A Comparative Study between No Touch Blepharoplasty and Direct Transcutaneous Lower Eyelid Blepharoplasty Using Orbicularis Oculi Muscle Flap | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Article 17, Volume 42, Issue 1, January 2018, Pages 115-118 PDF (3.6 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejprs.2018.215074 | ||
| Author | ||
| Soha F El-Mekkawy* | ||
| The Department of Plastic Surgery, Ain Shams University, Cairo, Egypt | ||
| Abstract | ||
| Introduction: Lower blepharoplasty is considered one of the puzzling procedures in plastic surgery and the search of one ideal technique is going on, thus we performed this prospective study in order to compare the functional and aesthetic outcomes of 2 different blepharoplasty techniques. Methods: 40 patients requesting blepharoplasty were divided randomly into 2 sub-groups in respect to the technique used; the traditional blepharoplasty or the no touch technique. Results: The overall rate of incidence of complications was 22.5%. No statistically significant difference in-between the 2 groups. Conclusion: The no touch technique; through our experience in this study; has proven to be a safe, successful and efficacious technique for lower eyelid rejuvenation. | ||
| Keywords | ||
| No touch; Blepharoplasty; Lower eyelid; Orbicularis | ||
| References | ||
|
Hartstein M.E. and Kikkawa D.: How to Avoid Blepharoplasty Complications. Oral Maxillofacial Surg. Clin. N. Am., 21: 31-41, 2009. 2. Collar R., Lyford-Pike S. and Byrne P.: Algorithmic approach to lower lid blepharoplasty. Facial Plastic Surgery. February, 29 (1): 32-39, 2013. 3- Morax S. and Touitou V.: Complications of blepharoplasty. Orbit., 25 (4): 303-18, 2006. 4- Jelks G.W. and Jelks E.B.: Preoperative evaluation of the blepharoplasty patient. Bypassing the pitfalls. Clin. Plast. Surg., 20 (2): 213-23, 1993. 5- Netscher D.T., Patrinely J.R. and Peltier M. et al.: Transconjunctival versus transcutaneous lower eyelid blepharoplasty: a prospective study. Plast. Reconstr. Surg., 96: 1053-60, 1995. 6- Jacono A.A. and Moskowitz B.T.: Ransconjunctival versus transcutaneous approach in upper and lower blepharoplasty. Facial. Plast. Surg., 17: 21-8, 2001. 7- Camirand A., Doucet J. and Harris J.: Eyelid aging: The historical evolution of its management. Aesthet. Plast. Surg., 29: 65-73, 2005. 8- Goldberg R.A.: Transconjunctival orbital fat repositioning: Transposition of orbital fat pedicles into a subperiosteal pocket. Plast. Reconstr. Surg., 105: 743-51, 2000. 9- McGraw B.L. and Adamson P.A.: Postblepharoplasty ectropion: Prevention and management. Arch. Otolaryngol. Head. Neck Surg., 117: 852-6, 1991. 10- Patipa M.: The evaluation and management of lower eyelid retraction following cosmetic surgery. Plast Reconstr Surg., 106: 438- 53, 2000. 11- Fagien S.: Algorithm for canthoplasty: The lateral retinacular suspension: A simplified suture canthopexy. Plast. Reconstr. Surg. Jun., 103 (7): 2042-53; discussion 2054- 8, 1999. 12- Codner M.A., Wolfli J.N. and Anzarut A.: Primary transcutaneous lower blepharoplasty with routine lateral canthal support: A comprehensive 10-year review. Plast. Reconstr. Surg. Jan., 121 (1): 241-50, 2008. 13- Jelks G.W., Glat P.M., Jelks E.B. and Longaker M.T.: The inferior retinacular lateral canthoplasty: a new technique. Plast Reconstr Surg. Oct., 100 (5): 1262-70, discussion 1271-5, 1997. 14- Pottier F., El-Shazly N.Z. and El-Shazly A.E.: Aging of the orbicularis oculi: Anatomophysiologic consideration in upper blepharoplasty. Arch. Facial. Plast. Surg., 10: 346-9, 2008. 15- Subramanian N.: Blepharoplasty. Indian J. Plas.t Surg. 41 (Suppl): S88e92, 2008. 16- Innocenti A., Mori F., Melita D., et al.: Effects of orbicularis oculi flap anchorage to the periosteum of the upper orbital rim on the lower eyelid position after transcutaneous blepharoplasty: Statistical analysis of clinical outcomes. 17- Castanares S.: Blepharoplasty for herniated intraorbital fat: Anatomical basis for a new approach. Plast. Reconstr. Surg., 1951; 8: 46-58, 1946. 18- Ilankovan V.: Aesthetic blepharoplasty. British Journal of Oral and Maxillofacial Surgery, 48: 493-497, 2010 19- Fincher F.E. and Moy R.L.: Cosmetic Blepharoplasty. Dermatol Clin., Jul., 23 (3): 431-42, vi, 2005. 20- Ouattara D., Vacher C., de Vasconcellos J.J., Kassanyou S., Gnanazan G. and N'Guessan B.: Anatomical study of the variations in innervation of the orbicularis oculi by the facial nerve. Surg. Radiol. Anat. Feb., 26 (1): 51-3., 2004 21- DiFrancesco L.M.1., Anjema C.M., Codner M.A., McCord C.D. and English J.: Evaluation of conventional subciliary incision used in blepharoplasty: Preoperative and postoperative videography and electromyography findings. Plast. Reconstr. Surg. Aug., 116 (2): 632-9, 2005 | ||
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