosteum of zygomatic processes and progressively promote sagging organization.In addition,lift,fold,and fix the orbicular is oculi.lf there is excess skin,it can be appropriate to remove.Finally,suture the incision,and use compression bandage for 72 hours.Results Fifty cases were improved significantly.Symptoms such as the retraction of eyelid,the hollow of the lower eyelid and so on were improved evidently.Five patients whose eye bags were filled with other materials after the operation are satisfied with the recovery treatment.One patient'sectropion wasn't improved ideally after four times' repayments.The reason may be the injury of the orbicularis oculi muscle contributes to the adhesion of back muscles and back wall.But this patient refused to repair again.Conclusions Positive effects are achieved during the repairmen of mid-face lifting which effectively recover the failed eye bags resulting from too much remove of fat,muscle and skin.Besides it has less complications and high success ratio.%目的:探讨利用眶下软组织提升技术解决睑袋术后并发症的有效治疗手段.方法:原下睑袋切口入路;保留睑缘下5mm眼轮匝肌;眶隔浅层向下剥离至眶骨缘;外侧颧突处骨膜下适当剥离;递进式向上提升眶区软组织;提升后的眼轮匝肌折叠并固定在睑下缘;如提升皮肤较多可以适量去除;缝合切口,术后加压包扎72h.结果:本组50例不同程度的睑缘退缩、下睑露白症状均得到明显改善,下睑凹陷也有明显矫正;5例睑袋术后填充其他材料的患者经修复治疗后都比较满意;1例修复4次后的外翻病例改善不理想,考虑是反复眼轮匝肌的损伤后肌肉与后壁的粘连而致,该病例拒绝再次修复.结论:因脂肪、肌肉、皮肤组织被过多去除的失败睑袋症状通过眶下软组织提升修复的效果肯定,并发症较少,成功率高.

  3. Eyelid lift (United States)

    Eyelid lift surgery is done to repair sagging or drooping upper eyelids ( ptosis ). The surgery is called blepharoplasty. Sagging or drooping eyelids occur with increasing age. Some people are born with ...

  4. Ear Plastic Surgery (United States)

    ... receive light-weight earrings. Does Insurance Pay for Cosmetic Ear Surgery? Insurance usually does not cover surgery solely for ... republication strictly prohibited without prior written permission. Ears Cosmetic Surgery, Facelift, Rhinoplasty, Blepharoplasty ... Get Involved Professional Development Practice ...

  5. Cosmetic Outcome of Posterior Approach Ptosis Surgery (An American Ophthalmological Society Thesis) (United States)

    Goldberg, Robert A.; Lew, Helen


    Purpose To test the hypothesis that posterior approach ptosis surgery, with or without blepharoplasty, can improve the cosmetic appearance of the eyelid. Methods In a retrospective, observational, consecutive case cohort study, 261 patients who had posterior approach upper eyelid ptosis surgery with or without concurrent blepharoplasty performed by one surgeon, between 1997 and 2009, were reviewed. Patients were included if they had symmetric eyelid position within 1.5 mm at 3 months after surgery. Outcome measures were subjective grading of eyelid margin contour, millimeters of tarsal platform show (TPS), and millimeters of eyebrow fat span (BFS). Paired preoperative and postoperative standardized photographs were viewed in masked fashion by three experts. Results One hundred and forty patients (55 men, 85 women, mean age 70 years, range 20–93) who underwent 233 posterior approach procedures for correction of upper eyelid ptosis had postoperative eyelid symmetry within 1.5 mm. Concurrent blepharoplasty was performed in 67 cases. Eyelid contour scores were significantly improved following surgery (P=.009). Ptosis surgery, without blepharoplasty, decreased the TPS, from 6.1±2.5 mm to 4.8±2.0 mm (P<.001). Patients who underwent concurrent blepharoplasty had a statistically insignificant increase of TPS from 4.0±3.5 mm to 4.3±3.6 mm, had a decrease of BFS from 20.8±6.3 mm to 17.7±6.4 mm (P=.001), and showed similar BFS symmetry postoperatively, compared to patients who had ptosis surgery only. Conclusions Posterior approach surgery alone was often successful in controlling TPS: it shortened the TPS. Blepharoplasty combined with posterior approach ptosis surgery tended to lengthen the TPS and shorten the BFS. PMID:22253486

  6. [Surgical treatment of myopathic ptosis. Apropos of 20 surgically treated cases]. (United States)

    Morax, S; Longueville, E; Hurbli, T


    Twenty cases of severe progressive ophthalmoplegia (Myopathic ptosis) with significant ptosis were treated by various procedures, including levator resection with blepharoplasty or frontalis suspension using temporalis fascia. Surgical indications were generally limited to cases with poor or absent levator function. The results are analysed after an average follow-up of 6 months. The particular problems concerning surgery of myopathic ptosis are discussed.

  7. Intraoperative discovery of a neurofibroma during routine ptosis surgery. (United States)

    Gayton, J L; Ledford, J K; Tsai, E


    A noncosmetic blepharoplasty with levator tuck was planned to repair a congenital ptosis presumed to be caused by levator maldevelopment. During surgery a mass was found in the lid, revealing the ptosis to be mechanical in nature. Biopsy and subsequent pathological exam revealed this to be a plexiform neurofibroma in a reportedly undiagnosed patient.

  8. Bipolar coagulation-assisted orbital (BICO) septoblepharoplasty - A retrospective anolysis of a new fot-soving upper-eyelid blephoroplosty technique

    NARCIS (Netherlands)

    van der Lei, Berend; Timmerman, Irene S. Krabbe; Cromheecke, Michel; Hofer, Stefan P.


    Background: Upper eyelid blepharoplasty generally is performed as a combination of excess skin reduction and fat resection. Fat resection can in the long term result in a hollow orbit. Therefore, treatment of the lax orbital septum, in combination with skin reduction, seems a more preferable approac

  9. Effects of diethylstilbestrol on the proliferation and tyrosinase activity of cultured human melanocytes


    TANG, JIANBING; Li, Qin; Cheng, Biao; HUANG, CHONG; Chen, Kui


    The aim of the present study was to observe the effects of different exogenous estrogen diethylstilbestrol (DES) concentrations on the human melanocyte proliferation and tyrosinase activity. Skin specimens were obtained following blepharoplasty, and the melanocytes were primary cultured and passaged to the third generation. The melanocytes were seeded in 96-well plates, each well had 5×103 cells. The medium was changed after 24 h, and contained 10−4-10−8 M DES. After the melanocytes were incu...

  10. Approach to eyebrow ptosis through the modified technique of Castanares

    Directory of Open Access Journals (Sweden)

    Giovanni Pires


    Full Text Available One of the first signs of facial ageing appears in the forehead, with the descent of the lateral part of the brow. This is a troubling condition for all patients and elevation of the lateral part of the brow becomes a more and more frequent demand. The authors present their experience in 350 consecutive cases of direct eyebrow lift ("butterfly wing" incision alone or in combination with rhytidectomy and/or blepharoplasty. The majority of the patients were female (90%. The age ranged from 43 to 85 years. Eighty per cent of the cases were performed simultaneously with rhytidectomy and blepharoplasty, 16% were performed in association with blepharoplasty and eyebrow lift alone represented 4%. The most common complication was epidermal cyst (3.4% and suture dehiscence (2%. The "butterfly wing" incision provides a useful alternative to correction of eyebrow ptosis. Indication for surgery is dependent more on the ageing signs than on the patient′s chronological age. The final results are consistently very gratifying to the patient and to the plastic surgeon alike.

  11. [Periocular aging: physiopathogenesis, clinical aspect, and treatment]. (United States)

    Galatoire, O; Morax, S


    Aging around the eyes plays a considerable role in facial aging. The demand for periocular rejuvenation is increasingly frequent. Until the past few years, eyelid esthetics was synonymous with blepharoplasty: surgery that consisted in resecting the myocutaneous excesses and reducing fatty deposits. The contribution of new medical and surgical treatments combined with new and more rigorous analysis of the esthetic disorders makes it possible to respond more precisely to patient demand and individualize surgical and/or medical treatment that is not highly aggressive and only uses products that are well tolerated, biocompatible, or resorbable.

