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Parallel-excision infrabrow blepharoplasty with extensive excision of the orbicularis oculi muscle in an Asian population

Archives of Plastic Surgery 2020년 47권 2호 p.171 ~ 177
이윤재, 김성애, 이지성, Chung Joong-Geel, Jun Young-Joon, Jun Young-Joon,
소속 상세정보
이윤재 ( Lee Yoon-Jae ) - Catholic University College of Medicine Yeouido St. Mary’s Hospital Department of Plastic and Reconstructive Surgery
김성애 ( Kim Seong-Ae ) - Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Plastic and Reconstructive Surgery
이지성 ( Lee Ji-Sung ) - iWELL Plastic Surgery Clinic
 ( Chung Joong-Geel ) - Joong Geel Chung Clinic of Plastic Surgery
 ( Jun Young-Joon ) - Catholic University College of Medicine Yeouido St. Mary’s Hospital Department of Plastic and Reconstructive Surgery
 ( Jun Young-Joon ) - Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Plastic and Reconstructive Surgery

Abstract


Background: Infrabrow blepharoplasty has become a common surgical method used to rejuvenate aged upper eyelids in Asians. In this paper, we describe the parallel excision method for infrabrow blepharoplasty as a useful alternative to the conventional elliptical excision method. The authors’ experience over a 3-year period is presented and reviewed.

Methods: A retrospective review of parallel excision infrabrow blepharoplasty cases at our hospital between 2014 and 2017 was performed. Three oculoplastic surgeons compared preoperative and postoperative photographs using the Strasser grading system.

Results: From the medical records of 123 patients, a total of 93 patients with moderate-to-severe bilateral dermatochalasis were selected as subjects. The exclusion criterion was levator function less than 8 mm. The total mean follow-up period was 2 years (range, 0.5?3.5 years). The mean skin excision height and width were 9.75 mm (range, 5?16 mm) and 58.51 mm (range, 42?75 mm), respectively. All patients who underwent surgery recovered without major complications, and all patients had high levels of satisfaction and improvements in their visual field. In the Strasser evaluation performed by the oculoplastic surgeons, most patients were found to have excellent results.

Conclusions: The parallel excision method for infrabrow blepharoplasty is a safe and effective technique that yields more natural- and youthful-looking eyelids than the conventional elliptical excision method. In our method, more effective manipulation of the orbicularis oculi muscle led to a reduction in frontalis compensation, resolution of sunken eyelids, and correction of lateral hooding.

키워드

Eyelids; Blepharoplasty; Eyebrow

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