UPPER BLEPHAROPLASTY: POSSIBLE AESTHETICAL COMPLICATIONS. LITERATURE REVIEW.
Introduction. The present review considers the problems of aesthetical complications in patients who underwent upper blepharoplasty.
Aim: of the study presented below is to examine the literature on the issues of potential aesthetical complications that may arise during upper blepharoplasty. Improvement of the field of vision and / or appearance of the area around the eyes can be found as an important goal of surgery.
Research strategy. The search and selection of publications reflecting the topic of possible aesthetical complications in upper blepharoplasty were carried out in the following clusters: firstly, including but not limited by, the indexed databases such as Pubmed, Scopus and Web of Science, and secondly, e-Library databases (electronic library). The Mendeley system, which is a bibliographic extension editor, was widely used during out research activity. We also analysed a large number of articles in English. Study depth 10 years. Key words have been chosen as the following concepts: upper blepharoplasty; Asian blepharoplasty; aesthetical complications; upper eyelid surgery. The total number of literary sources found reached the figure of 167, including 47 publications applied by us for further analysis.
Results. Experts in aesthetic medicine divide the complications and post-factors that occur after eyelid surgery into the following categories: functional, aesthetic, and their combination. Complications such eyelid asymmetry, supratarsal fold asymmetry, multiple folds, weakening or disappearance of the fold, deformation and excessively high fold, round eyes, eyelid retraction, blepharoptosis, rounding of the lateral canthus, visible scars, medial canthal webbing, pigmentation, change in sensitivity, puffiness of the upper eyelid, cysts and granulomas etc. all refer to postoperative aesthetical problems being a consequence of upper blepharoplasty. We directed the potential of our efforts towards this aspect of research to a detailed analysis of the currently available medical literature. Our intention has been to ensure that each issue in this document to be dealt with individually.
Conclusions. A more detailed analysis of aesthetical complications and post-factors that occur during upper blepharoplasty surgery will help reduce the incidence of undesirable consequences and improve postoperative outcome. We pay special attention to one of the most important factors, namely, an increase in the level of patient satisfaction with the operation results. A more detailed and careful study of this topic will certainly also contribute to the improvement of the methods of perioperative management of patients undergoing upper blepharoplasty.
Aina Dossan1, https://orcid.org/0000-0002-6009-5385
Auyeskhan Dzhumabekov1, https://orcid.org/0000-0002-5817-8851
Aidos Doskalyiev2, https://orcid.org/0000-0001-8727-567X
Serik Nurmaganov3, https://orcid.org/0000-0002-1080-8949
1 Kazakhstan Medical University “Higher School of Public Health”, Almaty city, Republic of Kazakhstan;
2 National Centre for Neurosurgery, Astana city, Republic of Kazakhstan;
3 Medical center “Medical Park”, Almaty city, Republic of Kazakhstan.
1. Alghoul M.S., Vaca E.E., Mioton L.M. Getting Good Results in Cosmetic Blepharoplasty // Plast. Reconstr. Surg. 2020. Т. 146. № 1. С. 71E-82E.
2. Castanares S. Blepharoplasty for herniated intraorbital fat; anatomical basis for a new approach // Plast. Reconstr. Surg. (1946). 1951. Т. 8. № 1. С. 46–58.
3. Chen S.H.T. и др. Strategies for a successful corrective Asian blepharoplasty after previously failed revisions // Plast. Reconstr. Surg. 2004. Т. 114. № 5. С. 1270–1277.
4. Chen W.D., Park J.J. Asian upper lid blepharoplasty: An update on indications and technique // Facial Plast. Surg. 2013. Т. 29. № 1. С. 26–31.
5. Chen W.P.-D. The Eyelid Crease Height, Depth, and Shape: A Scoring System for Revisional Asian Blepharoplasty. // Plast. Reconstr. surgery. Glob. open. 2020. Т. 8. № 5. С. e2802.
6. Cho I. Aging blepharoplasty // Arch. Plast. Surg. 2013. Т. 40. № 5. С. 486–491.
7. Cho I.C., Cho C., Plastic B. Revision Upper Blepharoplasty // Korea Semin Plast Surg. 2015. Т. 29. С. 201–208.
8. Dobryakova O.B. et al. The surgery correction of the upper eyelid A-Frame deformity // Issues of reconstructive and plastic surgery. 2016. Т.19. №2 (57). С. 11-19.