  12. [Involutional ptosis]. (United States)

    Morax, S


    Aponeurotic defects and disinsertion of the levator aponeurosis are responsible for acquired involutional ptosis. The typical clinical findings in aponeurotic defects are high or moderate ptosis, good to excellent levator function, thinning of the eyelid above the tarsus, high to absent lid crease, and normal Müller's muscle function. The purpose of the treatment is to repair the defect or to advance the aponeurosis on the tarsus. This surgery can be done via the anterior approach with aponeurotic surgery or via the posterior approach with Müller's muscle conjunctival resection. In all cases, upper lid blepharoplasty is down.

  13. Standard guidelines for electrosurgery with radiofrequency current

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    Mutalik Sharad


    Full Text Available Definition: Radiofrequency (RF induces thermal destruction of the targeted tissue by an electrical current at a frequency of 0.5 MHz (RF. As the electrode tip is not heated, there is minimal thermal damage to the surrounding tissues, producing good esthetic results. Therefore, RF ablation is also known as cold ablation or "coblation." Modality: It has three modes of operation: (a Cut, (b cut and coagulate and (c coagulate. Therefore, it can be used for various purposes like incision, ablation, fulguration, shave excision and coagulation. Because of the coagulation facility, hemostasis can be achieved and operation becomes easier and faster. Indications: It is effective in treating various skin conditions like dermatosis papulosa nigra, warts, molluscum contagiosum, colloid milia, acquired junctional, compound and dermal melanocytic nevi, seborrheic keratosis, skin tags, granuloma pyogenicum, verrucous epidermal nevi, xanthelesma, rhinophyma, superficial basal cell carcinoma and telangiectasia. It can also be used for cosmetic indications such as resurfacing, earlobe repair and blepharoplasty. Anesthesia: The procedure is accomplished either under topical anesthesia eutactic mixture of local anesthetics or local injectable anesthesia, under all aseptic precautions. Procedure: While operating, only the tip of the electrode should come in contact with the tissue. Actual contact of the electrode with the tissue should be very brief in order to prevent excessive damage to the deeper tissues. This can be accomplished by moving the electrode quickly. Complications: Complications are uncommon and mainly occur due to an improper technique. The treating physician should be aware of the contraindications of the procedure as listed in these guidelines. Physician qualification: RF surgery may be performed by a dermatologist who has acquired adequate training during post-graduation or through recognized fellowships and workshops dedicated to RF surgery. He

  14. [Dehiscence and disinsertion of the aponeurotic bundle of the upper eyelid levator in acquired ptosis]. (United States)

    Morax, S


    Aponeurotic defects and disinsertion of the levator aponeurosis are responsible for many cases of acquired ptosis. The typical clinical findings in aponeurotic defects are: history of prior orbital swelling, injury, ocular surgery, blepharochalasis; good to excellent levator function, thinning of the eyelid above the tarsus, high to absent lid crease, and normal Müller's muscle function. The purpose of the treatment is to repair a defect or advance the aponeurosis onto the tarsus. Levator aponeurosis surgery was used to treat 18 upper eyelids with acquired ptosis. Local anesthesia and surgery from an anterior approach were used in all cases. The advantages of this technique are: The lid height is determined by asking the patient to look in various fields of gaze. A blepharoplasty can be performed when necessary. The lid crease is formed. The exposition of the levator aponeurosis disinsertion is easier to recognize.

  15. [Cosmetic eyelid surgery]. (United States)

    Ruban, J-M; Barbier, J; Malet, T; Baggio, E


    Cosmetic eyelid surgery is becoming increasingly popular. It can rejuvenate the patient's appearance with relatively minor side effects. Its risk/benefit ratio is one of the best in facial cosmetic surgery. However, the patient does not always accurately assess the aesthetic appearance of his or her eyelids. This underscores the importance of clinical examination in order to determine the patient's wishes, and then make an accurate diagnosis and potential surgical plan. We currently oppose, in general, surgical techniques involving tissue removal (skin-muscle and/or fat) in favor of those involving tissue repositioning and grafting (autologous fat pearl transposition, obtained by liposuction, and lipostructure). Furthermore, the place of adjuvant therapies to blepharoplasty is steadily increasing. They mainly include surface treatments (peels and lasers), dermal fillers and anti-wrinkle botulinum toxin injections. They are also increasingly used in isolation in novel ways. In all cases, a perfect knowledge of anatomy and relevant skills and experience remain necessary.

  16. Current Update in Asian Rhinoplasty

    Directory of Open Access Journals (Sweden)

    Clyde H. Ishii, MD, FACS


    Full Text Available Summary: There has been a tremendous growth of cosmetic surgery among Asians worldwide. Rhinoplasty is second only to blepharoplasty in terms of popularity among Asians regarding cosmetic surgical procedures. Most Asians seek to improve their appearance while maintaining the essential features of their ethnicity. There are considerable ethnic nasal and facial variations in this population alone. Successful rhinoplasty in Asians must take into account underlying anatomic differences between Asians and whites. Due to ethnic variations, cultural differences, and occasional language barriers, careful preoperative counseling is necessary to align the patient’s expectations with the limitations of the procedure. This article will review the many facets of Asian rhinoplasty as it is practiced today.

  17. Surgical treatment for medically refractory myasthenic blepharoptosis

    Directory of Open Access Journals (Sweden)

    Shimizu Y


    Full Text Available Yusuke Shimizu,1 Shigeaki Suzuki,2 Tomohisa Nagasao,1 Hisao Ogata,1 Masaki Yazawa,1 Norihiro Suzuki,2 Kazuo Kishi1 1Department of Plastic and Reconstructive Surgery, 2Department of Neurology, Keio University School of Medicine, Tokyo, JapanPurpose: Currently, only a few reports have recommended surgery as a suitable treatment for blepharoptosis associated with myasthenia gravis. The present study aims to introduce our surgical criteria, surgical options, outcomes, and precautions for medically refractory myasthenic blepharoptosis. Patients and methods: Eight patients who failed to respond to at least 2 years of medical treatment and who underwent blepharoptosis surgery, from January 2008 to December 2011, were enrolled in this study. Medical records, photographs, and questionnaire results regarding postoperative status were evaluated. Of the eleven procedures performed, four involved frontal suspension, four involved external levator advancement, one involved nonincisional transconjunctival levator advancement, and two involved subbrow blepharoplasty with orbicularis oculi muscle tucking. The margin reflex distance improved postoperatively in seven patients. Results: Seven patients had very minimal scarring, and one had minimal scarring. Five patients showed no eyelid asymmetry, one had subtle asymmetry, and two had obvious asymmetry. Seven patients were very satisfied, and one patient was satisfied with the overall result. Postoperative complications included mild lid lag with incomplete eyelid closure, prolonged scar redness, and worsened heterophoria. No patient experienced postoperative exposure keratitis or recurrent blepharoptosis during the study period. Conclusion: Our results indicate that blepharoptosis surgery is effective for patients with myasthenia gravis, especially those with residual blepharoptosis despite multiple sessions of medical treatments. We recommend that neurologists and surgeons collaborate more systematically and

  18. Markers of Inflammation and Fibrosis in the Orbital Fat/Connective Tissue of Patients with Graves’ Orbitopathy: Clinical Implications

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    Przemyslaw Pawlowski


    Full Text Available Purpose. To assess FGF-β, TGF-β, and COX2 expression and immunocompetent cells in the orbital tissue of patients with severe and mild Graves’ orbitopathy. Patients and Methods. Orbital tissue was taken from 27 patients with GO: (1 severe GO (n=18, the mean clinical activity score (CAS being 8.5 (SD 2.5; and (2 mild GO (n=9, the mean CAS being 2.2 (SD 0.8, and from 10 individuals undergoing blepharoplasty. The expression of CD4+, CD8+, CD20+, and CD68 and FGF-β, TGF-β, and COX2 in the orbital tissue was evaluated by immunohistochemical methods. Results. We demonstrated predominant CD4+ T cells in severe GO. CD68 expression was observed in the fibrous connective area of mild GO and was robust in severe GO, while the prominent TGF-β expression was seen in all GO. Increased FGF-β expression was observed in the fibroblasts and adipocytes of severe GO. No expression of COX2 was found in patients with GO. Conclusions. Macrophages and CD4 T lymphocytes are both engaged in the active/severe and long stage of inflammation in the orbital tissue. FGF-β and TGF-β expression may contribute to tissue remodeling, fibrosis, and perpetuation of inflammation in the orbital tissue of GO especially in severe GO.

