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High Double Eyelid Fold Correction Using Wide Dual-Plane Dissection.
Kim, Kenneth K; Kim, Woo-Seok; Oh, Se Kwang; Kim, Hong Seok.
Afiliação
  • Kim KK; From the *Division of Plastic and Reconstructive Surgery, David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, CA; †Department of Energy and Electrical Engineering, Korea Polytechnic University, Siheung; and ‡Ohkims Plastic Surgical Clinic, Ilsan, South Korea.
Ann Plast Surg ; 78(4): 365-370, 2017 Apr.
Article em En | MEDLINE | ID: mdl-27740951
ABSTRACT

BACKGROUND:

The ability to correct unnatural-appearing, high, and deep double eyelid folds has been limited by the lack of redundant upper eyelid skin and the presence of prior incision line scars in patients.

METHODS:

From January 2000 to September 2011, 256 patients with high and deep double eyelid folds underwent our fold-lowering procedure. The first dissection was made at the superficial layer between the orbicularis oculi muscle and orbital septum/retroorbicularis oculi fat. The second dissection was at a deeper layer between the preaponeurotic fat and levator aponeurosis. The dissection proceeded 7 to 8 mm farther cephalad to the prior fold line to separate the upper flap and the floor from the prior fold line. The lower flap was undermined caudally to obtain normal skin tension, and the lower flap was secured to the septoaponeurosis junctional thickening or pretarsal tissue. Six months after surgery, the correction of the high fold scar and change in fold height (with eyes closed) was documented.

RESULTS:

Using the authors' technique, unnatural-appearing, high, and deep double eyelid folds were converted to lower nondepressed folds. Although prior high fold incision scars could be seen postoperatively on close examination, they were not easily visible. Complications included fold height asymmetry in 10 cases, persistence of the prior fold in 5 cases, and redundant upper flap skin that needed further excision in 25 cases.

CONCLUSIONS:

Using a wide double-layer dissection, high folds were lowered successfully even in situations where there was no redundant upper eyelid skin for excision.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Retalhos Cirúrgicos / Cicatrização / Blefaroplastia / Dissecação / Pálpebras Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: Asia Idioma: En Ano de publicação: 2017 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Retalhos Cirúrgicos / Cicatrização / Blefaroplastia / Dissecação / Pálpebras Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: Asia Idioma: En Ano de publicação: 2017 Tipo de documento: Article