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 |