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Tarsodermal Suture Fixation Preceding Redundant Skin Excision: A Modified Non-Incisional Upper Blepharoplasty Method for Elderly Patients

BACKGROUND: Non-incisional blepharoplasty is a simple, less invasive method for creating a more natural-appearing double eyelid than classical incisional blepharoplasty. However, in aging patients, non-incisional blepharoplasty is not effective due to more severe blepharochalasis. Traditionally, inc...

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Autores principales: Yoon, Hong Sang, Park, Bo Young, Oh, Kap Sung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Plastic and Reconstructive Surgeons 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4113701/
https://www.ncbi.nlm.nih.gov/pubmed/25075364
http://dx.doi.org/10.5999/aps.2014.41.4.398
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author Yoon, Hong Sang
Park, Bo Young
Oh, Kap Sung
author_facet Yoon, Hong Sang
Park, Bo Young
Oh, Kap Sung
author_sort Yoon, Hong Sang
collection PubMed
description BACKGROUND: Non-incisional blepharoplasty is a simple, less invasive method for creating a more natural-appearing double eyelid than classical incisional blepharoplasty. However, in aging patients, non-incisional blepharoplasty is not effective due to more severe blepharochalasis. Traditionally, incisional blepharoplasty is a common surgical method used for older patients, but blepharoplasty in elderly patients typically results in prolonged recovery times, and final blepharoplasty lines may be located in unintended or asymmetrical positions. Here, we introduce a new modified combination technique for geriatric blepharoplasty. METHODS: A total of ten patients were treated from July 2010 through July 2012 using the combination method. First, we performed non-incisional blepharoplasty using tarsodermal fixation. Then, incisional blepharoplasty with additional elliptical excision of the upper eyelid skin was performed. We removed pretarsal tissue, fat, the orbicularis oculi muscle, and orbital fat. Telephone surveys were administered to all patients for follow-up. The questionnaire was composed of eight questions that addressed recurrence and satisfaction with aesthetics and the procedure. RESULTS: A total of nine patients (90%) responded to the telephone survey. All cases of moderate to severe blepharochalasia were corrected and there were no major complications. Patients who underwent blepharoplasty had higher satisfaction scores. All patients were satisfied with the postoperative shapes of their eyelids. CONCLUSIONS: The advantages of the proposed technique include: ease of obtaining a natural-looking fold with symmetry at the desired point; reproducible methods that require short operation times; fast postoperative recovery that results in a natural-appearing double-eyelid line; and high patient satisfaction.
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spelling pubmed-41137012014-07-29 Tarsodermal Suture Fixation Preceding Redundant Skin Excision: A Modified Non-Incisional Upper Blepharoplasty Method for Elderly Patients Yoon, Hong Sang Park, Bo Young Oh, Kap Sung Arch Plast Surg Original Article BACKGROUND: Non-incisional blepharoplasty is a simple, less invasive method for creating a more natural-appearing double eyelid than classical incisional blepharoplasty. However, in aging patients, non-incisional blepharoplasty is not effective due to more severe blepharochalasis. Traditionally, incisional blepharoplasty is a common surgical method used for older patients, but blepharoplasty in elderly patients typically results in prolonged recovery times, and final blepharoplasty lines may be located in unintended or asymmetrical positions. Here, we introduce a new modified combination technique for geriatric blepharoplasty. METHODS: A total of ten patients were treated from July 2010 through July 2012 using the combination method. First, we performed non-incisional blepharoplasty using tarsodermal fixation. Then, incisional blepharoplasty with additional elliptical excision of the upper eyelid skin was performed. We removed pretarsal tissue, fat, the orbicularis oculi muscle, and orbital fat. Telephone surveys were administered to all patients for follow-up. The questionnaire was composed of eight questions that addressed recurrence and satisfaction with aesthetics and the procedure. RESULTS: A total of nine patients (90%) responded to the telephone survey. All cases of moderate to severe blepharochalasia were corrected and there were no major complications. Patients who underwent blepharoplasty had higher satisfaction scores. All patients were satisfied with the postoperative shapes of their eyelids. CONCLUSIONS: The advantages of the proposed technique include: ease of obtaining a natural-looking fold with symmetry at the desired point; reproducible methods that require short operation times; fast postoperative recovery that results in a natural-appearing double-eyelid line; and high patient satisfaction. The Korean Society of Plastic and Reconstructive Surgeons 2014-07 2014-07-15 /pmc/articles/PMC4113701/ /pubmed/25075364 http://dx.doi.org/10.5999/aps.2014.41.4.398 Text en Copyright © 2014 The Korean Society of Plastic and Reconstructive Surgeons http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Yoon, Hong Sang
Park, Bo Young
Oh, Kap Sung
Tarsodermal Suture Fixation Preceding Redundant Skin Excision: A Modified Non-Incisional Upper Blepharoplasty Method for Elderly Patients
title Tarsodermal Suture Fixation Preceding Redundant Skin Excision: A Modified Non-Incisional Upper Blepharoplasty Method for Elderly Patients
title_full Tarsodermal Suture Fixation Preceding Redundant Skin Excision: A Modified Non-Incisional Upper Blepharoplasty Method for Elderly Patients
title_fullStr Tarsodermal Suture Fixation Preceding Redundant Skin Excision: A Modified Non-Incisional Upper Blepharoplasty Method for Elderly Patients
title_full_unstemmed Tarsodermal Suture Fixation Preceding Redundant Skin Excision: A Modified Non-Incisional Upper Blepharoplasty Method for Elderly Patients
title_short Tarsodermal Suture Fixation Preceding Redundant Skin Excision: A Modified Non-Incisional Upper Blepharoplasty Method for Elderly Patients
title_sort tarsodermal suture fixation preceding redundant skin excision: a modified non-incisional upper blepharoplasty method for elderly patients
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4113701/
https://www.ncbi.nlm.nih.gov/pubmed/25075364
http://dx.doi.org/10.5999/aps.2014.41.4.398
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