Long-term results of lower-lid suspension blepharoplasty: a 30-year experience. Academic Article uri icon

Overview

abstract

  • BACKGROUND: Muscle suspension blepharoplasty remains a reliable method to tighten the loose skin and muscle of the lower eyelid. OBJECTIVE: To evaluate the 30-year experience of the senior author (N.J.P.) with the skin-muscle suspension technique for lower-lid blepharoplasty. PATIENTS AND METHODS: Of 4395 patients who underwent lower-lid blepharoplasty, 3988 had muscle suspension blepahroplasty performed with adequate follow-up. RESULTS: Results of the 30-year review showed that most patients were very satisfied with the procedure. There were 67 complications (2 hematomas, 1 poor scar, 24 cases of scleral show <1 mm, and 40 cases of chemosis). Chemosis resolved in 2 to 8 weeks, and there were no cases of ectropion, scleral show greater than 1 mm, dry eye, or vision loss. Revision surgery was needed in 41 patients, all of whom were satisfied after the secondary procedure. CONCLUSION: Despite the recent drift toward orbital fat preservation for lower-lid blepharoplasty, conventional lower-lid muscle suspension offers the surgeon a reliable method to tighten the loose skin and muscle of the lower eyelid and give the patient a more attractive, youthful appearance.

publication date

  • January 1, 2004

Research

keywords

  • Blepharoplasty

Identity

Scopus Document Identifier

  • 4644286888

Digital Object Identifier (DOI)

  • 10.1001/archfaci.6.3.150

PubMed ID

  • 15148120

Additional Document Info

volume

  • 6

issue

  • 3