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Repair Techniques for Failed Double-Eyelids Involving Restoration of Eyelid Anatomical Structure and Function
- Source :
- Aesthetic Plastic Surgery. 43:702-710
- Publication Year :
- 2019
- Publisher :
- Springer Science and Business Media LLC, 2019.
-
Abstract
- This study aimed to evaluate techniques for repairing previously failed double-eyelid surgeries based on different anatomical structure injuries. A total of 120 patients with failed double-eyelids in our hospital were enrolled and classified into four types according to their anatomical structure damage: type I, unsmooth radians of the double-eyelid line; type II, upper socket depression; type III, iatrogenic ptosis; and type IV, comprehensive damage. Accordingly, methods of restoration included orbital septum fat supplement, repair of levator palpebrae superioris, and treatment of scar. Postoperative follow-up time points were 1 week, 1 month, and 6 months. Outcome observations were binocular symmetry, fluency of double-eyelid, scar recovery, height and contour profile of the upper eyelid margin, and plumpness of the upper eyelid. The eyelid morphological score was evaluated using photographs of preoperative and 6-month postoperative data, and the effect of eyelid repair was evaluated objectively by statistical analysis. At 1 month after surgery, the height of the upper palpebral margin was maintained in most patients and located at 1–2 mm below the superior limbus. At 6 months after surgery, most patients had better restorative effects. Comparison of mean eyelid morphological scores showed a statistically significant improvement following surgery (P
- Subjects :
- Adult
Blepharoplasty
Male
Reoperation
medicine.medical_specialty
030230 surgery
Young Adult
030207 dermatology & venereal diseases
03 medical and health sciences
0302 clinical medicine
Ptosis
medicine
Humans
Treatment Failure
Orbital septum
Retrospective Studies
business.industry
Eyelids
Recovery of Function
Levator Palpebrae Superioris
eye diseases
Surgery
Structure and function
body regions
Plastic surgery
medicine.anatomical_structure
Otorhinolaryngology
Eyelid repair
Female
sense organs
Eyelid
medicine.symptom
business
Subjects
Details
- ISSN :
- 14325241 and 0364216X
- Volume :
- 43
- Database :
- OpenAIRE
- Journal :
- Aesthetic Plastic Surgery
- Accession number :
- edsair.doi.dedup.....83f872d5146347cc7e01286a5ac56ecd