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. 2015 Aug;29(3):201-8.
doi: 10.1055/s-0035-1556844.

Revision Upper Blepharoplasty

In Chang Cho  1
Affiliations

Revision Upper Blepharoplasty

In Chang Cho. Semin Plast Surg. 2015 Aug.

Abstract

The ideal shape and height of the double eyelid varies widely depending on the patient and the culture. Patients may be dissatisfied after a double eyelid operation for the following reasons: scar, low versus high fold, shallow versus deep fold, triple folds, pretarsal fullness, ptosis, and asymmetry. Here the author describes the complications experienced after double eyelid surgery and corrective procedures.

Keywords: complication of double eyelid operation; revision blepharoplasty.

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Figures

Fig. 1
Fig. 1
Postoperative depressed scar. (A) Caused by pretarsal oculi muscle excision. (B) Caused by ectropion.
Fig. 2
Fig. 2
Corrective methods for low fold. (A) Excision of drooping skin and orbicularis oculi muscle. (B) Minimal incision method above the previous line. (C) Combination of A and B. OOM, orbicularis oculi muscle.
Fig. 3
Fig. 3
High fold (A) caused by high crease design and (B) caused by high point fixation.
Fig. 4
Fig. 4
(A–C) High fold correction. (A) Skin is resected (width is from new planned incision to previous high fold incision). Internal scar tissue is left in place with the upper flap to add volume. (B) The scarred tissue plane is released immediately anterior to tarsus and levator aponeurosis. (C) New lower level crease formation is performed with surgeon's technique of choice.
Fig. 5
Fig. 5
Pretarsal fullness. Relationship between eyelid crease height and pretarsal fullness.
Fig. 6
Fig. 6
Mechanism of triple fold after primary operation.
Fig. 7
Fig. 7
Mechanism of triple fold after high fold or ectropion correction.
Fig. 8
Fig. 8
Orbital fat transposition.
Fig. 9
Fig. 9
Triple fold correction method with posterior oculi muscle fascia and muscle pulled low and anchored to the tarsal plate.
Fig. 10
Fig. 10
Triple fold correction method with DuoDERM (ConvaTec, Skillman, NJ) strip applied and skin roll formation.
See this image and copyright information in PMC

References

    1. Cho I C The Art of Blepharoplasty Seoul, South Korea: Koonja Publishing; 201384–124. (in Korean)
    1. Chang S H, Chen W P, Cho I C, Ahn T J. Comprehensive review of Asian cosmetic upper eyelid oculoplastic surgery: Asian blepharoplasty and the like. Arch Aesthet Plast Surg. 2014;20(3):129–139.
    1. Chen W P. The concept of a glide zone as it relates to upper lid crease, lid fold, and application in upper blepharoplasty. Plast Reconstr Surg. 2007;119(1):379–386. - PubMed
    1. Kim Y W, Park H J, Kim S. Revision of unfavorable double eyelid operation by repositioning of preaponeurotic fat. J Korean Soc Plast Reconstr Surg. 2000;27:99–104.
    1. Lew D H, Kang J H, Cho I C. Surgical correction of multiple upper eyelid folds in East Asians. Plast Reconstr Surg. 2011;127(3):1323–1331. - PubMed