  19. Blefaroplastia associada a enxertia de pele autóloga para xantelasmas extensos: relato de caso Extensive xanthelasma: a surgical solution: case report

    Directory of Open Access Journals (Sweden)

    Filipe José Pereira


    Full Text Available O xantelasma pode ser tratado por uso de ácidos, laser ou cirurgia com fechamento primário, todos apresentando recidivas freqüentes, além de ineficazes em casos extensos. Os autores apresentam a reabilitação funcional e estética em uma paciente com recidiva de xantelasmas extensos nas porções mediais das quatro pálpebras em que foi realizada exérese das lesões associadas à blefaroplastia superior e inferior, com utilização da pele retirada para enxerto em transferência mútua, ou seja, o excesso de pele de pálpebras superiores utilizado para enxertia em pálpebras inferiores e vice-versa.Xanthelasma can be treated with acids, laser or primary suture, all presenting frequent relapses besides being inefficacious in extensive cases. The authors present the functional and esthetic result of a female patient's case with extensive xanthelasmas on the upper and lower eyelids which were removed combined with upper and lower blepharoplasty, using the skin removed from the upper eyelids to cover the defect in the lower, and vice-versa.

  20. The McCollough Facial Rejuvenation System: a condition-specific classification algorithm. (United States)

    McCollough, E Gaylon


    The search for the holy grail in facial rejuvenation is an ongoing quest. Perhaps the reason the "ideal" face-lift has yet to be discovered is a result of three factors. First, the term FACE-LIFT has never been adequately defined. Second, fads and trends play a role in how the operation is taught and performed. Third, surgeons searching for the prototypic technique have not had a way to index the physical signs of facial aging. After 37 years of practicing facial plastic surgery and performing more than 5000 face-lifts, the author determined that replacing chaos with order is long overdue. To achieve this goal, he developed a classification system that is designed to match each potential patient's problems with the most appropriate facial rejuvenation treatment plan and a "language" by which facial rejuvenation surgeons can communicate. Five progressive stages of aging have been identified and matched with recommended courses of face-lifting, blepharoplasty, volume augmentation, and skin resurfacing techniques. Ancillary procedures have also been included when indicated. It is the author's hope that a new classification system will bring order to mounting confusion within the aesthetic surgery professions as well as within the public sector.

  1. Beauty is in the eye of the beholder: body dysmorphic disorder in ophthalmic plastic and reconstructive surgery. (United States)

    McConnell, Lindsay K; Lee, Wendy W; Black, Donald W; Shriver, Erin M


    Despite the fact that up to 15% of patients in an aesthetic surgery practice have body dysmorphic disorder (BDD), little has been written about the condition in the oculoplastic literature. The authors describe 3 patients with suspected BDD who presented with perceived periocular defects. To appear "Asian," a 39-year-old Hispanic woman underwent over 30 surgeries. She developed disfiguring scars and lagophthalmos with corneal scarring, remained unsatisfied, and tragically committed suicide. A 52-year-old woman with moderate dermatochalasis underwent a blepharoplasty to improve her vision and appearance and help her gain employment. Despite a good outcome, she remained dissatisfied and blamed the surgeon for her unemployment. Finally, a 73-year-old woman presented demanding treatment for brow rhytids causing severe emotional distress. She was denied intervention due to unrealistic expectations. These patients are suspected to be suffering from BDD. Increased awareness is critical as BDD patients often remain unsatisfied after surgical intervention and are in need of psychiatric care.

  2. Thermal orbital injuries from disposable cauteries. (United States)

    Liu, D; Stasior, O G


    Forty rabbits divided in six groups and three brands of hot wire cautery with temperature ranging from 190 degrees C to 1035 degrees C were used in this experiment. A surgical procedure resembling a cosmetic blepharoplasty was performed on a total of 60 lower eyelids of the rabbits. The remaining eyelids were either shams or normal controls. Cautery application to orbital fat was carefully controlled, i.e., 10 or 20 seconds in single or double applications. Gross observation and microscopic examination of the biopsied specimens taken at 3 hours, 2 days, and 2 weeks after the procedures were performed. Evidence of thermal injury to the lacrimal gland and extraocular muscle damage was found. Although no evidence of thermal injury to the optic nerve was found, it was conceivable that either by a direct transfer of heat or by an indirect inflammatory and compressive effect the health of the optic nerve might be threatened. It is strongly recommended that hot wire cautery be used with extreme caution when working with orbital tissues.

  3. Surgeon point-of-view recording: Using a high-definition head-mounted video camera in the operating room (United States)

    Nair, Akshay Gopinathan; Kamal, Saurabh; Dave, Tarjani Vivek; Mishra, Kapil; Reddy, Harsha S; Rocca, David Della; Rocca, Robert C Della; Andron, Aleza; Jain, Vandana


    Objective: To study the utility of a commercially available small, portable ultra-high definition (HD) camera (GoPro Hero 4) for intraoperative recording. Methods: A head mount was used to fix the camera on the operating surgeon's head. Due care was taken to protect the patient's identity. The recorded video was subsequently edited and used as a teaching tool. This retrospective, noncomparative study was conducted at three tertiary eye care centers. The surgeries recorded were ptosis correction, ectropion correction, dacryocystorhinostomy, angular dermoid excision, enucleation, blepharoplasty and lid tear repair surgery (one each). The recorded videos were reviewed, edited, and checked for clarity, resolution, and reproducibility. Results: The recorded videos were found to be high quality, which allowed for zooming and visualization of the surgical anatomy clearly. Minimal distortion is a drawback that can be effectively addressed during postproduction. The camera, owing to its lightweight and small size, can be mounted on the surgeon's head, thus offering a unique surgeon point-of-view. In our experience, the results were of good quality and reproducible. Conclusions: A head-mounted ultra-HD video recording system is a cheap, high quality, and unobtrusive technique to record surgery and can be a useful teaching tool in external facial and ophthalmic plastic surgery. PMID:26655001

  4. Lower eyelid retraction repair with resorbable polydioxanone implants

    Directory of Open Access Journals (Sweden)

    Adel H Alsuhaibani


    Full Text Available Purpose: To report a unique technique to repair lower eyelid retraction using resorbable polydioxanone implants. Patients and Methods: This was a retrospective, consecutive, nonrandomized interventional case series. Patients with lower eyelid retraction after trauma repaired facial fracture, thyroid eye disease, lower eyelid blepharoplasty, and long-standing facial palsy were treated with middle lamellar spacer using absorbable polydioxanone implant. All patients were recruited from the King Abdulaziz University Hospital, Riyadh, Saudi Arabia. Only patients with minimum follow-up of 12 months were included in the study. Results: Eight patients (4 males and 4 females underwent lower eyelid retraction repair using absorbable polydioxanone implant. The mean age was 43 years (range, 23-63 years. All patients noted improved ocular surface symptoms. The improvement in eyelid retraction ranged from 1.5 to 4 mm with an average of 2.7 mm postoperatively. The implant was well tolerated with no major complications. Conclusions: Several options for spacer materials are available. Absorbable polydioxanone implants seem to be an effective middle lamellar spacer that is a good alternative for repairing middle lamella related lower eyelid retraction and lower eyelid support.

