Abstract
Purpose: To investigate the changes in upper and lower eyelid positions after upper blepharoplasty in elderly patients. Methods: Patients diagnosed with dermatochalasis and treated with upper blepharoplasty were included in the study. Clinical photographs taken preoperatively and immediately after surgery were retrospectively reviewed. Marginal reflex distance (MRD) 1, MRD2 and palpebral fissure height (PFH) were measured from the photographs using Image J software. Results: A total of 184 patients (72 males and 112 females) were included in the study. The preoperative mean MRD1, MRD2, and PFH were 1.97 ± 1.27 mm, 4.74 ± 0.97 mm, and 6.70 ± 1.69 mm, respectively. The postoperative mean MRD1, MRD2, and PFH were 1.79 ± 0.79 mm, 4.16 ± 0.92 mm, and 5.95 ± 1.36 mm, respectively. Preoperative and postoperative MRD1 were not significantly different (p = 0.256), but the postoperative MRD2 and PFH significantly decreased compared to preoperative values (both, p ＜ 0.001). Conclusions: When performing upper blepharoplasty in elderly patients, the surgeon should consider that the MRD2 and PFH could be decreased during surgery. When the surgeon estimates the correct amount of skin-muscle excision, the MRD1, but not PFH, should be considered.
| Original language | English |
|---|---|
| Pages (from-to) | 303-307 |
| Number of pages | 5 |
| Journal | Journal of Korean Ophthalmological Society |
| Volume | 60 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - 2019 Apr 1 |
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Keywords
- Blepharoplasty
- Lower eyelid position
- Marginal reflex distance 1
- Marginal reflex distance 2
- Palpebral fissure height
ASJC Scopus subject areas
- Ophthalmology
Cite this
The importance of lower eyelid position in aging blepharoplasty. / Kim, Joohyun; Yang, Sungwon; Park, Jinhwan; Lee, Hwa; Baek, Se Hyun.
In: Journal of Korean Ophthalmological Society, Vol. 60, No. 4, 01.04.2019, p. 303-307.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The importance of lower eyelid position in aging blepharoplasty
AU - Kim, Joohyun
AU - Yang, Sungwon
AU - Park, Jinhwan
AU - Lee, Hwa
AU - Baek, Se Hyun
PY - 2019/4/1
Y1 - 2019/4/1
N2 - Purpose: To investigate the changes in upper and lower eyelid positions after upper blepharoplasty in elderly patients. Methods: Patients diagnosed with dermatochalasis and treated with upper blepharoplasty were included in the study. Clinical photographs taken preoperatively and immediately after surgery were retrospectively reviewed. Marginal reflex distance (MRD) 1, MRD2 and palpebral fissure height (PFH) were measured from the photographs using Image J software. Results: A total of 184 patients (72 males and 112 females) were included in the study. The preoperative mean MRD1, MRD2, and PFH were 1.97 ± 1.27 mm, 4.74 ± 0.97 mm, and 6.70 ± 1.69 mm, respectively. The postoperative mean MRD1, MRD2, and PFH were 1.79 ± 0.79 mm, 4.16 ± 0.92 mm, and 5.95 ± 1.36 mm, respectively. Preoperative and postoperative MRD1 were not significantly different (p = 0.256), but the postoperative MRD2 and PFH significantly decreased compared to preoperative values (both, p ＜ 0.001). Conclusions: When performing upper blepharoplasty in elderly patients, the surgeon should consider that the MRD2 and PFH could be decreased during surgery. When the surgeon estimates the correct amount of skin-muscle excision, the MRD1, but not PFH, should be considered.
AB - Purpose: To investigate the changes in upper and lower eyelid positions after upper blepharoplasty in elderly patients. Methods: Patients diagnosed with dermatochalasis and treated with upper blepharoplasty were included in the study. Clinical photographs taken preoperatively and immediately after surgery were retrospectively reviewed. Marginal reflex distance (MRD) 1, MRD2 and palpebral fissure height (PFH) were measured from the photographs using Image J software. Results: A total of 184 patients (72 males and 112 females) were included in the study. The preoperative mean MRD1, MRD2, and PFH were 1.97 ± 1.27 mm, 4.74 ± 0.97 mm, and 6.70 ± 1.69 mm, respectively. The postoperative mean MRD1, MRD2, and PFH were 1.79 ± 0.79 mm, 4.16 ± 0.92 mm, and 5.95 ± 1.36 mm, respectively. Preoperative and postoperative MRD1 were not significantly different (p = 0.256), but the postoperative MRD2 and PFH significantly decreased compared to preoperative values (both, p ＜ 0.001). Conclusions: When performing upper blepharoplasty in elderly patients, the surgeon should consider that the MRD2 and PFH could be decreased during surgery. When the surgeon estimates the correct amount of skin-muscle excision, the MRD1, but not PFH, should be considered.
KW - Blepharoplasty
KW - Lower eyelid position
KW - Marginal reflex distance 1
KW - Marginal reflex distance 2
KW - Palpebral fissure height
UR - http://www.scopus.com/inward/record.url?scp=85066453087&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85066453087&partnerID=8YFLogxK
U2 - 10.3341/jkos.2019.60.4.303
DO - 10.3341/jkos.2019.60.4.303
M3 - Article
VL - 60
SP - 303
EP - 307
JO - Journal of Korean Ophthalmological Society
JF - Journal of Korean Ophthalmological Society
SN - 0378-6471
IS - 4
ER -