The sigmoid upper eyelid blepharoplasty: redefining beauty

Area of Science:

• Oculoplastic surgery
• Facial plastic surgery
• Aesthetic surgery

Background:

• Aging leads to changes in the upper eyelid, including medial fat herniation and lateral skin laxity.
• These age-related changes create an inverted sigmoid shape, contrasting with the youthful concave medial and convex lateral eyelid.
• Restoring a youthful eyelid contour involves addressing both fat distribution and skin redundancy.

Purpose of the Study:

• To introduce and evaluate the sigmoid blepharoplasty, a novel surgical technique designed to recreate a youthful upper eyelid contour.
• The technique aims to reverse the aging-related changes in the upper eyelid, restoring a sigmoid shape.
• To assess the safety and efficacy of this new blepharoplasty approach.

Main Methods:

• A retrospective review of 142 female patients who underwent the sigmoid blepharoplasty was performed.
• The surgical technique involves removing a strip of medial orbicularis oculi muscle and selective medial fat.
• Lateral fat grafting from the medial eyelid is used to enhance fullness and skin tightness.

Main Results:

• The sigmoid blepharoplasty successfully restored a youthful eyelid appearance in all patients.
• Photographic and chart assessments confirmed the recreation of a concave medial and fuller lateral eyelid.
• The procedure demonstrated a high safety profile with no reported infections and uniform fat graft take.

Conclusions:

• The sigmoid upper eyelid blepharoplasty is a safe and reproducible technique that effectively recreates a youthful eyelid.
• It utilizes novel concepts to achieve a desirable sigmoid shape, addressing aging-related eyelid deformities.
• Consistent and satisfactory aesthetic outcomes are achievable with this surgical method.