  5. Surgeon point-of-view recording: Using a high-definition head-mounted video camera in the operating room

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    Akshay Gopinathan Nair


    Full Text Available Objective: To study the utility of a commercially available small, portable ultra-high definition (HD camera (GoPro Hero 4 for intraoperative recording. Methods: A head mount was used to fix the camera on the operating surgeon′s head. Due care was taken to protect the patient′s identity. The recorded video was subsequently edited and used as a teaching tool. This retrospective, noncomparative study was conducted at three tertiary eye care centers. The surgeries recorded were ptosis correction, ectropion correction, dacryocystorhinostomy, angular dermoid excision, enucleation, blepharoplasty and lid tear repair surgery (one each. The recorded videos were reviewed, edited, and checked for clarity, resolution, and reproducibility. Results: The recorded videos were found to be high quality, which allowed for zooming and visualization of the surgical anatomy clearly. Minimal distortion is a drawback that can be effectively addressed during postproduction. The camera, owing to its lightweight and small size, can be mounted on the surgeon′s head, thus offering a unique surgeon point-of-view. In our experience, the results were of good quality and reproducible. Conclusions: A head-mounted ultra-HD video recording system is a cheap, high quality, and unobtrusive technique to record surgery and can be a useful teaching tool in external facial and ophthalmic plastic surgery.

  6. Periorbital aesthetic surgery with the KTP laser. (United States)

    Ginsbach, G


    The eyes are regarded as the windows to the soul. Many expressions of mood may be derived from the appearance of the eyes--mad, sad, bad, criminal, sweet, friendly, mystic. In addition, love and flirtatiousness, self-consciousness, pride, modesty, anger, youth, and age are shown in the expression of our eyes. The eyes and the periorbital region therefore challenge our surgical skill to improve the patient's overall well-being to be looked at each day in the mirror. The potassium titanyl phosphate (KTP) laser in many indications helps us to fulfill the patient's expectations concerning pain, oozing, bruising, swelling, outpatient surgery, and early return to work and normal social activities. With the cutting fiber device, an accurate removal of skin and fat or even tumors is possible in this region with practically no side effects. The frontal lift, eyebrow lift, direct or through coronal incision, as well as temporal lifting are easily accessible and carried out by this device. Glabellar frowns may also be removed endoscopically. Further, the KTP laser may be used for transconjunctival blepharoplasty.

  7. Expressão de marcadores de proliferação celular e apoptose no carcinoma espinocelular de pele e ceratose actínica Expression of cell proliferation and apoptosis biomarkers in skin spinocellular carcinoma and actinic keratose

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    Marilho Tadeu Dornelas


    in patients with squamous cell carcinoma and actinic keratosis. METHOD: We studied samples from 30 patients, ten patients of squamous cell carcinoma, ten with actinic keratosis and ten lesion-free samples from blepharoplasty. RESULTS: p53 protein was expressed in all cases with different quantitative patterns. Bcl-2 was expressed at low intensity in six cases of actinic keratosis in the skin from blepharoplasty and negative in cases of squamous cell carcinoma. PCNA showed intense expression in all samples. Ki-67 showed variable expression in cases of keratosis and carcinoma and negative in the skin from the eyelid. CONCLUSION: The high expression of Ki-67 associated with low expression of Bcl-2 indicates proliferation in the carcinoma group. Thus, expression of p53 and Bcl-2 in patients with actinic keratosis indicates cell immortalization.

  8. Peri-orbital and mid-facial rejuvenation%眶周及中面部联合提紧术

    Institute of Scientific and Technical Information of China (English)

    蔡群; 林琳; 陈龙; 熊世文


    目的:根据眶周及中面部老年性改变特征,探讨眶周及中面部联合提紧的方法和效果.方法:采用下睑缘入路行中面部软组织分离提紧,并固定于眶缘骨膜上,同时结合抬眉术矫正眶周及中面部软组织松垂,并整复睑袋.结果:本组587例,经1~5年随访,除3例术后下睑下方出现凹陷,经颗粒脂肪移植充填满意外,无其他并发症,效果满意,结论:中面部提紧结合抬眉手术能有效改变眶周及中面部老化现象.手术操作简单,创伤小,并发症少,而且面部年轻化美容效果良好.%Objective To evaluate a new technique for peri-orbital and mid-facial rejuvenation. Methods The mid-facial soft tissue were suspended upward and fixed to the orbital bone membrane by direct transblepharoplasty approach, the peri-orbital soft tissue was also lifted by brow incisions.Blepharoplasty was carried at the same time. Results All 587 cases treated by this technique were followed up for 1 to 5 years.Good results were achieved.Except orbital depression appeared in two other complication occurred. Conclusions This technique is safe and effective for Peri-orbitaland mid-facial rejuvenation.

  9. Direct brow lifting: Specific indications for a simplified approach to eyebrow ptosis

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    Michele Pascali


    Full Text Available Context: Brow lifting is an essential element in the rejuvenation of the ageing face. Various surgical techniques have been described. Among these, the direct brow lifting is an easy and effective technique that is often neglected because the scar can remain visible. Thus, this approach is usually reserved for elderly patients and males, with thick bushy brows. Aims: The authors present their result from a series of fifty consecutive patients treated over 2 years with direct brow lift. The aim is to demonstrate when the hairline is high or temporal alopecia is present and whether this technique is the best in bald patients, when some surgical steps are carefully adhered to. In these cases, the scar is less visible, hidden in the brow and is a good solution in women too. Subjects and Methods: Between January 2011 and January 2013, fifty patients underwent direct brow lift surgery. All were men. In all the cases, brow lifting was undertaken together with an upper blepharoplasty. The amount of brow elevation produced was assessed by comparing the vertical distances between the superior eyebrow hairline and the inter-pupillary line, pre- and post-operatively. The result and the scar quality were assessed both by the patient and the surgeon. Statistical Analysis Used: The paired t-test. Results: The authors obtained statistically significant results in brow elevation in 98% of the patients after a 12-month follow-up. The main complication associated with this procedure was visibility of the scar in two patients. Conclusions: The direct brow lift technique in bald men and with a high anterior hairline provides excellent and long-lasting results.

  10. Informed Consent as a Litigation Strategy in the Field of Aesthetic Surgery: An Analysis Based on Court Precedents (United States)


    Background In an increasing number of lawsuits doctors lose, despite providing preoperative patient education, because of failure to prove informed consent. We analyzed judicial precedents associated with insufficient informed consent to identify judicial factors and trends related to aesthetic surgery medical litigation. Methods We collected data from civil trials between 1995 and 2015 that were related to aesthetic surgery and resulted in findings of insufficient informed consent. Based on these data, we analyzed the lawsuits, including the distribution of surgeries, dissatisfactions, litigation expenses, and relationship to informed consent. Results Cases were found involving the following types of surgery: facial rejuvenation (38 cases), facial contouring surgery (27 cases), mammoplasty (16 cases), blepharoplasty (29 cases), rhinoplasty (21 cases), body-contouring surgery (15 cases), and breast reconstruction (2 cases). Common reasons for postoperative dissatisfaction were deformities (22%), scars (17%), asymmetry (14%), and infections (6%). Most of the malpractice lawsuits occurred in Seoul (population 10 million people; 54% of total plastic surgeons) and in primary-level local clinics (113 cases, 82.5%). In cases in which only invalid informed consent was recognized, the average amount of consolation money was KRW 9,107,143 (USD 8438). In cases in which both violation of non-malfeasance and invalid informed consent were recognized, the average amount of consolation money was KRW 12,741,857 (USD 11,806), corresponding to 38.6% of the amount of the judgment. Conclusions Surgeons should pay special attention to obtaining informed consent, because it is a double-edged sword; it has clinical purposes for doctors and patients but may also be a litigation strategy for lawyers. PMID:27689046

