Lower eyelid blepharoplasty with lateral canthal support
INTRODUCTION: The transcutaneous approach in lower eyelid rejuvenation is a versatile technique allowing broad access to all periorbital structures. Nevertheless, many surgeons opt to use different access routes such as the transconjunctival approach, to avoid the increased risk of eyelid malpositio...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Plástica
2016-09-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
| Subjects: | |
| Online Access: | http://www.rbcp.org.br/export-pdf/1762/en_v31n3a09.pdf |
| _version_ | 1829091200075825152 |
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| author | Glayse June Sasaki Acacio Favarin Eduardo Favarin Luan Pedro Santos Rocha Christine Horner |
| author_facet | Glayse June Sasaki Acacio Favarin Eduardo Favarin Luan Pedro Santos Rocha Christine Horner |
| author_sort | Glayse June Sasaki Acacio Favarin |
| collection | DOAJ |
| description | INTRODUCTION: The transcutaneous approach in lower eyelid rejuvenation is a versatile technique allowing broad access to all periorbital structures. Nevertheless, many surgeons opt to use different access routes such as the transconjunctival approach, to avoid the increased risk of eyelid malposition. However, the use of a routine lateral canthal support was shown to consistently minimize this risk. This study reviewed 136 cases of patients who were operated on using the transcutaneous approach and canthal support with canthopexy and orbicularis suspension.
METHOD: Our study used a retrospective design to investigate patients undergoing primary transcutaneous lower blepharoplasties performed with canthopexy, between January 2008 and January 2014. We assessed the presence of dermatochalasis, eyelid bags and tarsal sagging by analyzing patients' images and medical records. We used surgical descriptions and clinical notes to study the surgical technique used and the rate of complications associated with the same.
RESULTS: Our study involved monitoring the post-operative condition of 136 patients for approximately 180 days after they underwent surgery. The occurrence of any of the following was considered a postoperative complication: epiphora (15%), eyelid malposition (2.94%), orbital hematoma (0%), chemosis (9.5%), and foreign body sensation (6%). Seven patients (5.1%) required surgical revision.
CONCLUSION: Our assessment revealed that canthal support must be considered as an integral part of transcutaneous lower blepharoplasty. The authors believe that canthopexy is a good option in primary cases owing to its easy implementation, low morbidity, and efficacy in preventing apparent sclera, round eye lateral corner, and ectropion. |
| first_indexed | 2024-03-09T03:53:07Z |
| format | Article |
| id | doaj.art-114fc96b214f4425be0fb9f2fec5e3d3 |
| institution | Directory Open Access Journal |
| issn | 1983-5175 2177-1235 |
| language | English |
| last_indexed | 2024-03-09T03:53:07Z |
| publishDate | 2016-09-01 |
| publisher | Sociedade Brasileira de Cirurgia Plástica |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj.art-114fc96b214f4425be0fb9f2fec5e3d32023-12-03T14:24:35ZengSociedade Brasileira de Cirurgia PlásticaRevista Brasileira de Cirurgia Plástica1983-51752177-12352016-09-01310334735310.5935/2177-1235.2016RBCP0057Lower eyelid blepharoplasty with lateral canthal supportGlayse June Sasaki Acacio Favarin0Eduardo Favarin1Luan Pedro Santos Rocha2Christine Horner3Sociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilSociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilUniversidade do Extremo Sul Catarinense, Criciúma, SC, BrazilUniversidade do Extremo Sul Catarinense, Criciúma, SC, BrazilINTRODUCTION: The transcutaneous approach in lower eyelid rejuvenation is a versatile technique allowing broad access to all periorbital structures. Nevertheless, many surgeons opt to use different access routes such as the transconjunctival approach, to avoid the increased risk of eyelid malposition. However, the use of a routine lateral canthal support was shown to consistently minimize this risk. This study reviewed 136 cases of patients who were operated on using the transcutaneous approach and canthal support with canthopexy and orbicularis suspension. METHOD: Our study used a retrospective design to investigate patients undergoing primary transcutaneous lower blepharoplasties performed with canthopexy, between January 2008 and January 2014. We assessed the presence of dermatochalasis, eyelid bags and tarsal sagging by analyzing patients' images and medical records. We used surgical descriptions and clinical notes to study the surgical technique used and the rate of complications associated with the same. RESULTS: Our study involved monitoring the post-operative condition of 136 patients for approximately 180 days after they underwent surgery. The occurrence of any of the following was considered a postoperative complication: epiphora (15%), eyelid malposition (2.94%), orbital hematoma (0%), chemosis (9.5%), and foreign body sensation (6%). Seven patients (5.1%) required surgical revision. CONCLUSION: Our assessment revealed that canthal support must be considered as an integral part of transcutaneous lower blepharoplasty. The authors believe that canthopexy is a good option in primary cases owing to its easy implementation, low morbidity, and efficacy in preventing apparent sclera, round eye lateral corner, and ectropion.http://www.rbcp.org.br/export-pdf/1762/en_v31n3a09.pdfblepharoplastyeyelid surgeryectropion |
| spellingShingle | Glayse June Sasaki Acacio Favarin Eduardo Favarin Luan Pedro Santos Rocha Christine Horner Lower eyelid blepharoplasty with lateral canthal support Revista Brasileira de Cirurgia Plástica blepharoplasty eyelid surgery ectropion |
| title | Lower eyelid blepharoplasty with lateral canthal support |
| title_full | Lower eyelid blepharoplasty with lateral canthal support |
| title_fullStr | Lower eyelid blepharoplasty with lateral canthal support |
| title_full_unstemmed | Lower eyelid blepharoplasty with lateral canthal support |
| title_short | Lower eyelid blepharoplasty with lateral canthal support |
| title_sort | lower eyelid blepharoplasty with lateral canthal support |
| topic | blepharoplasty eyelid surgery ectropion |
| url | http://www.rbcp.org.br/export-pdf/1762/en_v31n3a09.pdf |
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