Upper Eyelid Blepharoplasty: A Novel Method to Predict and Improve Outcomes
Anne Barmettler1,2,3, Jessie Wang4, Moonseong Heo5
1Oculoplastic Surgery Division at Montefiore Medical Center, Albert Einstein College of Medicine in Bronx, New York.
Aesthetic Surgery Journal
|July 15, 2018
Summary
Surgeons developed an equation to predict outcomes in upper eyelid blepharoplasty. This formula helps determine precise skin excision and crease elevation for desired eyelid margin to fold distance (MFD).
Area of Science:
- Oculoplastic surgery
- Cosmetic surgery outcomes
- Surgical planning
Background:
- Maximal skin removal in upper eyelid blepharoplasty may not yield optimal results.
- Techniques to improve aesthetic outcomes include crease elevation.
- A method to quantify skin excision and crease elevation for specific results is lacking.
Purpose of the Study:
- To extrapolate an equation for predicting eyelid margin to fold distance (MFD).
- To guide the amount of skin excision and/or lid crease elevation needed for desired MFD.
Main Methods:
- Prospective, nonrandomized clinical trial involving 164 patients (322 eyelids).
- Data collected: age, gender, BMI, brow position, MFD, margin to crease distance (MCD), and vertical skin distance (VSD).
- Exclusion criteria included specific medical conditions and prior eyelid procedures.
Main Results:
- Regression analysis yielded the equation: Change in MFD = -0.40 + (-0.28 × Change VSD) + (0.53 × Change MCD).
- Age, gender, and BMI were not significant factors in the final model.
- The model's predictive power was indicated by |R| = 0.28.
Conclusions:
- An equation was developed to enhance prediction of upper eyelid blepharoplasty outcomes.
- This tool aims to assist surgeons in achieving specific aesthetic goals.
- Improved predictability can lead to more satisfactory patient results.
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