  11. Borrowed beauty? Understanding identity in Asian facial cosmetic surgery. (United States)

    Aquino, Yves Saint James; Steinkamp, Norbert


    This review aims to identify (1) sources of knowledge and (2) important themes of the ethical debate related to surgical alteration of facial features in East Asians. This article integrates narrative and systematic review methods. In March 2014, we searched databases including PubMed, Philosopher's Index, Web of Science, Sociological Abstracts, and Communication Abstracts using key terms "cosmetic surgery," "ethnic*," "ethics," "Asia*," and "Western*." The study included all types of papers written in English that discuss the debate on rhinoplasty and blepharoplasty in East Asians. No limit was put on date of publication. Combining both narrative and systematic review methods, a total of 31 articles were critically appraised on their contribution to ethical reflection founded on the debates regarding the surgical alteration of Asian features. Sources of knowledge were drawn from four main disciplines, including the humanities, medicine or surgery, communications, and economics. Focusing on cosmetic surgery perceived as a westernising practice, the key debate themes included authenticity of identity, interpersonal relationships and socio-economic utility in the context of Asian culture. The study shows how cosmetic surgery of ethnic features plays an important role in understanding female identity in the Asian context. Based on the debate themes authenticity of identity, interpersonal relationships, and socio-economic utility, this article argues that identity should be understood as less individualistic and more as relational and transformational in the Asian context. In addition, this article also proposes to consider cosmetic surgery of Asian features as an interplay of cultural imperialism and cultural nationalism, which can both be a source of social pressure to modify one's appearance.

  12. 《美容整形外科》(Aesthetic Plastic Surgery)2001年第25卷第4期目录

    Institute of Scientific and Technical Information of China (English)


    Aesthetic Plastic Surgery Volume 25 , Number 4, 2001 249 The Value of a New Filler Material in Corrective and Cosmetic Surgery: DermaLive and DermaDeep Catherine Bergeret-Galley , Xavier Latouche , Yves-Gérard Illouz 256 Fat Transplantation for Soft Tissue Augmentation in the Lower Limbs M. Stampos, P. Xepoulias 262 The Effect of Reduction of the Peripheral Fat Content by Liposuction-Assisted Lipectomy (SAL) on Serum Leptin Levels in the Postoperative Period: A Prospective Study Ran Talisman, Nik Belinson, Dalit Modan-Moses, Hana Canti, Arie Orenstein, Zohar,Barzilai, Gideon Parret 266 Short Columella Nasolabial Complex in Aesthetic Rhinoplasty A. Aldo Mottura 273 Nasal Reconstruction After Epithelioma Salvador Rodriguez-Camps 278 PVP Breast Implants After Two Years: Initial Results of a Prospective Study Henrik Menke , H. GrUbmeyer, E. Biemer, R. R. Olbrisch 283 Mammographic Findings Following Reduction Mammoplasty Dimitrios Danikas, Spero J. V. Theodorou, George Kokkalis, Katerina Vasiou, Konstantina K yriakopoulou 286 Unsatisfactory Results of Periareolar Mastopexy With or Without Augmentation and Reduction Mammoplasty: Enlarged Areola With Flattened Nipple Cihat N. Baran, Fatih Peker , Turgut Ortak , Omer Sensoz , Namik K. Baran 290 Postoperative Compression After Breast Augmentation Bassem Nathan, Shiva Singh 292 Breast Augmentation with Fresh-Frozen Homologous Fat Grafts J. Haik, R. Talisman, J. Tamir, J. Frand, E. Gazit, J. Schibi, A. Glicksman, A. Orenstein 295 Upper Eyelid Mycobacterial Infection Following Oriental Blepharoplasty in a Pulmonary Tuberculosis Patient Samuel H. T. Chen, Chun-Hua Wang, Hung-Chi Chen, George C. J. Weng, Paul-Yann Lin, Fu-Chan Wei 299 Clinical Facial Photography in a Small Office:Lighting Equipment and Technique Fabio Meneghini 307 Specific Requirements for Preoperative and Postoperative Photos Used in Publication Irene Talamas and Luis Pando 311 Announcements

  13. "Oriental anthropometry" in plastic surgery

    Directory of Open Access Journals (Sweden)

    Senna-Fernandes Vasco


    Full Text Available Background : According to Chinese medicine, the acupuncture-points′ (acupoints locations are proportionally and symmetrically distributed in well-defined compartment zones on the human body surface Oriental Anthropometry" (OA. Acupoints, if considered as aesthetic-loci, might be useful as reference guides in plastic surgery (PS. Aim: This study aimed to use aesthetic-loci as anatomical reference in surgical marking of Aesthetic Plastic Surgery. Method: This was an observational study based on aesthetic surgeries performed in private clinic. This study was based on 106 cases, comprising of 102 women and 4 men, with ages varying from 07 to 73 years, and with heights of between 1.34 m and 1.80 m. Patients were submitted to aesthetic surgical planning by relating aesthetic-loci to conventional surgical marking, including breast surgeries, abdominoplasty, rhytidoplasty, blepharoplasty, and hair implant. The aesthetic-surgical-outcome (ASO of the patients was assessed by a team of plastic surgeons (who were not involved in the surgical procedures over a follow-up period of one year by using a numeric-rating-scale in percentage (% terms. A four-point-verbal-rating-scale was used to record the patients′ opinion of therapeutic-satisfaction (TS. Results: ASO was 75.3 ± 9.4% and TS indicated that most patients (58.5% obtained "good" results. Of the remainder, 38.7% found the results "excellent", and 2.8% found them "fair". Discussion and Conclusion : The data suggested that the use of aesthetic-loci may be a useful tool for PS as an anatomical reference for surgical marking. However, further investigation is required to assess the efficacy of the OA by providing the patients more reliable balance and harmony in facial and body contours surgeries.

  14. Diminuição da função do músculo levantador da pálpebra superior em pacientes submetidos à cirurgia de ptose palpebral involucional e dermatocálase Decrease of upper eyelid levator muscle function after involutional ptosis and dermatochalasis surgery

    Directory of Open Access Journals (Sweden)

    Eliana Forno


    Full Text Available OBJETIVO: Avaliar a diferença da função do músculo levantador da pálpebra superior (FMLPS, distância margem reflexo (DMR1 e altura do sulco palpebral (AS antes e depois da cirurgia de blefaroplastia superior associada à correção de ptose palpebral. MÉTODOS: Quarenta e quatro pacientes com blefaroptose e dermatocálase foram incluídos. Intervenção: exploração do tendão do músculo levantador da pálpebra superior (MLPS durante a blefaroplastia, em portadores de blefaroptose e dermatocálase. Nos casos de desinserção, o tendão foi refixado ao tarso. Desfechos analisados: foram analisados de forma bilateral a diferença entre FMLPS, DMR1 e AS antes e depois da intervenção. A dependência entre os olhos foi corrigida por meio de equações de estimativa generalizada. Foi utilizada a correlação de Pearson para quantificar a dependência entre os olhos para FMLPS, DMR1 e AS. RESULTADOS: Houve diferença significante entre as medidas de FMLPS antes e depois da cirurgia, havendo redução da excursão do MLPS após a cirurgia, diminuindo, em média, 1,1 mm (P0,01. CONCLUSÃO: A função do músculo levantador da pálpebra superior diminui após a cirurgia para a correção da ptose.PURPOSE: To evaluate the differences between upper eyelid levator muscle function (UELMF, margin reflex distance (MDR1, and eyelid crease height (ECH before and after ptosis and dermatochalasis surgery. METHODS: Forty-four patients with blepharoptosis and dermatochalasis were enrolled. Intervention: An exploration of the levator tendon (LT during a blepharoplasty procedure in patients with blepharoptosis and dermatochalasis and in case of its disinsertion, the tendon was reattached to the tarsus. Measured outcome: The differences between UELMF, MDR1, ECH before and after surgery were evaluated bilaterally. Dependency between both eyes was corrected by generalized estimating equations. Pearson correlation was used to evaluate the dependency of the two