9. Frank G.S. et al. Blepharoplasty complications: prevention and management // Clin. Plast. Surg. 2013. Т. 40. № 1. С. 275–277.
10. Furnas D.W. Festoons of orbicularis muscle as a cause of baggy eyelids // Plast. Reconstr. Surg. 1978. Т. 61. № 4. С. 540–546.
11. Gao Y. et al. Comparison of aesthetic facial criteria between Caucasian and East Asian female populations: An esthetic surgeon’s perspective // Asian J. Surg. 2018. Т. 41. № 1. С. 4–11.
12. Golan S., Goldberg R.A. Time Course Analysis of Upper Blepharoplasty Complications // Dermatologic Surg. 2017. Т. 43. № 2. С. 307–309.
13. Guo S. et al. Corrective Strategies for a Complex Deformity Caused by “European-Style Double Eyelid” Blepharoplasty in Asians // Aesthetic Plast. Surg. 2019. Т. 43. № 2. С. 395–403.
14. Hollander M.H.J. et al. Functional outcomes of upper eyelid blepharoplasty: A systematic review // J. Plast. Reconstr. Aesthetic Surg. 2019. Т. 72. № 2. С. 294–309.
15. Hsu A.K., Jen A. Estimation of skin removal in aging asian blepharoplasty // Laryngoscope. 2012. Т. 122. № 4. С. 762–766.
16. Karam A.M., Lam S.M. Management of the aging upper eyelid in the asian patient // Facial Plast. Surg. 2010. Т. 26. № 3. С. 201–208.
17. Karimnejad K., Walen S. Complications in Eyelid Surgery // Facial Plast. Surg. Clin. North Am. 2016. Т. 24. № 2. С. 193–203.
18. Kim C.Y., Jang J.W. The Causes and Management of Asymmetrical Double Eyelids // Facial Plast. Surg. 2020. Т. 36. № 5. С. 575–583.
19. Kim K.K. et al.High Double Eyelid Fold Correction Using Wide Dual-Plane Dissection // Ann. Plast. Surg. 2017. Т. 78. № 4. С. 365–370.
20. Kim Y.W., Park H.J., Kim S. Secondary correction of unsatisfactory blepharoplasty: Removing multilaminated septal structures and grafting of preaponeurotic fat // Plast. Reconstr. Surg. 2000. Т. 106. № 6. С. 1399–1404.
21. Kossler A.L. et al. Current Trends in Upper and Lower Eyelid Blepharoplasty among American Society of Ophthalmic Plastic and Reconstructive Surgery Members // Ophthalmic Plastic and Reconstructive Surgery. : Lippincott Williams and Wilkins, 2018. С. 37–42.
22. Leatherbarrow B., Saha K. Complications of blepharoplasty // Facial Plast. Surg. 2013. Т. 29. № 4. С. 281–288.
23. Lee W. et al.Correction of sunken upper eyelid with orbital fat transposition flap and dermofat graft // J. Plast. Reconstr. Aesthetic Surg. 2017. Т. 70. № 12. С. 1768–1775.
24. Lew D.H., Kang J.H., Cho I.C. Surgical correction of multiple upper eyelid folds in East Asians // Plast. Reconstr. Surg. 2011. Т. 127. № 3. С. 1323–1331.
25. Mack W.P. Complications in periocular rejuvenation // Facial Plast. Surg. Clin. North Am. 2010. Т. 18. № 3. С. 435–456.
26. Massry G.G. Nasal fat preservation in upper eyelid blepharoplasty // Ophthal. Plast. Reconstr. Surg. 2011. Т. 27. № 5. С. 352–355.
27. Morax S. Complications of blepharoplasty // Journal Francais d’Ophtalmologie. : Elsevier Masson SAS, 2004. С. 658–674.
