J Korean Ophthalmol Soc > Volume 56(12); 2015 > Article
Journal of the Korean Ophthalmological Society 2015;56(12):1831-1839.
DOI: https://doi.org/10.3341/jkos.2015.56.12.1831    Published online December 15, 2015.
Changes in Lower Eyelid Positions after Individualized Lower Blepharoplasty.
Young Je Sung, Jong Seo Park, Helen Lew
Department of Ophthalmology, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea. eye@cha.ac.kr
환자별 계획된 아래눈꺼풀성형술 후 아래눈꺼풀의 위치 변화에 관한 연구
성영제⋅박종서⋅유혜린
차의과학대학교 분당차병원 안과학교실
Received: 29 May 2015   • Revised: 5 July 2015   • Accepted: 25 September 2015
Abstract
PURPOSE
Various forms and degrees of morphological changes in the lower eyelid are presented in this study. A comprehensive, individualized clinical approach based on sound anatomical principles and lower lid stability is needed. We evaluated morphological outcomes of lower blepharoplasty by measuring lower eyelid position. METHODS: One hundred sixty-eight eyes underwent lower blepharoplasty between August 2009 and August 2014. The mean patient age was 62.1 +/- 13 years and mean follow-up period was 6.0 +/- 10.2 months. Lower eyelid position of 84 consecutive primary lower blepharoplasty patients (52 females and 32 males) was analyzed using digital images and measured with standardized data points using the Image J Program. RESULTS: Of the 168 individualized lower eyelid blepharoplasties analyzed, margin reflex distance 2 (MRD2) decreased from 5.4 +/- 1.1 mm to 4.9 +/- 0.8 mm (p = 0.005) and marginal nose distance (MND) increased from 59.2 +/- 18.3 mm to 61.9 +/- 17.6 mm (p < 0.001). Complications after lower blepharoplasty were not observed. CONCLUSIONS: The position of the lower eyelid improved after individualized lower blepharoplasty that addressed all the anatomical lower eyelid findings was performed.
Key Words: Eyelid position;Lower blepharoplasty


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