Combined Upper Blepharoplasty With Upper Eyelid Filler Injection

2021 ◽  
pp. 074880682098533
Author(s):  
Mehryar Ray Taban

To describe our experience with treating upper eyelid aging with combined upper blepharoplasty and upper eyelid hyaluronic acid gel filler injection. Retrospective analysis of patients with upper eyelid aging (including skin laxity/excess and fat deflation) undergoing combined upper blepharoplasty and upper eyelid hyaluronic acid gel filler injection by one surgeon. Minimum follow-up time was 3 months. Preoperative and postoperative photographs at longest follow-up visit were evaluated by blind observers. Patient satisfaction was recorded using questionnaire and phone call. A total of 40 patients (34 females, 6 males) underwent combined upper blepharoplasty with upper eyelid hyaluronic acid gel filler injection. Mean age was 43 years old (range: 26-75). All patients reported satisfaction with the surgical outcome, with no complications. 6 patients received additional touch-up filler injection postoperatively. One patient underwent additional skin removal. Upper blepharoplasty and upper eyelid hyaluronic acid gel filler injection can be safely and effectively combined together to treat upper eyelid aging for more youthful results.

2017 ◽  
Vol 34 (2) ◽  
pp. 103-106 ◽  
Author(s):  
Mehryar Ray Taban

As under-eye filler injection has become widespread, it is important to understand possible differences and outcome of lower blepharoplasty in these patients. Herein, we describe our experience to address under-eye fat prolapse (via lower blepharoplasty) in patients with “residual fullness” after previous eyelid hyaluronic acid gel injections. Retrospective analysis of patients undergoing (transconjunctival) lower blepharoplasty (with fat repositioning) by one surgeon in eyelids previously injected with hyaluronic acid gel (+/− hyaluronidase), with “residual fullness.” Minimum follow-up time was 6 months. Preoperative and postoperative photographs at longest follow-up visit were evaluated by blind observers. Patient satisfaction was recorded using questionnaire. Surgical anatomy was observed. Total of 15 patients (28 eyelids; 13 females, 2 males) underwent lower blepharoplasty in eyelids previously injected with hyaluronic acid gel (latter to treat under-eye hollowness [tear trough deformity] and/or to camouflage under-eye fat prolapse [“bags”]). All patients had at least one prior hyaluronic acid gel injection with “residual fullness.” Ten patients had also received at least 1 previous hyaluronidase injection. Mean age was 47 years (range, 28-68 years). The surgical anatomy was slightly to moderately distorted with soft tissues (orbital fat, sub-orbicularis oculi fat, orbicularis oculi muscle) being more “spongy” with less clear delineation of surgical landmarks, septa, and fat pads. All patients reported satisfaction with surgical outcome, with no complications or reoperations. Three patients received “touch-up” filler injections. “Revision” lower blepharoplasty can be done safely and effectively to address “residual fullness” in eyelid previously injected with hyaluronic acid gel (+/− hyaluronidase).


2009 ◽  
Vol 25 (6) ◽  
pp. 440-444 ◽  
Author(s):  
Ana M. S. Morley ◽  
Mehryar Taban ◽  
Raman Malhotra ◽  
Robert A. Goldberg

2018 ◽  
Vol 30 (1) ◽  
pp. NP7-NP10
Author(s):  
Maria Vittoria Cicinelli ◽  
Tarjani Vivek Dave ◽  
Bejanki Kavya Madhuri ◽  
Sweety Tiple ◽  
Milind N Naik

Aim: To test if hyaluronic acid gel injection in the upper eyelid achieves correction of congenital cicatricial ectropion and reduction in lagophthalmos, in preparation for intraocular surgery. Methods: This case reports the long-term outcome of hyaluronic acid gel injection in the upper eyelid for the correction of ectropion prior to cataract surgery. One millilitre of hyaluronic acid gel was injected in both the upper eyelids of a child with congenital ichthyosis in the suborbicularis plane, prior to cataract surgery. Results: Lagophthalmos reduced by 15 mm in the right eye and 13 mm in the left eye. Subsequently, the child underwent cataract surgery without any complications. Conclusion: We demonstrate the long-term outcome of using hyaluronic acid gel injection for successful, non-surgical correction of cicatricial ectropion in ichthyosis.


2014 ◽  
Vol 30 (5) ◽  
pp. 400-404 ◽  
Author(s):  
Jocelyne C. Kohn ◽  
Daniel B. Rootman ◽  
Wenjing Liu ◽  
Alice S. Goh ◽  
Catherine J. Hwang ◽  
...  

2020 ◽  
pp. 074880682094758
Author(s):  
Sheila C. Barbarino

Filler for tear trough deformities and improved under eye appearance has become a well-accepted procedure to treat fine lines, wrinkles, shadowing, darkness, and hollowness. Microfocused ultrasound with visualization–induced skin tightening can be a powerful modality to treat periocular laxity on its own. There is also considerable rationale for combining these 2 modalities for synergistic rejuvenation of the entire periocular area. This case series recruited participants with mild-to-moderate skin laxity in the periocular area and tear trough deformities. Participants received microfocused ultrasound with visualization therapy followed 3 months later by injection with Cohesive Polydensified Matrix hyaluronic acid gel. Photographs were taken at baseline, 3 months after microfocused ultrasound with visualization therapy, and 1 month after Cohesive Polydensified Matrix hyaluronic acid injection for rating by physicians and participants using the Global Aesthetic Improvement Scale. All participants also completed a satisfaction questionnaire. This pilot study enrolled 10 participants ranging in age from 35 to 55 years. After microfocused ultrasound with visualization alone, physicians rated 4 participants “much improved,” 5 “improved,” and 1 with “no change.” After participants had received both treatment modalities, physicians rated 9 participants as “very much improved” and 1 as “much improved.” Participant satisfaction was high with microfocused ultrasound with visualization alone and even higher with the combined treatment approach with all 10 participants reporting their periocular appearance “very much improved” at the end of the study. No treatment complications were observed. In conclusion, microfocused ultrasound with visualization in combination with Cohesive Polydensified Matrix hyaluronic acid gel was effective at improving appearance of the eye area in participants with periocular skin laxity and tear trough deformities.


2017 ◽  
Vol 68 (3) ◽  
pp. 612-614
Author(s):  
Andreea A. Pogan ◽  
Roxana Buzatu ◽  
Dan Onisei ◽  
Doina Onisei

Hyaluronic acid is an essential component of the periodontal ligament matrix and it has shown a number of clinical therapeutic properties, especially an anti-inflammatory effect on the gingival tissue. The aim of this study is to evaluate the potential benefits of using hyaluronic acid gel in topical application as an adjunct to mechanical therapy in the management of aggressive periodontitis. Results show an obvious improvement of clinical parameters, especially regarding the evolution of healing of the gingival tissue after periodontal therapy. Nevertheless, the antimicrobial effect needs to be proven in further studies.


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