Abstract
References
- 1. Yang P, Ko AC, Kikkawa DO, Korn BS. Upper Eyelid Blepharoplasty: Evaluation, Treatment, and Complication Minimization. Semin Plast Surg. 2017 Feb;31(1):51-57. DOI:10.1055/s-0037-1598628
- 2. Holds JB, Nelson CC, Nerad JA. Advice for better ptosis surgery from three experts. EyeNet Magazine: American Academy of Ophthalmology; 2012:39–41.
- 3. Ng J, Hauck MJ. Ptosis repair. Facial Plast Surg. 2013;29(1):22-25. DOI:10.1055/s-0033-1333831
- 4. Bajric J, Levin JJ, Bartley GB, Bradley EA. Patient and physician perceptions of medicare reimbursement policy for blepharoplasty and blepharoptosis surgery. Ophthalmology. 2014;121(7):1475-1479. DOI:10.1016/j.ophtha.2014.01.005
- 5. Rohrich RJ, Coberly DM, Fagien S, Stuzin JM. Current concepts in aesthetic upper blepharoplasty. Plast Reconstr Surg. 2004;113(3):32e-42e. DOI:10.1097/01.prs.0000105684.06281.32
- 6. Fagien S. The role of the orbicularis oculi muscle and the eyelid crease in optimizing results in aesthetic upper blepharoplasty: a new look at the surgical treatment of mild upper eyelid fissure and fold asymmetries. Plast Reconstr Surg. 2010;125(2):653-666. DOI:10.1097/PRS.0b013e3181c87cc6
- 7. Prager W, Wissmüller E. Significance of blepharoplasty in dermatologic surgery. Hautarzt. 2009;60(7):550-555. DOI:10.1007/s00105-009-1718-0
- 8. Persichetti P, Di Lella F, Delfino S, Scuderi N. Adipose compartments of the upper eyelid: anatomy applied to blepharoplasty. Plast Reconstr Surg. 2004;113(1):373-380. DOI:10.1097/01.PRS.0000097290.64125.C3
- 9. Massry GG. Nasal fat preservation in upper eyelid blepharoplasty. Ophthalmic Plast Reconstr Surg. 2011;27(5):352-355. DOI:10.1097/IOP.0b013e31821524c3
- 10. Weissman JD, Most SP. Upper lid blepharoplasty. Facial Plast Surg. 2013;29(1):16-21. DOI:10.1055/s-0033-1333833
Abstract
Purpose: To report the surgical results of the patients with dermatochalasis (DC) who underwent upper eyelid blepharoplasty (UEB) with the cautery method was aimed.
Materials and Methods: UEB surgery was performed by cautery method in 36 eyes of 18 patients due to DC. Pencil-tipped cautery was used to cut to sagging and marked skin area and was removed. Patients were examined preoperatively and postoperatively on the 1st day, 3rd day, 2nd week, 3rd month and 6th month.
Results: The mean age was 54.6±7.9 years (range, 46 to 67 years) and 10 of were female and 8 were male. Mean operation time (1 session for 2 upper eyelid (UE)) was 36.7 ± 5.8 minutes (range, 28 to 46 minutes). Mean wound healing time was 7.7 ± 1.6 days (range, 5 to 12 days). Skin ecchymosis persisted for approximately 24.8±3.7 days (range, 19 to 38 days). Suture marks did not appear in 34 patients (%94), they were present in 2 patients 6 months after surgery. Statistically significant change was detected in the 6-month period in terms of skin ecchymosis and suture scar disappearance (p<0.001). A positive correlation was found between wound healing time and suture scar (R2=0.879, p<0.001) and also, between the duration of surgery and persistent skin ecchymosis (R2=0.918, p<0.001).
Conclusions: Cautery with UEB is a viable technique that can be reliably used to reshape the UE. This procedure does not leave a lengthy scar, which is not possible with normal UEB, enabling patient satisfaction and post-operative recovery comfort.
References
- 1. Yang P, Ko AC, Kikkawa DO, Korn BS. Upper Eyelid Blepharoplasty: Evaluation, Treatment, and Complication Minimization. Semin Plast Surg. 2017 Feb;31(1):51-57. DOI:10.1055/s-0037-1598628
- 2. Holds JB, Nelson CC, Nerad JA. Advice for better ptosis surgery from three experts. EyeNet Magazine: American Academy of Ophthalmology; 2012:39–41.
- 3. Ng J, Hauck MJ. Ptosis repair. Facial Plast Surg. 2013;29(1):22-25. DOI:10.1055/s-0033-1333831
- 4. Bajric J, Levin JJ, Bartley GB, Bradley EA. Patient and physician perceptions of medicare reimbursement policy for blepharoplasty and blepharoptosis surgery. Ophthalmology. 2014;121(7):1475-1479. DOI:10.1016/j.ophtha.2014.01.005
- 5. Rohrich RJ, Coberly DM, Fagien S, Stuzin JM. Current concepts in aesthetic upper blepharoplasty. Plast Reconstr Surg. 2004;113(3):32e-42e. DOI:10.1097/01.prs.0000105684.06281.32
- 6. Fagien S. The role of the orbicularis oculi muscle and the eyelid crease in optimizing results in aesthetic upper blepharoplasty: a new look at the surgical treatment of mild upper eyelid fissure and fold asymmetries. Plast Reconstr Surg. 2010;125(2):653-666. DOI:10.1097/PRS.0b013e3181c87cc6
- 7. Prager W, Wissmüller E. Significance of blepharoplasty in dermatologic surgery. Hautarzt. 2009;60(7):550-555. DOI:10.1007/s00105-009-1718-0
- 8. Persichetti P, Di Lella F, Delfino S, Scuderi N. Adipose compartments of the upper eyelid: anatomy applied to blepharoplasty. Plast Reconstr Surg. 2004;113(1):373-380. DOI:10.1097/01.PRS.0000097290.64125.C3
- 9. Massry GG. Nasal fat preservation in upper eyelid blepharoplasty. Ophthalmic Plast Reconstr Surg. 2011;27(5):352-355. DOI:10.1097/IOP.0b013e31821524c3
- 10. Weissman JD, Most SP. Upper lid blepharoplasty. Facial Plast Surg. 2013;29(1):16-21. DOI:10.1055/s-0033-1333833
Details
| Primary Language | English |
|---|---|
| Subjects | Ophthalmology |
| Journal Section | Research Articles |
| Authors | |
| Publication Date | July 1, 2024 |
| Submission Date | September 3, 2023 |
| Published in Issue | Year 2024 |