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Background: Involution or aging is the most common cause of lower eyelid entropion (in-turning of eyelid margin) in the elderly population. Various pathomechanisms have been postulated for its occurrence. Aging leads to laxity of tissues and loss of muscle tone.

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Transtemporal Endoscopic Deep Plane Face Lift.

Plast Reconstr Surg Glob Open

January 2025

Plastic, Reconstructive and Aesthetic Surgery Department, Yeditepe University Hospital, Istanbul, Turkey.

Background: Facial aging involves multifactorial changes affecting the bone, superficial musculoaponeurotic system, fat pads, and skin, primarily manifesting as the downward displacement of these structures. The transtemporal endoscopic deep plane face lift (TEDPF) suggests a vertical lifting method, targeting these issues without a preauricular incision.

Methods: A retrospective study was conducted on 140 patients (133 women and 7 men) 33-67 years of age who underwent TEDPF from February 2020 to March 2023.

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Secondary intention healing (SIH) describes wounds healing from the base upwards, without direct closure. This starts with granulation of the wound, followed by re-epithelialisation and contraction. The surgeon and patient need to weigh up advantages and disadvantages of SIH versus other reconstruction methods.

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Article Synopsis
  • Tarsal heights in Asian eyelids were found to be higher than previously reported, which may clarify issues with traditional double eyelid surgery methods.
  • A novel 'MAP method' for creating double eyelid creases was developed, involving specific suturing techniques that preserve important eyelid tissue and provide adjustable crease heights based on individual patient preferences.
  • This new technique offers better eyelid mechanics, a quicker recovery process, and longer-lasting results with minimal complications compared to classic procedures.
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