Infrabrow excision to correct upper eyelid dermatochalasis in middle-aged and elderly patients

AIM: To evaluate the effects, advantages, disadvantages, and indications of infrabrow skin excision to correct upper eyelid dermatochalasis in middle-aged and elderly Chinese women.<p>METHODS: Sixty eyelids in 30 patients were subjected to this surgical procedure from January to June 2018. All...

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Main Authors: Wei-Wei Zhang, Xiao-Xia Ren, Dong-Run Tang, Tong Wu, Feng-Yuan Sun
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2020-08-01
Series:Guoji Yanke Zazhi
Subjects:
Online Access:http://ies.ijo.cn/cn_publish/2020/8/202008002.pdf
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author Wei-Wei Zhang
Xiao-Xia Ren
Dong-Run Tang
Tong Wu
Feng-Yuan Sun
author_facet Wei-Wei Zhang
Xiao-Xia Ren
Dong-Run Tang
Tong Wu
Feng-Yuan Sun
author_sort Wei-Wei Zhang
collection DOAJ
description AIM: To evaluate the effects, advantages, disadvantages, and indications of infrabrow skin excision to correct upper eyelid dermatochalasis in middle-aged and elderly Chinese women.<p>METHODS: Sixty eyelids in 30 patients were subjected to this surgical procedure from January to June 2018. All patients had upper eyelid dermatochalasis, and the functions of their levator palpebrae were all normal. The primary indications of the procedure were upper lid dermatochalasis with lateral hooding. All 30 patients underwent infrabrow skin excision at Shanxi Eye Hospital. The degree of skin relaxation before and after surgery was evaluated in all patients, and surgical outcomes and postoperative complications were also assessed.<p>RESULTS: All patients were female, ranging from 40 to 64(mean: 53.20±7.10)years old. Skin relaxation of the upper eyelid was improved in all 30 patients. One month after the operation, 52 lids(86.7%)showed good results and 8 lids(13.33%)showed fair results. The objective Strasser system was applied to evaluate surgical results at 1 and 6mo. All patients had scores between 0 and 1 point, indicating good results. Preoperative unsatisfactory position and shape of the eyebrows were improved, and crow's feet and frontal lines were reduced. All patients were satisfied with the results. No complications related to wound dehiscence, lagophthalmos, or hypertrophic scars were observed.<p>CONCLUSION: Infrabrow skin excision is a simple, useful operation to reconstruct the upper eyelids in selected patients of Chinese ancestry. This procedure not only retains the advantages of classic blepharoplasty, but also alleviates many eyebrow problems at the same time, and maintains the original shape of the eyelid, minimizes scarring, and produces a smoother, more youthful appearance.
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spelling doaj.art-a4664334fbac4781b9182bae66aa368a2022-12-21T20:20:42ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51231672-51232020-08-012081304130910.3980/j.issn.1672-5123.2020.8.02Infrabrow excision to correct upper eyelid dermatochalasis in middle-aged and elderly patientsWei-Wei Zhang0Xiao-Xia Ren1Dong-Run Tang2Tong Wu3Feng-Yuan Sun4Tianjin Medical University Eye Hospital, College of Optometry and Ophthalmology, Tianjin Medical University Eye Institute, Tianjin 300384, China; Department of Ophthalmic Plastic, Shanxi Eye Hospital, Taiyuan 030002, ChinaDepartment of Ophthalmic Plastic, Shanxi Eye Hospital, Taiyuan 030002, ChinaTianjin Medical University Eye Hospital, College of Optometry and Ophthalmology, Tianjin Medical University Eye Institute, Tianjin 300384, ChinaTianjin Medical University Eye Hospital, College of Optometry and Ophthalmology, Tianjin Medical University Eye Institute, Tianjin 300384, ChinaTianjin Medical University Eye Hospital, College of Optometry and Ophthalmology, Tianjin Medical University Eye Institute, Tianjin 300384, ChinaAIM: To evaluate the effects, advantages, disadvantages, and indications of infrabrow skin excision to correct upper eyelid dermatochalasis in middle-aged and elderly Chinese women.<p>METHODS: Sixty eyelids in 30 patients were subjected to this surgical procedure from January to June 2018. All patients had upper eyelid dermatochalasis, and the functions of their levator palpebrae were all normal. The primary indications of the procedure were upper lid dermatochalasis with lateral hooding. All 30 patients underwent infrabrow skin excision at Shanxi Eye Hospital. The degree of skin relaxation before and after surgery was evaluated in all patients, and surgical outcomes and postoperative complications were also assessed.<p>RESULTS: All patients were female, ranging from 40 to 64(mean: 53.20±7.10)years old. Skin relaxation of the upper eyelid was improved in all 30 patients. One month after the operation, 52 lids(86.7%)showed good results and 8 lids(13.33%)showed fair results. The objective Strasser system was applied to evaluate surgical results at 1 and 6mo. All patients had scores between 0 and 1 point, indicating good results. Preoperative unsatisfactory position and shape of the eyebrows were improved, and crow's feet and frontal lines were reduced. All patients were satisfied with the results. No complications related to wound dehiscence, lagophthalmos, or hypertrophic scars were observed.<p>CONCLUSION: Infrabrow skin excision is a simple, useful operation to reconstruct the upper eyelids in selected patients of Chinese ancestry. This procedure not only retains the advantages of classic blepharoplasty, but also alleviates many eyebrow problems at the same time, and maintains the original shape of the eyelid, minimizes scarring, and produces a smoother, more youthful appearance.http://ies.ijo.cn/cn_publish/2020/8/202008002.pdfinfrabrow skin excisiondermatochalasiscurative effectblepharoplasty
spellingShingle Wei-Wei Zhang
Xiao-Xia Ren
Dong-Run Tang
Tong Wu
Feng-Yuan Sun
Infrabrow excision to correct upper eyelid dermatochalasis in middle-aged and elderly patients
Guoji Yanke Zazhi
infrabrow skin excision
dermatochalasis
curative effect
blepharoplasty
title Infrabrow excision to correct upper eyelid dermatochalasis in middle-aged and elderly patients
title_full Infrabrow excision to correct upper eyelid dermatochalasis in middle-aged and elderly patients
title_fullStr Infrabrow excision to correct upper eyelid dermatochalasis in middle-aged and elderly patients
title_full_unstemmed Infrabrow excision to correct upper eyelid dermatochalasis in middle-aged and elderly patients
title_short Infrabrow excision to correct upper eyelid dermatochalasis in middle-aged and elderly patients
title_sort infrabrow excision to correct upper eyelid dermatochalasis in middle aged and elderly patients
topic infrabrow skin excision
dermatochalasis
curative effect
blepharoplasty
url http://ies.ijo.cn/cn_publish/2020/8/202008002.pdf
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