Reconstruction of an Inner Layer Defect of the Upper Eyelid With Avulsion of the Superior Levator Palpebrae Muscle and Orbital Fat

2003 ◽  
Vol 51 (3) ◽  
pp. 321-324 ◽  
Author(s):  
Hideo Kushima ◽  
Shunsuke Yuzuriha ◽  
Shoji Kondo ◽  
Yoshiro Osada
Keyword(s):  
Upper Eyelid ◽  
Orbital Fat ◽  
Levator Palpebrae ◽  
Layer Defect

Upper Eyelid Blepharoplasty

2011 ◽  
Author(s):  
Jed Poll ◽  
Michael T. Yen
Keyword(s):  
Ocular Surface ◽  
Preoperative Evaluation ◽  
Anterior Segment ◽  
Skin Incision ◽  
Upper Eyelid ◽  
Orbital Fat ◽  
History Of ◽  
Superior Sulcus ◽  
And Function ◽  
Orbital Rim

The purpose of this chapter on blepharoplasty is to familiarize the reader with relevant eyelid anatomy, appropriate preoperative evaluation, and the surgical fundamentals of upper eyelid blepharoplasty. In addition, modern modifications of blepharoplasty will be presented, with special attention to aesthetic blepharoplasty and surgical considerations in the Asian eyelid. Blepharoplasty defines a group of surgical procedures by which excess skin, orbicularis muscle, and orbital fat are removed from the upper eyelids. The ideal goal of blepharoplasty is to rejuvenate the eyelid and restore a youthful eyelid position without compromising eyelid function. A postoperative taut upper eyelid resulting in lagophthalmos and ocular surface compromise equates to an unsatisfied patient and surgeon. Likewise, excessive orbital fat excision can create a sunken superior sulcus and an eyelid contour with an undesirable cosmetic appearance. Similar to many other oculoplastic procedures, many variations in surgical technique in blepharoplasty have been employed over the years. Despite the differences, all these modifications rely upon the same underlying fundamental principles. Key steps in successful blepharoplasty surgery occur before the first skin incision is made. The eyelids are not islands unto themselves; rather, they are intimately connected to other facial structures, most notably the brow and forehead for upper lid blepharoplasty and the midface complex for lower lid blepharoplasty. Failure to preoperatively address pertinent nearby structures can yield unwanted postsurgical results. In addition to the assessment of facial structure, a preoperative blepharoplasty evaluation should include a proper medical and ocular history. Patients with a bleeding diathesis or a history of anticoagulation should be counseled and anticoagulation medications withheld if medically appropriate. A history of ocular surface issues or previous anterior segment surgery should be investigated and a slit-lamp examination performed to assess for dryness and corneal pathology. Conditions that can affect eyelid position, such as myasthenia gravis and thyroid-related orbitopathy, should be stable for a minimum of 6 months prior to blepharoplasty. Assessing brow position and function is essential when considering a patient for upper eyelid blepharoplasty. Normal brow position in males is along the superior orbital rim, and in females normal brow position is about 1 cm superior to the orbital rim.

Changes to upper eyelid orbital fat from use of topical bimatoprost, travoprost, and latanoprost

2011 ◽  
Vol 55 (1) ◽  
pp. 22-27 ◽  
Author(s):  
Juwan Park ◽  
Hyun Kyung Cho ◽  
Jung-Il Moon
Keyword(s):  
Upper Eyelid ◽  
Orbital Fat

Free Orbital Fat Grafting During Upper Blepharoplasty in Asians to Prevent Multiple Upper Eyelid Folds and Sunken Upper Eyelids

2020 ◽  
Vol 31 (3) ◽  
pp. 685-688
Author(s):  
Liya Jiang ◽  
Haidong Li ◽  
Ningbei Yin ◽  
Yongqian Wang ◽  
Tao Song ◽  
...  
Keyword(s):  
Fat Grafting ◽  
Upper Eyelid ◽  
Orbital Fat ◽  
Upper Blepharoplasty

Sagittal Magnetic Resonance Imaging of Dysthyroid Ophthalmopathy

1993 ◽  
Vol 3 (1) ◽  
pp. 31-36 ◽  
Author(s):  
Y. Inoue ◽  
T. Higashide ◽  
K. Yoshikawa ◽  
T. Inoue
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Rectus Muscle ◽  
Fatty Tissue ◽  
Resonance Imaging ◽  
Inferior Rectus ◽  
Upper Eyelid ◽  
Mri Scans ◽  
Levator Palpebrae ◽  
Dysthyroid Ophthalmopathy

Sagittal magnetic resonance imaging (MRI) scans of the eye and orbit were made of 30 eyes in 15 cases of dysthyroid ophthalmopathy (DO). On the basis of these scans, we sought to elucidate relationships between the morphological condition of the levator palpebrae muscle, fatty tissue in the upper eyelid and the superior, inferior recti muscles and the occurrence of such symptoms as lid retraction, lid swelling and vertical disturbance of eye movement. The levator palpebrae muscle was enlarged in all 15 DO eyes (100%) with upper eyelid retraction. In 16 (88.9%) of 18 eyes with apparent lid swelling, enlargement of the preaponeurotic fat or submuscular fat pad was clearly evident. In the control eyes, no such enlargement was seen in either the levator palpebrae muscle or orbital fatty tissue. The clear space between the superior recti and the levator palpebrae muscles that was seen in control eyes was absent in all five eyes that presented a disturbance in infraduction. In 8 (80%) of 10 eyes with a disturbance in supraduction, the inferior rectus muscle was enlarged and muscle extension was impaired. Sagittal MRI seemed to be a useful means of obtaining a better clinical understanding of a variety of eye symptoms associated with DO.

Correction of sunken upper eyelid with orbital fat transposition flap and dermofat graft

2017 ◽  
Vol 70 (12) ◽  
pp. 1768-1775 ◽  
Author(s):  
Won Lee ◽  
Soon-Beom Kwon ◽  
Se-Kwang Oh ◽  
Eun-Jung Yang
Keyword(s):  
Upper Eyelid ◽  
Transposition Flap ◽  
Orbital Fat ◽  
Dermofat Graft

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

2021 ◽  
Vol 2 (3) ◽  
pp. 131-136
Author(s):  
Wei-Wei Zhang ◽  
◽  
Dong-Run Tang ◽  
Tong Wu ◽  
Feng-Yuan Sun ◽  
...  
Keyword(s):  
Chinese Women ◽  
Wound Dehiscence ◽  
Middle Aged ◽  
Upper Eyelid ◽  
Crow’S Feet ◽  
Elderly Chinese ◽  
Before And After ◽  
Levator Palpebrae ◽  
Skin Excision ◽  
Upper Lid

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. 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. 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 6 months. 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. 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.

scholarly journals Folding of Levator Palpebrae Superioris Muscle to Correct Blepharoptosis Caused by Overuse of Eyes in Young People: A Case Report

2021 ◽  
pp. 1-2
Author(s):  
Ni Zhimin ◽  
Zhou Luheng ◽  
Ni Zhimin
Keyword(s):  
Case Report ◽  
Young People ◽  
Treatment Effect ◽  
Upper Eyelid ◽  
Electronic Products ◽  
Levator Palpebrae ◽  
Levator Palpebrae Superioris Muscle

Young people are more and more likely to suffer from conjunctivitis because of the increasing use of electronic products. After conjunctivitis is cured, there will be secondary ptosis which will be corrected by surgery. During the operation, we found that the aponeurosis of upper eyelid has become weak and partially ruptured, so we used, folding to repair the aponeurosis of upper eyelid to achieve better treatment effect.

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