  15. El ojo hermoso The beautiful eye

    Directory of Open Access Journals (Sweden)

    O. M. Ramírez


    Full Text Available Como cirujanos estéticos siempre nos esforzamos por alcanzar resultados hermosos que sean agradables a los sentidos. Esto es particularmente cierto en el terreno del rejuvenecimiento periorbitario. Según la estadística de la Sociedad Americana de Cirujanos Plásticos la blefaroplastia estética es uno de los procedimientos mas frecuentes y su frecuencia va en aumento tanto en hombres como en mujeres. El rejuvenecimiento periorbitario adecuado debería restaurar la percepción interior del paciente respecto a belleza y juventud de sus ojos, así como proporcionar un aspecto externo que sea "estético" o agradable a los sentidos. Para lograr este objetivo, se requiere una comprensión de la estética facial, tanto en términos subjetivos como objetivos. Los investigadores han demostrado que la percepción del atractivo o la belleza en la cara de un individuo es relativamente constante entre observadores independientes, desafiando el dicho popular de que "la belleza está en el ojo del espectador." Presentamos una actualización del tema y una amplia iconografía. La información recogida de la literatura y de años experiencia clínica debería permitir al lector desarrollar una mayor sensibilidad estética, para obtener resultados óptimos en el rejuvenecimiento periorbitario.As aesthetic surgeons we are always striving to achieve beautiful results that are pleasurable to the senses. This is particularly certain in the land of the periorbital rejuvenation. According to the statistics of the American Society of Plastic Surgeons, aesthetic blepharoplasty is one of the procedures most commonly performed and goes in increase its so much frequency in men as in women. Successful periorbital rejuvenation should restore the patient"s inner sense of beauty and youthfulness as well as provide an outward appearance that is ‘aesthetic" or pleasurable to the senses. To accomplish this lofty goal, the aesthetic surgeon must strive to create "the beautiful

  16. 小切口切开法重睑术的临床效果分析%Clinical effectiveness analysis of Small incision doubles in eyelid surgery

    Institute of Scientific and Technical Information of China (English)



    Objective To investigate the clinical results of small incision double in eyelid surgery.Methods 160 cases with a double eyelid surgery were divided into two groups,including the observation group of 84 patients with small incision double eyelid surgery and the control group of 76 patients using conventional blepharoplasty incision.Results The patient's operative time and stitches time,operation costs were significantly better than the control group of patients,the difference was statistically significant (P<0.05),patient satisfaction observation group was 95.23%,significantly higher than in patients,and the difference was statistically significant (P <0.05).Conclusion Small incision double in eyelid surgery in current clinical got more and more recognized by plastic surgeons,and it is worthy of widespread use.%目的:探讨小切口切开法重睑术的临床效果.方法:选择我院门诊手术治疗的160例有重睑手术需求患者的临床资料,其中,观察组84例患者采用小切口切开重睑术,而对照组76例患者采用传统的切开重睑术,比较两组患者的手术效果.结果:观察组患者的手术时间和拆线时间、手术费用明显优于对照组患者,差异具有明显统计学意义(P<0.05),观察组患者的满意度为95.23%,明显高于对照组患者,且差异具有明显统计学意义(P<0.05).结论:小切口切开法重睑术在目前临床上得到了越来越多整形医师与患者的认可,值得临床广泛使用.

  17. The minimally invasive, orbicularis-sparing, lower eyelid recession for mild to moderate lower eyelid retraction with reduced orbicularis strength. (United States)

    Yoo, Donald B; Griffin, Garrett R; Azizzadeh, Babak; Massry, Guy G


    IMPORTANCE Identifying a procedure to address lower eyelid retraction (LER) in the presence of an orbicularis deficit is a useful tool for aesthetic and reconstructive eyelid surgery. OBJECTIVE To describe and evaluate a surgical technique consisting of a closed canthal suspension and true lower eyelid retractor recession to address LER in the setting of orbicularis weakness. DESIGN, SETTING, AND PARTICIPANTS A retrospective medical record review of patients who underwent the minimally invasive, orbicularis-sparing, lower eyelid recession from January 1, 2010, to October 1, 2012, by one of us (G.G.M.) in an ophthalmic plastic surgical practice. We included 29 patients with reduced orbicularis strength and LER resulting from eyelid paresis related to facial nerve disease, surgical trauma (after blepharoplasty), involutional change, or idiopathic causes. INTERVENTIONS Surgical intervention consisting of closed canthal suspension and lower eyelid retractor recession. MAIN OUTCOMES AND MEASURES Surgical results, complications, and patient satisfaction. RESULTS The 29 patients included 18 women and 11 men. The mean patient age was 52 (range, 6-72) years; mean follow-up, 11 (range, 6-21) months; and mean preoperative orbicularis strength, 2.7 (on a scale of 0-4, where 0 indicates no function and 4, normal function). The causes of orbicularis weakness included eyelid paresis related to facial nerve disease (11 patients), surgical trauma (13 patients), involutional change (4 patients), and an isolated idiopathic finding (1 patient). In 12 patients, the eyelid retraction was unilateral; in 17, bilateral. A small tarsorrhaphy was added to the surgery in 6 patients with facial nerve disease. The mean eyelid elevation after surgery was 1.80 mm, with only minor complications. Patient and surgeon satisfaction were high. CONCLUSIONS AND RELEVANCE Recent publications have demonstrated the utility of closed canthal suspension and true lower eyelid retractor recession as separate

  18. Treatment of proptosis with fat removal orbital decompression in Graves' ophthalmopathy%改良眶减压术的临床观察

    Institute of Scientific and Technical Information of China (English)

    潘叶; 孙丰源; 宋国祥


    Objective: Retrospective evaluation of 10 proptosis reduction procedures using fat removal orbital decompression. Methods: Trans-septal excision of extraconal and intraconal fat was done through conjunctivae or the upper and lower eyelid blepharoplasty approach. Results: Mean excision of 3.9 ml(range 1.5~11ml) of orbital fat reduced proptosis on average by 3. 1mm (range 2~6 mm) . Side effects were few. There was no significant effect on visual acuity and ocular motility. Efficient palpebral lengthening can be achieved with combined section of the levator aponeurosis in the upper eyelid, and/or auricular cartilage graft in the lower eyelid. Conclusion: Fat removal orbital decompression reduces proptosis in Graves' ophthalmopathy.%目的:回顾和评价改良眶减压术即眶脂肪脱出术治疗甲状腺相关眼病眼球突出的疗效。方法:经眼睑和结[摘要]目的:回顾和评价改良眶减压术即眶脂肪脱出术治疗甲状腺相关眼病眼球突出的疗效。方法:经眼睑和结膜切口入路,切除肌肉圆锥内、外的脂肪,达到降低眶压,减少眼球突出度的目的。结果:切除眶脂肪1.5~11ml,平均3.9ml,矫正眼球突出度2~6mm,平均3.1mm。该治疗副作用很少,不影响视力及眼球运动,与提上睑肌延长术联合效果更佳。结论:眶脂肪脱出术可以缓解眼球突出,是治疗甲状腺相关眼病突眼的有效方法。

  19. Study on the anatomy and plastic surgery of suborbicularis oculi fat pad%眼轮匝肌下脂肪垫的解剖学及整形外科学的研究

    Institute of Scientific and Technical Information of China (English)

