Blepharoplasty of the upper eyelids, in combination with epicanthoplasty
https://doi.org/10.17238/2072-3180-2024-4-189-193
Abstract
Introduction. One of the reasons for contacting a plastic surgeon is increasingly the overhang of the upper eyelid in combination with epicanthus. Due to increased migration processes, the number of upper blepharoplasty operations in combination with epicanthoplasty is steadily increasing from year to year. With the apparent simplicity of the operation, it has its own indications and contraindications, as well as rare, but still complications.
The aim of the study was to evaluate the immediate and long-term results of surgery and the incidence of complications in upper blepharoplasty and epicanthoplasty.
Materials and methods. The prospective study included 49 patients admitted to the clinic from 2021 to 2023. The age of the patients ranged from 25 to 34 years. All patients underwent a combined operation of upper blepharoplasty and medial epicanthoplasty.
Results. In the immediate postoperative period, complications occurred in 4 (6 %) people. After 6 months, at a follow-up examination, dissatisfaction with the result was noted in 1 patient. A clinical case is presented as an illustration.
Discussion. In the Russian Federation, especially in the European part, such operations are not so in demand, but their number is steadily growing. During the study, it was noted that the results of surgical treatment depend on the initial condition of the patient, both general and local.
Conclusions. The increase in the number of operations of upper blepharoplasty and epicanthoplasty in the Russian Federation requires further study of the problem, development of indications and contraindications and prevention of possible complications.
About the Authors
K. V. KlimenkoRussian Federation
Klimenko Konstantin Vladimirovich – plastic surgeon, Senior lecturer of Department of Plastic and Reconstructive Surgery,
125080, Moscow, 11 Volokolamsk Highway
R. A. Pakhomova
Russian Federation
Pakhomova Regina Alexandrovna – Doctor of Medical Sciences, Head of the Department of Plastic and Reconstructive Surgery,
11 Volokolamsk Highway, Moscow, 125080
K. V. Artamonova
Russian Federation
Artamonova Kristina Viktorovna – plastic surgeon,
31 Bolshaya Ochakovskaya str., Moscow, 119361
N. T. Grishina
Russian Federation
Grishina Natela Tengizovna – plastic surgeon,
31 Bolshaya Ochakovskaya str., Moscow, 119361
E. V. Portnova
Russian Federation
Portnova Ekaterina Vyacheslavovna – plastic surgeon,
31 Bolshaya Ochakovskaya str., Moscow, 119361
References
1. Amer A.A., Abdellah M.M., Hassan N.H.F. & Mounir A. Surgical outcome of epicanthus and telecanthus correction by C-U medial canthoplasty with lateral canthoplasty in treatment of Blepharophimosis syndrome. BMC Ophthalmology, 2022, vol. 22, № 226.
2. Hollander M.H. и др. Aesthetic outcomes of upper eyelid blepharoplasty: a systematic review. Int. J. Oral Maxillofac. Surg., 2020, № 6, рр. 750– 764.
3. Shin D.H., Woo K.I., Kim Y-D. () Relationship between lower eyelid epiblepharon and epicanthus in Korean children. PLoS ONE, 2017, № 12(11), рр. e0187690. https://doi.org/10.1371/journal.pone.0187690
4. Mandal S.K., Mandal A., Fleming J.C., Goecks T., Meador A., Fowler B.T. Surgical Outcome of Epicanthus and Telecanthus Correction by Double Z-Plasty and Trans-Nasal Fixation with Prolene Suture in Blepharophimosis Syndrome. J Clin Diagn Res., 2017, Mar; № 11(3), рр. NC05-NC08. https://doi.org/10.7860/JCDR/2017/25651.9496
5. Kurbanov U.A., Davlatov A.A., Yunusova Z.I., Dzhanobilova S.M. Surgical treatment of blepharochalasis and epicanthus. Scientific and medical journal «Paemi Sino» («Avicenna Bulletin») Tajik State Medical University named after Abuali ibni Sino, 2009, № 2. (In Russ.)
6. Peipla A.D. Plastic and reconstructive surgery. Translated from English. M.: BINOM, 2007. (In Russ.)
7. Ze-Chun Huang, Dan Yan, Li-Fang Huang, Hao-Yan Yang, Bin He, An-Li Zhang, Shuai-Hua Li. Clinical Application of a Bird-Beak-Type ZShaped Asymmetrical Flap in the Reconstruction of the Inner Canthus. Front. Surg., 2022, № 12.
8. Wong C.H., Hsieh M.K.H., Wei F.C. Asian Upper Blepharoplasty with the Hinge Technique. Aesthetic Plast Surg., 2022, Jun; № 46(3), рр. 1423–1431. https://doi.org/10.1007/s00266-021-02703-8
9. Chen B., Ma L., Qi H., Luo L. Single Mini-incisional Blepharoplasty with the Orbicularis-Orbital Septum Fixation Technique for the Creation of a Natural Double Eyelid. Aesthetic Plast Surg., 2024, May; № 48(10), рр. 1914-1919. https://doi.org/10.1007/s00266-024-03878-6
10. Wong C.H., Hsieh M.K.H., Mendelson B. Subclinical Upper Eyelid Ptosis in Asian Patients: The Role of Levator Advancement in Optimizing Outcomes in «Cosmetic» Upper Blepharoplasty. Aesthetic Plast Surg., 2024, Jan; № 48(2), рр. 141–151. https://doi.org/10.1007/s00266-023-03697-1
11. Park K.S., Park D.D. Objective Outcome Measurement After Upper Blepharoplasty: An Analysis of Different Operative Techniques. Aesthetic Plast Surg., 2017, Feb; № 41(1), рр. 64–72. https://doi.org/10.1007/s00266-016-0747-1
12. Cho I.C. и др. Surgical Correction of Upper Eyelid Ectropion Presenting Dry Eye Symptoms. Aesthetic Surg. J., 2021, Т. 41, № 1.
13. Dosan A., Dzhumabekov A., Doskaliev A., Nurmaganov S. Aesthetic upper blepharoplasty: possible functional complications. Literature review. Science and Healthcare, 2023, № 1, vol. 25, pp. 190–197. (In Russ.) https://doi.org/10.34689/SH.2023.25.1.023
14. Baek J.S. и др. Ophthalmologic Complications Associated with Oculofacial Plastic and Esthetic Surgeries. J. Craniofac. Surg., 2018, Т. 29, № 5, рр. 1208–1211.
Review
For citations:
Klimenko K.V., Pakhomova R.A., Artamonova K.V., Grishina N.T., Portnova E.V. Blepharoplasty of the upper eyelids, in combination with epicanthoplasty. Moscow Surgical Journal. 2024;(4):189-193. (In Russ.) https://doi.org/10.17238/2072-3180-2024-4-189-193