28. Morax S., Touitou V. Complications of blepharoplasty // Orbit. 2006. Т. 25. № 4. С. 303–318.
29. Neimkin M.G. et al.The Role of Surgeon Technique in Current Practice Patterns for Combined Ptosis and Dermatochalasis // Ophthal. Plast. Reconstr. Surg. 2017. Т. 33. № 2. С. 124–128.
30. Nguyen M., Hsu P., Dinh T. Asian Blepharoplasty // Semin. Plast. Surg. 2009. Т. 23. № 03. С. 185–197.
31. Park D.D. Aging Asian Upper Blepharoplasty and Brow // Semin. Plast. Surg. 2015. Т. 29. № 3. С. 188–200.
32. Patipa M., Wilkins R.B. Acquired ptosis in patients undergoing upper eyelid blepharoplasty // Ann. Ophthalmol. 1984. Т. 16. № 3. С. 266–270.
33. Patrocinio T.G. et al. Complications in blepharoplasty: How to avoid and manage them // Braz. J. Otorhinolaryngol. 2011. Т. 77. № 3. С. 322–327.
34. Pool S.M.W., Lei B. Van Der. Sensibility of the upper eyelid skin after upper blepharoplasty: a prospective evaluation study // J. Plast. Reconstr. Aesthet. Surg. 2014. Т. 67. № 7. С. 1000–1002.
35. Ramil M.E. Fat grafting in hollow upper eyelids and volumetric upper blepharoplasty // Plast. Reconstr. Surg. 2017. Т. 140. № 5. С. 889–897.
36. Sheen J.H. A change in the technique of supratarsal fixation in upper blepharoplasty // Plast. Reconstr. Surg. 1977. Т. 59. № 6. С. 831–834.
37. Sires B.S.et al. The color difference in orbital fat // Arch. Ophthalmol. 2001. Т. 119. № 6. С. 868–871.
38. Steinsapir K.D., Kim Y.D. Pathology of “post-upper blepharoplasty syndrome”: Implications for upper eyelid reconstruction // Clin. Ophthalmol. 2019. Т. 13. С. 2035–2042.
39. Wattanakrai K., Chiemchaisri N., Wattanakrai P. Secondary Blepharoplasty: Correction of the High Fold // Aesthetic Plast. Surg. 2016. Т. 40. № 6. С. 914–920.
40. Weng C.-J. Oriental upper blepharoplasty. // Semin. Plast. Surg. 2009. Т. 23. № 1. С. 5–15.
41. Weng C.J., Noordhoff M.S. Complications of oriental blepharoplasty // Plast. Reconstr. Surg. 1989. Т. 83. № 4. С. 622–628.
42. Yang P. et al. Upper Eyelid Blepharoplasty: Evaluation, Treatment, and Complication Minimization Preoperative Evaluation // Seminars in Plastic Surgery. 2017. Vol.31. №.1. С.51-57.
43. Young S.M. et al. Lowering of the High Eyelid Crease in Revision Upper Eyelid Surgery // Aesthetic Plast. Surg. 2019. Т. 43. № 1. С. 139–146.
44. Zhang-Nunes S. et al. Demographic and physiological factors associated with clinically significant eyelid edema in patients following upper eyelid surgery // J. Plast. Reconstr. Aesthet. Surg. 2023. Т. 78. С. 4–9.
45. Procedural Statistics | The Aesthetic Society. URL: https://www.theaestheticsociety.org/media/procedural-statistics (дата обращения: 15.02.2023).
46. CARL FERDINAND VON GRAEFE (1787-1840) : Plastic and Reconstructive Surgery. URL: https://journals.lww.com/plasreconsurg/Citation/1970/12000/CARL_FERDINAND_VON_GRAEFE__1787_1840_.4.aspx (дата обращения: 10.12.2020).
47. 한국갤럽조사연구소 본관 (03167) Korean research institute Gallup. URL: http://www.gallup.co.kr/gallupdb/report. (дата обращения: 15.02.2023)
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Dossan A., Dzhumabekov A., Doskalyiev A., Nurmaganov S. Upper blepharoplasty: possible aesthetical complications. Literature review // Nauka i Zdravookhranenie [Science & Healthcare]. 2023, (Vol.25) 2, pp. 197-205. doi 10.34689/SH.2023.25.2.026Related publications:
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