AI Article Synopsis
- Double-eyelid blepharoplasty is a common cosmetic surgery in Asia that may have downsides for mild cases of blepharoptosis, but enhancing the levator aponeurosis can improve outcomes.
- The study aimed to explore the anatomical relationship between the levator aponeurosis and orbital septum fat, suggesting that releasing fibrous bands can lead to better surgical results for patients with mild blepharoptosis.
- An analysis of 45 patients revealed that over 50% found satisfactory improvements in eyelid appearance after surgery, with no severe complications, indicating that addressing fibrous bands is beneficial for double-eyelid procedures.
Article Abstract
Background: Double-eyelid blepharoplasty is a popular cosmetic procedure in Asia; however, there are some drawbacks to this procedure for mild blepharoptosis. Enhancing movement of the levator aponeurosis can correct blepharoptosis through the release of fibrous web bands present between the preaponeurotic fat pad and levator aponeurosis.
Aim: To improve our understanding of the anatomical link between the levator aponeurosis and orbital septum fat and to introduce that the release of the link can provide favorable results in double-eyelid blepharoplasty.
Patients/methods: We included patients with latent ptosis or subclinical blepharoptosis who underwent double-eyelid blepharoplasty with the release of fibrous web bands between June 2021 and March 2023. Mild ptosis was corrected following complete release of the fibrous bands beneath the preaponeurotic fat pad. Patients were followed up for 4-12 months postoperatively, and surgical outcomes were evaluated. Patient demographic variables and photographs were collected pre- and postoperatively. Patients, surgeons, and laypersons were asked to evaluate the outcomes postoperatively. The Friedman's nonparametric (for repeated measures) two-way analysis of variance was used for statistical analyses.
Results: Outcomes were assessed in 45 individuals with an average monitoring period of 6.9 months. There were no cases of incomplete eyelid closure or upper eyelid ectropion. Over 50% of the surgical outcomes were deemed "satisfactory" by each of the three groups in relation to the widening of the eyelid fissure. Most of the examined patients demonstrated favorable long-term results.
Conclusions: Fibrous web bands are implicated in subclinical or mild blepharoptosis. The release of fibrous web bands between the preaponeurotic fat pad and levator aponeurosis can provide favorable results in double-eyelid blepharoplasty.
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| http://dx.doi.org/10.1111/jocd.16350 | DOI Listing |
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