    王丽; 畅叶叶


    Objective To study the suborbicularis oculi fat pad anatomy, and the adjacent tissue structure of the relationship, in the evaluation of its eye younger operation. Methods On the skulls of adult human specimens from 7 cadavers (14 sides eye specimens) of orbital anatomy study; 50 patients had obvious signs of facial aging before the patients were eye operation, operation will oculi fat pad component removal. Results The orbicularis oculi muscle and maxillary, zygomatic periosteum on the superficial surface, there is a fat pad, most of its distribution in orbital peripheral, and the peripheral fat pad phase continuous.In 50 cases patients with postoperative lower eyelid blepharoplasty, area spreading, orbital fat bag away, lower orbital margin channel disappears, the orbital bone and lateral edge contour. Among the 19 patients with upper eyelid and ptosis patients, postoperative eye fissure width, eyelid thinning, supreme lateral palpebral fat performance. Conclusion The eye younger operation appropriately removing oculi fat pad, can significantly improve the operation effect.%目的:研究眼轮匝肌下脂肪垫的解剖结构,和相邻组织结构的关系,评价其在眼部年轻化手术中的应用效果.方法:对成人头颅部人体标本7具(14侧眼部标本)进行眶部解剖研究;对50例术前有明显面部老化征象患者进行了眼部手术,手术中将眼轮匝肌下脂肪垫部分去除.结果:在眼轮匝肌下和上颌骨、颧骨骨膜的浅面,存在有脂肪垫,其大部分分布在眼眶外围,并与周围脂肪垫相连续.50例眼袋患者,术后下睑区平展,眶隔脂肪袋消失,下眶缘沟消失,眶下外侧骨缘轮廓平和.其中19例伴有上睑臃肿下垂患者,术后眼裂增宽,眼睑变薄,无上睑外侧臃肿表现.结论:眼部年轻化手术适当去除眼轮匝肌下脂肪垫,可明显改善手术效果.

  20. Temporal Lifting by Embedding Thread Therapy and Lower Eyebag Excision with Upper Facial Lifting%颞部导针埋线悬吊和下眼袋切除同时行上面部除皱术

    Institute of Scientific and Technical Information of China (English)

    李虹; 张定敏; 钟宇; 袁霞


    Objective To solve the baggy deformity of lower eyelid and the fishtail lines,improve nasolabial fold by mid-face lifting without additional scar,and to avoid the adverse reactions resulting from traditional frontotemporalface lifting such as scalp scar,alopecia,operation trauma and lengthy recovery.Methods From March 2010 to December 2012,the orbicularis muscle flap was fixed on periosteum of the lateral orbital margin using lower blepharoplasty incision in 23 patients.After being separated under the temporal incision,the dissected tissue and skin were fixed on the temporal periosteum by guiding needle.The dissected tissue and skin were moved up and lifted.Results Twenty-three patients were followed up for 6 months to 2 years.The results were satisfying without obvious scar or alopecia.Conclusions This method is simple and can be done in the operating room of the Out-patient Department.The trauma is minimal so that it takes little time to recover.The temporal suture is without tension,thus the scar is light and alopecia can be avoided.%目的 将下眼袋和鱼尾纹同时解决,改善颞部和面中部皮肤老化,不增加额外瘢痕,改变采用传统面部除皱术时所产生的头皮瘢痕、脱发、创伤较大、恢复时间长的缺点.方法 对2010年3月-2012年12月收治的23例患者利用眼袋切口将眼轮匝肌瓣固定于眶外侧缘的骨膜上,然后再通过颞部除皱切口皮下潜行分离,导针埋线悬吊固定于颞侧颅骨骨膜上,将松垂的皮肤及筋膜上移、提紧.结果 对23例随访6个月~2年,瘢痕不明显,无脱发等并发症均取得医患双方满意的效果.结论 此方法简单易行,可在门诊患者局麻下进行;创伤轻,恢复较快.颞部切口减张缝合,瘢痕轻微,可预防脱发.

  1. Application of improved plastic surgery for eyelid bag in senile eyelid bag with tear trough and eyelid buccal groove%改良睑袋整形术在伴有泪槽和睑颊沟的中老年下睑袋中的应用

    Institute of Scientific and Technical Information of China (English)

    师军涛; 刘亚丽


    目的:使用改良的睑袋整形手术方法,达到改善伴有泪槽和睑颊沟的中老年下眼袋的术后效果。方法延长睑缘内则切口过泪点至内眦部;在传统眼袋整形手术过程中将眶肌筋膜韧带提紧固定于外眦韧带上或眶外侧壁上,眼轮匝肌切口上、下缘部分叠合缝合加固,将疝出的脂肪以“脂肪瓣”的形式间断缝合于眶下缘骨膜处。结果根据156例随访资料,132例满意,24例基本满意。结论使用改良后的睑袋手术方法,能明显改善睑袋术后的效果。%Objective To improved plastic surgery for eyelid bag in order to improve postoperative effect of senile eyelid bag with tear trough and eyelid buccal groove. Methods Extend inside the eyelid incision through lacrimal punctum to the inner canthus;in the traditional process of plastic surgery blepharoplasty, fascia ligament of orbital muscle was tightly fixed on the outer canthus ligament or lateral orbital wall, and the two edges of the orbicularis oculi muscle incision were partly reinforced by overlapping suture,and the herniated fat was interrupted suture in inferior orbital rim periosteum in the form of "fat flap". Results According to the follow-up, 156 patients, 132 cases of satisfaction, 24 cases of basic satisfaction, According to the follow-up visit on 156 cases. 132 cases were satisfied. 24 cases were satisfied basically. Conclusion Modified surgical methods for eyelid bag can significantly improve the effect of eye bags.

  2. 整形美容手术效果影响因素分析及预防措施%Analysis of Factors Affecting Surgical Cosmetic Surgery and Preventive Measures

    Institute of Scientific and Technical Information of China (English)

    李亮; 毕庆红


    目的:研究影响整形美容手术效果的因素,制定相关预防措施。方法选择本院烧伤整形外科80例进行整形美容手术患者进行分析,并根据患者的具体情况行隆鼻术、隆胸术、重睑成形术、唇裂修复等整形手术,手术后患者填写满意度调查表,结合所有资料进行分析。结果80例进行整形美容手术的患者中,28例对手术效果不满意,不满意率为35%。这其中,对手术期望过高者16例,占57.1%,隆鼻患者为4例,除皱患者2例,酒窝再造1例,眼袋整形2例,脂肪抽取2例,睑袋松弛整复1例,隆乳患者4例;手术设计存在一定偏差或手术适应症掌握不当者5例,占17.9%,重睑成形患者为3例,隆鼻患者2例,行二次手术后效果理想;术后护理不当导致感染等4例,隆鼻2例,隆乳2例占14.3%,;术后假体材料不合格者3例,占10.%,隆鼻2例,隆乳1例,以上患者均经治疗后痊愈。结论影响整形美容手术效果的因素主要为手术期望过高、手术设计偏差、护理欠缺和整形材料不合适等客观原因,应不断提高医师及护师的专业技能,做好术前术后患者的心理辅导,正确引导术后恢复,严格设计整形材料合适度,才能避免和减少医疗纠纷。%Objective To study the factors affecting the cosmetic surgery, and formulate relevant preventive measures.Methods Selection of burns and plastic surgery of our hospital 80 cases of patients with plastic surgery were analyzed, and the speciifc conditions of the patients underwent rhinoplasty, breast augmentation, blepharoplasty, cleft lip repair surgery, postoperative patients ifll in the questionnaire. All the data were analyzed with.Results Among the 80 patients, 28 were not satisifed with the operation effect, and the rate was 35%. This one, the operation expected in 16 cases, high rhinoplasty patients accounted for 57.1%, 4 cases, 2 cases of patients

  3. Acupoint catgut-embedding therapy: superiorities and principles of application%穴位埋线疗法的优势病种及应用规律

    Institute of Scientific and Technical Information of China (English)

    张选平; 康素刚; 段晓东; 贾春生; 王建岭; 石晶; 张莘; 李晓峰; 许晓康; 覃亮; 张美玲


    74 times. The next is surgery, accounting for 14. 56% (15/103). The major application is on low back pain and leg pain with the frequency of 79 times. Psoriasis, with the frequency of 30 times, holds the major application in dermatologica] department. And blepharoplasty, with the frequency of 30 times, gains the most application in department of ophthalmology and otorhinolaryngology. ② In the included literatures, selection of adjacent acupoints and distal acupoints are held as the major method of acupoint selection. The adjusted lumbar puncture needle is taken as the major tool for the acupoint catgut-embedding therapy. And catguts of different sizes are adopted for the operation. ③Analysis of the therapeutic effect shows that acupoint catgut-embedding therapy has obvious effect in all departments, especially in surgery and dermatology, with the total effective rate over 90%. Conclusion Epigastric pain, obesity, epilepsy, asthma, abdominal pain, facial paralysis and constipation of the internal medicine, low back pain and leg pain of the surgical department, psoriasis of the dermatological department and blepharoplasty of the department of ophthalmology and otorhinolaryngology are considered as the dominant diseases for acupoint catgut-embedding therapy.

