지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Background: Transconjunctival lower blepharoplasty (TCLB) and traditional subciliary incision blepharoplasty (TSIB) are most commonly used to improve the appearance of an aged lower eyelid. The lid/cheek junction (LCJ) is located between the lower lid and midface, where structural changes caused by aging associated with both areas occur simultaneously. Thus, it may be a landmark that reflects the rejuvenation effects of lower blepharoplasty. However, there is no research-based proof yet.
Objective: The purpose of this study was to investigate the rejuvenation effects of these two lower blepharoplasty procedures by observing changes in LCJ length and shape. Methods: The changes in LCJ length and shape in 32 patients with good follow-up among patients who underwent lower blepharoplasty between 2012 and 2016 were investigated. The patients were categorized as either TCLB (Group 1) or TSIB (Group 2) patients. Each group was further divided into the subgroups G1p, G1n, G2p, and G2n, according to the positive/negative globe-to-skeletal relationship.
Results: The shape of LCJ changed from a V-shape to a round shape, and its length decreased in G1p, G2p, and G2n, but increased in G1n. The pattern of LCJ was also affected, corresponding to the partial deformity of the zygomaticomaxillary bone. Aged lower lids were significantly improved in all groups, but infraorbital hollowness was not improved, and indeed was even worse, in G1n.
Conclusion: Patients undergoing TCLB and TSIB surgeries significantly showed rejuvenation effects for fat protrusion, skin laxity, and wrinkles without any volume restoration, and particularly, G1n showed a worse result. Therefore, TCLB should not be recommended in G1n, and combination procedures that change a negative vector into a positive vector and improve infraorbital hollowness are necessary to achieve better outcomes.
목차
등록된 정보가 없습니다.
참고문헌 (14)
참고문헌 신청
Lambros V / 2007 / Observations on periorbital and midface aging / Plast Reconstr Surg 120:1367~1376
Hester TR Jr / 2000 / Evolution of technique of the direct transblepharoplasty approach for the correction of lower lid and midfacial aging:maximizing results and minimizing complications in a 5-year experience / Plast Reconstr Surg 105:393~406
Tomlinson FB / 1975 / Transconjunctival lower lid blepharoplasty for removal of fat / Plast Reconstr Surg 56:314~318
Zarem HA / 1991 / Expanded applications for transconjunctival lower lid blepharoplasty / Plast Reconstr Surg 88:215~220
Undavia S / 2016 / Quantified incision placement for postseptal approach transconjunctival blepharoplasty / Ophthal Plast Reconstr Surg 32:191~194
Hester TR Jr / 2000 / Evolution of technique of the direct transblepharoplasty approach for the correction of lower lid and midfacial aging:maximizing results and minimizing complications in a 5-year experience / Plast Reconstr Surg 105:393~406
Tomlinson FB / 1975 / Transconjunctival lower lid blepharoplasty for removal of fat / Plast Reconstr Surg 56:314~318
Zarem HA / 1991 / Expanded applications for transconjunctival lower lid blepharoplasty / Plast Reconstr Surg 88:215~220
Undavia S / 2016 / Quantified incision placement for postseptal approach transconjunctival blepharoplasty / Ophthal Plast Reconstr Surg 32:191~194
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