Enhancing Aesthetic Outcomes in Lower Eyelid Blepharoplasty
Helal, H., Boughdadi, N., Mahmoud, H. (2019). Enhancing Aesthetic Outcomes in Lower Eyelid Blepharoplasty. EKB Journal Management System, 43(1), 79-83. doi: 10.21608/ejprs.2019.65160
Hesham A Helal; Nahed Samir Boughdadi; Hany S Mahmoud. "Enhancing Aesthetic Outcomes in Lower Eyelid Blepharoplasty". EKB Journal Management System, 43, 1, 2019, 79-83. doi: 10.21608/ejprs.2019.65160
Helal, H., Boughdadi, N., Mahmoud, H. (2019). 'Enhancing Aesthetic Outcomes in Lower Eyelid Blepharoplasty', EKB Journal Management System, 43(1), pp. 79-83. doi: 10.21608/ejprs.2019.65160
Helal, H., Boughdadi, N., Mahmoud, H. Enhancing Aesthetic Outcomes in Lower Eyelid Blepharoplasty. EKB Journal Management System, 2019; 43(1): 79-83. doi: 10.21608/ejprs.2019.65160

Enhancing Aesthetic Outcomes in Lower Eyelid Blepharoplasty

The Egyptian Journal of Plastic and Reconstructive Surgery
Article 14, Volume 43, Issue 1, January 2019, Page 79-83  XML PDF (11.11 MB)
Document Type: Original Article
DOI: 10.21608/ejprs.2019.65160
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Authors
Hesham A Helal* ; Nahed Samir Boughdadi; Hany S Mahmoud
The Department of Plastic Surgery, Faculty of Medicine, Ain Shams University
Abstract
Background: Blepharoplasty is one of the most commonly
performed facial cosmetic procedures and can play a vital
positive role in facial harmony and the perception of aging.
Lysis of the orbicularis retaining ligament and of the orbicularis
oculi insertion has been proposed to smooth the lid-cheek
junction and tear trough. We aim to assess the usefulness and
hazards of this procedure in comparison to the standard lower
eye lid blepharoplasty.
Methods: 20 patients seeking lower eyelid rejuvenation;
10 having trans-cutaneous lower blepharoplasty with lysis of
the orbicularis retaining ligament and of the orbicularis oculi
insertion performed (group A) and the other 10 patients having
standard trans-cutaneous blepharoplasty (group B). Final
result, patients' satisfaction and complications were compared.
Results: Patients' age ranged between 30 and 65 years.
Follow-up ranged from 2 to 16 months, with an average of 9
months. In group A: All patients reported excellent satisfaction
with the aesthetic outcome, one patient developed early lower
eye lid retraction which resolved spontaneously after 15 days
with no other complications. In group B: 7 patients reported
excellent satisfaction, while the other 3 showed mild improvement;
two cases suffered lateral canthus rounding, one case
had lid retraction which required lateral canthopexy.
Conclusion: The procedure seems to improve the harmony
of the lid-cheek junction in the treatment of upper mid-face
aging features
Keywords
Lower lid; Blepharoplasty
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