  4. Check ligament suspension for correction of congenital severe blepharoptosis%翼状韧带悬吊矫正先天性重度上睑下垂

    Institute of Scientific and Technical Information of China (English)

    潘贰; 张毓; 李琳; 沈绍勇; 王向阳; 王洪勇; 郝永生


    Objective To evaluate the clinical result of check ligament suspension for correction of congenital severe blepharoptosis. Methods Since Jan. 2010 to Nov. 2010, 15 eyes in 15 cases with congenital severe blepharoptosis were treated with the check ligament suspension. Palpebralis aponeurosis was exposured by opening fascia palpebralis during blepharoplasty. Palpebralis aponeurosis was cut off about 5 mm above the tarsus. The check ligament was seen in the intermuscular space between the segment of levator and the anterior one third of superior rectus attached to the conjunctival fornix. Congenital blepharoptosis could be corrected by suturing the check ligament and levator palpebrae superior to the upper margin of tarsal plate with 3-0 silk thread. Double eyelid plasty was carried out in the end. Results The follow-up period was 3-11 months with good cosmetic result. All the cases could close their eyes in 15 to 30 days with no complication. Conclusions In conclusion, this technique is quite successful in raising the level of the upper eyelid in severe congenital blepharoptosis. The check ligament moves in a similar direction as the natural movement of levator muscle, so both the postoperative static and dynamic appearance of the upper lid is more natural.%目的 探讨翼状韧带悬吊矫正重度先天性上睑下垂的临床效果.方法 2010年1~11月,应用翼状韧带悬吊法治疗先天性重度上睑下垂患者15例15只眼,按照切开重睑术术式,打开眶隔,在距睑板上缘5 mm处剪断上睑提肌腱膜进入到上睑提肌下层,向结膜上穹窿分离,在上直肌前1/3和上睑提肌之间找到翼状韧带,用3-0丝线同上睑提肌缝合于睑板上缘,悬吊矫正上睑下垂,缝合形成重睑.结果 经过3~11个月随访,15只眼矫正良好,眼裂均在15~30 d基本闭合,无其他并发症发生,重睑弧度形态自然,外观满意.结论 翼状韧带悬吊治疗重度先天性上睑下垂疗效可靠,用翼状韧带代替

  5. Rejuvenecimiento mini-invasivo subgaleal del tercio superior facial: informe preliminar The minimally invasive subgaleal upper facelift: preliminary report

    Directory of Open Access Journals (Sweden)

    W.E. Bukret


    between February 2008 and April 2010. The minimally invasive subgaleal upper face lift was performed in conjunction with a middle face lift through the same temporal incisions in 17 cases, with blepharoplasty in 15 cases, rhinoplasty in 6 cases, neck liposuction 1 case, and with a full face and neck lift in 9 cases. The lifting technique included 4 or 5 small incisions in the scalp, wide subgaleal elevation, selective myotomies of the depressor muscles, anchoring of the frontalis muscle with percutaneous sutures to a polypropylene mesh covered by frontal periosteum, and suturing of the superficial temporal fascia to the deep temporal fascia. The mean follow-up was 14 months (range from 3 to 26 months. The signs of aging were significantly reduced, and most of the patients expressed a high degree of satisfaction. Complications were minor and transitory. In conclusion, the minimally invasive subgaleal approach of the upper third of the face is a rejuvenation procedure that gives excellent results, with minimal and transitory complications. More studies are necessary to determine long term efficacy.

  6. Heart Dacron graft in the application of the louer eyelid retraction correcting%心脏涤纶补片在下睑退缩矫正中的应用

    Institute of Scientific and Technical Information of China (English)

    秦富强; 杨倩倩; 刘德成


    Objective To investigate the clinical effects of heart Dacron eyelid retraction as eyelid implant treatment. Methods 20 cases (24 eyes) with lower eyelid retraction,Preoperative measurements in primary position of the lower edge of the lower eyelid position relative to the cornea and the position of the orbital rim.Skin incision surgery using lower eyelid blepharoplasty, The pruning of heart Dacron graft implant is placed between the lower edge of the lower eyelid tarsal muscle contraction.Postoperative observation the lower eyelid position's change and the implant is displaced or prolapsed. Results 20 cases (24 eyes) of heart Dacron eyelid implant followed up for 6 to 24 months,no implant displacement and prolapse,Between 24 eyes,there were 22 in the primary position of the lower eyelid was located on the limbus but over 0.5mm,2 was still greater than or equal to the second line of 1mm flinch. Conclusion Dacron as heart implants can supply eyelid bracket redress eyelid retraction,as one of the ideal treatment of lower eyelid retraction implant materials.%目的:探讨心脏涤纶补片作为下睑植入物治疗下睑退缩的临床效果。方法:20例(24眼)下睑退缩的患者,术前测量在第一眼位下睑相对角膜下缘的位置及距下眶缘的位置。手术采用下睑眼袋皮肤切口,将修剪的心脏涤纶补片植入物置于下睑板下缘与下睑缩肌之间。术后观察下睑缘位置的变化及植入物是否移位及脱出。结果:对20例(24眼)心脏涤纶补片下睑植入者随诊6~24月,无植入物移位及脱出,24眼中,有22眼在第一眼位下睑位于角膜缘或角膜下缘上0.5mm,2眼仍然≥1mm的下睑退缩。结论:心脏涤纶补片作为植入物可提供下睑支架矫正下睑退缩,可作为治疗下睑退缩理想的植入材料之一,为治疗下睑退缩提供了一个新途径。

  7. Abdominoplastia: Técnica de resección en bloque, revisión de 18 años Abdominoplasty: block resection technique, 18 years review

    Directory of Open Access Journals (Sweden)

    Jr. R. Goulart


    ómica.Abdominoplasty has been done with standard and new surgical methods in the last years, with great changes in results as in morbidity. The block resection techniques provide more natural results with less morbidity and faster execution time, joining the goals from the standard and new abdominoplasty. Our purpose was to show the efficiency and results of block resection abdominoplasty technique. A total of 1170 patients who underwent abdominoplasty either alone or combined with additional surgery between January 1992 and December 2009, were included. A retrospective study was conducted. Combined surgeries included breast reduction, mastopexy, facelift, breast implants, blepharoplasty, rhinoplasty, lipoplasty, vascular surgery, hysterectomie and other gynaecologic surgeries, and ventral hernia. From the total 1170 patients, 632 underwent abdominoplasty alone and 538 were in the abdominoplasty combined group. Complication rate was between 0,09 y 4,87%, according to each complication founded. This review showed the technique's efficiency and the natural results achieved even in combined procedures. Patients who underwent abdominoplasty with previous block resection techniques were satisfied with their outcomes and the complication rate was in acceptable levels. So, abdominoplasty with previous block resection is a very safe, efficient and fast procedure who brings a very pleasant and natural abdominal shape.