Document Detail

The sigmoid upper eyelid blepharoplasty: redefining beauty.
MedLine Citation:
PMID:  23034681     Owner:  NLM     Status:  MEDLINE    
PURPOSE: A youthful female upper eyelid contour includes a concave medial portion of the upper eyelid along with a fuller, convex lateral eyelid. The skin in the lateral eyelid is tight without hooding. This is a sigmoid shape in 3-dimensional terms. With aging, fatty herniation medially along with redundant, hooded, ptotic lateral skin creates the exact opposite eyelid curve. The sigmoid blepharoplasty is a novel surgical technique that recreates a youthful upper eyelid.
METHOD: A retrospective chart review of 142 female patients who underwent the sigmoid blepharoplasty was conducted. To recreate a youthful eyelid in 3 dimensions, the medial eyelid concavity is achieved by removing a strip of medial orbicularis oculi muscle along with selective medial fat removal. Excess skin and hooding is removed, and fat grafts from the medial eyelid are placed laterally below the muscle to achieve a fullness and tight skin.
RESULTS: All patients achieved a pleasant, rejuvenated upper eyelid as assessed by photographs and chart records. The sigmoid blepharoplasty restored a youthful eyelid appearance by recreating a concave medial eyelid and fuller lateral eyelid. There were no infections, and fat grafts took uniformly.
CONCLUSIONS: The sigmoid upper eyelid blepharoplasty technique recreates a truly youthful eyelid with novel eyelid concepts. The surgery is safe and reproducible, and consistent results are achievable.
John P Fezza
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Ophthalmic plastic and reconstructive surgery     Volume:  28     ISSN:  1537-2677     ISO Abbreviation:  Ophthal Plast Reconstr Surg     Publication Date:    2012 Nov-Dec
Date Detail:
Created Date:  2012-11-09     Completed Date:  2013-03-08     Revised Date:  2013-05-08    
Medline Journal Info:
Nlm Unique ID:  8508431     Medline TA:  Ophthal Plast Reconstr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  446-51     Citation Subset:  IM    
Center for Sight, Sarasota, Florida 34239, USA.
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MeSH Terms
Adipose Tissue / transplantation
Beauty Culture*
Blepharoplasty / methods*
Eyelids / anatomy & histology,  surgery*
Middle Aged
Oculomotor Muscles / surgery
Retrospective Studies
Skin Aging
Comment In:
Ophthal Plast Reconstr Surg. 2012 Nov-Dec;28(6):454   [PMID:  23138205 ]
Ophthal Plast Reconstr Surg. 2012 Nov-Dec;28(6):452-3   [PMID:  23138204 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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